Recent Posts - DAFNE Online

Apr 25, 2012

mfrancis 4 posts

Topic: General Discussion / Blood Testing Meters

Hi Phil

I use the accu-check mobile and it is by far the best and easiest meter I have used.
The cassettes you get contain 50 tests which move on automatically after testing, no more stips which is a definite plus.
The lancets as well are so easy to use, you just pop in the pre loaded lancet holder which contains six lancets all you do is move the counter on one place to the next lancet, once you have used all six just pop in a new holder and away you go again the counter resets back to six and counts down to one.
The meter also tells you your 7, 14 and 30 day averages.

I got mine issued free when I did the dafne course Feb 11.

Apr 25, 2012

Phil Maskell 194 posts

Topic: General Discussion / Blood Testing Meters

Hi,

I've been a member of this site for some time, but only really started posting on the forums in the last few days (making a conscious effort with my control at the moment) so forgive me if this question has been discussed before (I would guess it probably has).

I currently have a One Touch UltraEasy which works fine, but being a gadget freak I am looking at a couple of new meters and wanted peoples opinions and reviews if they'd used them.

First is the iBGStar -- http://www.bgstar.com/web/ibgstar
I have an iPhone and like gadgets, my concern is it will record results on the phone, but not in DAFNE Online Sad

and I am just looking at it as its a shiny new toy Very Happy

(new toy may help make testing and control more interesting, had best control ever for first few months of iPhone DAFNE Online app)

Second is the Accu-Chek Mobile -- https://www.accu-chek.co.uk/gb/products/metersystems/mobile.html
I like the idea of no strips and it mentions 6 preloaded lancets, does anyone know how this works? I am terrible at changing my lancets Sad

I also like the idea of alternative site testing due to my fingers being a mess, but never really got this to work with any of the One Touch meters I've used, can never seem to get enough blood from other sites Sad

Any other meters I should consider? Ideas / opinions? Any meter I choose needs to have strips etc available on prescription in UK as buying them at their price is out of the question Exclamation

(that's why many companies now give the meters away!)

Thanks in advance

Phil

Apr 24, 2012

marke 681 posts

Topic: DAFNE Graduate Group (DGG) / Neuropothy -advice please

Hi, can I ask you to post this in the 'ask the HCPs' forum since you are more likely to get a response. There are some very good experts that read that forum and with a bit of luck Simon H might respond. There is very little he doesn't know about Diabetes if anything and he likes a challenge Very Happy

thanks

Apr 24, 2012

Stew B 125 posts

Topic: DAFNE Online Mobile / upload error 503

Phew! Thanks Simon.

Stew

Apr 24, 2012

JayBee 587 posts

Topic: Site Development / Injection site list

I put "Other" for site, and when I have been worried about keeping note... I just add it as a note in the comments... Like BL for Buttocks Left, or BR for Buttocks Right...

Stopped doing that ages ago though and just keep it as "Other"... As long as you cycle sites, you should be a-okay really.

Apr 24, 2012

boyle01 1 post

Topic: DAFNE Online Mobile / Problems uploading

Apologies for my naiveness! I have recently started using the Android App and online Diary and am really pleased with it but I am a bit stuck. I managed to upload from the app last week but forgot how I did it. Having looked on here I changed the settings to automatically upload entries but its only uploaded the last one, not the entries inbetween? Any help would be much appreciated as I have a hospital appt on Thursday and nothing to show the consultant.
Sarah

Apr 24, 2012

JayBee 587 posts

Topic: Questions for HCPs / Dawn Phenomenon possibility?

Here's today..
Today has been a curve ball... again... but a nicer one it seems. Had a little spell of stress slightly before lunch too.
I think I will not apply any changes yet. Let's see how well this rolls out...

Body, you sure bloody confuse me. T_T

Apr 24, 2012

Simon 578 posts

Topic: DAFNE Online Mobile / BG Average Algorithm

Hi both,

This is fine in this forum Smile

I thought the algorithms were the same but will check it out and let you know. Thanks for calling it out.

Cheers

Apr 24, 2012

Simon 578 posts

Topic: Site Development / pdf diary downloads

Hi Andy,

If there are over 10 entries in a day contained in the diary being generated the PDF will default to landscape orientation to fit them in horizontally. Below 10 it defaults to portrait which will give around 5 days per page. Unfortunately there is a tradeoff here between more days per page whilst keeping the text size readable.

I can't guarantee I can get more per page but will certainly try!

Simon

Apr 24, 2012

novorapidboi26 1,819 posts

Topic: General Discussion / Dawn Phenomenon

I hope your findings come in useful............ Wink

Apr 24, 2012

Phil Maskell 194 posts

Topic: General Discussion / Dawn Phenomenon

From what you've said I have found on a low carb diet I also got amazing BG Very Happy

Thanks for the feedback, I'll have to have Pizza again to test the theory Wink

Phil

Apr 24, 2012

novorapidboi26 1,819 posts

Topic: DAFNE Online Mobile / BG Average Algorithm

I just told the app to display the last 30 days then downloaded, my 7 day average is now the same as site, but the rest are still out slightly......

Apr 24, 2012

Phil Maskell 194 posts

Topic: Site Development / Injection site list

Hi all,

As a temp fix you could enter the BI as a separate entry when taken with QA then enter the new injection site, it might be better than cluttering the results further?

Just my 2 pence worth.

Phil

Apr 24, 2012

novorapidboi26 1,819 posts

Topic: General Discussion / Dawn Phenomenon

Pizza and Pasta will almost definitely give you some delay, pizza the most, so this would likely be the culprit fo ryour high morning readings......

Do you have a 80g -90g meal every night? Nothing wrong with this really, but the reality is, we all eat too much carbohydrate and it doesn't always agree with us all.........

I personally find after 90-100g of CPs blood sugars become a bit trickier to manage. I am sure it was from a John Walsh book on insulin that said if you half your weight in pounds, this will be the amount of grams of carbs you can eat and the normal insulin dosing rules will apply...anything above and you need to think about more insulin than you would normally give....so may not apply to you, but paints a picture......

I dropped my carbs for about a week and a half and my BG was amazing....... Wink

you should have pizza again and see what it does to BG and how you managed, you will probably find its quite hard to manage, so should be kept for special occasions...... Razz

Apr 24, 2012

novorapidboi26 1,819 posts

Topic: Questions for HCPs / Dawn Phenomenon possibility?

Don't divulge anything you don't want to, just saying you are having problems is enough to know it can be effecting your levels........

If you feel comfortable, I would definitely think about moving to 9pm or later even............this does run the risk of highs in the evening due to BI running out but it can be compensated for. I find I cant really have a carb free dinner as I need some, even just a little, QA to tide me over till my next BI dose at 10pm..........

Its a real pain in the ass to be honest......cant have carb free breakfast either as i need CP and QA to switch off my liver in the morning......

Its times like these that a pump would come in real handy, but because I am managing OK funding for one would be a miracle, and that's if I didn't live in Scotland.........

Keep us informed of your changes and results, and try for some carb free lunches and dinners, so you can see what is really going on with the daytime Levemir..........

Apr 24, 2012

Phil Maskell 194 posts

Topic: General Discussion / Dawn Phenomenon

My high carb meals are in the evening about 8 or 9, pizza/pasta/potatoes etc... (not all at the same time Very Happy

)

Low carb meal alternatives when being good will be meat/fish with salad and possibly potatoes/bread, but 2CP not 10CP to 20CP as naughty meals.

Apr 24, 2012

novorapidboi26 1,819 posts

Topic: General Discussion / Dawn Phenomenon

When do you normally eat? How many carbs is in your low carb meals?

Its quite common for high fat and I suppose high carbs meals [150g +] to have a delayed absorption, but you would still expect it all to be processed by the time the morning comes.....

If you don't get higher readings when you don't have high fat/carb meals then its unlikely its the DP your observing, even though there will be some liver action happening as it does with us all........

Apr 24, 2012

Phil Maskell 194 posts

Topic: General Discussion / Dawn Phenomenon

Hi novorapidboi26,

Thanks for the info, I have my Levemir split 12 hours apart 11am and 11pm with a bigger dose at night, I may try leaving the night one a bit later until I got to bed.

I do 3 (have carbs early) during the week, I have noticed when I'm on a diet and cutting out or having low carb meals in the evening I don't get DP, its to do with a heavy meal overnight I think.

Thanks

Phil

Apr 24, 2012

JayBee 587 posts

Topic: Questions for HCPs / Dawn Phenomenon possibility?

Hi NB,

Thanks for the reply.

Some time ago (at least 6months) I changed my eve BI from 9pm to 7pm... and have been thinking about putting it back again now, especially after our chat here and some discussion with my partner. I think the reason I put it back to 7pm was because of highs in the evening, but it was such a long time ago, I forget exactly.

I'm unsure how much detail I'm happy to go into here about my problems... It's a lot of different things and unfortunately, my control does seem to be affected. My DAFNE team are aware but tell me to keep correcting with QA for any random highs. When you feel like you're fighting a losing battle, you do get a bit down... I'm not on any depression medication if you're wondering; I'm managing to cope without.

I've gotta go for now...

Apr 24, 2012

novorapidboi26 1,819 posts

Topic: DAFNE Online Mobile / BG Average Algorithm

My averages are considerably different also, I thought maybe it was because the app was working out an average based on the results currently stored on the phone, however I have the last 10 days stored, but the 7 day average is about 0.3 mmol/l out..........

Apr 24, 2012

novorapidboi26 1,819 posts

Topic: General Discussion / Dawn Phenomenon

H guys,

I suffer from it, and actually everyone experiences it, its just some it is more noticeable........

I do 3 things to give me the best chance of waking in single figures......

These are:

1. Have a split dose background insulin and ensure my evening dose is at its maximum, so no lows at 3 am, just steady as she goes...

2. Instead of a 12 hour split for the BI insulin I take my evening dose closer to bed time, so 15 hours after my morning dose, Levemir last 12-18 hours, so still within limits. This gives me more active units of Levemir in my system at 4-5am, when the DP begins.

3. Have carbs and insulin as early as possible, which means getting up early, which for most is achievable because of work, however if you don't work, you still need to get up. This is because giving yourself fuel and insulin will tell the liver to stop its release of glucose into the blood stream.

So Nicky, a split dose is what is needed if your suffering from DP and plan to fight it, the split allows you to focus separately on the morning levels and on the daytime background requirement. Lantus can be split, but the effects of dose adjustment with Lantus takes time to settle, so in my non professional opinion, its no use for the majority of diabetics.......

Phil, I would expect good results for you if you adopt a similar regime to the one I described above.........

Do you have a 12 hour split on your doses?
When do you normally wake up, and do you have breakfast upon waking......?

Apr 24, 2012

novorapidboi26 1,819 posts

Topic: Questions for HCPs / Dawn Phenomenon possibility?

Hey,

I think you still need to tweak your evening BI, you are still waking high but seem to be dropping from your 3 am tests, so this suggests dawn phenomenon, however there are not many 3am test results along side pre bed tests with no corrections, this would confirm what your 22 dose is doing, it should be holding you steady, that's all, if its not, then its wrong..........I also think you should take your evening BI before bed, this may mean compensating with more BI during the day and/or more novorapid to make up for the missing BI at dinner time.........

its also strange as sometimes your correction just don't seem enough, eg 1 1uit for a 16.3, but then you take 2.5 for a 17.3 and you go low, very strange, although the low may have been down to the BI being too much...........

its all about the BI still I'm afraid, there is just no sound evidence yet on what its actually doing..........especially during the day, you need to go carb free......starting with lunch, as you need carbs for breakfast for the DP.........

I see you have been 'down' and 'anxious'! Do you feel this has been effecting your blood sugars, is everything OK?

Apr 24, 2012

Phil Maskell 194 posts

Topic: General Discussion / Dawn Phenomenon

Hi,

I get the dawn dooda, usually about 15ish first thing, if I try upping my Levemir at night I must go hypo over night as I wake with 20s, not found a solution yet!

Let me know if you do Very Happy

Phil

Apr 24, 2012

Phil Maskell 194 posts

Topic: DAFNE Online Mobile / BG Average Algorithm

I added this to the online mobile forum as it is related to the iPhone app, but maybe this should have gone in the Site forum?

Apr 25, 2012 mfrancis 4 posts	Topic: General Discussion / Blood Testing Meters Hi Phil I use the accu-check mobile and it is by far the best and easiest meter I have used. The cassettes you get contain 50 tests which move on automatically after testing, no more stips which is a definite plus. The lancets as well are so easy to use, you just pop in the pre loaded lancet holder which contains six lancets all you do is move the counter on one place to the next lancet, once you have used all six just pop in a new holder and away you go again the counter resets back to six and counts down to one. The meter also tells you your 7, 14 and 30 day averages. I got mine issued free when I did the dafne course Feb 11.

Apr 25, 2012 Phil Maskell 194 posts	Topic: General Discussion / Blood Testing Meters Hi, I've been a member of this site for some time, but only really started posting on the forums in the last few days (making a conscious effort with my control at the moment) so forgive me if this question has been discussed before (I would guess it probably has). I currently have a One Touch UltraEasy which works fine, but being a gadget freak I am looking at a couple of new meters and wanted peoples opinions and reviews if they'd used them. First is the iBGStar -- http://www.bgstar.com/web/ibgstar I have an iPhone and like gadgets, my concern is it will record results on the phone, but not in DAFNE Online and I am just looking at it as its a shiny new toy (new toy may help make testing and control more interesting, had best control ever for first few months of iPhone DAFNE Online app) Second is the Accu-Chek Mobile -- https://www.accu-chek.co.uk/gb/products/metersystems/mobile.html I like the idea of no strips and it mentions 6 preloaded lancets, does anyone know how this works? I am terrible at changing my lancets I also like the idea of alternative site testing due to my fingers being a mess, but never really got this to work with any of the One Touch meters I've used, can never seem to get enough blood from other sites Any other meters I should consider? Ideas / opinions? Any meter I choose needs to have strips etc available on prescription in UK as buying them at their price is out of the question (that's why many companies now give the meters away!) Thanks in advance Phil

Apr 24, 2012 marke 681 posts	Topic: DAFNE Graduate Group (DGG) / Neuropothy -advice please Hi, can I ask you to post this in the 'ask the HCPs' forum since you are more likely to get a response. There are some very good experts that read that forum and with a bit of luck Simon H might respond. There is very little he doesn't know about Diabetes if anything and he likes a challenge thanks

Apr 24, 2012 Stew B 125 posts	Topic: DAFNE Online Mobile / upload error 503 Phew! Thanks Simon. Stew

Apr 24, 2012 JayBee 587 posts	Topic: Site Development / Injection site list I put "Other" for site, and when I have been worried about keeping note... I just add it as a note in the comments... Like BL for Buttocks Left, or BR for Buttocks Right... Stopped doing that ages ago though and just keep it as "Other"... As long as you cycle sites, you should be a-okay really.

Apr 24, 2012 boyle01 1 post	Topic: DAFNE Online Mobile / Problems uploading Apologies for my naiveness! I have recently started using the Android App and online Diary and am really pleased with it but I am a bit stuck. I managed to upload from the app last week but forgot how I did it. Having looked on here I changed the settings to automatically upload entries but its only uploaded the last one, not the entries inbetween? Any help would be much appreciated as I have a hospital appt on Thursday and nothing to show the consultant. Sarah

Apr 24, 2012 JayBee 587 posts	Topic: Questions for HCPs / Dawn Phenomenon possibility? Here's today.. Today has been a curve ball... again... but a nicer one it seems. Had a little spell of stress slightly before lunch too. I think I will not apply any changes yet. Let's see how well this rolls out... Body, you sure bloody confuse me. T_T

Apr 24, 2012 Simon 578 posts	Topic: DAFNE Online Mobile / BG Average Algorithm Hi both, This is fine in this forum I thought the algorithms were the same but will check it out and let you know. Thanks for calling it out. Cheers

Apr 24, 2012 Simon 578 posts	Topic: Site Development / pdf diary downloads Hi Andy, If there are over 10 entries in a day contained in the diary being generated the PDF will default to landscape orientation to fit them in horizontally. Below 10 it defaults to portrait which will give around 5 days per page. Unfortunately there is a tradeoff here between more days per page whilst keeping the text size readable. I can't guarantee I can get more per page but will certainly try! Simon

Apr 24, 2012 novorapidboi26 1,819 posts	Topic: General Discussion / Dawn Phenomenon I hope your findings come in useful............

Apr 24, 2012 Phil Maskell 194 posts	Topic: General Discussion / Dawn Phenomenon From what you've said I have found on a low carb diet I also got amazing BG Thanks for the feedback, I'll have to have Pizza again to test the theory Phil

Apr 24, 2012 novorapidboi26 1,819 posts	Topic: DAFNE Online Mobile / BG Average Algorithm I just told the app to display the last 30 days then downloaded, my 7 day average is now the same as site, but the rest are still out slightly......

Apr 24, 2012 Phil Maskell 194 posts	Topic: Site Development / Injection site list Hi all, As a temp fix you could enter the BI as a separate entry when taken with QA then enter the new injection site, it might be better than cluttering the results further? Just my 2 pence worth. Phil

Apr 24, 2012 novorapidboi26 1,819 posts	Topic: General Discussion / Dawn Phenomenon Pizza and Pasta will almost definitely give you some delay, pizza the most, so this would likely be the culprit fo ryour high morning readings...... Do you have a 80g -90g meal every night? Nothing wrong with this really, but the reality is, we all eat too much carbohydrate and it doesn't always agree with us all......... I personally find after 90-100g of CPs blood sugars become a bit trickier to manage. I am sure it was from a John Walsh book on insulin that said if you half your weight in pounds, this will be the amount of grams of carbs you can eat and the normal insulin dosing rules will apply...anything above and you need to think about more insulin than you would normally give....so may not apply to you, but paints a picture...... I dropped my carbs for about a week and a half and my BG was amazing....... you should have pizza again and see what it does to BG and how you managed, you will probably find its quite hard to manage, so should be kept for special occasions......

Apr 24, 2012 novorapidboi26 1,819 posts	Topic: Questions for HCPs / Dawn Phenomenon possibility? Don't divulge anything you don't want to, just saying you are having problems is enough to know it can be effecting your levels........ If you feel comfortable, I would definitely think about moving to 9pm or later even............this does run the risk of highs in the evening due to BI running out but it can be compensated for. I find I cant really have a carb free dinner as I need some, even just a little, QA to tide me over till my next BI dose at 10pm.......... Its a real pain in the ass to be honest......cant have carb free breakfast either as i need CP and QA to switch off my liver in the morning...... Its times like these that a pump would come in real handy, but because I am managing OK funding for one would be a miracle, and that's if I didn't live in Scotland......... Keep us informed of your changes and results, and try for some carb free lunches and dinners, so you can see what is really going on with the daytime Levemir..........

Apr 24, 2012 Phil Maskell 194 posts	Topic: General Discussion / Dawn Phenomenon My high carb meals are in the evening about 8 or 9, pizza/pasta/potatoes etc... (not all at the same time ) Low carb meal alternatives when being good will be meat/fish with salad and possibly potatoes/bread, but 2CP not 10CP to 20CP as naughty meals.

Apr 24, 2012 novorapidboi26 1,819 posts	Topic: General Discussion / Dawn Phenomenon When do you normally eat? How many carbs is in your low carb meals? Its quite common for high fat and I suppose high carbs meals [150g +] to have a delayed absorption, but you would still expect it all to be processed by the time the morning comes..... If you don't get higher readings when you don't have high fat/carb meals then its unlikely its the DP your observing, even though there will be some liver action happening as it does with us all........

Apr 24, 2012 Phil Maskell 194 posts	Topic: General Discussion / Dawn Phenomenon Hi novorapidboi26, Thanks for the info, I have my Levemir split 12 hours apart 11am and 11pm with a bigger dose at night, I may try leaving the night one a bit later until I got to bed. I do 3 (have carbs early) during the week, I have noticed when I'm on a diet and cutting out or having low carb meals in the evening I don't get DP, its to do with a heavy meal overnight I think. Thanks Phil

Apr 24, 2012 JayBee 587 posts	Topic: Questions for HCPs / Dawn Phenomenon possibility? Hi NB, Thanks for the reply. Some time ago (at least 6months) I changed my eve BI from 9pm to 7pm... and have been thinking about putting it back again now, especially after our chat here and some discussion with my partner. I think the reason I put it back to 7pm was because of highs in the evening, but it was such a long time ago, I forget exactly. I'm unsure how much detail I'm happy to go into here about my problems... It's a lot of different things and unfortunately, my control does seem to be affected. My DAFNE team are aware but tell me to keep correcting with QA for any random highs. When you feel like you're fighting a losing battle, you do get a bit down... I'm not on any depression medication if you're wondering; I'm managing to cope without. I've gotta go for now...

Apr 24, 2012 novorapidboi26 1,819 posts	Topic: DAFNE Online Mobile / BG Average Algorithm My averages are considerably different also, I thought maybe it was because the app was working out an average based on the results currently stored on the phone, however I have the last 10 days stored, but the 7 day average is about 0.3 mmol/l out..........

Apr 24, 2012 novorapidboi26 1,819 posts	Topic: General Discussion / Dawn Phenomenon H guys, I suffer from it, and actually everyone experiences it, its just some it is more noticeable........ I do 3 things to give me the best chance of waking in single figures...... These are: 1. Have a split dose background insulin and ensure my evening dose is at its maximum, so no lows at 3 am, just steady as she goes... 2. Instead of a 12 hour split for the BI insulin I take my evening dose closer to bed time, so 15 hours after my morning dose, Levemir last 12-18 hours, so still within limits. This gives me more active units of Levemir in my system at 4-5am, when the DP begins. 3. Have carbs and insulin as early as possible, which means getting up early, which for most is achievable because of work, however if you don't work, you still need to get up. This is because giving yourself fuel and insulin will tell the liver to stop its release of glucose into the blood stream. So Nicky, a split dose is what is needed if your suffering from DP and plan to fight it, the split allows you to focus separately on the morning levels and on the daytime background requirement. Lantus can be split, but the effects of dose adjustment with Lantus takes time to settle, so in my non professional opinion, its no use for the majority of diabetics....... Phil, I would expect good results for you if you adopt a similar regime to the one I described above......... Do you have a 12 hour split on your doses? When do you normally wake up, and do you have breakfast upon waking......?

Apr 24, 2012 novorapidboi26 1,819 posts	Topic: Questions for HCPs / Dawn Phenomenon possibility? Hey, I think you still need to tweak your evening BI, you are still waking high but seem to be dropping from your 3 am tests, so this suggests dawn phenomenon, however there are not many 3am test results along side pre bed tests with no corrections, this would confirm what your 22 dose is doing, it should be holding you steady, that's all, if its not, then its wrong..........I also think you should take your evening BI before bed, this may mean compensating with more BI during the day and/or more novorapid to make up for the missing BI at dinner time......... its also strange as sometimes your correction just don't seem enough, eg 1 1uit for a 16.3, but then you take 2.5 for a 17.3 and you go low, very strange, although the low may have been down to the BI being too much........... its all about the BI still I'm afraid, there is just no sound evidence yet on what its actually doing..........especially during the day, you need to go carb free......starting with lunch, as you need carbs for breakfast for the DP......... I see you have been 'down' and 'anxious'! Do you feel this has been effecting your blood sugars, is everything OK?

Apr 24, 2012 Phil Maskell 194 posts	Topic: General Discussion / Dawn Phenomenon Hi, I get the dawn dooda, usually about 15ish first thing, if I try upping my Levemir at night I must go hypo over night as I wake with 20s, not found a solution yet! Let me know if you do Phil

Apr 24, 2012 Phil Maskell 194 posts	Topic: DAFNE Online Mobile / BG Average Algorithm I added this to the online mobile forum as it is related to the iPhone app, but maybe this should have gone in the Site forum?