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Jan 27, 2012
JenC
4 posts
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Topic: General Discussion / Increasing Exercise...not Hypos Thanks for responding!I know all too well about trial and error, I feel that I have probably made to many changes in one go and my diabetes has decided to have a moan. Just feel hard to stay motivated when you feel hypo almost all the time - my levels in general have dropped so I think my body is adjusting to that feeling. My average reading is not about 5-6 when before it would have been 8-9 I'll stick at it and see how it goes! |
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Jan 27, 2012
novorapidboi26
1,819 posts
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Topic: General Discussion / low sugars and background insulin if your BI dose is out, then you might not have the correct insulin/carb ratio, it might change when you adjust your BI..............so it requires a bit of trial and error.............its hard to say why your BG didn't drop drastically in that occasion, it could of been down to slower digestion food you had for dinner etc............can you remember what you had?.............. the high in the morning is also a mystery, but could be the effects of the dawn phenomenon...............however you need to test to find out whats going on exactly.............. So 3 consecutive days with the same result is good enough to make a decision on dose............ |
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Jan 27, 2012
novorapidboi26
1,819 posts
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Topic: General Discussion / Increasing Exercise...not Hypos No experience unfortunately but I think its really as case of trial and error [as diabetes always is] regarding you insulin reduction.................it all depends on intensity and duration I think, theres more details in the handbook, but I think what you need to do is drop your QA dose prior to the exercise...............how much will need to be found out by you, hence the trial and error............. sorry I couldn't be of any more help......................  Welcome to the forum................... 
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Jan 27, 2012
MARIER
42 posts
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Topic: General Discussion / low sugars and background insulin Any suggestions of why i went to bed on 9.9 and 3am test was spot on 8.7 then 815 am this morning threw a 18.2 ?????thanx Marie |
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Jan 27, 2012
MARIER
42 posts
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Topic: General Discussion / low sugars and background insulin Thanks i will try the online diary as i cant seem to enter dtes at bottom just doesnt do anything ? mayb should try if on target goin to bed just always felt it was a bit low for me in my own mind under 10 would be ok !!! if i know today as i did yest that i had correct insulin to carbs then its deffo background if i am low again this aft then tommr morn i will test as usual and at 10.30 am b4 i have background and not eat anything. |
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Jan 27, 2012
JenC
4 posts
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Topic: General Discussion / Increasing Exercise...not Hypos Hi,I was wondering if anyone might want to share their experiences with me on the best way to approach exercising. I've recently joined the gym and am committed to losing weight this year - however, I've found the number of hypos I'm getting increasing drastically. I've reduced my background insulin which has improved things slightly, but I am finding that my sugars seem to plummet very fast. EG - Last night I did a pre workout test - 5.2, I had a banana then did 40 minutes cardio and had to stop because I felt low and when I did a test I was 3.3. I had my usual hypo treatment and then went home and had dinner, when I did a test at this point my sugar was only 4.2 I'm finding it a bit disheartening - I'm trying really hard to get some healthy habits into my life and feel like all I've done all week is drink lucozade just to feel normal!! There has to be a better way, any experienced athletes who want to share tips?? Thanks, Jen |
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Jan 27, 2012
novorapidboi26
1,819 posts
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Topic: General Discussion / low sugars and background insulin You can input your diary by going to the Online diary................then you can enter in the dates you wish to post in the 2 boxes below the main box you type in when in the forum.................I hope that link works...............you can also access the diary on the right hand menu................If you tested at 3am and you thought it was too low, then your evening BI is out, it should be holding you steady.......................the fact that you went to bed on 7.4 and dropped to 5.6 by 3am also confirms that..................7.4 is fine to go to bed on...........what would you like to be before bed.............? Your lows in the afternoon could be too much insulin at lunchtime, or too much BI insulin in the morning......................so you should test your morning BI with some carb free meals or miss a meal...................but you should also check your evening BI as it looks to me as its too much........ just remember to get a few days results to confirm the pattern............ So I think your initial analysis of your results is correct, you need to reduce both BI doses............. HAPPY TESTING...................
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Jan 27, 2012
MARIER
42 posts
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Topic: General Discussion / low sugars and background insulin 25/1/126am 11AM 12.50PM 3PM 5.45PM 9.45PM 10.30 CP 2.5 4.5 5 4.5 BG 11.4 12.0 8.6 * 3.1* 6.6 7.2 QA 1+2.5 4.5 5 4.5 BI 10.30AM 24 10.30 PM 24 ****************************************************************************** 26/1/12 3AM TEST 5.6 CP + 1 8.45AM 10.30 12.45 1.25 5PM 5.45 10PM 10.30PM CP 2 1.5 1 5 3.5 BG 10.7 11.7 5.7 9.9 QA 2 +1 1.5 5 3.5 BI 24 24 ***************************************************************************************************** 27/1/12 3AM TEST BG 8.7 8.15 AM 8.45 AM 10.30 CP 2 BG 18.2 14.8 QA +4 2 BI 24 |
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Jan 27, 2012
MARIER
42 posts
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Topic: General Discussion / low sugars and background insulin Sorry that was my fault never thought to post carbs .I had the 1cp at 3am as 5.6 is to low for me went to bed with 7.4 which again is to low but i thought i would try it to see how i got on . Also forgot to put that i was low yest aft also Heck sorry not very good at this yes i will try go do online diary for last few daysThanx Novorapidboi26  |
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Jan 27, 2012
novorapidboi26
1,819 posts
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Topic: General Discussion / low sugars and background insulin Hi there,I am struggling a wee bit to understand whats going on, mainly because there are no carb values or insulin values, only that you said you had the right amount...........so cant really say whats going on......... You said you done a 3am test and it was 5.6, which is good, perfect even...............did you have 1CP at 3am then, and if so, why? If thae above scenario is correct and you woke up at 8.45am with a BG of 10.1, this is probably down to the 1CP you had at 3am...... At the end of your post you mention low sugars in the afternoon, the only low I see is the 3.2 at 3.10pm, but I dont know whether this was the day before the rest of the results, as you mention the 3.2 first before the rest of the results.......... Sorry I cant help much............ Would you be able to think back to your results and put them in the online diary, then post them up................. Without carbs consumed and insulin taken for them, ratios, times and doses of background insulin, previous days results, you just cant make a decision really...........
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Jan 27, 2012
novorapidboi26
1,819 posts
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Topic: General Discussion / Redoing DAFNE??? Every clinic is different I suppose, but mine dont hassle me about weight, and I am 5 stone overweight..................They can see I am proactive in my approach to get my blood sugar under control, and they understand that in doing so, I might have to put on a few pounds, or in my case stones.......... I think you should concentrate on you blood glucose control for now, get in to the habit of testing and experimenting with different foods, build up a database of knowledge specific to you, then think about cutting out carbs and eating more healthy........... For a week I reduced my carb amount significantly, so just meat and veg etc................and the results were brilliant, blood sugars much more easily managed, and the less carbs you have, the less calories are going in.............so for me, this looks like a good plan for the future, not carb free, but reduced carbs....................although I have still to adopt this plan........
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Jan 27, 2012
Lizzie
87 posts
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Topic: General Discussion / Redoing DAFNE??? Hi and thanks all for your helpful advice. I just wanted to say I am still persevering and haven't gone away but it was very busy at work yesterday so i didn't have a chance to reply.If I wanted to split my Lantus (haven't yet decided), does anyone have any advice? Sarahlou I know being fat can cause insulin resistance. I am prepared to admit that I could lose some weight. But I feel that doctors do not give natural means like healthy diets and exercise enough of a chance. I would love to be given more support to lose weight in that way. If the doctors supported me in trying to eat more healthily and took a positive outlook on the whole thing then I would be happy. But instead they are very negative, scaremongering and nagging all the time and forcing drugs and surgery on people unecessarily. If people want to quit smoking they are given free counselling, quit kits etc all on the NHS. Of course that is right, they should be given support. But I just think people trying to lose weight should get similar support, like counselling or cookery classes, exercise groups etc. It should be given more of a positive slant instead of nagging, you can't eat this, you shouldn't do that. And also they focus too much on weight when they should be focusing on health - losing weight is not necessarily healthy in itself unless it is the result of a balanced diet and exercise. All this is IMHO of course. |
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Jan 26, 2012
MARIER
42 posts
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Topic: General Discussion / low sugars and background insulin Hi Guys i have lost my DAFNE book yesterday i was Hypo at 3.10 pm BG 3.2 DID A 3AM TEST AND IT WAS 5.6 SO Had 1 cp BG this morn at 8.45am was 10.1 12.45pm BG 11.4 - 4.45 BG 5.2 so had 1 cp have had correct amount of carbs / insulin just tested it at 7.45 pm as wasnt feeln to good and its 6.1 going to do another 3 am test as think Background needs reduced do you think i need to reduce morning also hence low sugars x2 in afternoonthanks |
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Jan 26, 2012
sarahlou
7 posts
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Topic: General Discussion / Redoing DAFNE??? Hi Lizzie,As a nutrition undergraduate and a type 1 diabetic, from my experience I think why your doctors focus on your weight is because being overweight can cause insulin resistance and metformin is a drug designed to overcome insulin resistance. I understand why you seem frustrated with doctors advice, I feel the same sometimes especially when it is clear that they have learnt diabetes from a text book and in real life its not always like that! I have a group of doctors treating me at the moment however that are great. I don't know your weight (and you dont have to tell me ) but keeping your weight as normal as possible ,and you can do this with exercise, both will help the resistance and you may hopefully see a change in your sugars although they look better than you think! Please don't worry too much about the complications, you are trying to look after yourself and that is the important thing, and attending regular checkups will highlight any problems (should any arise) so they are treated immediately. Stay positive
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Jan 26, 2012
novorapidboi26
1,819 posts
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Topic: General Discussion / Redoing DAFNE??? If I had my way everyone would be on a split BI dose............................Unfortunately, many HCPs just cant see past it, and many patients cant see how a split dose would benefit them.................. If you were on a pump it is likely you would have many more than 2 different delivery rates throughout a 24 hour period.......... |
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Jan 26, 2012
Anele46
109 posts
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Topic: General Discussion / Redoing DAFNE???
Totally agree Simon, have heard that many times from people on Lantus and on my DAFNE course, I'm still in my "Honeymoon" phase (two years on...) so luckily my 1 Injection of Lantus at 22:00 seems to pretty much last me but looks as though it may be running out for Lizzie. Well spotted Cheers, Anele. |
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Jan 26, 2012
SimonC
78 posts
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Topic: General Discussion / Redoing DAFNE??? If I can add another thought for you - I am on Lantus and Humalog, and I found that whilst the claims for Lantus were that it would last the 24hrs, and so 1 injection a day would suffice, I found that having the 1 and only Lantus injection at 2100hrs every night, resulted in higher readings from about 5pm onwards, and for a while it was causing a bit of confusion. I then split the 9pm dose equally and now have 2 injections, 1 at 0900 and the other at 2100.I think the reason for this raising, is that, for me, the Lantus was not lasting the 24hrs, it was only lasting 18 or 19 hours which meant that towards the end of the 24hr period the sugar levels were rising. They would continue to rise even after the 2100 inject, as it has a slow rate of absorption, and so would not get working for a few hours. By splitting it there is always some in the system, and for me it was the answer. |
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Jan 26, 2012
novorapidboi26
1,819 posts
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Topic: General Discussion / Need a second opinion No problem,I just try to keep things simple, as it was taught to me..................sometimes its easy to get bogged down with all your readings when you sit down to look at them............ I fear I sometimes sound like a broken record regarding the BI testing I keep going on about, but peoples BI needs change quite often and when this is out, its all out....... Your plan sounds like a good one................ Pop back in when you have you more results.....................
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Jan 26, 2012
Derek Brown
32 posts
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Topic: General Discussion / Need a second opinion Thanks Novarapidboi26, you should be an honorary DAFNE consultant with all the good advice you give on here I'll check the overnight basal for a few days and adjust and continue testing if necessary. After that I'll do a couple of carb -free days to monitor the daytime basal. Derek |
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Jan 26, 2012
novorapidboi26
1,819 posts
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Topic: General Discussion / Redoing DAFNE??? I have included some of my diary entries from last week to show you I get some high too..............Monday was terrible, Wednesday much better...........Dont be so hard on yourself, you are doing your best, but its apparent that your doses are not right somewhere, so you need to investigate them and while doing the investigating you are not going to get perfect results, in fact you will never get perfect results, its diabetes after all............a 10 and 11 are not that bad................. My first observation is that you corrected your 11.7 overnight and woke up spot on, so you can assume your 22:20 BI dose of 28 is right, this was the case yesterday as well, so that is looking good........... My second observation is that your blood sugar held steady from 14:30 to 19:00, which would also suggest your BI needs during the day are also being satisfied, which is again good news for your single BI dose. If it wasn't good enough during the day you might want to consider a split BI dose...........I take 32 in the morning, and 38 at night because of my different needs from night to day..........but as I say, it seems all is well for you at first glance......... This means its likely your QA insulin/carb ratios that are out, which is normal, these can change from week to week in some folk unfortunately............. So, your low at 10:00 yesterday may be down to your 2.5:1 ratio, which I see you dropped to 2:1 in an attempt to stop it again, so well done, however, if following the DAFNE principals, you should really wait till you see a pattern of lows before changing your ratio, as the hypo might of just been one of those things...................so I would recommend going back to 2.5:1 and just be prepared for a hypo.........if you get 2-3 days going low, you can be sure to drop it to 2:1........... Today you were high at 10:49 at 2:1, again one reading cant confirm whats really going on................ Yesterday by 23:45, when your 19:00 dose of 12 should of been finished, you were high, which could suggest your tea time ratio of 2:1 is wrong, so that will need changed, only after you see a pattern [2-3 days] and only after you have finished with the morning ratio............. You dont necessarily need to get your morning ratio right before you tackle the evening ratio, but you should only focus on one thing at a time to eliminate as many variables as you can....... Your control is not bad at all, it very reasonable actually, just a few things to tweak, but you need to realize that your whole life will be like this, constantly tweaking your insulin to cater for your ever changing needs................we all have to do it, and that's why getting into the habit of writing everything down is so important........... |
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Jan 26, 2012
Lizzie
87 posts
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Topic: General Discussion / Redoing DAFNE??? So more of my usual levels are creeping back even though I am doing my best, I thought it was too good to be true I have no sense of why they were so good yesterday or why they are bad today at all. I ate virtually the same things and measured everything carefully. This is why I can't do this, I can't rely on others to make sense of it but it makes no sense to me |
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Jan 26, 2012
novorapidboi26
1,819 posts
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Topic: DAFNE Online Mobile / Mobile use question The best HbA1c I have got so far is 7.9, and this is with 110% effort on the testing/DAFNE front............................this may be down to my lack of discipline at the weekend and/or my carb intake as a whole......................so dont be too disheartened..............The best place to start is with pen and paper, start writing everything down, if you can remember back to the course, you should remember this as being vital..........being able to do DAFNE is built on blood glucose readings and carb portions before each of your main meals, without this you just cant do it properly............... Everyone loses motivation from time to time, but as long as we can back on it you will be fine, and it seems you are willing to do so...............
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Jan 26, 2012
novorapidboi26
1,819 posts
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Topic: General Discussion / Evening and late night snacking Because your not testing before bed you will never know if it is a problem with your BI or QA or both................If you could refrain a few night to carry out tests to confirm your doses are right, you can then go back to the snacking in the knowledge that your taking the right amount of insulin for them............ Remember that you could stack your insulin by taking multiple doses within a 5 hour period, this could result in a hypo, which could manifest overnight, then result in a high in the morning............ Obviously the times you said you have snacks is estimated and wont be the same every night, but if your having snack within an hour of each other, you can inject just one dose for that..............so eat your crisps, but then inject for them with the toast dose............ |
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Jan 26, 2012
thebatoutofhull
60 posts
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Hey Cathy, I snack in the evening too. I try to eat peanuts with little carbs. I think it could be something to do with running around all day after everyone else, then just wanting to have something just for me in the evening. Food tends to fill the gap. I know change is needed. Not really motivated. Good luck with it all. |