Recent Posts - DAFNE Online

Mar 18, 2012

thebatoutofhull 60 posts

Topic: General Discussion / Correction dose ratios?

Thank you for your reply. In response: I am more than sure my BI is not correct. I struggle to change it accurately. If I increase it I have hypos in the night. If I leave it I go high in the day. I tend to have a peak sometime in the morning and again at bedtime. The bedtime peak I am sure is from Lantus running out now as I have split my dose.( it doesn't last 24 hours) After doing this I do feel better though. I am not eating carbs, and have been doing this for a while, giving me chance to get to grips with my BI.

Mar 18, 2012

MARIER 42 posts

Topic: General Discussion / daily average of QA

Thanks Guys --------------- I did find it very strange but mayb Medical Person was just tryn to test me b ut i honestly couldnt answer it and he baffled me even more when he made the comment of it just seems quite high Confused

Mar 17, 2012

DebbieS 9 posts

Topic: General Discussion / Change of BI

I changed from Lantus to Levimir about 4 months ago, I was on 20 units of Lantus and had a lot of early morning hypos and am now on 10 units before bed and 9 units in morning of Levimir. I have found it so much better and when it is that time of the month you can reduce it by 10-20% and get an instant result. I think it is worth a go.

Mar 17, 2012

meltow 78 posts

Topic: General Discussion / daily average of QA

I'm averaging around 20 QA units.
Impossible to make a comparison as it all depends on carbohydrate intake and ratios...we are all different....
Suggest your consultant reads the Dafne handbook! Rolling Eyes

Mar 17, 2012

Alan 49 284 posts

Topic: General Discussion / daily average of QA

Obviously this "medical person" doesn't know much about diabetes, Marie. My daily average is around 33 units, but everyone is different and, as you say, it will depend on what you eat. Different people have different metabolisms, requiring different dosages of insulin.

Mar 17, 2012

DebbieS 9 posts

Topic: General Discussion / Correction dose ratios?

Are you sure that your BI is correct as it could be that your bloods were rising so the QA dose worked but on the rising BG. Or you may have an extreme Dawn phenonomen? Does the correction dose work as you would expect at other times of the day?

Mar 17, 2012

Eugene 27 posts

Topic: General Discussion / Exercise classes and type1?

My diet is heavily carbohydrate based.....I think its reason my control is so good,sugar released slower into my system .I train 3/4 times per week .The workouts are extreme lasting minimum of 80 minutes always full body workout including cardio,and lots of supersets ......SO DON'T stop your training.......

Mar 16, 2012

Simon Robinson 4 posts

Topic: DAFNE Online Mobile / Download entries from site?

Hi Simon

Good work Smile

I have just downloaded it and it worked first time.

Thanks

Simon

Mar 16, 2012

MARIER 42 posts

Topic: General Discussion / daily average of QA

What is everyones dailt average of Quick Acting Insulin ????
I was asked this question on Tue by a medical person and when i said i couldnt really answr as i havnt countd but did say roughly between 10 + 16 just depends on what i eat He was very confused and said to me that seems a bit high

Compared to what you would normally do especially if your having Hypos !!!!!! Im not really sure where he was going with the Question or what it was all about So can anyone inlighten me
Marie

Mar 16, 2012

Simon 578 posts

Topic: DAFNE Online Mobile / Download entries from site?

Hi,

I'm hoping the latest update (1.5.2) will fix your download issues; it's on the app store now so let me know if it works for you.

Simon

Mar 16, 2012

Joanne L 7 posts

Topic: General Discussion / Change of BI

I changed from Lantus to Levemir in October. I was taking 28 units of Lantus at teatime and am now taking two daily injections of Levemir totalling 46 units!! It took me a while to get my basal insulin sorted but my 3am hypos have now stopped and i have reduced my QA insulin. Its much easier to control my blood sugars now that i'm on twice daily Levemir :0)

Mar 16, 2012

SimonC 78 posts

Topic: General Discussion / Ineffective BI?

Lantus was initially billed as 'one injection a day', but many of us realized it doesn't fit the bill. I now split my Lantus, one at 0900 and the second at 2100.

However, I only came to this conclusion after testing, many times a day. I was initially on one injection at 2100 daily, but noticed that after lunchtime my results were rising regardless as to actual BG and CP's taken.

You can only come to the conclusion that you need to split you Lantus after being able to point to a rise in BG 18, 19,20 etc hours after taking the one dose of Lantus.

If you are seeing this pattern ie not just on one day, but over a week, then I would consider splitting the Lantus despite the makers claim it will last 24hrs. I split mine equally ie I was taking 24 units once daily but now take 12 units twice daily, but everyone is different and after a week of the new split doses you may need to the readjust your doses.

The BI is there to act like your body does, but in a different way, your body releases a constant supply of QA insulin, although in very very small amounts, which it boosts when you eat, to deal with the intake of carbs. Your body is very adept at doing this.

What we do is only a rough approximation using the limited tools available - those on pumps get closer by ditching the BI and always pumping a very small amount of QA - please anyone feel free to correct me, as I am a non pump user, although I would wish to use one.

The pump users will get very good results - although they have to do lots of testing to get it right, but those of us with out can get very good results, and one way is splitting the BI to twice daily.

You may argue that splitting the BI even more may get closer to what the body is able to do naturally, but I would imagine that the counter argument is that you have to increase the injections and it becomes a burden.

Using the current BI method is a blunter tool than the pump and the natural flow, but it is better than older regimes.

Simon

Mar 16, 2012

charlotte88 1 post

Topic: General Discussion / Change of BI

I have a problem with my 'time of the month' where I'm pretty much hypo for the three days in the run up and then for the duration. Its a bit of a nightmare. Background is the problem, I'm on Lantus so reducing it doesn't work because of the length of time it takes to take effect. My Consultant has suggested that I change to Isophane but I have taken this previously and despite taken 70 units per day I was waking up with morning sugars of 18+ so we have had to write that idea off. The only two options are Levemir or discuss pump therapy again. Has anyone moved from Lantus to Levemir and if so how have you found it?

Mar 16, 2012

Eugene 27 posts

Topic: General Discussion / Exercise classes and type1?

Cant see any way of uploading directly from the App..

Mar 16, 2012

novorapidboi26 1,819 posts

Topic: General Discussion / Exercise classes and type1?

Eugene, yes, if you upload your results to the site via the app, you can then view them on the website, and then all you have to do it input the date to and from that you wish to share in the boxes provided below the text box when posting.......

Mar 16, 2012

Eugene 27 posts

Topic: General Discussion / Exercise classes and type1?

All my readings are done on the App, can they be shared on line ?

Mar 16, 2012

novorapidboi26 1,819 posts

Topic: General Discussion / Ineffective BI?

There is no way of testing, or there is, like CGM for example, but unless your on a pump, there is no point, as that is the only way to deliver hourly/half hourly basal rates......

Having two split doses of background is always better than one in my opinion as no one has one single rate of glucose delivery from the liver.....

I think background needs change when your body's needs changes, there are many changes but the most likely one is gaining and losing weight and therefore needing more or less from the liver. Also the increase and decrease of insulin resistance from the working/not working of muscles........

Mar 16, 2012

thebatoutofhull 60 posts

Topic: General Discussion / Correction dose ratios?

Thanks for your help. I'll experiment. Very Happy

I currently use 1 unit for 2mmol/l for everything. It is not really working. BG 9.5 this morning 5.30am. I took +3 units QA(a bit more than my correction ratio as I know it doesn't work in the morning) 3hrs later still 9mmol/l. No carbs eaten. lantus 6hrs in.

Mar 16, 2012

thebatoutofhull 60 posts

Topic: General Discussion / Ineffective BI?

One size fits all?

If your body raises your background glucose level at different times, on different days how do you adjust around this, other than correct after the fact with QA?

One injection of lantus BI is not adaptable enough. I liken it to one outfit for:- work, going to see my mother, digging the garden.

How about two injections of lantus. Split and over lapped to deal with any BG bumps. Hmm - still no better.

What about not eating many carbs for 2 months? 10 - 20 grms per day... This just helped hi-light the issue more.

Q. What ways are there of calculating what your BI needs are when there are no FIXED patterns of background glucose behaviour to help predict? Also why does background BG change?

I am more than likely missing something so any advice or experience would be welcome.

Mar 16, 2012

barneybubbles 7 posts

Topic: General Discussion / Exercise classes and type1?

novorapidboi26 said:
Well done.........

Because you work so hard in the gym, you don't need to work hard with the diabetes, that's for sure........

you don't fancy sharing your readings via the online diary do you...........?

Hi

I attach readings for last week. I probably should have had more carbs before leving for gym,but some days it works and others not

Mar 16, 2012

barneybubbles 7 posts

Topic: General Discussion / Exercise classes and type1?

thebatoutofhull said:
Barneybubbles; how do you adjust for the gym? What are your results like? I have a gym about 1/2 hour away but now the weather is brightening up I will spend a lot of time hopefully working outside. I'm a little apprehensive about changing my routine.

Hi sorry for delay in replying. I adjust for the gym by taking carbs before gym(after reading)and usually have a piece of fruit mid session(like a satsuma)and 80% of the time my post gym reading is within limits. I live about 10 mins drive from the gym :

Mar 16, 2012

novorapidboi26 1,819 posts

Topic: General Discussion / Correction dose ratios?

I think I am understanding you correctly and I have a system that works for me regarding corrections..........

Basically the higher your blood sugar is, the more insulin you need to correct, due to increased insulin resistance at higher levels...........

So the rule that 1 unit will drop you by 2-3mmol/l will not necessarily work at higher levels.......

I done alot of testing and recording and came up with the following system;

BG below 10mmol/l = 1 unit drops 2.5mmol/l

BG between 10-13mmol/l = 1 unit drops 2mmol/l

BG between 13-17mmol/l = 1 units drops 1.5mmol/l

BG above 17mmol/l = 1 unit drops 1mmol/l

This I believe is the general pattern of what works, however everyone is different, and some may need only a couple of different 'correction ratios' and some may need more.......

To test I made sure my carb count was correct and that my ratio was correct, for some these things might not be, so you really need to be sure all doses and ratio are good. Then you simply record how many mmol/l your correction dropped you by and record it........

This means you need to be above target and to different extremes to get a good picture of what 1 unit is doing at different levels, but hopefully my system can give you a rough idea to test with........

I hope that's what you were talking about................ Smile

Mar 16, 2012

thebatoutofhull 60 posts

Topic: General Discussion / Correction dose ratios?

Hi all.
Are your QA correction dose ratios different from your normal dose ratios?

I want to know if I can adjust my correction ratio only. ( Dafne along time ago, but still learning).

My reasoning:- When my BG is good and I eat CP's with the correct QA dose my BG is for the most part fair/good. However when I correct a raised BG sometimes nothing happens (very little change) this includes checking again after 3 to 4 hrs later.

I know this is vague as diabetic test results can be effected by many factors. Any light shone on this would be well received.

Mar 15, 2012

novorapidboi26 1,819 posts

Topic: General Discussion / Exercise classes and type1?

Well done.........

Because you work so hard in the gym, you don't need to work hard with the diabetes, that's for sure........

you don't fancy sharing your readings via the online diary do you...........? Wink

Mar 15, 2012

Eugene 27 posts

Topic: General Discussion / Exercise classes and type1?

well just back from my 6 month hospital check up,

HbA1c was 6.8 ,which is similar to my own readings over past weeks months. Cholesterol

3.7, IDL

1.37, only suprise was BMI

28.1, which also suprised consultant,as he said your not carring any excess weight, but I dont think BMI calculations take account of muscle weighing more, which he also agreed with.
In past month Ive had one blood sugar reading below 4 , and four above 8. Anyway,what works for me works just for me, DAFNE definately gives basic guidelines as to what we all should be doing, how you tailor them to your individual body and needs is amatter for each person.

Mar 18, 2012 thebatoutofhull 60 posts	Topic: General Discussion / Correction dose ratios? Thank you for your reply. In response: I am more than sure my BI is not correct. I struggle to change it accurately. If I increase it I have hypos in the night. If I leave it I go high in the day. I tend to have a peak sometime in the morning and again at bedtime. The bedtime peak I am sure is from Lantus running out now as I have split my dose.( it doesn't last 24 hours) After doing this I do feel better though. I am not eating carbs, and have been doing this for a while, giving me chance to get to grips with my BI.

Mar 18, 2012 MARIER 42 posts	Topic: General Discussion / daily average of QA Thanks Guys --------------- I did find it very strange but mayb Medical Person was just tryn to test me b ut i honestly couldnt answer it and he baffled me even more when he made the comment of it just seems quite high

Mar 17, 2012 DebbieS 9 posts	Topic: General Discussion / Change of BI I changed from Lantus to Levimir about 4 months ago, I was on 20 units of Lantus and had a lot of early morning hypos and am now on 10 units before bed and 9 units in morning of Levimir. I have found it so much better and when it is that time of the month you can reduce it by 10-20% and get an instant result. I think it is worth a go.

Mar 17, 2012 meltow 78 posts	Topic: General Discussion / daily average of QA I'm averaging around 20 QA units. Impossible to make a comparison as it all depends on carbohydrate intake and ratios...we are all different.... Suggest your consultant reads the Dafne handbook!

Mar 17, 2012 Alan 49 284 posts	Topic: General Discussion / daily average of QA Obviously this "medical person" doesn't know much about diabetes, Marie. My daily average is around 33 units, but everyone is different and, as you say, it will depend on what you eat. Different people have different metabolisms, requiring different dosages of insulin.

Mar 17, 2012 DebbieS 9 posts	Topic: General Discussion / Correction dose ratios? Are you sure that your BI is correct as it could be that your bloods were rising so the QA dose worked but on the rising BG. Or you may have an extreme Dawn phenonomen? Does the correction dose work as you would expect at other times of the day?

Mar 17, 2012 Eugene 27 posts	Topic: General Discussion / Exercise classes and type1? My diet is heavily carbohydrate based.....I think its reason my control is so good,sugar released slower into my system .I train 3/4 times per week .The workouts are extreme lasting minimum of 80 minutes always full body workout including cardio,and lots of supersets ......SO DON'T stop your training.......

Mar 16, 2012 Simon Robinson 4 posts	Topic: DAFNE Online Mobile / Download entries from site? Hi Simon Good work I have just downloaded it and it worked first time. Thanks Simon

Mar 16, 2012 MARIER 42 posts	Topic: General Discussion / daily average of QA What is everyones dailt average of Quick Acting Insulin ???? I was asked this question on Tue by a medical person and when i said i couldnt really answr as i havnt countd but did say roughly between 10 + 16 just depends on what i eat He was very confused and said to me that seems a bit high Compared to what you would normally do especially if your having Hypos !!!!!! Im not really sure where he was going with the Question or what it was all about So can anyone inlighten me Marie

Mar 16, 2012 Simon 578 posts	Topic: DAFNE Online Mobile / Download entries from site? Hi, I'm hoping the latest update (1.5.2) will fix your download issues; it's on the app store now so let me know if it works for you. Simon

Mar 16, 2012 Joanne L 7 posts	Topic: General Discussion / Change of BI I changed from Lantus to Levemir in October. I was taking 28 units of Lantus at teatime and am now taking two daily injections of Levemir totalling 46 units!! It took me a while to get my basal insulin sorted but my 3am hypos have now stopped and i have reduced my QA insulin. Its much easier to control my blood sugars now that i'm on twice daily Levemir :0)

Mar 16, 2012 SimonC 78 posts	Topic: General Discussion / Ineffective BI? Lantus was initially billed as 'one injection a day', but many of us realized it doesn't fit the bill. I now split my Lantus, one at 0900 and the second at 2100. However, I only came to this conclusion after testing, many times a day. I was initially on one injection at 2100 daily, but noticed that after lunchtime my results were rising regardless as to actual BG and CP's taken. You can only come to the conclusion that you need to split you Lantus after being able to point to a rise in BG 18, 19,20 etc hours after taking the one dose of Lantus. If you are seeing this pattern ie not just on one day, but over a week, then I would consider splitting the Lantus despite the makers claim it will last 24hrs. I split mine equally ie I was taking 24 units once daily but now take 12 units twice daily, but everyone is different and after a week of the new split doses you may need to the readjust your doses. The BI is there to act like your body does, but in a different way, your body releases a constant supply of QA insulin, although in very very small amounts, which it boosts when you eat, to deal with the intake of carbs. Your body is very adept at doing this. What we do is only a rough approximation using the limited tools available - those on pumps get closer by ditching the BI and always pumping a very small amount of QA - please anyone feel free to correct me, as I am a non pump user, although I would wish to use one. The pump users will get very good results - although they have to do lots of testing to get it right, but those of us with out can get very good results, and one way is splitting the BI to twice daily. You may argue that splitting the BI even more may get closer to what the body is able to do naturally, but I would imagine that the counter argument is that you have to increase the injections and it becomes a burden. Using the current BI method is a blunter tool than the pump and the natural flow, but it is better than older regimes. Simon

Mar 16, 2012 charlotte88 1 post	Topic: General Discussion / Change of BI I have a problem with my 'time of the month' where I'm pretty much hypo for the three days in the run up and then for the duration. Its a bit of a nightmare. Background is the problem, I'm on Lantus so reducing it doesn't work because of the length of time it takes to take effect. My Consultant has suggested that I change to Isophane but I have taken this previously and despite taken 70 units per day I was waking up with morning sugars of 18+ so we have had to write that idea off. The only two options are Levemir or discuss pump therapy again. Has anyone moved from Lantus to Levemir and if so how have you found it?

Mar 16, 2012 Eugene 27 posts	Topic: General Discussion / Exercise classes and type1? Cant see any way of uploading directly from the App..

Mar 16, 2012 novorapidboi26 1,819 posts	Topic: General Discussion / Exercise classes and type1? Eugene, yes, if you upload your results to the site via the app, you can then view them on the website, and then all you have to do it input the date to and from that you wish to share in the boxes provided below the text box when posting.......

Mar 16, 2012 Eugene 27 posts	Topic: General Discussion / Exercise classes and type1? All my readings are done on the App, can they be shared on line ?

Mar 16, 2012 novorapidboi26 1,819 posts	Topic: General Discussion / Ineffective BI? There is no way of testing, or there is, like CGM for example, but unless your on a pump, there is no point, as that is the only way to deliver hourly/half hourly basal rates...... Having two split doses of background is always better than one in my opinion as no one has one single rate of glucose delivery from the liver..... I think background needs change when your body's needs changes, there are many changes but the most likely one is gaining and losing weight and therefore needing more or less from the liver. Also the increase and decrease of insulin resistance from the working/not working of muscles........

Mar 16, 2012 thebatoutofhull 60 posts	Topic: General Discussion / Correction dose ratios? Thanks for your help. I'll experiment. I currently use 1 unit for 2mmol/l for everything. It is not really working. BG 9.5 this morning 5.30am. I took +3 units QA(a bit more than my correction ratio as I know it doesn't work in the morning) 3hrs later still 9mmol/l. No carbs eaten. lantus 6hrs in.

Mar 16, 2012 thebatoutofhull 60 posts	Topic: General Discussion / Ineffective BI? One size fits all? If your body raises your background glucose level at different times, on different days how do you adjust around this, other than correct after the fact with QA? One injection of lantus BI is not adaptable enough. I liken it to one outfit for:- work, going to see my mother, digging the garden. How about two injections of lantus. Split and over lapped to deal with any BG bumps. Hmm - still no better. What about not eating many carbs for 2 months? 10 - 20 grms per day... This just helped hi-light the issue more. Q. What ways are there of calculating what your BI needs are when there are no FIXED patterns of background glucose behaviour to help predict? Also why does background BG change? I am more than likely missing something so any advice or experience would be welcome.

Mar 16, 2012 barneybubbles 7 posts	Topic: General Discussion / Exercise classes and type1? novorapidboi26 said: Well done......... Because you work so hard in the gym, you don't need to work hard with the diabetes, that's for sure........ you don't fancy sharing your readings via the online diary do you...........? Hi I attach readings for last week. I probably should have had more carbs before leving for gym,but some days it works and others not

Mar 16, 2012 barneybubbles 7 posts	Topic: General Discussion / Exercise classes and type1? thebatoutofhull said: Barneybubbles; how do you adjust for the gym? What are your results like? I have a gym about 1/2 hour away but now the weather is brightening up I will spend a lot of time hopefully working outside. I'm a little apprehensive about changing my routine. Hi sorry for delay in replying. I adjust for the gym by taking carbs before gym(after reading)and usually have a piece of fruit mid session(like a satsuma)and 80% of the time my post gym reading is within limits. I live about 10 mins drive from the gym :

Mar 16, 2012 novorapidboi26 1,819 posts	Topic: General Discussion / Correction dose ratios? I think I am understanding you correctly and I have a system that works for me regarding corrections.......... Basically the higher your blood sugar is, the more insulin you need to correct, due to increased insulin resistance at higher levels........... So the rule that 1 unit will drop you by 2-3mmol/l will not necessarily work at higher levels....... I done alot of testing and recording and came up with the following system; BG below 10mmol/l = 1 unit drops 2.5mmol/l BG between 10-13mmol/l = 1 unit drops 2mmol/l BG between 13-17mmol/l = 1 units drops 1.5mmol/l BG above 17mmol/l = 1 unit drops 1mmol/l This I believe is the general pattern of what works, however everyone is different, and some may need only a couple of different 'correction ratios' and some may need more....... To test I made sure my carb count was correct and that my ratio was correct, for some these things might not be, so you really need to be sure all doses and ratio are good. Then you simply record how many mmol/l your correction dropped you by and record it........ This means you need to be above target and to different extremes to get a good picture of what 1 unit is doing at different levels, but hopefully my system can give you a rough idea to test with........ I hope that's what you were talking about................

Mar 16, 2012 thebatoutofhull 60 posts	Topic: General Discussion / Correction dose ratios? Hi all. Are your QA correction dose ratios different from your normal dose ratios? I want to know if I can adjust my correction ratio only. ( Dafne along time ago, but still learning). My reasoning:- When my BG is good and I eat CP's with the correct QA dose my BG is for the most part fair/good. However when I correct a raised BG sometimes nothing happens (very little change) this includes checking again after 3 to 4 hrs later. I know this is vague as diabetic test results can be effected by many factors. Any light shone on this would be well received.

Mar 15, 2012 novorapidboi26 1,819 posts	Topic: General Discussion / Exercise classes and type1? Well done......... Because you work so hard in the gym, you don't need to work hard with the diabetes, that's for sure........ you don't fancy sharing your readings via the online diary do you...........?

Mar 15, 2012 Eugene 27 posts	Topic: General Discussion / Exercise classes and type1? well just back from my 6 month hospital check up, HbA1c was 6.8 ,which is similar to my own readings over past weeks months. Cholesterol 3.7, IDL 1.37, only suprise was BMI 28.1, which also suprised consultant,as he said your not carring any excess weight, but I dont think BMI calculations take account of muscle weighing more, which he also agreed with. In past month Ive had one blood sugar reading below 4 , and four above 8. Anyway,what works for me works just for me, DAFNE definately gives basic guidelines as to what we all should be doing, how you tailor them to your individual body and needs is amatter for each person.