Recent Posts - DAFNE Online

May 7, 2012

JayBee 587 posts

Topic: Questions for HCPs / Dawn Phenomenon possibility?

I'm gonna sit on it for a bit at the moment. Shall post again soon.

May 7, 2012

Podarcis 14 posts

Topic: Site Development / Have "amber" colour for just-over BG

Well, Mark, I can tell you that evidence DOES exist, and here it is. For me, I can manage with a BG level of 7.6 or even 10.5 without any correction and nothing bad will happen. But I can't manage a level BG of 19.6 without any correction, since things would get very bad if I did. I need a correction of some +6 units for a BG of 19.6, and ignoring that correction would NOT be a good idea.

Let me say that in practice I would correct both 7.6 and 10.5: 7.6 with +1 unit and 10.5 with +2 units. But for me this is an amber situation, and I could ignore it without danger.

May 7, 2012

Podarcis 14 posts

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

Thanks for that info, novorapid, that's very helpful. At present for myself I apply 1 unit for a bit more than 2 mmol/l (say 2.2, but it's usually an approx calculation, though with the app doing it, as I hope for, an accurate one will be possible). Like you I also have occasional very highs, especially after sport when I have been stuffing sugar into me to keep from going hypo while playing and then ended up with far too much in my system (36mmol on one occasion not long ago).

Can I ask you, though, do you treat each band separately, or make just one calculation? Eg, if your BG was 20 and your target was 5, would you correct by 15 units (ie 1 unit for each mmol/l, using your rate for adjustments above 17mmol/l, or would you compute the correction in a banded fashion as follows:
correct 20mmol/l to 17 mmol/l with (20-17) / 1 = 3 units
plus correct 17mmol/l to 13 mmol/l with (17-13) / 1.5 = 2.67 units
plus correct 13mmol/l to 10 mmol/l with (13-10) / 2 = 1.5 units
plus correct 10mmol/l to 5 mmol/l with (10-5) / 2.5 = 2 units,
giving a total correction of 3+2.67+1.5+2 = 9 units.

I suppose you must use the former, since the latter banded method is too complex to do in one's head. But maybe the banded method is more likely to give consistent results, and a computerised app could certainly perform such a calculation. That would require more settings data to be stored in the app, though.

Would anyone else like to say how they correct for very high BG? As Simon says above, let's get it right. To do so, we ideally need comments from many users. Do we need banded correction rates, and if so how should they be used?

May 6, 2012

marke 686 posts

Topic: Site Development / Have "amber" colour for just-over BG

Sorry I think this is a bad idea, but if others want it then maybe Simon can implement it as an option. I accept that 7.4 and 7.6 are pretty much then same but a reading of 10.5 is not for me amber its red. I think since there is no evidence of 'less severe' levels outside the suggested 'DAFNE range' then anything outside is red. That said I don't worry about the colours, its a lot more complicated than Green, Amber, Red. I could be in the 'Green' the whole time and suffer problems or be in the Red the whole time and never have a problem. I don't think its worth people discussing the difficulty of implementation, thats not relevant to people wanting it or not.

May 6, 2012

novorapidboi26 1,819 posts

Topic: Site Development / Slow site response....

I understand, not totally convinced its will continue like this, there is no reason for this site to be experiencing this, at least in terms of the content on site. I visit other forums at work also.....

I agree that I will need to accept it and/or wait it out......

Moving offices and servers on the 6th of June so maybe things will improve.......it won't stop me visiting that's for sure...... Very Happy

May 6, 2012

novorapidboi26 1,819 posts

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

I worked it out by trial and error, so record how much your correction dropped you by at different levels. Making sure all other variables are constant is important obviously, so it can take some time as you can imagine........

But yeah once it as been established it should be possible to enter this information in and get a correction dose out........

My current correction factors are:

below 10mmol/l = 1 unit for 2.5mmol/l

10-13mmol/l = 1 unit for 2mmol/l

13-17mmol/l = 1 unit for 1.5mmol/l

above 17mmol/l = 1 unit for 1mmol/l

So a logical approach with the limitations of MDI, I imagine with a pump and extensive trial an error more factors could be established should they need it, but I personally dont need more than this........but I try not get into the higher levels if I can, still do sometimes though.......;)

May 6, 2012

marke 686 posts

Topic: Site Development / Slow site response....

Simon is correct the security is there for a reason and unfrotunately what he told you to do will not prove anything nor help. A proxy is used to 'speed' up web pages and control which pages you can access. It has nothing to do with 'ping' which uses a completely different protocol and will be treated completely differently by your companies security systems. It is quite possible you can browse other sites without issue and not ours, it very much depends on the
content of the other sites. Changing browser is unlikely to help since it is unlikely to be an issue with your local machine more your companies network.

As you have found, because the issue does not exist at home then the issue is with your companies systems. Obviously we cannot comment on these, I have rules for my users and unless they can provide a valid business need for me to grant them an exception to access a site then I won't. I suspect you will just have to live with it, sorry

May 6, 2012

Podarcis 14 posts

Topic: Site Development / Have "amber" colour for just-over BG

Yes, I accept you're right - there's more than one way to do this, and it's not up to me to decide how it's done.

But there is a way that potentially doesn't require any database changes. Simply use yellow for values above the target range but no more than the width of the target range higher than the upper limit.

I was thinking of that solution when I proposed this, but I agree that a more sophisticated solution may provide more flexibility and could be considered.

May 6, 2012

Phil Maskell 194 posts

Topic: Site Development / Have "amber" colour for just-over BG

Podarcis,

I know it may seem like only presentation, but a range of values for the amber colour is most likely needed and as a developer I would assume that this would be best placed in the database, possibly configurable like the ranges we already have. What I was saying is sometimes a little presentation tweak can mean a vast change behind the scenes if the data structures aren't setup for it. I don't work on the site so am only guessing, you may know better than me, I was trying to set people's expectations. Very Happy

Even if it is a lot of work, I still agree its a good idea

Phil

May 6, 2012

Podarcis 14 posts

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

I would be interested in knowing how you calculate dose corrections for various BG levels. So long as you can specify it there is no reason why the app cannot apply the same logic and do it for you.

May 6, 2012

Podarcis 14 posts

Topic: Site Development / Have "amber" colour for just-over BG

Thanks for your replies. Nobody has so far said it is not a good idea, which is encouraging.

I can assure Phil that no change to the database will be needed. It is just a matter of presentation.

May 5, 2012

Simon 578 posts

Topic: Site Development / Slow site response....

I doubt that your work will let you circumvent the proxy, they are put there for security reasons... Have you tried in a different web browser?

May 5, 2012

Simon 578 posts

Topic: Site Development / Setting my time zone for Blood Glucose Diary entries

Hi Warwick,

Ill take a look at getting the right time displayed for you and the rest of our Australia and New Zealand members.

On the search question, you should see a link to search the forums just under the topic heading and at the top of most forum pages.

Simon

May 4, 2012

Warwick 425 posts

Topic: Site Development / Setting my time zone for Blood Glucose Diary entries

Hello,

Possibly this already exists and I just haven't found it. I live in Australia, but when I enter blood glucose entries into the diary, the default time is the current UK time and so half of the time, not only is the time out, but also the date. Is there a way of setting my time zone to Australia, so the default time becomes my current time in Australia?

Also, is there a way of searching within the forums for a specific word - in this case 'time zone'? I couldn't see a search box to see if this had been covered before.

Thanks,
Warwick.

May 4, 2012

DianeW 115 posts

Topic: Carbohydrate Counting / Pringles

now that's just silly...please let's not get into whe CP value of a cooked or uncooked Pringle....

Rolling Eyes

May 4, 2012

Phil Maskell 194 posts

Topic: Carbohydrate Counting / Pringles

DianeW said:
Wow that's really hard to believe, I can eat 12 for 1CP! But I would never eat 12 in one sitting...honestly
I do have scales...I have been known to even weigh stuff to COOK with on them!!!!!!

Diane,

You COOK pringles Question

May 4, 2012

Phil Maskell 194 posts

Topic: Carbohydrate Counting / Pringles

Hi,

I know this is hijacking the thread a bit, but we have scales at home too that calc carbs based on code, it was good when I first finished DAFNE, don't use it much now (except as scales for cooking) as just sorta guess/know the carbs in most food I eat Very Happy

We got it for about Â£15 from Argos, can't see it there any more it was 6 years ago Exclamation

But something similar on Amazon, but more pricey

http://www.amazon.co.uk/Salter-1406-SVDR-Nutritional-Scale/dp/B00281C3L8

While searching someone on DSF mentioned :

"Lidl are doing a Nutritional analysis scale, brand SANITAS from 23rd Jan 2012 at Â£9.99"

http://diabetes-support.org.uk/diabetesforum/index.php?topic=743.0

Hope this is useful

Phil

May 4, 2012

angarak 1 post

Topic: Carbohydrate Counting / Pringles

Think of the Fat content, it's slower released

May 4, 2012

novorapidboi26 1,819 posts

Topic: General Discussion / Nut allergy and diabetes

Bang Bang........... Very Happy

May 4, 2012

DianeW 115 posts

Topic: General Discussion / Nut allergy and diabetes

Yes I know and I would not normally treat a hypo with it but as I said I had forgtotten to put my glucose tablets in my bag. Shoot me at dawn!

May 4, 2012

novorapidboi26 1,819 posts

Topic: General Discussion / Nut allergy and diabetes

Who takes precedence would be entirely down to you, however, being a DAFNE graduate, you should not have a snickers for hypo resolve, that's the way I see it anyway......... Wink

May 7, 2012 JayBee 587 posts	Topic: Questions for HCPs / Dawn Phenomenon possibility? I'm gonna sit on it for a bit at the moment. Shall post again soon.

May 7, 2012 Podarcis 14 posts	Topic: Site Development / Have "amber" colour for just-over BG Well, Mark, I can tell you that evidence DOES exist, and here it is. For me, I can manage with a BG level of 7.6 or even 10.5 without any correction and nothing bad will happen. But I can't manage a level BG of 19.6 without any correction, since things would get very bad if I did. I need a correction of some +6 units for a BG of 19.6, and ignoring that correction would NOT be a good idea. Let me say that in practice I would correct both 7.6 and 10.5: 7.6 with +1 unit and 10.5 with +2 units. But for me this is an amber situation, and I could ignore it without danger.

May 7, 2012 Podarcis 14 posts	Topic: Site Development / Auto calculate QA from BG - let's get it right Thanks for that info, novorapid, that's very helpful. At present for myself I apply 1 unit for a bit more than 2 mmol/l (say 2.2, but it's usually an approx calculation, though with the app doing it, as I hope for, an accurate one will be possible). Like you I also have occasional very highs, especially after sport when I have been stuffing sugar into me to keep from going hypo while playing and then ended up with far too much in my system (36mmol on one occasion not long ago). Can I ask you, though, do you treat each band separately, or make just one calculation? Eg, if your BG was 20 and your target was 5, would you correct by 15 units (ie 1 unit for each mmol/l, using your rate for adjustments above 17mmol/l, or would you compute the correction in a banded fashion as follows: correct 20mmol/l to 17 mmol/l with (20-17) / 1 = 3 units plus correct 17mmol/l to 13 mmol/l with (17-13) / 1.5 = 2.67 units plus correct 13mmol/l to 10 mmol/l with (13-10) / 2 = 1.5 units plus correct 10mmol/l to 5 mmol/l with (10-5) / 2.5 = 2 units, giving a total correction of 3+2.67+1.5+2 = 9 units. I suppose you must use the former, since the latter banded method is too complex to do in one's head. But maybe the banded method is more likely to give consistent results, and a computerised app could certainly perform such a calculation. That would require more settings data to be stored in the app, though. Would anyone else like to say how they correct for very high BG? As Simon says above, let's get it right. To do so, we ideally need comments from many users. Do we need banded correction rates, and if so how should they be used?

May 6, 2012 marke 686 posts	Topic: Site Development / Have "amber" colour for just-over BG Sorry I think this is a bad idea, but if others want it then maybe Simon can implement it as an option. I accept that 7.4 and 7.6 are pretty much then same but a reading of 10.5 is not for me amber its red. I think since there is no evidence of 'less severe' levels outside the suggested 'DAFNE range' then anything outside is red. That said I don't worry about the colours, its a lot more complicated than Green, Amber, Red. I could be in the 'Green' the whole time and suffer problems or be in the Red the whole time and never have a problem. I don't think its worth people discussing the difficulty of implementation, thats not relevant to people wanting it or not.

May 6, 2012 novorapidboi26 1,819 posts	Topic: Site Development / Slow site response.... I understand, not totally convinced its will continue like this, there is no reason for this site to be experiencing this, at least in terms of the content on site. I visit other forums at work also..... I agree that I will need to accept it and/or wait it out...... Moving offices and servers on the 6th of June so maybe things will improve.......it won't stop me visiting that's for sure......

May 6, 2012 novorapidboi26 1,819 posts	Topic: Site Development / Auto calculate QA from BG - let's get it right I worked it out by trial and error, so record how much your correction dropped you by at different levels. Making sure all other variables are constant is important obviously, so it can take some time as you can imagine........ But yeah once it as been established it should be possible to enter this information in and get a correction dose out........ My current correction factors are: below 10mmol/l = 1 unit for 2.5mmol/l 10-13mmol/l = 1 unit for 2mmol/l 13-17mmol/l = 1 unit for 1.5mmol/l above 17mmol/l = 1 unit for 1mmol/l So a logical approach with the limitations of MDI, I imagine with a pump and extensive trial an error more factors could be established should they need it, but I personally dont need more than this........but I try not get into the higher levels if I can, still do sometimes though.......;)

May 6, 2012 marke 686 posts	Topic: Site Development / Slow site response.... Simon is correct the security is there for a reason and unfrotunately what he told you to do will not prove anything nor help. A proxy is used to 'speed' up web pages and control which pages you can access. It has nothing to do with 'ping' which uses a completely different protocol and will be treated completely differently by your companies security systems. It is quite possible you can browse other sites without issue and not ours, it very much depends on the content of the other sites. Changing browser is unlikely to help since it is unlikely to be an issue with your local machine more your companies network. As you have found, because the issue does not exist at home then the issue is with your companies systems. Obviously we cannot comment on these, I have rules for my users and unless they can provide a valid business need for me to grant them an exception to access a site then I won't. I suspect you will just have to live with it, sorry

May 6, 2012 Podarcis 14 posts	Topic: Site Development / Have "amber" colour for just-over BG Yes, I accept you're right - there's more than one way to do this, and it's not up to me to decide how it's done. But there is a way that potentially doesn't require any database changes. Simply use yellow for values above the target range but no more than the width of the target range higher than the upper limit. I was thinking of that solution when I proposed this, but I agree that a more sophisticated solution may provide more flexibility and could be considered.

May 6, 2012 Phil Maskell 194 posts	Topic: Site Development / Have "amber" colour for just-over BG Podarcis, I know it may seem like only presentation, but a range of values for the amber colour is most likely needed and as a developer I would assume that this would be best placed in the database, possibly configurable like the ranges we already have. What I was saying is sometimes a little presentation tweak can mean a vast change behind the scenes if the data structures aren't setup for it. I don't work on the site so am only guessing, you may know better than me, I was trying to set people's expectations. Even if it is a lot of work, I still agree its a good idea Phil

May 6, 2012 Podarcis 14 posts	Topic: Site Development / Auto calculate QA from BG - let's get it right I would be interested in knowing how you calculate dose corrections for various BG levels. So long as you can specify it there is no reason why the app cannot apply the same logic and do it for you.

May 6, 2012 Podarcis 14 posts	Topic: Site Development / Have "amber" colour for just-over BG Thanks for your replies. Nobody has so far said it is not a good idea, which is encouraging. I can assure Phil that no change to the database will be needed. It is just a matter of presentation.

May 5, 2012 Simon 578 posts	Topic: Site Development / Slow site response.... I doubt that your work will let you circumvent the proxy, they are put there for security reasons... Have you tried in a different web browser?

May 5, 2012 Simon 578 posts	Topic: Site Development / Setting my time zone for Blood Glucose Diary entries Hi Warwick, Ill take a look at getting the right time displayed for you and the rest of our Australia and New Zealand members. On the search question, you should see a link to search the forums just under the topic heading and at the top of most forum pages. Simon

May 4, 2012 Warwick 425 posts	Topic: Site Development / Setting my time zone for Blood Glucose Diary entries Hello, Possibly this already exists and I just haven't found it. I live in Australia, but when I enter blood glucose entries into the diary, the default time is the current UK time and so half of the time, not only is the time out, but also the date. Is there a way of setting my time zone to Australia, so the default time becomes my current time in Australia? Also, is there a way of searching within the forums for a specific word - in this case 'time zone'? I couldn't see a search box to see if this had been covered before. Thanks, Warwick.

May 4, 2012 DianeW 115 posts	Topic: Carbohydrate Counting / Pringles now that's just silly...please let's not get into whe CP value of a cooked or uncooked Pringle....

May 4, 2012 Phil Maskell 194 posts	Topic: Carbohydrate Counting / Pringles DianeW said: Wow that's really hard to believe, I can eat 12 for 1CP! But I would never eat 12 in one sitting...honestly I do have scales...I have been known to even weigh stuff to COOK with on them!!!!!! Diane, You COOK pringles

May 4, 2012 Phil Maskell 194 posts	Topic: Carbohydrate Counting / Pringles Hi, I know this is hijacking the thread a bit, but we have scales at home too that calc carbs based on code, it was good when I first finished DAFNE, don't use it much now (except as scales for cooking) as just sorta guess/know the carbs in most food I eat We got it for about Â£15 from Argos, can't see it there any more it was 6 years ago But something similar on Amazon, but more pricey http://www.amazon.co.uk/Salter-1406-SVDR-Nutritional-Scale/dp/B00281C3L8 While searching someone on DSF mentioned : "Lidl are doing a Nutritional analysis scale, brand SANITAS from 23rd Jan 2012 at Â£9.99" http://diabetes-support.org.uk/diabetesforum/index.php?topic=743.0 Hope this is useful Phil

May 4, 2012 angarak 1 post	Topic: Carbohydrate Counting / Pringles Think of the Fat content, it's slower released

May 4, 2012 novorapidboi26 1,819 posts	Topic: General Discussion / Nut allergy and diabetes Bang Bang...........

May 4, 2012 DianeW 115 posts	Topic: General Discussion / Nut allergy and diabetes Yes I know and I would not normally treat a hypo with it but as I said I had forgtotten to put my glucose tablets in my bag. Shoot me at dawn!

May 4, 2012 novorapidboi26 1,819 posts	Topic: General Discussion / Nut allergy and diabetes Who takes precedence would be entirely down to you, however, being a DAFNE graduate, you should not have a snickers for hypo resolve, that's the way I see it anyway.........