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The 14:20 was supposed to represent the Xmas pud.......but like Marke I think I made a similar underestimate Embarassed

Best Wishes to all

Garry

Dec 27, 2011

john day 54 posts

Greetings all .... just been inputting the readings for last week, with not brilliant results! Xmas day was not too bad but control def slipped on Boxing day: nothing under 10.8. I blame the between meal goodies and mince pies !

Dec 26, 2011

marke 686 posts

hey, I'm not the only one !! I blame the xmas pudding, I know I should resist it but just cannot. Despite injecting more than I thought I needed I still ended up at 18.7 in the evening. Its good to know I'm not the only one who still gets it wrong at times like these.

Dec 26, 2011

theresaz 13 posts

I was doing Ok in the morning but woke up today with a 24. Oh dear. Normality now being resumed.

Dec 26, 2011

meltow 78 posts

Beat you.....13.5 post dinner.
Still not enough Sad

Dec 26, 2011

Neil Brown 28 posts

thought I'd got it right.....4.9 pre dinner.......23.1 post dinner !!! Confused

Dec 24, 2011

HelenP 218 posts

Hey Emma, and Christine...
Exactly. My diabetes was all over the shop until i did Dafne and began playing with the doses/times etc. Like you I then worked (with the endo) on fractional ratios, changing insulins, times of shots and tweaking the doses. This bought me better control but it was still not great. I am now on a pump and guess what still tweaking more than most in similar positions. I regard it as a moveable feast but it is interesting to go back and compare doses (I keep very detailed records). I have found the TDD remains within a band of about +/- 15% but the time of day I need what dose (basals) varies depending on things like how much sleep I get, what time I go to bed, the weather etc. and there seems to be a delay of a day or so (just to complicate things further!). I still prefer the pump but it took a long time to "learn" its parameters and to work out rules to the tweaking. Still learning, still tweaking! I am a long way from "set and forget" and this routine requires more attention to detail than I imagined. I tried the Dafne principle of eating what I liked/when I liked but found that only added more variables so have put myself back onto a fairly consistent diet.

The pump may not be the answer you expect.

Keep at it. Helen

Dec 24, 2011

snufflebabe 1 post

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

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

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