Recent Posts - DAFNE Online

Aug 13, 2012

marke 686 posts

Topic: Carbohydrate Counting / Quorn and vegetarian substitutes

I can create a vegetarian section on the site for you to add entries to. However I don't think the paper Carb Lists will have a vegetarian section added unless dieticians understand what foods you want entries added for. From what you say the values on the packaging are not that helpful anyway due to the low GI of these foods which make them difficult to 'cover' with QA insulin.
So if you want to create your own list on the site we can do that and since I submit these 'added' entries to the DAFNE Dieticians we may even get a section added to the Carb Counting book in future.

Aug 13, 2012

bennettpl 3 posts

Topic: Carbohydrate Counting / Carb group replacement

Things which have lower carb: burgen soya and linseed bread; low carb pasta off specialised websites; slimming world bran crispbreads. Full fat foods have less carb in than low fat versions - ie milk yoghurt etc.

Aug 13, 2012

RichFreed 51 posts

Topic: Site Development / Auto calculate QA from BG - let's get it right

perfect thanks for that.

Aug 13, 2012

Kordula B 6 posts

Topic: Carbohydrate Counting / Quorn and vegetarian substitutes

we don't eat meat in this household and before dafne I used QI for the lentils and other pulses as per nutritional info in "carb counting" lists.... with the problems you describe - I had a dreadful few months
We eat quorn burgers ( occasionally) and sausages which contain rusk - so explain the 7 g carb per sausage on the box / bag, dto Linda sausages ( tastier than Quorn) - so I inject 2 IU for my three sausages
quorn is mainly mycoprotein - i.e. made from fungi = vegetable that don't count! - so no QI to cover - unless you have breaded or battered cutlets etc
You are right - updated CP lists do need a "vegetarian section"

Aug 13, 2012

Dean123 7 posts

Topic: General Discussion / Correction dose

Hi can you help me, how do you work out your correction dose for insulin . Thanks Dean

Aug 13, 2012

bennettpl 3 posts

Topic: Carbohydrate Counting / Quorn and vegetarian substitutes

Hi everyone
I eat a lot of these as don't eat meat. Although the carb is given on the packet, I have made mistakes in the past before Dafne by using too much QA using packet info. From what I understood on the course, this is because some carb doesn't need QA because it is absorbed so slowly into the body. Does anyone have any suggestions as to what to do? No vegetarian foods are listed in the Dafne CP list that I can find.

Thanks.

Aug 12, 2012

Simon 578 posts

Topic: Site Development / App update bugs

If you're experiencing this and can't upgrade to iOS 5 then the crash is now fixed in the latest update (1.6.2) available on the app store now.

Aug 12, 2012

Simon 578 posts

Topic: Site Development / Auto calculate QA from BG - let's get it right

Rich, your wish is my command. In 1.6.2 on the app store now you can enter your QA:CP ratio in a text box and make it as fine grained as you like. Other issues fixed are:

* Crashes when saving a diary entry on iOS 4
* Auto calc now gives negative corrections

Aug 12, 2012

Simon 578 posts

Topic: DAFNE Online Mobile / iphone app crashing

If you're experiencing this crashing issue then please update to version 1.6.2, on the app store now - this (amongst other things) is fixed.

Aug 11, 2012

Simon 578 posts

Topic: DAFNE Online Mobile / Port mobile app to desktop?

Are there any specific app features that you'd like to use on the desktop? The website has most of the functions available on the apps; or are you more interested in being able to use the app features offline?

Aug 10, 2012

Guy Kramer 12 posts

Topic: DAFNE Online Mobile / Port mobile app to desktop?

I know what you mean about time Rolling Eyes

if I could code I would help, but can't pick it up that quickly

The other option option I guess is Android VM in VitualBox Wink

Thanks
Guy

Aug 10, 2012

marke 686 posts

Topic: DAFNE Online Mobile / Port mobile app to desktop?

This is something I have looked at starting work on but have not got very far. The idea being we can interface to your blood glucose meter and import its readings so they can be transfered to the website. This could include some desktop functionality to do similiar things to the apps. However I am just not getting time to work on this at the moment, we do this in our spare time and sometimes there isn't much spare time Sad

Aug 10, 2012

marke 686 posts

Topic: Site Development / Data Analysis

Hi, What format would you need the data in ? It looks like Splunk is designed to process files or logs of data, DAFNEONline holds the data in the background in a mysql database, Most data oriented websites use a database in the background to store information in. We can extract the data from the site in a number of forms and indeed the iphone and android apps use a method called REST to input and extract data from the database, So basically we need to know what format you need the data in.
The best option would be to email us using the 'contact DAFNE online' at the bottom of the page and we can work out how to provide the data.

Aug 10, 2012

marke 686 posts

Topic: General Discussion / Hypo correction

my understanding, and I stress this is my understanding, is that you should not treat a post hypo high because if you overdo the treatment your liver cannot response as well the second time. It only has a finite store of glucagon and if you keep 'hitting' it without letting it fully recover its response will be reduced. To be honest a short term high is a lot better than a low. You can still function pretty much when high, so although its not a perfect scenario its not doing you a great deal of harm. Well thats my take on it anyway Smile

Aug 10, 2012

meltow 78 posts

Topic: General Discussion / Eating Out - help needed please to stop my panic

Diabetes/carb counting/ratios - none of this is an exact science. If I have a meal out I tend to check my sugars before I leave home, then usually dose the same units, as previous meals taken out. Then when I go to bed I'll take a correction dose if needed. In other words, I'm fairly relaxed about the event, which means I can enjoy the night out with my friends.
I won't let diabetes rule my life Smile

Aug 10, 2012

novorapidboi26 1,819 posts

Topic: General Discussion / Hypo correction

Provided you haven't done any significant physical activity which is not your normal routine you shouldn't really be having quick hypos........hypo symptoms can be either great or subtle regardless of speed the hypo has came on, but your body/liver will respond more severely the worse/faster the hypo.......in my experience.... Smile

Aug 10, 2012

novorapidboi26 1,819 posts

Topic: General Discussion / Eating Out - help needed please to stop my panic

The answer to those what ifs would be to administer quick acting sugar.......every has different levels of confidence......and I suppose it depends on how much you want to keep your blood sugar steady when eating out......

I personally don't worry so much when eating out as its a treat. Just roughly guess it, correct if needed later

Aug 10, 2012

Alan 49 284 posts

Topic: General Discussion / Eating Out - help needed please to stop my panic

I would be a bit nervous about doing that - I'm a 'what if' person. What if you get caught in traffic; what if your car breaks down; what if you're meeting someone at the restaurant and they get delayed; what if there's a cock-up with your order. What if.... I could go on and on here.

Aug 10, 2012

Simon Heller 46 posts

Topic: Questions for HCPs / Verucca - treatment

Hi there, if you have no foot circulation problems and no nerve damage and this is confirmed by someone competent to examine your feet then I would think that these treatments are safe to use. The danger is if you have a lack of feeling or poor circulation then the cream/gel might cause damage to the skin which you wouldn't feel and it could then become infected. For those without problems then generally they could be confident of using them like people without diabetes. Simon Heller

Aug 10, 2012

DianeW 115 posts

Topic: General Discussion / Hypo correction

If I hypo it is either overnight or lunchtime....I know that I don't get dawn phenomenon because I've tested..

So the liver response is making me go high. Hmm I think that if I go to the mid teens during the day then I WOULD correct because it worries me to be so high.

but I find it interesting that yes we know what factors make us hypo (too much insulin, too much exericse, too little food, weather, illness etc etc ) but the SPEED at which it can happen. It seems to be very quick for me....one minute I feel ok, 5 mins later I can be really shaky and woozy..

It seems I shoot right down and then right up again!

Aug 10, 2012

novorapidboi26 1,819 posts

Topic: General Discussion / Any Advice?

A few points....

Pizzas can often have a delayed digestion due to the high fat content, this may be responsible for the initial lowish reading of 4.8 at bed, due to insulin dose working but not enough glucose in the blood stream, then later on in the small hours the rest of the pizza glucose was released.

Wine like any other alcohol will stop the livers normal secretion of glucose and therefore can drop your BG overnight, everyone is effected differently though, so some testing and recording would be good to assess the livers response on a few glasses to a bottle or more...

I would usually recommend a reduction in BI insulin from the blood results above, but its more likely you need to split that dose into an AM and PM. Levemir is best suited to this over Lantus, but it can still be done with Lantus, consult your team before making any changes you are unsure about.

I would say a split is needed so that you can deal with you overnight hypos separately from you less physical job during the day. Because you are now in a new routine, you will need to settle in to it for a week or two and allow your body to adjust, unfortunately that means keeping an eye on the BG more, looking for patterns etc....

Sorry not much specific help................get the background right, then move on......

Aug 10, 2012

novorapidboi26 1,819 posts

Topic: General Discussion / Eating Out - help needed please to stop my panic

You could also try injecting half the amount before you go out/eat, so about 30 minutes to an hour, then when you are satisfied with your guess, deliver the rest..........

remember, eating out is a treat, you should relax yourself and your insulin regime....... Smile

Aug 10, 2012

novorapidboi26 1,819 posts

Topic: General Discussion / Hypo correction

This is probably down to a response from your liver when you have the hypo, which might suggest you were dropping quite fast. A slower on set hypo might not trigger a response from the liver.....

Would you say the scenario you are describing is happening most often overnight. I ask because there can be other factors involved if you are getting high readings in the morning....

If it was in the morning that the high readings were coming, post hypo, then I would correct for it, as you will be most resistant at this time due to the morning hormone activity....

If during the day I probably wouldn't correct after a hypo, in fact definitively wouldn't, however I don't shoot up after hypos because they are slow onset because of extra physical exertion or a negligible dose error.....

Aug 10, 2012

novorapidboi26 1,819 posts

Topic: General Discussion / Testing then Injecting - how long?

It does make sense, yes..............

If its before a meal and your previous dose has expired, and your BI is correct of course, then in theory you could test, wait an hour, and your BG wouldn't be far off what it was an hour before.........

But its likely you would test again as its been so long... Smile

Aug 10, 2012

DianeW 115 posts

Topic: General Discussion / Hypo correction

The rule is that we should not correct a high BG from a hypo at the next test/meal, but at the one after that - thats right isn't it? For some reason I go quite high after a hypo even though I treat it right i.e. not stuff myself with biscuits and say I go hypo in the night and then my morning BG is 14, 15, I hate the idea of being around that level until lunchtime when I can do something about it.

Aug 13, 2012 marke 686 posts	Topic: Carbohydrate Counting / Quorn and vegetarian substitutes I can create a vegetarian section on the site for you to add entries to. However I don't think the paper Carb Lists will have a vegetarian section added unless dieticians understand what foods you want entries added for. From what you say the values on the packaging are not that helpful anyway due to the low GI of these foods which make them difficult to 'cover' with QA insulin. So if you want to create your own list on the site we can do that and since I submit these 'added' entries to the DAFNE Dieticians we may even get a section added to the Carb Counting book in future.

Aug 13, 2012 bennettpl 3 posts	Topic: Carbohydrate Counting / Carb group replacement Things which have lower carb: burgen soya and linseed bread; low carb pasta off specialised websites; slimming world bran crispbreads. Full fat foods have less carb in than low fat versions - ie milk yoghurt etc.

Aug 13, 2012 RichFreed 51 posts	Topic: Site Development / Auto calculate QA from BG - let's get it right perfect thanks for that.

Aug 13, 2012 Kordula B 6 posts	Topic: Carbohydrate Counting / Quorn and vegetarian substitutes we don't eat meat in this household and before dafne I used QI for the lentils and other pulses as per nutritional info in "carb counting" lists.... with the problems you describe - I had a dreadful few months We eat quorn burgers ( occasionally) and sausages which contain rusk - so explain the 7 g carb per sausage on the box / bag, dto Linda sausages ( tastier than Quorn) - so I inject 2 IU for my three sausages quorn is mainly mycoprotein - i.e. made from fungi = vegetable that don't count! - so no QI to cover - unless you have breaded or battered cutlets etc You are right - updated CP lists do need a "vegetarian section"

Aug 13, 2012 Dean123 7 posts	Topic: General Discussion / Correction dose Hi can you help me, how do you work out your correction dose for insulin . Thanks Dean

Aug 13, 2012 bennettpl 3 posts	Topic: Carbohydrate Counting / Quorn and vegetarian substitutes Hi everyone I eat a lot of these as don't eat meat. Although the carb is given on the packet, I have made mistakes in the past before Dafne by using too much QA using packet info. From what I understood on the course, this is because some carb doesn't need QA because it is absorbed so slowly into the body. Does anyone have any suggestions as to what to do? No vegetarian foods are listed in the Dafne CP list that I can find. Thanks.

Aug 12, 2012 Simon 578 posts	Topic: Site Development / App update bugs If you're experiencing this and can't upgrade to iOS 5 then the crash is now fixed in the latest update (1.6.2) available on the app store now.

Aug 12, 2012 Simon 578 posts	Topic: Site Development / Auto calculate QA from BG - let's get it right Rich, your wish is my command. In 1.6.2 on the app store now you can enter your QA:CP ratio in a text box and make it as fine grained as you like. Other issues fixed are: * Crashes when saving a diary entry on iOS 4 * Auto calc now gives negative corrections

Aug 12, 2012 Simon 578 posts	Topic: DAFNE Online Mobile / iphone app crashing If you're experiencing this crashing issue then please update to version 1.6.2, on the app store now - this (amongst other things) is fixed.

Aug 11, 2012 Simon 578 posts	Topic: DAFNE Online Mobile / Port mobile app to desktop? Are there any specific app features that you'd like to use on the desktop? The website has most of the functions available on the apps; or are you more interested in being able to use the app features offline?

Aug 10, 2012 Guy Kramer 12 posts	Topic: DAFNE Online Mobile / Port mobile app to desktop? I know what you mean about time if I could code I would help, but can't pick it up that quickly The other option option I guess is Android VM in VitualBox Thanks Guy

Aug 10, 2012 marke 686 posts	Topic: DAFNE Online Mobile / Port mobile app to desktop? This is something I have looked at starting work on but have not got very far. The idea being we can interface to your blood glucose meter and import its readings so they can be transfered to the website. This could include some desktop functionality to do similiar things to the apps. However I am just not getting time to work on this at the moment, we do this in our spare time and sometimes there isn't much spare time

Aug 10, 2012 marke 686 posts	Topic: Site Development / Data Analysis Hi, What format would you need the data in ? It looks like Splunk is designed to process files or logs of data, DAFNEONline holds the data in the background in a mysql database, Most data oriented websites use a database in the background to store information in. We can extract the data from the site in a number of forms and indeed the iphone and android apps use a method called REST to input and extract data from the database, So basically we need to know what format you need the data in. The best option would be to email us using the 'contact DAFNE online' at the bottom of the page and we can work out how to provide the data.

Aug 10, 2012 marke 686 posts	Topic: General Discussion / Hypo correction my understanding, and I stress this is my understanding, is that you should not treat a post hypo high because if you overdo the treatment your liver cannot response as well the second time. It only has a finite store of glucagon and if you keep 'hitting' it without letting it fully recover its response will be reduced. To be honest a short term high is a lot better than a low. You can still function pretty much when high, so although its not a perfect scenario its not doing you a great deal of harm. Well thats my take on it anyway

Aug 10, 2012 meltow 78 posts	Topic: General Discussion / Eating Out - help needed please to stop my panic Diabetes/carb counting/ratios - none of this is an exact science. If I have a meal out I tend to check my sugars before I leave home, then usually dose the same units, as previous meals taken out. Then when I go to bed I'll take a correction dose if needed. In other words, I'm fairly relaxed about the event, which means I can enjoy the night out with my friends. I won't let diabetes rule my life

Aug 10, 2012 novorapidboi26 1,819 posts	Topic: General Discussion / Hypo correction Provided you haven't done any significant physical activity which is not your normal routine you shouldn't really be having quick hypos........hypo symptoms can be either great or subtle regardless of speed the hypo has came on, but your body/liver will respond more severely the worse/faster the hypo.......in my experience....

Aug 10, 2012 novorapidboi26 1,819 posts	Topic: General Discussion / Eating Out - help needed please to stop my panic The answer to those what ifs would be to administer quick acting sugar.......every has different levels of confidence......and I suppose it depends on how much you want to keep your blood sugar steady when eating out...... I personally don't worry so much when eating out as its a treat. Just roughly guess it, correct if needed later

Aug 10, 2012 Alan 49 284 posts	Topic: General Discussion / Eating Out - help needed please to stop my panic I would be a bit nervous about doing that - I'm a 'what if' person. What if you get caught in traffic; what if your car breaks down; what if you're meeting someone at the restaurant and they get delayed; what if there's a cock-up with your order. What if.... I could go on and on here.

Aug 10, 2012 Simon Heller 46 posts	Topic: Questions for HCPs / Verucca - treatment Hi there, if you have no foot circulation problems and no nerve damage and this is confirmed by someone competent to examine your feet then I would think that these treatments are safe to use. The danger is if you have a lack of feeling or poor circulation then the cream/gel might cause damage to the skin which you wouldn't feel and it could then become infected. For those without problems then generally they could be confident of using them like people without diabetes. Simon Heller

Aug 10, 2012 DianeW 115 posts	Topic: General Discussion / Hypo correction If I hypo it is either overnight or lunchtime....I know that I don't get dawn phenomenon because I've tested.. So the liver response is making me go high. Hmm I think that if I go to the mid teens during the day then I WOULD correct because it worries me to be so high. but I find it interesting that yes we know what factors make us hypo (too much insulin, too much exericse, too little food, weather, illness etc etc ) but the SPEED at which it can happen. It seems to be very quick for me....one minute I feel ok, 5 mins later I can be really shaky and woozy.. It seems I shoot right down and then right up again!

Aug 10, 2012 novorapidboi26 1,819 posts	Topic: General Discussion / Any Advice? A few points.... Pizzas can often have a delayed digestion due to the high fat content, this may be responsible for the initial lowish reading of 4.8 at bed, due to insulin dose working but not enough glucose in the blood stream, then later on in the small hours the rest of the pizza glucose was released. Wine like any other alcohol will stop the livers normal secretion of glucose and therefore can drop your BG overnight, everyone is effected differently though, so some testing and recording would be good to assess the livers response on a few glasses to a bottle or more... I would usually recommend a reduction in BI insulin from the blood results above, but its more likely you need to split that dose into an AM and PM. Levemir is best suited to this over Lantus, but it can still be done with Lantus, consult your team before making any changes you are unsure about. I would say a split is needed so that you can deal with you overnight hypos separately from you less physical job during the day. Because you are now in a new routine, you will need to settle in to it for a week or two and allow your body to adjust, unfortunately that means keeping an eye on the BG more, looking for patterns etc.... Sorry not much specific help................get the background right, then move on......

Aug 10, 2012 novorapidboi26 1,819 posts	Topic: General Discussion / Eating Out - help needed please to stop my panic You could also try injecting half the amount before you go out/eat, so about 30 minutes to an hour, then when you are satisfied with your guess, deliver the rest.......... remember, eating out is a treat, you should relax yourself and your insulin regime.......

Aug 10, 2012 novorapidboi26 1,819 posts	Topic: General Discussion / Hypo correction This is probably down to a response from your liver when you have the hypo, which might suggest you were dropping quite fast. A slower on set hypo might not trigger a response from the liver..... Would you say the scenario you are describing is happening most often overnight. I ask because there can be other factors involved if you are getting high readings in the morning.... If it was in the morning that the high readings were coming, post hypo, then I would correct for it, as you will be most resistant at this time due to the morning hormone activity.... If during the day I probably wouldn't correct after a hypo, in fact definitively wouldn't, however I don't shoot up after hypos because they are slow onset because of extra physical exertion or a negligible dose error.....

Aug 10, 2012 novorapidboi26 1,819 posts	Topic: General Discussion / Testing then Injecting - how long? It does make sense, yes.............. If its before a meal and your previous dose has expired, and your BI is correct of course, then in theory you could test, wait an hour, and your BG wouldn't be far off what it was an hour before......... But its likely you would test again as its been so long...

Aug 10, 2012 DianeW 115 posts	Topic: General Discussion / Hypo correction The rule is that we should not correct a high BG from a hypo at the next test/meal, but at the one after that - thats right isn't it? For some reason I go quite high after a hypo even though I treat it right i.e. not stuff myself with biscuits and say I go hypo in the night and then my morning BG is 14, 15, I hate the idea of being around that level until lunchtime when I can do something about it.