Recent Posts - DAFNE Online

May 20, 2012

margaret asp... 9 posts

I have stripped my BI right back, and am tweeking it with the help of the Dafne nurse. But I was at the hospital during the week, and the doctor looked at my diary and told me to put it back up by 4 units. (I only put it up by 2- because 4 units is 50% of my usual dosage) I am going to moniter it for a few more days before putting it up again. I know I will get there because since the DAFNE course I understand a lot more.
Thanks (from a native carluke girl)

May 19, 2012

goodglucosegirl 10 posts

Topic: General Discussion / Toasting muffins

Yes. finished the course on Friday so still getting the hang of it all. The book is convenient when it's sitting on the table ....guess I'll have to learn how to work my new android phone to download the online one Smile

The online carb list seems to be more comprehensive and probably more up-to-date so think that one is the one for me. Also don't know what " thw 506" is ........ Confused

May 19, 2012

novorapidboi26 1,819 posts

Topic: General Discussion / Toasting muffins

so are you using the actual book they give you at the course.................have a look at the online one on the right hand side, they should b the same, if there not it should be fixed....... Wink

do you think you used a sweet muffin as opposed to savoury, at thw 506 for that sounds more accurate,........

May 19, 2012

goodglucosegirl 10 posts

Topic: General Discussion / Toasting muffins

Found it in the Dafne white CP list book - page 46. Yep - would normally use the pack but had frozen the muffin from a larger pack and had thrown the pack out Sad

I'll need to keep a list of the things that I eat that are perhaps listed differently from what I'd call them i.e. I've never called these muffins "english" muffins before ! Yep - you learn something every day! Also plan to get the android Dafne app as I'm think this will be really useful for accessing the online version of the CP book whilst on the move.

May 19, 2012

novorapidboi26 1,819 posts

Topic: General Discussion / Lantus, Levemir or pump therapy advice.

I think Humulin S is a mixed insulin roger, taken twice a day, so you would need to match up the insulin with carbs...........

May 19, 2012

novorapidboi26 1,819 posts

Topic: General Discussion / Toasting muffins

if you have the packaging you must always use that first, the carb book is only a guide..................

where did you find the 5.5 because I cant find it in the online version, an english muffin, toasted comes in at 2.5CPs............

May 19, 2012

novorapidboi26 1,819 posts

Topic: General Discussion / Eating Out tips

you can also use ketostix........i tend to get diet coke which is quite easy to identify.....

May 19, 2012

goodglucosegirl 10 posts

Topic: General Discussion / Toasting muffins

Hi

New to the site but thought I'd share this with you. I looked at my Dafne CP book (white) to find the CP content of a toasting muffin. Found an entry for muffin under the alpha index which said it was 5.5 CPs so took my QA based on this (on a 2:1 ratio). However after having a hypo 2 hours later i questioned the CP content so I went to sainsubrys and they sell 2 different types of white toasting muffin - one packet has 2 CPs for one muffin whilst the other, sainsburys basic white muffins have 3CPS so I was surprised that my book said 5.5. I'm also surprised that this could mean the difference of 1 unit of QA (if on a 1:1 ratio between 2 variations of the same food). I checked the book when I got home and found another entry under Bread for an "english" muffin at 3CPS. I'd effectively taken 11 units of QA when I should have taken 6 - no wonder my BG dropped like a stone.

Just wanted to share so that others are aware that the "muffin" entry in the white Dafne CP book must be for a chocolate muffin and not a toasting muffin.

May 19, 2012

novorapidboi26 1,819 posts

Topic: General Discussion / Hypos

maybe the employment/benefit folk think your problems are self infilicted........but its never that black and white.............

whats your thoughts on the overnight lows, have you adjusted your BI dose? What advce has your DAFNE nurse given you..........?

May 19, 2012

margaret asp... 9 posts

Topic: General Discussion / Hypos

I get headaches and sickness after a Hypo. I have also lost some of my Hypo awareness.1.9, and then I see circles of light before my eyes. I know to grab some Lucazade quick sit back, and wait for my levels to rise to about 2.5. then I have the energy to have more lucazade and a couple of biscuits, Dont know what I would do without my Husband, he knows sooner than me that I am Hypo. I also suffer with night hypos, which send my sugar levels through the roof the next morning. I left my job because I always feel tired and have headaches. guess what, the employment/benefits agency, have said I am fit for work. What a joke!

May 19, 2012

JayBee 587 posts

Topic: General Discussion / DAFNE news on Twitter ..and now Google Plus!

Thanks for that Simon!

I have also set up a DAFNE Online Google Plus page today... There is absolutely nothing about DAFNE on that so it made sense to me to do so!

If there's any probs with this, please just say and I'll delete it. The page can be found here:
https://plus.google.com/100101823332310247493

If anyone is interested in helping me out with this page, just give me a heads up!
Thanks! Smile

May 19, 2012

Ahmentep 99 posts

Topic: General Discussion / Lantus, Levemir or pump therapy advice.

Hi BMuffs,

You say that Humulin 'S' doesn't work well with carb-counting. Could you expand on that please?

Kind regards,

Roger

When I started carbohydrate counting, I was still on Lantus and managed to lose over a stone in weight. The DSN and dietician moved me from Humulin S to Apidra but kept me on lantus because the Humulin S doesn't work well with carb counting and I was on quite a high level too.

So there is definitely the potential to lose weight on lantus. What seems to make the difference is getting your ratios and BI right first of all, which should then, in theory, mean that you can reduce your food and insulin in-take at meal/snack times (or even exercise more) and as a consequence lose weight.

fishnetsboi said:
What's best levemir or lantus if you are trying to loose weight???

May 18, 2012

BMuffs 6 posts

Topic: General Discussion / Lantus, Levemir or pump therapy advice.

Hi Fishnetsboi,

When I started carbohydrate counting, I was still on Lantus and managed to lose over a stone in weight. The DSN and dietician moved me from Humulin S to Apidra but kept me on lantus because the Humulin S doesn't work well with carb counting and I was on quite a high level too.

So there is definitely the potential to lose weight on lantus. What seems to make the difference is getting your ratios and BI right first of all, which should then, in theory, mean that you can reduce your food and insulin in-take at meal/snack times (or even exercise more) and as a consequence lose weight.

fishnetsboi said:
What's best levemir or lantus if you are trying to loose weight???

May 18, 2012

BMuffs 6 posts

Topic: General Discussion / Eating Out tips

Has anyone ever asked for a diet drink in a restaurant and then they are not sure if it is sugary or not? I have found that if you set up your blood glucose meter as if to test your blood and then dip the stick into your drink when ready - the meter will tell you for definite whether or not the drink is diet!

For example, I did this today and the reading was 1.8, so I knew the drink was definitely diet. Sometimes you can tell that a drink is definitely diet just through taste, but I find this tip is especially useful when drinking something like pepsi or pepsi max which still tastes quite sugary!

May 18, 2012

mum2westiesGill 502 posts

Topic: Carbohydrate Counting / Indian meal

Thank you very much novorapidboi26 for your very helful reply. This will all be extremely useful.

I have eventually found pakoras in the carbs and cals book, page 286 of the pocket version.

The cake is a Cadbury Flake cake - 12 portions size and which says on the packaging 39.6g Per Slice.

I will as you say follow all my usual rules and will also test regularly over the course of digestion to see what my BG is doing.

Thank you i will enjoy my meal, i'm quite looking forward to it. Smile

May 18, 2012

novorapidboi26 1,819 posts

Topic: Carbohydrate Counting / Indian meal

Pakora depends on whats inside but probably between 10-20g per piece. The carbs and cals books says 10g for every 45g of pakora, so if you could weigh your pakora you can work out the carbs...

The main curry wont have much apart from in the sauce so I would guess between 10-20g of carbs for that....

The rice should follow the usual take away rules, which I think is 75g of carbs for every 300g tray, the trays you get from the take away places, you know the ones....

Finally the cake, if its shop bought you should be able to get the exact carb value from the packaging, if not you might have to guess. I recently had a slice of small cake, so a sixth of the whole thing and it came in at 50g. But it will vary as you know....

There is probably a high fat content in there, but it would mostly be oil I suppose, so I would probably inject before hand, and for me, it would be about 30-40 minutes before hand. Follow the usual rules in your case.

It would probably be a good idea to test regularly over the course of digestion to see what your BG is doing. This can be useful information for the next time...

Enjoy you meal........ Wink

May 18, 2012

mum2westiesGill 502 posts

Topic: Carbohydrate Counting / Indian meal

Hi all,

I'm going for an indian at the weekend & being as i'm a creature of habit will probably be having:

Starter
Pakoras

Main
Chicken or prawn dopiaza
Pilau rice

Pudding
Birthday cake (1 small slice of my DD's 22nd cake)

1. does anyone have any idea of the carbs in any of the above? I do have the carbs and cals book but can't find some of the above food in it.
2. would you inject all in one go or some at the start of eating then the rest after 1 hour of eating?

Thanks in advace for any help.

May 18, 2012

novorapidboi26 1,819 posts

Topic: General Discussion / Lantus, Levemir or pump therapy advice.

I am having hypo problems at the moment, and by problem, I mean lots of them, with no obvious pattern emerging........but I had a bad one the other night, a few hours after going to bed, 2.0 I was, I then proceeded to totally over compensate with roughly 120g of carbs, which I am sure was pushing the 1000 calorie mark....took insulin for it all obviously minus that of the hypo treatment.......that's me being bad obviously, but at that time of night and at that level, you just don't care to be honest...... Wink

May 18, 2012

Phil Maskell 194 posts

Topic: General Discussion / Lantus, Levemir or pump therapy advice.

Hi,

I also find dieting a problem as a hypo can ruin everything Mad

Phil

May 18, 2012

novorapidboi26 1,819 posts

Topic: General Discussion / Lantus, Levemir or pump therapy advice.

I couldn't say for sure, but I would think that neither is better than the other for losing weight............

Obviously taking less insulin will help, but in theory you will always have the same background requirement regardless of whether it is delivered in one dose of Lantus, or a split dose of Levemir.

I have approached my HCPs for advice on weight loss and the advice always given is activity levels and calorie intake, and trying to avoid hypos.........

To date I am still about 4-5 stone overweight........... Sad

May 17, 2012

fishnetsboi 10 posts

Topic: General Discussion / Lantus, Levemir or pump therapy advice.

What's best levemir or lantus if you are trying to loose weight???

May 16, 2012

HelenP 218 posts

Topic: General Discussion / Lantus, Levemir or pump therapy advice.

All the Dafne principles work well with a pump, especially the carb counting/meal flexibility issues. A pump is just a logical extension after Dafne. Obviously you have to make some changes but none fly in the face of reason after applying Dafne rules. My pump therapy is still not as smooth as I would like but it is certainly better than the Lantus/novorapid schema I was on before. One caution: to do a pump well requires an inordinate attention to detail/changes. The rewards are there, however. Received my second pump yesterday!
Helen

May 16, 2012

mum2westiesGill 502 posts

Topic: General Discussion / Carbs & Cals Book - pocket version

For anyone who has a copy of the above, i know it's guestimate but as a rule of thumb out of the 2 portion sizes do you go for the smaller or the larger portion size?

Thanks in advance for any replies Smile

May 16, 2012

Nicky B 5 posts

Topic: General Discussion / Lantus, Levemir or pump therapy advice.

Hi "thebatoutofhull",

I'm in the same position as you at the moment. My DSN's are trying to fix my dawn phenomenon and these were the choices I was given.

Pre 2007 I was already on Levemir but was switched to Lantus because I was getting a lot of stinging/bruising on my injection sites.

So I am unsure I want to go back onto Levemir and I am starting to think that the pump maybe the answer.

Have you decided what path you are going to take?

May 16, 2012

novorapidboi26 1,819 posts

Topic: Questions for HCPs / High Blood Pressure

I am about to go on another 24 hour BP monitoring session............

Is there sign of damage if the majority of the time I am in range but only high in the morning and at nights.............?...........I understand an average is taken, how is this average used when considering medication....?

May 20, 2012 margaret asp... 9 posts	Topic: General Discussion / Hypos I have stripped my BI right back, and am tweeking it with the help of the Dafne nurse. But I was at the hospital during the week, and the doctor looked at my diary and told me to put it back up by 4 units. (I only put it up by 2- because 4 units is 50% of my usual dosage) I am going to moniter it for a few more days before putting it up again. I know I will get there because since the DAFNE course I understand a lot more. Thanks (from a native carluke girl)

May 19, 2012 goodglucosegirl 10 posts	Topic: General Discussion / Toasting muffins Yes. finished the course on Friday so still getting the hang of it all. The book is convenient when it's sitting on the table ....guess I'll have to learn how to work my new android phone to download the online one The online carb list seems to be more comprehensive and probably more up-to-date so think that one is the one for me. Also don't know what " thw 506" is ........

May 19, 2012 novorapidboi26 1,819 posts	Topic: General Discussion / Toasting muffins so are you using the actual book they give you at the course.................have a look at the online one on the right hand side, they should b the same, if there not it should be fixed....... do you think you used a sweet muffin as opposed to savoury, at thw 506 for that sounds more accurate,........

May 19, 2012 goodglucosegirl 10 posts	Topic: General Discussion / Toasting muffins Found it in the Dafne white CP list book - page 46. Yep - would normally use the pack but had frozen the muffin from a larger pack and had thrown the pack out I'll need to keep a list of the things that I eat that are perhaps listed differently from what I'd call them i.e. I've never called these muffins "english" muffins before ! Yep - you learn something every day! Also plan to get the android Dafne app as I'm think this will be really useful for accessing the online version of the CP book whilst on the move.

May 19, 2012 novorapidboi26 1,819 posts	Topic: General Discussion / Lantus, Levemir or pump therapy advice. I think Humulin S is a mixed insulin roger, taken twice a day, so you would need to match up the insulin with carbs...........

May 19, 2012 novorapidboi26 1,819 posts	Topic: General Discussion / Toasting muffins if you have the packaging you must always use that first, the carb book is only a guide.................. where did you find the 5.5 because I cant find it in the online version, an english muffin, toasted comes in at 2.5CPs............

May 19, 2012 novorapidboi26 1,819 posts	Topic: General Discussion / Eating Out tips you can also use ketostix........i tend to get diet coke which is quite easy to identify.....

May 19, 2012 goodglucosegirl 10 posts	Topic: General Discussion / Toasting muffins Hi New to the site but thought I'd share this with you. I looked at my Dafne CP book (white) to find the CP content of a toasting muffin. Found an entry for muffin under the alpha index which said it was 5.5 CPs so took my QA based on this (on a 2:1 ratio). However after having a hypo 2 hours later i questioned the CP content so I went to sainsubrys and they sell 2 different types of white toasting muffin - one packet has 2 CPs for one muffin whilst the other, sainsburys basic white muffins have 3CPS so I was surprised that my book said 5.5. I'm also surprised that this could mean the difference of 1 unit of QA (if on a 1:1 ratio between 2 variations of the same food). I checked the book when I got home and found another entry under Bread for an "english" muffin at 3CPS. I'd effectively taken 11 units of QA when I should have taken 6 - no wonder my BG dropped like a stone. Just wanted to share so that others are aware that the "muffin" entry in the white Dafne CP book must be for a chocolate muffin and not a toasting muffin.

May 19, 2012 novorapidboi26 1,819 posts	Topic: General Discussion / Hypos maybe the employment/benefit folk think your problems are self infilicted........but its never that black and white............. whats your thoughts on the overnight lows, have you adjusted your BI dose? What advce has your DAFNE nurse given you..........?

May 19, 2012 margaret asp... 9 posts	Topic: General Discussion / Hypos I get headaches and sickness after a Hypo. I have also lost some of my Hypo awareness.1.9, and then I see circles of light before my eyes. I know to grab some Lucazade quick sit back, and wait for my levels to rise to about 2.5. then I have the energy to have more lucazade and a couple of biscuits, Dont know what I would do without my Husband, he knows sooner than me that I am Hypo. I also suffer with night hypos, which send my sugar levels through the roof the next morning. I left my job because I always feel tired and have headaches. guess what, the employment/benefits agency, have said I am fit for work. What a joke!

May 19, 2012 JayBee 587 posts	Topic: General Discussion / DAFNE news on Twitter ..and now Google Plus! Thanks for that Simon! I have also set up a DAFNE Online Google Plus page today... There is absolutely nothing about DAFNE on that so it made sense to me to do so! If there's any probs with this, please just say and I'll delete it. The page can be found here: https://plus.google.com/100101823332310247493 If anyone is interested in helping me out with this page, just give me a heads up! Thanks!

May 19, 2012 Ahmentep 99 posts	Topic: General Discussion / Lantus, Levemir or pump therapy advice. Hi BMuffs, You say that Humulin 'S' doesn't work well with carb-counting. Could you expand on that please? Kind regards, Roger When I started carbohydrate counting, I was still on Lantus and managed to lose over a stone in weight. The DSN and dietician moved me from Humulin S to Apidra but kept me on lantus because the Humulin S doesn't work well with carb counting and I was on quite a high level too. So there is definitely the potential to lose weight on lantus. What seems to make the difference is getting your ratios and BI right first of all, which should then, in theory, mean that you can reduce your food and insulin in-take at meal/snack times (or even exercise more) and as a consequence lose weight. fishnetsboi said: What's best levemir or lantus if you are trying to loose weight???

May 18, 2012 BMuffs 6 posts	Topic: General Discussion / Lantus, Levemir or pump therapy advice. Hi Fishnetsboi, When I started carbohydrate counting, I was still on Lantus and managed to lose over a stone in weight. The DSN and dietician moved me from Humulin S to Apidra but kept me on lantus because the Humulin S doesn't work well with carb counting and I was on quite a high level too. So there is definitely the potential to lose weight on lantus. What seems to make the difference is getting your ratios and BI right first of all, which should then, in theory, mean that you can reduce your food and insulin in-take at meal/snack times (or even exercise more) and as a consequence lose weight. fishnetsboi said: What's best levemir or lantus if you are trying to loose weight???

May 18, 2012 BMuffs 6 posts	Topic: General Discussion / Eating Out tips Has anyone ever asked for a diet drink in a restaurant and then they are not sure if it is sugary or not? I have found that if you set up your blood glucose meter as if to test your blood and then dip the stick into your drink when ready - the meter will tell you for definite whether or not the drink is diet! For example, I did this today and the reading was 1.8, so I knew the drink was definitely diet. Sometimes you can tell that a drink is definitely diet just through taste, but I find this tip is especially useful when drinking something like pepsi or pepsi max which still tastes quite sugary!

May 18, 2012 mum2westiesGill 502 posts	Topic: Carbohydrate Counting / Indian meal Thank you very much novorapidboi26 for your very helful reply. This will all be extremely useful. I have eventually found pakoras in the carbs and cals book, page 286 of the pocket version. The cake is a Cadbury Flake cake - 12 portions size and which says on the packaging 39.6g Per Slice. I will as you say follow all my usual rules and will also test regularly over the course of digestion to see what my BG is doing. Thank you i will enjoy my meal, i'm quite looking forward to it.

May 18, 2012 novorapidboi26 1,819 posts	Topic: Carbohydrate Counting / Indian meal Pakora depends on whats inside but probably between 10-20g per piece. The carbs and cals books says 10g for every 45g of pakora, so if you could weigh your pakora you can work out the carbs... The main curry wont have much apart from in the sauce so I would guess between 10-20g of carbs for that.... The rice should follow the usual take away rules, which I think is 75g of carbs for every 300g tray, the trays you get from the take away places, you know the ones.... Finally the cake, if its shop bought you should be able to get the exact carb value from the packaging, if not you might have to guess. I recently had a slice of small cake, so a sixth of the whole thing and it came in at 50g. But it will vary as you know.... There is probably a high fat content in there, but it would mostly be oil I suppose, so I would probably inject before hand, and for me, it would be about 30-40 minutes before hand. Follow the usual rules in your case. It would probably be a good idea to test regularly over the course of digestion to see what your BG is doing. This can be useful information for the next time... Enjoy you meal........

May 18, 2012 mum2westiesGill 502 posts	Topic: Carbohydrate Counting / Indian meal Hi all, I'm going for an indian at the weekend & being as i'm a creature of habit will probably be having: Starter Pakoras Main Chicken or prawn dopiaza Pilau rice Pudding Birthday cake (1 small slice of my DD's 22nd cake) 1. does anyone have any idea of the carbs in any of the above? I do have the carbs and cals book but can't find some of the above food in it. 2. would you inject all in one go or some at the start of eating then the rest after 1 hour of eating? Thanks in advace for any help.

May 18, 2012 novorapidboi26 1,819 posts	Topic: General Discussion / Lantus, Levemir or pump therapy advice. I am having hypo problems at the moment, and by problem, I mean lots of them, with no obvious pattern emerging........but I had a bad one the other night, a few hours after going to bed, 2.0 I was, I then proceeded to totally over compensate with roughly 120g of carbs, which I am sure was pushing the 1000 calorie mark....took insulin for it all obviously minus that of the hypo treatment.......that's me being bad obviously, but at that time of night and at that level, you just don't care to be honest......

May 18, 2012 Phil Maskell 194 posts	Topic: General Discussion / Lantus, Levemir or pump therapy advice. Hi, I also find dieting a problem as a hypo can ruin everything Phil

May 18, 2012 novorapidboi26 1,819 posts	Topic: General Discussion / Lantus, Levemir or pump therapy advice. I couldn't say for sure, but I would think that neither is better than the other for losing weight............ Obviously taking less insulin will help, but in theory you will always have the same background requirement regardless of whether it is delivered in one dose of Lantus, or a split dose of Levemir. I have approached my HCPs for advice on weight loss and the advice always given is activity levels and calorie intake, and trying to avoid hypos......... To date I am still about 4-5 stone overweight...........

May 17, 2012 fishnetsboi 10 posts	Topic: General Discussion / Lantus, Levemir or pump therapy advice. What's best levemir or lantus if you are trying to loose weight???

May 16, 2012 HelenP 218 posts	Topic: General Discussion / Lantus, Levemir or pump therapy advice. All the Dafne principles work well with a pump, especially the carb counting/meal flexibility issues. A pump is just a logical extension after Dafne. Obviously you have to make some changes but none fly in the face of reason after applying Dafne rules. My pump therapy is still not as smooth as I would like but it is certainly better than the Lantus/novorapid schema I was on before. One caution: to do a pump well requires an inordinate attention to detail/changes. The rewards are there, however. Received my second pump yesterday! Helen

May 16, 2012 mum2westiesGill 502 posts	Topic: General Discussion / Carbs & Cals Book - pocket version For anyone who has a copy of the above, i know it's guestimate but as a rule of thumb out of the 2 portion sizes do you go for the smaller or the larger portion size? Thanks in advance for any replies

May 16, 2012 Nicky B 5 posts	Topic: General Discussion / Lantus, Levemir or pump therapy advice. Hi "thebatoutofhull", I'm in the same position as you at the moment. My DSN's are trying to fix my dawn phenomenon and these were the choices I was given. Pre 2007 I was already on Levemir but was switched to Lantus because I was getting a lot of stinging/bruising on my injection sites. So I am unsure I want to go back onto Levemir and I am starting to think that the pump maybe the answer. Have you decided what path you are going to take?

May 16, 2012 novorapidboi26 1,819 posts	Topic: Questions for HCPs / High Blood Pressure I am about to go on another 24 hour BP monitoring session............ Is there sign of damage if the majority of the time I am in range but only high in the morning and at nights.............?...........I understand an average is taken, how is this average used when considering medication....?