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Jun 8, 2012
Phil Maskell
194 posts
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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 |
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Jun 8, 2012
Davey54
8 posts
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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. |
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Jun 8, 2012
joanne78
8 posts
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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. |
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Jun 8, 2012
RichFreed
51 posts
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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! |
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Jun 8, 2012
susanh
20 posts
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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 |
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Jun 7, 2012
HelenP
218 posts
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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 |
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Jun 7, 2012
Alex Dewar
2 posts
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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. |
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Jun 7, 2012
Garry
328 posts
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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 |
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Jun 7, 2012
margaret kyle
3 posts
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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? |
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Jun 7, 2012
Alex Dewar
2 posts
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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. |
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Jun 7, 2012
HelenP
218 posts
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Since giving up the kneading the wrists (and hands) have been significantly better...still getting the pins and needles in the left hand but all in all it is manageable. I have decided to put it all on the back burner and watch what I do. The surgery could cost me about $3000 so I want more than a "maybe some improvement". The injection (cortisone) is an option I will consider before I consent to surgery. Thanks for your comments. Helen |
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Jun 6, 2012
joanne78
8 posts
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Topic: Carbohydrate Counting / Carbs for potato pie Does anyone from Australia know what the carbs are for the Michel's Patisserie Potato Pie? Its quite big and dense. I looked at the daphne book and the calorie fat and carb counter book but neither had a listing. Would be great to know.Cheers Joanne |
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Jun 6, 2012
Phil Maskell
194 posts
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Topic: Questions for HCPs / Odd readings Steve,Glad to help.  Phil |
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Jun 6, 2012
goodglucosegirl
10 posts
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Topic: General Discussion / Carpal Tunnel v's Neuropathy Hi HelenI had a bit of a similar experience 8 years ago after the birth of my son. I found it increasingly difficult to pick him up when he was about 1 year old - you know the way - us facing each other and my hands under his arms - the pain through my thumbs up my wrist was awful and I also had a reduction in hand strength. Trip to the docs and referred to orthorpaedics same as you. They said that it was carpal tunnel syndrome but there could also be swelling of the tendons running through my fingers casued by diabetes and so the tendon was unable to pass easily through and so causes pain. I got injections into each wrist initially which worked well and lasted about 3 years. I then had to go back and I had local anesthetic injected into each hand and the surgeon picked at the tendon with a needle - it was a very strange feeling but was very effective. Think i may have to go back again soon as some activities - bike riding, tennis seems to really aggravate it and cause pain in my index fingers again ...I just have to be careful. I've been diabetic for 32 years so I guess these things perhaps happen after such a long time - I'm only 42 so thought they might happen a little later in life though  Access the orthopaedics about swollen tendons and see what they say. Good luck and hope you get it sorted
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Jun 6, 2012
goodglucosegirl
10 posts
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Topic: General Discussion / Hello Hi JenkatronLook for a support group in your area. I've been diabetic for 32 years (but I'm still young!) and like you don't know many other diabetics. My Dafne course changed that and I've met a great bunch of people and we're hoping to set up a support group, run by volunteers, in our area so that we do have someone else to speak to; bounce ideas off and perhaps get together to do a bit of awareness raising; campaigning etc. Look for something in your area - Diabetes UK website lists local support groups so hoepfully there is one where you live. And you can always chat on here - everyone seems friendly enough )
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Jun 6, 2012
SteveRowland
10 posts
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Topic: Questions for HCPs / Odd readings PhilMany thanks for this. It sounds spot on. I'd ran later than usual and more than 5 hours after my lunchtime insulin. I think I'm going to have to make my runs earlier and closer to lunch so that I still have some QA on board. I'm very grateful for your help. Kind regards Steve |
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Jun 6, 2012
Phil Maskell
194 posts
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Topic: Questions for HCPs / Odd readings Steve,It's counter intuitive to what I got told and probably most diabetics in the past, but you need some insulin (horrid balancing act though as too much and hypo) in the system before exercise, if there isn't any the body can't get the energy it needs from the sugar in the blood and the liver panics and kicks some more sugar out (helpful). Not sure if this helps explain the high? Phil |
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Jun 6, 2012
joanne78
8 posts
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Topic: General Discussion / PA Hospital Daphne Course Hi richard i believe this is how you share your diary entriesJoanne |
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Jun 5, 2012
SteveRowland
10 posts
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Topic: Questions for HCPs / Odd readings I'd be grateful for any thoughts:I am on levemir and novarapid. I did DAFNE in May and have been diligently applying all I learned. This afternoon, I went for a run. My BG was a creditable 5.2 pre-run. I decided to eat a 2 CP hobnob Medley bar and defer the run for thirty minutes. I then did a non-taxing 20 MIN run. My 6-year old son accompanied me on his bike and this acts as a brake! Before supper I was horrified to have BG of 19.6! Help! What is going on!? Any thoughts would be much appreciated. Steve. |
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Jun 5, 2012
Jenkatron
2 posts
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Topic: General Discussion / Hello I hope to get involved quite a bit, before dafne I don't think I'd ever spoken to another diabetic! |
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Jun 5, 2012
novorapidboi26
1,819 posts
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Topic: General Discussion / Waxing and diabetes basically its to do with as you say things like neuropathy...............a lot of beaty technicians will need to ask you if you have diabetes so they can adjust there technique if needed to accomadate for individuals with less feeling in there extremeties...however if there are no diabetic effects and control is good then there is no reason why these therapies cant be carried out............ |
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Jun 5, 2012
novorapidboi26
1,819 posts
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Topic: General Discussion / Hello welcome to the forum finally.........your statement of DAFNE is basically the same as mine, look forward to hearing more from you......... |
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Jun 5, 2012
Phil Maskell
194 posts
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Topic: General Discussion / Hypo Awareness Hi,Thanks for the replies. With the long weekend I have made an effort to see if my background is correct so have gone carb and fast acting free, it seems fine as some of my meals must have had a few sneaky carbs I would be 6 or 8 before and go up to 11, but my background would keep me at 11 for hours. Looks like my hypo issues are carb counting and over correcting!!! On the plus side, back on the carbs now and overdosed for cheesecake 😉by running at 11ish for a day got full awareness back 😄 Reading around on the web I am wondering if NovoRapid is the best fast acting for me, I calc'd the cheesecake amount based on the box, but I reckon I still had some NovoRapid in the system from dinner 2 hours before, have seen Actripda (sp) is a lot faster acting, wonder if something like this might be better? Thanks for all the feedback. Phil |
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Jun 5, 2012
Carolin
83 posts
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Topic: General Discussion / Hypo Awareness
Hi Phil, There are a couple of things that could result in reduced (or loss of) hypo awareness: long duration of diabetes; running BG / HbA1c below targets; repeated hypos (more than 2-3 per week). There's nothing you can do about the first one, however if you stick religiously to DAFNE BG target ranges, i.e. 5.5 - 7.5mmol/l in the morning; 4.5 - 7.5mmol/l before meals; 6.5 - 8.0mmol/l at bedtime, with HbA1c 42 - 53mmol/mol (6-7%) AND make all possible adjustments to prevent hypos, accepting that a couple a week will happen due to slip-ups, you should maintain good awareness. Remember that if you have a BG below target at a mealtime, you can 'correct down' with your dose of QA, or have additional CP. Any BG of 3.5 - 4.5mmol/l should be treated by having a CP to get back into target range and ALL BGs <3.5mmol/l must be treated immediately with 1.5-2 CPs rapid-acting carbs - hypo treatment. You should not need to run your BG very high to regain awareness, but aim for pre-meal/bed BG targets at the upper end of the range and avoid hypos at all costs for at least 2 weeks. Good luck Carolin |
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Jun 5, 2012
Carolin
83 posts
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Topic: General Discussion / Increased Lantus but BGs now higher Hi,Controlling morning BG is probably one of the most common things people have problems with both before and after DAFNE and is really due to a combination of inadequacies of injected BI along with Dawn Phenomenon, where your body naturally releases hormones which raise your BG as you wake up. Most people who sleep through a hypo will find their morning BG is actually still low (<5.5mmol/l), unless their evening BI is fizzling out, which tends to be more common with isophane insulins (Humulin I or Insulatard) but can also happen with analogues (Lantus or Levemir). All insulins tend to have some variability in day-to-day absorption and action which is why you're advised to look for consistent patterns before making adjustments, so if your bed-time BG is in target (6.5 - 8.0mmol/l) and you have no CPs and no QA, you should expect your morning BG to be 5.5 - 7.5mmol/l, although it is normal for it to take a small dip around 3am (but should be above 4.5mmol/l) Therefore if your 3am tests are running around the 7mmol/l level but morning BG are raised, you do have leeway to increase evening BI, remembering that you can adjust by 1u when you get to 'fine-tuning' it. If you find that your bed-time BG is fine but even a 1u increase in evening BI results in a night-time hypo (<3.5mmol/l), you may just have to accept the Dawn Phenomenon and need to correct with QA each morning. There may be some mileage in considering a change to Levemir from Lantus as this may provide a little more predictability and less variability. Good luck Carolin |