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May 2, 2012
novorapidboi26
1,819 posts
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Topic: Questions for HCPs / Dawn Phenomenon possibility? I am trying to picture you..........lol...........so far its looking good......... Are you quite active then? Sorry about the mid meal confusion there, it can be quite hard to get back in the zone after a few days break from the thread..... No concrete conclusions on your background behavior yet? My correctional patterns go by blood sugar level, but most go by insulin resistance, which makes sense as well, its perfectly possible that at different parts of the day you need different correction factors............ try and record how much 1 unit drops you by at different times, obviously ensuring the carb count/ratio/background is spot on first is needed......I done this, but I noticed a pattern with the BG level after reading it again in the handbook..... |
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May 2, 2012
JayBee
587 posts
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Topic: Questions for HCPs / Dawn Phenomenon possibility? Ah, the mid meal comment was in response to your previous post (sorry for taking so long to reply to it!).Yes, I find last night and yesterday afternoon quite remarkable. I am wondering if my correctional amount changes after my evening BI injection... but by how much I am not sure. So hard to keep track of all this stuff lol. Completely puzzled by the afternoon low the day before.... I wouldn't say skin and bone - enjoy food too much to be that skinny!  I'm your typical 5'5" 10 stone odd gal.
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May 2, 2012
MelissaF
56 posts
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Topic: Questions for HCPs / Fluctuating BG levels Hi NRB,I usually get up around 07.00 but this varies according to my shifts at work. I think that you're right and the problem definitely lies with my BI - I just wouldn't have thought that I would have needed to make this level of adjustment to it after 24 hours of "naughtiness". Oh well, that will teach me. I did try Levemir for a period of about 5 months but it didn't suit me at all. I'm just one of those people who suit Lantus better. I know that we're in the minority but I have found a fair few others. And, in answer to your post on my other thread, yes I am incredibly sensitive to insulin which I guess isn't necessarily a bad thing after 24 years of diabetes but it does make for a fair amount of yo-yo-ing with my sugar levels which can make life harder! Thanks for the advice - much appreciated as always. M |
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May 2, 2012
novorapidboi26
1,819 posts
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Topic: Questions for HCPs / Dawn Phenomenon possibility? Whats your thoughts on the hypos last night? seems strange, you corrected with 2.5 units for a 17.9 and went low, I would need 12 units to get me back on target............its amazing how different we are, well, its quite easy to explain, I am a good few stone over weight, and you are probably skin and bone........ What mid meal spikes specifically are you concerned with........ also remember to get BG readings when you are eating/injecting, they are most useful and are greater priority than the mid meal ones..........  |
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May 2, 2012
JayBee
587 posts
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Topic: Carbohydrate Counting / Rounding up or rounding down MelissaF, I'm a sensitive half unit pen using diabetic too! With the half unit pen, it makes such a difference with this sort of thing.On that note, does anyone know if there's a Levemir half unit pen? It's come up every now and then in my mind... I use a humalog half unit pen for meals/corrections. |
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May 2, 2012
JayBee
587 posts
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Topic: Questions for HCPs / Dawn Phenomenon possibility? 9.9 to 4.4 to 5.8... I'd love results like that on a more frequent basis!Not sure what to say about the mid meal peaks though. I know they can be very unpredictable.  Here's my most recent tests... getting a bit slack again with multiple injections in the evening.. but I those hypos.. I just don't get them at all. This used to happen when I was adjusting my ratios.Emailed my health team too.. shall see what they suggest. |
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May 2, 2012
novorapidboi26
1,819 posts
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Topic: General Discussion / PDF Flyer I apologize my last post is wrong.......I was listing my BG averages, a in 7, 14, 30 and 90 days.............My average daily numbers [breakfast, lunch, dinner bed] over the last month and a half are 12.3/7.3/6/8.8 |
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May 2, 2012
novorapidboi26
1,819 posts
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Topic: General Discussion / PDF Flyer Mine is 8.8/9.4/8.9/8.7......................these have been the best results I have had in a long time............I have never been below 8.0 since starting on DAFNE........ ............The averages given there are a bit too good though, you would need to be on a pump to achieve them.......
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May 2, 2012
Phil Maskell
194 posts
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Topic: General Discussion / PDF Flyer Hi,Just clicked one of the pdf flyer links, by accident actually, if the figures used for the average trend graph are real I want to congratulate marke, I would love to have averages of 6.7 / 7.3 / 5.7 / 8.5, my 7 day averages are 10.1 / 7.0 / 6.9 / 9.0 and thats trying to be good Phil |
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May 2, 2012
novorapidboi26
1,819 posts
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Topic: Questions for HCPs / Fluctuating BG levels What time do you normally get up at?The first impressions would be Dawn Phenomenon, normal levels at 3 am, high when waking, back down once fuel and insulin for breakfast has been given....... I think more background testing is needed, I asked if you had done any in the other thread.... You really need to NOT correct before bed when basal testing so as to eliminate the QA variable, then always remember the 3 am as well......if your really high, correct and do the test another night.... I couldn't say for sure but I wouldn't of expected you to go low after a 7.1 at 3 am, but its not impossible..... So just go through the steps methodically, establish what you BI dose is doing overnight, adjust accordingly.....then move on to the daytime, with carb free or missed meals.... Unfortunate with Lantus there is no flexibility for varying BI needs from day to night. You can split the dose though, its just personally I feel its no use and Levemir would be better, I am bias though........ What is interesting is that this has all happened after lots of carbs over the weekend, which is not the usual behavior. So this reaction may only be a temporary one and you may find your BI needs return to normal soon. In the meantime, get testing.......
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May 2, 2012
novorapidboi26
1,819 posts
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Topic: Carbohydrate Counting / Rounding up or rounding down you must be quite sensitive to insulin, you could try tweaking/compensating with you basal dose...........done any basal tests recently? |
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May 2, 2012
novorapidboi26
1,819 posts
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Topic: Carbohydrate Counting / Angel Delight - help!
For normal sized baguette with an inch/inch and a half girth, then its usually 1 CP for every inch in length........
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May 2, 2012
novorapidboi26
1,819 posts
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Topic: Carbohydrate Counting / Angel Delight - help! I personally would work out the CPS in 1 gram, so the 100g carb value divided by 100.Then weigh the powder and multiply that value by the 1g CPs........ From the ASDA nutritional web page it states that for the strawberry one that there is 67.3g of carbs per 100g of powder........therefore 67.3/100 = 0.673g of carbs in 1g of powder....... Weigh the powder your going to use and multiply the weighed value by 0.673, this will give you the amount of carbs in grams for the powder you are going to use.......... How much milk goes in? I wouldn't imagine it would be lots and therefore you would only be looking at 1CP [10g] of carb likely........ Its says on the ASDA page that an 89g portion prepared with semi skimmed milk is 11.5g [1CP], but how is that possible if the box only holds 59g. For this reason alone I would choose to work out the CPs in 1g route as described above....... I assume you have scales, if not, invest in some............eventually you will remember how much insulin to take for a typical Angel delight and you wont need to do all this work....... |
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May 2, 2012
MelissaF
56 posts
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You're very lucky - that would almost certainly mean imminent hypo for me! |
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May 2, 2012
novorapidboi26
1,819 posts
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Topic: Carbohydrate Counting / Rounding up or rounding down The worked example be meltow is exactly how I would do it, multiple by your ratio then round up or down......Depending on your preference, it could be a good idea to consider you pre meal test when deciding to go up or down.......I personally just use the normal rounding up/down rules regardless of what my BG is at..... I am quite happy to have my BG at 4.5 - 5 mmol/l.........
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May 2, 2012
novorapidboi26
1,819 posts
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Topic: General Discussion / How long do meters last? Its always good to get some fresh meters every couple of years I think.............Just so you are keeping up with the times, and using the strips and meters that are most cost effective.......not a lot of people would probably think about that side of it, to be honest, I don't most of the time.....
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May 2, 2012
Garry
328 posts
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Topic: General Discussion / How long do meters last? As they are keen to sell a volume of test strips to the NHS most meter manufacturers will supply you a meter free.Meter models change at a pace. If you have had good service from AccuCheck why not continue with them. There are some that cost, with gizmos that you are not likely to need. They are in the minority - usually only the very latest developments. Personally I use an Abbott Medisense Optium Xceed. Current meter is around three years old. Have a look at their website through the link - scrolling the first section at the top shows what they currently have available. http://www.abbottdiabetescare.co.uk/ Plenty more to choose from though. You may find that your GP has a preference for the cheapest test strips, which is OK if they are for a decent meter.....but there are some poor quality products out there too and they tend to use cheap test strips. Regards Garry |
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May 1, 2012
DianeW
115 posts
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Topic: Carbohydrate Counting / Rounding up or rounding down Hallo again!Yes that's very true, I will just have to see how it goes. I knew you could get 0.5 pens, but in my case I've got insulin resistance so I think 0.5 units would have negligible effect on me. Thanks anyway Diane x |
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May 1, 2012
MelissaF
56 posts
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Topic: Carbohydrate Counting / Angel Delight - help! It helps with peace of mind doesn't it? However, it drives me mad when I've calculated correctly due to the packaging and my BG are way out afterwards.Sometimes I'm not so sure if they're always right. For instance, Eat claim that their baguettes are 60g carbs (or thereabouts) and I'm sure that they're closer to 80g! |
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May 1, 2012
DianeW
115 posts
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Oh yess I know, for example I had a sandwich the other day which gave a value for 100g but the pack weighed 176g - duh! Normally things will say "per pack" but there is always something to test you! 'm ok with maths and ratios I think. Yes i agree, it's normally clear enough. I've become quite addicted to checking, which is a good thing I suppose! |
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May 1, 2012
MelissaF
56 posts
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Topic: Carbohydrate Counting / Rounding up or rounding down Hi Diane,Me again! Depending on what insulin you're on - you can get 0.5 unit pens. I'm on Novorapid QA and I have the Novopen 3 Demi which allows me to do that. If that's no good then I would usually say that I would base it on what my blood sugar reading pre-eating was - so if I was eating 4.5 CPs then I would round it down to 4 if my blood sugar was 5.0 before eating and round it up to 5 if it was 8.0 say. With me, 0.5 units QA equates to around 1.5mmol BG so you can roughly work it out from there as to where it would bring you to. M xx |
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May 1, 2012
MelissaF
56 posts
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Topic: Carbohydrate Counting / Angel Delight - help! You don't necessarily need the sugar free version as, by using the DAFNE rules, so long as you can calculate the amount correctly then you should be able to eat either. That's from a DAFNE point of view obviously - the sugar free one will have less calories if you're counting those too! I usually try the sugar free options just to see what they're like - some are fine and some are disgusting. If you find one that's nice then it's a double bonus!It can be really confusing when they talk about portion size (not least because their idea of a portion is usually a lot less than mine is!) but, I usually find that when they do, there is something on the packaging somewhere that will tell you what percentage of the packet or what weight constitutes a portion - then you can work it out from there. |
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May 1, 2012
DianeW
115 posts
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Topic: Carbohydrate Counting / Angel Delight - help! Oh thanks Melissa, you are clearly better at this than me! This really stumped me. I suppose I should eat the sugar free version I know but I was determined I was going to get this worked out somehow. I can usually do the working out from labels, sometimes with a calculator, but this stumped me. Now I shall be able to eat it with a clear conscience and hubby will be happy too!
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May 1, 2012
DianeW
115 posts
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Hi, thanks for that, just wanted to be sure! |