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Apr 13, 2012
novorapidboi26
1,819 posts
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Topic: General Discussion / Help with sickday rules But remember that the sick day rules exist to process ketones, so you don't need to eat anything to take QA..........When I had the flu 2 Christmases ago I couldn't eat anything, so every 2 hours I tested my blood, they were on target, but I had ketones, so I still had to inject 7-10 units every 2 hours, the ketones were brought under control and my BG levels remained steady....... So you didn't really need to go out to the clinic, but confidence in using these rules will come with time..... Glad your feeling better today......... |
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Apr 13, 2012
JuliaW
2 posts
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Topic: General Discussion / Help with sickday rules Hi James & SimonThanks for your replies. I ended up going to my OOH clinic in the early hours as my keytones had risen to +++ and I was still being sick. The doctor gave me some anti sickness tablets which then meant I was able to eat and take some QA which gradually brought the keytones down during the night. Feeling alot better this morning  Thanks again. |
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Apr 12, 2012
SA2010
69 posts
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Topic: General Discussion / Help with sickday rules Hi JuliaJust to add to James's advice - the flowchart does say you have QA's so long as keytones are present. The statement re high BG just says usually it would be above 13 mmol/l so the flowchart applies even if your BG is only 6.5. For keytones of ++ the amount is 10% of the TDD which would be 1 unit every two hours whilst the keytones are at the ++ level. This would be in addition to the Background insulin and any QAs for CPs. http://www.dafneonline.co.uk/hbook_topics/188 |
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Apr 12, 2012
SA2010
69 posts
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Topic: Site Development / Injection site list HiI am also having QA and BI at the same time with one in one left thigh and the other in right thigh, It would be good if it is possible to capture the informaton and somehow show the two injection locations. Not sure how you present it on the screen - maybe one below the other or prefix QA and BI for each? I input the data using the BG Diary screen on the full web site rather than a smartphone or iPad app. regards simon |
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Apr 12, 2012
novorapidboi26
1,819 posts
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Topic: General Discussion / Help with sickday rules ketones are the same as glucose in that they need insulin to be processed..............so as your not eating, you should be testing every 2 hours and giving the advised amount od QA as well, which is 20% I think.........so for you 2 units every 2 hours......you cant keep ketone levels down without insulin......... what do you mean when you say you have been advised to not take any QA, surely you need insulin................even if your are very sensitive to it............. you must always take your BI insulin whether your eating or not................. have a look at the online handbook to get a better picture of what you need to do..............the rules work.............. 
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Apr 12, 2012
zm
3 posts
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Topic: General Discussion / Blog Thanks a lot JWo - very kind of you. I also think it's really important to raise awareness of DAFNE and will certainly be singing it's praises on the blog. I'm also going to try to get connected to Facebook but I'm a bit of a novice on that front!If I can help with anything please let me know. Thanks again. |
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Apr 12, 2012
JayBee
587 posts
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Topic: General Discussion / Blog I just checked the messages and retweeted both your mentions. I like to think of looking after the DAFNEOnline feed as doing my bit to raise awareness of DAFNE. I'll add you back so I can help you promote!
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Apr 12, 2012
zm
3 posts
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Topic: General Discussion / Blog Thanks for the replies - I'll try to post as much as I can and hopefully people will join the discussion.@ JWo Just noticed that you maintain the twitter page for the DAFNE - nice to see it's a graduate doing that! If there was ever a chance of a wee tweet about the blog in the next few weeks that would be great. As I say, it would be great to get people involved. Dafne has been so important to me and has really turned my diabetes control around! the one thing that still seems to be slightly erratic in my regime is exercise - hence the blog. I also feel that it will be beneficial to me as I can use it as something of an extended diary to catalogue more than just BGs and CPs. Hopefully it will be of interest or even use to people - early days yet. |
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Apr 12, 2012
JuliaW
2 posts
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Topic: General Discussion / Help with sickday rules Hi, can anyone give me some advice please. I have a sickness bug that started early this morning and is still ongoing I've eaten nothing at all today. My BG was 10.8 first thing so I had my usual 1 unit of humlin i and 1 unit of humalog to correct. I've monitored my BG's all day and they have stayed stable and within range. I've just taken my BG and its 6.5 but I have ++ keytones. My TTD is only 9 units (its very little I know!). I can't take any QA as advised by dafne as I run the risk of a hypo. What do I do if my keytone levels are worse in 2 hours time but my BG is normal? and do I still take my BI of 4 units of humulin i before bed? I'm abit worried so any help or advice would be appreciated.
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Apr 12, 2012
JayBee
587 posts
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Topic: General Discussion / Blog Nice! I'm certainly interested in what you discover during your exercise adventures since it can be a bit of a pain in the bum!I noticed you started following the DAFNEOnline Twitter feed this week; nice to see you on here too!
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Apr 12, 2012
JayBee
587 posts
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Topic: Questions for HCPs / Dawn Phenomenon possibility? Sadly last night the dreaded 3 BG got me twice around 3am... and this was after a much less eventful evening... so I'm going to try 21 tonight. Hopefully then it's all nipped in the bud...Not sure why my results aren't showing on the previous post.. but here's today's lot. |
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Apr 12, 2012
novorapidboi26
1,819 posts
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Topic: General Discussion / Blog Welcome to the forum.......Thanks for the link, look forward to reading............ |
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Apr 12, 2012
zm
3 posts
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Topic: General Discussion / Blog I graduated from the DAFNE course about 6 months ago. I found it absolutely brilliant and my control has been so much better since.The one thing I have always struggled with is BG control in connection with exercise and this can be annoying as I am a cyclist who uses the bike for travel/town-commuting and mountain biking for leisure. As a result of this frustration I have started a blog about life as a diabetic who wants to stay fit, healthy and enjoy exercise - specifically cycling - in order to live a healthy life. If anyone was interested, please feel free to have a look: http://www.saddledwithdiabetes.com Any comments welcome! |
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Apr 12, 2012
novorapidboi26
1,819 posts
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Topic: Questions for HCPs / Dawn Phenomenon possibility? Good job.........Obviously being in the low 4s may feel a bit too low for some folk, but in reality is perfectly safe, if you can hover on those levels your HbA1c would be magnificent. But, not one day is the same though I suppose......... If the 22 works out, you can proceed to the daytime basal testing.............. 
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Apr 12, 2012
novorapidboi26
1,819 posts
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Topic: General Discussion / Pumps N Stuff There will be more requirement for blood tests on the pump, so more finger pricking I am afraid............Currently there are pumps, or pump, that can operate side by side with a CGM [Continuous Glucose Monitor], however funding for these is non existent I believe and so are only provided on a temporary basis to investigate blood sugar levels more accurately overnight and during the day too.....the information can then be used to tweak the basal setting for example......... Some people have self funded CGMs I believe, but its costly............ Have you been trained any on how to use the pump, test your basal etc......... |
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Apr 12, 2012
SA2010
69 posts
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Topic: General Discussion / What has gone wrong with Lantus adjustments Hi Garry. Yes I was aware of the 2-3 days delay for BI Lantus changes and I was waiting 2-3 days but this morning just got frustrated and decided to put the level of Lantus back and give it a rest for changes for a while.May be I need to wait 3 days at least Changes I made from previous doses of BI 5 with breakfast and 4 at 11pm: 3rd April Evening BI increased from 4 to 5 and moved earlier to be with evening meal 5th April Morning BI increased from 5 to 6 7th/8th April 1 unit of BI switched from evening to morning : 7th April Evening BI reduced from 5 to 4 8th April morning BI increased from 6 to 7 11th April Morning BI increased from 7 to 8 12th April Morning BI reduced to 6 (Premature change - in frustration) I will just run with 6 and 4 for a while Regards Simon |
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Apr 12, 2012
Garry
328 posts
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Topic: General Discussion / What has gone wrong with Lantus adjustments If you are anything like the rest of us, your Lantus BI changes will take 3 days to have any effect. Please allow time before making any further adjustments.I have confused myself by making too rapid changes in the past. Regards Garry |
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Apr 12, 2012
SA2010
69 posts
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Topic: General Discussion / What has gone wrong with Lantus adjustments Thanks Roger. Carbs are back this morning. I will give it a rest for a while. Has been going wrong in past few days since increasing Lantus morning dose from 6 to 7 and then to 8. So this morning decided to regress my change and taking back my dose levels to those I had on the 6th April and back to normal eating with carbs.I am searching for posts on the internet of people having BG levels go up after increasing Lantus slightly. So far I have come across statements like: - The Solostar pen is very inaccurate at low doses - Liver bounce back (compensating for low BG) may be occurring at higher level than hypos. The morning I increased my Lantus from 7 to 8 I got a lunch BG of 15.3. Repeated the test and got 13.3. There was no hypo between breakfast and lunch. Before this when Lantus was increased from 6 to 7 had days after with higher levels of BGs. So now reverted back the Lantus level and back to eating CPs. |
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Apr 12, 2012
Anele46
109 posts
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Topic: Questions for HCPs / Accessibility for Blind/ VIP diabetics
Hi there, Sorry that hasn't helped, that is really strange and so annoying! Hope you get it sorted, I'm sure the deveopers of the App will be able to help. Good luck Cheers, Anele. |
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Apr 12, 2012
Macka
7 posts
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Topic: General Discussion / Pumps N Stuff Hi my friends,i am going to be going onto the pump next week, and i know there will still be a requirement for frequent blood sugar checks, does anybody know if there is going to be a pump set up in the near future that will automatically monitor your blood sugar levels ?? thanks Paul ......x 
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Apr 12, 2012
Ahmentep
99 posts
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Topic: General Discussion / What has gone wrong with Lantus adjustments
Hi Simon, Just one observation. I would doubt that such a prolonged carb-free period is giving you an accurate picture. The body needs carbohydrate, if it is completely deprived of it then it starts to compensate. These compensatory actions can be harmful to you and can result in misinterpretation of your results. Novorapidboi's suggestion of concentrating on night then day is an excellent suggestion, but I would go further. I would suggest carb-free every other day or even every two days. You don't need to keep yourself on too tight a leash. I'm still in reasonable shape after 34 years, most of which did not have the benefit of the DAFNE procedure. Best Wishes, Roger |
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Apr 12, 2012
Ahmentep
99 posts
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Topic: Questions for HCPs / High Blood Pressure Hi guys,My BP usually hovers around 175/65 but on Feb 1st I was at Monklands Gen. Hosp. for other reasons and my BP was tested as a matter of procedure. It was 234/84. They didn't believe the machine and said it must be a fault as it couldn't be that high. I told them that it had been way over 200 several times in the past few months (I test regularly at home), so they did two more tests over the next half an hour (all at the same level) then told me that it was above the level at which they were obliged to do something, so I was immediately sent to casualty. I sat there for an hour or so then was looked at by a guy who said he didn't know what he was supposed to do with me. He tried to get hold of my medical notes, having noted that I had been sent down from the Diabetes Unit. After a very long wait he gave up on trying to get my notes and asked me what medication I was on. Fortunately I had in my pocket a repeat prescription list which I gave him. Looking at this he said "You shouldn't be taking Meloxicam with Lisinopril! Stop taking the Meloxicam immediately and get your GP to check your BP and put you on a 24 hour BP check". I did all of this, and the hospital sent a letter to my GP confirming all of this. Within 48 hours of stopping my Meloxicam my BP dropped from the 180 -190 it had been at to the 155 - 165 level and has since risen to 165 - 175 most of the time, although it was just over 200 a few days ago. So, look carefully at the leaflets for all the medication you take. Take particular note of the contra-indications! Roger |
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Apr 11, 2012
JayBee
587 posts
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Topic: Questions for HCPs / Dawn Phenomenon possibility? Here's the past few days results.Thanks for the feedback NB. I did put it up again (20 to 22 eve BI)... I think I've hit at least near a wall now... I didn't hypo, but I came pretty bloody close... however due to the walk I did to go see family, etc, I'm not going to put it back down just yet. (If I'm honest, I'm quite pleased with today's (11/04/12) results in particular... definitely getting there!) My partner and I are going to work a bit harder through this working out period to eat less in a split dose fashion as you suggest... a lot of the time it's stuff like ice cream from a tub but that can easily be a different option (eg, ice cream on a stick)! Take care. |
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Apr 11, 2012
SA2010
69 posts
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Topic: General Discussion / What has gone wrong with Lantus adjustments Hi AneleI do worry about the injection sites but I think they are ok. I am having the Lantus in the left thigh and the novarapid in the right thigh. I do try to move the injection point but do not always remember where exactly I injected last. With the carb free week there has been less novorapid so hopefully thigh had some rest. I am avoiding belly area because I have a hernia from previous operations and I am waiting for an op for it to be repaired. Not sure what happens after I have the stratus mesh inserted there but for now I am keeping away from the tummy. Strange results are baffling. There is evidence to suggest that higher insulin doses result in higher BG levels, I will start separate thread on this and do some researching first. Might explain why some people need loads of insulin compared to others - the more you inject the body gets moved to higher levels needing more insulin ... may be there are thresholds. Anyway will leave this crazy idea to another thread, |