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Feb 4, 2019
hamisharchie 2 posts

Topic: DAFNE Online Mobile / Dafne app on android

Come on app developers, please reinstate the app for Android users or tell us where to find it.
 
Feb 4, 2019
landylara 14 posts

Topic: DAFNE Online Mobile / Dafne app on android

It must have been removed as I can't find it either Sad
 
Feb 2, 2019
torana 53 posts

Topic: General Discussion / Anxiety / Stress and Dose Adjustment

Hi Catskinbuddy, sorry to heat you haven’t been well. Hospital stays can be very problematic for diabetics and it is firstly important to tell the supervising medicals that you have concerns regarding blood glucose levels and need assistance to get them to a satisfactory level. I have been in the situation many times where medicos simply state “you know what you’re doing”. This is really not good enough and there may be an endocrinologist they can contact to give post operative advice.
Secondly, morphine can make you unaware of lows so it is important that if drowsy the nurse come into your room on a regular basis to check your blood sugars. INSIST! There are many variables that can trigger high BG’s in hospital. Just lying in a bed, stress, change of routines, crappy food etc....
Post operative effects on blood sugars need to be addressed by the medical team in the hospital and at home. Your body needs insulin especially when you are ill. Your liver will most likely release sugar to help you fight infection, this will raise your Blood Sugar even if you don't eat. When your Blood Sugar exceeds certain levels you are likely to produce Ketones that if they are not treated can make you very ill. Again, you may need to increase you insulin levels to counter this rise in blood sugars however beforehand discuss this with your medical team at hospital or even get them to ring up your DAFNE endocrinologist for advice.
 
Feb 2, 2019
Catskinbuddy... 1 post

Topic: General Discussion / Anxiety / Stress and Dose Adjustment

I’m currently in hospital with sepsis after having a burst appendix my question is can morphine or pain killers affect blood glucose
Many thanks catherine
 
Jan 31, 2019
Colin McC 15 posts

Topic: General Discussion / Mobile app for Samsung/Android advice

I just bought a Samsung A7 & transferred all my apps to the new mobile except the DAFNE app did not. Now I know why, shame as it was most useful & I used it every day. Be pleased to get any updates as I am using my laptop to access my BG diary
 
Jan 31, 2019
Caroline Litch 4 posts

Topic: General Discussion / Black Coffee

Hi

When drinking black coffee my BG raises by at least 1.5 mmol, does this happen to anyone else Question
 
Jan 28, 2019
Marghe 3 posts

Topic: General Discussion / Mobile app for Samsung/Android advice

marke said:
Hi, Sorry there is no Android app currently, the old one was dropped by google because it was not updated. I am trying to get a new one running but there have been major changes in the way the app needs to work and I'm struggling to make it work properly. I will update everyone as and when I have resubmitted it to the play store....


Hi Marke

Thank you very much for the info very kind of you
 
Jan 25, 2019
marke 655 posts

Topic: General Discussion / Mobile app for Samsung/Android advice

Hi, Sorry there is no Android app currently, the old one was dropped by google because it was not updated. I am trying to get a new one running but there have been major changes in the way the app needs to work and I'm struggling to make it work properly. I will update everyone as and when I have resubmitted it to the play store....
 
Jan 25, 2019
alturn 78 posts

Topic: Carbohydrate Counting / Please help

Hi, no problems, it's very easy to mis-read something.

Enjoy your 5.12 CPs and hope your BGs work out Ok.

J
Razz
 
Jan 25, 2019
Mumoftwoboys 4 posts

Topic: Carbohydrate Counting / Please help

torana said:
Hi Mumoftwoboys,
I just use an app called CalorieKing. I think it’s Australian based however there appears to be a number of international apps detailing products from the local supermarket. Just weigh on scales the item and type in the amount of grams of the product and it automatically works it out for you. It’s that simple to derive the nutritional value of a piece of food such as carbs, fats and proteins. In fact, we received a set of scales as part of the DAFNE course which I still use every day.


Thanks lovely will have a look at this.
 
Jan 25, 2019
Mumoftwoboys 4 posts

Topic: Carbohydrate Counting / Please help

alturn said:
Good grief.

My apologies, I mis-read your query.

I get annoyed when people mis-read my queries (I do try to make them obvious) or don't reply to question I asked in an eMail I send. Can't say much else....

J


Aww I'm so sorry, I hope I haven't upset you in anyway Sad . I am greatful to everyone who has replied, but am so busy with the children, I do mean to reply to you all that have commented, just life gets very busy at times. Thank you so much though for your comment, everyone who has commented has left excellent tips for me and I am very greatful Razz
 
Jan 25, 2019
alturn 78 posts

Topic: Carbohydrate Counting / Please help

Good grief.

My apologies, I mis-read your query.

I get annoyed when people mis-read my queries (I do try to make them obvious) or don't reply to question I asked in an eMail I send. Can't say much else....

J

 
Jan 25, 2019
Mumoftwoboys 4 posts

Topic: Carbohydrate Counting / Please help

Muncle said:
Hi Mumoftwoboys, I hope I've interpreted your question correctly :-)

I think you wanted to know what the carbs are based on packet information saying 38g carbs/115g but you want to eat 155g?

For me the easiest way is to say 38g (carbs) devided by 115g (info weight) = 0.33043 and then multiply that by 155g (eating weight) = 51.21g (carbs) which would be 5.12 (CP's ).

I hope that makes sense Wink

All the best
Muncle



That's what I was looking for, thank you so much for your help
 
Jan 25, 2019
Muncle 9 posts

Topic: Carbohydrate Counting / Please help

Hi Mumoftwoboys, I hope I've interpreted your question correctly :-)

I think you wanted to know what the carbs are based on packet information saying 38g carbs/115g but you want to eat 155g?

For me the easiest way is to say 38g (carbs) devided by 115g (info weight) = 0.33043 and then multiply that by 155g (eating weight) = 51.21g (carbs) which would be 5.12 (CP's ).

I hope that makes sense Wink

All the best
Muncle
 
Jan 24, 2019
torana 53 posts

Topic: Carbohydrate Counting / Please help

Hi Mumoftwoboys,
I just use an app called CalorieKing. I think it’s Australian based however there appears to be a number of international apps detailing products from the local supermarket. Just weigh on scales the item and type in the amount of grams of the product and it automatically works it out for you. It’s that simple to derive the nutritional value of a piece of food such as carbs, fats and proteins. In fact, we received a set of scales as part of the DAFNE course which I still use every day.
 
Jan 24, 2019
alturn 78 posts

Topic: General Discussion / Sugars all over the place !

They do seem a bit erratic, but also its a very small sample. It might help if you attach some diary readings to your post. Hopefully you fill in ratios, Cps etc.

Your single overnight seems about right (change < 2) though high. Your lunch to tea seems not too bad. It could be your correction for being high or low needs tuning.

As as been suggested, probably best to stop mid-am and mid-pm tests unless you are eg driving, feeling low, work safety, exercise, illness. I think they are misleading. When your pre-meal levels are more stable, you could then check, but don't think DAFNE advises this.

Eating meals of approx same Cps at the same time also helps to spot patterns. It's not always easy or possible.

I rotate my injection sites as : breakfast QA in right stomach, BI in right thigh or buttock. Lunch QA in middle stomach. Dinner as breakfast but on left side. And also rotate within each area. I use a similar method to rotate finger tests (which are getting increasingly more difficult).

J
 
Jan 24, 2019
alturn 78 posts

Topic: Carbohydrate Counting / Please help

Welcome back – it can be quite daunting to restart.

Sorry if this is a bit long, but best I can do. I've tried to keep it simple, there are many exceptions.

I assume your whole serving comes to 155g with 38g of carbs. DAFNE only counts carbs – mainly found in cereal, rice, potatoes, pasta. And cakes etc.

The process is :
DAFNE works on Carbohydrate Portions (CP) – 10g of carbs equates to 1 CP.

Then apply your QA:CP (Quick Acting insulin units:1 CP) ratio for the current meal (DAFNE ratios are normally 1:1, 1.5:1, 2:1, 2.5:1 or 3:1). You can have different ratios for each meal.

Then you may have to round up or down if the units work at e.g. 3.6 and your pen doesn't handle 0.5 units. It's a bit of guess work, but depends eg how you feel or activity.

Then you may need to adjust your units if current BG is high or low. DAFNE says somewhere how much one unit should reduce your BG, but can't find it at present. Think 1 unit to reduce BG by 2 might be a good place to start. And if low, then reduce units using same ratio.

So for 38g carbs:
Divide by 10 gives 3.8CPs
Multiply by ratio eg 2:1 give 7.6 units.
Round up or down to 7.5 or 8.0
Add in your correction (assume BG in range so correction is 0) gives 7.5 or 8.0 .

Some meters do a lot of the work for you. I used an Aviva Expert for several years and saved all my results in a spreadsheet. I now use another meter but use the data saved to calculate units. The Expert can be programmed with QA:CP ratios, correction ratios and also allow for exercise, for several time bands – breakfast, lunch, dinner. When you do a test, it will suggest how many units to take. It's up to you to decide what to take.

Hope this helps,

J
 
Jan 24, 2019
AlThompa 3 posts

Topic: General Discussion / Sugars all over the place !

alturn said:
When you get your BI stable, then you can tune your ratios. You might then find BI can be decreased. You may need to alter your BI over time.
Are your injection sites Ok, and rotating where you inject?
It may take some time to get things stable, as its a gradual process - try to change one thing at a time, monitor for 2-3 days to check effect.

I believe DAFNE suggests Units:CP of bewteen 1:1 and 3:1, though some users may differ depending on sensitivity. I am currently trying 4:1 for one meal. You can have different ratios for each meal. And you're correction ratios can also vary for each meal, and may not be the same as the meal ratio.

Hope this helps,
J



Hi,

Thanks for the information Yes I've had to switch to another injection site, as the DAFNE educator noticed my stomach was quite bad and that the insulin may not be working as effective, also I've noticed that too but didn't know you can have different ratios depending on meal times.

The problem I have at the minute is my BG's are like a Yo-Yo I.e no day is the same in terms of BG levels, therefore it's hard to find a pattern to see what I need adjusting for example my last two days of BG's are as follows but my meals are generally the same throughout the day especially breakfast and lunch which I have the same every day.

22/01/19

Morning - 4.7
Mid-morning - 9.7
Before lunch - 10
3 Hours after lunch - 15.3 ?
Before teatime - 5.9
Before bed - 13.1

23/01/19

Morning - 14.9
Mid-morning - 9.9
Before lunch - 7
3 Hours after lunch - 5.9
Before teatime - 6.9
Before bed - 10.7

Cheers,

Alex

 
Jan 24, 2019
alturn 78 posts

Topic: General Discussion / Sugars all over the place !

When you get your BI stable, then you can tune your ratios. You might then find BI can be decreased. You may need to alter your BI over time.
Are your injection sites Ok, and rotating where you inject?
It may take some time to get things stable, as its a gradual process - try to change one thing at a time, monitor for 2-3 days to check effect.

I believe DAFNE suggests Units:CP of bewteen 1:1 and 3:1, though some users may differ depending on sensitivity. I am currently trying 4:1 for one meal. You can have different ratios for each meal. And you're correction ratios can also vary for each meal, and may not be the same as the meal ratio.

Hope this helps,
J
 
Jan 24, 2019
AlThompa 3 posts

Topic: General Discussion / Sugars all over the place !

Many thanks for that I will give it a go, although I'm also experiencing high levels on a morning but my BG at bedtime is generally between 9-10.

I've read up on the 'Dawn phenomenon' and know I need to check my BG at 3:00am but any thoughts how to combat this effect ?

Cheers,

Alex
 
Jan 24, 2019
boost 3 posts

Topic: General Discussion / Stress

Cannabis oil is unproven and unregulated, just ignore it for the purposes of DAFNE
 
Jan 24, 2019
boost 3 posts

Topic: General Discussion / CBD and Nepal

CBD is unproven and unregulated, just ignore it for the purposes of DAFNE
 
Jan 23, 2019
boost 3 posts

Topic: General Discussion / Sugars all over the place !

One thing to note is that you should not be concerned about your BG 2-3 hours after a meal because your QA continues to work for up to 5 hours. You need to look at your BG 5 hours after your last meal when trying to work out your QA ratios.

To check if you are on the correct BI in the morning, you need to check BG 5 hours after your breakfast, skip lunch for that day, then see if your BG holds steady throughout the afternoon. If it is going up you need more morning BI. If it is steady, then you can look at your breakfast/lunch QA ratios.
 
Jan 23, 2019
Mumoftwoboys 4 posts

Topic: Carbohydrate Counting / Please help

Hi I have let my diabetes go the last couple of years but I am back on it now and I need to change the way I do things.
I always remember there was a way of working carbs out, I can't remember how to do it. There was a table I was given where I believe I have to divide something them times it by something 🤷‍♀️.
If I'm having something to eat and it weighs 115g the carbs are 38g, but what if I was to eat say 155g how do I work out the carbs???