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Jul 5, 2011
MrGreenYeti
5 posts
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Topic: General Discussion / Unexplained Highs Thanks.My BI is once a day, at about 12:30am. I'm on Lantus. I have increased the dose, twice in about a week, actually. I usually got to bed at about 5:00am (I know, very late, indeed.) And when I check my BG before bed it's around 7-9. I have a feeling it's the Dawn Phenomenon in the morning raising it (because I usually get up late), and it stays high throughout the day. But only after my QA is running out. So, it's most likely the BI. But, when I do raise it again, wouldn't it cause me to be to low before bed? |
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Jul 5, 2011
novorapidboi26
1,816 posts
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Topic: General Discussion / Getting partner involved I think it sounds as if you want to watch the calories, which is fine, but in terms of DAFNE you can eat what you like and in quantities you desire...........So the chocolate, crisps, pizzas are all OK, its just you might find you will be putting on a few pounds if you eat them too much.... So I think your partners lack of knowledge is in a general portion size sense as opposed to thinking, or not in this case, that diabetics are restricted, as a DAFNE graduate, you are not restricted............ |
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Jul 5, 2011
Lizzie
87 posts
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Thanks for replying novorapidboi. I do the cooking, I think if my boyfriend did it we would live on cheese on toast! My BF takes some interest in carb counting but not much and I keep having to remind him or ask him not to get tons of chocolate, crisps, cake etc when we do the food shopping. Last week we were looking at pizzas. We worked out one of them had around 100g carb for half of it and he did not know that this was too high! |
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Jul 5, 2011
vinod
5 posts
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Topic: General Discussion / medical leave during DAFNE course I think it makes sense ringing Diabetes.co.uk and checking with them if this is part of medical leave, which you should take and dont have to sacrifice your holidays as Anil said! Why dont we ask DAFNE to make comment here? They should make this inevitable to all organizations in UK to follow this norm. Offer three or five days medical leave to all those who are going to attend DAFNE course. Why every company should have their own standards to consider this as medical leave or not? In first instance when NHS provided a letter to my employer, I was thinking that letter is enough to prove that I am legally allowed to take five days medical leave and my employer has to respect this letter. However it's more clear now that each company has their own set of standards and NHS/Diabetes UK/DAFNE doesnt force them to accept this as a medical leave! I'll decide what to do after I speak with Diabetes UK team. Thanks for your response guys. I really appreciate that.With Regards, Vinod Kavle |
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Jul 5, 2011
Carolin
83 posts
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Topic: Questions for HCPs / Menstrual Cycle, BI
Hi Athena, As Chair of the national DAFNE Educator group I have taken on board you comments and we will address this as suggested. The course curriculum and workbook have just undergone their 3-yearly update, which is a huge and very expensive task, so it is unlikely that anything formal will be added to the course resources until 2013. However, I believe in some centres (indeed in my own) menstrual cycle is discussed during the course, perhaps more by experienced Educators. I will keep checking these discussion threads and maybe we can come up with some clear guidance that we can issue as an 'addendum' for Educators and Graduates alike, until such time as we can include it in the curriculum and workbook. What do you think? |
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Jul 5, 2011
Alan 49
280 posts
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Topic: Carbohydrate Counting / blended fruit I don't know much about blending, but I would have thought that just churning things up makes no difference to the carb contents of the constituents. If you put a couple of apples (1 CP each) and a banana (2 CPs) in a blender, you're going to get something that has 4 CPs. |
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Jul 5, 2011
novorapidboi26
1,816 posts
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Topic: Carbohydrate Counting / blended fruit The carbohydrate values of the fruit and vegetables will still remain the same even if you blend them, what may change in the speed at which that glucose from the carbohydrate is released into the blood stream, in this case they may effect your blood glucose levels quicker..............So my answer would be yes, you do still count them..... You do realize they will taste the same, is is the raw, natural form of fruit and veg that bothers you.....? |
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Jul 5, 2011
novorapidboi26
1,816 posts
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Topic: General Discussion / Unexplained Highs Welcome to the forum.....If your have no QA insulin left by the time bedtime comes then its a good guess to assume its your BI running out......!! Is your BI dose once a day or twice...? If once you may need to increase your dose, if twice then you may also need to increase your daytime dose or look at timings of dose. eg. a 12 hour split would get even coverage, however some people take their evening dose just before bed to assist in dropping morning readings, if this is the case for you, then moving your evening dose to a few hours before bed may help also...........lots of options I know....... |
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Jul 5, 2011
novorapidboi26
1,816 posts
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Topic: General Discussion / Getting partner involved Thats a tricky one..............My personal situation is my partner does the cooking, so she is involved with the carb counting, however I think I am lucky in that she took a general interest from the start..... And I think she knows what to do in an emergency, not that there has ever been one, she knows what i need to eat or drink in the event of a hypo at least.... What do you want/need them to know? Or is it just a general interest you want your partner to take? |
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Jul 5, 2011
Lizzie
87 posts
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How can I get my partner involved? Currently I just check my blood sugar when I need to and take insulin/sugar/whatever on my own. But I think from a safety point of view it would be good for him to know more. It would also be nice to have some support from him. |
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Jul 4, 2011
MrGreenYeti
5 posts
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Topic: General Discussion / Unexplained Highs Over the past week or so all my readings at each meal and before bed have been high.I yesterday decided to test my BG about 2 hours after each meal and the readings have been about 9.5mmol/l. But when I test before I eat or before bed it's around 14.5mmol/l. What could be causing this? I've got a feeling it's maybe my BI. As, I usually feel hungry and eat about 6 hours after a meal. So, it can't be the QA still having an effect. Anyone have any other thoughts on what it could be? I don't feel at all ill, and it's been high for a few months now. |
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Jul 4, 2011
tweety
13 posts
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Topic: Carbohydrate Counting / blended fruit Hi every1, i was wondering, as i dont each much fruit n veg i thought i'd start blending them but i'm unsure if i would count them as they should be counted eaten as solids? Hope some1 out there understands what i'm tryin to ask and can help x |
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Jul 4, 2011
saxman
28 posts
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Topic: General Discussion / Corrective Doses of Insulin also remember diabetes is not an exact science and trying to mimic the bodys production is difficult and a daily struggle but as you have found out there is plenty of help available. good luck |
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Jul 4, 2011
xJeanx
8 posts
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Topic: General Discussion / Corrective Doses of Insulin Thank you! Yes it was the myths and misconceptions thread where I had read about the 4 unit maximum correction.I understand what you're all saying and I have re-read the sections of the handbook from the links you have provided. Kind regards. Jean |
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Jul 4, 2011
Rhollands
2 posts
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Topic: General Discussion / medical leave during DAFNE course When I first spoke to my boss about doing the dafne course he said he would pay me for the time off and i wouldnt have to use up any holiday so i thought that was great. I did my course and when i got back to work i noticed that they had taken it off of my yearly holiday. I havnt had a chance to ask the boss about it yet. I think it is unfair to promiose one thing and do another though. I dont know where i would stand if i try to get my holiday time back though. |
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Jul 4, 2011
chrisinbrum
41 posts
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Topic: General Discussion / Diabetic Survey
Surveys like this (and there are a lot of different 'quality of life' surveys) use carefully worded questions and although they might appear to be leading they are probably there to address a particular question that the person setting the survey has. ...but I think the problem with surveys like this is that if you don't like the way a question is worded or structured you can't put any comments in with your answers to explain what your answer means, like in the example you partly quote. |
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Jul 4, 2011
chrisinbrum
41 posts
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Topic: General Discussion / medical leave during DAFNE course
Whatever your company's policy is I don't think it's right that they decided AFTER the course that they wouldn't honour your request for medical leave and make you take it as paid leave. Did you get any agreement from your company before you went on the course? |
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Jul 4, 2011
Lizzie
87 posts
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Topic: General Discussion / DAFNE Myths Thanks for the supportive replies. |
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Jul 4, 2011
Athena
52 posts
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Topic: Questions for HCPs / Menstrual Cycle, BI Hi KAren,yes lots of us have noticed peaks mid- month and are trying via temperature testing etc. to predict the time of ovulation so that we can be ahead of the game and change our doses on the right day of the month. We have a ll noticed that it takes time to see patterns and this is not a quick fix. Hope you get things sorted Karen. |
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Jul 4, 2011
Anele46
108 posts
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Topic: General Discussion / DAFNE Myths Hi Lizzie,I totally agree with Athena. I'll be honest, since I read that DAFNE Myths and Misconceptions presentation it totally confused me and initially led me to doubt what I'd learned on my course but I've decided to ignore the myths and misconceptions and carry on with what I was taught on my course. I am going to see my (DAFNE) DSN at the end of July and am going to ask their thoughts on the presentation and go with what they advise. All the best, good luck and please don't give up (I know that is a lot harder to do than it is to say). |
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Jul 4, 2011
Athena
52 posts
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Topic: General Discussion / DAFNE Myths Hi Lizzie,Pleae don't worry. I think the presentation was posted so that we could see what was happening but with a view to seeing what the response was outof curiosity. In essence, I think we are all saying that these things are not myths to us. Across the country, thisi is what they are teaching in DAFNE courses. I suspect that this presentation was donenby a non DAFNE DSN who does not know the course and does not realise that these things are tried and tested and work for the majority of people. I think that a lot of non - trained DSN's do not realise that a high bg in the morning may be the result of a hypo overnight. Novorapid boi is right in that there could be other reasone, the wrong BI at bed time, the dawn phenomenan, but definitely one of the potential causes is a night time hypo.I didn't know this until I did DAFNE as no-one had ever said to me that this might be the cause. Put your mind at rest, a nd go by what you were taught. This is DAFNE and I am sure that MArke will get back to the DAFNE user group to say that we have all been posting saying that we think this si what is taught and that these are not myths at all but DAFNE principles. I hope that you get better soon. I feel awful with diabetes too. Every day is a struggle so you have my sympathy. I hope that you feel better soon. take care and good luck! |
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Jul 4, 2011
novorapidboi26
1,816 posts
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Topic: General Discussion / DAFNE Myths Hi there...........The presentation described a misconception as being: A mistaken idea or view resulting from a misunderstanding of something Maximum of 4 units correction - Misconception This has been told to people, but they have misunderstood, or may not have been explained to that this is only for safety when everyone is investigating their doses in the classroom environment. So in some respects it is 'valid' or correct, but in reality people need more than 4 units when running HIGH....[this is your own responsibility to investigate what you need to correct, as everyone is different] A Myth described as: A widely held but mistaken belief This could be used to describe your thoughts on the 2 hour post meal test, in that it can be used to assess your insulin carb ratio, my personal understanding suggests that this is wrong, so a myth. If a doctor or nurse told you these exact words, they are wrong.....in my educated by DAFNE opinion... Try not to get upset about your control as it may only make it more harder to asses......are you in contact with your DAFNE trained DSN. I often find a fresh pair of eyes gazing over my blood results can produce some new strategies that I might not have thought about if its getting too much... Is there anything specifically you would like to discuss about your control, you say you wake up high, and have tested to discover a low, is this recently? This would suggest a high QA:CP ratio for food you had before you went to bed or too much BI.... I think this thread/presentation has confused a number of people, but just ignore it, the best thing to do is to go through the handbook, it is all clear in there.... |
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Jul 4, 2011
Lizzie
87 posts
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Topic: General Discussion / DAFNE Myths Hi novorapidboiI don't understand what you mean when you say "they are valid, its just that peoples interpretations of them are wrong, that's a problem with the way they have been explained......" Could you use one of the examples and explain how people's interpretation is wrong and what is correct? I currently feel quite worried and scared as I thought most of these things were true and based on my experience they are - eg I have had high morning BGs and the next night tested during the night, and seen a hypo. I worry that if these things are misconceptions what other things might be wrong? And the whole thing seems impossibly confusing to me now. I am struggling right now with my diabetes anyway. DAFNE was great but there has been no followup and since then several things have brought me off the rails. I have tried to get support but it is not there especially now with all the cuts. This is the last thing I need right now, it makes me wonder what the point of trying is if all these things I thought were right are misconceptions, I will never understand any of it and might as well give up. |
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Jul 4, 2011
novorapidboi26
1,816 posts
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Topic: General Discussion / Eye Screening I agree, when I first go the letter I was worried, they did explain that 'background retinopathy' was normal after many years but that does not really reassure us......After explanation from other diabetic and HCPs all is well now, but the first time this happens its not very nice..... |