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May 25, 2012
Garry
328 posts
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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 |
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May 25, 2012
DianeW
115 posts
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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!) |
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May 25, 2012
DianeW
115 posts
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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 |
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May 25, 2012
chrisinbrum
41 posts
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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! |
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May 25, 2012
Garry
328 posts
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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 |
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May 25, 2012
Phil Maskell
194 posts
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Topic: General Discussion / carb free foods
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 |
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May 25, 2012
michal123
1 post
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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 |
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May 24, 2012
ECOOPER
2 posts
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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. |
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May 24, 2012
DianeW
115 posts
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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! |
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May 24, 2012
JaneMcc
1 post
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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? |
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May 24, 2012
tracy69
4 posts
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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. |
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May 24, 2012
tracy69
4 posts
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Topic: General Discussion / Getting sugars down without hypos Hi ecooper did u take less iunsulin before you went for the very long walk? |
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May 23, 2012
margaret asp...
9 posts
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Topic: General Discussion / Hypos
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 |
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May 23, 2012
margaret asp...
9 posts
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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. |
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May 23, 2012
ECOOPER
2 posts
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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.
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May 23, 2012
goodglucosegirl
10 posts
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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. |
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May 23, 2012
marke
686 posts
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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. |
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May 23, 2012
marke
686 posts
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Topic: General Discussion / Quick advice needed on insulin amounts which QA are you on, you don't say. Generally Moris is right that it can be 'active' for 5 hours but that depends on the exact type of insulin AND how your body uses it so its not an exact science. Every insulin has a 'profile' and there are a number of these shown in the handbook ( including the online version). Generally they take a period of time to 'peak' usually around 30 mins and then their effect tails off over time so after 4-5 hours they are not so effective but still have some effect. You would be best to speak to your DAFNE team that should be able to explain the details of the exact insulin you are on. |
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May 23, 2012
goodglucosegirl
10 posts
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Topic: General Discussion / Quick advice needed on insulin amounts Thanks Moris. I decided to leave it and not take any more QA. Woke up this morning to a blood glucose of 11.2 so my BI is holding well so that's good I think I'll repost this for the health care professionals as I'd been told on my Dafne course that the QA is in the system for 2-4 hours - best be sure eh?Thanks again for your response. |
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May 23, 2012
Simon
578 posts
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Topic: DAFNE Online Mobile / Iphone4 wont upload my diary to site Hi Juliano, have you checked the settings page of the app to make sure diary upload is set to 'on' and that you've entered the correct username and password? |
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May 23, 2012
tracy69
4 posts
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Topic: General Discussion / Hypos what a great eye opener the dafne course is taught me so much and am going to pick up my carb counter today should make life easier
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May 23, 2012
tracy69
4 posts
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Topic: General Discussion / Hypos hi all just graduated on friday just using forum for the first time must say reading everybodys comments is great xxxx |
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May 23, 2012
juliano999
1 post
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Topic: DAFNE Online Mobile / Iphone4 wont upload my diary to site I have downloaded the mobile app to my iphone and I use it to keep a diary of all my readings. Its an iphone4. The iphone has all my readings on but it has stopped uploading them to the site for some reason. I was hoping to be able to print them off and take them to my meetings with my nurse. Please help. |
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May 23, 2012
HelenP
218 posts
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Topic: General Discussion / What insulin pump?? I have an Animas pump (2020) and the company has been great. I had a very bad experience with the initial Diabetes Educator and without the Animas team I would have thrown it in, Went to hospital because I was getting alarming BGs (over 20) and the pump was telling me to check infusion sites etc so i was changing sets etc a couple of times a day! and the readings were horrific (and I felt very unwell) and using a pen to crank them down!. Hospital advice was to take off the pump. The Diabetes Educator did not respond to my emails or phone calls. I had been put on an hopelessly low basal rate! The pump had also not been "enabled" when I was in hospital for the initial connecting to the pump experience which meant I was unable to do anything other than manually use the "normal" function. This was corrected before I left the hospital. The Animas team are unable to give medical advice but they can explain how the functions work and even came out to show me how the infusion sets ought to be used and watched me practise. There was nothing wrong with my technique! They have been great. Even lend me a spare pump whenever I go overseas. I am happy with my pump (even wear it in the water (aerobics!) but I love the Animas support team.I initially went with Animas because i went to an information day at the hospital and lined up to talk to the Medtronic sales people but they were all BUSY with a diabetes educator who monopolised their time, Eventually they came down the line and took our contact details and said they would get in touch. They never did. I thought if this is the service you get when they are trying to sell you a pump then what service would you get when you had actually purchased the pump. The second call was to the Animas stand. They talked to me gave me a pack, took my details and rang about a week later asking if I had read the info and if I had any questions etc. I bought an Animas pump (well my Health Fund did!). Helen |
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May 23, 2012
HelenP
218 posts
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Topic: General Discussion / PUMP TO PEN Hi Francesca,I have a similar story. I have found that the pump is far from a set and forget solution. I experience periods where the BG readings are totally unexpected (over a significant period!). I fiddle with the basals/temp basals and suspending the pump etc and do everything I know how and have on two occasions taken the pump off in frustration (not for long!). Recently I went to Korea (late March) and whilst there the BGs were OK (although I seem to need less insulin in the colder weather..the opposite to most people!). On returning the BGs were all over the place (and I felt unwell) swinging from highs to lows exacerbated by the corrections etc. I rang the endocrinologist, angry and frustrated for an urgent appointment. He was sympathetic and did confirm that all the adjustments I had made were logical and that I knew what I was doing but this was not reflected in the BG readings. He advised against routinely suspending the pump. He suggested I see the CDE (Diabetes Educator) who essentially confirmed the endo's summation and did say that my regime was not conventional. I came home satisfied that they would do nothing different and I continued to tinker. My system (apparently) has (suddenly) decided that I deserve the Dawn Phenomenon and my insulin demand has almost reversed. I used to need comparatively little insulin over night but heaps in the afternoon. That is now reversed...I fought against it just not believing the numbers I was getting. Result: we are back in the land of 7 day averages (82 tests) of 6.9. 14 days again 6.9 and 30 days 8.4 so i am certainly heading in the right direction!. My advice is to go right back to first principles and start again. Heaps and heaps of tests, waking in the night etc and detailed notes. I am now using the temp basal less and have almost given up the suspensions! I find the pump constant work but it is easier now I am retired. All the best, Helen |