Recent Posts - DAFNE Online

Jan 23, 2012

novorapidboi26 1,816 posts

Topic: General Discussion / Dafne & sports nutrition. How does it work?

I really dont have the experience to give good advice, however the DAFNE section on exercise would suggest that you reduce your insulin dose.................so this could mean dropping your previous bolus injection with your last meal and/or reducing your basal dose also..............with prolonged activity that I assume your training and participation in a 10k swim would involve, a combination of both of these reduction will help prevent hypos during the event and up to 24 hours later as the muscles replenish their store of glucose...............

And with any activity like this you should always have a truck load of hypo resolve just in case......

There is also the website www.runsweet.com that provides a much more detailed explanation of how to manage blood sugars when exercising/playing sports etc...........

good luck.......... Wink

Jan 23, 2012

JennyNZ 29 posts

Topic: General Discussion / Dafne & sports nutrition. How does it work?

Hi folks. Have a question about Dafne and exercise. Have to admit, I kind of gave up training after I started Dafne 'cos I couldn't get my head around all the new ideas regarding exercise and it felt like the ideas were very black and white. Well, it is the middle of summer over here and I've just heard about a ocean swim I'd like to do and I thought I'd like to try and do it well. its a 10km swim and last time it took me 4 hr 20 and my tests weren't great. this was pre dafne. I've found Dafne doesn't talk much about managing CP's while you're training/racing. For those of you who dont know, the general rule of thumb is that you consume the equivilant of your weight , in grams, of CHO so I try and have about 60 gr carbs/hr when i'm either training or racing over 2 hours. What would be the Dafne approach to this and what do others do? If there are any othera who do triathlons or longish swims especially, I'd be really keen to hear from you.

Jan 22, 2012

novorapidboi26 1,816 posts

Topic: Carbohydrate Counting / Chocolate Muffins

It is a lot, the main point is really acknowledging that there may still be insulin working and that taking the full wack for whatever snack your hving may result in a hypo...........

the less carbs in your snack, the more succesful you will be in dosing it in between meals...................... Wink

Jan 22, 2012

novorapidboi26 1,816 posts

Topic: General Discussion / Hi peeps iv jsu graduated today :)

Hey and welcome................

Its great your feeling confident about your control, I feel exactly the same.................

So your being considered for a pump? What issue have spurred that on...........?

Here in Lanarkshire they wouldnt even give you one if you were dying............... Crying or Very sad

Jan 22, 2012

novorapidboi26 1,816 posts

Topic: General Discussion / Anyone off some advice pls?

I would probably agree that your background still needs tweaked..................

I dont know anyone that came away from the course with their BI dose right, it just takes more than 5 days to get right..................

So get on to the BI dose checking, overnight, carb free meals etc............

Onced you have some more results, come back and you can discuss them some more........... Smile

Jan 21, 2012

mike w 1 post

Topic: General Discussion / carb free foods

try an early diet sheet from diabetic dietician circa 1960 s if they still available lots of food not in carb book have natural sweetness which can greatly affect bg levels cherry tomatoes peas sweet corn to name a few

Jan 21, 2012

Billie 5 posts

Topic: General Discussion / Anyone off some advice pls?

Thank you so much for advice. I know my results are not as high as have been in the past which is good. I think your right I def messed up somewhere with 115 cp's lol. My BG was lowered the day I grauduated as I kept having hypos at night, so this is why I had thought change ratio's. But thanks for the pointers and going to do carb free tomorrow hopefully that will help. Will let you all know how it goes. Many thanks Billie

Jan 21, 2012

Peter 103 posts

Topic: General Discussion / DAFNE Follow-on Training

JennyNZ said:
Would you like people who have done Dafne from outside of England (I'm from NZ) to do the survey, too?

Jenny, Whilst DUAG is representing graduates from the UK & Ireland, it will be interesting to know what goes on elsewhere in the DAFNE community. One of the questions covers where you were trained, so we can see whether your feedback is any different to graduates over here.

Jan 21, 2012

mum2westiesGill 502 posts

Topic: Site Development / Entry Sites

Thanks Simon!

Gill

Jan 21, 2012

Peter 103 posts

Topic: General Discussion / carb free foods

JennyNZ said:
I guess it would be any food not mentioned in the Dafne carb counter book.

There is no guarantee that because there is not an entry in the DAFNE carb book that there are no CPs. It keeps the costs down to exclude 0 CP items, but does leave this uncertainty on why there isn't an entry.

I have raised this with DAFNE team from my own experience and cost was given as the reason for not changing. If you find this a problem then let me know and if there are many who want this changed then I'll raise again with DAFNE,

Jan 21, 2012

NinjaGirl 1 post

Topic: General Discussion / Anyone off some advice pls?

Hi Billie, I would suggest the weight gain may be because your BI is not right and therefore you are constantly correcting with QA. I would think that looking at your day time readings you may need to adjust your morning BI by 2 units, but to test the theory before you do. Take your standard BI one morning and have Carb free until dinner, compare the BB and the Before Dinner readings, you should have a similar reading for both. If this is not the case and you should have sufficient evidence to increase your morning BI - if you are on Levemir or Lantas, if you are using somethig other ... check the peak and pattern of your background first... If you have a high reading for lunch even if have no CPs you can do a conservative correction or leave if you are not confident to correct. I hope this helps. I have just graduated from DAFNE Course but been using the prinicples for about 6 mths.... wish you the best and reading in target! Smile

Jan 21, 2012

Ahmentep 98 posts

Topic: General Discussion / Anyone off some advice pls?

Hi Billie,

I am not a graduate yet (doing the course next week) but I have been type 1 since 1978, and I've been working to DAFNE principles for nearly two years now. It seems to me that your morning BI may need adjustment, but you should take advice from your HCP on that. Frankly I don't find your glucose levels that bad, despite my best efforts I am usually at the same levels as you are, and often twice as high! I'm hoping that a pump may solve that.
I find your 115 cp's on the 18th difficult to believe, that is 1.15Kg of carbohydrate! It must have been some sandwhich. I think you may have made an error there somewhere.
Anyway, as you know from the course, the BI must be correct first. You may need to have one or two carb-free meals, with regular blood tests to see if the BI you're taking is keeping your blood glucose steady. If not you may need to adjust the quantity and/or time taken. Only when that is sorted can you think of adjusting the ratios and/or times of your QA. But please talk to your HCP, and don't worry! For a newbie you're doing ok! Smile

Jan 21, 2012

Ahmentep 98 posts

Topic: Site Development / Pump users and the DAFNE app

Sorry, before I can read your message I have to get rid of this reply box, which came up with your message (twice). I can't delete it so I have to post a message instead.

Jan 20, 2012

Anele46 108 posts

Topic: Site Development / Entry Sites

Simon said:
Added to the site for you, will try and gen them added to the apps soon

Thanks very much Simon, much appreciated Very Happy

Jan 20, 2012

Billie 5 posts

Topic: General Discussion / Anyone off some advice pls?

Hi I'm Billie,
I graduated DAFNE last week. I really came away from the course with much more knowledge and understanding. But now as you can see I am continually getting high readings. I know kneed to adjust my ratio's but have got myself confused as I'm not very good with numbers. I have been t1 4 yrs this August and have never had good control and always had high readings. I'm 28 a mum of 2 and find it hard to gain weight due to constant high results.
Anyone who can point me in the write direct would be greatly appreciated Embarassed

Jan 20, 2012

Simon 574 posts

Topic: Site Development / Entry Sites

Added to the site for you, will try and gen them added to the apps soon Very Happy

Jan 20, 2012

Simon 574 posts

Topic: Site Development / Pump users and the DAFNE app

Hi Chris,

Glad you've found the app useful thus far, what would we need to add to keep it useful for you?

Simon

Jan 20, 2012

Venetia 2 posts

Topic: General Discussion / Hi peeps iv jsu graduated today :)

Hi ! I have also just graduated today! It's been a great week and I'm looking forward to being in control of my blood sugars for the first time in far too many years. Well done to DAFNE and good luck to everyone Carb Counting!!!! Venetia (Leeds)

Jan 20, 2012

ruthhutchinson 39 posts

Topic: General Discussion / Hi peeps iv jsu graduated today :)

Welcome Kerry. I did the DAFNE course at the RVH in Belfast in September 2010 (and I was far from the first) so it's not so new to NI as you might think. Hope it all works for you. You'll find lots of support on this forum.

Jan 20, 2012

kerryfryer 1 post

Topic: General Discussion / Hi peeps iv jsu graduated today :)

Hi as i z iv jus graduated today from the course and i am so excited, Iv bn a t1 diabetic 4 the past 13/14 years and hav had alot of bother from it a am from Northern Ireland and DAPHNE has only been phasing in since july 2011, but lookin back on what the info and DAPHNE technique has done to my Blood sugars the past week its gonna be amazing when i get it all tweaked out as i have a cold at the minute its been hard getting exact ratio's etc but fingers crossed next week wil bring it as close to perfection as possible. Im also being considered for a meter which i was a bit unsure about but since researching it and doing the course im 100% up for it. I'm just wondering has anyone else got and downsides to the pump or any opinions on it.

Thanks for reading and and help or advice would be much appreciated Smile

Kerry

Jan 20, 2012

jgibson1962 29 posts

Topic: Carbohydrate Counting / Chocolate Muffins

Wow! thats a handful....Ok! i'll do that next time. My lunchtime reading was a little high so i compensated. Getting there gradually. Cheers for your advice.

Jan 23, 2012 novorapidboi26 1,816 posts	Topic: General Discussion / Dafne & sports nutrition. How does it work? I really dont have the experience to give good advice, however the DAFNE section on exercise would suggest that you reduce your insulin dose.................so this could mean dropping your previous bolus injection with your last meal and/or reducing your basal dose also..............with prolonged activity that I assume your training and participation in a 10k swim would involve, a combination of both of these reduction will help prevent hypos during the event and up to 24 hours later as the muscles replenish their store of glucose............... And with any activity like this you should always have a truck load of hypo resolve just in case...... There is also the website www.runsweet.com that provides a much more detailed explanation of how to manage blood sugars when exercising/playing sports etc........... good luck..........

Jan 23, 2012 JennyNZ 29 posts	Topic: General Discussion / Dafne & sports nutrition. How does it work? Hi folks. Have a question about Dafne and exercise. Have to admit, I kind of gave up training after I started Dafne 'cos I couldn't get my head around all the new ideas regarding exercise and it felt like the ideas were very black and white. Well, it is the middle of summer over here and I've just heard about a ocean swim I'd like to do and I thought I'd like to try and do it well. its a 10km swim and last time it took me 4 hr 20 and my tests weren't great. this was pre dafne. I've found Dafne doesn't talk much about managing CP's while you're training/racing. For those of you who dont know, the general rule of thumb is that you consume the equivilant of your weight , in grams, of CHO so I try and have about 60 gr carbs/hr when i'm either training or racing over 2 hours. What would be the Dafne approach to this and what do others do? If there are any othera who do triathlons or longish swims especially, I'd be really keen to hear from you.

Jan 22, 2012 novorapidboi26 1,816 posts	Topic: Carbohydrate Counting / Chocolate Muffins It is a lot, the main point is really acknowledging that there may still be insulin working and that taking the full wack for whatever snack your hving may result in a hypo........... the less carbs in your snack, the more succesful you will be in dosing it in between meals......................

Jan 22, 2012 novorapidboi26 1,816 posts	Topic: General Discussion / Hi peeps iv jsu graduated today :) Hey and welcome................ Its great your feeling confident about your control, I feel exactly the same................. So your being considered for a pump? What issue have spurred that on...........? Here in Lanarkshire they wouldnt even give you one if you were dying...............

Jan 22, 2012 novorapidboi26 1,816 posts	Topic: General Discussion / Anyone off some advice pls? I would probably agree that your background still needs tweaked.................. I dont know anyone that came away from the course with their BI dose right, it just takes more than 5 days to get right.................. So get on to the BI dose checking, overnight, carb free meals etc............ Onced you have some more results, come back and you can discuss them some more...........

Jan 21, 2012 mike w 1 post	Topic: General Discussion / carb free foods try an early diet sheet from diabetic dietician circa 1960 s if they still available lots of food not in carb book have natural sweetness which can greatly affect bg levels cherry tomatoes peas sweet corn to name a few

Jan 21, 2012 Billie 5 posts	Topic: General Discussion / Anyone off some advice pls? Thank you so much for advice. I know my results are not as high as have been in the past which is good. I think your right I def messed up somewhere with 115 cp's lol. My BG was lowered the day I grauduated as I kept having hypos at night, so this is why I had thought change ratio's. But thanks for the pointers and going to do carb free tomorrow hopefully that will help. Will let you all know how it goes. Many thanks Billie

Jan 21, 2012 Peter 103 posts	Topic: General Discussion / DAFNE Follow-on Training JennyNZ said: Would you like people who have done Dafne from outside of England (I'm from NZ) to do the survey, too? Jenny, Whilst DUAG is representing graduates from the UK & Ireland, it will be interesting to know what goes on elsewhere in the DAFNE community. One of the questions covers where you were trained, so we can see whether your feedback is any different to graduates over here.

Jan 21, 2012 mum2westiesGill 502 posts	Topic: Site Development / Entry Sites Thanks Simon! Gill

Jan 21, 2012 Peter 103 posts	Topic: General Discussion / carb free foods JennyNZ said: I guess it would be any food not mentioned in the Dafne carb counter book. There is no guarantee that because there is not an entry in the DAFNE carb book that there are no CPs. It keeps the costs down to exclude 0 CP items, but does leave this uncertainty on why there isn't an entry. I have raised this with DAFNE team from my own experience and cost was given as the reason for not changing. If you find this a problem then let me know and if there are many who want this changed then I'll raise again with DAFNE,

Jan 21, 2012 NinjaGirl 1 post	Topic: General Discussion / Anyone off some advice pls? Hi Billie, I would suggest the weight gain may be because your BI is not right and therefore you are constantly correcting with QA. I would think that looking at your day time readings you may need to adjust your morning BI by 2 units, but to test the theory before you do. Take your standard BI one morning and have Carb free until dinner, compare the BB and the Before Dinner readings, you should have a similar reading for both. If this is not the case and you should have sufficient evidence to increase your morning BI - if you are on Levemir or Lantas, if you are using somethig other ... check the peak and pattern of your background first... If you have a high reading for lunch even if have no CPs you can do a conservative correction or leave if you are not confident to correct. I hope this helps. I have just graduated from DAFNE Course but been using the prinicples for about 6 mths.... wish you the best and reading in target!

Jan 21, 2012 Ahmentep 98 posts	Topic: General Discussion / Anyone off some advice pls? Hi Billie, I am not a graduate yet (doing the course next week) but I have been type 1 since 1978, and I've been working to DAFNE principles for nearly two years now. It seems to me that your morning BI may need adjustment, but you should take advice from your HCP on that. Frankly I don't find your glucose levels that bad, despite my best efforts I am usually at the same levels as you are, and often twice as high! I'm hoping that a pump may solve that. I find your 115 cp's on the 18th difficult to believe, that is 1.15Kg of carbohydrate! It must have been some sandwhich. I think you may have made an error there somewhere. Anyway, as you know from the course, the BI must be correct first. You may need to have one or two carb-free meals, with regular blood tests to see if the BI you're taking is keeping your blood glucose steady. If not you may need to adjust the quantity and/or time taken. Only when that is sorted can you think of adjusting the ratios and/or times of your QA. But please talk to your HCP, and don't worry! For a newbie you're doing ok!

Jan 21, 2012 Ahmentep 98 posts	Topic: Site Development / Pump users and the DAFNE app Sorry, before I can read your message I have to get rid of this reply box, which came up with your message (twice). I can't delete it so I have to post a message instead.

Jan 20, 2012 Anele46 108 posts	Topic: Site Development / Entry Sites Simon said: Added to the site for you, will try and gen them added to the apps soon Thanks very much Simon, much appreciated

Jan 20, 2012 Billie 5 posts	Topic: General Discussion / Anyone off some advice pls? Hi I'm Billie, I graduated DAFNE last week. I really came away from the course with much more knowledge and understanding. But now as you can see I am continually getting high readings. I know kneed to adjust my ratio's but have got myself confused as I'm not very good with numbers. I have been t1 4 yrs this August and have never had good control and always had high readings. I'm 28 a mum of 2 and find it hard to gain weight due to constant high results. Anyone who can point me in the write direct would be greatly appreciated

Jan 20, 2012 Simon 574 posts	Topic: Site Development / Entry Sites Added to the site for you, will try and gen them added to the apps soon

Jan 20, 2012 Simon 574 posts	Topic: Site Development / Pump users and the DAFNE app Hi Chris, Glad you've found the app useful thus far, what would we need to add to keep it useful for you? Simon

Jan 20, 2012 Venetia 2 posts	Topic: General Discussion / Hi peeps iv jsu graduated today :) Hi ! I have also just graduated today! It's been a great week and I'm looking forward to being in control of my blood sugars for the first time in far too many years. Well done to DAFNE and good luck to everyone Carb Counting!!!! Venetia (Leeds)

Jan 20, 2012 ruthhutchinson 39 posts	Topic: General Discussion / Hi peeps iv jsu graduated today :) Welcome Kerry. I did the DAFNE course at the RVH in Belfast in September 2010 (and I was far from the first) so it's not so new to NI as you might think. Hope it all works for you. You'll find lots of support on this forum.

Jan 20, 2012 kerryfryer 1 post	Topic: General Discussion / Hi peeps iv jsu graduated today :) Hi as i z iv jus graduated today from the course and i am so excited, Iv bn a t1 diabetic 4 the past 13/14 years and hav had alot of bother from it a am from Northern Ireland and DAPHNE has only been phasing in since july 2011, but lookin back on what the info and DAPHNE technique has done to my Blood sugars the past week its gonna be amazing when i get it all tweaked out as i have a cold at the minute its been hard getting exact ratio's etc but fingers crossed next week wil bring it as close to perfection as possible. Im also being considered for a meter which i was a bit unsure about but since researching it and doing the course im 100% up for it. I'm just wondering has anyone else got and downsides to the pump or any opinions on it. Thanks for reading and and help or advice would be much appreciated Kerry

Jan 20, 2012 jgibson1962 29 posts	Topic: Carbohydrate Counting / Chocolate Muffins Wow! thats a handful....Ok! i'll do that next time. My lunchtime reading was a little high so i compensated. Getting there gradually. Cheers for your advice.