Recent Posts
Search the DAFNE Online Forums
15,718 posts found
|
Sep 2, 2011
novorapidboi26
1,816 posts
|
Topic: Questions for HCPs / Do I delay my BI insulin time when I have to do a blood test in the morning? I hope the results are good.............
|
|
Sep 2, 2011
melpessoa
7 posts
|
Topic: Questions for HCPs / Do I delay my BI insulin time when I have to do a blood test in the morning? Hiiii!!! Thank you for the reply! Well! Those things that we used to believe in the past!I come from Brazil and there my doctor used to tell me to have insulin only after the HbA1c being done... and so now that I started splitting my BI dose I got confused about it! I had forgotten to ask my diabetic nurse! I will do the blood test on Monday then! Take care, mel |
|
Sep 2, 2011
novorapidboi26
1,816 posts
|
Topic: Questions for HCPs / Do I delay my BI insulin time when I have to do a blood test in the morning? Hi Mel...............I can only assume the blood test you are referring to is the HbA1c, the most significant for us Diabetics.......... If it is then you should never have to stop or delay taking your insulin, your finger test/real time blood glucose will never effect the result of you HbA1c result....... So in my non professional opinion, take your background on the normal time you usually do, no blood test should risk the control of your blood sugar levels.... Did a health care professional tell you to not take your insulin till later previously? |
|
Sep 2, 2011
novorapidboi26
1,816 posts
|
Topic: Questions for HCPs / high glucose at night Hi Claire and welcome..........From what you have described it would seem that your 20:30 background dose is not enough to carry you steady overnight......... Thats what DAFNE would assume anyway......... Also, because you are having your dinner late or going to bed early you dont know accurately if your dinner ratio had done its job......try and leave a maximum of 5 hours between your dinner injection and you pre bed test, this way you can be sure its right and then eliminate that ratio from your investigation........... 
|
|
Sep 2, 2011
novorapidboi26
1,816 posts
|
Topic: General Discussion / DAFNE Myths Its a tricky science that I am not completely clued up on, but I personally would not start exercise with a BG over 12.......If the 12 was a spike 1-2 hours after eating I would wait till it came back down, however in theory if I started exercise 1-2 hours after eating my BG should not go up as all the energy I just put in from my dinner is accounted for and can be passed on to the cells of my body with the insulin I injected........its only when you dont have enough insulin to process the higher requirement of glucose during exercise that your BG would rise.......... So it really depends on what time your doing the activity, I wouldn't put in more insulin 1-2 hours after a meal, as then I would have too much and I would go low.......unless I covered that insulin with carbs......which is not what I want to do if maintaining/losing weight...... |
|
Sep 2, 2011
Lizzie
87 posts
|
Topic: General Discussion / DAFNE Myths
But I have always been told to correct for BSLs higher than 13 before exercise. When I did not my BSL kept rising and was 18 after exercising. I don't know what would have happened if I had left it but 18 is too high for me so I had to correct. It certainly did not seem like it would be going down any time soon, the only effect exercise had was to make it higher. |
|
Sep 2, 2011
Claire119
1 post
|
Topic: Questions for HCPs / high glucose at night Every night the same pattern happens (you would think that therefore there is an easy way to identify whats going wrong). I eat my dinner around 18:30 -19:00 and correct if need be. By 22:00 before bed my glucose are high (almost always above 15.0) i correct and set an alarm for about 2-3am. I check my bloods and my glucose wont have moved at all. I check with several meters. I then correct that, but with less as I worry i will go hypo. I then wake up on a normal number. This, however, affects the rest of my day. Im high most of the time (above 10.0) and am happy to get under 10 let alone within the dafne targets. I take levemir at 8:30 and 20:30.I was wondering whether this is a form of insulin resistance as i also have PCOS, but am not overweight? Claire. |
|
Sep 1, 2011
melpessoa
7 posts
|
Topic: Questions for HCPs / Do I delay my BI insulin time when I have to do a blood test in the morning? Hi there, I have to do a blood test at the walk in centre tomorrow and I wonder if I have to delay my BI insulin dose in the morning, or do I take it as normal(at around 730am) and do the blood test at around 9am?Before the dafne course I used to have my insulin after the blood test being done,,, and now... should I have it on time or after the blood test has been done? Thank you for your help, mel  |
|
Sep 1, 2011
marke
643 posts
|
Topic: General Discussion / DAFNE Myths lizzie,The point of posting the presentation was to provoke discussion which is has done I'm sorry but I don't think I agree with what I perceive is your view that doctors know best and always have the answer. The truth is, with something like diabetes there are no correct answers because everyone is different and have differing experiences. In addition different studies and research are revealling things that were thought to be true are not necessarily. Hence this thread gives people a chance to discuss if they ARE myths and what their experiences are. Not a scientific study but an interesting experiement just the same, what are graduates experiences on these things ?Personally I don't believe that night-time lows cause high's in the morning. If I was low in the night I would know and have often woken in the night when my BG is too low. I think I far more likely culprit is dawn phenomeon, like a number of people I find my insulin ratio is higher in the morning than later in the day. I think the point about alcohol was it was taught that it always lowered BG and as said at the collaborative if that was true why bother with insulin when alcohol was a far more attractive alternative 
|
|
Sep 1, 2011
KeithCl
43 posts
|
Topic: DAFNE Online Mobile / Feedback from Android beta testing PS I notice that the iPhone app defaults the automatic "Diary Upload" to off and I had it defaulting to on. I'll change the default to off for the Android app too. |
|
Sep 1, 2011
novorapidboi26
1,816 posts
|
Topic: General Discussion / DAFNE Myths
If BI doses should not be 12 hours apart, what is the ideal length between doses? Background insulin's dont always last 12 hours, and some even last longer, its effects are different in everyone...........its perfectly acceptable to have it 12 hours apart, i personally have mine 9 hours apart, one at night, one in early in the morning, this is to help combat the dawn phenomenon......... If 4u is not the maximum correction dose, what is? The possibilities are endless really, it all boils down to insulin sensitivity..............if my blood is over 17mmol/l, I have established that 1 unit drops me by 1mmol/l...........so if I was 20mmol/l which isn't that often... ], to get down to 5.5mmol/l I would take 15 units [14.5]........this is a long way off 4 units maximum.......If high BG prior to exercise should not always be corrected with QA, how should it be treated? Depends when the exercise is taking place, if it was within 5 hours of CP/QA then you would have no need to do so... If you do not need a 1:1 ratio for snacks, what is the correct ratio? If its closer to your lunch, use your lunch ratio, if dinner, use dinner, if not........somewhere in between, its all about trial and error....... If alcohol does not raise and then lower your blood sugar what effect does it have? And what is it that coincidentally causes the raising and lowering of blood sugars in people who have drunk alcohol if it is not the alcohol itself? Depends on what you are drinking, if its just alcohol [spirits] then your BG will not go up, it will however go down either at the time of drinking, overnight and/or into the next day, everyone is different.........and by different I mean everyone's liver has different response times to dealing with the toxin....... If its beer, cider, alcopops, some wines, then they will have carbs in them, to which you should account for...............in this case and the previous one a reduction in BI that night and sometimes into the next day are required......... If an overnight hypo does not cause high morning BGs what is the cause? I would say overnight hypos can be the cause of morning highs, but the next obvious one which myself and many others suffer from is dawn phenomenon, where a cocktail of hormones are released in order to raise blood sugar levels to assist in starting the day off............ What is the floor; if it isn't 4? And what is that treat or eat thing all about? The treatment for a hypo IS eating. I would say 4 is fine for verging on hypo............... Not sure about the treat or eat thing, its been a while since i looked at the myths and misconceptions, it may be referring to, if your hypo immediately before a meal, and then the question would be, do you treat it, or just eat your meal with a reduced QA.........I would always treat, then eat........just in case i was dropping quickly and there was no quick acting carbs on my dinner plate...........safety first and all that...................... |
|
Sep 1, 2011
Lizzie
87 posts
|
Topic: Carbohydrate Counting / Kendal Mint Cake You can get it without the chocolate on, it is mainly available in outdoors type shops except in the Lake District. I have emailed the manufacturers about precise carb values and will report back if I get a response. |
|
Sep 1, 2011
novorapidboi26
1,816 posts
|
Topic: Carbohydrate Counting / Kendal Mint Cake Might need to try this out, the fact that its set in some kind of fatty [all oil is kinda fat] coating then it will be slowed, but maybe not as much as normal chocolate with lots of saturated fat........... |
|
Sep 1, 2011
Lizzie
87 posts
|
Topic: General Discussion / DAFNE Myths I have looked at this again and still don't understand it. I was taught many of these on my DAFNE course and most have been proven by my own experience. Can someone who was there please go through these and explain what the truth apparently is and why we were misinformed so comprehensively? Not just on the DAFNE course but by our specialist doctors, nurses and dietitians for many years - at least in my case many of these things have been passed on to me as facts.For example: If BI doses should not be 12 hours apart, what is the ideal length between doses? If 4u is not the maximum correction dose, what is? If high BG prior to exercise should not always be corrected with QA, how should it be treated? If you do not need a 1:1 ratio for snacks, what is the correct ratio? If alcohol does not raise and then lower your blood sugar what effect does it have? And what is it that coincidentally causes the raising and lowering of blood sugars in people who have drunk alcohol if it is not the alcohol itself? If an overnight hypo does not cause high morning BGs what is the cause? What is the "floor" if it isn't 4? And what is that "treat or eat" thing all about? The treatment for a hypo IS eating. With regard to this one "BG should be tested at 3am to make sure a hypo isn’t the cause of high fasting BGLs" - does that mean you should never check your BGLs during the night? Surely this is a sensible action to take to find out what is happening? Why is it a myth or misconception that you need to do it? "A 2-hr post-prandial BG is helpful to assess QA:CP ratio" - why not? Is this reading any use at all? If so what for? If not why have doctors been advising us to check it for so many years? "High GI foods are in & out of the bloodstream very rapidly" and "Low GI foods can still be affecting your BG up to 5hrs after eating" - I thought that was the point of GI - it was a measure of how fast the food reacted in our bloodstream. These slides seem confusing without the accompanying explanation. |
|
Sep 1, 2011
Lizzie
87 posts
|
Topic: Carbohydrate Counting / Kendal Mint Cake Thanks. I think the peppermint oil is just a flavouring, it is basically pure glucose set in a bar. I just found it to be more palatable than glucose tablets and easier to carry around than lucozade. |
|
Sep 1, 2011
Simon
574 posts
|
Topic: Carbohydrate Counting / Kendal Mint Cake The oil is probably in the chocolate surrounding it - you can get varieties without choc so they might be slightly faster acting. |
|
Sep 1, 2011
novorapidboi26
1,816 posts
|
Topic: Questions for HCPs / Dafne Diary entries for advice please I look forward to it................
|
|
Sep 1, 2011
novorapidboi26
1,816 posts
|
Topic: Carbohydrate Counting / Kendal Mint Cake from googling, it looks like a chocolate bar............is that the right one.............?if so, its 95g of CHO for every 100g, so a 170g bar/cake is about 162g of CHO, so for the lot 16 unit[ x ratio].......... it seems as though its pretty much all sugar and glucose syrup, which would be fine for a hypo, but it has oil in it, which will slow the absorption, and that's no good for a hypo............and you would be looking for about 15g out of the 170 to treat it, so I would imagine not a lot...... |
|
Sep 1, 2011
LindaJ
3 posts
|
Topic: Questions for HCPs / Dafne Diary entries for advice please Thank you for responding. Only difference I know for definite is my holiday abroad which lasted until Sun 28th morning - much harder to achieve accurate CPs using restaurant.Prior to these readings I took my BG at 3am on 2 separate occasions although I had had 1 CP before bed both times - results: 2330 1CP BG @ 6.2. Injected 1QA and @ 0325 BG 7.9 then on waking up @ 0700 BG @ 7.4. and 2310 1CP BG @ 15.5! Injected 1QA + 3 corrective QA and @ 0300 BG @ 14.0 then on waking up at 0700 BG @ 13.3. I will do again omitting the 1CP for supper and see what happens. Many thanks - let you know the outcome. Linda |