Recent Posts - DAFNE Online

May 28, 2012

GordyP 9 posts

Topic: Questions for HCPs / Morning High

I was going to increase my basal by 10-20%, so from 22 to 24 for few days to see what effect that has. Would anyone agree/disagree Question

May 28, 2012

JennyNZ 29 posts

Topic: General Discussion / Night time cycle ride.

hi Vic - hope all your training is going well and you've got your nutrition sorted. If you're not a fan of pasta, creamed rice is an absolutely yummy way to get carbs regularly. I'm sure this close to the ride things will be coming together a lot more. I saw an article on "runsweet" (I think) about a medical team in England who specialise in diabetics and sport - sounds good.
All the best.

May 28, 2012

GordyP 9 posts

Topic: Questions for HCPs / Morning High

I have just completed Dafne course last week and during the first few days I have been lowering my lantus (which I take before bed), from 26u to 24u to 22u. For the last few days now, my BG before bed is good, but the next morning is very high. Do u think it be best to raise my lantus to 24 again for few days to try and eliminate morning highs. The morning highs are on Sunday 27th and Monday 28th.

Regards
Gordy

May 28, 2012

Ahmentep 99 posts

Topic: General Discussion / Hypo Treatment

Hi,

A Dextrose tablet is about 3g of carbohydrate as I recall, so you would need four or five to show any noticeable effect. Of course it depends entirely upon the depth of the hypo. I find actual Lucozade by far the best thing, and I usually take three or four mouthfulls.

Kind regards,

Roger

May 27, 2012

BMuffs 6 posts

Topic: General Discussion / Hypo Treatment

Hi,

Can anyone tell me how many dextrose or lucozade tablets you should take when treating a hypo please? I can't find this in my handbook but I remember the dietician showing us this on the course.

May 27, 2012

thebatoutofhull 60 posts

Topic: General Discussion / Split Lantus dose

I split my lantus as well. 17 in the morning. 13 in evening14 hrs later. My lantus lasts 18 hours max not 24. When you can find out how long your lantus lasts for you will be able to work out how to overlap the two injections. I am more interested in how lantus rolls off when it runs out. This has caused me to go high later in the evening. Lantus does not start working for approx. 1 hour. Then it rises from 4 hours to 8 hours. It then shelves for a further 2hours reaching max efficacy at 12 hours with a glucose infusion rate (mg*kg-1 min-1) of 1.8. (The peak of lets say insulatard is 3.1 - nearly double). Lantus then tails off over 12 hours between 0.5 and 1.0 G.I.R. It is this tail that is awkward. When you overlap how do you know when to have the second jab if you don't know when the first BI is ending?
I spent 2 months experimenting eating no carbs and background testing.
When over lapping my lantus I have to supplement the resulting trough with a little QA . Bloomin tricky to get right.
All the best.

May 25, 2012

Garry 328 posts

Topic: General Discussion / Split Lantus dose

My recent dinner time results are a disappointment to me but I'll get them back under control in a few days.
Have a think about changed timings though.
I genuinely believe that a practical way to get a good time split is to use meal times. I don't know why some nurses say take BI at bedtime.....can't see the rational and anyway you are the expert about your body needs so do what works for you.
By the time I go to bed all I want to do is sleep....not think about taking another injection.

Regards
Garry

May 25, 2012

DianeW 115 posts

Topic: General Discussion / Diabetes and weight management

That's a really interesting point, I have a big belly through not being very active after losing my job plus insulin resistance but the rest of me looks slim. I am just about to take up the gym and eating better so I will be curious to see where I lose it (if I do hopefully!)

May 25, 2012

DianeW 115 posts

Topic: General Discussion / Split Lantus dose

This is very helpful Garry. My nurse said to take it breakfast and bed at 28 units each time and I have always thought, well I sleep for 7-8 hours but I am up for 14-16 hours so how can that work. Surely I will be overloaded with BI during the morning and I have had a couple of hypos just before lunch. I am generally at a good figure before breakfast, 6-7, which suggests the overnight BI is ok? From looking at your diary I am similar to you in that I go a bit high in afternoon but am lower and within range at bedtime. What I don't want to do is have to do two injections before bed, i.e. BI and a correction dose of QA. Not much fun.

I don't deliberately go to bed high to avoid a night time hypo but my nurse told me not to go to bed any lower than 8.

I normally inject about 9am and at 11pm (before bed) so that's 14 hours and 10 hours. I am not working, but if I was and was injecting at say 7am there is no way I could then leave the next dose until bed.

But thanks Garry it is very useful as you are on a similar BI to me. I will persevere and if get back to my nurse if it's not working out.

Regards
Diane

May 25, 2012

chrisinbrum 41 posts

Topic: General Discussion / Diabetes and weight management

Good question! I've asked this at annual reviews and on my DAFNE course, but either no-one understands the question, or they just can't give an answer. People always assume I'm talking about the fatty lumps (lipohypertrophy), but that's not it.

I think, from my own point of view that you're right - it is harder to loose weight from injection sites. I can't get rid of my belly despite losing weight from everywhere else!

May 25, 2012

Garry 328 posts

Topic: General Discussion / Split Lantus dose

Have split my Lantus for just over 2 years.
Personally I only use equal doses and try to get the timings 12 hours apart.
Seems the simple way to get an 'even' BI always available for your body to use.
Like you I can't see 16 hours versus 8 hours being helpful and going to bed high to avoid hypoing during the night can't be good long term. Need get BI right so you can go to bed at a BG in range and get up in the morning in range. Lots of things get in the way of that....but that's what we must try and achieve.
Lantus dose changes, for most of us, seem to have a long reaction time - up to 3 days to see any resultant BG change. Some other people use BI doses with a small differential of 2 or 4u....depending on your BI resistance of course.
I normally take QA and BI insulin before breakfast at 06:45 and before dinner at around 19:00. So for me it works.
At weekends, or on holiday, when getting up later.....dinner tends to be later too.....so it still works.
Here are the last few days diary included for your consideration DianeW.

Regards
Garry

May 25, 2012

Phil Maskell 194 posts

Topic: General Discussion / carb free foods

michal123 said:
The list of low carb foods are Chard, broccoli, cauliflower, blackberries, Green, white, red cabbage, beet, carrots, red or yellow onions and pumpkin.
------------------------------------------------------------------
beyond diet fraud

I agree with all of these except perhaps blackberries, 1 is 0.5g so that is low, but who has just 1, 20 is 10g or 1CP so be careful

http://www.fatsecret.com/calories-nutrition/food/blackberries/carbohydrate

Phil

May 25, 2012

michal123 1 post

Topic: General Discussion / carb free foods

The list of low carb foods are Chard, broccoli, cauliflower, blackberries, Green, white, red cabbage, beet, carrots, red or yellow onions and pumpkin. Very Happy

------------------------------------------------------------------
beyond diet fraud

May 24, 2012

ECOOPER 2 posts

Topic: General Discussion / Getting sugars down without hypos

Hi Tracy - I did a blood test before walking which was 13. I had no food before walking but did 3 QA. When I had finished walking I was 4.2 so I had a small bottle of orange juice. I thought there may be an impact the following day so wasn't particularly surprised when I hypo'd but was when it happened the next day. On the third day my sugars were 6.5 2 hours after QA but bearing in mind I still had approx 3 hours left to run I panicked and had 2 small choc bars prob worth 2 CP. In retrospect i should have waited to see what would happen rather than guessing I would hypo before lunch. Today however I did the 7 QA again plus a correction of 4 as my sugars were 16.8 this morning. I came down to 11.0 at 11am but was back up to 13.9 at 1pm. To be honest my consultant says that I should have this down by now as i graduated in Dec 09 and has given me until August 12 otherwise I will have to go on a pump.

May 24, 2012

DianeW 115 posts

Topic: General Discussion / Split Lantus dose

I've recently started splitting my Lantus to morning and bedtime instead of all in the morning. Wonder if anyone can give me advice. If my BG is high at bedtime, will the Lantus bring it down at all or will it keep my BG at approx the same level it was before bed? If I'm high at bedtime, should I be doing a correction of QA as well as my Lantus. I don't like to go to bed any lower than 8, so say I'm 12 for example.

Are you supposed to take roughly equal levels of Lantus morning and bed? My morning dose is for 16 hours and my bedtime dose 8 hours. I am getting confused!

May 24, 2012

JaneMcc 1 post

Topic: General Discussion / Diabetes and weight management

I know that as diabetics we have to watch our weight as insulin is an appetite stimulant and hypos require us to eat more. But I have been trying to get more 'toned' with more exercise and managing my BG better and I am only seeing improvement where I DONT inject insulin? Is it harder to loose weight and tone muscles in injection sites?

May 24, 2012

tracy69 4 posts

Topic: General Discussion / Getting sugars down without hypos

Because they say if ur plannin excersie you should take maybe one unit less insulin maybe take a snack with you next time.

May 24, 2012

tracy69 4 posts

Topic: General Discussion / Getting sugars down without hypos

Hi ecooper did u take less iunsulin before you went for the very long walk?

May 23, 2012

margaret asp... 9 posts

Topic: General Discussion / Hypos

marke said:
if you are on Lantus you may not be able to split the dose. Medical opinion I have heard is that Lantus really is a 24 hour insulin and can't be easily split ( thats not to say this is a 100% rule) where as Levemir can be split because it does not last for 24 hours even though it is marketed as a 24 hour insulin. Again its best to speak to your local experts to decide what is best for you, since we are just graduates like you.

Thanks for that. I thought I had been told not to split it. I only take 10 units of Lantus, and one to one Qa, which is only usualy 2/3 units per meal. I try to avaid the carbs

May 23, 2012

margaret asp... 9 posts

Topic: General Discussion / Hypos

Hello Tracy. I agree DAfne is an eye opener. i had another Hypo today, so it has knocked my levels a bit for today, just when I thought I had got it. Cant quite work out why I had a hypo but i must have over compensated it cos my BS was still at 11.4 at tea time.
I only graduated 2 weeks ago, i cant belive that I have never done the dafne before. Anyway good luck.

May 23, 2012

ECOOPER 2 posts

Topic: General Discussion / Getting sugars down without hypos

In the morning my sugars seem relatively ok but by lunchtime they are elevated. I have the some breakfast each morning and last week was doing QA of 6 units. This week i tried uping to 7 QA but have had 3 hypos so far (since monday morning). On sunday night I walked with a friend for 6 miles and thought perhaps this had an effect on my hypo the next morning (which occured within 2 hours of my QA inj). However, the same happened on tuesday - no exercise on Monday night nor alcohol and this morning I hypo'd again (although I did have a glass of red the night before). Question: should I stick with the QA 7 for tomorrow or drop back down to 6 and if I drop back down to 6 and my sugars are elevated again prior to lunch what is my next step. Any ideas greatly appreciated. Thanks confused. Rolling Eyes

May 23, 2012

goodglucosegirl 10 posts

Topic: General Discussion / Quick advice needed on insulin amounts

Thanks Marke. You are quite right - i should have looked at my handbook to check - thanks for the reminder. I'm on Novorapid which could be still working in my system up to 5 hours after taking it so I reckon I made the right decision not to take more novorapid last night - I corrected this morning and everything has been great since then.

Thanks for your response.

May 23, 2012

marke 681 posts

Topic: General Discussion / Hypos

if you are on Lantus you may not be able to split the dose. Medical opinion I have heard is that Lantus really is a 24 hour insulin and can't be easily split ( thats not to say this is a 100% rule) where as Levemir can be split because it does not last for 24 hours even though it is marketed as a 24 hour insulin. Again its best to speak to your local experts to decide what is best for you, since we are just graduates like you.

May 28, 2012 GordyP 9 posts	Topic: Questions for HCPs / Morning High I was going to increase my basal by 10-20%, so from 22 to 24 for few days to see what effect that has. Would anyone agree/disagree

May 28, 2012 JennyNZ 29 posts	Topic: General Discussion / Night time cycle ride. hi Vic - hope all your training is going well and you've got your nutrition sorted. If you're not a fan of pasta, creamed rice is an absolutely yummy way to get carbs regularly. I'm sure this close to the ride things will be coming together a lot more. I saw an article on "runsweet" (I think) about a medical team in England who specialise in diabetics and sport - sounds good. All the best.

May 28, 2012 GordyP 9 posts	Topic: Questions for HCPs / Morning High I have just completed Dafne course last week and during the first few days I have been lowering my lantus (which I take before bed), from 26u to 24u to 22u. For the last few days now, my BG before bed is good, but the next morning is very high. Do u think it be best to raise my lantus to 24 again for few days to try and eliminate morning highs. The morning highs are on Sunday 27th and Monday 28th. Regards Gordy

May 28, 2012 Ahmentep 99 posts	Topic: General Discussion / Hypo Treatment Hi, A Dextrose tablet is about 3g of carbohydrate as I recall, so you would need four or five to show any noticeable effect. Of course it depends entirely upon the depth of the hypo. I find actual Lucozade by far the best thing, and I usually take three or four mouthfulls. Kind regards, Roger

May 27, 2012 BMuffs 6 posts	Topic: General Discussion / Hypo Treatment Hi, Can anyone tell me how many dextrose or lucozade tablets you should take when treating a hypo please? I can't find this in my handbook but I remember the dietician showing us this on the course.

May 27, 2012 thebatoutofhull 60 posts	Topic: General Discussion / Split Lantus dose I split my lantus as well. 17 in the morning. 13 in evening14 hrs later. My lantus lasts 18 hours max not 24. When you can find out how long your lantus lasts for you will be able to work out how to overlap the two injections. I am more interested in how lantus rolls off when it runs out. This has caused me to go high later in the evening. Lantus does not start working for approx. 1 hour. Then it rises from 4 hours to 8 hours. It then shelves for a further 2hours reaching max efficacy at 12 hours with a glucose infusion rate (mg*kg-1 min-1) of 1.8. (The peak of lets say insulatard is 3.1 - nearly double). Lantus then tails off over 12 hours between 0.5 and 1.0 G.I.R. It is this tail that is awkward. When you overlap how do you know when to have the second jab if you don't know when the first BI is ending? I spent 2 months experimenting eating no carbs and background testing. When over lapping my lantus I have to supplement the resulting trough with a little QA . Bloomin tricky to get right. All the best.

May 25, 2012 Garry 328 posts	Topic: General Discussion / Split Lantus dose My recent dinner time results are a disappointment to me but I'll get them back under control in a few days. Have a think about changed timings though. I genuinely believe that a practical way to get a good time split is to use meal times. I don't know why some nurses say take BI at bedtime.....can't see the rational and anyway you are the expert about your body needs so do what works for you. By the time I go to bed all I want to do is sleep....not think about taking another injection. Regards Garry

May 25, 2012 DianeW 115 posts	Topic: General Discussion / Diabetes and weight management That's a really interesting point, I have a big belly through not being very active after losing my job plus insulin resistance but the rest of me looks slim. I am just about to take up the gym and eating better so I will be curious to see where I lose it (if I do hopefully!)

May 25, 2012 DianeW 115 posts	Topic: General Discussion / Split Lantus dose This is very helpful Garry. My nurse said to take it breakfast and bed at 28 units each time and I have always thought, well I sleep for 7-8 hours but I am up for 14-16 hours so how can that work. Surely I will be overloaded with BI during the morning and I have had a couple of hypos just before lunch. I am generally at a good figure before breakfast, 6-7, which suggests the overnight BI is ok? From looking at your diary I am similar to you in that I go a bit high in afternoon but am lower and within range at bedtime. What I don't want to do is have to do two injections before bed, i.e. BI and a correction dose of QA. Not much fun. I don't deliberately go to bed high to avoid a night time hypo but my nurse told me not to go to bed any lower than 8. I normally inject about 9am and at 11pm (before bed) so that's 14 hours and 10 hours. I am not working, but if I was and was injecting at say 7am there is no way I could then leave the next dose until bed. But thanks Garry it is very useful as you are on a similar BI to me. I will persevere and if get back to my nurse if it's not working out. Regards Diane

May 25, 2012 chrisinbrum 41 posts	Topic: General Discussion / Diabetes and weight management Good question! I've asked this at annual reviews and on my DAFNE course, but either no-one understands the question, or they just can't give an answer. People always assume I'm talking about the fatty lumps (lipohypertrophy), but that's not it. I think, from my own point of view that you're right - it is harder to loose weight from injection sites. I can't get rid of my belly despite losing weight from everywhere else!

May 25, 2012 Garry 328 posts	Topic: General Discussion / Split Lantus dose Have split my Lantus for just over 2 years. Personally I only use equal doses and try to get the timings 12 hours apart. Seems the simple way to get an 'even' BI always available for your body to use. Like you I can't see 16 hours versus 8 hours being helpful and going to bed high to avoid hypoing during the night can't be good long term. Need get BI right so you can go to bed at a BG in range and get up in the morning in range. Lots of things get in the way of that....but that's what we must try and achieve. Lantus dose changes, for most of us, seem to have a long reaction time - up to 3 days to see any resultant BG change. Some other people use BI doses with a small differential of 2 or 4u....depending on your BI resistance of course. I normally take QA and BI insulin before breakfast at 06:45 and before dinner at around 19:00. So for me it works. At weekends, or on holiday, when getting up later.....dinner tends to be later too.....so it still works. Here are the last few days diary included for your consideration DianeW. Regards Garry

May 25, 2012 Phil Maskell 194 posts	Topic: General Discussion / carb free foods michal123 said: The list of low carb foods are Chard, broccoli, cauliflower, blackberries, Green, white, red cabbage, beet, carrots, red or yellow onions and pumpkin. ------------------------------------------------------------------ beyond diet fraud I agree with all of these except perhaps blackberries, 1 is 0.5g so that is low, but who has just 1, 20 is 10g or 1CP so be careful http://www.fatsecret.com/calories-nutrition/food/blackberries/carbohydrate Phil

May 25, 2012 michal123 1 post	Topic: General Discussion / carb free foods The list of low carb foods are Chard, broccoli, cauliflower, blackberries, Green, white, red cabbage, beet, carrots, red or yellow onions and pumpkin. ------------------------------------------------------------------ beyond diet fraud

May 24, 2012 ECOOPER 2 posts	Topic: General Discussion / Getting sugars down without hypos Hi Tracy - I did a blood test before walking which was 13. I had no food before walking but did 3 QA. When I had finished walking I was 4.2 so I had a small bottle of orange juice. I thought there may be an impact the following day so wasn't particularly surprised when I hypo'd but was when it happened the next day. On the third day my sugars were 6.5 2 hours after QA but bearing in mind I still had approx 3 hours left to run I panicked and had 2 small choc bars prob worth 2 CP. In retrospect i should have waited to see what would happen rather than guessing I would hypo before lunch. Today however I did the 7 QA again plus a correction of 4 as my sugars were 16.8 this morning. I came down to 11.0 at 11am but was back up to 13.9 at 1pm. To be honest my consultant says that I should have this down by now as i graduated in Dec 09 and has given me until August 12 otherwise I will have to go on a pump.

May 24, 2012 DianeW 115 posts	Topic: General Discussion / Split Lantus dose I've recently started splitting my Lantus to morning and bedtime instead of all in the morning. Wonder if anyone can give me advice. If my BG is high at bedtime, will the Lantus bring it down at all or will it keep my BG at approx the same level it was before bed? If I'm high at bedtime, should I be doing a correction of QA as well as my Lantus. I don't like to go to bed any lower than 8, so say I'm 12 for example. Are you supposed to take roughly equal levels of Lantus morning and bed? My morning dose is for 16 hours and my bedtime dose 8 hours. I am getting confused!

May 24, 2012 JaneMcc 1 post	Topic: General Discussion / Diabetes and weight management I know that as diabetics we have to watch our weight as insulin is an appetite stimulant and hypos require us to eat more. But I have been trying to get more 'toned' with more exercise and managing my BG better and I am only seeing improvement where I DONT inject insulin? Is it harder to loose weight and tone muscles in injection sites?

May 24, 2012 tracy69 4 posts	Topic: General Discussion / Getting sugars down without hypos Because they say if ur plannin excersie you should take maybe one unit less insulin maybe take a snack with you next time.

May 24, 2012 tracy69 4 posts	Topic: General Discussion / Getting sugars down without hypos Hi ecooper did u take less iunsulin before you went for the very long walk?

May 23, 2012 margaret asp... 9 posts	Topic: General Discussion / Hypos marke said: if you are on Lantus you may not be able to split the dose. Medical opinion I have heard is that Lantus really is a 24 hour insulin and can't be easily split ( thats not to say this is a 100% rule) where as Levemir can be split because it does not last for 24 hours even though it is marketed as a 24 hour insulin. Again its best to speak to your local experts to decide what is best for you, since we are just graduates like you. Thanks for that. I thought I had been told not to split it. I only take 10 units of Lantus, and one to one Qa, which is only usualy 2/3 units per meal. I try to avaid the carbs

May 23, 2012 margaret asp... 9 posts	Topic: General Discussion / Hypos Hello Tracy. I agree DAfne is an eye opener. i had another Hypo today, so it has knocked my levels a bit for today, just when I thought I had got it. Cant quite work out why I had a hypo but i must have over compensated it cos my BS was still at 11.4 at tea time. I only graduated 2 weeks ago, i cant belive that I have never done the dafne before. Anyway good luck.

May 23, 2012 ECOOPER 2 posts	Topic: General Discussion / Getting sugars down without hypos In the morning my sugars seem relatively ok but by lunchtime they are elevated. I have the some breakfast each morning and last week was doing QA of 6 units. This week i tried uping to 7 QA but have had 3 hypos so far (since monday morning). On sunday night I walked with a friend for 6 miles and thought perhaps this had an effect on my hypo the next morning (which occured within 2 hours of my QA inj). However, the same happened on tuesday - no exercise on Monday night nor alcohol and this morning I hypo'd again (although I did have a glass of red the night before). Question: should I stick with the QA 7 for tomorrow or drop back down to 6 and if I drop back down to 6 and my sugars are elevated again prior to lunch what is my next step. Any ideas greatly appreciated. Thanks confused.

May 23, 2012 goodglucosegirl 10 posts	Topic: General Discussion / Quick advice needed on insulin amounts Thanks Marke. You are quite right - i should have looked at my handbook to check - thanks for the reminder. I'm on Novorapid which could be still working in my system up to 5 hours after taking it so I reckon I made the right decision not to take more novorapid last night - I corrected this morning and everything has been great since then. Thanks for your response.

May 23, 2012 marke 681 posts	Topic: General Discussion / Hypos if you are on Lantus you may not be able to split the dose. Medical opinion I have heard is that Lantus really is a 24 hour insulin and can't be easily split ( thats not to say this is a 100% rule) where as Levemir can be split because it does not last for 24 hours even though it is marketed as a 24 hour insulin. Again its best to speak to your local experts to decide what is best for you, since we are just graduates like you.