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Aug 30, 2011
Linda McSherry 3 posts

Topic: General Discussion / SUGGESTION

Hi All

I am new to DAFNE and need some help, can anybody suggest any adjustments I could make, I considered changing my dinner ratio as I am always high at bedtime would this be the correct thing to do. I think my BI is correct therefore the next adjustment would be the QA would it not?

Linda
 
Aug 29, 2011
Peter 109 posts

Topic: General Discussion / DAFNE Myths

marke said:
On the 10th June the Annual DAFNE Collaborative was held. This is the DAFNE get-together of all educators, programme management etc. I was
fortunate enough to be there as a DAFNE User Action Group rep. One presentation that really caught my ear that I can now share with you was
about DAFNE Myths and Misconceptions. If you click here you can read the presentation in PDF form.
Remember it is being said that ALL the things in the presenation are myths. Have a read and post your views here ! Its bound to cause some controversy, which is why I'm posting it here to see what peoples views are.



Like Mark I was also lucky enough to be present at the Collaborative when Carolin Taylor gave this presentation. I'm not sure whether everyone is aware, but as part of the process to ensure that all DAFNE training meets the required standard, and that the graduates are taught the "right" thing (i.e. what's in the handbook) each DAFNE Centre is regularly audited by an experienced DAFNE Educator from elsewhere in the country. The purpose of this presentation was to educate the Educator's on some of the myths and misconceptions that are still, wrongly, being taught. Carolin herself is a highly experienced DAFNE Educator and leads the DAFNE Educator Group which is responsible for DAFNE training.

It would be great if every Centre could provide consistent training that completely matches the DAFNE Handbook, but that is never going to be possible, and so the audit process is in place to do as much as possible to ensure consistency of education for all graduates, but there is always a possibility that something incorrect slips through. I, was taught, and still treat hypos more than 2 hours before a meal with 2+2 CPs. It works for me, at least most of the time, and that is the key message in my view. We are all different. The training and the handbook give a good foundation, but it is then necessary to add personal experience on top of that. It takes time to get that knowledge, but it's worth a few mistakes along the way to discover what works for you.

Finally, DAFNE is an evolving course. The section of the presentation on insulin types is an example of this. The handbook and course have been updated a number of times, and so that things that were taught a few years ago (e.g. 4's the floor) are no longer used. In these cases the course and handbook are updated, but that leaves a gap for those who have already been trained and don't necessarily read the new handbook cover to cover. There is probably a role for DUAG and dafneonline to get these updates to all existing graduates, and that is something that we will look into.
 
Aug 29, 2011
ketostix pla... 25 posts

Topic: General Discussion / EU Directive - Million Drivers face losing their licence.

Hi novorapidboi26,

At that time I was pre dafne, and be tottaly honest had been running high bgs for years, so had totally forgot about hypo awareness and the shock a hypo causes to us and others. I new in my heart that I did not need hospital treatment, but with the confusion that low bgs can cause, and my partner scared it was quite difficult to convince all that I would be ok. Dafne has given me the power and tools to be more in control now though.
 
Aug 29, 2011
novorapidboi26 1,819 posts

Topic: Questions for HCPs / Protein and Fats

I would probably treat the hypo with a sugary drink or Lucozade.........


These will be absorbed the quickest and probably wont be effected by the more slowly absorbed items..........

I think the most significant thing that does this is high fat foods, as opposed to high protein, and people often find they get a BG spike later on after eating..........this can be tackled with a split dose of QA, most of the time fairly successfully, but you would need to experiment.....

You say you often struggle with lows................?Could you give an example of the meal you are eating when this happens.......
 
Aug 29, 2011
KeithCl 43 posts

Topic: DAFNE Online Mobile / Feedback from Android beta testing

John Syer said:
Hi Keith,

I've tried to upgrade my installation using the URL you provided in the original (revised URL) email and this is still the 1.0.r251 BETA version. How can I obtain the 1.2.r261 BETA version?

Regards, John


John,

I've just done the download again on my phone and got the "1.2.r261 BETA". But when I download on my Mac using Chrome I have to first use "Clear Browsing Data..." because otherwise I get an old cached version. Perhaps you are hitting a similar problem on your phone?

Installing the new version on top of the old version should preserve all data and settings.

Note that I've asked for "1.3.r265 BETA" to be posted but that might not happen for 24 hours. This should fix your bug #1 by only averaging BG entries that are not null and not empty strings.

Keith
 
Aug 29, 2011
novorapidboi26 1,819 posts

Topic: General Discussion / EU Directive - Million Drivers face losing their licence.

ketostix playford said:
so basically got chucked out back of ambulance and had to walk home when still effectively in hypo.



Would you have wanted to go to hospital though? You treated yourself and your BG was coming up, all be it slowly.......

I have had some frightening hypos were the drop has been quick and big, but I still did not need help to treat myself for them, that's the key.........

I wouldn't have thought you needed to go to hospital as it wasn't what I would class as severe........ Smile
 
Aug 29, 2011
Headspace 9 posts

Topic: DAFNE Online Mobile / Feedback from Android beta testing

Didn't know that. Thanks for pointing it out John.

Brian
 
Aug 29, 2011
Ammy 1 post

Topic: General Discussion / Hay fever - BG's gone high

You can take antihistamine medication which contain low lactose. Because antihistamine used for treating hives. Cetirizine is an antihistamine medication prescribed to provide relief from allergic symptoms and works by blocking the effects of histamine that causes allergy symptoms.
 
Aug 29, 2011
John Syer 19 posts

Topic: DAFNE Online Mobile / Feedback from Android beta testing

Headspace said:
Keith, is there a function to do a manual upload?



This already exists. If you go into Entries (from the main screen), then bring up the menu (I use the menu button on my phone) you have the option to download, upload and short links to other main screen icons.
Hope this helps.

Regards, John
 
Aug 29, 2011
Headspace 9 posts

Topic: DAFNE Online Mobile / Feedback from Android beta testing

Sorry about,the plethora of posts. Not sure what happened there.

Brian
 
Aug 29, 2011
Headspace 9 posts

Topic: DAFNE Online Mobile / Feedback from Android beta testing

Keith, is there a function to do a manual upload? Over the last few days, auto upload hadn't been working (though access to the Dafne online site also appears to have been down so perhaps the two are connected). It up dated last night automatically, so theres no real issue now, but it could be a useful feature for those who don't have great connectivity or who want/need to upload every now and then.

Also, there have been a couple of references recently to newer versions of the beta. Should I be upgrading'
 
Aug 29, 2011
Headspace 9 posts

Topic: DAFNE Online Mobile / Feedback from Android beta testing

Keith, is there a function to do a manual upload? Over the last few days, auto upload hadn't been working (though access to the Dafne online site also appears to have been down so perhaps the two are connected). It up dated last night automatically, so theres no real issue now, but it could be a useful feature for those who don't have great connectivity or who want/need to upload every now and then.

Also, there have been a couple of references recently to newer versions of the beta. Should I be upgrading'
 
Aug 29, 2011
Headspace 9 posts

Topic: DAFNE Online Mobile / Feedback from Android beta testing

Keith, is there a function to do a manual upload? Over the last few days, auto upload hadn't been working (though access to the Dafne online site also appears to have been down so perhaps the two are connected). It up dated last night automatically, so theres no real issue now, but it could be a useful feature for those who don't have great connectivity or who want/need to upload every now and then.

Also, there have been a couple of references recently to newer versions of the beta. Should I be upgrading'
 
Aug 29, 2011
John Syer 19 posts

Topic: DAFNE Online Mobile / Feedback from Android beta testing

Hi Keith,

I've tried to upgrade my installation using the URL you provided in the original (revised URL) email and this is still the 1.0.r251 BETA version. How can I obtain the 1.2.r261 BETA version?

Regards, John
 
Aug 28, 2011
KeithCl 43 posts

Topic: DAFNE Online Mobile / Feedback from Android beta testing

John Syer said:


John,

Thanks for this - detailed and helpful.

Bugs:

1. Yes there is no check for null values. I'll review the other aggregations too.
2. There are quite a few other comments about the Auto Calculate too - as you've noticed what is there is quite simple.
3. This is fixed in the "1.1.r255 BETA" version.
4. This is fixed in the "1.1.r255 BETA" version.
5. I'll do some more tests on this to try and get a sense of how reliable/unreliable it is.
6. I gave increasing the chances of correct entry priority over hiding the password having noted that http://www.dafneonline.co.uk/ sends passwords in the clear.
7. This is fixed in the "1.2.r261 BETA". This is the version you get if you install/upgrade now.
8. See 5.

Features hard to use:

1. Yeah I don't know what that is for either.

Suggestions:

1. I was assuming that a manual wouldn't be needed given that users will be pretty well versed in the ideas having done the DAFNE training. Are there specific things that need describing?
2. Yes the iPhone app is adding this and it will make its way into the Android app in a while.

Keith
 
Aug 28, 2011
John Syer 19 posts

Topic: DAFNE Online Mobile / Feedback from Android beta testing

Hi Keith and Simon,,

I've emailed this but I'll also post to the forum so others can make use of the information if need be.

I've been using the app (along side OnTrack) since lunchtime 24/08/2011 (about 5 days) and below are the things that I have noted while testing the app.

Phone: HTC Desire A8181
Android version: 2.2
Beta version: 1.0.r251 BETA

Bugs
Bug #1 - Incorrect blood glucose averages
Reproduce: Create a new diary entry without a BG value (for example when injecting BI only - which is not BG dependent), the BG averages calculation takes that as a 0.0mmol/l reading and skews the result. (It also appears that the web site also does the averaging incorrectly but differently inccorrectly)

Bug #2 - Auto Calculate QA overwrites entries on editing diary entries
Reproduce: Have Auto Calculate QA selected and edit a diary entry which contains a correction (i.e. 6+1), the QA value is overwritten and the correction value in the QA field is lost.

Bug #3 - The diary entry type is not always loaded properly on editing diary entries
Reproduce: Have a diary entry type "Hypoglycemia" (at 17:27) and then edit it later, the entry type shows as "Before Dinner"

Bug #4 - Changing the diary entry type doesn't update the QA:CP ratio value when adding an entry
Reproduce: Create a new diary entry and change the type to one with a different QA:CP ratio value, the ratio is not changed. This is especially bad when Auto Calculate QA is selected.

Bug #5 - Manually uploading entries failed
Reproduce: With auto-upload disabled, create 2 days worth of entries in an empty database (i.e. there are only 2 days of entries). From the Entries page, upload "last week" produces
"Sorry! The application DAFNE Online (process dafneonline.android) has stopped unexpectedly. Please try again."
Further information: I got manual uploading to work after enabling auto upload, entering a new diary entry (which was uploaded), then disabling auto upload

Bug #6 - DAFNE online credentials password is viewable in plain text
Reproduce: Enter the credentials in the Settings page, the password appears as "*********", then select the password field again and the password is visible in plain text in the entry box

Bug #7 - Dimmed icons on the main screen
Reproduce: From the main screen, select "Food Groups", then select "Home" from the menu, select "Entries" from the main screen, then select "Home" from the menu. Both "Food Groups" and "Entries" icons are dimed. Keep pressing back until you quit the app. Run the app again and the two icons are still dimmed.

Bug #8 - Manual upload fails at various times
Reproduce: I don't have a method to reproduce this on demand. I have had messages informing me that my credentails are wrong (Sorry I didn't write the message down). I guess this could easily have been a fault at the dafneonline.co.uk end of the connection.

Features hard to use
Issue #1 - The purpose of the correctional diary entry type is not clear

Suggestions
Suggestion #1 - Some form of user manual (especially a link to the user manual in the application).
Suggestion #2 - A way to add food to the database

Regards, John
 
Aug 28, 2011
ketostix pla... 25 posts

Topic: General Discussion / EU Directive - Million Drivers face losing their licence.

This is a total joke. Before I completed the Dafne course I had quite a severe hypo on the way back from watching football and my partner called an ambulance, as she had never seen me have a hypo before. I treated myself with dextrose and by the time I was in the back of the ambulance my blood was about 3.2 but raising gradually. My driving Licence at the time was with the DVLA going through renewal, and the ambulance asked me if I wanted to go to hospital, to which I said no as I diid not want any repocussions, so basically got chucked out back of ambulance and had to walk home when still effectively in hypo. If this ruling comes in I can imagine this will be quite common for people with difficulties in bloodglucose control Evil or Very Mad
 
Aug 26, 2011
Pinky 4 posts

Topic: Questions for HCPs / Menstrual Cycle, BI

Athena said:
Carolin, can't thank you enough for this. It is great to see that people are really caring about our concerns. It will be brilliant if future participants are alerted to this problem . I know not everyone experinces it, but lots of us do and give up thinking they just can't get the hang of DAFNE. I understand that things can't jsut change magically overnight, but changes to the course book in the coming years wou ld be great.

THANK YOU!



I finished my Dafne course today and the changes in BG and monthly cycle were discussed and experienced by several of us. It was acknowledge as a common promblem and could be tackled in changes to BI although no hard and fast rules as yet. Before DAFNE I would reduce my quick acting and have a snack or two before bed, now not sure what to do. Found your comments really helpful, good to know I am not the only one.
 
Aug 26, 2011
Geofftrez 22 posts

Topic: DAFNE Online Mobile / Feedback from Android beta testing

KeithC1 said:
If you do a long touch on the CP field on my phone you get offered a menu where you can choose a different input method (soft keyboard); perhaps that is where a simple adder dialog could be launched from.
Agreed
Headspace said:
10. Agree with Geofftrez's cosmetic suggestion for shortcut to food listings. Really helpful.
I have just noticed that on the Samsung Galaxy the phones options key shortcuts to the previos menu including foodgroups - so this option is already available on my phone.


 
Aug 26, 2011
KeithCl 43 posts

Topic: DAFNE Online Mobile / Feedback from Android beta testing

Headspace said:

5. On entry, the first box I go to is BG. Can we have BG as the fist box on entries rather than CP? Or is this a requirement for Dafne consistency?
6. The ability to put a decimal point in the CP box would be helpful. Somebody's already made this point I think.
8. Is it possible to have a 'user defined' list of foods/meals please? For those of us who cook at home in large batches, it would be helpful to have the ability to add 'portion of shephers pie' or similar, especially once we've managed to work out roughly how many CPs are in it.
9. Is there a possibility of memorising a previously entered comment. Eg, i'm having to enter Toast in the morning for breakfast, whereas if I access the online BG diary via android, it recognises previous entries in that field and as soon as 'T' is keyed in, Toast is one of the options. just a cosmetic thing really.
10. Agree with Geofftrez's cosmetic suggestion for shortcut to food listings. Really helpful.


Thanks for the detailed feedback. Quick responses to some of the points:

5. Yes CP first is taken from standard DAFNE diaries etc. As you have to touch to edit anyway does the order really matter?
6. Yes needs fixing; will be in next beta version.
8. I see that that feature has just been added to the iPhone app; a candidate feature for Android in the future too.
9. Certainly a possibility but not for the first release.
10. Perhaps a hyperlink on the "CP" heading; if its quick to do I'll add it in the next beta version.
 
Aug 26, 2011
KeithCl 43 posts

Topic: DAFNE Online Mobile / Feedback from Android beta testing

Geofftrez said:
Another cosmetic suggestiion. When eating I open a notepad to add up individual CP values. This could be built into the data entry CP data box. If it had the option to add up say 8 figures and post the total into the CP field.


If you do a long touch on the CP field on my phone you get offered a menu where you can choose a different input method (soft keyboard); perhaps that is where a simple adder dialog could be launched from.