Recent Posts - DAFNE Online

Jun 14, 2012

novorapidboi26 1,819 posts

Topic: General Discussion / Exercise and high BG

When lifting weights and doing activity that requires large amounts of energy and quickly the muscles will actually use their own stores of energy, and then suck it back in from the blood stream afterwards........so the body doesn't release carbs as such but glucose from the muscle stores and obviously the liver.....

Jun 14, 2012

Mma king 3 posts

Topic: General Discussion / Exercise and high BG

Oh and do not correct it as your body is likely to go into a hypo ! Circuit training is similar to the kind of trainIng I do , depending on what ever time you exercise at there's ways around it

Jun 14, 2012

Mma king 3 posts

Topic: General Discussion / Exercise and high BG

I know why you get this, it is because when exercising the body releases carbs etc to help feed the muscle you are using during the exercise but it will I ly work if if you have insulin in your blood as the insulin acts as a key in this process. So lie no man bag says take some maybe an hour or two beforehand so that the carb released during exercise is allowed to do its job and feed the muscle, once you master this you will notice a huge improvement in your performance! This was one of the main reasons I did the Dafne course. I am a mixed martial artist and would go home after every training session with high blood sugar then during the night it would almost always crash towards a hypo( due to me taking insulin cause I though that was the right thing to do) . In all honesty Dafne did not cover the long period sof high impact exercise I participate in but trial and error with the knowledge I got from the diatitian etc. hope this helps, oh and even if it's background insulin you take a couple of hours before as long as there's some insulin that's maybe only be injected an hour or two before hand to unlock the the body's system , with out the insulin the the muscles do not get what's needed and you end up having high blood sugar peace!

Jun 13, 2012

John H 20 posts

Topic: General Discussion / Accu-Chek Aviva Expert Meters

Hi, I must point out that I do have an "Expert meter" and the concept is a truly great thing. BUT I cannot stress enough the importance of this item being correctly set up from the beginning. My one gives me some strange bolus advice even during what should be a hypo! the time blocks were verified by my Dafne course leader and inputted by the Roche representative. I also have the verified information with the box the meter kit arrives in. Not sure how some of the bolus advice is calculated, so I now use this meter purely for glucose testing and nothing else until I can get the settings checked and revised if needed. Confused

Jun 13, 2012

no_manbag_boy 1 post

Topic: General Discussion / Exercise and high BG

Yes, same puzzle for me too. Normally exercising e.g. running, cycling will lower my blood glucose quite predictably. But when I play 90 minutes of football, same distance of running as a jog BTW, my blood glucose goes in the opposite direction and I end up at 15 or 16! Only solution I've found is to to eat and take QA insulin approx 2 hours before football, leaving just some of the insulin left over for during football. I'd be scared to take QA straight before a game. I think high intensity exercise, stop start etc, raises blood sugar, whereas long steady exercise like jogging lowers it. Anyone else find this?

Jun 13, 2012

Anele46 109 posts

Topic: General Discussion / Night time cycle ride.

Well done Vic! Very Happy

Glad the ride went well and you raised Â£2000 for a very worthwhile cause.

All the best,
Anele.

Jun 13, 2012

JennyNZ 29 posts

Topic: General Discussion / Night time cycle ride.

hey mate - neat to hear your ride went well. I do think, though, that any cyclist would be mortified about the lack of fluid but sounds as if everything went really well. I had a laugh about your creamed rice comment. We dont do school dinners here in NZ (Jamie Oliver would be so pleased!) so i only have fond memories of it. All the best for your next challenge.
-Jen- Laughing

Jun 13, 2012

vic demain 87 posts

Topic: General Discussion / Night time cycle ride.

Thanks for all the help. Did the ride Saturday night and all went well. Heaped on the carbs all day Saturday with jacket potato and macaroni pie. didn't take any background insulin Saturday night. Checked blood every 20kms or so. Maintained a level of around 9, which I was very happy with. Hardly drank at all, less than 1 bottle of water and no Coka Cola - which was my sugar rush - ate a sandwich half way around and a couple of high carb energy bars which were brilliant.
Great sense of pride having finished, 105kms, total riding time 5hrs 55 mins and Â£2,000 for Breakthrough Breast Cancer. Always worried about exercise but no more.

Jun 13, 2012

RichFreed 51 posts

Topic: DAFNE Online Mobile / QA Calc Problem + Related enhancment requests

If I decide to change my QA:CP ratio in the app (iphone) then re-enter the CP value the app reverts the ratio back to the settings saved one. Therefore the auto-calc of QA will never work for an overridden ratio.

Enhancement request 1:
It would be better if on overriding the ratio it then re-calcâ€™d the QA field. And better again if it asked to update the saved settings with the new ratio.

Further Background;
This comes about for me because I exercise 3 times a day almost every day (the only days I don't is due to weather or if I am away from home). While I am doing my regular exercise I have a ratio that works nicely but if for some reason I am unable to do my regular exercise my insulin efficiency & thus my ratios change (takes about 1.5 days for the efficiency to wear off). At the DAFNE course I learned for the first time that this is normal. In my case my 'efficiency' reduces by about 50% for breakfast so from a 3:1 ratio I'd be going to 4.5:1 or looking at it from the other way my efficiency increases by 33.3% from no exercise 'in me' to exercising.

Enhancement Request 2:
If would be great if the app was able cope with this. A percentage field on each entry type to account for an exercise ratio adjustment & then maybe a tick box to invoke it into action at the diary entry screen would be how I would envision it to work effectively.

Jun 12, 2012

Anele46 109 posts

Topic: General Discussion / Medical Bracelet

Hi Phil, I have bought 3 different bracelets from ice gems and thoroughly recommend them. I have my name, Type 1 Diabetes and CHI number. My first ever bracelet I got was from universal medical ID which I still wear to this day but ice gems offer a more modern selection and you get loyalty points which give you money off your next purchase.

Cheers,
Anele.

Jun 12, 2012

GordyP 9 posts

Topic: General Discussion / Medical Bracelet

Hi, I bought a necklace from ice gems which did look good. I had the wording of my name, date of birth, medical condition and emergency contact number.
I don't use this now as the number for emergency contact is now different, although it probably doesn't matter too much.
So, what I have now is a rubber type bracelet that I got off amazon.
Here is the link for you to have a look....

http://www.amazon.co.uk/Mediband-Dependent-Diabetic-Designer-Reversible/dp/B005S092A6/ref=sr_1_2?ie=UTF8&qid=1339489591&sr=8-2

Regards
Gordy

Jun 11, 2012

Phil Maskell 194 posts

Topic: Site Development / Dave H

Dave,

No worries, glad I could help.

Phil

Jun 11, 2012

Davey54 8 posts

Topic: Site Development / Dave H

Hi Phil
Just tried your idea of Ctrl+ or Ctrl- it works. Thanks buddy, thanks a lot. Believe it or not I'm not a big PC user and definately a novice Internet user. But, I'm learning and I never give up, so bear with me.

Dave

Jun 11, 2012

Phil Maskell 194 posts

Topic: General Discussion / new meter

Hi,

I've just got the Mobile, it is ugly and chunky, but great not to have strips.

I went to nurse for BP and other stuff a few weeks back and she said that a new compact mobile is coming out soon which will be even better. Don't know if this is just a rumour? Not seen anything on Accu-Chek website.

Phil

P.S What I really want is one of these:
http://asweetlife.org/a-sweet-life-staff/featured/developing-a-needle-free-continuous-glucose-monitoring-system/27739/

Jun 11, 2012

Phil Maskell 194 posts

Topic: General Discussion / Medical Bracelet

Hi,

I'm thinking as I have had times of hypo unawareness (had a 1.8 this morning and only thought it would be about 4 as I hadn't noticed) I ought to get some id bracelet or dog tag.

Found a website with some nice stuff (not too tacky) http://www.icegems.co.uk/

They offer engraving, what do others have written on them? The one I like allows 5 lines of 25 chars.

Phil

Jun 10, 2012

Simon Heller 46 posts

Topic: Questions for HCPs / High Blood Pressure

Hi Jackie. I think spot urines measuring alb/creat ratio are probably sufficient. It is possible that your Coversyl has helped to fix the microalbuminuria which might not be due to your diabetes but an uncovering of a BP issue during your pregnancy. If your BP is still at 140/90 I would actually be trying to reduce this further, perhaps with an additional agent. Certainly worth discussing with your specialist. Also you should know that if you intend to become pregnant again you should stop your Coversyl before you conceive. Simon

Jun 10, 2012

JackieP 2 posts

Topic: General Discussion / new meter

Hi, I've been using the Accu check Mobile meter for several months, and agree it is great. There is no messing with strips or disposing of used l ancets , and the meter tells you how many tests are left on the cassette each time you switch it on. I have kept my Optium Xceed meter too, for ketone testing. I am sometimes concerned by the discrepancy in results when I use both meters and compare results. Even 1 mmol difference is a concern for people trying to maintain tight control. But for ease of testing, the Mobile meter is the best!

Jun 10, 2012

JackieP 2 posts

Topic: Questions for HCPs / High Blood Pressure

hi, I have a question about my kidney function. After the birth of my daughter I was put on blood pressure medication (Coversyl). as I had pre-eclampsia durng the pregnancy and my BP stayed high long after the birth. About 6 months after her birth my kidney function test showed moderate microalbuminuria, and my BP remained over 140/90. My endo claimed this was due to poor diabetes control causing impaired kidney function.
However over thefollowing 2 years my kidney function has returned to normal, based on spot urine tests. My Bp remains around 140/90. Should I still be having 24 hour urine tests for kidney function, or are the spot urine tests sufficient?

Jun 9, 2012

novorapidboi26 1,819 posts

Topic: Questions for HCPs / Odd readings

I also must have food and insulin before activity for the exact reasons Phil mentioned.........obviously the muscles have their own stores, but the blood stream sugar is also needed.......

Jun 9, 2012

novorapidboi26 1,819 posts

Topic: Site Development / Dave H

the ctrl and scroll is a good suggestion........... Wink

Jun 9, 2012

novorapidboi26 1,819 posts

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

my insulinX meter does this, and I beliive a few other do too,, specifically ones that teams up with a pump..........

basically you would just divide up your previous meal time dose by the number of hours you have decided it will last, this will give you a unit per hour, which you can then use together with the amount of time that has passed to work out how much of you previous dose has been used, and therefore what is left..........

my meter then subtracts that from the dose you have worked out for the mid meal snack etc.............

you would never need to correct mid meal though, unless you felt you were uncomfortably high....

Jun 8, 2012

richard.arkle 16 posts

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

I have been thinking about this but from a different angle and that is if I need to take a QA corrective dose or just a QA after CP then I need to calculate how much insulin is still active and swimming around in my bloodstream.

Im a Humalog user and reckon that it has cleared my system in 3 hours but if I have to correct or take a shot for a meal within say 2 hrs of the last shot how should I calculate QA as I will already have QA active in me?

Dont mean to complicate the matter but it is a bit guess at the moment.

Jun 8, 2012

Simon 578 posts

Topic: Site Development / Dave H

Hi Dave,

I'd be interested to hear if Phils suggestions help you out. If you have an example of a site where the font does work for you then let us know here so we can do a comparison and see what needs to be done.

Simon

Jun 14, 2012 novorapidboi26 1,819 posts	Topic: General Discussion / Exercise and high BG When lifting weights and doing activity that requires large amounts of energy and quickly the muscles will actually use their own stores of energy, and then suck it back in from the blood stream afterwards........so the body doesn't release carbs as such but glucose from the muscle stores and obviously the liver.....

Jun 14, 2012 Mma king 3 posts	Topic: General Discussion / Exercise and high BG Oh and do not correct it as your body is likely to go into a hypo ! Circuit training is similar to the kind of trainIng I do , depending on what ever time you exercise at there's ways around it

Jun 14, 2012 Mma king 3 posts	Topic: General Discussion / Exercise and high BG I know why you get this, it is because when exercising the body releases carbs etc to help feed the muscle you are using during the exercise but it will I ly work if if you have insulin in your blood as the insulin acts as a key in this process. So lie no man bag says take some maybe an hour or two beforehand so that the carb released during exercise is allowed to do its job and feed the muscle, once you master this you will notice a huge improvement in your performance! This was one of the main reasons I did the Dafne course. I am a mixed martial artist and would go home after every training session with high blood sugar then during the night it would almost always crash towards a hypo( due to me taking insulin cause I though that was the right thing to do) . In all honesty Dafne did not cover the long period sof high impact exercise I participate in but trial and error with the knowledge I got from the diatitian etc. hope this helps, oh and even if it's background insulin you take a couple of hours before as long as there's some insulin that's maybe only be injected an hour or two before hand to unlock the the body's system , with out the insulin the the muscles do not get what's needed and you end up having high blood sugar peace!

Jun 13, 2012 John H 20 posts	Topic: General Discussion / Accu-Chek Aviva Expert Meters Hi, I must point out that I do have an "Expert meter" and the concept is a truly great thing. BUT I cannot stress enough the importance of this item being correctly set up from the beginning. My one gives me some strange bolus advice even during what should be a hypo! the time blocks were verified by my Dafne course leader and inputted by the Roche representative. I also have the verified information with the box the meter kit arrives in. Not sure how some of the bolus advice is calculated, so I now use this meter purely for glucose testing and nothing else until I can get the settings checked and revised if needed.

Jun 13, 2012 no_manbag_boy 1 post	Topic: General Discussion / Exercise and high BG Yes, same puzzle for me too. Normally exercising e.g. running, cycling will lower my blood glucose quite predictably. But when I play 90 minutes of football, same distance of running as a jog BTW, my blood glucose goes in the opposite direction and I end up at 15 or 16! Only solution I've found is to to eat and take QA insulin approx 2 hours before football, leaving just some of the insulin left over for during football. I'd be scared to take QA straight before a game. I think high intensity exercise, stop start etc, raises blood sugar, whereas long steady exercise like jogging lowers it. Anyone else find this?

Jun 13, 2012 Anele46 109 posts	Topic: General Discussion / Night time cycle ride. Well done Vic! Glad the ride went well and you raised Â£2000 for a very worthwhile cause. All the best, Anele.

Jun 13, 2012 JennyNZ 29 posts	Topic: General Discussion / Night time cycle ride. hey mate - neat to hear your ride went well. I do think, though, that any cyclist would be mortified about the lack of fluid but sounds as if everything went really well. I had a laugh about your creamed rice comment. We dont do school dinners here in NZ (Jamie Oliver would be so pleased!) so i only have fond memories of it. All the best for your next challenge. -Jen-

Jun 13, 2012 vic demain 87 posts	Topic: General Discussion / Night time cycle ride. Thanks for all the help. Did the ride Saturday night and all went well. Heaped on the carbs all day Saturday with jacket potato and macaroni pie. didn't take any background insulin Saturday night. Checked blood every 20kms or so. Maintained a level of around 9, which I was very happy with. Hardly drank at all, less than 1 bottle of water and no Coka Cola - which was my sugar rush - ate a sandwich half way around and a couple of high carb energy bars which were brilliant. Great sense of pride having finished, 105kms, total riding time 5hrs 55 mins and Â£2,000 for Breakthrough Breast Cancer. Always worried about exercise but no more.

Jun 13, 2012 RichFreed 51 posts	Topic: DAFNE Online Mobile / QA Calc Problem + Related enhancment requests If I decide to change my QA:CP ratio in the app (iphone) then re-enter the CP value the app reverts the ratio back to the settings saved one. Therefore the auto-calc of QA will never work for an overridden ratio. Enhancement request 1: It would be better if on overriding the ratio it then re-calcâ€™d the QA field. And better again if it asked to update the saved settings with the new ratio. Further Background; This comes about for me because I exercise 3 times a day almost every day (the only days I don't is due to weather or if I am away from home). While I am doing my regular exercise I have a ratio that works nicely but if for some reason I am unable to do my regular exercise my insulin efficiency & thus my ratios change (takes about 1.5 days for the efficiency to wear off). At the DAFNE course I learned for the first time that this is normal. In my case my 'efficiency' reduces by about 50% for breakfast so from a 3:1 ratio I'd be going to 4.5:1 or looking at it from the other way my efficiency increases by 33.3% from no exercise 'in me' to exercising. Enhancement Request 2: If would be great if the app was able cope with this. A percentage field on each entry type to account for an exercise ratio adjustment & then maybe a tick box to invoke it into action at the diary entry screen would be how I would envision it to work effectively.

Jun 12, 2012 Anele46 109 posts	Topic: General Discussion / Medical Bracelet Hi Phil, I have bought 3 different bracelets from ice gems and thoroughly recommend them. I have my name, Type 1 Diabetes and CHI number. My first ever bracelet I got was from universal medical ID which I still wear to this day but ice gems offer a more modern selection and you get loyalty points which give you money off your next purchase. Cheers, Anele.

Jun 12, 2012 GordyP 9 posts	Topic: General Discussion / Medical Bracelet Hi, I bought a necklace from ice gems which did look good. I had the wording of my name, date of birth, medical condition and emergency contact number. I don't use this now as the number for emergency contact is now different, although it probably doesn't matter too much. So, what I have now is a rubber type bracelet that I got off amazon. Here is the link for you to have a look.... http://www.amazon.co.uk/Mediband-Dependent-Diabetic-Designer-Reversible/dp/B005S092A6/ref=sr_1_2?ie=UTF8&qid=1339489591&sr=8-2 Regards Gordy

Jun 11, 2012 Phil Maskell 194 posts	Topic: Site Development / Dave H Dave, No worries, glad I could help. Phil

Jun 11, 2012 Davey54 8 posts	Topic: Site Development / Dave H Hi Phil Just tried your idea of Ctrl+ or Ctrl- it works. Thanks buddy, thanks a lot. Believe it or not I'm not a big PC user and definately a novice Internet user. But, I'm learning and I never give up, so bear with me. Dave

Jun 11, 2012 Phil Maskell 194 posts	Topic: General Discussion / new meter Hi, I've just got the Mobile, it is ugly and chunky, but great not to have strips. I went to nurse for BP and other stuff a few weeks back and she said that a new compact mobile is coming out soon which will be even better. Don't know if this is just a rumour? Not seen anything on Accu-Chek website. Phil P.S What I really want is one of these: http://asweetlife.org/a-sweet-life-staff/featured/developing-a-needle-free-continuous-glucose-monitoring-system/27739/

Jun 11, 2012 Phil Maskell 194 posts	Topic: General Discussion / Medical Bracelet Hi, I'm thinking as I have had times of hypo unawareness (had a 1.8 this morning and only thought it would be about 4 as I hadn't noticed) I ought to get some id bracelet or dog tag. Found a website with some nice stuff (not too tacky) http://www.icegems.co.uk/ They offer engraving, what do others have written on them? The one I like allows 5 lines of 25 chars. Phil

Jun 10, 2012 Simon Heller 46 posts	Topic: Questions for HCPs / High Blood Pressure Hi Jackie. I think spot urines measuring alb/creat ratio are probably sufficient. It is possible that your Coversyl has helped to fix the microalbuminuria which might not be due to your diabetes but an uncovering of a BP issue during your pregnancy. If your BP is still at 140/90 I would actually be trying to reduce this further, perhaps with an additional agent. Certainly worth discussing with your specialist. Also you should know that if you intend to become pregnant again you should stop your Coversyl before you conceive. Simon

Jun 10, 2012 JackieP 2 posts	Topic: General Discussion / new meter Hi, I've been using the Accu check Mobile meter for several months, and agree it is great. There is no messing with strips or disposing of used l ancets , and the meter tells you how many tests are left on the cassette each time you switch it on. I have kept my Optium Xceed meter too, for ketone testing. I am sometimes concerned by the discrepancy in results when I use both meters and compare results. Even 1 mmol difference is a concern for people trying to maintain tight control. But for ease of testing, the Mobile meter is the best!

Jun 10, 2012 JackieP 2 posts	Topic: Questions for HCPs / High Blood Pressure hi, I have a question about my kidney function. After the birth of my daughter I was put on blood pressure medication (Coversyl). as I had pre-eclampsia durng the pregnancy and my BP stayed high long after the birth. About 6 months after her birth my kidney function test showed moderate microalbuminuria, and my BP remained over 140/90. My endo claimed this was due to poor diabetes control causing impaired kidney function. However over thefollowing 2 years my kidney function has returned to normal, based on spot urine tests. My Bp remains around 140/90. Should I still be having 24 hour urine tests for kidney function, or are the spot urine tests sufficient?

Jun 9, 2012 novorapidboi26 1,819 posts	Topic: Questions for HCPs / Odd readings I also must have food and insulin before activity for the exact reasons Phil mentioned.........obviously the muscles have their own stores, but the blood stream sugar is also needed.......

Jun 9, 2012 novorapidboi26 1,819 posts	Topic: Site Development / Dave H the ctrl and scroll is a good suggestion...........

Jun 9, 2012 novorapidboi26 1,819 posts	Topic: Site Development / Auto calculate QA from BG - let's get it right my insulinX meter does this, and I beliive a few other do too,, specifically ones that teams up with a pump.......... basically you would just divide up your previous meal time dose by the number of hours you have decided it will last, this will give you a unit per hour, which you can then use together with the amount of time that has passed to work out how much of you previous dose has been used, and therefore what is left.......... my meter then subtracts that from the dose you have worked out for the mid meal snack etc............. you would never need to correct mid meal though, unless you felt you were uncomfortably high....

Jun 8, 2012 richard.arkle 16 posts	Topic: Site Development / Auto calculate QA from BG - let's get it right I have been thinking about this but from a different angle and that is if I need to take a QA corrective dose or just a QA after CP then I need to calculate how much insulin is still active and swimming around in my bloodstream. Im a Humalog user and reckon that it has cleared my system in 3 hours but if I have to correct or take a shot for a meal within say 2 hrs of the last shot how should I calculate QA as I will already have QA active in me? Dont mean to complicate the matter but it is a bit guess at the moment.

Jun 8, 2012 Simon 578 posts	Topic: Site Development / Dave H Hi Dave, I'd be interested to hear if Phils suggestions help you out. If you have an example of a site where the font does work for you then let us know here so we can do a comparison and see what needs to be done. Simon