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Jan 10, 2012
marke 686 posts

Topic: General Discussion / SE KENT PCT DAFNE scrapped

All, If anyone reads this, we need your help. The wonderful South East Kent PCT has decided to stop DAFNE in favour of BERTIE. The arguement is it is only a 4 day course and so they will be able to offer more courses. This seems more than a little unlikely. As ever I suspect its a 'done deal' but if like me you are unhappy about this change and are a graduate from South East Kent, please respond to this thread. I intend to contact the local PCT and the local MP to ask some pertinent questions, such as what ongoing support will there be for DAFNE graduates, how do they explain that BERTIE is not fully QUIPP acredited despite the PCT claiming it is.

I would be happier if I believed that this was being done for the benefit of Diabetics within the PCT's area, but I suspect it is just a tick the box/cost cutting exercise.
 
Jan 10, 2012
Simon 578 posts

Topic: General Discussion / Exciting news............

Many congratulations mate Smile
 
Jan 10, 2012
SimonC 78 posts

Topic: General Discussion / Driving Licence Renewal

I was given the info by an officer I know - he wouldn't tell me how to check, the only info I can find re this is to look at section 4b on the plastic card bit and it will say when the photo/licence expires, this is fine for most people, except for us 3 year holders it doesn't help at all.

The DVLA web site just states that for short term licence holders we will be told, but I wasn't.
 
Jan 10, 2012
novorapidboi26 1,819 posts

Topic: General Discussion / hello

Do you inject in your bum and thighs? They are good spots also.............

If you just get in the habit and consider those areas you will be good......

As your doses now need reevaluating, its likely you will have hypos like these where its a quick drop, unlike me where it would be a slower drop due to a mis-calculation of carbs, extra activity etc...........so the quick drop if panicking your body [good hypo warnings] and then the pancreas releases glucagon, which drives up blood glucose and insulin resistance, resulting in higher readings..............

So the quicker you test your background needs the better, if the hypos are getting bad, chop a few units of your BI dose straight away..........

I would contact your team also if you need to, as my experience wont necessarily reflect others.......
 
Jan 10, 2012
shelly 2 posts

Topic: General Discussion / hello

Thanks for quick response Smile i agree with you i think my injection sites were the problem, i was manly injecting in my stomach but the nurse advised me i was injecting too low down for a start as well as having the lumps. The thing i don’t understand i that i have my injection sites checked at every appointment and no other professional has picked up on this! Just glad the DAFNE nurse has. I now inject in my arms much more as i have changed my needle size which has helped (6mm from 8mm).

My recent hypos have been coming on very quickly but i am fortunate that i have good warning signs, but i have found that i tend to go higher at the next BG read.
 
Jan 10, 2012
novorapidboi26 1,819 posts

Topic: General Discussion / hello

Hi and welcome...........

It seems as though your injection sites may be the culprit of your high readings. Where did you inject before you changed sites, and were do you inject now..........

If your insulin was not being absorbed then its likely you will need to go back to the beginning....so testing your background doses first then Humalog.....

Trying to stick to the recommended hypo treatment was hard at first, but you get to a point were you know over treating will give your higher readings.....

Its quite common for the liver to respond to hypos, that's its job, or one of them, at least, and it will release glucose to bring you back up, but as type 1 diabetics we cant rely on that, just in case.........

When your having these hypos, do you feel they are coming on quickly, or have they came on slowly.....

the quicker they come and the quicker you drop, the more likely the liver will help you out, which will push up your readings after a hypo, so best to catch them early, or make sure the hypos you do have can be predicted and expected, this will come in time when you get the doses fine tuned.......

Any more questions, just ask away....... Wink
 
Jan 10, 2012
shelly 2 posts

Topic: General Discussion / hello

Hi
Just wanted to introduce myself, first time on DAFNE online. I am a DAFNE graduate who has had diabetes for 18 years. I am on BI Insultard currently 18u am and 16u pm and QA Humalog ratio 1-1.

I found the course extremely useful; however i am having some difficulties now in controlling my BG levels. Having read through some of the other topics in the forum, i was reassured to find others having similar difficulties. My BG levels are being wonderfully temperamental and I’m not having much fun trying to juggle everything about. Confused

I recently went back to hospital for my follow up and the nurse told me I needed to change injection sites as I had some lumps! This has proven to work and my BG levels have lowered considerably, but too much as I have had 7 hypo’s in the last 4 days!!! Crying or Very sad

I’m trying hard to treat by hypos as advised, as previously i wanted to eat anything and everything when hypoing! But does anyone find that following a hypo their BG spikes?
 
Jan 10, 2012
Heather B 20 posts

Topic: General Discussion / Exciting news............

Congratulations, that is really exciting.
 
Jan 10, 2012
Garry 328 posts

Topic: General Discussion / Exciting news............

Congratulations Very Happy
Regards
Garry
 
Jan 10, 2012
mum2westiesGill 502 posts

Topic: General Discussion / Exciting news............


Brilliant news!!! Smile

Gill
 
Jan 10, 2012
Alan 49 284 posts

Topic: General Discussion / Exciting news............

CONGRATULATIONS!!
 
Jan 10, 2012
novorapidboi26 1,819 posts

Topic: General Discussion / Exciting news............

Me and the wife are expecting our second child in May. We went for our 20 week scan yesterday, all is well and although not 100% sure, they think its a girl, that would be my educated guess also from looking at the ultrasound.

To confirm 100% she is paying money at a private clinic who specialize in sexing unborn children, they do the 3d and 4d scans also..........

So happy news............ Laughing
 
Jan 10, 2012
novorapidboi26 1,819 posts

Topic: Carbohydrate Counting / Help as new

Bang on............ Very Happy
 
Jan 10, 2012
novorapidboi26 1,819 posts

Topic: Carbohydrate Counting / Counting veg

Protein and fat all contribute to the glucose level, eventually, however small..............

I have seen quite a lot of folk who do this, mostly on the pump however...........

I believe is someone is on a naturally small amount of background insulin the more chance they will need to consider QA for non carb items due to the 'more insulin, last longer' principal except the less units you take, the shorter they last...............
 
Jan 10, 2012
novorapidboi26 1,819 posts

Topic: General Discussion / Help please!

you would almost definitely benefit from a 3am test to confirm if your Lantus dose is enough, which it probably inst going by the blood glucose reading, the dawn phenomenon could be taking place also, a 3am test would also confirm this...............

Illness, as mentioned could also be contributing........

Also surprised about your 3 units correction, everyone is different but I would personally need 20 units on top of any food I was having.......

Speak to the 'professionals' as soon as you can and get that basal tested............... Laughing
 
Jan 10, 2012
novorapidboi26 1,819 posts

Topic: General Discussion / Ratios & Honeymoon Period.

I believe it can last up to 4 years................

I cant remember when I was diagnosed, as the theory was not widely known about back then.......

Welcome to the forum.............. Wink
 
Jan 10, 2012
Paul R Barker 1 post

Topic: General Discussion / Street Food

Heather B said:
Happy New Year to everyone and may 2012 be a happy, healthy year for you. While I was away over new year I ended up eating lots of food on the go as we walked around sightseeing (rather than sitting in cafes etc which I'm much more used to). I found myself worrying about how and where I was going to inject rather than enjoying my food. I often ended up sitting on benches and seats in crowded squares and streets that we were walking through and injecting (it felt to me) publically. It wasn't made any easier, or any more discrete, by the many layers of clothes I was wearing. I'd love to know how others manage to inject discretely while eating outside on the go as I just seem to end up all embarassed and awkward.



Happy New Year to all.
I too have the same problem , but have started injecting in my stomach which i am not too keen on but it get;s around the embarasment of taking off clothing to inject in my arm, i am also going to try using a pump which of course is more discreet and easier to use than an injection, have you considered a pump.
 
Jan 10, 2012
SimonC 78 posts

Topic: General Discussion / Driving Licence Renewal

Just to let you know - and not many people know this - the photo on a photo licence MUST be renewed every 10 years - it is invalid if the photo is more than 10 years old, and so if the photo is over 10 years old, and you renew due to having to do so due to the 3 year rule your licence is still invalid and technically you commit the offence of 'driving not in accordance with you licence' as the licence is invalid.

The DVLA have not taken the step of reminding those whose photo is due to expire or is already out of date, they feel it is down to the holder to sort out. There are many many people in the UK now driving with an invalid licence as the photo licence has been available for over 10 years now and this minor detail is not widely know about, or is ignored.

There are ways to tell - on the licence, whether the photo is less than 10 years old, however, most police officers do not know either, but most traffic officers do know - if you get stopped by them have your excuses ready but don't expect them to be believed.
 
Jan 10, 2012
SimonC 78 posts

Topic: General Discussion / DAFNE Follow-on Training

marke said:
Hi Simon, I'm a bit confused by your response. Your GP does DAFNE ? Generally DAFNE is run at DAFNE Centres which are hospitals like the one you did your course at. Hence my confusion by your reference to your GP doing it. Do you mean they do something similiar to DAFNE or that they actually run courses under the umbrella of one of the DAFNE Centres ? Where is the GP in the UK ? Just curious Smile



Marke

My GP is also a Diabetic specialist (part time) at a hospital, she runs the diabetic group at the surgery, and was very pleased I had done the Dafne course prior to my arrival at the surgery as she believes in its philosophy. The surgery itself does not run Dafne courses. Sorry for the confusion
 
Jan 9, 2012
Heather B 20 posts

Topic: General Discussion / Street Food

Thanks for the advice, it's really helpful.
 
Jan 9, 2012
ketostix pla... 25 posts

Topic: General Discussion / Help please!

Hi Yokel, I think the 3am test is the way forward, but the comment marke made very valid as adjustment of 3 units gets you back in range. Have you been poorly recently or feel you coming down with something. As I had an chest infection recently and really struggled to shake it and found I was waking up high but dropping down in range over course of morning while recovering. Just an idea maybe. hope you get sorted soon! Dean
 
Jan 9, 2012
marke 686 posts

Topic: General Discussion / Help please!

I hate to suggest it, but a 3am test might be useful. It might help pin-point what is happening. You 'could' be hypo-ing but I would suspect that is unlikely. It could be 'dawn phenomenon' but it has been suggested to me that usually you have this from day one rather than it just starting to be an issue. However we are all different and there is no 100% guaranteed solution that works for everyone. It seems unlikely that your BI is not enough since you are on a single dose and if it was going to run out it would be in the evening and not the morning, also Lantus is supposed to be a 24hr insulin. It also seems odd that just 3 units brings you back in range. For most of us if we are that far over it would take a lot more than 3 units to get us back in range. You really do need to talk to your Diabetes team I suspect to help work out what is going on.
 
Jan 9, 2012
Yokel 3 posts

Topic: General Discussion / Help please!

I would be really grateful for some advice - I am struggling to get hold of my diabetes team and wondered if anyone here could help me.
My results first thing in the morning are sky high every morning. This morning is was 26.1! Each morning I then add a correction of approx 3 units which then brings back to an acceptable level by lunchtime, where it stays fine for the rest of the day.
I wondered if I was going hypo in the night which was then swinging my sugar up but this morning I decided that 26.1 was too high for that.
I have lantus at bedtime and humalog through the day.
Thanks for your help and advice!
 
Jan 9, 2012
ChristineBat... 23 posts

Topic: General Discussion / Ratios & Honeymoon Period.

I believe mine lasted a few years, however I have no details as I was diagnosed at the age of 10....33 years ago, however I found this short comment on a website I often use.

http://www.diabetes.co.uk/blood-glucose/honeymoon-phase.html


How long does the honeymoon period last?

There is no hard and fast rule for how long the honeymoon phase lasts amongst people with type 1 diabetes. The diabetes honeymoon phase can last for weeks, months or in some cases years.



Take care Christine