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Feb 2, 2012
Pammie
7 posts
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Topic: General Discussion / diarrhoea
Hard to say at the moment - just get high BS for no apparent reason at times - is generally high on waking too. Sure it's the BI, but I seem to very insulin-sensitive and a change of just one unit leads to hypos. Am on Levemir split dose of 12 and 6 units. Thanks for all your interest and help 
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Feb 2, 2012
Pammie
7 posts
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Topic: General Discussion / diarrhoea
Thanks for that - am hoping it's not IBS - in fact was hoping for e-coli or similar bug to get rid of!! |
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Feb 2, 2012
novorapidboi26
1,819 posts
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Topic: General Discussion / diarrhoea No problem....................Were specifically do your BG problems lie at the minute, if there is anywhere specific.................? |
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Feb 2, 2012
thebatoutofhull
60 posts
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Topic: General Discussion / diarrhoea Autonomic neuropathy can effect the digestive system. From what ive read it more commonly causes constipation. This is a quote from NIDDK (National Institute of Diabetes and Digestive and Kidney Diseases.) and NIDC "while nerve damage to the bowels can cause constipation alternating with frequent, uncontrolled diarrhea, especially at night." These are both US health agencies. http://diabetes.niddk.nih.gov/dm/pubs/neuropathies Try this link for more info. Its a start at least. Also could it be that your diabetes is not the cause? Look into I.B.S. aswell. |
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Feb 2, 2012
Pammie
7 posts
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Topic: General Discussion / diarrhoea Thanks for the good wishes by the way
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Feb 2, 2012
Pammie
7 posts
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Topic: General Discussion / diarrhoea Only found out about it as I was searching for meds which might cause upset stomach! No other neuropathy, not overweight (although could lose a few pounds!). BG not well-controlled - all over the place in fact! |
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Feb 2, 2012
novorapidboi26
1,819 posts
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Topic: General Discussion / diarrhoea Not heard much about it personally, but I suppose nerves within the body, and therefore the gut, can be effected.......Are you experiencing nueropathy anywhere else..............? How well controlled is your BG.........? How is your weight............? All factors to consider.............I hope your recovers soon.............. 
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Feb 2, 2012
Pammie
7 posts
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Topic: General Discussion / diarrhoea Have already seen the GP once...... No e-coli or other nasties from the hospital tests, so was just wondering if anybody knew about the diabetic-related runs!! A form of neuropathy apparently. |
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Feb 2, 2012
novorapidboi26
1,819 posts
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Topic: General Discussion / diarrhoea The doctor is definitely the nest logical step if not already............Something must be upsetting your gut.......... The important thing from a diabetic point of view, especially when keeping food down, or not feeling up to eating is concerned, is ketones.......... So the sick day rules from the DAFNE course handbook should see you right ketone/BG wise until the problem is rectified....... 
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Feb 2, 2012
thebatoutofhull
60 posts
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Topic: General Discussion / diarrhoea Diarrhoea for 4 weeks! Go see your GP. |
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Feb 2, 2012
Pammie
7 posts
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Topic: General Discussion / diarrhoea Hi there - does anyone have experience of diabetic diarrhoea please? Have had diarrhoea for the past 4 weeks with one week in between which was okay. Not feeling nauseous, but am concerned about nutrients, etc as difficult to eat much at the moment!! Thanks for any assistance (am taking rehydration drinks) |
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Feb 2, 2012
novorapidboi26
1,819 posts
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Topic: General Discussion / My mornings have gone to pot There could be issues with your QA and possibly with your BI dose during the day................However, you have not told us what your blood results are at the 12:30-13:00 point are.............obviously you are testing at 10:00, see a high and correct.............. But you should not be doing this...............your insulin dose at 8am needs 4.5-5 hours to do its magic.........do you know this..........? The 17 and similar blood sugars you have been recording at 10am have been a spike caused by mis timing of your 8 am dose............ The low you experienced at 2 was because you gave yourself a correction dose that you did not need......... Confirm your ratio at 8am is working by testing before breakfast at 8am and before lunch/5 hours later 12:30-13:00, if its not adjust your ratio up, if it is bringing you on target at that time.............you need to consider taking your breakfast dose, 15, 20, 30 minutes before actually eating it...........the exact time will need to be established by trial and error, as matching the insulin profile to the the absorption of the food is different with everyone, for different foods and different times of the day...........
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Feb 2, 2012
thebatoutofhull
60 posts
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Topic: General Discussion / My mornings have gone to pot Hi. I bet this is frustrating. I have had a similar morning issue. Whatever I try sometimes works, sometimes does not. I used to eat porridge in a morning but the gi meant that my food was lasting longer than my insulin. so high after lunch time. I also get a form of dawn phenonomen but it is off set and kicks in later in the morning. This is usually caused from my body clock not catching up after ive been working abroad. I have experimented with over lapping BI slightly.Options: 1/stay as you are and see if it is a blip. ( i have so many of those) 2/ on a non work day don't have breakfast but test the same to see if it is the breakfast insulin that needs adapting. also see what happens in the afternoon. 3/ If not your breakfast insulin look at your morning BI. You have a great advantage that you are up early. You could change the timings slightly or increase you daytime BI. ( the 2.6 in the afternoon is probably from too much short acting since you increased your ratio.) The best indicator of how you are going to be is to look at how you have been. Best of luck and judgment. |
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Feb 2, 2012
superman3000
2 posts
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Topic: General Discussion / My mornings have gone to pot My mornings have gone to pot!!!!I get up around five for work, but I don’t have my breakfast until 8. Until recently my morning ratio is 1:1 (two shredded wheat and milk = 4CP) which has been fine for ages. Then last few mornings I have been 6.5 at 8:00, then at 10:00 I am 17.0!! So I increased my ratio to 1.5:1, but still by 10:00 I would be though the roof, so I increased then next day to 2:1 but still really high at 10:00. I have been doing a correctional dose at 10 (2 units novorapid to bring me down) and have been having a late lunch at 2 where I am have been 2.6.? I am having a split dose of levermer 16 at night and 8 in the morning. What’s going on is my body resistant to the first dose, but all the other ratios have stayed the same, and I don’t know what to inject in the morning as it doesn’t make any differents. Any input would be great. |
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Feb 1, 2012
JennyNZ
29 posts
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Topic: Site Development / Injection site list Hi there. I've just started using the on line diary, too and think its great but was going to ask the same question - being able to record 2 different injection sites. I think the graphs are great - I always thought I was great at site rotation until I started using your programme and realised how much I was favouring sites. one thing - you only have one "buttocks" could you make that "left" and "right" as well? thanks |
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Feb 1, 2012
JennyNZ
29 posts
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Topic: General Discussion / Hypo fear? hi there. I think it must be a dafne questionaire - I did something with the same question just this week. Its a post dafne qustionaire but, like you, I felt like the questions were a little bit loaded. my hypo fears tend to involve unusual situations. I was doing a 10km swim once and was always worried about going hypo (this was pre dafne). Not sure if this helps very much though. |
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Feb 1, 2012
Ahmentep
99 posts
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Topic: General Discussion / Hypo fear? I'm with Novorapidboi on this one. I respect both but fear neither. There are millions of things which can kill us, an awful lot of them in our own homes, if you look at the statistics. The healthiest person we know could be run over by a bus tomorrow. We have to accept our condition and learn to manage it to the best of our ability. We should not be afraid of asking for the help of those around us either. Most people are happy to help if they know what to do. It's when they don't know, because we have not enlightened them, that they fail to help. |
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Jan 31, 2012
Chris loughrey
21 posts
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Topic: Site Development / Pump users and the DAFNE app I'm thinking of a way that you can put in basal rates that may change 3-4 times a day but still get a correct total daily dose in the summary numbers. IE if I say that at 10am-4pm my basal rate is 0.25U per hour, currently I'd have to record that every hour for it to be counted properly so a method of putting in pump basals would be good. How to do that is something I'm not sure of
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Jan 31, 2012
novorapidboi26
1,819 posts
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Topic: General Discussion / Hypo fear? I dont fear hypos either nor do I fear hypers though................I think if you have good control over your blood sugar its normal to expect hypos from time to time...............and also to know when you potentially could have them...................carrying hypo resolve all the time also helps. These are things that are taught in DAFNE.............. I think that peoples fear of hypos is real and I suppose does warrant a survey if someone is studying the effect the fear of a hypo has on people, not everyone is educated to the DAFNE standard and so dont understand there own body.......... Some folk are also sensitive to insulin which can only be solved with a pump, which they might not have as yet.......... So peoples fear of them are real, although they really dont need to be................
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Jan 31, 2012
thebatoutofhull
60 posts
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Topic: General Discussion / Hypo fear? Hi all, a month ago I did a questionnaire about type one diabetes. It made me feel uncomfortable. The questions seemed focused on the presumed 'fear type 1's have of going hypo' and how this effects how we feel and react. (This questionnaire was a little skewed in my opinion, posing some leading questions)I have a healthy respect but do not fear hypo's, I am more concerned with going hyper or moderately high. Hyperglycaemia was not touched on in the questionnaire. I do not want to say more about the research project as it was done by invite/confidentially. I think the results will be published in the BMJ. Which are you more concerned about? hypo,hyper,both,other? Am I wrong? |
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Jan 31, 2012
novorapidboi26
1,819 posts
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Topic: General Discussion / Graduation I dont no anyone who has came out of DAFNE course with the blood sugars in complete control, so your doing OK..............
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Jan 31, 2012
Ahmentep
99 posts
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Topic: General Discussion / Graduation Thank you all for your congratulations.I have certainly learnt a lot from the course and now look forward to better control. The last few days my BG has been all over the place, but it seems that I may have a gut infection. That's my excuse anyway! :-) |
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Jan 30, 2012
sarahlou
7 posts
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Topic: General Discussion / New Needles I've just been changed from 5mm to 4mm and even that 1mm difference is less painful, less pinching and less bruising to stop my lumpy injection sites as I've been diabetic for nearly ten years and its getting a bit sore now! I think with the absorption its more to do with you injecting into a fatty lump as the absorption would therefore be slower than if you were just injecting into subcutaneous fat, and I was told smaller needles would mean less lumps. This may then mean you end up needing less insulin if the smaller needles improve your absorption and you are no longer injecting into lumps that 'soak' up the insulin instead of it being able to enter your blood stream. |
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Jan 30, 2012
novorapidboi26
1,819 posts
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Topic: Questions for HCPs / Ratios and compensating
if is available at your clinic I dont see why not......................obviously there are cuts happening............ I actually went to the DAFNE course in a different hospital, as my clinic did not have the trained staff at the time, this could be a consideration. I personally would commute or find accommodation just to attend............ good luck........ |
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Jan 30, 2012
jgibson1962
29 posts
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I have an appointment with the diabetes nurse next month, i think i am going to press the point to get on this course, i can't understand why its all post code lottery. Welcome to 21st century Britain. |