Recent Posts - DAFNE Online

Jul 4, 2011

novorapidboi26 1,816 posts

A lot of the things that were illustrated were actually misconceptions, so they are valid, its just that peoples interpretations of them are wrong, that's a problem with the way they have been explained.......

After DAFNE, I never ever had a slow acting carb after treating with a quick acting one because then my blood sugar would be above target, that's my understanding of the maths anyway, I suppose it could be debated if you had a hypo long before your next meal and it was likely to drop further, but assuming the doses are correct or nearly there, this wouldn't normally happen, for me personally, hypos happen close to the next meal time, excluding alcohol effects....

night time hypos can cause high morning readings, but its not the only reason, again, I think when it comes to general rules, the people making them up need to assume that doses are right, dawn phenomenon might be the most common cause..

I would of though that the lower GI foods that are released slowly could still effect your blood glucose later on, but maybe after the 5 hour mark is the key point, unlike a high fat food like a pizza etc that could possibly spike your BG hours later, the low GI food although a much slower release would stil be out your system, I think that point may need to be clarified...

the 2 hr test cant help you evaluate your ratio, only once the QA and CPs are finished can you tell, the post meal tests can confirm whether the timing of the dose has been successful......usually 1.5-2 hours is the peak of your food and insulin.......so this may be your highest reading between meals....

Remember to note the difference between myth (untrue) and misconception (misunderstood).....

Jul 4, 2011

Lizzie 87 posts

Topic: General Discussion / Eye Screening

I had the same letter a few years back. When you have diabetes a few years (or so I am told by the eye specialist) it is normal to see some changes and they just want to be sure that what they are seeing is normal and not significant. I agree the letter is very blunt, I was really scared and upset by it. I think doctors should consider the effect of letters they send and word them more carefully. They probably have not given a thought to how a diabetic might feel when they receive a letter like this - terrified, alone, fearing blindness and complications, panicking, not knowing who to ask and all you can do is await the appointment. If there are doctors who read this, please can you look into this matter? If the letter was a little more reassuring it would really help. Doctors drum into us the terror of complications, blindness, kidney failure and amputation. Then to confront you with a letter like this is cruel in my opinion.

Jul 4, 2011

Lizzie 87 posts

Topic: General Discussion / DAFNE Myths

The way the presentation is written up, with just a list of myths and misconceptions, is very unclear to me. Can someone explain them in more detail? Why are these things myths? I too was taught about having slow acting carbs after a hypo, and about night hypos causing high morning readings, and that BG should be tested at 3am to make sure a hypo isnâ€™t the cause of high fasting BGLs, and that a 2-hr post-prandial BG is helpful to assess QA:CP ratio, and that low GI foods could still affect blood sugars hours after eating. In fact almost all of these have been covered if not at my DAFNE then by doctors and nurses before and since. Are these things completely wrong or is it just that they are not hard and fast rules for everyone? I think we need to know much more detail on this and if these are not true, then what are the correct versions of these statements? It seems a bad idea to basically tell us a lot of what we have been told is wrong, without telling us what is right. For example, if a night hypo is never the cause of high morning BG, then what is? If a 2 hour reading is not right, then how long should we wait before testing after a meal? If low GI foods are not affecting BGs 5 hrs after a meal, then a) what is, and b) how long do they take to have an effect?

Jul 4, 2011

novorapidboi26 1,816 posts

Topic: General Discussion / DAFNE Myths

If you suspect your BI dose or doses are out, then test them, then you will know...........and the end result may be that you are just too sensitive after a hypo that you need to wait a while before correcting.......

Jul 4, 2011

novorapidboi26 1,816 posts

Topic: General Discussion / medical leave during DAFNE course

I agree with Anil..............

that advice seems pretty sound to me..........good luck...........

Jul 4, 2011

novorapidboi26 1,816 posts

Topic: General Discussion / Diabetic Survey

Jeremy said:
I am Diabetic and graduate of DAFNE (by the way, can I change this status in my profile?)

Hey Jeremy, welcome.........

to become a graduate on this site you must provide a DAFNE centre code unique to you and your clinic, that is provided at the end of the course by the educators........ Wink

Jul 4, 2011

novorapidboi26 1,816 posts

Topic: General Discussion / Corrective Doses of Insulin

If you look at the correction section within the hyperglycemia part of the handbook here it clearly states that if you are above 11, the recommended suggestion that 1 unit drops you by 2-3mmol may not apply.......

The 3 or 4 unit maximum that is floating about and also mentioned in the myths and misconceptions presentation is exactly that, a myth.......

When I previously discussed this on this forum it was suggested that this maximum was only applicable during the week of your DAFNE course and at any time when you are reviewing your doses from scratch, purely to be safe.......

If your confident in changing your doses and you know your bodies own responses you can take as much as is needed.......

I have investigated and found that if any reading is above 17, then 1 unit only drops me 1 mmol, so if I was at 20.5, I would take 15 units correction, and it works perfectly every time, so although each individual will most definitely be different, I believe this is the behavior of resistance to our corrections the higher our blood glucose reading are.......

JWo has explained this very well also, I am a walking talking example of these theoretical maximums being a load of nonsense......... Laughing

Jul 3, 2011

xJeanx 8 posts

Topic: General Discussion / Corrective Doses of Insulin

Thank you both for your replies - much appreciated.
Jean Smile

Jul 3, 2011

JayBee 582 posts

Topic: General Discussion / Corrective Doses of Insulin

Please ignore that rule you have been told. It is contradictory to DAFNE rules and is best not exercised. I shall explain... with the assistance of the online DAFNE Course Handbook provided on this site.

As long as you know how much one unit takes your BG down by (the typical is 2-3 BG per unit but your personal needs may be different) then you should be concentrating more on how much you need to get yourself down to the BG you want to be. You will not need to take the same amount of correction every time because it more depends on the circumstances you're under each time - this is why DAFNE has the Step Wise Approach.

Also see the guidebook's Hyperglycaemia section if you're unsure still.

With nothing being stated about not being allowed to take above any amount - this should be enough indication to ignore the "units cap" rule. Quite frankly, I don't think it applies anywhere in the guidebook.

I understand it can be tempting to just stick to the same correction amount, but to restrict yourself can be a hindrance to your health - if you need 5 units for example and you only took 3, your BG pattern searching results will not show up correctly because you've not taken the insulin you needed under DAFNE rules. This can lead to you making mistakes with your insulin demand understanding and therefore taking longer to get to good control.

Hope this helps. Best wishes.

Jul 3, 2011

ketostix pla... 25 posts

Topic: General Discussion / Corrective Doses of Insulin

Hi Jean, I would correct to a maximum of 4 units, as if you BG is high (above 13) your insulin may not necessarily have the same reduction of BG as when in normal range. However I would advise you to monitor your BG closely while the higher corrective QA is in your system as to avoid any issues if your BG does come down quickly. Take care Deano Very Happy

Jul 3, 2011

Jeremy 1 post

Topic: General Discussion / Diabetic Survey

Found many questions to be "leading". I am Diabetic and graduate of DAFNE (by the way, can I change this status in my profile?) but not an "expert". I cannot possibly know how to answer a question like "Becasue of Diabetes I...". Are researchers [email protected] seeking a particular outcome of this suvery such as a definable link to depression? Verty disapointed.

Jul 2, 2011

xJeanx 8 posts

Topic: General Discussion / Corrective Doses of Insulin

Hi there
When I did my DAFNE course I was taught never to 'correct' by more than 3 units of insulin. I'm sure I've read recently that it is now acceptable to 'correct' by up to 4 units. Can anyone please confirm if this is right? I have just had a search through the online DAFNE Course Handbook but I can't seem to find anything that mentions specifically about this (although it might be me that's missing it Embarassed

). If anyone could advise me I would be most grateful. Thanks in advance.
Jean Smile

Jul 2, 2011

Anil 39 posts

Topic: General Discussion / medical leave during DAFNE course

I swear under the Disability Discrimination Act, their is a clause where If a diabetic who is on Insulin medication must attend a course about insulin management, the company must pay for it, I remember reading this before I went on my DAFNE course, I would suggest ringing maybe Diabetes UK and see if they can help you, I dont think this will come out of your holiday, and you should get paid for it, (maybe at a lower rate) but you should BY LAW get paid for it,
Check out the Disability discrimination Act, for Diabetes, Im preety sure im right tho..

[Edit]: Im 50% sure im right...

Jul 1, 2011

JayBee 582 posts

Topic: General Discussion / medical leave during DAFNE course

You're welcome! Best of luck with it and you have a smashing weekend too! May we all have glorious sunshine! ^0^

Jul 1, 2011

vinod 5 posts

Topic: General Discussion / medical leave during DAFNE course

Thanks guys. I really appreciate your inputs. I'll check with my company and see what they say!
Have a lovely weekend:-)

With Regards,

Vinod Kavle

Jul 1, 2011

JayBee 582 posts

Topic: General Discussion / DAFNE Myths

I agree with Athena - It would be good to have someone explain why these statements are false because they are clearly confusing some of us.

Just to touch back on my question about correcting after hypos - if I am supposed to be able to correct within the 24 hours after a hypo like I have not been able to without having another hypo, is it reasonable to assume that I have too much background if I do hypo again, especially when I'm 100% sure the CP calculation is correct (on the basis that all my ratios are 1:1 currently that is)?

To be honest, it would suit me a lot more if I could do that to make adjustments a lot sooner than having to wait for the 24 hour period before pattern searching again - however, considering no one is defending the statements (I know some have responded to questions, like myself but I mean defending the original item itself), it is difficult to take this thread seriously.

Jul 1, 2011

derekh1965 99 posts

Topic: General Discussion / Battling Diabetes

Glad to hear it is of interest to you Athena

Derek

Jul 1, 2011

ang78 12 posts

Topic: General Discussion / medical leave during DAFNE course

I had to take paid leave from work, I dont get any sort of special leave what so ever

Jul 1, 2011

novorapidboi26 1,816 posts

Topic: Questions for HCPs / Ketones/ Not enough Carbs

Hey,

The sick day rules are exactly what you would use in this situation, as they are only in place to deal with the lack of food being consumed..............

Ketones are normal and can be processed with insulin, just like in non diabetics, but with us they can get out of control if we dont give the insulin to deal with them..........obviously not eating is not wise if you can........

What kind of level of ketones are you talking about when you miss a meal...........? If a lot then this must be a pain when testing your background..............what are your levels like in the morning after many hours fasting?

Jul 1, 2011

novorapidboi26 1,816 posts

Topic: General Discussion / DAFNE Myths

As long as you dont starve yourself for a good length of time, theoretically meals can be missed, but as you say, ketones will be produced if energy is not coming from the carbs, but this is OK, if there is insulin present to process them.........

Jul 1, 2011

Athena 52 posts

Topic: Questions for HCPs / Ketones/ Not enough Carbs

Hi,

I was wondering about starving for a medical procedure. I know to drop my insulin to avoid hypos, but I don't know how to handle the ketones that will result from not eating carbs for a long period of time. DAFNE hasn't sorted this for me, and I can only ever skip one carb mea, before getting ketones.
How will I manage the ketones? Will I use the protocol for " Coping when you are Ill" i.e the 20% of the TDD every couple of hours thing. Is that the correct bit in the handbook for going carb free?

Any info welcome. Thanks

Jul 1, 2011

Athena 52 posts

Topic: General Discussion / Battling Diabetes

derekh1965 said:

Hi

I stumbled upon this website. It is American and seems to have a lot of information. New research etc.
I haven't looked at it all but seems quite a good site.

http://www.battlediabetes.com/

Incidentally case nobody knows about stumble upon http://www.stumbleupon.com/
Discover the best of the web. You sign up free, input your interests from a long list of topics and then start stumbling.

It will find websites related to your interests.

Derek

Cheers Derek. This looks good and I will also try the stumble upon thing.

Jul 1, 2011

Athena 52 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.

This is unbelievable really, very confusing. Has she sat in on a DAFNE course or read the handbook ?
I do find some of the DAFNE things a myth though for me personally although I k now they work for other people.
THe not treating until 3.5 doesn't work for me, just turns a mild hypo into a being down at 1 hypo. Also, the being able to skip meals doesn't work. I go into ketones if I don't keep my carbs up just as I did before DAFNE.

Anyway, not sure waht is goping on with this . It would be interesting to know how people responded to the presentation.

Jul 1, 2011

JayBee 582 posts

Topic: General Discussion / medical leave during DAFNE course

I was quite lucky because my course was done right near the end of the year for the holiday turn over so, after the HR department investigated into the benefits that DAFNE would provide for them if I did it, they were happy for me to have some special leave so I could attend. However, I was also asked to use my remaining holiday (2 days if I remember correctly) to keep the special leave to a minimum.

I'm sure if you speak to your DAFNE team, they can send a letter or have a chat with your employer to clarify the benefits to the business if you do the course (because if you are more likely to be well as a result as a result, making you more likely to be a reliable employee (not that you're not already I'm sure!)).

Good luck with getting the time off you need! Smile

Jul 4, 2011 novorapidboi26 1,816 posts	Topic: General Discussion / DAFNE Myths A lot of the things that were illustrated were actually misconceptions, so they are valid, its just that peoples interpretations of them are wrong, that's a problem with the way they have been explained....... After DAFNE, I never ever had a slow acting carb after treating with a quick acting one because then my blood sugar would be above target, that's my understanding of the maths anyway, I suppose it could be debated if you had a hypo long before your next meal and it was likely to drop further, but assuming the doses are correct or nearly there, this wouldn't normally happen, for me personally, hypos happen close to the next meal time, excluding alcohol effects.... night time hypos can cause high morning readings, but its not the only reason, again, I think when it comes to general rules, the people making them up need to assume that doses are right, dawn phenomenon might be the most common cause.. I would of though that the lower GI foods that are released slowly could still effect your blood glucose later on, but maybe after the 5 hour mark is the key point, unlike a high fat food like a pizza etc that could possibly spike your BG hours later, the low GI food although a much slower release would stil be out your system, I think that point may need to be clarified... the 2 hr test cant help you evaluate your ratio, only once the QA and CPs are finished can you tell, the post meal tests can confirm whether the timing of the dose has been successful......usually 1.5-2 hours is the peak of your food and insulin.......so this may be your highest reading between meals.... Remember to note the difference between myth (untrue) and misconception (misunderstood).....

Jul 4, 2011 Lizzie 87 posts	Topic: General Discussion / Eye Screening I had the same letter a few years back. When you have diabetes a few years (or so I am told by the eye specialist) it is normal to see some changes and they just want to be sure that what they are seeing is normal and not significant. I agree the letter is very blunt, I was really scared and upset by it. I think doctors should consider the effect of letters they send and word them more carefully. They probably have not given a thought to how a diabetic might feel when they receive a letter like this - terrified, alone, fearing blindness and complications, panicking, not knowing who to ask and all you can do is await the appointment. If there are doctors who read this, please can you look into this matter? If the letter was a little more reassuring it would really help. Doctors drum into us the terror of complications, blindness, kidney failure and amputation. Then to confront you with a letter like this is cruel in my opinion.

Jul 4, 2011 Lizzie 87 posts	Topic: General Discussion / DAFNE Myths The way the presentation is written up, with just a list of myths and misconceptions, is very unclear to me. Can someone explain them in more detail? Why are these things myths? I too was taught about having slow acting carbs after a hypo, and about night hypos causing high morning readings, and that BG should be tested at 3am to make sure a hypo isnâ€™t the cause of high fasting BGLs, and that a 2-hr post-prandial BG is helpful to assess QA:CP ratio, and that low GI foods could still affect blood sugars hours after eating. In fact almost all of these have been covered if not at my DAFNE then by doctors and nurses before and since. Are these things completely wrong or is it just that they are not hard and fast rules for everyone? I think we need to know much more detail on this and if these are not true, then what are the correct versions of these statements? It seems a bad idea to basically tell us a lot of what we have been told is wrong, without telling us what is right. For example, if a night hypo is never the cause of high morning BG, then what is? If a 2 hour reading is not right, then how long should we wait before testing after a meal? If low GI foods are not affecting BGs 5 hrs after a meal, then a) what is, and b) how long do they take to have an effect?

Jul 4, 2011 novorapidboi26 1,816 posts	Topic: General Discussion / DAFNE Myths If you suspect your BI dose or doses are out, then test them, then you will know...........and the end result may be that you are just too sensitive after a hypo that you need to wait a while before correcting.......

Jul 4, 2011 novorapidboi26 1,816 posts	Topic: General Discussion / medical leave during DAFNE course I agree with Anil.............. that advice seems pretty sound to me..........good luck...........

Jul 4, 2011 novorapidboi26 1,816 posts	Topic: General Discussion / Diabetic Survey Jeremy said: I am Diabetic and graduate of DAFNE (by the way, can I change this status in my profile?) Hey Jeremy, welcome......... to become a graduate on this site you must provide a DAFNE centre code unique to you and your clinic, that is provided at the end of the course by the educators........

Jul 4, 2011 novorapidboi26 1,816 posts	Topic: General Discussion / Corrective Doses of Insulin If you look at the correction section within the hyperglycemia part of the handbook here it clearly states that if you are above 11, the recommended suggestion that 1 unit drops you by 2-3mmol may not apply....... The 3 or 4 unit maximum that is floating about and also mentioned in the myths and misconceptions presentation is exactly that, a myth....... When I previously discussed this on this forum it was suggested that this maximum was only applicable during the week of your DAFNE course and at any time when you are reviewing your doses from scratch, purely to be safe....... If your confident in changing your doses and you know your bodies own responses you can take as much as is needed....... I have investigated and found that if any reading is above 17, then 1 unit only drops me 1 mmol, so if I was at 20.5, I would take 15 units correction, and it works perfectly every time, so although each individual will most definitely be different, I believe this is the behavior of resistance to our corrections the higher our blood glucose reading are....... JWo has explained this very well also, I am a walking talking example of these theoretical maximums being a load of nonsense.........

Jul 3, 2011 xJeanx 8 posts	Topic: General Discussion / Corrective Doses of Insulin Thank you both for your replies - much appreciated. Jean

Jul 3, 2011 JayBee 582 posts	Topic: General Discussion / Corrective Doses of Insulin Please ignore that rule you have been told. It is contradictory to DAFNE rules and is best not exercised. I shall explain... with the assistance of the online DAFNE Course Handbook provided on this site. As long as you know how much one unit takes your BG down by (the typical is 2-3 BG per unit but your personal needs may be different) then you should be concentrating more on how much you need to get yourself down to the BG you want to be. You will not need to take the same amount of correction every time because it more depends on the circumstances you're under each time - this is why DAFNE has the Step Wise Approach. Also see the guidebook's Hyperglycaemia section if you're unsure still. With nothing being stated about not being allowed to take above any amount - this should be enough indication to ignore the "units cap" rule. Quite frankly, I don't think it applies anywhere in the guidebook. I understand it can be tempting to just stick to the same correction amount, but to restrict yourself can be a hindrance to your health - if you need 5 units for example and you only took 3, your BG pattern searching results will not show up correctly because you've not taken the insulin you needed under DAFNE rules. This can lead to you making mistakes with your insulin demand understanding and therefore taking longer to get to good control. Hope this helps. Best wishes.

Jul 3, 2011 ketostix pla... 25 posts	Topic: General Discussion / Corrective Doses of Insulin Hi Jean, I would correct to a maximum of 4 units, as if you BG is high (above 13) your insulin may not necessarily have the same reduction of BG as when in normal range. However I would advise you to monitor your BG closely while the higher corrective QA is in your system as to avoid any issues if your BG does come down quickly. Take care Deano

Jul 3, 2011 Jeremy 1 post	Topic: General Discussion / Diabetic Survey Found many questions to be "leading". I am Diabetic and graduate of DAFNE (by the way, can I change this status in my profile?) but not an "expert". I cannot possibly know how to answer a question like "Becasue of Diabetes I...". Are researchers [email protected] seeking a particular outcome of this suvery such as a definable link to depression? Verty disapointed.

Jul 2, 2011 xJeanx 8 posts	Topic: General Discussion / Corrective Doses of Insulin Hi there When I did my DAFNE course I was taught never to 'correct' by more than 3 units of insulin. I'm sure I've read recently that it is now acceptable to 'correct' by up to 4 units. Can anyone please confirm if this is right? I have just had a search through the online DAFNE Course Handbook but I can't seem to find anything that mentions specifically about this (although it might be me that's missing it ). If anyone could advise me I would be most grateful. Thanks in advance. Jean

Jul 2, 2011 Anil 39 posts	Topic: General Discussion / medical leave during DAFNE course I swear under the Disability Discrimination Act, their is a clause where If a diabetic who is on Insulin medication must attend a course about insulin management, the company must pay for it, I remember reading this before I went on my DAFNE course, I would suggest ringing maybe Diabetes UK and see if they can help you, I dont think this will come out of your holiday, and you should get paid for it, (maybe at a lower rate) but you should BY LAW get paid for it, Check out the Disability discrimination Act, for Diabetes, Im preety sure im right tho.. [Edit]: Im 50% sure im right...

Jul 1, 2011 JayBee 582 posts	Topic: General Discussion / medical leave during DAFNE course You're welcome! Best of luck with it and you have a smashing weekend too! May we all have glorious sunshine! ^0^

Jul 1, 2011 vinod 5 posts	Topic: General Discussion / medical leave during DAFNE course Thanks guys. I really appreciate your inputs. I'll check with my company and see what they say! Have a lovely weekend:-) With Regards, Vinod Kavle

Jul 1, 2011 JayBee 582 posts	Topic: General Discussion / DAFNE Myths I agree with Athena - It would be good to have someone explain why these statements are false because they are clearly confusing some of us. Just to touch back on my question about correcting after hypos - if I am supposed to be able to correct within the 24 hours after a hypo like I have not been able to without having another hypo, is it reasonable to assume that I have too much background if I do hypo again, especially when I'm 100% sure the CP calculation is correct (on the basis that all my ratios are 1:1 currently that is)? To be honest, it would suit me a lot more if I could do that to make adjustments a lot sooner than having to wait for the 24 hour period before pattern searching again - however, considering no one is defending the statements (I know some have responded to questions, like myself but I mean defending the original item itself), it is difficult to take this thread seriously.

Jul 1, 2011 derekh1965 99 posts	Topic: General Discussion / Battling Diabetes Glad to hear it is of interest to you Athena Derek

Jul 1, 2011 ang78 12 posts	Topic: General Discussion / medical leave during DAFNE course I had to take paid leave from work, I dont get any sort of special leave what so ever

Jul 1, 2011 novorapidboi26 1,816 posts	Topic: Questions for HCPs / Ketones/ Not enough Carbs Hey, The sick day rules are exactly what you would use in this situation, as they are only in place to deal with the lack of food being consumed.............. Ketones are normal and can be processed with insulin, just like in non diabetics, but with us they can get out of control if we dont give the insulin to deal with them..........obviously not eating is not wise if you can........ What kind of level of ketones are you talking about when you miss a meal...........? If a lot then this must be a pain when testing your background..............what are your levels like in the morning after many hours fasting?

Jul 1, 2011 novorapidboi26 1,816 posts	Topic: General Discussion / DAFNE Myths As long as you dont starve yourself for a good length of time, theoretically meals can be missed, but as you say, ketones will be produced if energy is not coming from the carbs, but this is OK, if there is insulin present to process them.........

Jul 1, 2011 Athena 52 posts	Topic: Questions for HCPs / Ketones/ Not enough Carbs Hi, I was wondering about starving for a medical procedure. I know to drop my insulin to avoid hypos, but I don't know how to handle the ketones that will result from not eating carbs for a long period of time. DAFNE hasn't sorted this for me, and I can only ever skip one carb mea, before getting ketones. How will I manage the ketones? Will I use the protocol for " Coping when you are Ill" i.e the 20% of the TDD every couple of hours thing. Is that the correct bit in the handbook for going carb free? Any info welcome. Thanks

Jul 1, 2011 Athena 52 posts	Topic: General Discussion / Battling Diabetes derekh1965 said: Hi I stumbled upon this website. It is American and seems to have a lot of information. New research etc. I haven't looked at it all but seems quite a good site. http://www.battlediabetes.com/ Incidentally case nobody knows about stumble upon http://www.stumbleupon.com/ Discover the best of the web. You sign up free, input your interests from a long list of topics and then start stumbling. It will find websites related to your interests. Derek Cheers Derek. This looks good and I will also try the stumble upon thing.

Jul 1, 2011 Athena 52 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. This is unbelievable really, very confusing. Has she sat in on a DAFNE course or read the handbook ? I do find some of the DAFNE things a myth though for me personally although I k now they work for other people. THe not treating until 3.5 doesn't work for me, just turns a mild hypo into a being down at 1 hypo. Also, the being able to skip meals doesn't work. I go into ketones if I don't keep my carbs up just as I did before DAFNE. Anyway, not sure waht is goping on with this . It would be interesting to know how people responded to the presentation.

Jul 1, 2011 JayBee 582 posts	Topic: General Discussion / medical leave during DAFNE course I was quite lucky because my course was done right near the end of the year for the holiday turn over so, after the HR department investigated into the benefits that DAFNE would provide for them if I did it, they were happy for me to have some special leave so I could attend. However, I was also asked to use my remaining holiday (2 days if I remember correctly) to keep the special leave to a minimum. I'm sure if you speak to your DAFNE team, they can send a letter or have a chat with your employer to clarify the benefits to the business if you do the course (because if you are more likely to be well as a result as a result, making you more likely to be a reliable employee (not that you're not already I'm sure!)). Good luck with getting the time off you need!