Recent Posts - DAFNE Online

Mar 11, 2019

novorapidboi26 1,819 posts

Topic: General Discussion / Quick Reference Guide?

I wouldn't mind having a look.....

Mar 1, 2019

NottsKnots 10 posts

Topic: General Discussion / Quick Reference Guide?

Well, I’ve drafted my own QRG. Its not had any kind of review by clinicians, so it cant be used iin any official capacity, but if anyone is interested in a copy, post here. I’ve done two formats, one in A5 booklet form so I can just refer to it occassionally, and one in “flash card” form.

Its all the same content, but the booklet has as an example, two pages on exercise on opposite pages so I can open the booklet and see both at the same time, whilst the cards has a card for exercise with the two pages on either side of the same sheet.

I started off thinking the flashcards was the way to go, but personally prefer the booklet layout, so I have both, and you’re welcome to try them out.

Topics covered:
Hypo rules (useful for other people!)
Sick day rules
Testing, and BI & QA
Stepwise approach & Snacks, and Treating BG below/above target
Eating out, and Alcohol (they generally go together Smile

Exercise, additional carbs, insulin adjustment
Travel and driving (the travel page is based on the site recommended on the DAFNE course, plus a bit of my own experience - I used to travel, a lot).

I’m open to suggestions/proof reading/medical opinion/simplifiication from anyone.

Mar 1, 2019

NottsKnots 10 posts

Topic: General Discussion / Type 1 Diabetics WANTED please! Short survey on the effects of different glucose monitoring systems.

I did the survey a few days ago; meeting up with the DAFNE course group again in a couple of weeks and will piont it out to them, so hopefully you’ll get a few more.

Feb 27, 2019

joelle20 3 posts

Topic: General Discussion / Type 1 Diabetics WANTED please! Short survey on the effects of different glucose monitoring systems.

michaelj said:
Had a problem with one question of academic achievement as I left school with no qualifications and there was no optoin for this. Other than that easy to do and not too time consuming

Hi Micheal, thanks so much for completing it that's great!!!! Very Happy

In terms of the highest level of education achieved question, the option 'Primary School' I believe would have been your answer. This would be for individuals who didn't complete GCSE's or equivalents. I hope this helps!

Feb 26, 2019

michaelj 45 posts

Topic: General Discussion / Type 1 Diabetics WANTED please! Short survey on the effects of different glucose monitoring systems.

Had a problem with one question of academic achievement as I left school with no qualifications and there was no optoin for this. Other than that easy to do and not too time consuming

Feb 24, 2019

NottsKnots 10 posts

Topic: General Discussion / recording diary entries when travelling across time zones

Diabetestravel.org has some pretty good advice for timezone travel here
http://diabetestravel.org/time-zones/

I’ve summarised it in my Dafne Quick Reference guide for my own travels and added my own personal experience as:

0-4 TZ, West: Delay next BI after departure to correct time in destination time zone.
4-12 TZ, West: Half BI at correct time in departure time zone. Change watch to destination time. Remaining half BI at correct time in destination time zone.

0-4TZ, East: Consider reducing next BI after departure by up to one quarter and take at correct time in destination time zone.
4-12TZ, East: Reduce next BI dose after departure, take at correct time in departure zone.
Dose = BI x (0.9 - (#Zones/24)) e.g. LHR to HKG crosses 8 zones, dose = 57% of normal.
Change watch to destination time. Take next full dose at correct time in destination zone.

In all cases, monitor and correct BG with QA following correction rules. Administer QA with meals as normal.

Those rules pretty much reflect what I used to do, but they stuck a nice formula rather than my “best guess” adjustments, and they missed out the monitor and correct bit. Your doses will never be spot on whilst crossing TZs, and you physical activity is all messed up (hours of sitting doing nothing, followed by a burst of walking miles and weight lifting luggage, so monitoring is important. Make sure you have some insulin active when coming in to land, and some carbs in your system, or the exercise at the destination could push your BG high. Stanstead is a low exercise airport, but Heathrow, well its a marathon to get anywhere. Good luck.

Feb 21, 2019

CHUW 1 post

Topic: General Discussion / Ketones and high blood sugar reading

Coleen said:
I am finding it really hard to get my blood sugars down I am hardly eating and yet my blood sugars are high and my ketones are anyone know anything that I can do to bring them down I think it maybe down to having a really bad cold

The links are very helpful but beware as I spent a night in hospital as a result of ketoacidosis caused by a bad cold
It happened very suddenly and I felt extremely ill
I would say monitor very carefully and see your doctor if you are worried
Clare

Feb 21, 2019

The Chief 2 posts

Topic: General Discussion / recording diary entries when travelling across time zones

I always struggle to remember how I should deal with travelling long haul and recording my blood sugars on the DAFNE app.

I normally keep my meter set to UK time until I arrive at my destination then adjust accordingly. Similarly on return I keep the meter set to departure time zone until back in the UK. This latter approach causes issues especially when travelling east west

Is there a better way?

Any tips out there?

As far as BI is concerned I usually adjust the dose according to the number of hours time difference. I split my BI into 8 am/4 night. So if there is a 4 hour difference travelling west/east at night I'll reduce the BI by 4/12 to compensate for the 4 hours shorter day. Travelling East/west I increase the BI to compensate for the longer day.

again Am I right or does anyone know a better way?

Thanks

Feb 19, 2019

Coleen 3 posts

Topic: General Discussion / Ketones and high blood sugar reading

sjohno said:
http://www.dafneonline.co.uk/hbook_topics/47

The above link in DAFNE will explain what you can follow, hope this helps.

Sarah

thank you

Feb 19, 2019

sjohno 37 posts

Topic: General Discussion / Ketones and high blood sugar reading

http://www.dafneonline.co.uk/hbook_topics/47

The above link in DAFNE will explain what you can follow, hope this helps.

Sarah

Feb 19, 2019

Coleen 3 posts

Topic: General Discussion / Ketones and high blood sugar reading

I am finding it really hard to get my blood sugars down I am hardly eating and yet my blood sugars are high and my ketones are anyone know anything that I can do to bring them down I think it maybe down to having a really bad cold Rolling Eyes

Feb 19, 2019

Coleen 3 posts

Topic: General Discussion / Ketones and high blood sugar reading

I am finding it really hard to get my blood sugars down I am hardly eating and yet my blood sugars are high and my ketones are anyone know anything that I can do to bring them down I think it maybe down to having a really bad cold Rolling Eyes


Mar 11, 2019 novorapidboi26 1,819 posts	Topic: General Discussion / Quick Reference Guide? I wouldn't mind having a look.....

Mar 1, 2019 NottsKnots 10 posts	Topic: General Discussion / Quick Reference Guide? Well, I’ve drafted my own QRG. Its not had any kind of review by clinicians, so it cant be used iin any official capacity, but if anyone is interested in a copy, post here. I’ve done two formats, one in A5 booklet form so I can just refer to it occassionally, and one in “flash card” form. Its all the same content, but the booklet has as an example, two pages on exercise on opposite pages so I can open the booklet and see both at the same time, whilst the cards has a card for exercise with the two pages on either side of the same sheet. I started off thinking the flashcards was the way to go, but personally prefer the booklet layout, so I have both, and you’re welcome to try them out. Topics covered: Hypo rules (useful for other people!) Sick day rules Testing, and BI & QA Stepwise approach & Snacks, and Treating BG below/above target Eating out, and Alcohol (they generally go together Exercise, additional carbs, insulin adjustment Travel and driving (the travel page is based on the site recommended on the DAFNE course, plus a bit of my own experience - I used to travel, a lot). I’m open to suggestions/proof reading/medical opinion/simplifiication from anyone.

Mar 1, 2019 NottsKnots 10 posts	Topic: General Discussion / Type 1 Diabetics WANTED please! Short survey on the effects of different glucose monitoring systems. I did the survey a few days ago; meeting up with the DAFNE course group again in a couple of weeks and will piont it out to them, so hopefully you’ll get a few more.

Feb 27, 2019 joelle20 3 posts	Topic: General Discussion / Type 1 Diabetics WANTED please! Short survey on the effects of different glucose monitoring systems. michaelj said: Had a problem with one question of academic achievement as I left school with no qualifications and there was no optoin for this. Other than that easy to do and not too time consuming Hi Micheal, thanks so much for completing it that's great!!!! In terms of the highest level of education achieved question, the option 'Primary School' I believe would have been your answer. This would be for individuals who didn't complete GCSE's or equivalents. I hope this helps!

Feb 26, 2019 michaelj 45 posts	Topic: General Discussion / Type 1 Diabetics WANTED please! Short survey on the effects of different glucose monitoring systems. Had a problem with one question of academic achievement as I left school with no qualifications and there was no optoin for this. Other than that easy to do and not too time consuming

Feb 24, 2019 NottsKnots 10 posts	Topic: General Discussion / recording diary entries when travelling across time zones Diabetestravel.org has some pretty good advice for timezone travel here http://diabetestravel.org/time-zones/ I’ve summarised it in my Dafne Quick Reference guide for my own travels and added my own personal experience as: 0-4 TZ, West: Delay next BI after departure to correct time in destination time zone. 4-12 TZ, West: Half BI at correct time in departure time zone. Change watch to destination time. Remaining half BI at correct time in destination time zone. 0-4TZ, East: Consider reducing next BI after departure by up to one quarter and take at correct time in destination time zone. 4-12TZ, East: Reduce next BI dose after departure, take at correct time in departure zone. Dose = BI x (0.9 - (#Zones/24)) e.g. LHR to HKG crosses 8 zones, dose = 57% of normal. Change watch to destination time. Take next full dose at correct time in destination zone. In all cases, monitor and correct BG with QA following correction rules. Administer QA with meals as normal. Those rules pretty much reflect what I used to do, but they stuck a nice formula rather than my “best guess” adjustments, and they missed out the monitor and correct bit. Your doses will never be spot on whilst crossing TZs, and you physical activity is all messed up (hours of sitting doing nothing, followed by a burst of walking miles and weight lifting luggage, so monitoring is important. Make sure you have some insulin active when coming in to land, and some carbs in your system, or the exercise at the destination could push your BG high. Stanstead is a low exercise airport, but Heathrow, well its a marathon to get anywhere. Good luck.

Feb 21, 2019 CHUW 1 post	Topic: General Discussion / Ketones and high blood sugar reading Coleen said: I am finding it really hard to get my blood sugars down I am hardly eating and yet my blood sugars are high and my ketones are anyone know anything that I can do to bring them down I think it maybe down to having a really bad cold The links are very helpful but beware as I spent a night in hospital as a result of ketoacidosis caused by a bad cold It happened very suddenly and I felt extremely ill I would say monitor very carefully and see your doctor if you are worried Clare

Feb 21, 2019 The Chief 2 posts	Topic: General Discussion / recording diary entries when travelling across time zones I always struggle to remember how I should deal with travelling long haul and recording my blood sugars on the DAFNE app. I normally keep my meter set to UK time until I arrive at my destination then adjust accordingly. Similarly on return I keep the meter set to departure time zone until back in the UK. This latter approach causes issues especially when travelling east west Is there a better way? Any tips out there? As far as BI is concerned I usually adjust the dose according to the number of hours time difference. I split my BI into 8 am/4 night. So if there is a 4 hour difference travelling west/east at night I'll reduce the BI by 4/12 to compensate for the 4 hours shorter day. Travelling East/west I increase the BI to compensate for the longer day. again Am I right or does anyone know a better way? Thanks

Feb 19, 2019 Coleen 3 posts	Topic: General Discussion / Ketones and high blood sugar reading sjohno said: http://www.dafneonline.co.uk/hbook_topics/47 The above link in DAFNE will explain what you can follow, hope this helps. Sarah thank you

Feb 19, 2019 sjohno 37 posts	Topic: General Discussion / Ketones and high blood sugar reading http://www.dafneonline.co.uk/hbook_topics/47 The above link in DAFNE will explain what you can follow, hope this helps. Sarah

Feb 19, 2019 Coleen 3 posts	Topic: General Discussion / Ketones and high blood sugar reading I am finding it really hard to get my blood sugars down I am hardly eating and yet my blood sugars are high and my ketones are anyone know anything that I can do to bring them down I think it maybe down to having a really bad cold

Feb 19, 2019 Coleen 3 posts	Topic: General Discussion / Ketones and high blood sugar reading I am finding it really hard to get my blood sugars down I am hardly eating and yet my blood sugars are high and my ketones are anyone know anything that I can do to bring them down I think it maybe down to having a really bad cold