Recent Posts - DAFNE Online

Mar 10, 2012

Simon Robinson 4 posts

Topic: DAFNE Online Mobile / Download entries from site?

Hi Alan

Thanks for the quick response! Smile

I have contacted site admin and reported it and they are working on the issue, in the meantime thanks for the good advice as the iPhone diary upload is spot on and works well.

All the best

Simon

Mar 9, 2012

SA2010 69 posts

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

Thanks James for trying it on your pen. I tried a new lantis solostar pen and it does leak with &quot;0&quot; dose - in fact the longer you leave it the more it leaks. I will switch to a new pen anyway.

So it could be just a combination of changes that led to the problem for me.

1. Splitting the dose doubled the error caused by the leak after reaching zero
2. When counting 1 to 10 I recently switched to counting one thousand, two thousand ... up to ten thousand as I thought I was rushing through the 1 to 10 !
3. Probably pressing harder now on the end when counting - because dose is tiny and didn;t want to lose any of it (just 4 and 4 units)

With regards to pressing down when counting,the Lantus Solostar instruction sheet does say that: &quot;.... Keep the injection button pressed all the way in. Slowly count to 10 before you withdraw the needle from the skin.....&quot;

Until I hear back from sanofi I will just make sure I do not press hard when counting to 10 and will not release and press again

I have taken some shots as well like you did and tried to get one on digitalarchive.org but appears one needs to be invited - so put it on flickr here

Mar 9, 2012

Alan Jock Ni... 19 posts

Topic: DAFNE Online Mobile / Download entries from site?

StarWarsCake said:
Hi

I am a new Dafne graduate and have this issue since downloading the iPhone app for the iphone4 using IOS 5.1.

It just hangs when trying to download the diary which is only a weeks worth of content.

I have done the usual checking my credentials and using over wifi only, also I have reinstalled the app.

Any help would be massively appreciated

I gave up on downloading from the online diary to the iPhone as I am having the same problem as you.

It now works great the other way round, I now put all my results in the iPhone app and it auto uploads to the online diary.

I hope you find a solution.

Alan

Mar 9, 2012

Tricki 5 posts

Topic: Carbohydrate Counting / Absolute Beginner Home Cooking

Thanks for the information.

Wasn't sure how cooking effected carbs - have seen lists of food that gave different amounts for cooked and raw (probably calculated to include the cooking oil etc now I think about it).

If it remains the same its easier than I thought. Trying to work it out by weight was the wrong idea I guess.

I'll bear it in mind what you said about things like pasta or rice that absorb water when weighing out portions.

Mar 9, 2012

Simon Robinson 4 posts

Topic: DAFNE Online Mobile / Download entries from site?

Hi

I am a new Dafne graduate and have this issue since downloading the iPhone app for the iphone4 using IOS 5.1.

It just hangs when trying to download the diary which is only a weeks worth of content.

I have done the usual checking my credentials and using over wifi only, also I have reinstalled the app.

Any help would be massively appreciated Smile

Mar 9, 2012

novorapidboi26 1,819 posts

Topic: Carbohydrate Counting / Absolute Beginner Home Cooking

Hi, welcome to the forum.................

The total carb amount you worked out will remain the same for the complete contents of the slow cooker even after cooking........

Once it is cooked you should then divide it up into more or less equal portions for serving/storing, and then you simply divide your initial carb count by the number of portions.......

the cooking process does add water and weight and so essentially dilutes the carbs that are present, so 400g of uncooked pasta could have 100g of carbohydrate and could be split evenly between 4 people, so 25g each......

after cooking the weight of the pasta increases but now there is more mass and therefore more portions.........there is now 6 portions, so your initial carb count would be divided by 6 instead of 4, giving each portion a smaller carb content.......in my example 16.6g [100g/6 portions]

It can be confusing, especially with packet food, but ultimately the cooked carb content is only relevant if your not consuming the full meal........

Mar 9, 2012

Tricki 5 posts

Topic: Carbohydrate Counting / Absolute Beginner Home Cooking

Hi there. Started Carb counting yesterday so very new to this. Am signed up for a DAFNE course, but decided to start now as I felt I understood enough to be able to manage from what I had read already, and my consultant concurred.

Now I haven't seen the Dietician yet, and the nurse who went over the basics didn't have time to cover the basics of cookery, so I thought I would ask here.

I like to cook a large pot of stew, curry etc in a slow cooker, and freeze the remainder, and am going to practice by doing a curry to try it out. I need a little guidance on how to work out carbohydrates per serving.

Have worked out the weights of ingredients and carb amounts of each, and got a total I am confident of. The question is what is the best method of estimating carbs per portion. I could weigh the completed meal and then weigh the portion size and divide, but unsure if to weigh before or after cooking. Also some of the weight will be water, so should I estimate how much content is water and take that into account?

Haven't really looked for any good online resources for carb counting cooking, so if anyone knows a good one fo me to educate myself while waiting to get on DAFNE, I would be very grateful.

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.....

Insulin Test

the top is at 0, the bottom is 1 unit...

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 10, 2012 Simon Robinson 4 posts	Topic: DAFNE Online Mobile / Download entries from site? Hi Alan Thanks for the quick response! I have contacted site admin and reported it and they are working on the issue, in the meantime thanks for the good advice as the iPhone diary upload is spot on and works well. All the best Simon

Mar 9, 2012 SA2010 69 posts	Topic: General Discussion / Lantus Solostar pre-filled pen releasing insulin when pressed on zero setting Thanks James for trying it on your pen. I tried a new lantis solostar pen and it does leak with &quot;0&quot; dose - in fact the longer you leave it the more it leaks. I will switch to a new pen anyway. So it could be just a combination of changes that led to the problem for me. 1. Splitting the dose doubled the error caused by the leak after reaching zero 2. When counting 1 to 10 I recently switched to counting one thousand, two thousand ... up to ten thousand as I thought I was rushing through the 1 to 10 ! 3. Probably pressing harder now on the end when counting - because dose is tiny and didn;t want to lose any of it (just 4 and 4 units) With regards to pressing down when counting,the Lantus Solostar instruction sheet does say that: &quot;.... Keep the injection button pressed all the way in. Slowly count to 10 before you withdraw the needle from the skin.....&quot; Until I hear back from sanofi I will just make sure I do not press hard when counting to 10 and will not release and press again I have taken some shots as well like you did and tried to get one on digitalarchive.org but appears one needs to be invited - so put it on flickr here

Mar 9, 2012 Alan Jock Ni... 19 posts	Topic: DAFNE Online Mobile / Download entries from site? StarWarsCake said: Hi I am a new Dafne graduate and have this issue since downloading the iPhone app for the iphone4 using IOS 5.1. It just hangs when trying to download the diary which is only a weeks worth of content. I have done the usual checking my credentials and using over wifi only, also I have reinstalled the app. Any help would be massively appreciated I gave up on downloading from the online diary to the iPhone as I am having the same problem as you. It now works great the other way round, I now put all my results in the iPhone app and it auto uploads to the online diary. I hope you find a solution. Alan

Mar 9, 2012 Tricki 5 posts	Topic: Carbohydrate Counting / Absolute Beginner Home Cooking Thanks for the information. Wasn't sure how cooking effected carbs - have seen lists of food that gave different amounts for cooked and raw (probably calculated to include the cooking oil etc now I think about it). If it remains the same its easier than I thought. Trying to work it out by weight was the wrong idea I guess. I'll bear it in mind what you said about things like pasta or rice that absorb water when weighing out portions.

Mar 9, 2012 Simon Robinson 4 posts	Topic: DAFNE Online Mobile / Download entries from site? Hi I am a new Dafne graduate and have this issue since downloading the iPhone app for the iphone4 using IOS 5.1. It just hangs when trying to download the diary which is only a weeks worth of content. I have done the usual checking my credentials and using over wifi only, also I have reinstalled the app. Any help would be massively appreciated

Mar 9, 2012 novorapidboi26 1,819 posts	Topic: Carbohydrate Counting / Absolute Beginner Home Cooking Hi, welcome to the forum................. The total carb amount you worked out will remain the same for the complete contents of the slow cooker even after cooking........ Once it is cooked you should then divide it up into more or less equal portions for serving/storing, and then you simply divide your initial carb count by the number of portions....... the cooking process does add water and weight and so essentially dilutes the carbs that are present, so 400g of uncooked pasta could have 100g of carbohydrate and could be split evenly between 4 people, so 25g each...... after cooking the weight of the pasta increases but now there is more mass and therefore more portions.........there is now 6 portions, so your initial carb count would be divided by 6 instead of 4, giving each portion a smaller carb content.......in my example 16.6g [100g/6 portions] It can be confusing, especially with packet food, but ultimately the cooked carb content is only relevant if your not consuming the full meal........

Mar 9, 2012 Tricki 5 posts	Topic: Carbohydrate Counting / Absolute Beginner Home Cooking Hi there. Started Carb counting yesterday so very new to this. Am signed up for a DAFNE course, but decided to start now as I felt I understood enough to be able to manage from what I had read already, and my consultant concurred. Now I haven't seen the Dietician yet, and the nurse who went over the basics didn't have time to cover the basics of cookery, so I thought I would ask here. I like to cook a large pot of stew, curry etc in a slow cooker, and freeze the remainder, and am going to practice by doing a curry to try it out. I need a little guidance on how to work out carbohydrates per serving. Have worked out the weights of ingredients and carb amounts of each, and got a total I am confident of. The question is what is the best method of estimating carbs per portion. I could weigh the completed meal and then weigh the portion size and divide, but unsure if to weigh before or after cooking. Also some of the weight will be water, so should I estimate how much content is water and take that into account? Haven't really looked for any good online resources for carb counting cooking, so if anyone knows a good one fo me to educate myself while waiting to get on DAFNE, I would be very grateful.

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..... Insulin Test the top is at 0, the bottom is 1 unit...

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