Recent Posts - DAFNE Online

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 8, 2012

Phil Maskell 194 posts

Topic: Site Development / Dave H

Dave,

If you use a modern browser like Chrome you can zoom in and out of the page and the text scales, Ctrl + or Ctrl - or Ctrl and roll the mouse wheel. I have retinopathy and find this helps.

I created some nice screenshots for comparison to show you only to find you can't upload files on this forum Sad

There are also plugins for Chrome and Firefox for the visually impaired that dynamically alter the style sheet of the page to give different contrasts, White text on a black background etc...

Hope this helps.

Phil

Jun 8, 2012

Davey54 8 posts

Topic: Site Development / Dave H

:Is it just me or does anyone think that the font on this site be bolder. I don't have very good vision and I'm struggling to see what's in front of me. I've adjusted contrast, brightness etc on the monitor and got it to the best I can, but, it's still a struggle.

Jun 8, 2012

joanne78 8 posts

Topic: Carbohydrate Counting / Carbs for potato pie

Thanks susanh,
A contact has been made to Michel's in which they replied the staff in store could help me out with that information, to me that is passing the buck but I will ask next time if they readily have that information. Jane will give me the sign up code as soon as she can, she appears to be away.

Jun 8, 2012

RichFreed 51 posts

Topic: Carbohydrate Counting / Carbs for potato pie

I think I remmember Jane saying she was on holdiay this week hence the delay in the access code. They both did a cracking good job with us last week!

Jun 8, 2012

susanh 20 posts

Topic: Carbohydrate Counting / Carbs for potato pie

Hi Joanne,

Potato pie - yum! But yes, unfortunately we don't have that one in our DAFNE CP list. Normally our next suggestion would be the Calorie King website (www.calorieking.com.au) as this has a great listing of nutrition information for Australian foods but I've just checked and they don't have the potato pie listed either. So, your best option is probably to contact Michel's directly - send them an email or pop into your local store, as many stores have handouts they can give you which has the nutrition information for all their products.

I would also suggest that you ask Jane or Annabelle if they can give you a sign-up code to register yourself as a DAFNE graduate on this site - that way you can access the online version of the CP list. The online version allows graduates to add in their own entries as well so you could add in the results for the potato pie once you have them, and everyone will know for the future!

Cheers,
Susan

Jun 7, 2012

HelenP 218 posts

Topic: General Discussion / Carpal Tunnel v's Neuropathy

Garry,
What were your symptoms? How long did you put up with it and did you have any other indications that it may not be CTS? Did you have an occupation that exacerbated it? Sorry for the pop quiz but I tend to be upfront.

One of my worries is that I do have reduced sensation in my hands...the family jokes that i ought not to test the temperature of the bath water for the kids! My other indication was that the pain (according to the hand specialist) ought to feel much reduced when I put the splint on as it holds the hand in perfect position (dorsi-flexed) to allow maximum space for the nerve...and it did not relieve the pain.

When I went to see the surgeon I was prepared to have the surgery as I had been warned 12 months before that that was probably what I would need but he essentially talked me out of it.

I checked your bio info and I have been a diabetic for about the same length of time!
Thanks for your help, Garry, Helen

Jun 7, 2012

Alex Dewar 2 posts

Topic: Questions for HCPs / Morning hypo

Yes I will keep a this amount for the next few days, and I will make sure to check before bed. I'm leaving tomorrow morning. I will have a regular schedule which should make things a bit easier, although the food might be a bit of a challenge to calculate.

Jun 7, 2012

Garry 328 posts

Topic: General Discussion / Carpal Tunnel v's Neuropathy

Please be aware that a cortisone injection is likely to impair healing and could compromise any surgery later.
My upper limb consultant advised me against cortisone and I went ahead with CTS surgery to both hands....separated by time of course....both hands now in good working order.
Regards
Garry

Jun 7, 2012

margaret kyle 3 posts

Topic: Questions for HCPs / Morning hypo

Alex,
I think it is all related to your BI. Notably on the night you didnt match 4CPS with QA, your BG was only 11.4 on wakening. I expect you have been having frequent low/tight BG and that is why it dropped so low yesterday. You have done the right thing by reducing BI - I know you are still above target today but remember that is normal post hypo - resist correcting today if you can.
I wont go on about the importance of monitoring but you really need to ensure you are doing so especially pre bed...
Im sure your carb counting is fine and I dont think ratios are a problem. Lantus stays in your system for a longer period of time so even though you have reduced it over the past 2 days, you may not see the benefits for another couple of days. Please stay in touch if any firther issues. Are you away yet?

Jun 7, 2012

Alex Dewar 2 posts

Topic: Questions for HCPs / Morning hypo

Hi,

Yesterday morning I had quite a bad hypo. I don't have the BG at the time, but I required assistance. It happened around 8am. After that my readings were around 6, until the evening which is shown above. Unfortunately the previous days I did not check my BG before bed so I don't know how much it dropped overnight. Last night I lowered my BI from 16 to 14 - I was 14.6 last night and 15.6 this morning, so more or less steady. As you can see, I had also reduced BI the day before, as I was 3.4 in the morning. I am pretty confident that the CPs were accurate on Tues as I measured them all. I took a -1 correction when I had something to eat at bedtime.

So I was wondering do you think it is the BI that caused it, and is there anything else I should adjust?

As a side note, I was on holiday until Thu 31st, and I was at an event on Sat 2nd, so I couldn't measure CPs accurately and hence my levels weren't very good.

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

Jun 8, 2012 Phil Maskell 194 posts	Topic: Site Development / Dave H Dave, If you use a modern browser like Chrome you can zoom in and out of the page and the text scales, Ctrl + or Ctrl - or Ctrl and roll the mouse wheel. I have retinopathy and find this helps. I created some nice screenshots for comparison to show you only to find you can't upload files on this forum There are also plugins for Chrome and Firefox for the visually impaired that dynamically alter the style sheet of the page to give different contrasts, White text on a black background etc... Hope this helps. Phil

Jun 8, 2012 Davey54 8 posts	Topic: Site Development / Dave H :Is it just me or does anyone think that the font on this site be bolder. I don't have very good vision and I'm struggling to see what's in front of me. I've adjusted contrast, brightness etc on the monitor and got it to the best I can, but, it's still a struggle.

Jun 8, 2012 joanne78 8 posts	Topic: Carbohydrate Counting / Carbs for potato pie Thanks susanh, A contact has been made to Michel's in which they replied the staff in store could help me out with that information, to me that is passing the buck but I will ask next time if they readily have that information. Jane will give me the sign up code as soon as she can, she appears to be away.

Jun 8, 2012 RichFreed 51 posts	Topic: Carbohydrate Counting / Carbs for potato pie I think I remmember Jane saying she was on holdiay this week hence the delay in the access code. They both did a cracking good job with us last week!

Jun 8, 2012 susanh 20 posts	Topic: Carbohydrate Counting / Carbs for potato pie Hi Joanne, Potato pie - yum! But yes, unfortunately we don't have that one in our DAFNE CP list. Normally our next suggestion would be the Calorie King website (www.calorieking.com.au) as this has a great listing of nutrition information for Australian foods but I've just checked and they don't have the potato pie listed either. So, your best option is probably to contact Michel's directly - send them an email or pop into your local store, as many stores have handouts they can give you which has the nutrition information for all their products. I would also suggest that you ask Jane or Annabelle if they can give you a sign-up code to register yourself as a DAFNE graduate on this site - that way you can access the online version of the CP list. The online version allows graduates to add in their own entries as well so you could add in the results for the potato pie once you have them, and everyone will know for the future! Cheers, Susan

Jun 7, 2012 HelenP 218 posts	Topic: General Discussion / Carpal Tunnel v's Neuropathy Garry, What were your symptoms? How long did you put up with it and did you have any other indications that it may not be CTS? Did you have an occupation that exacerbated it? Sorry for the pop quiz but I tend to be upfront. One of my worries is that I do have reduced sensation in my hands...the family jokes that i ought not to test the temperature of the bath water for the kids! My other indication was that the pain (according to the hand specialist) ought to feel much reduced when I put the splint on as it holds the hand in perfect position (dorsi-flexed) to allow maximum space for the nerve...and it did not relieve the pain. When I went to see the surgeon I was prepared to have the surgery as I had been warned 12 months before that that was probably what I would need but he essentially talked me out of it. I checked your bio info and I have been a diabetic for about the same length of time! Thanks for your help, Garry, Helen

Jun 7, 2012 Alex Dewar 2 posts	Topic: Questions for HCPs / Morning hypo Yes I will keep a this amount for the next few days, and I will make sure to check before bed. I'm leaving tomorrow morning. I will have a regular schedule which should make things a bit easier, although the food might be a bit of a challenge to calculate.

Jun 7, 2012 Garry 328 posts	Topic: General Discussion / Carpal Tunnel v's Neuropathy Please be aware that a cortisone injection is likely to impair healing and could compromise any surgery later. My upper limb consultant advised me against cortisone and I went ahead with CTS surgery to both hands....separated by time of course....both hands now in good working order. Regards Garry

Jun 7, 2012 margaret kyle 3 posts	Topic: Questions for HCPs / Morning hypo Alex, I think it is all related to your BI. Notably on the night you didnt match 4CPS with QA, your BG was only 11.4 on wakening. I expect you have been having frequent low/tight BG and that is why it dropped so low yesterday. You have done the right thing by reducing BI - I know you are still above target today but remember that is normal post hypo - resist correcting today if you can. I wont go on about the importance of monitoring but you really need to ensure you are doing so especially pre bed... Im sure your carb counting is fine and I dont think ratios are a problem. Lantus stays in your system for a longer period of time so even though you have reduced it over the past 2 days, you may not see the benefits for another couple of days. Please stay in touch if any firther issues. Are you away yet?

Jun 7, 2012 Alex Dewar 2 posts	Topic: Questions for HCPs / Morning hypo Hi, Yesterday morning I had quite a bad hypo. I don't have the BG at the time, but I required assistance. It happened around 8am. After that my readings were around 6, until the evening which is shown above. Unfortunately the previous days I did not check my BG before bed so I don't know how much it dropped overnight. Last night I lowered my BI from 16 to 14 - I was 14.6 last night and 15.6 this morning, so more or less steady. As you can see, I had also reduced BI the day before, as I was 3.4 in the morning. I am pretty confident that the CPs were accurate on Tues as I measured them all. I took a -1 correction when I had something to eat at bedtime. So I was wondering do you think it is the BI that caused it, and is there anything else I should adjust? As a side note, I was on holiday until Thu 31st, and I was at an event on Sat 2nd, so I couldn't measure CPs accurately and hence my levels weren't very good.