Recent Posts

Search the DAFNE Online Forums

15,864 posts found

May 11, 2012
derekh1965 95 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 95 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 95 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
 
May 10, 2012
novorapidboi26 1,819 posts

Topic: Site Development / Standard Deviation..

The link I provided is quite complicated but might still be relevant. I recently found out that Excel offers a formula that works it out for you, so:

=STDEV(B1:B100) will give you the Standard Deviation of the results in cells 1 - 100 of column B.

You would be looking for a deviation one third or less of the mean value of numbers in cells 1 - 100.

Does that make sense?

So it could be done on a daily basis, but also monthly, and i suppose on a 7, 14, 30, 90 day basis, which would be relevant to the scenario I am requesting on the Online Diary her at DAFNE Online..... Very Happy
 
May 9, 2012
derekh1965 95 posts

Topic: Carbohydrate Counting / Sweetcorn

Hi
I am making a bean and sweetcorn bake for dinner. I am using sweetcorn, obviously and cannellini beans. The total carb count is 6CPs.
Do I count them or are they put as vegetables?
The reason I ask is before I would count them as a CP, but the last time I treated them as veg and BS went high.

Maybe just answered my own question, but what would others do.

Thanks in advance

Derek

 
May 9, 2012
Moris 9 posts

Topic: General Discussion / Accu-Chek Aviva Expert Meters

I ve tried three different machines in the last two years and the one that I use every day is the One Touch Verio Pro. It is easy to use and gives you 7, 14, 30 and 90 day averages. The only problem is that to use their software you must agree to them being able to export your personel information. This I will not do.
If you have problems getting strips and or machines ask your Diabetic nurse.
 
May 9, 2012
Jenny Spollen 13 posts

Topic: General Discussion / Logging Pump and Meter Readings

Hi Jenny,

I recently started on a medtronic pump and I'm wondering if I have the same as you..it's a paradigm VEO minimed. I was also supplied with a medtronic/bayer contour link meter.

If that's what you have then you're sorted. Basically the meter and pump can be set up so that the meter sends the BG to the pump. Then you get your hands on a CareLink USB and log on here
https://carelink.minimed.com/patient/entry.jsp?bhcp=1
and upload your pump. If you do it once a week you have all your BG and bolus and basal rates for the week automatically uploaded and if you are using the pump wizard (personally I can't be doing with it!) then you will even have your carbs uploaded as well. I test as often as you do and I've found that even if the pump is not displaying them all they still show up on the carelink site....

alternatively, if you don't have the contour link meter then there is a capture event option on the pump (on the main menu) which allows you to enter a BG reading directly into the pump as you take one.

Hope that's of some help and all the best with the pump,

Jenny
 
May 9, 2012
novorapidboi26 1,819 posts

Topic: General Discussion / Accu-Chek Aviva Expert Meters

Its probably because it has some insulin dose calculator on board that you will need to familiarize with and with the consent of your HCP so that you don't go away, give yourself the wrong dose and then blame the company/HCP...
 
May 9, 2012
Phil Maskell 194 posts

Topic: Site Development / Standard Deviation..

Hi,

I like the sound of this, I normally run about 10ish, but when I do try to tighten control I yo-yo quite a bit due to almost being on the verge of a hypo, it would be nice to see the deviation on this yo-yo effect.

Phil
 
May 9, 2012
Alan 49 284 posts

Topic: General Discussion / Accu-Chek Aviva Expert Meters

Does anyone have one of these BG meters? The seem to have lots of features built into them - what do you think of them?

I've made enquiries about them at my GP surgery and they seem very difficult to get hold of. Evidently, you have to go on a course to use them - is this true?
 
May 9, 2012
novorapidboi26 1,819 posts

Topic: Site Development / Standard Deviation..

I heard from another forum that there were some blood meters that can provide a standard deviation figure which shows the severity of the swing from low to high of your blood sugars, a larger number meaning there has been large swings and lower being more stable etc...

I personally would be interested obtaining this number to see how stable my control is, seeing as large swings can damage the micro vascular system and that this may be the most significant problem for diabetics...........

How to Calculate Standard Deviation

The above site details how to get this number. Could a formula be devised? Could this be implemented into the Online Diary?

Any thoughts.......?