Recent Posts - DAFNE Online

Jun 22, 2012

novorapidboi26 1,819 posts

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

I currently use:

below 10mmol/l = 1 unit drops 2.5
10-13mmol/l = 1 unit drops 2
13-17 = 1 unit drops 1.5
above 17 = 1 unit drops 1

you can see the pattern........this could probably be tweaked much more accurately, but I feel this would be going to far......... Wink

Jun 22, 2012

RuthW 5 posts

Topic: General Discussion / Pump life advice!

Thanks Helen, that was really useful! glad to know when they say that you can wear it where-ever you actually can! and also with the exercise, i think can get those band strap things here in the uk too have seen them online when looking at the pumps available. I cant imagine why on earth someone would fiddle with your tubing on the plane - i cant imagine playing around with anything of a fellow passanger let alone something so obviously medical related!!!!!!
and congratulations on the low hab1c thats really great!
Ruth

Jun 20, 2012

HelenP 218 posts

Topic: General Discussion / Pump life advice!

I have just come home from my regular endocrinology appointment. My HbA1c is the best it has ever been and whilst my BGs are not &quot;perfect they are very, very good&quot;.

I find it hard work but the rewards are there. I currently have my daughter, son-in-law and grandchildren here...and I now know why I found it so difficult to get good BGs when my kids were little. I find it easier to run the pump now that I am retired and I am more in control of my routine. I do water aerobics in summer (Sept-May) and it took a couple of weeks to get the basals to the point where I could get in on 6 and get out at 5 (able to drive home and call in and have a coffee and a chat on the way). My pump is an Animas 2020 and is able to go into water. Sleeping is fine...I wear it on my pjs just on the front towards the right or left side depending on where the infusion set is positioned. Occasionally I have to swing it around but I seem to do this almost subconsciously. In the summer when i tend to wear just a T shirt (no knickers!) I wear a band available here in Australia from Diabetezy (I think, I will check and post later). Wearing the pump while exercising is not a problem,,, when in the pool I wear it clipped to the top of togs or on my waist. While doing circuits, Qui Dong etc It is just clipped to the back of whatever pants I have on. I know some people wear their pumps on their calves and on their thighs... I think you work it out to suit yourself. Apparently there is a web site that has a list of 100 ways to &quot;wear&quot; your pump listing hairstyles that incorporate your pump and other somewhat creative positions for the pump. My friend wears hers in her bra but my boobs are to big and why would I want them to appear bigger! I also find it more accessible on my waist.

I have run into problems on an international plane trip(economy class). The non-English speaking person on my right where I had positioned my infusion set and pump kept interfering with the tubing (60cm long), tugging on it etc. I talked to the cabin staff and tried to have it explained but she could not leave it alone. I now ask for an aisle seat on the right of the middle row of seats and wear the infusion set (and pump) on that side so it is not between me and the adjacent passenger. I then make sure the pump is on that side when I board the flight. This has only happened once but it was very disconcerting.

My only advice re wearing the pump is that you will work out what is best for you. You are only limited by your imagination.

Good luck.
Helen

Jun 19, 2012

Simon 578 posts

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

Hi Novorapid,

What are the 4 correction factors you use? Currently you specify a normal correction factor (QA:BG ratio) and then add overrides which specify a BG range or time range to use a different QA:CP ratio.

Cheers

Jun 19, 2012

novorapidboi26 1,819 posts

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

The main thing for me is;

Will the app be able to consider my BG level and use one of 4 correction factors that I use...

Jun 19, 2012

Margaret 2 posts

Topic: General Discussion / Pump life advice!

I attended my DAFNE clinic today and was also asked to consider going on the pump. I am probably older them most of you, but very active and enjoy water sports, where I often end up in the water.

I would be very interested to hear any replies from Ruth's questions,

Many thanks, Margaret

Jun 19, 2012

Phil Maskell 194 posts

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

novorapidboi26 said:
it would seem both, I would be aiming for 5.5 mmol/l, so that would be 33%?

1 unit drops me by 2mmol/l when between 10-13mmol/l.....

3 units * 2 = 6 I would expect you to be at 4.8 on 3 units.

You wouldn't be able to get exactly to 5.5 like I couldn't get to 6.0 in my example.

You would need a correction @ 1:2 of 2.7 to drop by 5.4, Simon always rounds down for safety, the app should suggest a correction of 2 units here.

Phil

Jun 19, 2012

novorapidboi26 1,819 posts

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

it would seem both, I would be aiming for 5.5 mmol/l, so that would be 33%?

1 unit drops me by 2mmol/l when between 10-13mmol/l.....

Jun 19, 2012

novorapidboi26 1,819 posts

Topic: General Discussion / high BG

whats going on with QA ratios, they don't make sense to me.......

also when are you taking you BI doses, as in, how often, as it seem the doses are only a few hours apart, which would be wrong......

overall though your readings are not that high, which means it may only be a small change of either breakfast ratio, or BI dose......

Do you test more than what is shown above?

Jun 19, 2012

Phil Maskell 194 posts

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

novorapidboi26,

Dif between 4.5 to 7.5 is 3 so 85 % is 2.55 so you are aiming at 4.5+2.55 = 7.05

3 units * 2 = 6 I would expect you to be at 4.8 on 3 units.

Is the % correct or the ratio?

Phil

Jun 19, 2012

novorapidboi26 1,819 posts

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

Current BG: 10.8
Target Minimum: 4.5
Target Maximum: 7.5
Target to Aim For: 85%
Correction Ratio: 1 unit drops 2mmol/l
Expected dosage after calculation: 3

Jun 19, 2012

maddie49 6 posts

Topic: General Discussion / high BG

NOT AT ALL HAPPY WITH MY BLOOD SUGARS CAN,T SEEM TO GET THEM DOWN Sad

Jun 19, 2012

Simon 578 posts

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

Hi Phil,

Great sample - just what I needed. You'll be pleased to know the app calculated the correction correctly (+4 as it always rounds down for safety)

If anyone wants to supply more test data like the above it would be most appreciated.

Simon

Jun 19, 2012

Phil Maskell 194 posts

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

Mine should be fairly easy to check Very Happy

Current BG 15.3
Target minimum BG 5.5
Target maximum BG 7.5
% of where to aim for in target range (50% is in the middle of the range) 25%
QA:BG ratio (how much you expect your BG to lower given 1 unit of QA Insulin) 1:2
Expected dosage after calculation +4.65

On this I would give 4 or 5 depending on how exact I knew the carbs too. This should bring me down to 6.0.

Phil

Jun 19, 2012

Simon 578 posts

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

Hi Phil,

Perfect situations please - I want to ensure the app is outputting the correct corre give dose given the inputs above.

Thanks,

Simon

Jun 19, 2012

Phil Maskell 194 posts

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

Simon,

Do you want actual figures from previous days or made up perfect situations?

Phil

Jun 19, 2012

RuthW 5 posts

Topic: General Discussion / Pump life advice!

Hello, for the past 4-5 years my BG levels have been impossible to control, i am now on DAFNE and while that helps me to manage itm, it doesnt stop it in the first place. after being on continous BG monitoring the consultant at the hospital is recomending that i may need to transfer to the pump rather than keep going with injections. i have done a bit of research and am happy with the idea of this but would really like some info on what life is like with the pump. the consultant can tell me how it works etc but itd be really nice to have some actual feedback on how people work it into their life, eg does the pump effect anything like sleep position? or exercising? wearing tight clothes? on a crowded tube with people pushed up against you knocking you with their bags?
i know the benefits etc but as i don't know anyone with one any feedback would be good!
thanks
Ruth


Jun 22, 2012 novorapidboi26 1,819 posts	Topic: Site Development / Auto calculate QA from BG - let's get it right I currently use: below 10mmol/l = 1 unit drops 2.5 10-13mmol/l = 1 unit drops 2 13-17 = 1 unit drops 1.5 above 17 = 1 unit drops 1 you can see the pattern........this could probably be tweaked much more accurately, but I feel this would be going to far.........

Jun 22, 2012 RuthW 5 posts	Topic: General Discussion / Pump life advice! Thanks Helen, that was really useful! glad to know when they say that you can wear it where-ever you actually can! and also with the exercise, i think can get those band strap things here in the uk too have seen them online when looking at the pumps available. I cant imagine why on earth someone would fiddle with your tubing on the plane - i cant imagine playing around with anything of a fellow passanger let alone something so obviously medical related!!!!!! and congratulations on the low hab1c thats really great! Ruth

Jun 20, 2012 HelenP 218 posts	Topic: General Discussion / Pump life advice! I have just come home from my regular endocrinology appointment. My HbA1c is the best it has ever been and whilst my BGs are not &quot;perfect they are very, very good&quot;. I find it hard work but the rewards are there. I currently have my daughter, son-in-law and grandchildren here...and I now know why I found it so difficult to get good BGs when my kids were little. I find it easier to run the pump now that I am retired and I am more in control of my routine. I do water aerobics in summer (Sept-May) and it took a couple of weeks to get the basals to the point where I could get in on 6 and get out at 5 (able to drive home and call in and have a coffee and a chat on the way). My pump is an Animas 2020 and is able to go into water. Sleeping is fine...I wear it on my pjs just on the front towards the right or left side depending on where the infusion set is positioned. Occasionally I have to swing it around but I seem to do this almost subconsciously. In the summer when i tend to wear just a T shirt (no knickers!) I wear a band available here in Australia from Diabetezy (I think, I will check and post later). Wearing the pump while exercising is not a problem,,, when in the pool I wear it clipped to the top of togs or on my waist. While doing circuits, Qui Dong etc It is just clipped to the back of whatever pants I have on. I know some people wear their pumps on their calves and on their thighs... I think you work it out to suit yourself. Apparently there is a web site that has a list of 100 ways to &quot;wear&quot; your pump listing hairstyles that incorporate your pump and other somewhat creative positions for the pump. My friend wears hers in her bra but my boobs are to big and why would I want them to appear bigger! I also find it more accessible on my waist. I have run into problems on an international plane trip(economy class). The non-English speaking person on my right where I had positioned my infusion set and pump kept interfering with the tubing (60cm long), tugging on it etc. I talked to the cabin staff and tried to have it explained but she could not leave it alone. I now ask for an aisle seat on the right of the middle row of seats and wear the infusion set (and pump) on that side so it is not between me and the adjacent passenger. I then make sure the pump is on that side when I board the flight. This has only happened once but it was very disconcerting. My only advice re wearing the pump is that you will work out what is best for you. You are only limited by your imagination. Good luck. Helen

Jun 19, 2012 Simon 578 posts	Topic: Site Development / Auto calculate QA from BG - let's get it right Hi Novorapid, What are the 4 correction factors you use? Currently you specify a normal correction factor (QA:BG ratio) and then add overrides which specify a BG range or time range to use a different QA:CP ratio. Cheers

Jun 19, 2012 novorapidboi26 1,819 posts	Topic: Site Development / Auto calculate QA from BG - let's get it right The main thing for me is; Will the app be able to consider my BG level and use one of 4 correction factors that I use...

Jun 19, 2012 Margaret 2 posts	Topic: General Discussion / Pump life advice! I attended my DAFNE clinic today and was also asked to consider going on the pump. I am probably older them most of you, but very active and enjoy water sports, where I often end up in the water. I would be very interested to hear any replies from Ruth's questions, Many thanks, Margaret

Jun 19, 2012 Phil Maskell 194 posts	Topic: Site Development / Auto calculate QA from BG - let's get it right novorapidboi26 said: it would seem both, I would be aiming for 5.5 mmol/l, so that would be 33%? 1 unit drops me by 2mmol/l when between 10-13mmol/l..... 3 units * 2 = 6 I would expect you to be at 4.8 on 3 units. You wouldn't be able to get exactly to 5.5 like I couldn't get to 6.0 in my example. You would need a correction @ 1:2 of 2.7 to drop by 5.4, Simon always rounds down for safety, the app should suggest a correction of 2 units here. Phil

Jun 19, 2012 novorapidboi26 1,819 posts	Topic: Site Development / Auto calculate QA from BG - let's get it right it would seem both, I would be aiming for 5.5 mmol/l, so that would be 33%? 1 unit drops me by 2mmol/l when between 10-13mmol/l.....

Jun 19, 2012 novorapidboi26 1,819 posts	Topic: General Discussion / high BG whats going on with QA ratios, they don't make sense to me....... also when are you taking you BI doses, as in, how often, as it seem the doses are only a few hours apart, which would be wrong...... overall though your readings are not that high, which means it may only be a small change of either breakfast ratio, or BI dose...... Do you test more than what is shown above?

Jun 19, 2012 Phil Maskell 194 posts	Topic: Site Development / Auto calculate QA from BG - let's get it right novorapidboi26, Dif between 4.5 to 7.5 is 3 so 85 % is 2.55 so you are aiming at 4.5+2.55 = 7.05 3 units * 2 = 6 I would expect you to be at 4.8 on 3 units. Is the % correct or the ratio? Phil

Jun 19, 2012 novorapidboi26 1,819 posts	Topic: Site Development / Auto calculate QA from BG - let's get it right Current BG: 10.8 Target Minimum: 4.5 Target Maximum: 7.5 Target to Aim For: 85% Correction Ratio: 1 unit drops 2mmol/l Expected dosage after calculation: 3

Jun 19, 2012 maddie49 6 posts	Topic: General Discussion / high BG NOT AT ALL HAPPY WITH MY BLOOD SUGARS CAN,T SEEM TO GET THEM DOWN

Jun 19, 2012 Simon 578 posts	Topic: Site Development / Auto calculate QA from BG - let's get it right Hi Phil, Great sample - just what I needed. You'll be pleased to know the app calculated the correction correctly (+4 as it always rounds down for safety) If anyone wants to supply more test data like the above it would be most appreciated. Simon

Jun 19, 2012 Phil Maskell 194 posts	Topic: Site Development / Auto calculate QA from BG - let's get it right Mine should be fairly easy to check Current BG 15.3 Target minimum BG 5.5 Target maximum BG 7.5 % of where to aim for in target range (50% is in the middle of the range) 25% QA:BG ratio (how much you expect your BG to lower given 1 unit of QA Insulin) 1:2 Expected dosage after calculation +4.65 On this I would give 4 or 5 depending on how exact I knew the carbs too. This should bring me down to 6.0. Phil

Jun 19, 2012 Simon 578 posts	Topic: Site Development / Auto calculate QA from BG - let's get it right Hi Phil, Perfect situations please - I want to ensure the app is outputting the correct corre give dose given the inputs above. Thanks, Simon

Jun 19, 2012 Phil Maskell 194 posts	Topic: Site Development / Auto calculate QA from BG - let's get it right Simon, Do you want actual figures from previous days or made up perfect situations? Phil

Jun 19, 2012 RuthW 5 posts	Topic: General Discussion / Pump life advice! Hello, for the past 4-5 years my BG levels have been impossible to control, i am now on DAFNE and while that helps me to manage itm, it doesnt stop it in the first place. after being on continous BG monitoring the consultant at the hospital is recomending that i may need to transfer to the pump rather than keep going with injections. i have done a bit of research and am happy with the idea of this but would really like some info on what life is like with the pump. the consultant can tell me how it works etc but itd be really nice to have some actual feedback on how people work it into their life, eg does the pump effect anything like sleep position? or exercising? wearing tight clothes? on a crowded tube with people pushed up against you knocking you with their bags? i know the benefits etc but as i don't know anyone with one any feedback would be good! thanks Ruth