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Jun 28, 2011
derekh1965 99 posts

Topic: General Discussion / Battling Diabetes


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


 
Jun 28, 2011
JayBee 582 posts

Topic: Questions for HCPs / over injected

I think I did this once, and all I did was somehow manage to eat the CPs to correspond with what I took.
16 CPs for a meal is possible so it can be easy to sort out! XD
 
Jun 28, 2011
JayBee 582 posts

Topic: Questions for HCPs / Blood Testing

Hey ang78, I've been having similar problems and I think it's due to them (my GP surgery in general) somehow getting the idea that we're Type 2s, not Type 1s. Type 2s do not need to test as much in comparison to a Type 1.

Has been frustrating me no end.. Most recent annoyance has been my GP deciding to take all my insulins off my prescription... simply because when I became ill for a couple of days, became hospitalised due to dehydration and on their notes about my insulins, they stated I was self medicating "Levemir". Fair enough you'd think but Levemir is also known as Detemir on my GP listing, so some idiot doctor took BOTH of my insulins off because they didn't understand!

I've also been told that I blood test too much and inject too much! What?!

I'm still even now, after getting my DAFNE team to assist me, to get my previous arrangement back in place AND on repeat instead of just "current". I am aware that my GP surgery are having to circulate their doctors to cope with the lack of staff, but that's not really much excuse for diabetic ignorance...

ARGH! I'd better stop there! I wasn't very impressed as you can tell! LOL ;P
Best of luck sorting out your GP surgery!

Edit: Is it true that Levemir is an insulin used by some Type 2s? Maybe this is causing the confusion (for me anyway)?
 
Jun 28, 2011
MelissaF 56 posts

Topic: Questions for HCPs / over injected

You're absolutely right with a logical solution. However, I don't think that I would have been physically able to eat 10 slices of bread at 11pm after a large dinner so I was just trying to get carbs into me in a form that I was able to stomach. Maybe a couple of extra units would have been an additional safety precaution to make sure that I didn't drop too low overnight. I was waking myself up and testing as well though so I was able to keep an eye on it that way.

M xx
 
Jun 28, 2011
Aneirin 15 posts

Topic: Questions for HCPs / over injected

Same here. Though I wnet with normal acting carbs. Quick acting ones like a drink wine gums or anything trated for a hypo will go out the system to quickly and lead to it not doing much except make you higher to start off with. It's a pain, but bread/toast or something similar sounds like it would work best.

i.e. took 16 by mistake at night, on a one to one ratio at this time, so eat TEN slices of bread (my bread is 1.6 units, may)...maybe with eggs and beans so it's not as boring...or maybe something like some rice, chips if you have time. Something that acts normally.

Ten slices may sound like a lot and you may get a little bloated...and I may be wrong, but foods with a high glycemic index (which admittedly, would be much easier to eat due to not being as filling, such as sweets, drinks and what not) will not stay with you through the night. Guess the bloated feeling will teach not to inject too much insulin!
 
Jun 28, 2011
novorapidboi26 1,816 posts

Topic: Questions for HCPs / Blood Testing

you need more strips, and the plain facts are that you know why and your GP doesn't.............did he/she get the letter from your DAFNE team.............

If he/she refuses, which they cant if instructed from the specialists then change doctor..........

Type 2 individuals are told only 2 times a day, and I suppose if on a mixed insulin, you would only test 2 times a day as any more would be a waste........

Once the GP is informed and educated everything will be fine.............
 
Jun 28, 2011
JayBee 582 posts

Topic: General Discussion / ratio for snacks

Thanks for replying Carolin.

Carolin said:
OK, snacking for exercise is another matter Smile

I'd refer you back to your course handbook for this, but generally we recommend if you're doing exercise you need to start with a BG above 7mmol/l, therefore if you're below 7 you need to take on extra CPs. How much you need will depend on the intensity & duration of the exercise, so if it were something gentle/short-term, just 2 CPs should be enough; something more strenuous you might need 3 CPs. You'd be best to choose a fairly rapid carbohydrate as you'll need the fuel quickly for the exercise.

It's worth considering what insulin you have around too of course, i.e. your last dose of QA or your BI in case either of these is likely to still be having an effect on your BG, or indeed if not, whether you need as many CPs prior to the exercise and/or a small dose of QA to help your body to use the glucose.

Hope this hasn't confused you more JWo?



So, I do go by what my BGs are expected to be, especially if I have injected QA? There's rarely a time when I don't have some QA going on with BI when I'm a fairly active person, so I do keep a lot of the DAFNE exercise rules in mind... I just tend to trip up when it comes to working out what I need to do for certain exercise situations.

For example, when at work... to me, doing lots of standing up and sitting down, walking from one end of the reception area to the other, or just pulling my work chair from side to side to retrieve money from a very close drawer seems like the equivilent of doing a gentle stroll... however, my body tells me otherwise by hypoing (sometimes even after taking off for exercise!).

With me being active, it does make working out my doses very frustrating... so I wanted to ask to check to see if it'd help straighten things out for me just a little bit! ^_^;
 
Jun 28, 2011
chrisinbrum 41 posts

Topic: Questions for HCPs / Blood Testing

I'm sure other people will give more helpful advice - luckily my GP was more than happy to increase my script after DAFNE and the letter he was sent...but my understanding is that if you're following the DAFNE rules you should be testing at every meal (I do snacks too), before driving (very important, and during long journeys too), if you're ill and also if you're being active. That can add up to quite a few more than the 2 tests a day your GP is telling you.

I'd say you're right and your GP is wrong, probably because they don't understand DAFNE!

Maybe speak to your DAFNE nurses and ask for their help/advice...I'm sure they would want to try to 'educate' your GP.

Good luck! Smile
 
Jun 28, 2011
ang78 12 posts

Topic: Questions for HCPs / Blood Testing

Hi
I completed DAFNE in march this year and have reduced my hba1c from 12 to 8.6, still high but am working on it!! I have just been to see my GP (none diabetes related) and asked for some more test strips as I only get one box at a time on my script. He asked me how many times a day I test so I told him, 4-5 sometimes more and he told me I should only be testing 2 daily and rotating test times, refused to up my script and all but told me I wouldn't get the strips to test more often, even though the team put in the letter after DAFNE to up my scrips to 4 pots at a time. Now i'm confused. Have I got this wrong? How many times should I be testing?? Please help!!!

Angela
 
Jun 28, 2011
MelissaF 56 posts

Topic: Questions for HCPs / over injected

Hi Linda,

I've done it too - once, as Helen says!

I did the same thing - matched the QA with corresponding carbs and kept testing and it all worked out OK. I used full sugar soft drinks (fortunately my husband had cans of Coke in the house) to make up most of the carbs as otherwise it's a bit hard to make up 120g carbs at 11pm!

Glad you're OK!

Melissa xx
 
Jun 28, 2011
Alan 49 280 posts

Topic: General Discussion / Travelling with insulin

Allan

The good thing about the Frio packs is that you only need a bowl or basin with cold water in it to get them working. The inner pouch contains special crystals - you soak the pouch in the cold water for 10 to 15 minutes, until the crystals soften and then they will stay cool for around 24 hours. So if you've got a couple of Frio pouches and access to cold water, they will keep your insulin supplies cool.

Gosh! I sound like a Frio rep.

Alan
 
Jun 28, 2011
AllanR 15 posts

Topic: General Discussion / Travelling with insulin

Very true, but guess he was trying to be helpful when he decided to book it for me hehe. Told him otherwise for the return trip though luckily. Was also amusing how in the height of all the air scare silliness, the higher classes get metal knives and forks and glass bowls etc, while cattle class gets flimsy plastic stuff (including the food Razz ). Guess the old joke is that terrorists don't fly first class Laughing
 
Jun 28, 2011
novorapidboi26 1,816 posts

Topic: Questions for HCPs / over injected

Well done in getting through the night unscathed........
 
Jun 28, 2011
novorapidboi26 1,816 posts

Topic: General Discussion / Travelling with insulin

I can just imagine you sitting with your fancy meal and cutlery, you must of felt like a King..........
Laughing
To me there is no such thing as Diabetic meals...............being on the DAFNE forum, no one should be thinking like this.......we can all eat anything we like, at whatever time we chose to do so, that's the beauty of it.........


I suppose these airline companies and others who supply food need to cater for as many circumstances as possible......
 
Jun 27, 2011
HelenP 218 posts

Topic: Questions for HCPs / over injected

As I said I did it ONCE and it does scare you but you do have a lot of knowledge and experience which you bring to bear (and you obviously brought to bear) when coping with situations like this. It also tends to make you more alert regarding the fast acting stuff! Well done. Helen
 
Jun 27, 2011
Linda S123 8 posts

Topic: Questions for HCPs / over injected

Im fime, made it thru the night waking every 2 hours with the alarm to do test and as I had calculated the amount of extra units taken, I ate 6 cp's before bed and tested at 1 / 3/ /5/ /7 then got up ! I was high to start as I'd eaten a huge snack before bed but it was interesting to see how much it was dropping through the night. By 5am I was low and had to eat then. By the time I got up I was climbing again as I hadnt taken the levemir. was too scared ! Thanks for your support Razz
 
Jun 27, 2011
AllanR 15 posts

Topic: General Discussion / Travelling with insulin

Actually on the discussion about "diabetic meals" on planes, sheesh. DO NOT GO THERE! My boss was sending me to the US for a few weeks and decided to help out by putting me down for a diabetic meal. I got a lettuce leaf and some carrots. As you might expect quickly followed by a hypo on the plane. Was very fortunate to have a great attendant who's hubby it turned out was diabetic (and as I found out later in a nice chat with her had recently had an islet transplant off his US insurance company...lucky guy) and she noticed and actually got me a first class meal out of it complete with proper metal knives, forks and glass bowls (the loathing off other luggage class punters was great). But this was years before my DAFNE training so doubt it would occur now even with it. But either way, keep away from diabetic meals.

General travel wise, always good to have the GP letter (have forgotten it a few times to no problems yet). And your dog tag up to date. I tend to also tell the usual muppet at check-in also when they ask if you have anything sharp (they don't expect someone to say yes so worth giving them a minute to wonder what to do). But yeah, always carry all my kit in hand luggage. After notifying check-in staff I tend to find a member of the customs bag search section look out for you, but haven't been anywhere yet which hasn't understood what all my kit was. Although did have once who ask me to demonstrate and use it...Blood test sufficed but they can be daft at times. Always wanted to take food with me, but the don't carry food/liquid on flight ban thing was a big no no to all that. But did always find enough goodies available in the airport itself to hold with me.

Have a good trip Smile sounds a nice outing. Has made me think though, these Frio pack things sound interesting, but was curious as to what folks would consider on a 6 month ramble/camping trip for insulin? it's early stage planning at the moment but was considering a monthly drop off somewhere to various FedEx or UPS station somewhere? any thoughts?
 
Jun 27, 2011
Carolin 83 posts

Topic: General Discussion / ratio for snacks

JWo said:
For clarification Carolin, when snacking for unplanned exercise, is it best to go on what you expect your BGs to be after the insulin has run out, which is determined by what you did at your last meal, rather than what you are at the time of expecting to do the exercise?

I ask because this is what I currently do on the odd ocassion that I do have to look at this sort of thing (I'm usually not a snacker so it's not often). It seems to be a logical way to think about it but confirmation would be great. Smile

Is it safe to also assume that the same applies even if you take on the extra CPs after the exercise?
Does the type of carbohydrate matter in the late CPs?
Should I consider taking fast CPs mainly in those situations if so?

Thanks in advance! Very Happy


OK, snacking for exercise is another matter Smile

I'd refer you back to your course handbook for this, but generally we recommend if you're doing exercise you need to start with a BG above 7mmol/l, therefore if you're below 7 you need to take on extra CPs. How much you need will depend on the intensity & duration of the exercise, so if it were something gentle/short-term, just 2 CPs should be enough; something more strenuous you might need 3 CPs. You'd be best to choose a fairly rapid carbohydrate as you'll need the fuel quickly for the exercise.

It's worth considering what insulin you have around too of course, i.e. your last dose of QA or your BI in case either of these is likely to still be having an effect on your BG, or indeed if not, whether you need as many CPs prior to the exercise and/or a small dose of QA to help your body to use the glucose.

Hope this hasn't confused you more JWo?
 
Jun 27, 2011
novorapidboi26 1,816 posts

Topic: Site Development / Comments

I didn't even know this and I use the Diary on a daily basis, thank you both.................. Very Happy
 
Jun 27, 2011
Anele46 108 posts

Topic: Site Development / Comments

Doh!!
Sorry, didn't realise that....thank you very much Very Happy
Cheers.
 
Jun 27, 2011
chrisinbrum 41 posts

Topic: Site Development / Comments

Anele46 said:
Hi there,
Just a thought, would there be any chance of being able to delete/add a comment on the BG diary as in the past I have been recording my stats from my diary and forgotten to add a comment and only way to do this is to delete the entry and re-submit with the comment.
Sorry, I know I'm being lazy but it would be handy to be able to add/delete commented without having to delete and re-enter the whole entry of data?

Cheers Smile



Hi,

If you click on the time that is displayed for the reading you want to add a comment to, it will open up the details and you can add the comment there, without having to delete and then re-input the whole record.

Smile