Recent Posts

whiskysmum said:
novorapidboi26 said:
Round up, anything above the 5g and I would round up...............

Thanks & i'm sure i just spoke to yourself somewhere else, lol

Gill

Check BG round up or down as needed 5g of carbs either way wont really make much difference.

Dec 24, 2011

mum2westiesGill 502 posts

novorapidboi26 said:
Round up, anything above the 5g and I would round up...............

Thanks & i'm sure i just spoke to yourself somewhere else, lol Laughing

Gill

Dec 24, 2011

novorapidboi26 1,819 posts

Round up, anything above the 5g and I would round up...............

Dec 24, 2011

novorapidboi26 1,819 posts

ChristineBattista said:
( I'm sure he said that in a thread)!!!!

I believe I did........ Laughing

Dec 24, 2011

novorapidboi26 1,819 posts

Topic: General Discussion / Christmas Day Insulin

probably not as much as I should.............

Dec 24, 2011

Simon 578 posts

Ah, you got in there first novorapidboi, I just logged on to write our Xmas post Very Happy

So I'd like to first wish you all a very Merry Christmas and all the best for the festive season and beyond. I hope Santa brings you all you want!

Secondly, I'd like to thank you all for the many positive contributions on the site; the whole reason we created DAFNE Online was to provide an extended support network for DAFNE Graduates, and after browsing the topics of the past 12 months, I can see a lot of DAFNE Graduates from around the world helping one another out.

Finally, don't feel limited by your diabetes; we all know the festive season brings the opportunity to over-indulge (I fully intend to Very Happy

) and the tools and rules given to us by DAFNE allow us to adjust insulin based on what we are eating and drinking. If you need reminders of how to adjust insulin dosage, carbohydrate portons, sick day rules or anything else in the DAFNE handbook, remember it is all available on the site, via the links on the right hand side of the page.

Merry Christmas to you all.

Simon x

Dec 24, 2011

mum2westiesGill 502 posts

Hi,

If carbs add up to eg 20g or 50g then i know on a 1: 1 ratio you would take 2u or 5u of insulin but if it was 28g or 56g how much would that be then?

Gill Very Happy

Dec 24, 2011

mum2westiesGill 502 posts

Topic: General Discussion / Christmas Day Insulin

Anybody have an idea on how much insulin your going to have tomorrow - christmas day?

Gill Very Happy

Dec 24, 2011

mum2westiesGill 502 posts

Merry Christmas back to you novorapidboi26
& also to you Ahmentep

Also wishing everybody on the forum

A very Merry Christmas
& a peaceful 2012
xxx
Very Happy

Gill

Dec 24, 2011

ChristineBat... 23 posts

Hi Emma, I have been diabetic since the age of 10, for 33 years now. I too also have a lack of consistency, and what works well one week doesn't the following week. I used to base any changes to my insulin doses on the 'history' in my BG diaries hoping that what worked once would work again, and got very frustrated when it didn't. And I'm not talking about weeks old history.....I'm talking about 4/5 days previous. I now 'tweak' my insulin on a weekly basis without looking further back than 4 days of results, and take each day as it comes. I have had to 'let go' of what worked one week may work again.....I blame a lot of this on female hormones too, however there are no patterns in my BG results leading up/during and post my monthly. I'm in very good control and just 'follow' my BG results around tweaking gently, and it works for me. I have learnt to not get disheartened by the lack of consistency, frustrating as it may be. Thankfully I have no complications. I'm on a split dose of levemir (on waking at around 7-8am and a dose at 10pm before bed) and use Novorapid as my QA...and like Novorapidboi I could bathe in the nectar!!( I'm sure he said that in a thread)!!!! I've tried many different insulins over the years and this is the best! Good luck. Christine.

Dec 24, 2011

Ahmentep 99 posts

And a Merry Christmas to you too. Very Happy

Dec 23, 2011

emmahope 17 posts

Yes,don't know if they have funding yet but if anyone's going to get it at my hospital my quallifying is in no doubt. It will be hard work but am willing -nothing else has significantly worked. Lantus didn't work on 1 or 2 doses (it was lasting significantly longer than they say it should) but as soon as consultant says I will try 2 doses of levemir, I will wait until she says -to know 'we're on the same page', as taking risks with severe hypos or just feeling more out of control by myself isn't worth it. Seem to need less insulin Bi proportionally in the early hours, so that will inform the doses if/when i split again (levemir). Some days my ratios are fine (QA) sometimes it doesn't work, same with BI although I've tried lots of different things for the last 2years.. My body doesn't comply with the guide book!! Still, DAFNE is the best most flexible system there is. My whole calorie load affects my BI needs too which prob has to do with the many effects of gastro paresis and autonomic neuropathy.I have only tested during night so far and pre-breakfast in terms of fasting tests but I will start testing BI on return from staying with friends over xmas. Thanks, E

Dec 23, 2011

marke 686 posts

Topic: General Discussion / Pump it UP !!

If you are a Diabetic that is interested DAFNE and live in or close to one of the trial areas (London, Cambridge, Sheffield, Harrogate, Dumfries & Galloway, Glasgow, Edinburgh), this is the place to go :

Link to DAFNE page

The page above is about the DAFNE REPOSE trial. This is basically a trial is to find out if pump therapy is any better than multiple injections when people have intensive structured education through DAFNE courses. . It is hoped that the outcome will identify the added advantages of insulin pumps, the people who are most likely to benefit from them and ultimately inform NICE criteria for pump therapy.

Check out the page that also contains a video on the subject.

Dec 23, 2011

novorapidboi26 1,819 posts

Just to wish all my fellow DAFNE'rs a Merry, uneventful [Blood Sugars] Christmas..........

See you all in the New Year................. Razz

Dec 23, 2011

novorapidboi26 1,819 posts

It seems you have had a hard time of it...................

My understanding would be that it there were so many different variables within your diabetic control then more doses would suit you better.........

I see you have Gastro P, cant remember the full name of this, but this is a digestive condition isn't it? This alone could be responsible for all you problems so far, at least the unpredictability of your blood sugars.......

I have no doubt you have been trying your very best with it................

What have your most recent basal tests shown..............? I would expect this insulin need to remain reasonably stable like someone without gastro, the problems would be with the QA doses, trying to match up timings and doses to unpredictable digestion must be a struggle.............

If you haven't tested your basal in a while it would probably do you good to pin that down as much as you can, allowing you to take on the bolus task.......

Have you been offered a pump, this could help I suppose, although would be hard work............

Dec 23, 2011

emmahope 17 posts

I have been using DAFNE from before doing the course and learnt some new things but was doing everything more or less already. The hosp are confident about my dose changing; I am- practically speaking- but working so hard on your diabetes and your body's responses being so changeable is enough to cause a person to give up...I will not though.
Saying ''my body patterns are not reliable'', i mean that my body responds differently to the same input on a daily//weekly/monthly basis so 'patterns' are not consistent at all.
I promise you I was having hypos on my one glass of wine before a few hours after-I know that's very unusual but we are all different. Seems though i'm responding differently twice to the 1glass of wine since i'm no longer on the lantus so I'll try no carb in response to the wine now.
Having had diabetes for 34+ years/kidney disease/gastro-p. and autonomic neuropathy, seems to explain difficulties I have to the Drs, so although that does't make things easier for my situation, at least I know they are trying to help get things as well as possible with my Bms.
I am considering splitting the BI but neither the HCP or I are immediately trying that because of my history with seemingly uncontrollable D,severe hypos kidney disease'(insulin remains in system much longer than 'should') and having no improvement with a split dose before. I'll wait to see the consultant. I'm always glad for your generous input on this site, Emma

Dec 23, 2011

novorapidboi26 1,819 posts

How did you get on at the DAFNE course? Did you leave confident in changing your doses.......?

Missing out the QA because of the wine has shown in your above results to be wrong as you have woke up the next morning high, the truth is, one glass of wine wont trouble the liver that much, a bottle might, and does for me only slightly, I would need to drop my AM BI a few units the next day. If it was vodka probably even more..........

What do you mean your body patterns are not reliable.........? I would say this is a good reason to have a BI dose in the evening/before bed and then one in the morning......

Your livers glucose output does not stay constant throughout the day as your body winds up and winds down at the beginning and the end of the day, and that's why splitting the BI dose works better to accommodate the different needs of day and night.......

What was your reasons changing to Levemir, was the Lantus not lasting?

Dec 22, 2011

emmahope 17 posts

Hi Novorapidboi26, first the wine...normally I would go to bed eating something like a couple o biscuits to stave off hypos - it's worked before but last 2 times I've had wine I haven't had the usual Lo-as you see in example here (trifle is not normal for me but the small portion i had shouldn't be different from biscs)?? My body's 'patterns' aren't reliable... And I found out that is a good reason to not be having your BI in the a.m.- re. pre-planning for wine
I asked about splitting dose but think HCP wanted to wait for the consultant to make any decision about splitting it as BMs have proved so shifty/changeable and the insulin seems to stay around longer in my body. Anyway the BI checks is a good idea as a start, thanks- I'll try that.

Dec 22, 2011

Ahmentep 99 posts

Topic: Site Development / Injection site list

Hi Simon,

Good question! I usually enter my data on my Samsung Galaxy Tab 10.1 so I guess that means I'm using a phone app. If I select the Online icon from that app that connects me with the actual site though, does it?

Kind regards,

Roger

Dec 22, 2011

Simon 578 posts

Topic: Site Development / Injection site list

Hi Roger,

You can address it to both of us Very Happy

I'll take a look at doing this for you - are you inputting your data through a phone app or the site?

Thanks,

Simon

Dec 22, 2011

novorapidboi26 1,819 posts

Topic: Site Development / Browser Remembering Credentuals...

I use it a my workplace, only because I prefer Firefox and allows me to not store cookies/history...........

its not important really, its just other sites it does remember my details, which makes me think it is on your end, however as mentioned, my home version old Firefox does it fine, which leaves only one variable, the portable version..............

Dec 22, 2011

novorapidboi26 1,819 posts

As your on Levemir now, you should really be thinking about splitting it, it is most commonly used in this way..............

This means you can have a reduced dose at dinner/before bed, and therefore eliminating the overnight hypos, and then a higher dose in the morning to keep you steady during the day............

Has this been discussed with your team?

Have you done any basal testing to see where you need it most etc....?

I think your background requirements need evaluated and a split is on the cards, until this is established any advice on insulin carb ratios would be inaccurate....... Wink

P.S. Having a glass of wine does not mean you should not take insulin for the carbs you eat after it, as the effect of the alcohol wont happen till much later, usually a reduction of BI is used to fend of alcohol induced lows, however this is only possible on a split dose, there is much more flexibility on Levemir, the reason I assumed your team put you on it, no?

Dec 22, 2011

emmahope 17 posts