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15,718 posts found
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Jan 24, 2012
novorapidboi26
1,816 posts
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Topic: Questions for HCPs / change of insulin With any change it will take time to get the dose/ratio of the insulin correct..................Start with overnight testing to see what your 6pm does to your BG with no food or QA working, the beauty with Levemir is you can see the effect straight away..........double check your findings with another day or 2, then make your adjustments up or down............dont be scared to up your dose, just do what you need to do to get your pre bed reading within +/-2mmol/l of your pre breakfast reading........... Once correct, move on to daytime testing................... As you know, until your background needs are satisfied, your QA doses wont be at their most effective.............. |
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Jan 24, 2012
novorapidboi26
1,816 posts
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Topic: Questions for HCPs / Ratios and compensating Welcome to the site Collete..................I hope you enjoy the rest of the course...............  |
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Jan 24, 2012
novorapidboi26
1,816 posts
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Topic: General Discussion / Redoing DAFNE??? I wouldn't say its impossible, however taking the place of someone who has not done it before may seem not very cost effective to the local PCT...................You can ask I suppose........... Is there not a refresher you can go on.............? Have you went over the DAFNE handbook that you have access to on this website? Is there anything specific you are struggling with? Can we help? |
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Jan 24, 2012
novorapidboi26
1,816 posts
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Topic: General Discussion / Dafne & sports nutrition. How does it work?
Well I believe a reduction in your previous meal and/or your background dose would mean you would not need to eat anything during the training, as the energy stores of your muscles are depleted, the extra glucose you have swimming around because of your lower insulin dose, would be used whilst training and to re stock the muscles................ However you should always have hypo resolve to hand just in case............................its all trial and error really...............I dont train for events like this, so my experience is limited, this is just my understanding of the DAFNE approach to exercise.............. |
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Jan 24, 2012
Whyters
2 posts
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Topic: Questions for HCPs / change of insulin I have just changed from Lantus to Levemir and found no problems remember lantus is working 18-24 hours where as levemir is up to 18 hours and I was told to change from one to the other when my next long acting was due as both are in the system for similar times so one is finishing as the other is taking over in your system.I am also taking split amounts also. I suggest you contact your diabetes nurse for advice. |
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Jan 24, 2012
meltow
78 posts
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Topic: General Discussion / Dafne & sports nutrition. How does it work? http://www.steveredgrave.com/diabetes.htmlSteve Redgrave, our 5 times Olympic champion, also supports and advises to use the RunSweet website. He was diagnosed in 1997, and went on to win his 5th gold medal in 2000. A true champion in more ways than one! |
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Jan 24, 2012
tcmonkey80
41 posts
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Topic: Questions for HCPs / change of insulin I am taking 6pm and 6am, it doesn't seem to be having much effect tho....I feel worse now lol |
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Jan 24, 2012
JennyNZ
29 posts
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Topic: General Discussion / Dafne & sports nutrition. How does it work? thanks for that but how would you accomodate eating about 6 cp's per hour while training? |
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Jan 23, 2012
Collette
2 posts
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Hi, This is still quite new to me so I would always recommend checking with a diabetic nurse 1st but personally i started to correct over 10 1QA for 10 2QA for 13 etc over time by writing it down you will see how corrections work for you. I now correct over 8 and it normally corrects by 2 not 3 for me. If you find your always correcting at a particular mealtime it could be that you need a different ratio or slightly higher back ground insulin. These are the sorts of things covered by dafne course which I have only started today so im looking forward to learning more. I really wish all type 1 diabetics had the opportunity to attend the course as surely its beneficial for us all to have good self management and reducing the risk of complications will save money in the long run! |
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Jan 23, 2012
SimonC
78 posts
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Topic: Questions for HCPs / Ratios and compensating For me, I would take an extra 2 units for breakfast, but only 1 unit for lunch or evening. |
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Jan 23, 2012
Lizzie
87 posts
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Topic: General Discussion / Redoing DAFNE??? Is it possible to retake the DAFNE course? I did it a few years back and various things in the intervening period have meant that I am now confused and unclear about most of it. |
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Jan 23, 2012
Neil Ward
1 post
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Topic: Questions for HCPs / Diary info for Penny Jackson Hi PennyAs per my e-mail please see my readings over the last ten days. Regards Neil |
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Jan 23, 2012
novorapidboi26
1,816 posts
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Topic: Site Development / ONLINE DIARY LINK Thanks for the quick fix guys................
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Jan 23, 2012
Anele46
108 posts
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Topic: Site Development / ONLINE DIARY LINK
Thanks very much Marke, much appreciated
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Jan 23, 2012
marke
643 posts
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Topic: Site Development / ONLINE DIARY LINK Hi, it WAS us not novarapidboi. An update last night broke it if you opened the diary from the top menu and not the one on the right. It's fixed now though..... |
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Jan 23, 2012
novorapidboi26
1,816 posts
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Topic: Questions for HCPs / Ratios and compensating I would also take 1 unit for that scenario....................However, for me, the correction factor I use depends on my blood sugar level, so the higher it is, the more units I need to get me back down...............this method had evolved from the theory that the higher you are, the more resistant you are to insulin. And was concluded with lots of testing, trial and error on my part............. My corrections are as follows; <10mmol/l - 1 unit drops 2.5mmol/l 10 - 13mmol/l - 1 unit drops 2mmol/l 13 - 17mmol/l - 1 unit drops 1.5mmol/l >17mmol/l - 1 unit drops 1mmol/l In fact it could go further but I am seldomly over 17, just every now and again........... I personally believe everyone experiences this behavior, but would not tell you to adopt it without doing your own personal investigations.......... |
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Jan 23, 2012
novorapidboi26
1,816 posts
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Topic: Carbohydrate Counting / Chocolate Muffins so did you have the full muffin without any insulin and only had a small effect on BG?......................... |
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Jan 23, 2012
meltow
78 posts
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I tend to use 1 unit of QA for every 3mmol above my target. So in the instance you have quoted, I would be adding 1 extra unit of QA to my dosage. It is a ball point figure for me; I use this at any time of the day or before bed, but as with anything in life - we are all different, and it may take a few attempts before you find the ratio which suits you. |
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Jan 23, 2012
jgibson1962
29 posts
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Topic: Questions for HCPs / Ratios and compensating HiI have not done a DAFNE course (My health authority doesnt have the budget) but am trying to pick up on various DAFNE odds and sods. One question i would like to ask is when calculating the amount of insulin QA to take, if you have set a target of say 6.8mmol for breakfast and the reading is 8.8 what factor do you use to increase the insulin in addition to the existing ratio? and is this a ball park figure depending on how high or low the reading is? Regards 
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Jan 23, 2012
jgibson1962
29 posts
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Topic: Carbohydrate Counting / Chocolate Muffins Thanks for all your advice. In the end i basically picked at the muffin without any adjustments to my insulin and it didnt really make any difference, maybe one or two notches on the geiger counter. Between meals i usually eat bananas or an apple or pear and even the occasional Frosties breakfast bar. But sometimes, especially working in a office, someone brings in cakes and i mean it is teamwork isnt it and i have to do my duty to the team. |
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Jan 23, 2012
Anele46
108 posts
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Topic: Site Development / ONLINE DIARY LINK
damn, that just sucks  Good luck
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Jan 23, 2012
novorapidboi26
1,816 posts
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Topic: Site Development / ONLINE DIARY LINK Seems to be a problem at my end, however I have not identified it yet......................
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Jan 23, 2012
Anele46
108 posts
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Topic: Site Development / ONLINE DIARY LINK Any luck now Novorapidboi26 as I've been on and updated by diary with no issues? Cheers, Anele. |
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Jan 23, 2012
Anele46
108 posts
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Topic: Carbohydrate Counting / Chocolate Muffins
Hello, I remeber from my DAFNE course last year that if you had a snack in between your meals then I was advised not to correct with QA as there will still be QA in your system sunce your previous meal (I am on Novorapid QA whcih lasts for 4-5 hrs) and therefore was advised that provided you had covered your previous meal with the correct amount of QA then there would be no need to correct when eating ther snack so I generally do not correct when eating a snack 1-2 hrs in between my meals to avoid a hypo. Hope this helps Cheers, Anele. |
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Jan 23, 2012
novorapidboi26
1,816 posts
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Topic: Site Development / ONLINE DIARY LINK When navigating to the online diary.........DAFNE Tools>My Blood Glucose Diary it takes you to the URL http://www.dafneonline.co.uk/diary/index This then produces an error message; "The page you were looking for doesn't exist. You may have mistyped the address or the page may have moved. If you clicked on a link and were directed to here then please let us know about the problem via email. Click the back button on your browser to return to the previous page." To gain access I simply remove the word index from the URL in the address bar........ An issue needing fixed none the less......  |