Recent Posts - DAFNE Online

Apr 10, 2012

novorapidboi26 1,819 posts

Topic: Questions for HCPs / Dawn Phenomenon possibility?

It would be hard to answer your question as there is still too many variables on the page......you took 4 correction instead of your normal 5, this is an additional change to your BI change, so it could have contributed to your blood sugar level.............on the Saturday it seems you had some more carbs after dinner, desert maybe, this is an additional dose with its own profile, this too could have contributed to blood sugar levels.......by 00:33 you are still really high, is this BI or QA? It would seem QA as your BG then dropped by 3am [you had correction] and it still went up by morning.........

So lots of variables as I say, you need to eliminate as many as possible to get accurate results that can be used.......

When basal testing overnight, try to be strict, try and refrain from supper, and try and decide on what your dinner will be, including desserts/snacks after the main meal, before your eat.........

I would get a few nights like the one described above, just to be sure if you need more.......my strategy would be to increase the PM BI dose until you go low before or at the 3am mark, then you know your maximum dose for overnight.

If still high by morning, the DP is beginning after 3am and you may need to bring your time forward to later on, before bed even........this will give your BI dose more of a kick and longer duration while still holding your levels steady......

Apr 10, 2012

novorapidboi26 1,819 posts

Topic: General Discussion / Levemir doses

AM - 6:40 Monday to Friday - 30

PM 22:00 - Monday to Friday - 36

I weight 18 stone, 6 foot tall.............so more needed for me obviously.................but you should never think of doses at too much, you need whatever you need, simple as that.........in terms of BG control anyway, obviously you don't want to be overweight and you want to be taking as little insulin as possible.........but that's another hurdle to jump........... Wink

Apr 9, 2012

Anele46 109 posts

Topic: General Discussion / DAFNE Follow-on Training

Hi Peter,
Completed mine, sorry, thought I had done this already.

Cheers,
Anele.

Apr 9, 2012

Anele46 109 posts

Topic: General Discussion / The Best Meter?

Thanks very much DaveDee and Garry for your comments, I have dealt with Abbot in the past to get spare batteries and they have always been excellent to deal with and have sent out batteries and control solution very quickly with no issues.
I do prefer the Xceed for most things, epecially not having to worry about forgetting to charge it as the meter prompts you when the battery is running low giving you plenty of time to get a replacement before it dies whereas having had my Xceed for over two years now I would worry about forgetting to charge the Contour and from experience with Lithium rechargeable batteries they have a limited lifespan and is best to run the battery flat before charging to preserve the lifespan of the battery but wouldn't be able do it with the Contour and can see my self dashing out and leaving it plugged into the Mac or Mains.
Didn't know about the CoPilot software, must check it out however I tend to eport my Diary and use the Graphs from the DAFNE website but will definitely have a look Smile

Hmmm, think I may be swinging back round to my Xceed Very Happy

Cheers,
Anele.

Apr 9, 2012

moflaherty 5 posts

Topic: Carbohydrate Counting / Croissant the Rubicon

Thanks for that.

Apr 9, 2012

JayBee 587 posts

Topic: Questions for HCPs / Dawn Phenomenon possibility?

How interesting... and frustrating... looks like it's been made worse! XD
Do I really need more than 20 BI in the evening? Let's see what happens tomorrow I guess.

Apr 9, 2012

Peter 109 posts

Topic: General Discussion / DAFNE Follow-on Training

The DAFNE User Action Group (DUAG) is still looking for your feedback on the type of follow-on training being offered to graduates, and whether or not it meets your needs. If you haven't yet completed the short survey (10 questions), please take the time to do so. We would like the data we have to be as representative as possible of the community.

The survey can be found here: DAFNE Follow-on Training Survey

Many thanks.

Apr 9, 2012

JayBee 587 posts

Topic: General Discussion / Levemir doses

Hi all.

There seems to be quite a few threads about Levemir timings but I'm very curious about doses right now... and total taken.

I currently take:

Morning BI 9, between 6.46am and 8am (whenever I wake up, I aim for 7am mostly)

Evening BI 20, between 6.30pm and 8pm (aim for 7pm)

My over night dose does not seem to be enough, hence this thread because 20 already seems a lot...

My total is 29. What's yours?

Many thanks advance! Smile

Apr 9, 2012

Darren.w. 9 posts

Topic: Questions for HCPs / Doctors

Thanks Stew,

Answers that one.
some times when you just want general answers like new dairies etc it just seems silly that they cant answer them.
Confused

Apr 9, 2012

Stew B 125 posts

Topic: Questions for HCPs / Doctors

I think there's an issue about confidentiality for some NHS organisations - this is an open forum, and posting advice / info about individual patients might be construed by some employers as breaching confidentiality. Even sharing / commenting on BG diaries in a non-secure environment can be seen as potentially risky (we in the public sector have become increasingly risk-averse, to a degree that is seen as ridiculous by many) Sad

.

Stew

Apr 9, 2012

Darren.w. 9 posts

Topic: Questions for HCPs / Doctors

Hi, All

Why do the doctors from glan clwyd hospital never use this site/ forum and there always tell us how good it is. Yes this site is great and full of help and info from other diabetics, but the doc's never use it.

Apr 9, 2012

Darren.w. 9 posts

Topic: General Discussion / Holiday turkey

Thanks Natalie,
I'm not going for a few weeks yet so i still have time to get hold of them.

Apr 8, 2012

novorapidboi26 1,819 posts

Topic: General Discussion / raised blood sugar after hypo.

Natalie,

How many CPs of the lucozade and dextrose are you having....

Apr 8, 2012

Natalie b 2 posts

Topic: General Discussion / raised blood sugar after hypo.

What do you use to treat your hypo? If I have lucozade I find my levels go very high. If I have dextrose tablets the level later on is about 10 which is alot better.
Natb

Apr 8, 2012

Natalie b 2 posts

Topic: General Discussion / Holiday turkey

Hi there Darren,
I went to turkey October 2010 and my diabetic nurse did a letter for me to take away with me. There was no charge.
Hope you have a great time.
Natb Very Happy

Apr 8, 2012

novorapidboi26 1,819 posts

Topic: Questions for HCPs / Dawn Phenomenon possibility?

i agree............... Wink

Apr 8, 2012

novorapidboi26 1,819 posts

Topic: Carbohydrate Counting / Croissant the Rubicon

your injection site will definitely be playing a part if you have got problems there, if you do you should really get into the habit of injecting elsewhere, like your arms maybe......

in all honesty i actually never heard of the 4 unit maximum when doing dafne, however i then discovered it was a number in place when attending the course, so purely for safety reasons, so now your out, if you have attended a course, i would disregard that maximum.....

what if you were 23mmol/l, take 4 units..................unlikely.........

Apr 8, 2012

Stew B 125 posts

Topic: General Discussion / A Petition Regarding Changes to the NHS

I work in the "public sector", and have a fair amount to do with both practitioners and commissioners in various parts of my local NHS. I'm also a member of my GP practice's Patient Participation Group. Locally, the consortium which my practice is a member of is a pathfinder for GP Commissioning. So, I feel that I ought to have some kind of handle on both the nature and implications of the proposals.. Sadly (but far from surprisingly), things seem to be characterised by confusion and a very significant lack of detail. The Health Secretary's pause and reflection does not seem to have changed things or shone much light onto the exact nature of how priorities will be set or how services might be commissioned once the bill becomes an act. So it seems that at the moment the only judgements that can be made are political ones - on whether or not you agree with (what I see as) politically driven principles behind the proposed legislation. At the moment we have to take it on trust that the coalition's espoused aims to give more commissioning power to GPs can be delivered - there is no detail that shows how this will happen.

My own (perhaps ill-informed) anxiety is that GP Commissioning will lead to more post-code lotteries for people with diabetes (and other conditions of course). Budgets will be limited, commissioners will have to prioritise - with the risk that one commissioning group will see diabetes as a higher priority than its neighbour, leading to different levels of service depending on the area that you live (although I suppose it might be possible to "choose" a GP practise in an area where diabetes is a high priority).

I must stress that this is speculation on my part - I am sure that there are better informed people able to reassure me that I'm worrying unnecessarily.

Stew

Apr 8, 2012

JayBee 587 posts

Topic: Questions for HCPs / Dawn Phenomenon possibility?

Here we go...

After chatting to my partner, I'm planning to put my evening BI up tonight from 18 to 20. The whole waking up at 12-14 pattern is too frequent to ignore especially now this has been seen (a repeat of the last time I looked but concentrated on before bed first).

Let's do this.

Apr 7, 2012

SA2010 69 posts

Topic: General Discussion / A Petition Regarding Changes to the NHS

I've just come across this. Agree that politics should be off the forum but this bill is relevant to us all here and it would be right to discuss it. I do not know the details but one thing I would be strongly against is give responsibility to GPs. GPs cannot cope with their own surgery let alone have more responsibility. May be it is the right LONG TERM aim but there would be a lot of pain on the way. If it does go ahead I can see years later will probably have different tiers (just like trusts) and there will be the good clinics (like Foundation Trusts) and the laggers behind and in time - a very long time - things might turn round. Not in our lifetime. Anyway - the e-petition would need a lot of visibility - with under 200,000 signatories it won't stand a chance - not on its own. The government see all this just as resistance to change and we all know that it is human nature to resist change.

I wonder who the GPs would expect to tell them how many BG test strips one is allowed to have on prescription a day when the hospitals are not controlling our care.

The NHS does need to change and you do need proper controls and measures and measures refined all the time so as to stop them being got round and to always give a true reflection of patient care. But giving it to GPs to control is wrong and if it is the right long term strategy then we can transition to it a little bit at a time.

I

Apr 7, 2012

moflaherty 5 posts

Topic: Carbohydrate Counting / Croissant the Rubicon

BG was 10.8 before breakfast. Possible dawn phenomenon.

I generally apply a correction of 1iu for each 2mmol over target hence a correction of +2. On the higher end but necessary I find.

No I did'nt realise there were different corrections for higher BGs. Hands up! I just stuck to the maximum limit of 4. Will check the big orange book again.

I was'nt singling out the croissants just because they are French (though that is a good reason), but I have noticed this effect before which is why I rarely eat them.

I guess the mid-way correction was a hasty reaction to a very elevated BG reading. But dealing with high BGs quickly has kept me alive and complication free for the 34 years leading up to DAFNE.

I suppose I should get to grips with the online diary. Watch this space.

I think the possibilities are:
1) Lipoatrophy which was spotted in the middle of my stomach late last year after which I switched things around a little. The croissant breakfast was in a hotel so I reverted to the easiest most discrete spot which is the middle part of the stomach.
2) Crazy Croissant phenomenon.....less likely I think but I will continue the research

Thanks for the advice

Apr 7, 2012

SA2010 69 posts

Topic: General Discussion / Lantus Solostar pre-filled pen releasing insulin when pressed on zero setting

Sanofi UK have responded saying NO FAULT FOUND. The feedback from their manufacturing site stated that the returned sample was found to be working correctly and compliant with the specification and the concentration of the insulin was within the specification and no fault could be detected. Other influences related to the therapy and interactions with other medications should be considered"

I wrote back referring to the "continuous dispensing of insulin (leakage) after reaching zero dose on the solostar pen"? Meanwhile I went back to counting one to ten as 1, 2, 3, 4.... and not as 1000, 2000, 3000, 4000... Have also just gone through period of carb free meals to make sure the split between the BI and QA is at the optimum level.

Apr 7, 2012

SA2010 69 posts

Topic: General Discussion / Calibrating split Lantus dose with Carb Free meals

A few months ago I split my 10 units of bedtime lantus dose to two doses settling to 5 at breakfast (between 8am and 9am) and 4 units at around 11pm with evening meal being between 7pm and 8:30pm and bedtime about 1am.

Found the split dose giving better results but there were still issues and my recent other change to count 1 to 10 as 1000, 2000, 3000 ... to 10,000 I think increased my Lantus dose because of the solostar continuous insulin leak after reaching zero (see other post). So decided to start at square one and work out my Lantus need with zero carb meals. Each adjustment to the background insulin takes 2 to 3 days to settle down so now I am in Day 5 of carb free food !! and it is looking all good except for last night woke up in the middle of the night and felt BG being low. It was 4.8.

Would be good to get extra pairs of eyes and some input from others as to what further adjustments I should do before going to normal meals and start re-calibrating my QA:CP ratios with the new optimum BI doses.

I am using half-units pen for the QA (Novopen 3 Demi for Novorapid) so the QA doses can be set more accurately and I have also shifted a bit from DAFNE ratios using fractions other than half-unit fractions for the ratios where I found it necessary. Looking at today and yesterday figures may be there is scope for increasing the morning Lantus - unfortunately there isn;t a half-unit solostar pen and would have to be a full unit.

Anyway - please have a browse at the diary and my figures and doses since starting the zero carbs meals on the 3rd of April

Thanks

Apr 7, 2012

JayBee 587 posts

Topic: Carbohydrate Counting / Croissant the Rubicon

2 CP sounds right so I wonder what's up? We need a lot more information than you've given. Try to use the diary feature on the App to post up some results to show the full picture.

Two hours is not a very long time to let your insulin work.. depending on what your insulin is, it can work from 2- 5 hours... are you definitely sure it's finished working?

Also, as NB is hinting, sometimes what you've eaten with it can affect what happens to your BG during the QA insulin working time, but as long as you check at the end of your QA insulin's working time, then you'll get a much clearer picture.

You really shouldn't be correcting mid-way between insulin working time, you might hypo and it means you have wait longer for your QA to finish.

I hope this makes sense... have you actually done the DAFNE course yet? You're giving the impression you haven't... take care.

Apr 7, 2012

JayBee 587 posts

Topic: Carbohydrate Counting / Snack Ideas - under 10g of carbs

I tend to have half a biscuit (hob nob or digestive, stuff like that or a small biscuit) usually (and give the other half to my partner!)... but that's only when I'm desperately hungry or something between meals. I try not to snack if I can.

Oh, I have also been known to have a vending machine hot chocolate. They're under 0.5CP - Klix for example! XD

Apr 10, 2012 novorapidboi26 1,819 posts	Topic: Questions for HCPs / Dawn Phenomenon possibility? It would be hard to answer your question as there is still too many variables on the page......you took 4 correction instead of your normal 5, this is an additional change to your BI change, so it could have contributed to your blood sugar level.............on the Saturday it seems you had some more carbs after dinner, desert maybe, this is an additional dose with its own profile, this too could have contributed to blood sugar levels.......by 00:33 you are still really high, is this BI or QA? It would seem QA as your BG then dropped by 3am [you had correction] and it still went up by morning......... So lots of variables as I say, you need to eliminate as many as possible to get accurate results that can be used....... When basal testing overnight, try to be strict, try and refrain from supper, and try and decide on what your dinner will be, including desserts/snacks after the main meal, before your eat......... I would get a few nights like the one described above, just to be sure if you need more.......my strategy would be to increase the PM BI dose until you go low before or at the 3am mark, then you know your maximum dose for overnight. If still high by morning, the DP is beginning after 3am and you may need to bring your time forward to later on, before bed even........this will give your BI dose more of a kick and longer duration while still holding your levels steady......

Apr 10, 2012 novorapidboi26 1,819 posts	Topic: General Discussion / Levemir doses AM - 6:40 Monday to Friday - 30 PM 22:00 - Monday to Friday - 36 I weight 18 stone, 6 foot tall.............so more needed for me obviously.................but you should never think of doses at too much, you need whatever you need, simple as that.........in terms of BG control anyway, obviously you don't want to be overweight and you want to be taking as little insulin as possible.........but that's another hurdle to jump...........

Apr 9, 2012 Anele46 109 posts	Topic: General Discussion / DAFNE Follow-on Training Hi Peter, Completed mine, sorry, thought I had done this already. Cheers, Anele.

Apr 9, 2012 Anele46 109 posts	Topic: General Discussion / The Best Meter? Thanks very much DaveDee and Garry for your comments, I have dealt with Abbot in the past to get spare batteries and they have always been excellent to deal with and have sent out batteries and control solution very quickly with no issues. I do prefer the Xceed for most things, epecially not having to worry about forgetting to charge it as the meter prompts you when the battery is running low giving you plenty of time to get a replacement before it dies whereas having had my Xceed for over two years now I would worry about forgetting to charge the Contour and from experience with Lithium rechargeable batteries they have a limited lifespan and is best to run the battery flat before charging to preserve the lifespan of the battery but wouldn't be able do it with the Contour and can see my self dashing out and leaving it plugged into the Mac or Mains. Didn't know about the CoPilot software, must check it out however I tend to eport my Diary and use the Graphs from the DAFNE website but will definitely have a look Hmmm, think I may be swinging back round to my Xceed Cheers, Anele.

Apr 9, 2012 moflaherty 5 posts	Topic: Carbohydrate Counting / Croissant the Rubicon Thanks for that.

Apr 9, 2012 JayBee 587 posts	Topic: Questions for HCPs / Dawn Phenomenon possibility? How interesting... and frustrating... looks like it's been made worse! XD Do I really need more than 20 BI in the evening? Let's see what happens tomorrow I guess.

Apr 9, 2012 Peter 109 posts	Topic: General Discussion / DAFNE Follow-on Training The DAFNE User Action Group (DUAG) is still looking for your feedback on the type of follow-on training being offered to graduates, and whether or not it meets your needs. If you haven't yet completed the short survey (10 questions), please take the time to do so. We would like the data we have to be as representative as possible of the community. The survey can be found here: DAFNE Follow-on Training Survey Many thanks.

Apr 9, 2012 JayBee 587 posts	Topic: General Discussion / Levemir doses Hi all. There seems to be quite a few threads about Levemir timings but I'm very curious about doses right now... and total taken. I currently take: Morning BI 9, between 6.46am and 8am (whenever I wake up, I aim for 7am mostly) Evening BI 20, between 6.30pm and 8pm (aim for 7pm) My over night dose does not seem to be enough, hence this thread because 20 already seems a lot... My total is 29. What's yours? Many thanks advance!

Apr 9, 2012 Darren.w. 9 posts	Topic: Questions for HCPs / Doctors Thanks Stew, Answers that one. some times when you just want general answers like new dairies etc it just seems silly that they cant answer them.

Apr 9, 2012 Stew B 125 posts	Topic: Questions for HCPs / Doctors I think there's an issue about confidentiality for some NHS organisations - this is an open forum, and posting advice / info about individual patients might be construed by some employers as breaching confidentiality. Even sharing / commenting on BG diaries in a non-secure environment can be seen as potentially risky (we in the public sector have become increasingly risk-averse, to a degree that is seen as ridiculous by many) . Stew

Apr 9, 2012 Darren.w. 9 posts	Topic: Questions for HCPs / Doctors Hi, All Why do the doctors from glan clwyd hospital never use this site/ forum and there always tell us how good it is. Yes this site is great and full of help and info from other diabetics, but the doc's never use it.

Apr 9, 2012 Darren.w. 9 posts	Topic: General Discussion / Holiday turkey Thanks Natalie, I'm not going for a few weeks yet so i still have time to get hold of them.

Apr 8, 2012 novorapidboi26 1,819 posts	Topic: General Discussion / raised blood sugar after hypo. Natalie, How many CPs of the lucozade and dextrose are you having....

Apr 8, 2012 Natalie b 2 posts	Topic: General Discussion / raised blood sugar after hypo. What do you use to treat your hypo? If I have lucozade I find my levels go very high. If I have dextrose tablets the level later on is about 10 which is alot better. Natb

Apr 8, 2012 Natalie b 2 posts	Topic: General Discussion / Holiday turkey Hi there Darren, I went to turkey October 2010 and my diabetic nurse did a letter for me to take away with me. There was no charge. Hope you have a great time. Natb

Apr 8, 2012 novorapidboi26 1,819 posts	Topic: Questions for HCPs / Dawn Phenomenon possibility? i agree...............

Apr 8, 2012 novorapidboi26 1,819 posts	Topic: Carbohydrate Counting / Croissant the Rubicon your injection site will definitely be playing a part if you have got problems there, if you do you should really get into the habit of injecting elsewhere, like your arms maybe...... in all honesty i actually never heard of the 4 unit maximum when doing dafne, however i then discovered it was a number in place when attending the course, so purely for safety reasons, so now your out, if you have attended a course, i would disregard that maximum..... what if you were 23mmol/l, take 4 units..................unlikely.........

Apr 8, 2012 Stew B 125 posts	Topic: General Discussion / A Petition Regarding Changes to the NHS I work in the "public sector", and have a fair amount to do with both practitioners and commissioners in various parts of my local NHS. I'm also a member of my GP practice's Patient Participation Group. Locally, the consortium which my practice is a member of is a pathfinder for GP Commissioning. So, I feel that I ought to have some kind of handle on both the nature and implications of the proposals.. Sadly (but far from surprisingly), things seem to be characterised by confusion and a very significant lack of detail. The Health Secretary's pause and reflection does not seem to have changed things or shone much light onto the exact nature of how priorities will be set or how services might be commissioned once the bill becomes an act. So it seems that at the moment the only judgements that can be made are political ones - on whether or not you agree with (what I see as) politically driven principles behind the proposed legislation. At the moment we have to take it on trust that the coalition's espoused aims to give more commissioning power to GPs can be delivered - there is no detail that shows how this will happen. My own (perhaps ill-informed) anxiety is that GP Commissioning will lead to more post-code lotteries for people with diabetes (and other conditions of course). Budgets will be limited, commissioners will have to prioritise - with the risk that one commissioning group will see diabetes as a higher priority than its neighbour, leading to different levels of service depending on the area that you live (although I suppose it might be possible to "choose" a GP practise in an area where diabetes is a high priority). I must stress that this is speculation on my part - I am sure that there are better informed people able to reassure me that I'm worrying unnecessarily. Stew

Apr 8, 2012 JayBee 587 posts	Topic: Questions for HCPs / Dawn Phenomenon possibility? Here we go... After chatting to my partner, I'm planning to put my evening BI up tonight from 18 to 20. The whole waking up at 12-14 pattern is too frequent to ignore especially now this has been seen (a repeat of the last time I looked but concentrated on before bed first). Let's do this.

Apr 7, 2012 SA2010 69 posts	Topic: General Discussion / A Petition Regarding Changes to the NHS I've just come across this. Agree that politics should be off the forum but this bill is relevant to us all here and it would be right to discuss it. I do not know the details but one thing I would be strongly against is give responsibility to GPs. GPs cannot cope with their own surgery let alone have more responsibility. May be it is the right LONG TERM aim but there would be a lot of pain on the way. If it does go ahead I can see years later will probably have different tiers (just like trusts) and there will be the good clinics (like Foundation Trusts) and the laggers behind and in time - a very long time - things might turn round. Not in our lifetime. Anyway - the e-petition would need a lot of visibility - with under 200,000 signatories it won't stand a chance - not on its own. The government see all this just as resistance to change and we all know that it is human nature to resist change. I wonder who the GPs would expect to tell them how many BG test strips one is allowed to have on prescription a day when the hospitals are not controlling our care. The NHS does need to change and you do need proper controls and measures and measures refined all the time so as to stop them being got round and to always give a true reflection of patient care. But giving it to GPs to control is wrong and if it is the right long term strategy then we can transition to it a little bit at a time. I

Apr 7, 2012 moflaherty 5 posts	Topic: Carbohydrate Counting / Croissant the Rubicon BG was 10.8 before breakfast. Possible dawn phenomenon. I generally apply a correction of 1iu for each 2mmol over target hence a correction of +2. On the higher end but necessary I find. No I did'nt realise there were different corrections for higher BGs. Hands up! I just stuck to the maximum limit of 4. Will check the big orange book again. I was'nt singling out the croissants just because they are French (though that is a good reason), but I have noticed this effect before which is why I rarely eat them. I guess the mid-way correction was a hasty reaction to a very elevated BG reading. But dealing with high BGs quickly has kept me alive and complication free for the 34 years leading up to DAFNE. I suppose I should get to grips with the online diary. Watch this space. I think the possibilities are: 1) Lipoatrophy which was spotted in the middle of my stomach late last year after which I switched things around a little. The croissant breakfast was in a hotel so I reverted to the easiest most discrete spot which is the middle part of the stomach. 2) Crazy Croissant phenomenon.....less likely I think but I will continue the research Thanks for the advice

Apr 7, 2012 SA2010 69 posts	Topic: General Discussion / Lantus Solostar pre-filled pen releasing insulin when pressed on zero setting Sanofi UK have responded saying NO FAULT FOUND. The feedback from their manufacturing site stated that the returned sample was found to be working correctly and compliant with the specification and the concentration of the insulin was within the specification and no fault could be detected. Other influences related to the therapy and interactions with other medications should be considered" I wrote back referring to the "continuous dispensing of insulin (leakage) after reaching zero dose on the solostar pen"? Meanwhile I went back to counting one to ten as 1, 2, 3, 4.... and not as 1000, 2000, 3000, 4000... Have also just gone through period of carb free meals to make sure the split between the BI and QA is at the optimum level.

Apr 7, 2012 SA2010 69 posts	Topic: General Discussion / Calibrating split Lantus dose with Carb Free meals A few months ago I split my 10 units of bedtime lantus dose to two doses settling to 5 at breakfast (between 8am and 9am) and 4 units at around 11pm with evening meal being between 7pm and 8:30pm and bedtime about 1am. Found the split dose giving better results but there were still issues and my recent other change to count 1 to 10 as 1000, 2000, 3000 ... to 10,000 I think increased my Lantus dose because of the solostar continuous insulin leak after reaching zero (see other post). So decided to start at square one and work out my Lantus need with zero carb meals. Each adjustment to the background insulin takes 2 to 3 days to settle down so now I am in Day 5 of carb free food !! and it is looking all good except for last night woke up in the middle of the night and felt BG being low. It was 4.8. Would be good to get extra pairs of eyes and some input from others as to what further adjustments I should do before going to normal meals and start re-calibrating my QA:CP ratios with the new optimum BI doses. I am using half-units pen for the QA (Novopen 3 Demi for Novorapid) so the QA doses can be set more accurately and I have also shifted a bit from DAFNE ratios using fractions other than half-unit fractions for the ratios where I found it necessary. Looking at today and yesterday figures may be there is scope for increasing the morning Lantus - unfortunately there isn;t a half-unit solostar pen and would have to be a full unit. Anyway - please have a browse at the diary and my figures and doses since starting the zero carbs meals on the 3rd of April Thanks

Apr 7, 2012 JayBee 587 posts	Topic: Carbohydrate Counting / Croissant the Rubicon 2 CP sounds right so I wonder what's up? We need a lot more information than you've given. Try to use the diary feature on the App to post up some results to show the full picture. Two hours is not a very long time to let your insulin work.. depending on what your insulin is, it can work from 2- 5 hours... are you definitely sure it's finished working? Also, as NB is hinting, sometimes what you've eaten with it can affect what happens to your BG during the QA insulin working time, but as long as you check at the end of your QA insulin's working time, then you'll get a much clearer picture. You really shouldn't be correcting mid-way between insulin working time, you might hypo and it means you have wait longer for your QA to finish. I hope this makes sense... have you actually done the DAFNE course yet? You're giving the impression you haven't... take care.

Apr 7, 2012 JayBee 587 posts	Topic: Carbohydrate Counting / Snack Ideas - under 10g of carbs I tend to have half a biscuit (hob nob or digestive, stuff like that or a small biscuit) usually (and give the other half to my partner!)... but that's only when I'm desperately hungry or something between meals. I try not to snack if I can. Oh, I have also been known to have a vending machine hot chocolate. They're under 0.5CP - Klix for example! XD