Recent Posts

Search the DAFNE Online Forums

15,866 posts found

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 1,819 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 109 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
 
Jun 27, 2011
Anele46 109 posts

Topic: Site Development / Comments

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
 
Jun 27, 2011
marke 686 posts

Topic: Questions for HCPs / For Carol McMasters

Ron and Carol, if you want to share Ron's diary it may be better if Ron explicitly shares it with you. there are instructions for doing this in 'My Blood glucose Diary->DAFNE Diary Help' ( its near the end of the help). Posting to the general forum will and should stimulate discussion and input from a number of people thats what the forums are for. If you are happy that this is the case then fine, but can I suggest that you don't direct the post at one person in particular, thanks Smile
 
Jun 27, 2011
mcmasca902 1 post

Topic: Questions for HCPs / For Carol McMasters

Ron
I would consider reducing BI at night to 4 to correct low readings overnight/drops in BG from night to morning as first measure. Don,t think changing administration of morning QA needed at moment
Carol
 
Jun 27, 2011
novorapidboi26 1,819 posts

Topic: Questions for HCPs / For Carol McMasters

Hey, until Carol arrives I would like to throw in my tuppence worth, if you dont mind............

Welcome to the Forum.......

You are asking if you should split your morning QA, I assume as you are getting post breakfast spikes but still landing near or on target for lunch!!

From what I see you only seem to be rising 2-3 mmol/l after breakfast, so this is normal, getting the pre breakfast reading on target would take priority in my opinion. And it seems that your BI dose of 5 does in fact drop you over night. Getting some early hour readings would help, 3, 4, 5 am......

So as your dropping one may assume that this dose is too much...........testing your dose of 5 is needed, with no carbs or QA before bed.........

Once you sort the dose out and are getting on target pre breakfast, assuming there is no dawn phenomenon, then it will be much easier to tackle any post breakfast spikes you are getting.

The best way to deal with spikes in my experience is to play about with dose timing, for example, to avoid post lunch spikes I take my dose 30 minutes before eating, this then matches more closely, the insulin action with my lunch digestion.........

Always consult with your DSN though if your not 100% sure..........

I hope I contributed positively.................. Smile
 
Jun 27, 2011
RonM 1 post

Topic: Questions for HCPs / For Carol McMasters

What do you think, should I split the morning QA?
 
Jun 27, 2011
novorapidboi26 1,819 posts

Topic: Questions for HCPs / over injected

That is a pain.................

I personally would match that insulin with carbs, so the higher ratio your on eg 3:1, the less CPs you will need........


Think of it as a midnight snack.......lol..............you will need to get carbs in at some point, so for me I would want to do that straight away, then go to bed...........and I would still take my Levemir also........

God luck.......... Very Happy
 
Jun 27, 2011
HelenP 218 posts

Topic: Questions for HCPs / over injected

Linda,
Are you OK?
Helen
 
Jun 27, 2011
HelenP 218 posts

Topic: Questions for HCPs / over injected

I did a similar thing ONCE! The fear will help keep you awake and test and eat and test and eat. Ring someone to check on you in the morning. Good luck, Helen
 
Jun 26, 2011
Linda S123 8 posts

Topic: Questions for HCPs / over injected

Help ! Ive made a mistake. I just injected 16 units if Novorapid instread of Levemir at bedtime. I should only have injected 2 units novorapid and 16 levemir ! Im going to blood test every hour and eat. Any more advice, and should I still do real levemir injection now ? How much should I eat ?
 
Jun 26, 2011
HelenP 218 posts

Topic: General Discussion / Travelling with insulin

Alan,
You can always ask for extra bread, fruit or a second main course. Omelette with sausage, egg and tomato is a good breakfast but I stay away from the sauces and rice/pasta dishes. My experience is that airlines carry extra meals routinely.

I'm with you I carry insulin with me in a frio pack in cabin luggage, too many bad stories of lost/delayed luggage. My ex-husband flew Brisbane-Heathrow. They lost his luggage on the way over. Fought to have stuff replaced quickly so he could get on with what he had to do. Replaced most of it then when he flew back that was delayed by a week or so. The original luggage turned up 5 weeks after he returned home!
Helen
 
Jun 26, 2011
Alan 49 284 posts

Topic: General Discussion / Travelling with insulin

Richard
I think the recommendation is not to put insulin into luggage that goes in the hold, because it may freeze and become unusable. I always keep my supplies in Frio pouches (as mentioned in earler postings on this topic) - in my hand luggage. These pouches keep the insulin cool for 24 hours or more, so are fine for flights to Os.
 
Jun 25, 2011
richard.arkle 16 posts

Topic: General Discussion / Travelling with insulin

GXK949 said:
Hi, im hoping someone can give me some advice, i am moving to Australia for a year to study and stopping in Dubai for a short holiday on the way! I have to take a considerable amount (6 months worth) of insulin with me as it will be expensive for me to get insulin in Australia! Does anyone have any advice as to how i transport such a large amount of insulin or have any experience with taking insulin on long haul flights?
Thanks

I make a 2 month trip to the Australian outback every year in Dec and Jan and yes it is hot. My inslin supplies go in my main luggage apart from my own immediate needs. I like to split up my supplies to my hand baggage or my suitcase in case either gets lost. When available in hotels or friends houses I stick the lot in the nearest fridge but I have twice forgotten to pick them up. The security at the airport never seem phased by insulin or even the CGM I wear, too much for them to take in.

The small print on insulin information says it will lsat 30 days out of refigeration and I have certainly tested that with my kit sitting in the glove compartment of my "Troopie" in Birdsville when the temperature has been 40 deg C, it worked well enough after that but I wouldnt recommend it. Drug companies and doctors are always very conservative and take the safe approach which is probably right but I wouldnt just ditch my whole 6 month supplies because it had been out of the fridge for a week.

The Aus Diabetic Assn is very good and you can get discounted prices if you join. For a six month trip it may be worth while.

Dont worry too much, insulin is readily available in every small town but they dont have One Touch strips there and I had to buy a different meter.

Enjoy Aus but avoid the cities and the whole of the east coast, get out into the bush. Spend at least a week based in Alice Springs and then at least 4 weeks in the North of WA and in particular the Kimberly.

Cheers R
 
Jun 25, 2011
Karen Westwood 38 posts

Topic: Questions for HCPs / Menstrual Cycle, BI

Hi there, just been reading these posts and must admit to not actually having noticed a drop in BG during my period but will definately keep an eye out for this next month.

Just wondered if anyone else has noticed any changes mid month during ovulation. I seem to have a pattern of my BG being very high (top end of the teens) for round about 36 hours but then they usually return back to normal. Had a day like this today and using my normal correction doses has done nothing to help brings my BG levels down. Still 14.7 by dinner even though I had an extra 2 correction units at lunch!! Think I will have to try and increase my correction doses next month and see what happens.

Karen x
 
Jun 25, 2011
Alan 49 284 posts

Topic: General Discussion / Travelling with insulin

Thanks for that, Helen. I think the conclusion is 'don't trust airline food'. Next time I fly, I will take some sandwiches and fruit - something I know and trust. The trouble was that it was a 'package' holiday, and the package included flight meals, so we were reluctant to turn down something we'd already paid for. I'll know better next time.
 
Jun 24, 2011
HelenP 218 posts

Topic: General Discussion / Travelling with insulin

No, No, No, they would not know! I flew with a adolescent who had notified the airline that she was allergic to egg. Sure enough the meal arrived (special dietary meal) and two of the items had egg! One even had it written on the packaging that came with it.

The diabetic meals I have ordered tend to be "difficult" to estimate carbs on...you know the ubiquitous set dessert, water instead of juice and generally low on carbs. I also find flying tends to elevate my BG so I do alot of testing and a fair few "corrections" especially over time zones. I also know someone who had been on a pump for years and whenever she flies she puts herself back onto MDIs as sleep patterns, insulin requirements, meals etc tend to be haphazard. Back on the pump when routine returns.

Flying for me is constant monitoring etc... I also carry muesli bars (took 27 to China). When in doubt a bar is a meal!

Helen
 
Jun 24, 2011
Dave Marshall 7 posts

Topic: General Discussion / Diabetic Survey

Will do it now , lets hope it will help !
 
Jun 24, 2011
Alan 49 284 posts

Topic: General Discussion / Travelling with insulin

Is there any way of finding out the carbohydrate content of airline meals? I recently flew back from holiday and over-estimated the amount of carbs in the meal. Consequently, I had a hypo as we were coming in to land. I should have asked the cabin crew, I suppose - but would they have known?