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May 12, 2012
Alan 49 284 posts

Topic: General Discussion / Accu-Chek Aviva Expert Meters

Ray
That sounds great. What sort of instructions were you given when you got it?
 
May 12, 2012
Alun marshall 5 posts

Topic: General Discussion / Hypos

I'm having hypos quite a lot and don't get any warning signs until its really low but one thing I'm wondering Is why I'm feeling really tired when it's down to sort of 2.2,does anyone else get this?
Thanks in advance
 
May 12, 2012
novorapidboi26 1,819 posts

Topic: General Discussion / What insulin pump??

No direct experience but I believe they cost about 3-4 grand and running may be a few grand for every 6 months, the running costs could be bollocks though.....

What's the deal where you are, you don't have to fund it yourself do you?
 
May 12, 2012
novorapidboi26 1,819 posts

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

Levemir gives you more flexibility for exercise and alcohol and is suited better to a split regime. But naturally some folk do get on better with lantus but for the most part it's compatible with most.....

If you do get a pump then you will actually be taking the next step in your diabetes management, so DAFNE will still very much apply however there will be more things you will need to learn about like several basal rates, different kinds of QA delivery, the possibility of needing to give QA for non carb items......

If you do get a pump then your bound to get support with it, but being a DAfne graduate, your the best person to advise yourself when it comes to the DAFNE side of things, so the fact your pct or clinic don't offer it won't be a bad thing.

I would imagine your clinic staff are still DAFNE educated, no?
 
May 12, 2012
Podarcis 14 posts

Topic: Site Development / Auto calculate QA from BG - let's get it right

Well spotted, Simon, and I agree that it is a good idea always to round down when performing positive corrections.

For negative corrections it will also be best always to round down for the same safety reasons. Eg BG 6.0 is below target range, so the calculated -0.5 unit correction should be rounded down to -1 unit.

In view of all that, perhaps the target base used in the calculation should be nearer the bottom of the target range, maybe even the actual low value of the target range. This is safe because any BG even slightly under the target range will cause a negative correction.
 
May 12, 2012
thebatoutofhull 60 posts

Topic: General Discussion / no DAFNE

Is there anyone out there who does not get DAFNE support from their PCT? What do you do?



 
May 12, 2012
thebatoutofhull 60 posts

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

Hello, I have been given the choice to change from Lantus to Levemir or possibly Pump therapy.

1) Any advice on the pros and cons of Levemir would be appreciated .

2) Also how easy is it to combine pump therapy with the DAFNE regime? Will I have to leave my DAFNE security blanket as my PCT does not offer DAFNE anymore. (I do not know why)
 
May 12, 2012
Ahmentep 99 posts

Topic: Site Development / Standard Deviation..

The Accucheck Aviva Expert gives you standard deviation. I have been using one for a few weeks now and find that once it is correctly programmed it is very good. The bolus advice is almost perfect.
 
May 11, 2012
derekh1965 90 posts

Topic: Carbohydrate Counting / Sweetcorn

When you register at Tesco diets you give them your weight, sex, age and activity level and I suppose the sites software calculates your required daily calories.
There are loads of recipes/menus to choose from.
You can choose to follow the light choices plan. low gi plan and others, however if you state you are a type 1 diabetic and try choosing the low carb plan you are unable to, a message comes up saying not recommended unless your doc approves.

All the food has the nutritional info and you can choose the weight you are having etc
 
May 11, 2012
Ray O'Toole 4 posts

Topic: General Discussion / What insulin pump??

After 15 years of injecting I'm now considering getting an insulin pump. My control has always been poor and I'm beginning to get complications with the diabetes particularly with my eyes. As it is I've only sight in my right eye.

I live in Ireland and if I go with the health board my choices of meters are limited and there is a waiting list. I don't mind the wait but I really don't want to be limited to what meter I have to get. I believe our health board are strict enough because of all te cutbacks, which in fairness I accept.

Leaving aside the cost what in your opinions are the better pumps out there? how much do they cost to buy and how much to run?

Thanks in advance.

Regards,

Ray.
 
May 11, 2012
Ray O'Toole 4 posts

Topic: General Discussion / Accu-Chek Aviva Expert Meters

I've just got one a few days ago. I have been using different meters for 15 years and this one is by far the best I've ever used. Once you programme it correctly it will calculate your dosage when you take your bloods and input the carb count.
 
May 11, 2012
Simon 578 posts

Topic: Site Development / Auto calculate QA from BG - let's get it right

I've started work on this and have come across another question: if for example my before bed target was 6.5-8 mmol/l, and I was aiming for 50% of the range between them (7.25 mmol/l) and I'd input a qa:BG lowering ratio of 2.5, there is an opportunity for the calculation to aim for below the minimum target, as follows:

If my BG here was 8.5, the calculation would be (8.5-7.25) / 2.5 = 0.5 which would be rounded up to a correction dose of 1, which if taken should bring the BG down to 6 which is below the minimum target range.

At the moment in these circumstances ive got it taking 1 from the correction dose, but think it may be better to always round down the correction for safety reasons.

What do people think (if you managed to follow my calculations!)?
 
May 11, 2012
novorapidboi26 1,819 posts

Topic: Carbohydrate Counting / Sweetcorn

the problem is, how do you find out what is enough, in terms of calories............?
 
May 11, 2012
derekh1965 90 posts

Topic: Carbohydrate Counting / Sweetcorn

Hi Novorapidboi
Thanks for your reply.
With regards my recommended calories etc, I get them from tesco diets, which I highly recommend.
If you fo0llow this link we both gt 500 clubcard points :-) http://www.tescodiets.com/myediets2/index.cfm?currpage=myprofile&subsection=referafriend#
Based on the calories I have to consume I am losing weight, whereas before I would try to cut my food intake as much as I could using smaller plates, stopping eating when I felt satisfied etc. and lose nothing.

There was 1 week my weight loss wasn't so good and the feedback from tesco diets was

"I have had a look over your plan and I have noticed that you are eating less than you should be each day. May I ask why?

I know it sounds silly but in order to lose weight you need to make sure that you are eating enough and eating a well balanced diet. If you are cutting out certain foods and not eating as much as you should be you could be missing out on certain nutrients that you need.

Do you find your allowance to be too high? Please do get back to me about this so we can fix this for you."
(copied from email received).

As for counting sweetcorn and beans as CPs I had a stew with 175g of cannellini beans 35g carbs and pasta with 65g carbs, 10 CPs or 6.5CPs? I had 15 units of insulin, 1.5:1 BS was 5.7 at dinnertime (7.30) and 8.5 at bedtime (11.30).



 
May 11, 2012
novorapidboi26 1,819 posts

Topic: Carbohydrate Counting / Sweetcorn

I wouldn't be sure that you definitely need to take them just from one test. Are you confident your BI, CP:QA ratios, Correction factors are right.....? I would continue as you are at the moment, but more testing would be needed to see the real effects. Maybe have some on the side of a carb free meal.............If your diet permits.......... Wink

Where are you getting your nutritional advice. I am 114Kg, but I don't know how many calories to have to be honest. I have set a target of 2250, so again roughly the same as you. Th majority of the time I come in below, but the weekends are bad.

Why would you need to have this amount to lose weight> Is this metabolism related?

I wouldn't agree also that its the carbs that makes you fat, however reducing your daily carb intake, will obviously reduce your calorie intake and makes managing blood sugar a lot easier........

You carb amount does seem excessive to me. As I believe mine is and that's between 200-250g a day.

A typical Monday to Friday day for me consists of:

Breakfast:

Yoghurt [1.5CPs, 95Kcal]
Coffee with Milk [0CPs, 40Kcal]

Lunch:

Cottage Cheese - 150g [0.5CPs, 90Kcal]
Rakusen's Crackers x 5 [2CPs, 90Kcal]
Yoghurt [1.5CPs, 95Kcal]
Smith's Frazzles [1.5CPs, 113Kcal]
2 Apples [2CPs, 124Kcal]
Clementine [0.5CPs, 25Kcal]
Penguin Biscuit [1.5CPs, 130Kcal]
Cheddar Cheese Stick [0CPs, 60Kcal]
2 Coffees [0CPs, 80Kcal]

Dinner:

2 Fish in crusty coating [3CPs, 480Kcal]
Peas [0CPs, 30Kcal]
Cornetto [2.5CPs, 190Kcal]

Supper:

2 Slice of Toast [4CPs, 222Kcal]
Coffee [0CPs, 40Kcal]


So all in all, 210g of carbs and 1901 calories. Do you think this is not enough calories for me to lose weight.......?


 
May 10, 2012
derekh1965 90 posts

Topic: Carbohydrate Counting / Sweetcorn

Hi
Thanks for your replies.
I just done what I would have done before Dafne and treated them as CPs.
Before dinner at 7:30pm my BS was 12, had 7 CPs, 10+5 QA and my BI at 9:30pm and by bedtime my BS was
9.8.
So, if I hadn't treated the beans and sweetcorn as CPs I would have had a lot higher BS.

Incidentally the recipe is from Tesco Diets which I would really recommend.
I have been with them 5 weeks and lost 5 kilos and I am eating a hell of a lot more food than before.

Due to my weight , 120 kilo at start I am on 2300 cals a day and I have to eat all they cals or I won't lose weight as well as I should.
For me the recommended macronutrients are 75g protein, 320g carbs, and I've read all the stuff on diabetes sites about how that is far too many carbs etc, and 75g of fat.

I used to think I was fat because of the carbs and would argue with people about how carbs make you fat.
I now believe that is BS.

A sample of my daily food intake is
Morning
2 slices of toast
2 boiled eggs
2 tsps of low fat spread
50g dry weight porridge oats
150ml milk
banana

Afternoon
Bowl of soup (200ml)
3 slices of bread
50g low fat cheese
banana

Evening
Chickpea stew made with
1 210g tin of chickpeas
1 tsp of olive oil
1 onion
1 pepper, any colour
1 clove of garlic
1 tomato
1 tsp of tomato puree
1 pinch of dried parsley
88 g. of pasta, uncooked weight

Snack
3 rice cakes
50g philadelphia light
6 cherry tomatoes

That is just 1 days sample

All the best and be happy.

Regards
Derek

 
May 10, 2012
cc78 1 post

Topic: Carbohydrate Counting / Sweetcorn

Hi there.... I always struggle with sweetcorn, after spending some time in S.America I ended up with a rule of thumb that usually I treat whole corn (on or off the cob) as either a free veg or partial carb (generally I use 0.5iu per 10g carbs/1CP at most) and mashed or mealed corn as a normal carb. Reason being that its hard to digest and breakdown in its whole form. Beans I dont count as carbs at all. Hope your dinners nice Smile
 
May 10, 2012
novorapidboi26 1,819 posts

Topic: Site Development / Auto calculate QA from BG - let's get it right

Regarding correction at specific entry types, the simplest way to do it would be, as you described, Breakfast, Lunch and Dinner etc......as the majority of DAFNE grads will only be correcting here. This is the way it should be done. But life is not always as regimented as this and some may find they are correcting in between these times, for whatever reasons, and they might not want to classify them as Breakfast, Lunch or Dinner.

So I would say, at least to future proof the function, you should try and do it by time range. And also be able to set these ranges to suit your personal need as well.....

My tuppence worth....... Wink
 
May 10, 2012
Phil Maskell 194 posts

Topic: Site Development / Standard Deviation..

Simon said:
Sounds good, will put it on the to do list Smile



I've got several of those, for everything removed 2 get added Very Happy

Phil
 
May 10, 2012
Simon 578 posts

Topic: Site Development / Auto calculate QA from BG - let's get it right

Thanks for your responses so far..

Stew - yes it will be defaulted to off, and people will also need to agree to a disclaimer before turning it on.

It seems there is a need for a few variables:

1. First of all, the point in your target range the app aims for, so this could be changed using a slider to favour the top or bottom of the range.

2. Secondly, different correction factors for different times of day and/or different BG levels. With this I propose setting a general 'expected correction' setting which would be used unless users put in specific overrides e.g. for BG above 13mmol/l or for specific times of day. One question here is should it be done on entry type (Breakfast, Lunch, Dinner) or a specific time range?

Are there any thoughts on the above?
 
May 10, 2012
novorapidboi26 1,819 posts

Topic: Site Development / Standard Deviation..

So its achievable then?

Nice one.... Exclamation
 
May 10, 2012
novorapidboi26 1,819 posts

Topic: Site Development / Standard Deviation..

So its achievable then?

Nice one.... Exclamation
 
May 10, 2012
novorapidboi26 1,819 posts

Topic: Carbohydrate Counting / Sweetcorn

For sweetcorn I do not take insulin for them, but this is not because they are a vegetable, as some vegetables have carbs......its because they are digested very slowly, like beans and nuts and pulses etc......

So your quick acting insulin will be too fast for them and will likely send you low. Your background insulin will mop up the glucose from it......

However, if your on a pump, where there is no long acting insulin working, or even if you are on a small amount of background insulin, then you may need to consider them as CPs. This is much easier to cater for on a pump as the dose can be delivered or a set amount of time, essentially creating a longer acting dose. If not on a pump it could be difficult to account for. But you would just need to experiment with doses and timing. A lot of work though just for sweetcorn......

I don't know for sure but I would imagine the cannelloni beans would follow the same rules...... Wink
 
May 10, 2012
Simon 578 posts

Topic: Site Development / Standard Deviation..

Sounds good, will put it on the to do list Smile