Recent Posts - DAFNE Online

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 15, 2012

novorapidboi26 1,819 posts

Topic: General Discussion / Exercise classes and type1?

I personally take readings after my lunch and dinner, this lets me know my dose, and timing is doing the job, that job being keeping the spikes to single figures and even under 8 if I can...............this is the only way to achieve good HbA1c results, by focusing on my readings between meals..........

I dont do it in the morning as I suffer from the dawn phenomenon and I am on a ratio of 3:1 then, so my BG will always be going down as opposed to up then down.....

All types of foods also effect people differently and therefore can cause significant spikes for some and small spikes for others. Testing at these times for me is crucial when trying to establish what food and mixtures of food need what timing of insulin to minimize spikes.......

You are meant to test before driving, however I admit to not doing so, but I always carry hypo resolve and my symptoms are still strong....

And finally, having lots of readings means that you will be able to obtain a more accurate average reading and therefore the, 7, 14, 30 and 90 day averages will be more realistic.........which wont make your HbA1c better, but lets you track your control better......... Smile

Mar 15, 2012

Eugene 27 posts

Topic: General Discussion / Exercise classes and type1?

barneybubbles said:
novorapidboi26 said:
Eugene said:
Each person will differ/vary. I train 3/4 times weekly in gym, I engage in strenuous clases,as well as weight training,and spin classes lasting 40 minutes. I also do occasional runs of about 3/4 km. I would spend a minimum of 80 minutes per session working out. I dont measure bloods before or after unless I would have the slightest doubts about my bloodsugar levels.
I find its very important to take correct insulin at next scheduled time.As I found I was possibly taking an extra QA and going low during the nights after exersising. I have since almost totally corrected this by insuring the dose is as exact as is possible.

For anyone with a smart phone, I find the Android app really convenient and extremely helpful.I no longer use a paper diary, I record all my readings on the App, which also has Food Groups, Carb counter, summary etc. As I always have my phone with me, I now dont miss recording my readings.

You say you dont test prior to and after activity, did you used to? If so what were your readings?

Surely your BG levels are effected by your exercise.........?

I use both paper and app, the app for me cant spot patterns and display them to you, hence the paper........
I test before and after the gym. If the reading before is in double figures i do not take carbs, but if under 10 I eat half a biscuit. Whilst exercising, about half way through I have a satsuma as recommended on my dafne course. Sometimes none of this works and I am in hypo range when I return from the gym,sometimes my readings go upafter exercise instead of down. No real reason for it!

After doing the DAFNE course I was testing prior to gym workouts, but I found following any of the recommendations , my figures were all over the place.You say if your figures were under 10, u would eat a biscuit, unless my levels were near to 4, I wouldnt be taking anything .If they were above double figures I'd probably feel I should be taking a unit of QA , unless my previous dose was still working . I'm suprised that so many people seem or feel the need to take lots of readings, especially when quite a few of these readings are being taken when the QA acting is still working away.( I was told it start's working with in 10 minutes, and goes on for approx 3 hours) This would definately account for so many readings being in double figures.

Mar 15, 2012

barneybubbles 7 posts

Topic: General Discussion / Exercise classes and type1?

novorapidboi26 said:
Eugene said:
Each person will differ/vary. I train 3/4 times weekly in gym, I engage in strenuous clases,as well as weight training,and spin classes lasting 40 minutes. I also do occasional runs of about 3/4 km. I would spend a minimum of 80 minutes per session working out. I dont measure bloods before or after unless I would have the slightest doubts about my bloodsugar levels.
I find its very important to take correct insulin at next scheduled time.As I found I was possibly taking an extra QA and going low during the nights after exersising. I have since almost totally corrected this by insuring the dose is as exact as is possible.

For anyone with a smart phone, I find the Android app really convenient and extremely helpful.I no longer use a paper diary, I record all my readings on the App, which also has Food Groups, Carb counter, summary etc. As I always have my phone with me, I now dont miss recording my readings.

You say you dont test prior to and after activity, did you used to? If so what were your readings?

Surely your BG levels are effected by your exercise.........?

I use both paper and app, the app for me cant spot patterns and display them to you, hence the paper........

I test before and after the gym. If the reading before is in double figures i do not take carbs, but if under 10 I eat half a biscuit. Whilst exercising, about half way through I have a satsuma as recommended on my dafne course. Sometimes none of this works and I am in hypo range when I return from the gym,sometimes my readings go upafter exercise instead of down. No real reason for it!

Mar 15, 2012

Eugene 27 posts

Topic: General Discussion / Exercise classes and type1?

well i think there is a solution for everyone, its just finding a balance that suits you...
when I was first diagnosed I was bit of a model patient for them, but then realised I wasnt going to let it take over my life, stop me from enjoying food, drink, nights out and exersise...well a lot of the people Ive met whoe are recently diagnosed, struggle with there sugars , and accepting its a no cure illness....

Mar 14, 2012

Eugene 27 posts

Topic: General Discussion / Exercise classes and type1?

sjohno said:
it's good that you can do a 1:1 ratio, are you able to eat non carb foods without taking any QA?

Ye I'm on a 1:1 ratio, If i eat non carb food , I wouldn't take any QA .

Mar 14, 2012

jgibson1962 29 posts

Topic: General Discussion / Exercise classes and type1?

I do WIng Chun as well, but combine it with some MMA, havent had any issues so far, just up my carbs as needed. I also do a lot of Horse Riding and find that far more strenuous, but so far since being diagnosed last July have only had a couple of mild Hypo reactions. Wink

Mar 14, 2012

Eugene 27 posts

Topic: General Discussion / Exercise classes and type1?

sjohno said:
As you say it's all mysterious how differently diabetes affects all of us

I do 5 Zumba classes a week plus 3 Body Pump classes, I was advised by my DAFNE team to drop 2 units of Novarapid before the classes. Sometimes this works, sometimes it doesn't, yesterday I did a Zumba class and my readings were:

07.00 BG 7.2 CP 4 QA 5
10.00-11.00 Zumba class
12.10 BG 7.4 CP 6 QA 9
17.00 BG 7.2 CP 4 QA 4
20.00 BI 15
22.00 BG 4.7 +1CP

I only dropped 1 QA this time because the BG was a good reading. My dinner time meal at 17.00 only consisted of 2 CP, the rest of it was chicken and vegetables for which I have to take QA. But I do 4-5 BG readings a day, more if needs be like driving etc.

Interesting looking at your readings, where i would have differed with you in the action taken is , I would have taken only 4 QA at 7am. 6 QA at 12.10 pm exactly the same at 5 pm. I would take BI at 9.30 pm, of 8units. Generally never take readings after that, if I have late night snack, I just take the QA that corresponds to the cp of what I've eaten.

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.

Mar 15, 2012 novorapidboi26 1,819 posts	Topic: General Discussion / Exercise classes and type1? I personally take readings after my lunch and dinner, this lets me know my dose, and timing is doing the job, that job being keeping the spikes to single figures and even under 8 if I can...............this is the only way to achieve good HbA1c results, by focusing on my readings between meals.......... I dont do it in the morning as I suffer from the dawn phenomenon and I am on a ratio of 3:1 then, so my BG will always be going down as opposed to up then down..... All types of foods also effect people differently and therefore can cause significant spikes for some and small spikes for others. Testing at these times for me is crucial when trying to establish what food and mixtures of food need what timing of insulin to minimize spikes....... You are meant to test before driving, however I admit to not doing so, but I always carry hypo resolve and my symptoms are still strong.... And finally, having lots of readings means that you will be able to obtain a more accurate average reading and therefore the, 7, 14, 30 and 90 day averages will be more realistic.........which wont make your HbA1c better, but lets you track your control better.........

Mar 15, 2012 Eugene 27 posts	Topic: General Discussion / Exercise classes and type1? barneybubbles said: novorapidboi26 said: Eugene said: Each person will differ/vary. I train 3/4 times weekly in gym, I engage in strenuous clases,as well as weight training,and spin classes lasting 40 minutes. I also do occasional runs of about 3/4 km. I would spend a minimum of 80 minutes per session working out. I dont measure bloods before or after unless I would have the slightest doubts about my bloodsugar levels. I find its very important to take correct insulin at next scheduled time.As I found I was possibly taking an extra QA and going low during the nights after exersising. I have since almost totally corrected this by insuring the dose is as exact as is possible. For anyone with a smart phone, I find the Android app really convenient and extremely helpful.I no longer use a paper diary, I record all my readings on the App, which also has Food Groups, Carb counter, summary etc. As I always have my phone with me, I now dont miss recording my readings. You say you dont test prior to and after activity, did you used to? If so what were your readings? Surely your BG levels are effected by your exercise.........? I use both paper and app, the app for me cant spot patterns and display them to you, hence the paper........ I test before and after the gym. If the reading before is in double figures i do not take carbs, but if under 10 I eat half a biscuit. Whilst exercising, about half way through I have a satsuma as recommended on my dafne course. Sometimes none of this works and I am in hypo range when I return from the gym,sometimes my readings go upafter exercise instead of down. No real reason for it! After doing the DAFNE course I was testing prior to gym workouts, but I found following any of the recommendations , my figures were all over the place.You say if your figures were under 10, u would eat a biscuit, unless my levels were near to 4, I wouldnt be taking anything .If they were above double figures I'd probably feel I should be taking a unit of QA , unless my previous dose was still working . I'm suprised that so many people seem or feel the need to take lots of readings, especially when quite a few of these readings are being taken when the QA acting is still working away.( I was told it start's working with in 10 minutes, and goes on for approx 3 hours) This would definately account for so many readings being in double figures.

Mar 15, 2012 barneybubbles 7 posts	Topic: General Discussion / Exercise classes and type1? novorapidboi26 said: Eugene said: Each person will differ/vary. I train 3/4 times weekly in gym, I engage in strenuous clases,as well as weight training,and spin classes lasting 40 minutes. I also do occasional runs of about 3/4 km. I would spend a minimum of 80 minutes per session working out. I dont measure bloods before or after unless I would have the slightest doubts about my bloodsugar levels. I find its very important to take correct insulin at next scheduled time.As I found I was possibly taking an extra QA and going low during the nights after exersising. I have since almost totally corrected this by insuring the dose is as exact as is possible. For anyone with a smart phone, I find the Android app really convenient and extremely helpful.I no longer use a paper diary, I record all my readings on the App, which also has Food Groups, Carb counter, summary etc. As I always have my phone with me, I now dont miss recording my readings. You say you dont test prior to and after activity, did you used to? If so what were your readings? Surely your BG levels are effected by your exercise.........? I use both paper and app, the app for me cant spot patterns and display them to you, hence the paper........ I test before and after the gym. If the reading before is in double figures i do not take carbs, but if under 10 I eat half a biscuit. Whilst exercising, about half way through I have a satsuma as recommended on my dafne course. Sometimes none of this works and I am in hypo range when I return from the gym,sometimes my readings go upafter exercise instead of down. No real reason for it!

Mar 15, 2012 Eugene 27 posts	Topic: General Discussion / Exercise classes and type1? well i think there is a solution for everyone, its just finding a balance that suits you... when I was first diagnosed I was bit of a model patient for them, but then realised I wasnt going to let it take over my life, stop me from enjoying food, drink, nights out and exersise...well a lot of the people Ive met whoe are recently diagnosed, struggle with there sugars , and accepting its a no cure illness....

Mar 14, 2012 Eugene 27 posts	Topic: General Discussion / Exercise classes and type1? sjohno said: it's good that you can do a 1:1 ratio, are you able to eat non carb foods without taking any QA? Ye I'm on a 1:1 ratio, If i eat non carb food , I wouldn't take any QA .

Mar 14, 2012 jgibson1962 29 posts	Topic: General Discussion / Exercise classes and type1? I do WIng Chun as well, but combine it with some MMA, havent had any issues so far, just up my carbs as needed. I also do a lot of Horse Riding and find that far more strenuous, but so far since being diagnosed last July have only had a couple of mild Hypo reactions.

Mar 14, 2012 Eugene 27 posts	Topic: General Discussion / Exercise classes and type1? sjohno said: As you say it's all mysterious how differently diabetes affects all of us I do 5 Zumba classes a week plus 3 Body Pump classes, I was advised by my DAFNE team to drop 2 units of Novarapid before the classes. Sometimes this works, sometimes it doesn't, yesterday I did a Zumba class and my readings were: 07.00 BG 7.2 CP 4 QA 5 10.00-11.00 Zumba class 12.10 BG 7.4 CP 6 QA 9 17.00 BG 7.2 CP 4 QA 4 20.00 BI 15 22.00 BG 4.7 +1CP I only dropped 1 QA this time because the BG was a good reading. My dinner time meal at 17.00 only consisted of 2 CP, the rest of it was chicken and vegetables for which I have to take QA. But I do 4-5 BG readings a day, more if needs be like driving etc. Interesting looking at your readings, where i would have differed with you in the action taken is , I would have taken only 4 QA at 7am. 6 QA at 12.10 pm exactly the same at 5 pm. I would take BI at 9.30 pm, of 8units. Generally never take readings after that, if I have late night snack, I just take the QA that corresponds to the cp of what I've eaten.