Recent Posts - DAFNE Online

May 31, 2012

novorapidboi26 1,819 posts

Topic: General Discussion / Hypo Treatment

I drink an energy drink from asda, this works quick and is only 45 calories.......... Wink

May 31, 2012

novorapidboi26 1,819 posts

Topic: General Discussion / High BG at Lunch

As C says, if there is no QA isulin orcarbs having an effect then it must be the BI insulin that needs tested and adjusted.........

the dawn phenomenon may also be contributing, having some carb and insulin is sometimes needed to stop the liver dumping glucose....

May 31, 2012

novorapidboi26 1,819 posts

Topic: General Discussion / Increased Lantus but BGs now higher

i would also suggest a 3 am test, as you say you had ben gven the hypo scenario by your mother, so you should have set out to confirm whether this was the case........

May 31, 2012

Anele46 109 posts

Topic: General Discussion / Increased Lantus but BGs now higher

Hi David,
I would do a 3am test (I know this may be unsuitable but maybe at the weekend?) as that will show what your liver and body is doing as there will be no QA insulin in your system at that point and will give you an indication on whether the amount of Lantus your taking before bed is correct.
I tend to agree with your mum and the increases in morning BGs suggest that you may have been having hypos through the night.
Hope this helps Smile

Good luck!
Cheers,
Anele.

May 31, 2012

Davey-M 3 posts

Topic: General Discussion / Increased Lantus but BGs now higher

Need some help please. I take a split dose of Lantus, 10 units before bed and 10 units first thing in the morning. My BG in the mornings have been usually 8 with the occasional 9, so just above target. To try and get these readings down I increased my bedtime lantus from 10 units to 12 about a fortnight ago, but then found my morning BGs had jumped to 14, 15 and 17s. My mum suggested I could be having hypos during my sleep. So a week later I reduced my lantus dose from 12 down to 11 and have now found my morning BGs to be around 10, 11 but most often 12s. I'm completely baffled by this, does anyone have any thoughts/suggestions? Any response greatly appreciated.

Cheers
David

May 29, 2012

Garry 328 posts

Topic: General Discussion / Exercise and high BG

The release of â€˜fight or flightâ€™ hormones such as adrenaline make us insulin resistant.
So strenuous exercise can have a marked effect on BG post exercise.

Regards
Garry

May 29, 2012

GordyP 9 posts

Topic: General Discussion / TDD (Total daily dose)

Thanks Garry, that makes perfect sense. When on my course I was including corrections but when I queried it I was told to best leave it out. With corrections included and the extra QA during illness, in my case it would keep my BG at a more comfortable level.
Regards
Gordy

May 29, 2012

Charlie C 2 posts

Topic: General Discussion / TDD (Total daily dose)

Graduated last week an educator confirmed that when calculating tdd that you should include all insulin.

C

May 29, 2012

GordyP 9 posts

Topic: Questions for HCPs / Morning High

Hi, thanks for reply.
Well, fingers crossed the increase has worked. With a morning BG of 5.7 this morning, I'm hoping my increase of BI last night continues this morning trend...I'll monitor for a few days, do some 3am checks and come back with the results.
Gordy

May 29, 2012

Garry 328 posts

Topic: General Discussion / TDD (Total daily dose)

I have always included corrections Gordon P as I find that as sickness comes on, I am making progressive corrections and if I bring in sick rules I want to get the situation under control quickly. So I always include corrections.

Regards
Garry

May 29, 2012

Garry 328 posts

Topic: Questions for HCPs / Morning High

Only from another graduate like yourself, but I would agree.
We all need recognise how long changes in Lantus dose take to have any effect. Seems to take 3 days for most of us.
My DAFNE consultant recommends 10 to 20% changes in BI to see quick outcome - so I think you are right Smile

Regards
Garry

May 29, 2012

Charlie C 2 posts

Topic: General Discussion / High BG at Lunch

Mike, if it goes up but you havent had any breakfast or any quick acting insulin then i'd be looking at your slow acting (basal) insulin. However if it goes up after breakfast (which it should a little) then maybe you need to check you've counted your carbs correctly.

Hope this helps.

C

May 29, 2012

Anele46 109 posts

Topic: General Discussion / Hypo Awareness

Thanks Marke, I remember reading in the forums in the past of people saying they developed Ketones when having too many carb free meals, must have read it wrong, sorry Sad

Thanks,
Anele.

May 29, 2012

Mike_Holland 1 post

Topic: General Discussion / High BG at Lunch

My BG reading is perfect at breakfast but by lunch has gone very high. The same thing happens if I eat breakfast or not. Which insulin should I increase?! Any help very gratefully taken......

May 29, 2012

slb23 5 posts

Topic: General Discussion / Exercise and high BG

This is the most bizarre thing ever - glad I'm not the only one!
I've recently started to go to the gym in the morning (30 minute run before breakfast); I'm usually 6-8 when I wake, and end up ~15 an hour after. So I do a few units (1 unit takes me down 2 mmol) to correct, as well as my breakfast units, but it continues to rise! Sometimes up to 17 two hours after.
The idea of injecting before is scary, but think I'm going to have to try it. Will let you know!
What's more bizarre is that when I was diagnosed over 10 years ago, I was always told to eat something (at that stage, a mini mars bar a day Confused

!) before PE classes, to stop me going low! Is that just because I used to do 2 mixed injections per day rather than DAFNE, or how did I not notice I was always high.
Very odd, but so glad I found this!

May 29, 2012

GordyP 9 posts

Topic: General Discussion / TDD (Total daily dose)

Hi, could anyone confirm that when Calculating TDD, that includes all insulin taken in that day including corrections. Speaking and researching this is giving me conflicting information on wether to include corrections or not. Any help much appreciated.....

Regards,
Gordy

May 28, 2012

marke 681 posts

Topic: General Discussion / Hypo Awareness

Hi, as far as I am aware Ketones are caused by the abscence of insulin to transport blood sugar into cells resulting in 'fat' being used for energy. Therefore a carb free meal cannot result in ketones, it can result in a hypo if you BI is too high which is exactly what you are trying to establish. If you do have a carb free meal to test your BI its a good idea to test a bit more regularly just to ensure what IS happening to your BG.

May 28, 2012

Anele46 109 posts

Topic: General Discussion / Hypo Treatment

I find 3 jelly babies works a treat followed by some toast.
Helps avoid over-compensating.
I also find 3 dextrose tablets is enough (for me anyway).

Cheers,
Anele.

May 28, 2012

Phil Maskell 194 posts

Topic: General Discussion / Hypo Treatment

Hi,

As mentioned on the DAFNE course, a small carton of Apple or Orange is about 2CP, perfect amount for a hypo, more bulky than Dextrose to carry round though.

Phil

May 28, 2012

Moris 9 posts

Topic: General Discussion / Hypo Treatment

Hi,
I use one or two 25g tubes of Gluco Gel, (persciption) or a few Gluco Tabs followed by toast to back it up. The Gel tastes bad, but it works well.

Moris.

May 28, 2012

Anele46 109 posts

Topic: General Discussion / Hypo Awareness

The only thing to watch out is I've heard of people that often have carb free meals can develop ketones so just a wee minder Smile

Cheers,
Anele.

May 31, 2012 novorapidboi26 1,819 posts	Topic: General Discussion / Hypo Treatment I drink an energy drink from asda, this works quick and is only 45 calories..........

May 31, 2012 novorapidboi26 1,819 posts	Topic: General Discussion / High BG at Lunch As C says, if there is no QA isulin orcarbs having an effect then it must be the BI insulin that needs tested and adjusted......... the dawn phenomenon may also be contributing, having some carb and insulin is sometimes needed to stop the liver dumping glucose....

May 31, 2012 novorapidboi26 1,819 posts	Topic: General Discussion / Increased Lantus but BGs now higher i would also suggest a 3 am test, as you say you had ben gven the hypo scenario by your mother, so you should have set out to confirm whether this was the case........

May 31, 2012 Anele46 109 posts	Topic: General Discussion / Increased Lantus but BGs now higher Hi David, I would do a 3am test (I know this may be unsuitable but maybe at the weekend?) as that will show what your liver and body is doing as there will be no QA insulin in your system at that point and will give you an indication on whether the amount of Lantus your taking before bed is correct. I tend to agree with your mum and the increases in morning BGs suggest that you may have been having hypos through the night. Hope this helps Good luck! Cheers, Anele.

May 31, 2012 Davey-M 3 posts	Topic: General Discussion / Increased Lantus but BGs now higher Need some help please. I take a split dose of Lantus, 10 units before bed and 10 units first thing in the morning. My BG in the mornings have been usually 8 with the occasional 9, so just above target. To try and get these readings down I increased my bedtime lantus from 10 units to 12 about a fortnight ago, but then found my morning BGs had jumped to 14, 15 and 17s. My mum suggested I could be having hypos during my sleep. So a week later I reduced my lantus dose from 12 down to 11 and have now found my morning BGs to be around 10, 11 but most often 12s. I'm completely baffled by this, does anyone have any thoughts/suggestions? Any response greatly appreciated. Cheers David

May 29, 2012 Garry 328 posts	Topic: General Discussion / Exercise and high BG The release of â€˜fight or flightâ€™ hormones such as adrenaline make us insulin resistant. So strenuous exercise can have a marked effect on BG post exercise. Regards Garry

May 29, 2012 GordyP 9 posts	Topic: General Discussion / TDD (Total daily dose) Thanks Garry, that makes perfect sense. When on my course I was including corrections but when I queried it I was told to best leave it out. With corrections included and the extra QA during illness, in my case it would keep my BG at a more comfortable level. Regards Gordy

May 29, 2012 Charlie C 2 posts	Topic: General Discussion / TDD (Total daily dose) Graduated last week an educator confirmed that when calculating tdd that you should include all insulin. C

May 29, 2012 GordyP 9 posts	Topic: Questions for HCPs / Morning High Hi, thanks for reply. Well, fingers crossed the increase has worked. With a morning BG of 5.7 this morning, I'm hoping my increase of BI last night continues this morning trend...I'll monitor for a few days, do some 3am checks and come back with the results. Gordy

May 29, 2012 Garry 328 posts	Topic: General Discussion / TDD (Total daily dose) I have always included corrections Gordon P as I find that as sickness comes on, I am making progressive corrections and if I bring in sick rules I want to get the situation under control quickly. So I always include corrections. Regards Garry

May 29, 2012 Garry 328 posts	Topic: Questions for HCPs / Morning High Only from another graduate like yourself, but I would agree. We all need recognise how long changes in Lantus dose take to have any effect. Seems to take 3 days for most of us. My DAFNE consultant recommends 10 to 20% changes in BI to see quick outcome - so I think you are right Regards Garry

May 29, 2012 Charlie C 2 posts	Topic: General Discussion / High BG at Lunch Mike, if it goes up but you havent had any breakfast or any quick acting insulin then i'd be looking at your slow acting (basal) insulin. However if it goes up after breakfast (which it should a little) then maybe you need to check you've counted your carbs correctly. Hope this helps. C

May 29, 2012 Anele46 109 posts	Topic: General Discussion / Hypo Awareness Thanks Marke, I remember reading in the forums in the past of people saying they developed Ketones when having too many carb free meals, must have read it wrong, sorry Thanks, Anele.

May 29, 2012 Mike_Holland 1 post	Topic: General Discussion / High BG at Lunch My BG reading is perfect at breakfast but by lunch has gone very high. The same thing happens if I eat breakfast or not. Which insulin should I increase?! Any help very gratefully taken......

May 29, 2012 slb23 5 posts	Topic: General Discussion / Exercise and high BG This is the most bizarre thing ever - glad I'm not the only one! I've recently started to go to the gym in the morning (30 minute run before breakfast); I'm usually 6-8 when I wake, and end up ~15 an hour after. So I do a few units (1 unit takes me down 2 mmol) to correct, as well as my breakfast units, but it continues to rise! Sometimes up to 17 two hours after. The idea of injecting before is scary, but think I'm going to have to try it. Will let you know! What's more bizarre is that when I was diagnosed over 10 years ago, I was always told to eat something (at that stage, a mini mars bar a day !) before PE classes, to stop me going low! Is that just because I used to do 2 mixed injections per day rather than DAFNE, or how did I not notice I was always high. Very odd, but so glad I found this!

May 29, 2012 GordyP 9 posts	Topic: General Discussion / TDD (Total daily dose) Hi, could anyone confirm that when Calculating TDD, that includes all insulin taken in that day including corrections. Speaking and researching this is giving me conflicting information on wether to include corrections or not. Any help much appreciated..... Regards, Gordy

May 28, 2012 marke 681 posts	Topic: General Discussion / Hypo Awareness Hi, as far as I am aware Ketones are caused by the abscence of insulin to transport blood sugar into cells resulting in 'fat' being used for energy. Therefore a carb free meal cannot result in ketones, it can result in a hypo if you BI is too high which is exactly what you are trying to establish. If you do have a carb free meal to test your BI its a good idea to test a bit more regularly just to ensure what IS happening to your BG.

May 28, 2012 Anele46 109 posts	Topic: General Discussion / Hypo Treatment I find 3 jelly babies works a treat followed by some toast. Helps avoid over-compensating. I also find 3 dextrose tablets is enough (for me anyway). Cheers, Anele.

May 28, 2012 Phil Maskell 194 posts	Topic: General Discussion / Hypo Treatment Hi, As mentioned on the DAFNE course, a small carton of Apple or Orange is about 2CP, perfect amount for a hypo, more bulky than Dextrose to carry round though. Phil

May 28, 2012 Moris 9 posts	Topic: General Discussion / Hypo Treatment Hi, I use one or two 25g tubes of Gluco Gel, (persciption) or a few Gluco Tabs followed by toast to back it up. The Gel tastes bad, but it works well. Moris.

May 28, 2012 Anele46 109 posts	Topic: General Discussion / Hypo Awareness The only thing to watch out is I've heard of people that often have carb free meals can develop ketones so just a wee minder Cheers, Anele.