Recent Posts - DAFNE Online

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 7, 2012

HelenP 218 posts

Topic: General Discussion / Carpal Tunnel v's Neuropathy

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

Jun 6, 2012

joanne78 8 posts

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

Jun 6, 2012

Phil Maskell 194 posts

Topic: Questions for HCPs / Odd readings

Steve,

Glad to help. Very Happy

Phil

Jun 6, 2012

goodglucosegirl 10 posts

Topic: General Discussion / Carpal Tunnel v's Neuropathy

Hi Helen

I 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 Smile

Access the orthopaedics about swollen tendons and see what they say. Good luck and hope you get it sorted Smile

Jun 6, 2012

goodglucosegirl 10 posts

Topic: General Discussion / Hello

Hi Jenkatron

Look 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 Smile

)

Jun 6, 2012

SteveRowland 10 posts

Topic: Questions for HCPs / Odd readings

Phil

Many 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

Jun 6, 2012

Phil Maskell 194 posts

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

Jun 6, 2012

joanne78 8 posts

Topic: General Discussion / PA Hospital Daphne Course

Hi richard i believe this is how you share your diary entries
Joanne

Jun 5, 2012

SteveRowland 10 posts

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.

Jun 5, 2012

Jenkatron 2 posts

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!

Jun 5, 2012

novorapidboi26 1,819 posts

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............

Jun 5, 2012

novorapidboi26 1,819 posts

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.........

Jun 5, 2012

Phil Maskell 194 posts

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 ðŸ˜‰by running at 11ish for a day got full awareness back ðŸ˜„

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

Jun 5, 2012

Carolin 83 posts

Topic: General Discussion / Hypo Awareness

Phil Maskell said:
Hi,

Never had the best control, but recently I have made a concerted effort to lower my hba1c, just had blood test so we will see!

Problem is in tighter control I have been going hypo alot, I mean 4 or 5 times a day

Yesterday and today I have a couple of 2.9s without any knowledge of them, no symptoms or anything, this worries me, I have never not had awareness!

If I loosening my grip on control will awareness come back?

How do others feel about this? Lower hba1c or awareness?

Phil

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

Jun 5, 2012

Carolin 83 posts

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

Jun 5, 2012

Carolin 83 posts

Topic: Carbohydrate Counting / Nuts!

You're all correct in that the advice for low GI foods like nuts and pulses etc is NOT to take QA for the CPs as they digest so slowly they have little effect on your BG.

However, if you have a significant quantity (a large glycaemic load) you may find you do get a rise in BG and need QA to cover. Novorapid boy is right in saying everyone is different so you need to monitor and go off your own experience; initially we'd say do not take QA for these low GI foods, but if you find your BG rises after having them try for example injecting for 1/2 the CP value, then monitor, experiment as required.

Good luck

Carolin

Jun 5, 2012

Carolin 83 posts

Topic: Questions for HCPs / Morning High

GordyP said:
3 days after BI increase.....looking better now apart from the morning hypo this morning....

Yes, looking better but do keep an eye on that morning BG and remember your BG should remain stable overnight with your BI, which it did Tue night 29th May.

If you find your morning BG are below target (<5.5mmol/l) you could try adjusting your Lantus by 1u to 23u

Good luck

Carolin

Jun 5, 2012

Davey-M 3 posts

Topic: General Discussion / Increased Lantus but BGs now higher

Thanks for the advice guys. Done quite a few 3am readings and my BGs are sometimes 6 but usually 7 at this time, but then I'm waking up with BGs of 10, 11 and 12. Any suggestions?

Cheers

Jun 4, 2012

Garry 328 posts

Topic: General Discussion / Hello

Welcome

I'm sure that others can benefit from a share of your 20 years experience.

Regards
Garry

Jun 4, 2012

Graham Waugh 2 posts

Topic: General Discussion / Hypo Awareness

Hi Phil,

With regards to Hypo Awareness, I myself started losing my awareness around 4 or 5 years ago and it gradually got worse and worse where it's now at the point where there is no warning, I could be sitting here at say 1.8 and feel like I could run a marathon! I think it's really quite rare for you to lose awareness completely and running your BG level a tad higher for a while can bring it back. It sounds as if your control is actually pretty good (as long as you can explain the hypo and why it probably happened!) so wouldn't go mucking about with changing ratio's etc, but speak to your consultant with regards to trying to get your awareness back, they will probably ask you to run your BG a bit higher for a few months.

Jun 4, 2012

Jenkatron 2 posts

Topic: General Discussion / Hello

Just thought I'd put a message on here, graduated end of last year but didn't get round to logging in! DAFNE has completely changed my life being diabetic for 20 years and never really had great control. Not going to lie I still have good and bad days but overall my control is so much better!! Cheers then.

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 7, 2012 HelenP 218 posts	Topic: General Discussion / Carpal Tunnel v's Neuropathy 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

Jun 6, 2012 joanne78 8 posts	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

Jun 6, 2012 Phil Maskell 194 posts	Topic: Questions for HCPs / Odd readings Steve, Glad to help. Phil

Jun 6, 2012 goodglucosegirl 10 posts	Topic: General Discussion / Carpal Tunnel v's Neuropathy Hi Helen I 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

Jun 6, 2012 goodglucosegirl 10 posts	Topic: General Discussion / Hello Hi Jenkatron Look 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 )

Jun 6, 2012 SteveRowland 10 posts	Topic: Questions for HCPs / Odd readings Phil Many 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

Jun 6, 2012 Phil Maskell 194 posts	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

Jun 6, 2012 joanne78 8 posts	Topic: General Discussion / PA Hospital Daphne Course Hi richard i believe this is how you share your diary entries Joanne

Jun 5, 2012 SteveRowland 10 posts	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.

Jun 5, 2012 Jenkatron 2 posts	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!

Jun 5, 2012 novorapidboi26 1,819 posts	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............

Jun 5, 2012 novorapidboi26 1,819 posts	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.........

Jun 5, 2012 Phil Maskell 194 posts	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 ðŸ˜‰by running at 11ish for a day got full awareness back ðŸ˜„ 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

Jun 5, 2012 Carolin 83 posts	Topic: General Discussion / Hypo Awareness Phil Maskell said: Hi, Never had the best control, but recently I have made a concerted effort to lower my hba1c, just had blood test so we will see! Problem is in tighter control I have been going hypo alot, I mean 4 or 5 times a day Yesterday and today I have a couple of 2.9s without any knowledge of them, no symptoms or anything, this worries me, I have never not had awareness! If I loosening my grip on control will awareness come back? How do others feel about this? Lower hba1c or awareness? Phil 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

Jun 5, 2012 Carolin 83 posts	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

Jun 5, 2012 Carolin 83 posts	Topic: Carbohydrate Counting / Nuts! You're all correct in that the advice for low GI foods like nuts and pulses etc is NOT to take QA for the CPs as they digest so slowly they have little effect on your BG. However, if you have a significant quantity (a large glycaemic load) you may find you do get a rise in BG and need QA to cover. Novorapid boy is right in saying everyone is different so you need to monitor and go off your own experience; initially we'd say do not take QA for these low GI foods, but if you find your BG rises after having them try for example injecting for 1/2 the CP value, then monitor, experiment as required. Good luck Carolin

Jun 5, 2012 Carolin 83 posts	Topic: Questions for HCPs / Morning High GordyP said: 3 days after BI increase.....looking better now apart from the morning hypo this morning.... Yes, looking better but do keep an eye on that morning BG and remember your BG should remain stable overnight with your BI, which it did Tue night 29th May. If you find your morning BG are below target (<5.5mmol/l) you could try adjusting your Lantus by 1u to 23u Good luck Carolin

Jun 5, 2012 Davey-M 3 posts	Topic: General Discussion / Increased Lantus but BGs now higher Thanks for the advice guys. Done quite a few 3am readings and my BGs are sometimes 6 but usually 7 at this time, but then I'm waking up with BGs of 10, 11 and 12. Any suggestions? Cheers

Jun 4, 2012 Garry 328 posts	Topic: General Discussion / Hello Welcome I'm sure that others can benefit from a share of your 20 years experience. Regards Garry

Jun 4, 2012 Graham Waugh 2 posts	Topic: General Discussion / Hypo Awareness Hi Phil, With regards to Hypo Awareness, I myself started losing my awareness around 4 or 5 years ago and it gradually got worse and worse where it's now at the point where there is no warning, I could be sitting here at say 1.8 and feel like I could run a marathon! I think it's really quite rare for you to lose awareness completely and running your BG level a tad higher for a while can bring it back. It sounds as if your control is actually pretty good (as long as you can explain the hypo and why it probably happened!) so wouldn't go mucking about with changing ratio's etc, but speak to your consultant with regards to trying to get your awareness back, they will probably ask you to run your BG a bit higher for a few months.

Jun 4, 2012 Jenkatron 2 posts	Topic: General Discussion / Hello Just thought I'd put a message on here, graduated end of last year but didn't get round to logging in! DAFNE has completely changed my life being diabetic for 20 years and never really had great control. Not going to lie I still have good and bad days but overall my control is so much better!! Cheers then.