Recent Posts - DAFNE Online

Sep 2, 2018

sjohno 37 posts

Topic: General Discussion / Conversion from Humalog insulin to Novorapid insulin

Alan Constable said:
Hello Sarah

You're right, it's not Actrapid - it's NovoRapid I've got in the fridge. What an idiot! When I was discussing this with my DSN, she talked about changing to Actrapid, and when I picked up the prescrption, I put it straight into the fridge. Apologies all round

Hi Alan

It's ok lol it's just that I read somewhere that hospitals still use Actrapid on diabetic patients when they're admitted, having the glucose bag fitted and Actrapid to counteract it. So I was intrigued as to what was going on Wink

Hope the Novorapid is ok with you, I too am on that as well as Levemir.

Very Happy

Sep 2, 2018

Alan 49 284 posts

Topic: General Discussion / Conversion from Humalog insulin to Novorapid insulin

Hello Sarah

You're right, it's not Actrapid - it's NovoRapid I've got in the fridge. What an idiot! When I was discussing this with my DSN, she talked about changing to Actrapid, and when I picked up the prescrption, I put it straight into the fridge. Apologies all round Embarassed

Sep 2, 2018

sjohno 37 posts

Topic: General Discussion / Conversion from Humalog insulin to Novorapid insulin

Hi Alan

I was diagnosed T1 in 1979 and was put on Actrapid & Monotard together.

In 2006 whilst waiting for a prescription renewal I was informed by my local GP Practice that Actrapid was no longer being made and I was prescribed Humulin M3 - ( 3 year nightmare followed using this)
BUT I am intrigued how you are being converted to Actrapid when I was led to believe that Actrapid was no longer available Shocked

thanks

Sarah

Aug 31, 2018

Alan 49 284 posts

Topic: General Discussion / Conversion from Humalog insulin to Novorapid insulin

The reason for the change was that when I was on Humalolog, I used a Lilly Memoir pen, which had a display and a memory which allowed me to see details of previous injections. This was great, but the battery ran out and Lilly no longer manufacture Memoir pens. The only other pen with displays is the Novo Nordisk Echo pen, which my DSN got for me. This uses Actrapid insulin - hence the change.

Aug 31, 2018

novorapidboi26 1,819 posts

Topic: General Discussion / Conversion from Humalog insulin to Novorapid insulin

I assume there has been no specific characteristic that has prompted the change over then?

Aug 30, 2018

Alan 49 284 posts

Topic: General Discussion / Conversion from Humalog insulin to Novorapid insulin

I will soon be converting to Actrapid. My DSN has told me that their characteristics are very similar and that I should have no problems. I would welcome any input from people who have done this, or who know haw similar they are.

Aug 30, 2018

Alan 49 284 posts

Topic: General Discussion / Humapen Memoir

I now have a Novopen Echo and will soon be converting to Actrapid insulin. I have raised a separate topic regarding this conversion and would appreciate any input you could give on it.

Aug 28, 2018

Kevb 1 post

Topic: DAFNE Online Mobile / Mobile app refusing to accept details

I’m new to this having just past my dafne course last week.20th/24th August 2018.now what’s happening is it’s letting me some entree’s in then it won’t and when I say won’t it comes up in a little box that username and password don’t match up for some strange reason,you can reply to me at [email protected].

Aug 28, 2018

alturn 78 posts

Topic: General Discussion / Meter strip top-up query

Thanks for the info.

I've managed to solve the problem by :

a) improving my lancing technique, much fewer failures.

b) I also got a cable (on eBay, couldn't find on Abbott web-site as maybe not available any more) which allows the Xceed to transfer to Diasend. It uses the meter strip slot to extract the data, looks like Neo uses a micro-USB connector.

So hopefully at my next clinic I can transfer data from ny Xceed directly, just need to take cable.

J

Aug 27, 2018

Johno63 2 posts

Topic: General Discussion / Libre patch

Thanks it worked fine after sauna

Aug 27, 2018

Sarahbean 1 post

Topic: General Discussion / Splitting lantus dose

Hi everyone. I was recently taken off levemir as I was having a bad skin reaction to it. I was moved on to lantus. I'm finding it really difficult to get my daily dose right Sad

has anyone here taken lantus as a split, twice daily dose? How did it work for u.?

Aug 23, 2018

fred67 4 posts

Topic: General Discussion / DAFNE Course Material

I have been waiting here in Glasgow since last November to do course, I will email DSN see what’s going on... thanks

Aug 23, 2018

Peter 109 posts

Topic: General Discussion / DAFNE plus

The initial trial courses have been run. The next step is to run a series of the new courses at some centres and compare the results to the existing course run in a set of different centres. the results will then be compared to see if there is an improvement in outcomes, and that will be over a couple of years. Bottom line is that unless you happen to be scheduled for a course in one of the trial sites, it will still be several years before roll-out occurs to the rest of the country, and that assumes that outcomes are improved.

Aug 23, 2018

Peter 109 posts

Topic: General Discussion / Dexcom G6

The other possibility is to use one of the 3rd party companies who are providing add-ons which provide alerts from the Libre e.g. https://miaomiao.cool/. I can't personally vouch for the product although I have met people using it who have been very positive. Failing that Libre v2 is rumored to have alerts when that comes, perhaps next year??

Aug 23, 2018

Peter 109 posts

Topic: General Discussion / DAFNE Course Material

fred67 said:
I was introduced to carb counting when the novo pens first appeared on the market..20 plus years ago...I am waiting to do a dafne course, been 8 months now,I have a good understanding of carb counting, although it was described as “only a way I can understand” ..which is fine, being that it is i that manages my diabetes on a daily basis, insulin adjustments etc etc... I find your database of carbs great, saves a lot of reading of different packets...
I have also done Bertie online course...
Is there anywhere I can do a Dafne online course? As I feel I will never get an appointment here in Glasgow..

@Fred67, Glasgow is one of the biggest DAFNE centres in the UK so you shouldn't have too much difficulty getting on a course assuming you have 5 days available. Talk to your consultant or DSN. As Mark stated, structured education is included in the NICE requirements for the treatment of T1 and so should be available to anyone who wants it. You have the advantage of being located in one of the 170 areas of the UK where the DAFNE course is offered.

Aug 22, 2018

fred67 4 posts

Topic: General Discussion / DAFNE Course Material

Or is there any plans for this site to enable online course...I am certain there are more out there that would benefit...

Aug 22, 2018

fred67 4 posts

Topic: General Discussion / DAFNE Course Material

I was introduced to carb counting when the novo pens first appeared on the market..20 plus years ago...I am waiting to do a dafne course, been 8 months now,I have a good understanding of carb counting, although it was described as “only a way I can understand” ..which is fine, being that it is i that manages my diabetes on a daily basis, insulin adjustments etc etc... I find your database of carbs great, saves a lot of reading of different packets...
I have also done Bertie online course...
Is there anywhere I can do a Dafne online course? As I feel I will never get an appointment here in Glasgow..

Aug 22, 2018

fred67 4 posts

Topic: Questions for HCPs / freestyle libra

Announced last year everyone to get on prescription, if you meet criteria, here Glasgow, I meet criteria, mostly, no hypo awareness, and that I do more than 6 blood tests each day...it is pretty much a postcode lottery at the moment, although more areas seem to be giving them on prescription, many are 3 months trial though,,,join freestylelibreuk on Facebook, lots more info there...I get mine 10th September, around 2 months waiting..

Aug 17, 2018

Gander 7 posts

Topic: Questions for HCPs / Splitting the bolus for fatty foods

Never heard of Fiasp but it sounds as if it is the thing of the future if what NOVO says is right!

On advice from my clinic I have started taking Novorapid ten to fifteen minutes before a meal provided I am not low-ish and that has lessened the likelihood of a carb surge considerably. Lots of brownie points! :-)

Aug 17, 2018

Anibee 4 posts

Topic: Questions for HCPs / Splitting the bolus for fatty foods

Is anyone on Fiasp & tried this? In theory it should work abit quicker with the quicker released carbs at the start of your meal & has a slightly longer profile than Novorapid, Humalog Lispro or Apidra - which is probably why the Humalog NPH works better too. It might be an idea to suggest a new section in the updated Handbook. The croissant with added nut spread or nut/chocolate spread or cream cheese may be less likely to have as big a rise if it is with jam - but that's if you don't mind having a replacement for your jam! Laughing

Aug 17, 2018

Anibee 4 posts

Topic: General Discussion / Apple Cider Vinegar

Hi there, Don't forget to get it with the 'mother' part or it will be just a seasoning for your high carb chips!! Tried it myself as a tonic but think I overdid the amount of ACV the first time! - so as Lucy suggests start with 5ml in 250ml water & see what you think Smile

Aug 16, 2018

Warwick 425 posts

Topic: General Discussion / Dexcom G6

Hi Simon, I use the G4 and love it. The G5 and G6 would work out much more expensive for me as they have hard-coded limits on the transmitter (3 months). I can get a year out of a G4 transmitter, and the sensors can last for up to 6 weeks on my body although it produces sensible readings usually only for 3-4 weeks.

If the Dexcom G4 stops being supported, then I'll probably come off CGM entirely as I use it for the alerts so Freestyle Libre wouldn't give me what I want, but the G5 and G6 too expensive for me.

Aug 16, 2018

Warwick 425 posts

Topic: General Discussion / Dawn phenomenon

Personally I don't experience DP in daily life but as soon as I go on holiday I wake up with extremely high BGLs. I suspect it is because I don't exercise much on holiday whereas in my usual daily life I am a cycle commuter, regularly run and play basketball once a week.

Weirdly, I actually find I am most sensitive to insulin in the mornings and need to have a lower insulin:carb ratio then than for the rest of the day. My DAFNE educator during the course didn't understand that and asked me to inject the same ratio as for other meals. I spent 75 minutes on day 2 of the course swallowing high-carb products in an attempt to get out of hypoland and after that we all agreed to keep me on a low dose of insulin in the mornings Idea

Sep 2, 2018 sjohno 37 posts	Topic: General Discussion / Conversion from Humalog insulin to Novorapid insulin Alan Constable said: Hello Sarah You're right, it's not Actrapid - it's NovoRapid I've got in the fridge. What an idiot! When I was discussing this with my DSN, she talked about changing to Actrapid, and when I picked up the prescrption, I put it straight into the fridge. Apologies all round Hi Alan It's ok lol it's just that I read somewhere that hospitals still use Actrapid on diabetic patients when they're admitted, having the glucose bag fitted and Actrapid to counteract it. So I was intrigued as to what was going on Hope the Novorapid is ok with you, I too am on that as well as Levemir.

Sep 2, 2018 Alan 49 284 posts	Topic: General Discussion / Conversion from Humalog insulin to Novorapid insulin Hello Sarah You're right, it's not Actrapid - it's NovoRapid I've got in the fridge. What an idiot! When I was discussing this with my DSN, she talked about changing to Actrapid, and when I picked up the prescrption, I put it straight into the fridge. Apologies all round

Sep 2, 2018 sjohno 37 posts	Topic: General Discussion / Conversion from Humalog insulin to Novorapid insulin Hi Alan I was diagnosed T1 in 1979 and was put on Actrapid & Monotard together. In 2006 whilst waiting for a prescription renewal I was informed by my local GP Practice that Actrapid was no longer being made and I was prescribed Humulin M3 - ( 3 year nightmare followed using this) BUT I am intrigued how you are being converted to Actrapid when I was led to believe that Actrapid was no longer available thanks Sarah

Aug 31, 2018 Alan 49 284 posts	Topic: General Discussion / Conversion from Humalog insulin to Novorapid insulin The reason for the change was that when I was on Humalolog, I used a Lilly Memoir pen, which had a display and a memory which allowed me to see details of previous injections. This was great, but the battery ran out and Lilly no longer manufacture Memoir pens. The only other pen with displays is the Novo Nordisk Echo pen, which my DSN got for me. This uses Actrapid insulin - hence the change.

Aug 31, 2018 novorapidboi26 1,819 posts	Topic: General Discussion / Conversion from Humalog insulin to Novorapid insulin I assume there has been no specific characteristic that has prompted the change over then?

Aug 30, 2018 Alan 49 284 posts	Topic: General Discussion / Conversion from Humalog insulin to Novorapid insulin I will soon be converting to Actrapid. My DSN has told me that their characteristics are very similar and that I should have no problems. I would welcome any input from people who have done this, or who know haw similar they are.

Aug 30, 2018 Alan 49 284 posts	Topic: General Discussion / Humapen Memoir I now have a Novopen Echo and will soon be converting to Actrapid insulin. I have raised a separate topic regarding this conversion and would appreciate any input you could give on it.

Aug 28, 2018 Kevb 1 post	Topic: DAFNE Online Mobile / Mobile app refusing to accept details I’m new to this having just past my dafne course last week.20th/24th August 2018.now what’s happening is it’s letting me some entree’s in then it won’t and when I say won’t it comes up in a little box that username and password don’t match up for some strange reason,you can reply to me at [email protected].

Aug 28, 2018 alturn 78 posts	Topic: General Discussion / Meter strip top-up query Thanks for the info. I've managed to solve the problem by : a) improving my lancing technique, much fewer failures. b) I also got a cable (on eBay, couldn't find on Abbott web-site as maybe not available any more) which allows the Xceed to transfer to Diasend. It uses the meter strip slot to extract the data, looks like Neo uses a micro-USB connector. So hopefully at my next clinic I can transfer data from ny Xceed directly, just need to take cable. J

Aug 27, 2018 Johno63 2 posts	Topic: General Discussion / Libre patch Thanks it worked fine after sauna

Aug 27, 2018 Sarahbean 1 post	Topic: General Discussion / Splitting lantus dose Hi everyone. I was recently taken off levemir as I was having a bad skin reaction to it. I was moved on to lantus. I'm finding it really difficult to get my daily dose right has anyone here taken lantus as a split, twice daily dose? How did it work for u.?

Aug 23, 2018 fred67 4 posts	Topic: General Discussion / DAFNE Course Material I have been waiting here in Glasgow since last November to do course, I will email DSN see what’s going on... thanks

Aug 23, 2018 Peter 109 posts	Topic: General Discussion / DAFNE plus The initial trial courses have been run. The next step is to run a series of the new courses at some centres and compare the results to the existing course run in a set of different centres. the results will then be compared to see if there is an improvement in outcomes, and that will be over a couple of years. Bottom line is that unless you happen to be scheduled for a course in one of the trial sites, it will still be several years before roll-out occurs to the rest of the country, and that assumes that outcomes are improved.

Aug 23, 2018 Peter 109 posts	Topic: General Discussion / Dexcom G6 The other possibility is to use one of the 3rd party companies who are providing add-ons which provide alerts from the Libre e.g. https://miaomiao.cool/. I can't personally vouch for the product although I have met people using it who have been very positive. Failing that Libre v2 is rumored to have alerts when that comes, perhaps next year??

Aug 23, 2018 Peter 109 posts	Topic: General Discussion / DAFNE Course Material fred67 said: I was introduced to carb counting when the novo pens first appeared on the market..20 plus years ago...I am waiting to do a dafne course, been 8 months now,I have a good understanding of carb counting, although it was described as “only a way I can understand” ..which is fine, being that it is i that manages my diabetes on a daily basis, insulin adjustments etc etc... I find your database of carbs great, saves a lot of reading of different packets... I have also done Bertie online course... Is there anywhere I can do a Dafne online course? As I feel I will never get an appointment here in Glasgow.. @Fred67, Glasgow is one of the biggest DAFNE centres in the UK so you shouldn't have too much difficulty getting on a course assuming you have 5 days available. Talk to your consultant or DSN. As Mark stated, structured education is included in the NICE requirements for the treatment of T1 and so should be available to anyone who wants it. You have the advantage of being located in one of the 170 areas of the UK where the DAFNE course is offered.

Aug 22, 2018 fred67 4 posts	Topic: General Discussion / DAFNE Course Material Or is there any plans for this site to enable online course...I am certain there are more out there that would benefit...

Aug 22, 2018 fred67 4 posts	Topic: General Discussion / DAFNE Course Material I was introduced to carb counting when the novo pens first appeared on the market..20 plus years ago...I am waiting to do a dafne course, been 8 months now,I have a good understanding of carb counting, although it was described as “only a way I can understand” ..which is fine, being that it is i that manages my diabetes on a daily basis, insulin adjustments etc etc... I find your database of carbs great, saves a lot of reading of different packets... I have also done Bertie online course... Is there anywhere I can do a Dafne online course? As I feel I will never get an appointment here in Glasgow..

Aug 22, 2018 fred67 4 posts	Topic: Questions for HCPs / freestyle libra Announced last year everyone to get on prescription, if you meet criteria, here Glasgow, I meet criteria, mostly, no hypo awareness, and that I do more than 6 blood tests each day...it is pretty much a postcode lottery at the moment, although more areas seem to be giving them on prescription, many are 3 months trial though,,,join freestylelibreuk on Facebook, lots more info there...I get mine 10th September, around 2 months waiting..

Aug 17, 2018 Gander 7 posts	Topic: Questions for HCPs / Splitting the bolus for fatty foods Never heard of Fiasp but it sounds as if it is the thing of the future if what NOVO says is right! On advice from my clinic I have started taking Novorapid ten to fifteen minutes before a meal provided I am not low-ish and that has lessened the likelihood of a carb surge considerably. Lots of brownie points! :-)

Aug 17, 2018 Anibee 4 posts	Topic: Questions for HCPs / Splitting the bolus for fatty foods Is anyone on Fiasp & tried this? In theory it should work abit quicker with the quicker released carbs at the start of your meal & has a slightly longer profile than Novorapid, Humalog Lispro or Apidra - which is probably why the Humalog NPH works better too. It might be an idea to suggest a new section in the updated Handbook. The croissant with added nut spread or nut/chocolate spread or cream cheese may be less likely to have as big a rise if it is with jam - but that's if you don't mind having a replacement for your jam!

Aug 17, 2018 Anibee 4 posts	Topic: General Discussion / Apple Cider Vinegar Hi there, Don't forget to get it with the 'mother' part or it will be just a seasoning for your high carb chips!! Tried it myself as a tonic but think I overdid the amount of ACV the first time! - so as Lucy suggests start with 5ml in 250ml water & see what you think

Aug 16, 2018 Warwick 425 posts	Topic: General Discussion / Dexcom G6 Hi Simon, I use the G4 and love it. The G5 and G6 would work out much more expensive for me as they have hard-coded limits on the transmitter (3 months). I can get a year out of a G4 transmitter, and the sensors can last for up to 6 weeks on my body although it produces sensible readings usually only for 3-4 weeks. If the Dexcom G4 stops being supported, then I'll probably come off CGM entirely as I use it for the alerts so Freestyle Libre wouldn't give me what I want, but the G5 and G6 too expensive for me.

Aug 16, 2018 Warwick 425 posts	Topic: General Discussion / Dawn phenomenon Personally I don't experience DP in daily life but as soon as I go on holiday I wake up with extremely high BGLs. I suspect it is because I don't exercise much on holiday whereas in my usual daily life I am a cycle commuter, regularly run and play basketball once a week. Weirdly, I actually find I am most sensitive to insulin in the mornings and need to have a lower insulin:carb ratio then than for the rest of the day. My DAFNE educator during the course didn't understand that and asked me to inject the same ratio as for other meals. I spent 75 minutes on day 2 of the course swallowing high-carb products in an attempt to get out of hypoland and after that we all agreed to keep me on a low dose of insulin in the mornings