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15,864 posts found
May 1, 2012
meltow
78 posts
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Topic: Carbohydrate Counting / Rounding up or rounding down I'm on the same ratio as you...in the example you give I go for 7 units [4.5 x 1.5 = 6.75 units....rounded up to 7].Say the number of units had come to 6.5, I round up and would take 7 units |
May 1, 2012
MelissaF
56 posts
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Topic: Carbohydrate Counting / Angel Delight - help! Nope that's fine - so there are 4 portions in a packet so the "carbohydrate per 92g portion" measure is per quarter of what you've made up. So, if you and your husband had 1/2 each then just double that reading to get your CP - so 28.8g or 3 portions (give or take). That will include the milk as well. Shouldn't make much difference to your CP amount whether you used whole milk or not, only to the fat content if you're measuring that as well. Does that make sense?The "as sold" measures I think are per 100g of powder which is pretty pointless really as who's going to eat the powder! M xx PS: Sainsbury's do their own sugar free version of the Butterscotch angel delight that's lower in CP as it has artificial sweeteners in it. It tastes lovely though - and sets better! |
May 1, 2012
DianeW
115 posts
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Topic: Carbohydrate Counting / Angel Delight - help! This is the most confusing info on a packet I have ever seen!It says the packet weighs 59g which seems irrelevant really. It says 4 portions per pack. Carbohydrate value "per 100g as sold" (what the heck does that mean?) = 73.1g so 7 or7.5 CP? Carbohydrate value per 92g portion prepared with semi skimmed milk = 14.4g so 1.5 CP So say my husband and I share a pack ![]() Should I tell the husband Angel Delight is off? lol |
May 1, 2012
MelissaF
56 posts
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Topic: Questions for HCPs / Fluctuating BG levels Hi guys,Can anyone help? I've been fairly good with my diet over the last few months and my BG results have been pretty stable (for me) and fairly predictable using the DAFNE guidelines. I've been using around 4-5 units of BI (Lantus) in the evening to get a good waking reading and stable daytime levels. This is working with a pretty controlled diet though. However, at the weekend, I had a bit of a blowout for 48 hours. I went to stay with friends and ended up eating an awful lot of "bad food". Predictably, my BG levels shot up and I haven't been able to bring them back down again as I can't work out what my BI levels should be. As my waking readings were shocking, I ended up raising BI from 5 to 7-8. They're currently on 8 and I've been waking with readings of around 13-18. I tested at 3am last night to try and work out if hypos were involved at all. I went to sleep on a reading of 11.5, took 1.5 units of QA to correct that and 8 units of BI and, at 3am, my reading was 7.1 which I was quite pleased with. However, when I woke it was 14.6. I wondered if this was because my BG levels had dropped from 3am and I had gone hypo and my body was reacting to that. However, when I tested mid morning, my levels after breakfast had gone to 7.8 which again I was happy with. But, testing before lunch, they had risen to 13.0, even though I hadn't had any carbs. This would imply to me that my background insulin levels are too low and my BG levels are only reacting to the QA. Can anyone help please? Novorapidboi - you're usually good on this sort of thing! Many thanks, Melissa |
May 1, 2012
MelissaF
56 posts
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Topic: Carbohydrate Counting / Angel Delight - help! Hi Diane,I had a vague memory that somewhere on the packet it says that a 92g serving is a quarter of a packet (made up) or 1/3 of a packet. Can you see anything like that at all? Melissa |
May 1, 2012
DianeW
115 posts
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I was wondering if I should get a new meter because I have had my existing one probably 5 years at least. It still works ok. I contacted Accu-Check and they said meters had no shelf life, and to contact them if something was wrong with mine and they would advise or exchange it. So I don't have to buy a new one? |
May 1, 2012
DianeW
115 posts
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Topic: Carbohydrate Counting / Rounding up or rounding down I just need some clarification on this - if my lunch comes to 4.5 CPs, then do I round it up to 5? And if so and I am on 1:1.5 ratio, do I then take 7 units or 8? |
May 1, 2012
DianeW
115 posts
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Wonder if someone could advise please, on the packet it says it weights 59g, in powder form. On the bit with all the values it says carbohydrate "per 100g" and "per 92g serving". I have no idea how much my serving weighs (how do you weigh it made up?) should I go by the picture in the carb counting book (under "strawberry delight"). |
May 1, 2012
novorapidboi26
1,819 posts
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Topic: DAFNE Online Mobile / windows phone app What carb counting app are you talking about? The DAFNE app? If so, this is just the carb portion database and is available for download in PDF format, which I would assume would be extremely easy to use on a Windows OS, just use Adobe PDF reader.......Windows can run many programs with more compatibility that android or iPhone, so there is no real need for apps as such......... |
May 1, 2012
novorapidboi26
1,819 posts
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Topic: Site Development / Auto calculate QA from BG - let's get it right This would be a good to pursue, but as you say, everyone is different................The majority of folk in my experience will have different correction factors according to the time of day [ie. insulin resistance]....... However me, and probably a few others have changing correction factors depending on our BG levels.............. So to suit everyone, some way of entering in these correction factors both by time of day and by BG levels would be good. I suppose just one of these options should be used at a time, although some people may find that they need to consider both scenarios at the same time. But I think that is just getting too complicated...............as we all should be on or near our targets right...........?......... ![]() I personally think the safest choice would be to use 1unit/2.5mmol/l, but maybe upping that to 1unit/2mmol/l might be more successful for some............ As you say, its a risky move, as I know some members here are not in as deep as me and others in terms of their diabetes management........ Maybe a clause in terms and conditions stating that the application calculation function is only to be used as a guide to accompany your own mental arithmetic..... |
May 1, 2012
novorapidboi26
1,819 posts
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Topic: Site Development / Have "amber" colour for just-over BG Sounds like an good idea to me............Even just the silly, small things can make a positive difference to the diary experience............ ![]() |
May 1, 2012
Phil Maskell
194 posts
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Topic: Site Development / Have "amber" colour for just-over BG Hi,I like the idea, but as a dev I'm guessing the database behind isn't geared up for this extra range/data, might be a bit of work. Amber/Yellow results, would they have their own section in the graphs etc.. I can see this being widespread and possibly alot of work, but I'm sure Simons up for the challenge ![]() This might be completely wrong and really easy to implement, just my 2p Phil P.S I even had colour scales like this on an Excel spreadsheet I used to use before this site was available, had Amber, then Red then Purple/Burgundy for really bad results, tried not to get these ![]() |
May 1, 2012
Phil Maskell
194 posts
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Topic: DAFNE Online Mobile / windows phone app Hi,I'm not a windows phone dev, more Java/Android but a quick glance at the Microsoft website shows the latest versions of the os for the titan as 7 or 7.1 with no mention of 9, are you sure about this? Phil |
May 1, 2012
bangers
6 posts
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Topic: Site Development / Have "amber" colour for just-over BG This is a brilliant suggestion. It is difficult enough to maintain good levels with out having a system tell you whether you are good or bad, especially as you suggest, there can be a minute difference between the two. Maybe the amber level could also be used for levels between say 4.5 and 5.5. |
May 1, 2012
Podarcis
14 posts
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Topic: Site Development / Have "amber" colour for just-over BG In the Entries Diary (both in the app and online), BG values above the target are shown in red. Assuming a target range of 4.5 to 7.5, this means that a BG of 7.4 will be white/green but one of 7.6 will be red, whereas in reality these readings are approximately the same. Also, a BG of 7.6 will be red but so will one of 19.6 - but there's a huge difference in the severity of the situation. I suggest that there could be a yellow range immediately above the target range. The yellow range could reasonably be the same width as the target range (to save having too many more config parameters), so that with the default target range of 4.5 to 7.5, any value between 7.6 and 10.5 would be yellow while any value above 10.5 would be red.What do others think? Do you think this is a good or a bad idea? |
May 1, 2012
Podarcis
14 posts
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Topic: Site Development / Auto calculate QA from BG - let's get it right 1. For the manual corrections that I presently make I use a calculation baseline that is one third of the target range above the lower limit of the target range. So, if my target range is 4.5-7.5 and my BG 11.3, I would add (11.3 - 5.5) / 2.2 = 2.63 (rounded to 3) QA to the app's computed dose. The 5.5 is my baseline figure, one third of the 4.5-7.5 range above the lower limit, and 2.2 is my personal BG:QA estimate, ie 1 unit of QA lowers my BG by a bit more than 2 mmol/l.I would argue against setting the baseline figure towards the top end of the range for this reason: Everyone likes to be at the lower end of their target range (don't they?) so, if they find that the app will calculate a corrective adjustment that is smaller than the one they would themselves have calculated, they might be tempted to compensate by reducing the BG:QA setting. This would then lead to overly high correction calculations when the BG is well out of target range, and could promote that awful phenomonen of high-low-high-low swings from overcorrection that we all hate so much. We must encourage people to enter their true estimate of their own BG:QA ratio in order to get the best results possible. But I will accept the halfway point of the target range as a reasonable baseline, and it would be easy to understand if set there. Or it could be a configurable setting, but that is probably overkill. 2. For myself, I use the same BG:QA ratio at all times of the day and no matter how far out of range I am. Other people may be different - please tell us. |
May 1, 2012
Simon
578 posts
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Topic: Site Development / Auto calculate QA from BG - let's get it right Theres been discussion and requests for an improved auto calculation of QA in the site and mbi,e apps, which take into account corrective dosages as well, and I'd like to get a consensus on how we should do it.The first thing I should say is that we don't have the ability to deal with any lawsuits, as we aren't part of the DAFNE program and are a group of graduates just like you who do this in our spare time; so my first diorite is ensuring we dont get sued for providing inaccurate medical advice or similar. That said , we also want to help graduates in any way possible, so I'd like to go ahead with this function and have created this forum post to ensure we get it right. So, the auto calculation of insulin dosage matched to CPs is simple - its just take the CP input and multiply by the ratio for that entry type. The tricky bit is how to calculate the corrective dosage. An initial first pass at this would require users to enter how much they expect their BG to lower after injecting 1 unit of insulin. The app could then calculate the difference between input BG and target BG, and use this to calculate the number of corrective units needed. That way it isn't giving medical advice, just crunching some numbers. However there are a couple of questions in my mind: 1. What would we aim for with the correction? Each entry type has a target range of mmol/l readings, would we aim for the middle of this, or err on the side of caution and aim towards the top end of the range? 2. Would we need to have different 'expected BG lowering values', for different times of day? Or for different levels of high BG? For me I find I can expect my BG to go down by 2 for each unit if. Or receive insulin, but as with everything diabetes related, everybody is different. Thanks in advance for your help! |
May 1, 2012
sylver
2 posts
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Topic: DAFNE Online Mobile / windows phone app I have recently changed my phone and went from an android phone to a HTC titan with windows phone9 OS. I dont want to chanfe again as im very happy with my new toy. Is there any hope that the carb counting app will be av ailable in a windows format as well as the current iphone/android versions?![]() |
Apr 30, 2012
Sosky
2 posts
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Topic: Questions for HCPs / Appendicitis and symptoms Much better now thanks.I saw my GP just now as follow up and asked her. She said that sometimes people with diabetes just don't seem to experience the typical symptoms that non diabetics get. (Although she didn't explain why). In any case I would say that it was still a rough deal, as it took so long to diagnose that by the time they operated the whole area was a disaster zone, really badly infected, and instead of doing a simple keyhole procedure as they would normally do, they had to do 'open surgery' which is more invasive and has a longer recovery time. So I would have rather had the worse symptoms and got it diagnosed promptly! ![]() |
Apr 30, 2012
Simon
578 posts
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Topic: DAFNE Online Mobile / Problems uploading Hi Sarah,Try re-saving the other entries with the Diary Upload function turned on; the app uploads to the site when en entry is saved. Thanks, Simon |
Apr 30, 2012
Phil Maskell
194 posts
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Topic: Questions for HCPs / Appendicitis and symptoms Hi,Did they say why Diabetics should have less severe symptoms? Just curious? With diabetes we normally tend to get a rough deal with illness even from a cold ![]() Hope you're feeling better now though. Phil |
Apr 29, 2012
Sosky
2 posts
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Topic: Questions for HCPs / Appendicitis and symptoms Two weeks ago after a stomach upset that got progressively worse, I ended up being admitted to hospital and having emergency surgery to remove my appendix. It took quite some time to diagnose appendicitis, as I didn't have a fever, was not vomiting, and did not have acute enough pain in the right-side abdominal area. In the end they operated to investigate and see if the appendix was inflamed, and when they did they fond that it was very severely infected.Before my hospital admission I do remember by GP saying to me that sometimes people with diabetes who develop appendicitis display 'less severe' symptoms that non diabetics. It certainly seems to me that that was the case in my situation! I just wondered if anyone else has had a similar experience of a 'lack of typical symptoms' with appendicitis, or if any HCP's have heard of this before and know why this could be? |
Apr 29, 2012
Alan 49
284 posts
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Topic: Questions for HCPs / Verucca - treatment I would go to my GP for treatment and emphasise that you are a diabetic and have to take special care of your feet. |
Apr 29, 2012
meltow
78 posts
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Topic: Questions for HCPs / Verucca - treatment I have a small verucca, & not wanting to trouble the doctor I have bought one of the branded treatment gels available at any pharmacy/supermarket.Reading the information leaflet it states "do not use the gel if you are diabetic or suffer from poor blood circulation to your hands or feet". I don't have any problems with the feelings in my feet or circulation. Should I use it? What would you do? ![]() |
Apr 27, 2012
Man Plant 1
1 post
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Topic: General Discussion / DAFNE and Employers I finished my course today. It's been an absolute nightmare getting time off with pay, even though copies of the explanation letter from the DAFNE educators were sent to my manager AND the HR department 15 months ago and again a few weeks ago. My employer has a policy that would have enabled time off with pay, but allows discretion to the manager who dislikes others, such as the diabetes health professionals in this instance, suggesting something that affects her control over the team. Through this issue, it has become apparent what a control freak she is. The matter is not resolved yet.![]() ![]() ![]() |