Recent Posts - DAFNE Online

Nov 20, 2011

marke 681 posts

I agree with sjohno to a degree, what Novarapidboi is suggesting is above and beyond DAFNE. Thats not to say people shouldn't do it, however its taking Diabetes mangement a step further than 'most' people want to go. In an ideal world my PCT would let me have a Continuous Blood Glucose (CDM) meter even for a few weeks that would let me understand what is going on in my body. With the best will in the world testing 1 hour, 2 hours etc are still very approximate snapshots of your BG. The only way you really know how food is affecting you is with a CDM and obviously even that is not as good as a working pancreas.
To go back to Bezza's question , any ideas, well yes this is what happens with an approximate system like insulin injections and BG testing. You can take it to the next level
as novarapidboi suggests and try injecting at periods before you eat as this will make a difference, however in this respect everyone IS different and if you want to remove these spikes you will have to experiment to get it right with more BG tests to confirm the effects. You also have to accept that works one day may not work as well another, life just isn't that simple ( as if)

Nov 20, 2011

mum2westiesGill 502 posts

Topic: General Discussion / What would you do......

if you're a type 1 diabetic on 4 (sometimes more) injections per day, you have 1 pen for QA & 1 pen for BI, your pen for QA suddenly goes faulty on a Sunday?

Ps re the above question, i'm just purely wondering what you'd do, i do luckily have 1 spare pen for QA & 1 spare for BI, my in use pen for QA went faulty on me earlier today so i'm now using my spare one, i'll have to get in touch with the surgery tomorrow to issue me with a "new" spare one.

Nov 20, 2011

Bakerboy 9 posts

Topic: General Discussion / test strips

-Thanks to you all for replying to me i get 50 strips at a time which last just over a week or so Recently spoke to my gp and sorted things out Once again thanks Laughing

Nov 20, 2011

Ahmentep 99 posts

Topic: General Discussion / How long inbetween meals??

Hi,

I have always tried to leave four hours between meals, although it is more like six between lunch and dinner.

Kind regards.

Nov 19, 2011

williammcleod 6 posts

Topic: Questions for HCPs / Dafne ratio works - upto 18 units or so.

Bear in mind that they reckon any BG over 11 and the effects of 1 unit of insulin is unlikely to be the same as if the BG was below 11

Nov 19, 2011

Nikki H-C 23 posts

Topic: General Discussion / Feeling hungover!!

williammcleod said:
Also remember any BG over 11 and the effects of your correction are liable to be different from correction at lower BGs

I'm sure I learnt that on DAFNE but completely forgot! Thanks for the reminder!

Nov 19, 2011

williammcleod 6 posts

Topic: General Discussion / Feeling hungover!!

Also remember any BG over 11 and the effects of your correction are liable to be different from correction at lower BGs

Nov 19, 2011

williammcleod 6 posts

Topic: General Discussion / test strips

If you are have problems getting enough strips you can speak to your local patient liasion service .

Nov 19, 2011

mum2westiesGill 502 posts

Topic: Carbohydrate Counting / Snack Ideas - under 10g of carbs

Thanks for the reply Anele46

Nov 19, 2011

Anele46 109 posts

Topic: Carbohydrate Counting / Snack Ideas - under 10g of carbs

Hi whiskysmum,
A packet of Skips are 9.1g CHO and the salt and vinegar ones are lovely
Smile

Also, two small tangerines ahould be around 10g.
Asda do a small pack of cherries for Â£1 and they don't seem to affect by BGs at all.

Hope this helps Smile

Cheers,
Anele.

Nov 19, 2011

mum2westiesGill 502 posts

Topic: General Discussion / How long inbetween meals??

How long do ppl usually leave between eating their meals and eating something after ie their next meal??

Nov 19, 2011

mum2westiesGill 502 posts

Topic: Carbohydrate Counting / Snack Ideas - under 10g of carbs

Anyone have any ideas of snacks to have which are under 10g of carbs?

Nov 19, 2011

Anele46 109 posts

Topic: General Discussion / My BG Averages

Well, totally agree with everyone, your HbA1c should be on target Smile

Mines are :-

Last 7 days: 6.4 mmol/l
Last 14 days 6.7 mmol/l
Last 30 days 6.7 mmol/l
Last 90 days 6.7 mmol/l

I did my DAFNE course on March this year and have been diabetic since Feb 2010.
I reckon I'm still in my honeymoon phase as on a very low dose of Lantus (7U at night).
I find that when recording my driving and bedtime BGs these can be higher (as I often have a snack about 2 hrs before bed) so tend to increase my averages I reckon.
Got my 4 mth review next week so I'm hoping my HbA1c will be lower than last time as trying for a baby.

All the best Whiskysmum, keep up the great work Very Happy

Cheers,
Anele.

Nov 19, 2011

mum2westiesGill 502 posts

Topic: General Discussion / Background Insulin re Beditme Testing

Before i have my each of my main meals ie breakfast, lunch & dinner i always test first then either inject & eat or eat & inject.....i'm on Humalog QA.
When it comes to supper time sometimes i have supper sometimes not, depends if i'm hungry or not. If i'm having supper i always have it downstairs whilst watching tv then do my test a bit later when i go to bed. Am i doing this the right way round or should i be testing before i have my supper? i'm on Lantus BI, which i believe lasts approx 24hrs.

Thank you for any help about this. Smile

Nov 19, 2011

TashaW 2 posts

Topic: General Discussion / Insulin new user any tips welcome

I did say play around MORE.... Smile

I know type 1s can get insulin resistance, but not on the same scale as a type 2, which is essentially a problem OF insulin resistance.

Nov 18, 2011

ChristineBat... 23 posts

Topic: General Discussion / Insulin new user any tips welcome

novorapidboi26 said:
Being a Type 2 kind of excludes you from using the DAFNE principals, as they just dont work.................however it doesn't mean you cant seek advice from fellow diabetics...........

Also, type 1 diabetics can experience insulin resistance.....................................that is why we have different ratios of insulin throughout the day.....................

.....NOVORAPIDBOI...I agree, I am very resistant in the mornings having 5 units of quick acting per 10 carbohydrates/ 1 CP and an extra unit for luck! Rest of the day my ratios are 1.5:1 and 1:1......Type 1s play around very much TashaW.

Nov 18, 2011

mike_skinner 8 posts

Topic: General Discussion / My BG Averages

Here's mine, big thanks to the app and site that I find really keeps me on track
BG Averages
Last 7 days: 7.7 mmol/l
Last 14 days: 7.5 mmol/l
Last 30 days: 7.8 mmol/l
Last 90 days: 8.0 mmol/l

The iPhone diary and carb counter is a god send!

Nov 18, 2011

novorapidboi26 1,819 posts

Topic: General Discussion / Insulin new user any tips welcome

Being a Type 2 kind of excludes you from using the DAFNE principals, as they just dont work.................however it doesn't mean you cant seek advice from fellow diabetics...........

Also, type 1 diabetics can experience insulin resistance.....................................that is why we have different ratios of insulin throughout the day..................... Laughing

Nov 18, 2011

TashaW 2 posts

Topic: General Discussion / Insulin new user any tips welcome

Leonard, you say you are a type 2? It may well be that you will have to play around slightly more than a type 1 does, as in addition you have to factor in that you will also be insulin resistant whereas type 1s aren't. You might find that be really cutting back on the amount of carbs you eat you will be able to get fantastic control - I have a really good friend who is type 2 and has a HBa!c of 5.1 by using this method. You might find you won't need to use insulin at all....

Nov 18, 2011

KeithCl 43 posts

Topic: Site Development / Android App problem

Chris,

I just ran the app in the emulator with the API level set to 13 (Honeycomb 3.2) and couldn't reproduce the problem. When I look under "Entries" I see empty BG fields. When I look under "Summary" I see "0.0 mmol/l" for the "Blood Glucose Averages" when starting from no data and when I add entries with BG values only non-blank BG values contribute to the averages as intended.

Please confirm that you are seeing "0.0" for the BG when you click "Entries" and get the "Diary - Last 14 Days" list.

If you are then I guess I'll have to find the exact phone that you have to reproduce the problem - I can't see any candidate cause looking at the code.

Keith

Nov 18, 2011

Ahmentep 99 posts

Topic: Carbohydrate Counting / Adjusting my doses help

Hi,

One other point. I note that you have been diabetic for twenty years and yet your diary entries always show your injection site as your stomach. If this is always the area you use then your insulin may not be absorbed correctly or consistantly. Like grandma Carol I have been on insulin for 37 years or thereabout and I have found that my stomach has given problems from time to time by having varying rates of absorption (of insulin) over quite a small area. This leads to either high or low bg readings all other things being equal. You should discuss varying your sites with your doctor/nurse.

All the best! :-)

Nov 17, 2011

Chris loughrey 21 posts

Topic: Site Development / Android App problem

Hi Keith

It's an HTC wildfire s, running the latest version of honeycomb. All auto QA is turned off and when I input a BI shot, I always leave the BG value blank.upon saving this is replaced by a 0.0, which then throws all of my summary averages off.

This is seen on the phone app, not on the website.

Thanks for your help

Nov 17, 2011

novorapidboi26 1,819 posts

Topic: Carbohydrate Counting / Adjusting my doses help

for a good accurate basal test, its best not to have any QA, but if your uncomfortably high, don't hesitate...........

Nov 17, 2011

novorapidboi26 1,819 posts

Topic: General Discussion / Spikes

I disagree with not taking 1 hour, 2 hour, 3hour tests, its good to see how well you have got your dose timing, assuming your dose is correct obviously...............and then you get a more accurate 90 day average too...........

the 2 hour mark is round bout when your insulin and carb absorption is at its best, so whatever your result is then will probably be the highest it will go, in most circumstances that it.........

johno you are right, it is about how long it takes for your insulin to kick in, this isn't a constant, and so the timing of your dose can change.............and then you can achieve results as if your on a pump basically.............

Nov 17, 2011

wrijoanne 5 posts

Topic: Carbohydrate Counting / Adjusting my doses help

Thankyou for your advise , i am going to concentrate on my bi first and have a carb free day again tomorrow problem is im starving ha ha if im doing a free carb day and my readings are still high is it ok to take a plus qa dose or should i not take anything, ???

Nov 20, 2011 marke 681 posts	Topic: General Discussion / Spikes I agree with sjohno to a degree, what Novarapidboi is suggesting is above and beyond DAFNE. Thats not to say people shouldn't do it, however its taking Diabetes mangement a step further than 'most' people want to go. In an ideal world my PCT would let me have a Continuous Blood Glucose (CDM) meter even for a few weeks that would let me understand what is going on in my body. With the best will in the world testing 1 hour, 2 hours etc are still very approximate snapshots of your BG. The only way you really know how food is affecting you is with a CDM and obviously even that is not as good as a working pancreas. To go back to Bezza's question , any ideas, well yes this is what happens with an approximate system like insulin injections and BG testing. You can take it to the next level as novarapidboi suggests and try injecting at periods before you eat as this will make a difference, however in this respect everyone IS different and if you want to remove these spikes you will have to experiment to get it right with more BG tests to confirm the effects. You also have to accept that works one day may not work as well another, life just isn't that simple ( as if)

Nov 20, 2011 mum2westiesGill 502 posts	Topic: General Discussion / What would you do...... if you're a type 1 diabetic on 4 (sometimes more) injections per day, you have 1 pen for QA & 1 pen for BI, your pen for QA suddenly goes faulty on a Sunday? Ps re the above question, i'm just purely wondering what you'd do, i do luckily have 1 spare pen for QA & 1 spare for BI, my in use pen for QA went faulty on me earlier today so i'm now using my spare one, i'll have to get in touch with the surgery tomorrow to issue me with a "new" spare one.

Nov 20, 2011 Bakerboy 9 posts	Topic: General Discussion / test strips -Thanks to you all for replying to me i get 50 strips at a time which last just over a week or so Recently spoke to my gp and sorted things out Once again thanks

Nov 20, 2011 Ahmentep 99 posts	Topic: General Discussion / How long inbetween meals?? Hi, I have always tried to leave four hours between meals, although it is more like six between lunch and dinner. Kind regards.

Nov 19, 2011 williammcleod 6 posts	Topic: Questions for HCPs / Dafne ratio works - upto 18 units or so. Bear in mind that they reckon any BG over 11 and the effects of 1 unit of insulin is unlikely to be the same as if the BG was below 11

Nov 19, 2011 Nikki H-C 23 posts	Topic: General Discussion / Feeling hungover!! williammcleod said: Also remember any BG over 11 and the effects of your correction are liable to be different from correction at lower BGs I'm sure I learnt that on DAFNE but completely forgot! Thanks for the reminder!

Nov 19, 2011 williammcleod 6 posts	Topic: General Discussion / Feeling hungover!! Also remember any BG over 11 and the effects of your correction are liable to be different from correction at lower BGs

Nov 19, 2011 williammcleod 6 posts	Topic: General Discussion / test strips If you are have problems getting enough strips you can speak to your local patient liasion service .

Nov 19, 2011 mum2westiesGill 502 posts	Topic: Carbohydrate Counting / Snack Ideas - under 10g of carbs Thanks for the reply Anele46

Nov 19, 2011 Anele46 109 posts	Topic: Carbohydrate Counting / Snack Ideas - under 10g of carbs Hi whiskysmum, A packet of Skips are 9.1g CHO and the salt and vinegar ones are lovely Also, two small tangerines ahould be around 10g. Asda do a small pack of cherries for Â£1 and they don't seem to affect by BGs at all. Hope this helps Cheers, Anele.

Nov 19, 2011 mum2westiesGill 502 posts	Topic: General Discussion / How long inbetween meals?? How long do ppl usually leave between eating their meals and eating something after ie their next meal??

Nov 19, 2011 mum2westiesGill 502 posts	Topic: Carbohydrate Counting / Snack Ideas - under 10g of carbs Anyone have any ideas of snacks to have which are under 10g of carbs?

Nov 19, 2011 Anele46 109 posts	Topic: General Discussion / My BG Averages Well, totally agree with everyone, your HbA1c should be on target Mines are :- Last 7 days: 6.4 mmol/l Last 14 days 6.7 mmol/l Last 30 days 6.7 mmol/l Last 90 days 6.7 mmol/l I did my DAFNE course on March this year and have been diabetic since Feb 2010. I reckon I'm still in my honeymoon phase as on a very low dose of Lantus (7U at night). I find that when recording my driving and bedtime BGs these can be higher (as I often have a snack about 2 hrs before bed) so tend to increase my averages I reckon. Got my 4 mth review next week so I'm hoping my HbA1c will be lower than last time as trying for a baby. All the best Whiskysmum, keep up the great work Cheers, Anele.

Nov 19, 2011 mum2westiesGill 502 posts	Topic: General Discussion / Background Insulin re Beditme Testing Before i have my each of my main meals ie breakfast, lunch & dinner i always test first then either inject & eat or eat & inject.....i'm on Humalog QA. When it comes to supper time sometimes i have supper sometimes not, depends if i'm hungry or not. If i'm having supper i always have it downstairs whilst watching tv then do my test a bit later when i go to bed. Am i doing this the right way round or should i be testing before i have my supper? i'm on Lantus BI, which i believe lasts approx 24hrs. Thank you for any help about this.

Nov 19, 2011 TashaW 2 posts	Topic: General Discussion / Insulin new user any tips welcome I did say play around MORE.... I know type 1s can get insulin resistance, but not on the same scale as a type 2, which is essentially a problem OF insulin resistance.

Nov 18, 2011 ChristineBat... 23 posts	Topic: General Discussion / Insulin new user any tips welcome novorapidboi26 said: Being a Type 2 kind of excludes you from using the DAFNE principals, as they just dont work.................however it doesn't mean you cant seek advice from fellow diabetics........... Also, type 1 diabetics can experience insulin resistance.....................................that is why we have different ratios of insulin throughout the day..................... .....NOVORAPIDBOI...I agree, I am very resistant in the mornings having 5 units of quick acting per 10 carbohydrates/ 1 CP and an extra unit for luck! Rest of the day my ratios are 1.5:1 and 1:1......Type 1s play around very much TashaW.

Nov 18, 2011 mike_skinner 8 posts	Topic: General Discussion / My BG Averages Here's mine, big thanks to the app and site that I find really keeps me on track BG Averages Last 7 days: 7.7 mmol/l Last 14 days: 7.5 mmol/l Last 30 days: 7.8 mmol/l Last 90 days: 8.0 mmol/l The iPhone diary and carb counter is a god send!

Nov 18, 2011 novorapidboi26 1,819 posts	Topic: General Discussion / Insulin new user any tips welcome Being a Type 2 kind of excludes you from using the DAFNE principals, as they just dont work.................however it doesn't mean you cant seek advice from fellow diabetics........... Also, type 1 diabetics can experience insulin resistance.....................................that is why we have different ratios of insulin throughout the day.....................

Nov 18, 2011 TashaW 2 posts	Topic: General Discussion / Insulin new user any tips welcome Leonard, you say you are a type 2? It may well be that you will have to play around slightly more than a type 1 does, as in addition you have to factor in that you will also be insulin resistant whereas type 1s aren't. You might find that be really cutting back on the amount of carbs you eat you will be able to get fantastic control - I have a really good friend who is type 2 and has a HBa!c of 5.1 by using this method. You might find you won't need to use insulin at all....

Nov 18, 2011 KeithCl 43 posts	Topic: Site Development / Android App problem Chris, I just ran the app in the emulator with the API level set to 13 (Honeycomb 3.2) and couldn't reproduce the problem. When I look under "Entries" I see empty BG fields. When I look under "Summary" I see "0.0 mmol/l" for the "Blood Glucose Averages" when starting from no data and when I add entries with BG values only non-blank BG values contribute to the averages as intended. Please confirm that you are seeing "0.0" for the BG when you click "Entries" and get the "Diary - Last 14 Days" list. If you are then I guess I'll have to find the exact phone that you have to reproduce the problem - I can't see any candidate cause looking at the code. Keith

Nov 18, 2011 Ahmentep 99 posts	Topic: Carbohydrate Counting / Adjusting my doses help Hi, One other point. I note that you have been diabetic for twenty years and yet your diary entries always show your injection site as your stomach. If this is always the area you use then your insulin may not be absorbed correctly or consistantly. Like grandma Carol I have been on insulin for 37 years or thereabout and I have found that my stomach has given problems from time to time by having varying rates of absorption (of insulin) over quite a small area. This leads to either high or low bg readings all other things being equal. You should discuss varying your sites with your doctor/nurse. All the best! :-)

Nov 17, 2011 Chris loughrey 21 posts	Topic: Site Development / Android App problem Hi Keith It's an HTC wildfire s, running the latest version of honeycomb. All auto QA is turned off and when I input a BI shot, I always leave the BG value blank.upon saving this is replaced by a 0.0, which then throws all of my summary averages off. This is seen on the phone app, not on the website. Thanks for your help

Nov 17, 2011 novorapidboi26 1,819 posts	Topic: Carbohydrate Counting / Adjusting my doses help for a good accurate basal test, its best not to have any QA, but if your uncomfortably high, don't hesitate...........

Nov 17, 2011 novorapidboi26 1,819 posts	Topic: General Discussion / Spikes I disagree with not taking 1 hour, 2 hour, 3hour tests, its good to see how well you have got your dose timing, assuming your dose is correct obviously...............and then you get a more accurate 90 day average too........... the 2 hour mark is round bout when your insulin and carb absorption is at its best, so whatever your result is then will probably be the highest it will go, in most circumstances that it......... johno you are right, it is about how long it takes for your insulin to kick in, this isn't a constant, and so the timing of your dose can change.............and then you can achieve results as if your on a pump basically.............

Nov 17, 2011 wrijoanne 5 posts	Topic: Carbohydrate Counting / Adjusting my doses help Thankyou for your advise , i am going to concentrate on my bi first and have a carb free day again tomorrow problem is im starving ha ha if im doing a free carb day and my readings are still high is it ok to take a plus qa dose or should i not take anything, ???