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Aug 1, 2012
novorapidboi26
1,818 posts
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Topic: General Discussion / Injection sites I mentioned in the other thread that I inject my BI anywhere as its been designed to be absorbed slowly, so wont be effected by how quickly each specific areas responds.........but I have still to check the thread where I asked for HCP opinion............ |
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Aug 1, 2012
novorapidboi26
1,818 posts
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Topic: General Discussion / changing to levemir- advice please I take mine at 6:30am and 9:30pm, so about a 15 hour split, its meant to last 12 - 18 hours, so it must do so for me, but might not for others.............I take it later in order to give me more BI in my system at the time of the dreaded Dawn Phenomenon, which for me is bout 4:30 - 5:00 am....... I would start with a 12 hour split, or breakfast and dinner kinda thing, see how it goes, then move it to later if its more convenient and record the results.......you might find it starts to run out at 8.30pm, or has depleted completely by then, in which case having it earlier or compensating with dinner QA will be needed..... 
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Aug 1, 2012
novorapidboi26
1,818 posts
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Topic: General Discussion / Is Hba1c related to the averages in blood glucose diaries The formula I use to estimate HbA1c is HbA1c = 90Day Average + 2.52 / 1.583.............Can I explain why its that? No? But its online somewhere and came from a study........... It has never been bang on for me though, I suppose it never can be........ |
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Aug 1, 2012
Alan 49
280 posts
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Topic: General Discussion / Which Olympic athlete are you? -- For fun! Bradley Wiggins - need I say more? |
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Aug 1, 2012
RichFreed
51 posts
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Topic: General Discussion / Is Hba1c related to the averages in blood glucose diaries Gleaned it from a magazine article early this year. I actually took it up with me to the DAFNE course to confirm. The 'professor' actually knew the author of the article and did not doubt the simple formula would give a reasonable estimate of average. |
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Aug 1, 2012
ruthhutchinson
39 posts
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Topic: General Discussion / changing to levemir- advice please Thanks Michelle. I have been looking online and the general consensus seems to be that everyone is different so I will just have to give it a go and see what happens. |
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Aug 1, 2012
michdash
9 posts
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Topic: General Discussion / changing to levemir- advice please Hi RuthI currently use levemir: 8.30 am and 8.30 pm, they say that lasts around 16 hrs however tends to taper off at around 12. I found that the 12 hr works for me and if I've accidentally forgot and took later than 8.30 pm then it tends to raise my BGs slightly (not greatly) I was in dafne course last week and this question arose. They said that you can take within an hour of the 12 hr Interval and it shouldn't affect BGs that much. I would just try the 6 pm after dinner and experiment, you may have a little overlap there and then you may find it may be fine. Log your results too see what effect it has over a few days due to the switch off insulin also etc Michelle |
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Aug 1, 2012
ruthhutchinson
39 posts
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Topic: General Discussion / changing to levemir- advice please I am shortly going to be changing from Lantus to Levemir. I will be splitting my dose. Can anyone suggest what the best times are to take it? I usually eat breakfast at 8 and my evening meal at 6. I've been told that I should try to keep 12 hours between doses. Does that mean it would not work to take my evening dose along with dinner at 6 - do I need to wait until 8? Or do I have to waken at 6 AM and take the morning dose to fit in with my 6pm dinner? Any advice would be welcome please. |
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Aug 1, 2012
JayBee
582 posts
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Topic: General Discussion / Is Hba1c related to the averages in blood glucose diaries Wow, I had no idea you could do that Rich! Thanks for sharing!
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Aug 1, 2012
michdash
9 posts
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Topic: General Discussion / Is Hba1c related to the averages in blood glucose diaries Wow - Rich!, that's a high one!..but at least it's decreased nicely now Thank you, after diagnosis where my hba1c was 125 2 months ago I had another test just before dafne two weeks ago which was 95 that equals around 10.5 as your previous result so it's coming down slowly. Fingers crossed for sept test Cheers Guys |
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Aug 1, 2012
RichFreed
51 posts
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Topic: General Discussion / Is Hba1c related to the averages in blood glucose diaries If you still get the old % figure (we get both here in AU) I know you can calculate it by taking your HbA1c % double it then minus 6 from the result, will convert it to average BS we read off the meters.eg me now 6.4hbA1c x 2 -6 = 6.8 - Which equates nicely with my diary. me last Nov 10.5hbA1c x 2 - 6 =15 - GP kicked my arse, told me to fix myself pronto 
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Jul 31, 2012
JayBee
582 posts
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Topic: General Discussion / hungover feeling in the morning (not after drinking) Can you post some diary results using this site's diary feature?You may be looking at a dawn phenomenon issue, but it's difficult to tell for sure from what you've described. Take care. |
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Jul 31, 2012
michdash
9 posts
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Topic: General Discussion / Is Hba1c related to the averages in blood glucose diaries Thanks Garry,Yes this is indeed a life changing experience, however I am learning more each day. Thanks for the advice Michelle |
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Jul 31, 2012
Simon
574 posts
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Topic: General Discussion / Which Olympic athlete are you? -- For fun! Brett Morse, Discuss Thrower a 110kg, 1.9m beefcake
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Jul 31, 2012
Garry
328 posts
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Topic: General Discussion / Which Olympic athlete are you? -- For fun! I match Winston Gordon who competes for Team GB in 90 kg class at Judo Wish I was as fit as him! Regards Garry |
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Jul 31, 2012
Garry
328 posts
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Topic: General Discussion / Is Hba1c related to the averages in blood glucose diaries Welcome michdash As JWO mentions stability counts. Make slow controlled changes and you can understand where improvement comes from. Stick with it and in 4 or 5 months you'll be at 58 mmol/mol and looking for further gains. Regards Garry |
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Jul 31, 2012
michdash
9 posts
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Topic: General Discussion / Is Hba1c related to the averages in blood glucose diaries Oh, Thank you!, I guess it's just as you say, trying to keep them as stable as possible!. Mind you a y reduction would be fab for myself co sideri g it was 125 mol/mol at diagnosis  |
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Jul 31, 2012
JayBee
582 posts
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Topic: General Discussion / Is Hba1c related to the averages in blood glucose diaries Not exactly unfortunately.The averages we see on the diary are those of the results you've inputted on to the diary. Your HbA1c results read the results of how much sugar has been in your blood by reading the red blood cells themselves (they only live for 3 months though), so the diary averages may not be a reliable indication of your HbA1c as a result - especially if you're someone who has irratic control. Saying that, I've found that when the BG levels are consistantly within a range over a long period on the diary, it has shown up in my HbA1c test to be around the same. I guess that's just a good sign that I do keep myself stable I suppose. |
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Jul 31, 2012
michdash
9 posts
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Topic: General Discussion / Is Hba1c related to the averages in blood glucose diaries Hi all,I am new here and only been diagnosed 2 months ago. I wondered if anyone knew if the averages displayed in our blood glucose diaries may be an indicator of Hba1c results Thanks Michelle |
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Jul 31, 2012
JayBee
582 posts
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Topic: General Discussion / Which Olympic athlete are you? -- For fun! Click this BBC link to find out! http://www.bbc.co.uk/news/uk-19050139I got Paloma Schmidt who does Sailing. She competed in "Women's Laser Radial". How about you?
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Jul 31, 2012
susanh
20 posts
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Topic: Questions ? / QA and BI preferred injection sites Hi guys,Catherine, one of our diabetes educators down under has written up a detailed response for you - hope it helps! Studies show that insulin injected into the abdominal fatty tissue has the fastest and most consistent rate of absorption. The arms and thighs have a slower absorption rate, and the buttocks appear to have the slowest. Evidence shows that rapid acting analogues eg. NovoRapid, Humalog and Apidra can be given at any of the sites mentioned above without too much difference in absorption rates. The same goes with long acting analogues eg. Levemir or Lantus, but be careful not to inject into the muscle for risk of hypo. If you’re using human insulin such as Actrapid the abdomen is preferred due to faster absorption and if using NPH the thigh and buttocks are preferred due to the slower absorption. Traditionally, the abdomen (avoiding the belly button area), thighs and buttocks have been the preferred site for injections. The arms have been least preferred in the adult population due to the increased risk of injecting into the muscle. Having said that, movement of a muscle speeds up the absorption rate of insulin even when injected into the fatty tissue and therefore you may increase your risk of hypos if you inject into thighs or arms before exercise. BI (long acting analogue) needs to be injected in a different area from QA so that they do not mix and inadvertently change the profile of either insulin. Some health professionals advise injecting BI into the same area of the body (whilst rotating sites within that area) mainly so that there is a consistency of absorption from one day to another. This makes sense if we’re saying that different areas of the body have different rates of absorption. Remember to rotate and inject about 2 cm away from the previous injection so as to avoid causing scar tissue to develop. Also, if using the buttock for instance, make sure to use both buttocks evenly and not prefer one over another simply because it is easier to reach. Keep in mind that needle length, the angle at which the needles are injected and whether the skin requires a pinch up need to be considered to avoid injecting into muscle. It’s important that individuals have their injection sites reviewed by their HCP to assess for lipohypertrophy or scarring. Avoiding scarred areas if present is essential as injecting into these may cause erratic insulin absorption hence erratic BGs. If you’re confused or overwhelmed with the different information and advice that you get remember that everyone is different and people have individual responses in regards to absorption rate of insulin at different sites. If your BGs are not stable consider recording the site of your injection in your diary to see whether it makes a difference to your BGs and then discuss this with your HCP. Cheers, Susan & Catherine |
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Jul 31, 2012
Amackie
1 post
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Topic: Carbohydrate Counting / Inject for buckwheat? Hi Adrienne,I have done a bit of a search on Kasha, and it is in fact a grain - a staple grain often used to make porridge in Eastern European countries. The nutritional information that I was able to find on the web is American based and in 1 cup of Kasha there is 33.5g of carbohydrate. According to the glycemicindex.com, buckwheat groats are low GI, they have a GI of 47-49, so similar to that of rolled oats....... (note, this is not as low GI as legumes, cherries, grapefruit, barley & fructose powder)... I would advise you to inject for them, based on the amount of carbohydrate calculated in your serve, as you would for oats. However, as everyone is different, monitor your BGLs after eating to determine the effect they have on you. As for pearl barley, it is one of those super low GI foods (GI of around 22-29) and in DAFNE, we advise you that you may not need to inject at all if only consuming a small amount. If consuming in larger amounts then you may need to inject some QA, but not as much as you normally would for that carbohydrate amount. The only way to determine this is with trial and experimentation. Quinoa is similar to the Kasha, has a similar GI and is also a grain. As per the advice for the Kasha, inject for Quinoa based on your calculated carbohydrate amount and monitor your BGLs for that individual response. Hope this helps! Cheers Adele (DAFNE dietitian) |