Recent Posts - DAFNE Online

Mar 9, 2012

SA2010 69 posts

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

some months bak I switched from the flexpen to the "novopen 3 demi" which gives me half unit doses.

The demi pen is not leaking any insulin when end pressed at "0" dose.

Mar 9, 2012

novorapidboi26 1,819 posts

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

My Novorapid FlexPen from Nordisk does the same when you plunge at zero...........

I sprayed the 0 and 1unit on to my table at work just there and it was about half a unit that came out, so if someone is relatively sensitive to insulin, then a half unit could make the difference, however, this extra is when you continue to press on the plunger after it has completed its journey back to the 0 position, which is not common practice in my experience.....

Mar 9, 2012

novorapidboi26 1,819 posts

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

My Novorapid FlexPen from Nordisk does the same when you plunge at zero...........

Mar 9, 2012

SA2010 69 posts

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

By the way the Novopen 3 I use for the novorapid does not release a single drop when pressed at "0" dose setting - so this is a solostar pen issue

Mar 9, 2012

novorapidboi26 1,819 posts

Topic: Site Development / Emailing diary

Simon said:
If you take a look at the top of the diary view, there is now an Export as PDF option, which will download your diary in a format which can be attached in an email and sent/read by your DAFNE Educator, if they have adobe reader installed (most people do).

Let us know what you thiink!

Great little function, really handy, thanks.......

Mar 9, 2012

SA2010 69 posts

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

i rang sanofi uk and they put me through to the quality team. the lady tried a pen and her test pen also released insulin when end pressed down and setting on "0". Took details and will have it investigated

advice meanwhile not to press too hard when counting 1-10 seconds after injection and not to release finger and press again as that would leak more insulin through. Of course by splitting the dose I have doubled the error margin as there would be two lots of counting to 10 and releasing more insulin ! They asked if I made my diabetes HCPs aware - said will do.

I wonder f this is related to the issue I came across here
http://www.diabetesdaily.com/forum/multiple-daily-injections-mdi/33202-apidra-lantus-solostar-pens-possible-leaks

Mar 9, 2012

novorapidboi26 1,819 posts

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

I would say it is likely for very small amount to be released when you apply pressure to the plunger even when at 0........the pressure inside the glass cartridge must be great......

Test some other pens to see if they are the same, you might find they are. You could also try and compare the insulin quantities by skooshing them onto a side plate or something similar......skoosh at 0 and then skoosh 1 unit to another plate, you may find that the 0 amount is much smaller than 1 unit and so probably not responsible for lows.....

I personally always count to about 6 after the injection is complete, but I dont continue to press the plunger........

Mar 8, 2012

SA2010 69 posts

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

Just noticed that with the solostar lantus pen dose setting at "0" when pressing the injection button some insulin is released.

Anybody noticed that or is it just a faulty pen?

I started looking into the pen operation after getting hypos even with reduced lantus dose. A few months ago I split the lantus dose from 10 units at bedtime to 4 units at 11pm and 5 units at breakfast time (at same time as the pre-meal novorapid). I recently started on a new lantus pen and soon after started to get low BGs in the afternoon and below 4.0 mmol/L pre evening meal. Reduced the morning Lantus dose to 4 and the low BGs still happening, Checked the instructions for counting to 10 after injecting to see if one should press the injection button whilst counting and the instructions say that. Then testing the pressing down of the button and noticed the release of the insulin when on setting of '0'. So I am coming to the conclusion that either the pen is releasing more than the set dose whilst counting to 10 or maybe I sometimes do several press and releases on the injection button whilst counting to 10 (can';t keep finger steady in one long 10 second press) and now I think the press and release after the dose counter reaches the "0" setting must be releasing more insulin.

I will ring the manufacturer tomorrow and get an order through from GP (it is my last pen - should have ordered earlier).

Has this been noticed by anyone else?

Mar 8, 2012

Mr Bee 1 post

Topic: Questions for HCPs / Exercise and High BG

Hi, I would say maybe u need to change ur ratio (increase) when checking between ur exercise at least that way it will bring it down and just keep an eye on ur bg level upto 24h. Are u having any sports drinks in between ur exercise and are u washing ur hands when testing that might have an impact on the results?

Mar 8, 2012

Simon 578 posts

Topic: DAFNE Online Mobile / Carb counting aps for iphone 3gs?

Hi there,

The DAFNE Online iPhone app should work on 3GS, however currently there's no support in it for blind users - if you let us know what you need in the app to make it work for you we can get going on it.

Thanks,

Simon

Mar 8, 2012

Faulty Headl... 18 posts

Topic: DAFNE Online Mobile / Carb counting aps for iphone 3gs?

I was wondering about an ap for my iphone to help me count carbs? there is one i keep hearing about called Carbs and Cals but it is all visual, it shows a plate with different size portions, this is no use to me as i'm completely blind. anyone know of another ap i could try?

I have an ap called LookTel, i can take a pic of a tin or pack of something and record a voice tag with details on what it is, how long to cook it and nutritional things. then next time i come back to a tin or pack the same with the iphone it will remember it. I can build up a library of things but need someone there to read the detials for the first time. the iphone will then play back my voice tag when it recognises something. pretty cool.
takes a long time to build up a library though and i won't have everything on there.

Mar 8, 2012

jgibson1962 29 posts

Topic: Site Development / Emailing diary

Just a quick one, i have updated the files, someone spotted a bug, which i quickly fixed, please download the spreadsheets again.

Mar 8, 2012

Ahmentep 99 posts

Topic: Site Development / New Format Website

The new page size is ideal for a tablet in portrait form. Good work!

Mar 7, 2012

Simon 578 posts

Topic: Site Development / Emailing diary

If you take a look at the top of the diary view, there is now an Export as PDF option, which will download your diary in a format which can be attached in an email and sent/read by your DAFNE Educator, if they have adobe reader installed (most people do).

Let us know what you thiink!

Mar 7, 2012

Alan 49 284 posts

Topic: Site Development / New Format Website

I like the new format - thanks chaps.

Mar 7, 2012

jgibson1962 29 posts

Topic: Site Development / Emailing diary

Give it a run...see if you can break it lol Very Happy

Probably best using the template, that way you can use a new one every year.

Mar 7, 2012

novorapidboi26 1,819 posts

Topic: Site Development / Emailing diary

looks impressive

Mar 7, 2012

jgibson1962 29 posts

Topic: Site Development / Emailing diary

Ok! cant do any harm putting my web address here, just go to http://www.gibsonweb.co.uk Just follow the link to Spreadsheets. I have incorporated a similar calculation method to the database on this site, tho not as elaborate, using excel formulas and vb coding, just makes it more portable i guess, especially for people with limited Internet access and no smart phone. Just one of my pet projects. Let me know your thoughts. Cool

Mar 7, 2012

novorapidboi26 1,819 posts

Topic: Site Development / Emailing diary

I would be interested in taking a look please............. Very Happy

Mar 7, 2012

Jenny 27 posts

Topic: Site Development / Pump users and the DAFNE app

Yes, I've been wondering how to record basal rates. It would need to have an entry for each hour and repeat each day until you changed it. Then you could keep track of it and it might help so that you could change the basal rate by a percentage for specific times of month/weekends etc.

Jenny

Mar 7, 2012

jgibson1962 29 posts

Topic: Site Development / Emailing diary

Hi All

I have just finished constructing a spreadsheet to record all my BG's and Carbs etc, i've even constructed a dosage calculator as part of the spreadsheet where you can automatically copy and paste your results, anything for an easy life Smile

If you would like a copy message me and i will send you the link to my web site where you can download it, i've created the spreadsheet and a template for either Excel 2007 to 2010 and Excel 97 to 2003.

Mar 7, 2012

Jenny 27 posts

Topic: Site Development / Emailing diary

I don't really know about these sort of things! If it will send in a way which looks like a dafne diary that will suit me.

Thank you

Jenny

Mar 7, 2012

Faulty Headl... 18 posts

Topic: Site Development / Emailing diary

Aye as long as it's still availible to export into XL as my screen reader is a bugger to use with Adobe. It displays well for me in XL and i can read and adapt it if i need to like hiding rows and columns.

Mar 7, 2012

Garry 328 posts

Topic: Site Development / Emailing diary

That sounds the ideal solution Simon. Sure way to enable a consistent output.
I don't think anyone can be short of Adobe for the web world of today.

Regards
Garry

Mar 7, 2012

marke 684 posts

Topic: Questions for HCPs / Accessibility for Blind/ VIP diabetics

hi, the card counting book is available in PDF, you can access it by clicking here Its true I dropped the accompanying text from the book and on occasion had to abbreviate the descriptions to fit into the web format. With regards to reading labels when out, in an ideal world all food will have what are called '2D barcodes' on it. This is the new kind of barcode that contains more than just a number but can contain a lot of text allowing things like product details and extra information. At the moment these are used as gimics and contain links to websites etc but could be used for a lot more. There are free readers for these in the app store. Anyway enough of the techno babble, hopefully the PDF version will help and the course is going well.

Mar 9, 2012 SA2010 69 posts	Topic: General Discussion / Lantus Solostar pre-filled pen releasing insulin when pressed on zero setting some months bak I switched from the flexpen to the "novopen 3 demi" which gives me half unit doses. The demi pen is not leaking any insulin when end pressed at "0" dose.

Mar 9, 2012 novorapidboi26 1,819 posts	Topic: General Discussion / Lantus Solostar pre-filled pen releasing insulin when pressed on zero setting My Novorapid FlexPen from Nordisk does the same when you plunge at zero........... I sprayed the 0 and 1unit on to my table at work just there and it was about half a unit that came out, so if someone is relatively sensitive to insulin, then a half unit could make the difference, however, this extra is when you continue to press on the plunger after it has completed its journey back to the 0 position, which is not common practice in my experience.....

Mar 9, 2012 novorapidboi26 1,819 posts	Topic: General Discussion / Lantus Solostar pre-filled pen releasing insulin when pressed on zero setting My Novorapid FlexPen from Nordisk does the same when you plunge at zero...........

Mar 9, 2012 SA2010 69 posts	Topic: General Discussion / Lantus Solostar pre-filled pen releasing insulin when pressed on zero setting By the way the Novopen 3 I use for the novorapid does not release a single drop when pressed at "0" dose setting - so this is a solostar pen issue

Mar 9, 2012 novorapidboi26 1,819 posts	Topic: Site Development / Emailing diary Simon said: If you take a look at the top of the diary view, there is now an Export as PDF option, which will download your diary in a format which can be attached in an email and sent/read by your DAFNE Educator, if they have adobe reader installed (most people do). Let us know what you thiink! Great little function, really handy, thanks.......

Mar 9, 2012 SA2010 69 posts	Topic: General Discussion / Lantus Solostar pre-filled pen releasing insulin when pressed on zero setting i rang sanofi uk and they put me through to the quality team. the lady tried a pen and her test pen also released insulin when end pressed down and setting on "0". Took details and will have it investigated advice meanwhile not to press too hard when counting 1-10 seconds after injection and not to release finger and press again as that would leak more insulin through. Of course by splitting the dose I have doubled the error margin as there would be two lots of counting to 10 and releasing more insulin ! They asked if I made my diabetes HCPs aware - said will do. I wonder f this is related to the issue I came across here http://www.diabetesdaily.com/forum/multiple-daily-injections-mdi/33202-apidra-lantus-solostar-pens-possible-leaks

Mar 9, 2012 novorapidboi26 1,819 posts	Topic: General Discussion / Lantus Solostar pre-filled pen releasing insulin when pressed on zero setting I would say it is likely for very small amount to be released when you apply pressure to the plunger even when at 0........the pressure inside the glass cartridge must be great...... Test some other pens to see if they are the same, you might find they are. You could also try and compare the insulin quantities by skooshing them onto a side plate or something similar......skoosh at 0 and then skoosh 1 unit to another plate, you may find that the 0 amount is much smaller than 1 unit and so probably not responsible for lows..... I personally always count to about 6 after the injection is complete, but I dont continue to press the plunger........

Mar 8, 2012 SA2010 69 posts	Topic: General Discussion / Lantus Solostar pre-filled pen releasing insulin when pressed on zero setting Just noticed that with the solostar lantus pen dose setting at "0" when pressing the injection button some insulin is released. Anybody noticed that or is it just a faulty pen? I started looking into the pen operation after getting hypos even with reduced lantus dose. A few months ago I split the lantus dose from 10 units at bedtime to 4 units at 11pm and 5 units at breakfast time (at same time as the pre-meal novorapid). I recently started on a new lantus pen and soon after started to get low BGs in the afternoon and below 4.0 mmol/L pre evening meal. Reduced the morning Lantus dose to 4 and the low BGs still happening, Checked the instructions for counting to 10 after injecting to see if one should press the injection button whilst counting and the instructions say that. Then testing the pressing down of the button and noticed the release of the insulin when on setting of '0'. So I am coming to the conclusion that either the pen is releasing more than the set dose whilst counting to 10 or maybe I sometimes do several press and releases on the injection button whilst counting to 10 (can';t keep finger steady in one long 10 second press) and now I think the press and release after the dose counter reaches the "0" setting must be releasing more insulin. I will ring the manufacturer tomorrow and get an order through from GP (it is my last pen - should have ordered earlier). Has this been noticed by anyone else?

Mar 8, 2012 Mr Bee 1 post	Topic: Questions for HCPs / Exercise and High BG Hi, I would say maybe u need to change ur ratio (increase) when checking between ur exercise at least that way it will bring it down and just keep an eye on ur bg level upto 24h. Are u having any sports drinks in between ur exercise and are u washing ur hands when testing that might have an impact on the results?

Mar 8, 2012 Simon 578 posts	Topic: DAFNE Online Mobile / Carb counting aps for iphone 3gs? Hi there, The DAFNE Online iPhone app should work on 3GS, however currently there's no support in it for blind users - if you let us know what you need in the app to make it work for you we can get going on it. Thanks, Simon

Mar 8, 2012 Faulty Headl... 18 posts	Topic: DAFNE Online Mobile / Carb counting aps for iphone 3gs? I was wondering about an ap for my iphone to help me count carbs? there is one i keep hearing about called Carbs and Cals but it is all visual, it shows a plate with different size portions, this is no use to me as i'm completely blind. anyone know of another ap i could try? I have an ap called LookTel, i can take a pic of a tin or pack of something and record a voice tag with details on what it is, how long to cook it and nutritional things. then next time i come back to a tin or pack the same with the iphone it will remember it. I can build up a library of things but need someone there to read the detials for the first time. the iphone will then play back my voice tag when it recognises something. pretty cool. takes a long time to build up a library though and i won't have everything on there.

Mar 8, 2012 jgibson1962 29 posts	Topic: Site Development / Emailing diary Just a quick one, i have updated the files, someone spotted a bug, which i quickly fixed, please download the spreadsheets again.

Mar 8, 2012 Ahmentep 99 posts	Topic: Site Development / New Format Website The new page size is ideal for a tablet in portrait form. Good work!

Mar 7, 2012 Simon 578 posts	Topic: Site Development / Emailing diary If you take a look at the top of the diary view, there is now an Export as PDF option, which will download your diary in a format which can be attached in an email and sent/read by your DAFNE Educator, if they have adobe reader installed (most people do). Let us know what you thiink!

Mar 7, 2012 Alan 49 284 posts	Topic: Site Development / New Format Website I like the new format - thanks chaps.

Mar 7, 2012 jgibson1962 29 posts	Topic: Site Development / Emailing diary Give it a run...see if you can break it lol Probably best using the template, that way you can use a new one every year.

Mar 7, 2012 novorapidboi26 1,819 posts	Topic: Site Development / Emailing diary looks impressive

Mar 7, 2012 jgibson1962 29 posts	Topic: Site Development / Emailing diary Ok! cant do any harm putting my web address here, just go to http://www.gibsonweb.co.uk Just follow the link to Spreadsheets. I have incorporated a similar calculation method to the database on this site, tho not as elaborate, using excel formulas and vb coding, just makes it more portable i guess, especially for people with limited Internet access and no smart phone. Just one of my pet projects. Let me know your thoughts.

Mar 7, 2012 novorapidboi26 1,819 posts	Topic: Site Development / Emailing diary I would be interested in taking a look please.............

Mar 7, 2012 Jenny 27 posts	Topic: Site Development / Pump users and the DAFNE app Yes, I've been wondering how to record basal rates. It would need to have an entry for each hour and repeat each day until you changed it. Then you could keep track of it and it might help so that you could change the basal rate by a percentage for specific times of month/weekends etc. Jenny

Mar 7, 2012 jgibson1962 29 posts	Topic: Site Development / Emailing diary Hi All I have just finished constructing a spreadsheet to record all my BG's and Carbs etc, i've even constructed a dosage calculator as part of the spreadsheet where you can automatically copy and paste your results, anything for an easy life If you would like a copy message me and i will send you the link to my web site where you can download it, i've created the spreadsheet and a template for either Excel 2007 to 2010 and Excel 97 to 2003.

Mar 7, 2012 Jenny 27 posts	Topic: Site Development / Emailing diary I don't really know about these sort of things! If it will send in a way which looks like a dafne diary that will suit me. Thank you Jenny

Mar 7, 2012 Faulty Headl... 18 posts	Topic: Site Development / Emailing diary Aye as long as it's still availible to export into XL as my screen reader is a bugger to use with Adobe. It displays well for me in XL and i can read and adapt it if i need to like hiding rows and columns.

Mar 7, 2012 Garry 328 posts	Topic: Site Development / Emailing diary That sounds the ideal solution Simon. Sure way to enable a consistent output. I don't think anyone can be short of Adobe for the web world of today. Regards Garry

Mar 7, 2012 marke 684 posts	Topic: Questions for HCPs / Accessibility for Blind/ VIP diabetics hi, the card counting book is available in PDF, you can access it by clicking here Its true I dropped the accompanying text from the book and on occasion had to abbreviate the descriptions to fit into the web format. With regards to reading labels when out, in an ideal world all food will have what are called '2D barcodes' on it. This is the new kind of barcode that contains more than just a number but can contain a lot of text allowing things like product details and extra information. At the moment these are used as gimics and contain links to websites etc but could be used for a lot more. There are free readers for these in the app store. Anyway enough of the techno babble, hopefully the PDF version will help and the course is going well.