Recent Posts - DAFNE Online

Mar 29, 2012

novorapidboi26 1,819 posts

Not on a pump, but the bolus dosing principals would still be the same I believe...............

Its all about timing, you should consider extending the time between dosing and eating in order to allow the insulin to get started.

However there should be other options available to you like the dual wave function etc..........so you can take a portion of the dose straight away then have the rest delivered over a certain period etc.....

As a non pumper I am unfamiliar with the effectiveness of these functions and everyone is different obviously.......

First step would be to give your dose 15 minutes at least, before you eat, increasing if the spike is too high..........and remember meals with high fat content, like pizza can have a delayed output of glucose....this is where the dual wave function could come in handy..........but I suspect your diet will be low carb and healthy seeing as you are trying to conceive...........

How long have you had the pump and do they have these functions..........?

Mar 29, 2012

sugarplum 9 posts

Topic: Questions for HCPs / Spikes

Hi everybody
Can anybody help me with how to get my glucose levels below 7.8 an hour after eating please?
I am in pre-conception care
Pump user
Cut my carbohydrate portions down to below 50 grams per meal
No matter what I do it just doesn't seem to work!

Any advice greatly appreciated.
Many thanks

Mar 29, 2012

novorapidboi26 1,819 posts

Topic: General Discussion / new to DAFNE

Welcome to the forum....................

Your corrections may work sometimes but not others because you need more units the higher your BG is, so the rule that 1 unit drops your BG by 2-3mmol/l will not work at higher levels, you will need to test and experiment to find out what levels need what correction......

You seem to be having quite a lot of hypos, are you recently diagnosed?

I ask this because you are on a 1:1 ratio for the second half of the day but are still getting them. Suggestions to split your dose are recommended from me too, even if its Lantus, but preferably Levemir. It does mean an extra injection unfortunately but your background needs will be changing by the hour so splitting it up into AM and PM will be most effective.......

Its obvious that your overnight needs are considerably smaller than your daytime, so without a split it will never be right.....

you mention a problem with injection, if you want to chat about it, here is the place to do it........ Wink

Mar 29, 2012

Alun marshall 5 posts

Topic: Questions for HCPs / Pain in my hand and arm

Thanks Garry I find that reassuring Laughing

I maybe better trying to get seen at the clinic instead of the doctors.

Mar 29, 2012

claire88 5 posts

Topic: General Discussion / new to DAFNE

Hi Garry thanks for your reply, i have done some 3am tests before and they were generally quite low which is scary as im sure i sleep through the hypos sometimes and wake up feeling terrible. my BI is lantus and QA novorapid i thught about splitting the dose but really trying to avoid more injesctions (i have huge issues with needles..best not to ask) Sad

also i dont understand why the corrections dont work sometimes (23-03-12) yet do at others.

Garry said:
Welcome to the forum
Good to see that you are using the online diary.
Like to encourage you to do a BG every day before bed to help you understand what goes on overnight and add some 03:00 am tests too to help get your BI right.
Slowly does it though.
May I ask what BI you use?
Personally I split my Lantus BI taking equal amounts at around 06:30 and 18:30 each day with breakfast and dinner respectively.
Will take some time to get things right. Don't be discouraged. We are all our own worst critics.
Your results are comparitively good...not many green figures show yet, but with a controlled structured approach they will improve.
Regards
Garry

Mar 29, 2012

Garry 328 posts

Topic: General Discussion / new to DAFNE

Welcome to the forum Smile

Good to see that you are using the online diary.
Like to encourage you to do a BG every day before bed to help you understand what goes on overnight and add some 03:00 am tests too to help get your BI right.
Slowly does it though.
May I ask what BI you use?
Personally I split my Lantus BI taking equal amounts at around 06:30 and 18:30 each day with breakfast and dinner respectively.
Will take some time to get things right. Don't be discouraged. We are all our own worst critics.
Your results are comparitively good...not many green figures show yet, but with a controlled structured approach they will improve.
Regards
Garry

Mar 29, 2012

Garry 328 posts

Topic: Questions for HCPs / Pain in my hand and arm

My consutant is an upper limb specialist and he organised the nerve conduction tests needed to confirm CTS for me with medical physics department at the local NHS hospital.
The nerve conduction tests are a very odd experience Alun.
The lady technician looked at me a little wanly when I said "Don't electrocute all of me though!"
Regards
Garry

Mar 29, 2012

claire88 5 posts

Topic: General Discussion / new to DAFNE

Hello, im quite new to the DAFNE principles...and struggling to get control of my blood glucose readings. Any ideas???
Im grateful for any advice, main problem is that i still get hypos during the night yet ive tried putting BI dose down which makes all readings during the day very high, its one or the other and dont want either!

Mar 29, 2012

MARIER 42 posts

Topic: General Discussion / FreeStyle InsuLinx? Lancet device & lancets

Hi Guys i have this Item going to free home if anyone Interested
Marie

Mar 29, 2012

Simon Heller 46 posts

Topic: Questions for HCPs / Pain in my hand and arm

Alan, it might well be aggravated by occupation and of course there are other things it might be. You either need to be seen in your local diabetic clinic or your GP might refer you to an orthopaedic surgeon, ideally one who specialises in hand problems.
Simon

Mar 29, 2012

Alun marshall 5 posts

Topic: Questions for HCPs / Pain in my hand and arm

Hi Simon,would my job as a window cleaner make it worse and who would I need to contact to get a test?
Thanks alun

Mar 28, 2012

Adrian_Hill 8 posts

Topic: General Discussion / insulin resistance

Hi I am on 1g of the slow release metformin that is better of the stomach and it works well. I am currently on 16u of lantus, but find that metformin helps me keep my weight under control rather than reduce insulin by much. Before DAFNE I was on 60u of levimar and 1.5g of metformin. Better control, less snacking and better understanding of how diabetes works has made all the difference.

Mar 28, 2012

Simon Heller 46 posts

Topic: Questions for HCPs / Pain in my hand and arm

Hi Alun, Garry is right, this sounds like carpal tunnel syndrome which is common in people who have had diabetes a long time, it is easily diagnosed by nerve conduction tests which your diabetic clinic should be able to organise and a simple operation at the wrist usually cures it. It is probably more common in diabetes due to glucose attaching itself to tissue under the skin over the years and thickening the tissue.
Simon

Mar 28, 2012

Garry 328 posts

Topic: Questions for HCPs / Pain in my hand and arm

I too suffered pins and needles in the hands at different times. First my right and then left hand. Both were cured by carpel tunnel surgery.
We are as type 1s, particularly after my 33 years, so my Consultant Surgeon tells me, more prone to wall thickening of both nerve and tendon sleeves leading to nerve restriction and trigger finger problems.
Have also had two separate fingers fixed too.
I hope it is many years before any problems arise for you though.
Regards
Garry

Mar 28, 2012

Alun marshall 5 posts

Topic: Questions for HCPs / Pain in my hand and arm

Thanks for your reply,I recived an email from diabetes uk yesterday regarding pain in your hands and joints from having type 1 complications so that's made me a little but more paranoid I think Laughing

Mar 28, 2012

mfrancis 4 posts

Topic: Questions for HCPs / Pain in my hand and arm

Hi Alun, I also suffer with the same problems my doctors have told me the same as yours that I have tennis elbow, I asked the question of it being diabetic related and was told no.

Mar 28, 2012

vic demain 87 posts

Topic: General Discussion / Night time cycle ride.

Hi Jenny, sorry for the late reply. It is a charity ride where I am supporting Breakthrough Breast Cancer. Having not ridden a bike for 20+ years, its madness. Thanks for the brilliant advice, I will practise using your theory. Only trouble is, I don't like pasta, so potatoes it is!! Will try the bike shop, hadn't thought of that.

Mar 27, 2012

Alun marshall 5 posts

Topic: Questions for HCPs / Pain in my hand and arm

I've been having problems with pain in my elbow for a while now but it seems to be going down to my fingers mainly my middle one,It keeps getting really stuff that I'm having to crack it but it causing numbness in my hand when I do it also Ive been waking up with tingling in my hand and fingers in a morning.
I've been to the doctors and they said its tennis elbow and possibly carpel tunnel is there any chance that my type one could be the problem?
Thanks

Mar 27, 2012

novorapidboi26 1,819 posts

Topic: General Discussion / Should I lower my BI again?

Just from looking at the numbers there I would agree that you need to drop your BI dose............there isnt really a too low or too high dose, its just whatever your body needs...................just trust the readings you have in front of you.................

I know of a few folk that are on less than 8 units for the whole day, in fact, sometimes they need to throw out insulin, as it reaches its expiry before they get the chance to use it........... : Smile

What I would suggest is that you do some 3 am test just to get a full picture of whats going on. The 3 am test is most useful when you are waking high and want to see if an overnight hypo is responsible. This is not the case for you, but wise to record anyway...........

So, my advice would be to drop to 12, and do some 3am tests to see what the 12 is doing.........

Keep us posted.......... Laughing

Mar 27, 2012

novorapidboi26 1,819 posts

Topic: General Discussion / Levemir

You do have to take your quick acting insulin at every meal regardless of how many background injections you take, so there isn't a maximum amount of injections you should have or anything.........

The split of background dose allows you to cater for different [higher/lower] background needs in the am/pm portions of the day. The reality is that you true basal requirement will fluctuate all day by the hour, however this can only be catered for with a pump.....

I hope the Levemir does good things for you, it does for me.............. Very Happy

Mar 27, 2012

thebatoutofhull 60 posts

Topic: General Discussion / humalog

Had a similar need when travelling. In the Uk you can get (humalog) insulin from your nearest hospital accident and emergency dept. They should give you enough to tide you over before you see your GP. It was very quick. If you are abroad you can do the same but it can be a little more awkward. You use your European NHS insurance card (the old E111 substitute). You could go to a GP in whichever country and get a prescription. However you will get charged at the pharmacie and at the Dr's.

People change insulins, but it is usually done with a medics advice.

Mar 29, 2012 novorapidboi26 1,819 posts	Topic: Questions for HCPs / Spikes Not on a pump, but the bolus dosing principals would still be the same I believe............... Its all about timing, you should consider extending the time between dosing and eating in order to allow the insulin to get started. However there should be other options available to you like the dual wave function etc..........so you can take a portion of the dose straight away then have the rest delivered over a certain period etc..... As a non pumper I am unfamiliar with the effectiveness of these functions and everyone is different obviously....... First step would be to give your dose 15 minutes at least, before you eat, increasing if the spike is too high..........and remember meals with high fat content, like pizza can have a delayed output of glucose....this is where the dual wave function could come in handy..........but I suspect your diet will be low carb and healthy seeing as you are trying to conceive........... How long have you had the pump and do they have these functions..........?

Mar 29, 2012 sugarplum 9 posts	Topic: Questions for HCPs / Spikes Hi everybody Can anybody help me with how to get my glucose levels below 7.8 an hour after eating please? I am in pre-conception care Pump user Cut my carbohydrate portions down to below 50 grams per meal No matter what I do it just doesn't seem to work! Any advice greatly appreciated. Many thanks

Mar 29, 2012 novorapidboi26 1,819 posts	Topic: General Discussion / new to DAFNE Welcome to the forum.................... Your corrections may work sometimes but not others because you need more units the higher your BG is, so the rule that 1 unit drops your BG by 2-3mmol/l will not work at higher levels, you will need to test and experiment to find out what levels need what correction...... You seem to be having quite a lot of hypos, are you recently diagnosed? I ask this because you are on a 1:1 ratio for the second half of the day but are still getting them. Suggestions to split your dose are recommended from me too, even if its Lantus, but preferably Levemir. It does mean an extra injection unfortunately but your background needs will be changing by the hour so splitting it up into AM and PM will be most effective....... Its obvious that your overnight needs are considerably smaller than your daytime, so without a split it will never be right..... you mention a problem with injection, if you want to chat about it, here is the place to do it........

Mar 29, 2012 Alun marshall 5 posts	Topic: Questions for HCPs / Pain in my hand and arm Thanks Garry I find that reassuring I maybe better trying to get seen at the clinic instead of the doctors.

Mar 29, 2012 claire88 5 posts	Topic: General Discussion / new to DAFNE Hi Garry thanks for your reply, i have done some 3am tests before and they were generally quite low which is scary as im sure i sleep through the hypos sometimes and wake up feeling terrible. my BI is lantus and QA novorapid i thught about splitting the dose but really trying to avoid more injesctions (i have huge issues with needles..best not to ask) also i dont understand why the corrections dont work sometimes (23-03-12) yet do at others. Garry said: Welcome to the forum Good to see that you are using the online diary. Like to encourage you to do a BG every day before bed to help you understand what goes on overnight and add some 03:00 am tests too to help get your BI right. Slowly does it though. May I ask what BI you use? Personally I split my Lantus BI taking equal amounts at around 06:30 and 18:30 each day with breakfast and dinner respectively. Will take some time to get things right. Don't be discouraged. We are all our own worst critics. Your results are comparitively good...not many green figures show yet, but with a controlled structured approach they will improve. Regards Garry

Mar 29, 2012 Garry 328 posts	Topic: General Discussion / new to DAFNE Welcome to the forum Good to see that you are using the online diary. Like to encourage you to do a BG every day before bed to help you understand what goes on overnight and add some 03:00 am tests too to help get your BI right. Slowly does it though. May I ask what BI you use? Personally I split my Lantus BI taking equal amounts at around 06:30 and 18:30 each day with breakfast and dinner respectively. Will take some time to get things right. Don't be discouraged. We are all our own worst critics. Your results are comparitively good...not many green figures show yet, but with a controlled structured approach they will improve. Regards Garry

Mar 29, 2012 Garry 328 posts	Topic: Questions for HCPs / Pain in my hand and arm My consutant is an upper limb specialist and he organised the nerve conduction tests needed to confirm CTS for me with medical physics department at the local NHS hospital. The nerve conduction tests are a very odd experience Alun. The lady technician looked at me a little wanly when I said "Don't electrocute all of me though!" Regards Garry

Mar 29, 2012 claire88 5 posts	Topic: General Discussion / new to DAFNE Hello, im quite new to the DAFNE principles...and struggling to get control of my blood glucose readings. Any ideas??? Im grateful for any advice, main problem is that i still get hypos during the night yet ive tried putting BI dose down which makes all readings during the day very high, its one or the other and dont want either!

Mar 29, 2012 MARIER 42 posts	Topic: General Discussion / FreeStyle InsuLinx? Lancet device & lancets Hi Guys i have this Item going to free home if anyone Interested Marie

Mar 29, 2012 Simon Heller 46 posts	Topic: Questions for HCPs / Pain in my hand and arm Alan, it might well be aggravated by occupation and of course there are other things it might be. You either need to be seen in your local diabetic clinic or your GP might refer you to an orthopaedic surgeon, ideally one who specialises in hand problems. Simon

Mar 29, 2012 Alun marshall 5 posts	Topic: Questions for HCPs / Pain in my hand and arm Hi Simon,would my job as a window cleaner make it worse and who would I need to contact to get a test? Thanks alun

Mar 28, 2012 Adrian_Hill 8 posts	Topic: General Discussion / insulin resistance Hi I am on 1g of the slow release metformin that is better of the stomach and it works well. I am currently on 16u of lantus, but find that metformin helps me keep my weight under control rather than reduce insulin by much. Before DAFNE I was on 60u of levimar and 1.5g of metformin. Better control, less snacking and better understanding of how diabetes works has made all the difference.

Mar 28, 2012 Simon Heller 46 posts	Topic: Questions for HCPs / Pain in my hand and arm Hi Alun, Garry is right, this sounds like carpal tunnel syndrome which is common in people who have had diabetes a long time, it is easily diagnosed by nerve conduction tests which your diabetic clinic should be able to organise and a simple operation at the wrist usually cures it. It is probably more common in diabetes due to glucose attaching itself to tissue under the skin over the years and thickening the tissue. Simon

Mar 28, 2012 Garry 328 posts	Topic: Questions for HCPs / Pain in my hand and arm I too suffered pins and needles in the hands at different times. First my right and then left hand. Both were cured by carpel tunnel surgery. We are as type 1s, particularly after my 33 years, so my Consultant Surgeon tells me, more prone to wall thickening of both nerve and tendon sleeves leading to nerve restriction and trigger finger problems. Have also had two separate fingers fixed too. I hope it is many years before any problems arise for you though. Regards Garry

Mar 28, 2012 Alun marshall 5 posts	Topic: Questions for HCPs / Pain in my hand and arm Thanks for your reply,I recived an email from diabetes uk yesterday regarding pain in your hands and joints from having type 1 complications so that's made me a little but more paranoid I think

Mar 28, 2012 mfrancis 4 posts	Topic: Questions for HCPs / Pain in my hand and arm Hi Alun, I also suffer with the same problems my doctors have told me the same as yours that I have tennis elbow, I asked the question of it being diabetic related and was told no.

Mar 28, 2012 vic demain 87 posts	Topic: General Discussion / Night time cycle ride. Hi Jenny, sorry for the late reply. It is a charity ride where I am supporting Breakthrough Breast Cancer. Having not ridden a bike for 20+ years, its madness. Thanks for the brilliant advice, I will practise using your theory. Only trouble is, I don't like pasta, so potatoes it is!! Will try the bike shop, hadn't thought of that.

Mar 27, 2012 Alun marshall 5 posts	Topic: Questions for HCPs / Pain in my hand and arm I've been having problems with pain in my elbow for a while now but it seems to be going down to my fingers mainly my middle one,It keeps getting really stuff that I'm having to crack it but it causing numbness in my hand when I do it also Ive been waking up with tingling in my hand and fingers in a morning. I've been to the doctors and they said its tennis elbow and possibly carpel tunnel is there any chance that my type one could be the problem? Thanks

Mar 27, 2012 novorapidboi26 1,819 posts	Topic: General Discussion / Should I lower my BI again? Just from looking at the numbers there I would agree that you need to drop your BI dose............there isnt really a too low or too high dose, its just whatever your body needs...................just trust the readings you have in front of you................. I know of a few folk that are on less than 8 units for the whole day, in fact, sometimes they need to throw out insulin, as it reaches its expiry before they get the chance to use it........... : What I would suggest is that you do some 3 am test just to get a full picture of whats going on. The 3 am test is most useful when you are waking high and want to see if an overnight hypo is responsible. This is not the case for you, but wise to record anyway........... So, my advice would be to drop to 12, and do some 3am tests to see what the 12 is doing......... Keep us posted..........

Mar 27, 2012 novorapidboi26 1,819 posts	Topic: General Discussion / Levemir You do have to take your quick acting insulin at every meal regardless of how many background injections you take, so there isn't a maximum amount of injections you should have or anything......... The split of background dose allows you to cater for different [higher/lower] background needs in the am/pm portions of the day. The reality is that you true basal requirement will fluctuate all day by the hour, however this can only be catered for with a pump..... I hope the Levemir does good things for you, it does for me..............

Mar 27, 2012 thebatoutofhull 60 posts	Topic: General Discussion / humalog Had a similar need when travelling. In the Uk you can get (humalog) insulin from your nearest hospital accident and emergency dept. They should give you enough to tide you over before you see your GP. It was very quick. If you are abroad you can do the same but it can be a little more awkward. You use your European NHS insurance card (the old E111 substitute). You could go to a GP in whichever country and get a prescription. However you will get charged at the pharmacie and at the Dr's. People change insulins, but it is usually done with a medics advice.