Recent Posts - DAFNE Online

Feb 18, 2012

ruthhutchinson 39 posts

Redstellaartois said:
Might be worth seeing if your Specialist Nurse can set up some continuous glucose monitoring for you, it might be useful. When I did this I found that from the moment I woke (7-ish) when my bloods would be almost perfect, over the next few hours it rose steadily from 4.5 to 12.2 (10ish) without having anything to eat yet and at the time when I wanted to eat I needed a large corrective dose.

I have this problem too if I don't eat immediately I waken. Have you discovered any solution?

Feb 18, 2012

MARIER 42 posts

Topic: General Discussion / How to test for Spikes with Food

So is it ok to try having Breakfast at 8am and test at 10 am to see what BG is ?? If it is ok does that mean BI is working iwhat should i really be looking out for as in my Sugar level if that makes sence
Smile

Feb 18, 2012

MARIER 42 posts

Topic: General Discussion / How to test for Spikes with Food

Roger
Having Breakfast bout 8am and Levimir at 10.30 am Does that make any diffrance ???

Feb 18, 2012

Simon 578 posts

Topic: DAFNE Online Mobile / Download entries from site?

Did KMT's fix work for anybody? It would be helpful if you're reporting these issues then include the iPhone model you are using, as well as the version of ios installed on the phone, so that we can understand whether it is isolated to specific models.

Feb 18, 2012

EMS 15 posts

Topic: DAFNE Online Mobile / Download entries from site?

This is also happening to me, i've tried it on another iPhone and had the same problem.

Feb 18, 2012

Ahmentep 99 posts

Topic: General Discussion / How to test for Spikes with Food

Reading the posts again I think I should add two things.

1. Jenny is correct when she says that a high reading at two hours after a meal should not be corrected.

2. Depending upon the time at which you have breakfast Marie, your levemir will be tailing off. This may be a small contributory factor.

Roger

Feb 18, 2012

Ahmentep 99 posts

Topic: General Discussion / How to test for Spikes with Food

Hi Marie and Jenny,

I was advised that a test two hours after a meal was adviseable to check on the 'peak'. If you think about it, this would be about the time it would take for the carbohydrate you have eaten to be fully transferred to the blood. After this the level of carbohydrate in the blood would continue to fall due to the insulin which, as you point out Jenny, is still in the system.

I should make it clear that this check, two hours after eating, is not routine. It is only needed when investigating the cause of unusual BG results at mealtimes.

Roger

Feb 17, 2012

thebatoutofhull 60 posts

Topic: Questions for HCPs / high bloods tiny carbs

Sarahlou,
Thanks for your comments. One of the advantages explained to me of DAFNE is if I want to eat I can, and if not I don't have to. Have I got this wrong? I did dafne a long time ago maybe this has changed. The insulin I have in a morning is 2:1 ratio. So 1 unit is ok for 0.5 Carbs. On Fri morn I had a small 0.2 carb intake but also a slighlty elevated BG. 1 unit should have worked. 0.5 of a unit for the 0.2cp's and the other 0.5 of a unit should lower my BG from 7.5 to 6.5. 1unit = -2m/mol. for me.
I still haven't got the hang of adjusting around exercise. I'll persevere.

My next appointment is in May.

I have no real reason other than when I eat carbs I put on weight. I do have days, when I eat a varied amount of carbs. I try to eat when I'm hungry. This is usually in the evening.

Thanks for your support. Smile

Feb 17, 2012

Redstellaartois 3 posts

Topic: General Discussion / High BS

Might be worth seeing if your Specialist Nurse can set up some continuous glucose monitoring for you, it might be useful. When I did this I found that from the moment I woke (7-ish) when my bloods would be almost perfect, over the next few hours it rose steadily from 4.5 to 12.2 (10ish) without having anything to eat yet and at the time when I wanted to eat I needed a large corrective dose.

Feb 17, 2012

sarahlou 7 posts

Topic: Questions for HCPs / high bloods tiny carbs

Looking at your results in the morning you usually have 1 unit of insulin but no food/carbs. By not giving your body any food, especially carbohydrate, your body attempts to raise your blood sugar by other sources to keep your blood sugars in a normal range. This would happen fine in a non-diabetic because their pancreas can then release extra insulin to stop your body (the 'new' sugar comes from your liver) making your blood sugars too high. As this doesn't happen in a diabetic, you can see there is no mechanism (i.e this one unit of insulin is not enough) to cap this increased blood sugar. Therefore you have high blood sugars around 12.00- 13.00. As you also exercised on Wednesday and this would have the same effect. There may also be a problem with your background insulin- it may not be high enough to keep your blood sugars sustained?
By including more carbs in your diet you are giving your body something to match your insulin dose to. Is there any particular reason why you don't eat breakfast or many carbohydrate foods? It really is important for a balanced healthy diet to contain around 50% carbs to give your body that important fuel source. Have you any appointments with your diabetic team coming up that you could put some of these issues across to?

Feb 17, 2012

thebatoutofhull 60 posts

Topic: Questions for HCPs / high bloods tiny carbs

I could do with some advice please.
My blood sugar rises through the morning up to lunchtime and I want to know why? I do not eat at breakfast time. I sometimes do not have lunch either. tea is usually late and can have little or no carbs in it.
My breakfast fasting blood sugar is usually very good. I am not eating until lunch except for 2 cups of coffee with milk. Would the splash of milk raise my Blood? After a pre meal test I take a corrective dose. In fact most of my QA insulin is given as corrective doses. How can I pre-empt what my Blood sugar will be so I can take a corrective dose before my blood rises.
I have 2 injections of Lantus. I overlap them to help with the highs I have most mornings. I have nearly doubled the dose in the last year. Now take 15 at 8amish and 15 at midnight-ish.
I am on a 2:1 ins to carb ratio all day except evening when I am 1.5:1
I am no more active than the average person. On and off this has been a problem for me for over 10 years.
Thank you.

Feb 17, 2012

MARIER 42 posts

Topic: General Discussion / How to test for Spikes with Food

Hi Jenny

I know if you you test 2 hrs after food you kinda get a false reading however i just want to see how my sugars are after Breakfast Cereals in particular. Mayb it not a good idea to do

Feb 17, 2012

JennyNZ 29 posts

Topic: General Discussion / How to test for Spikes with Food

hi Marie. I thought testing 2 hours after a meal wasn't incouraged in Dafne? Because you still have at least 40% of your short acting on board (I find my QA lasts 5 hours) that the result in itself (unless you're going hypo) shoudn't be touched i.e. corrected

Feb 17, 2012

MARIER 42 posts

Topic: General Discussion / How to test for Spikes with Food

Thanks Roger

I am on Novorapid + Levimir With the Glucose machine in the 4 mornings i had Shreddies i peaked but the Oats so simple i was ok so bit of a Mistery I have QA normaly just as i eat and BI 10.30AM AND 10.30PM WHICH IS 20 + 20. Will do 2 hrs after i eat to see what BG IS I know diffrant foods that you eat will have diffrant reaction because of the absorbtion rate I am just curious to see if i have things right but do need help Surprised

Marie

Feb 17, 2012

Ahmentep 99 posts

Topic: General Discussion / How to test for Spikes with Food

Hi Marie,

Almost everyone will have 'spikes' or peaks after a meal, this is quite normal. A blood test two hours after a meal will normally show this. I often peak higher than 20. I am surprised that Shreddies do that though, I would have expected them to be slower acting. Of course I don't have a clear picture as you haven't said what insulin(s) you are on or when you take them relative to eating.

Don't take precipitate action. Keep looking for patterns and take a few extra blood tests about two hours after eating to get a clearer picture. There really should be no NO-NO foods if you have your base insulin right (always the first step), your ratios right for each meal and your timings right. It's a matter of trial and error, for evermore as things change constantly, but change only one thing at a time and wait a minimum of two days before making another change.

Best of luck,

Roger

Feb 16, 2012

MARIER 42 posts

Topic: General Discussion / How to test for Spikes with Food

I am curious to ask how would you do it ???? I know few weeks back after having machine in to test my Glucose that Shreddies are a NO NO for me as i spike well over 17 even with a healthy BG of 8 in morning however when i ate my Oats so simple i remained level So i would like to have a go and see what Cereals in particular are Bad for me
Marie

Feb 15, 2012

Paddy 1 post

Topic: DAFNE Online Mobile / Download entries from site?

I am also having the same problem. I have tried to upload my readings from the previous day and it has not worked.........

Feb 15, 2012

novorapidboi26 1,819 posts

Topic: General Discussion / Morning BG Advice

Would you say your morning is physical...........even if it is, you should try and dose for your food and correct so that you are within target range for lunch time............

Obviously you fear hypo by lunch time if your running about, that is natural, but you will not know the effect of a 'hectic morning' unless you dose correctly, only then can you accurately adjust................. Wink

Feb 14, 2012

ketostix pla... 25 posts

Topic: General Discussion / Morning BG Advice

As mentioned I do not take a big correction at breakfast as may not get chance to grab any food from 6.30am until 1pm on somedays, as time tends to run away as workload hectic in mornings. So I do a correction at 6.30am that brings me down to 10-12 range by 11am when qa is coming to end of play if bg is high in morning, then take a unit or two correction at same time as Background so at 1pm when I have lunch and relax for an hour am in good range.

Feb 14, 2012

KMT 1 post

Topic: DAFNE Online Mobile / Download entries from site?

I just checked on this and had same problem of not loading entry from iphone. Easy fix, go back to settings and enter your user name and password, it worked for me.

Feb 14, 2012

Alan Jock Ni... 19 posts

Topic: DAFNE Online Mobile / Download entries from site?

Thanks Simon, it's only 2 weeks worth of entries, I have had it running all night and still the same, I am on the 3gs...

I'll try changing my password.

Alan

Feb 14, 2012

Simon 578 posts

Topic: DAFNE Online Mobile / Download entries from site?

Hi Alan,

I'm using OS 5.0.1 on a 4S and it's still working OK for me. It does take a while if you have a large number of entries - have you tried leaving it for a few minutes to complete the download?

I'll test it out with a big number and see if it fails for me too.

SImon

Feb 13, 2012

ang78 12 posts

Topic: General Discussion / One Year On

No I didn't , but I am sure my DSN said I'll have an appointment 1 year post dafne to campare results so might mention it to her.
Thanks

Feb 13, 2012

Jenny 27 posts

Topic: Site Development / The 'type' box

Thank you!

Jenny

Feb 18, 2012 ruthhutchinson 39 posts	Topic: General Discussion / High BS Redstellaartois said: Might be worth seeing if your Specialist Nurse can set up some continuous glucose monitoring for you, it might be useful. When I did this I found that from the moment I woke (7-ish) when my bloods would be almost perfect, over the next few hours it rose steadily from 4.5 to 12.2 (10ish) without having anything to eat yet and at the time when I wanted to eat I needed a large corrective dose. I have this problem too if I don't eat immediately I waken. Have you discovered any solution?

Feb 18, 2012 MARIER 42 posts	Topic: General Discussion / How to test for Spikes with Food So is it ok to try having Breakfast at 8am and test at 10 am to see what BG is ?? If it is ok does that mean BI is working iwhat should i really be looking out for as in my Sugar level if that makes sence

Feb 18, 2012 MARIER 42 posts	Topic: General Discussion / How to test for Spikes with Food Roger Having Breakfast bout 8am and Levimir at 10.30 am Does that make any diffrance ???

Feb 18, 2012 Simon 578 posts	Topic: DAFNE Online Mobile / Download entries from site? Did KMT's fix work for anybody? It would be helpful if you're reporting these issues then include the iPhone model you are using, as well as the version of ios installed on the phone, so that we can understand whether it is isolated to specific models.

Feb 18, 2012 EMS 15 posts	Topic: DAFNE Online Mobile / Download entries from site? This is also happening to me, i've tried it on another iPhone and had the same problem.

Feb 18, 2012 Ahmentep 99 posts	Topic: General Discussion / How to test for Spikes with Food Reading the posts again I think I should add two things. 1. Jenny is correct when she says that a high reading at two hours after a meal should not be corrected. 2. Depending upon the time at which you have breakfast Marie, your levemir will be tailing off. This may be a small contributory factor. Roger

Feb 18, 2012 Ahmentep 99 posts	Topic: General Discussion / How to test for Spikes with Food Hi Marie and Jenny, I was advised that a test two hours after a meal was adviseable to check on the 'peak'. If you think about it, this would be about the time it would take for the carbohydrate you have eaten to be fully transferred to the blood. After this the level of carbohydrate in the blood would continue to fall due to the insulin which, as you point out Jenny, is still in the system. I should make it clear that this check, two hours after eating, is not routine. It is only needed when investigating the cause of unusual BG results at mealtimes. Roger

Feb 17, 2012 thebatoutofhull 60 posts	Topic: Questions for HCPs / high bloods tiny carbs Sarahlou, Thanks for your comments. One of the advantages explained to me of DAFNE is if I want to eat I can, and if not I don't have to. Have I got this wrong? I did dafne a long time ago maybe this has changed. The insulin I have in a morning is 2:1 ratio. So 1 unit is ok for 0.5 Carbs. On Fri morn I had a small 0.2 carb intake but also a slighlty elevated BG. 1 unit should have worked. 0.5 of a unit for the 0.2cp's and the other 0.5 of a unit should lower my BG from 7.5 to 6.5. 1unit = -2m/mol. for me. I still haven't got the hang of adjusting around exercise. I'll persevere. My next appointment is in May. I have no real reason other than when I eat carbs I put on weight. I do have days, when I eat a varied amount of carbs. I try to eat when I'm hungry. This is usually in the evening. Thanks for your support.

Feb 17, 2012 Redstellaartois 3 posts	Topic: General Discussion / High BS Might be worth seeing if your Specialist Nurse can set up some continuous glucose monitoring for you, it might be useful. When I did this I found that from the moment I woke (7-ish) when my bloods would be almost perfect, over the next few hours it rose steadily from 4.5 to 12.2 (10ish) without having anything to eat yet and at the time when I wanted to eat I needed a large corrective dose.

Feb 17, 2012 sarahlou 7 posts	Topic: Questions for HCPs / high bloods tiny carbs Looking at your results in the morning you usually have 1 unit of insulin but no food/carbs. By not giving your body any food, especially carbohydrate, your body attempts to raise your blood sugar by other sources to keep your blood sugars in a normal range. This would happen fine in a non-diabetic because their pancreas can then release extra insulin to stop your body (the 'new' sugar comes from your liver) making your blood sugars too high. As this doesn't happen in a diabetic, you can see there is no mechanism (i.e this one unit of insulin is not enough) to cap this increased blood sugar. Therefore you have high blood sugars around 12.00- 13.00. As you also exercised on Wednesday and this would have the same effect. There may also be a problem with your background insulin- it may not be high enough to keep your blood sugars sustained? By including more carbs in your diet you are giving your body something to match your insulin dose to. Is there any particular reason why you don't eat breakfast or many carbohydrate foods? It really is important for a balanced healthy diet to contain around 50% carbs to give your body that important fuel source. Have you any appointments with your diabetic team coming up that you could put some of these issues across to?

Feb 17, 2012 thebatoutofhull 60 posts	Topic: Questions for HCPs / high bloods tiny carbs I could do with some advice please. My blood sugar rises through the morning up to lunchtime and I want to know why? I do not eat at breakfast time. I sometimes do not have lunch either. tea is usually late and can have little or no carbs in it. My breakfast fasting blood sugar is usually very good. I am not eating until lunch except for 2 cups of coffee with milk. Would the splash of milk raise my Blood? After a pre meal test I take a corrective dose. In fact most of my QA insulin is given as corrective doses. How can I pre-empt what my Blood sugar will be so I can take a corrective dose before my blood rises. I have 2 injections of Lantus. I overlap them to help with the highs I have most mornings. I have nearly doubled the dose in the last year. Now take 15 at 8amish and 15 at midnight-ish. I am on a 2:1 ins to carb ratio all day except evening when I am 1.5:1 I am no more active than the average person. On and off this has been a problem for me for over 10 years. Thank you.

Feb 17, 2012 MARIER 42 posts	Topic: General Discussion / How to test for Spikes with Food Hi Jenny I know if you you test 2 hrs after food you kinda get a false reading however i just want to see how my sugars are after Breakfast Cereals in particular. Mayb it not a good idea to do

Feb 17, 2012 JennyNZ 29 posts	Topic: General Discussion / How to test for Spikes with Food hi Marie. I thought testing 2 hours after a meal wasn't incouraged in Dafne? Because you still have at least 40% of your short acting on board (I find my QA lasts 5 hours) that the result in itself (unless you're going hypo) shoudn't be touched i.e. corrected

Feb 17, 2012 MARIER 42 posts	Topic: General Discussion / How to test for Spikes with Food Thanks Roger I am on Novorapid + Levimir With the Glucose machine in the 4 mornings i had Shreddies i peaked but the Oats so simple i was ok so bit of a Mistery I have QA normaly just as i eat and BI 10.30AM AND 10.30PM WHICH IS 20 + 20. Will do 2 hrs after i eat to see what BG IS I know diffrant foods that you eat will have diffrant reaction because of the absorbtion rate I am just curious to see if i have things right but do need help Marie

Feb 17, 2012 Ahmentep 99 posts	Topic: General Discussion / How to test for Spikes with Food Hi Marie, Almost everyone will have 'spikes' or peaks after a meal, this is quite normal. A blood test two hours after a meal will normally show this. I often peak higher than 20. I am surprised that Shreddies do that though, I would have expected them to be slower acting. Of course I don't have a clear picture as you haven't said what insulin(s) you are on or when you take them relative to eating. Don't take precipitate action. Keep looking for patterns and take a few extra blood tests about two hours after eating to get a clearer picture. There really should be no NO-NO foods if you have your base insulin right (always the first step), your ratios right for each meal and your timings right. It's a matter of trial and error, for evermore as things change constantly, but change only one thing at a time and wait a minimum of two days before making another change. Best of luck, Roger

Feb 16, 2012 MARIER 42 posts	Topic: General Discussion / How to test for Spikes with Food I am curious to ask how would you do it ???? I know few weeks back after having machine in to test my Glucose that Shreddies are a NO NO for me as i spike well over 17 even with a healthy BG of 8 in morning however when i ate my Oats so simple i remained level So i would like to have a go and see what Cereals in particular are Bad for me Marie

Feb 15, 2012 Paddy 1 post	Topic: DAFNE Online Mobile / Download entries from site? I am also having the same problem. I have tried to upload my readings from the previous day and it has not worked.........

Feb 15, 2012 novorapidboi26 1,819 posts	Topic: General Discussion / Morning BG Advice Would you say your morning is physical...........even if it is, you should try and dose for your food and correct so that you are within target range for lunch time............ Obviously you fear hypo by lunch time if your running about, that is natural, but you will not know the effect of a 'hectic morning' unless you dose correctly, only then can you accurately adjust.................

Feb 14, 2012 ketostix pla... 25 posts	Topic: General Discussion / Morning BG Advice As mentioned I do not take a big correction at breakfast as may not get chance to grab any food from 6.30am until 1pm on somedays, as time tends to run away as workload hectic in mornings. So I do a correction at 6.30am that brings me down to 10-12 range by 11am when qa is coming to end of play if bg is high in morning, then take a unit or two correction at same time as Background so at 1pm when I have lunch and relax for an hour am in good range.

Feb 14, 2012 KMT 1 post	Topic: DAFNE Online Mobile / Download entries from site? I just checked on this and had same problem of not loading entry from iphone. Easy fix, go back to settings and enter your user name and password, it worked for me.

Feb 14, 2012 Alan Jock Ni... 19 posts	Topic: DAFNE Online Mobile / Download entries from site? Thanks Simon, it's only 2 weeks worth of entries, I have had it running all night and still the same, I am on the 3gs... I'll try changing my password. Alan

Feb 14, 2012 Simon 578 posts	Topic: DAFNE Online Mobile / Download entries from site? Hi Alan, I'm using OS 5.0.1 on a 4S and it's still working OK for me. It does take a while if you have a large number of entries - have you tried leaving it for a few minutes to complete the download? I'll test it out with a big number and see if it fails for me too. SImon

Feb 13, 2012 ang78 12 posts	Topic: General Discussion / One Year On No I didn't , but I am sure my DSN said I'll have an appointment 1 year post dafne to campare results so might mention it to her. Thanks

Feb 13, 2012 Jenny 27 posts	Topic: Site Development / The 'type' box Thank you! Jenny