Recent Posts - DAFNE Online

Jun 24, 2011

ang31 1 post

Topic: General Discussion / ratio for snacks

if your on 3-1 ratio should what ratio do you take for snacks or extra food in between

Jun 24, 2011

JayBee 582 posts

Topic: Questions for HCPs / Menstrual Cycle, BI

Considering I feel like I'm experiencing deja vu this time around compared with last month while I was also recovering from stomach flu, I'm not convinced those hypos were caused by the illness recovery.

Looking back at the previous thread, I'm going to look more into this tid bit:

Athena said:
Looked into this a bit more and there should be a pattern of:

lowest insulin requirements during menstruation
Rising requirements at end of menstruation
Highest requirements just prior to next menstruation

This is the most typical pattern, but it is not everybody's pattern. Yours may be different, it is just a question of noticing it.

Considering I did pick up on a slight raise before the drop day, I suspect this "typical" logic may apply to me, but considering I'm off the pill now and have a month (possibly 5 weeks) to wait, shall have to see...

Jun 24, 2011

maria51 22 posts

Topic: Questions for HCPs / Does flu vaccine affect BGLs

Thank you to all who replied, I appreciate all of your comments very much.

Jun 23, 2011

Simon Heller 46 posts

Topic: Questions for HCPs / Does flu vaccine affect BGLs

I guess its conceivable that if you have a 'stress response' to the vaccination (ie mild inflammatory immune response) which is unusual this could raise your stress hormones such as cortisol and adrenaline and this could raise your blood glucose for a day or two but I doubt it would have a major effect. Also very individual and wouldn't expect it effect most people. Simon

Jun 23, 2011

Willie Miller 1 post

Topic: Questions for HCPs / Does flu vaccine affect BGLs

I suppose everyone is different. I have the flu jab every year and immediately afterwards, my levels go up significantly for approx 24-36 hours, then back to normal.

Jun 23, 2011

marke 643 posts

Topic: Questions for HCPs / Does flu vaccine affect BGLs

99% of people react to the suspension (fluid) used to deliver the vaccine into your system NOT the vaccine. The vaccine is NOT active and cannot make you ill, the suspension can and in some people does. I may be wrong but I don't think the vaccine works your immune system much, its just used as a 'id' so when you get the 'real' thing your immune system is ready for action.
Like others I have the vaccine every year and have never had a reaction on any kind. I wouldn't worry about it Smile

Jun 23, 2011

Adrian_Hill 8 posts

Topic: Questions for HCPs / Metformin /Type 1

I have been on slow release metformin for a number of years and I am so pleased that I now know I am not the only one. I think that people often forget that type 1's can take metformin and so only talk about it in terms of type 2. Metformin sr has reduced my BI but has no effect on my ratios. If you have problems with metformin, try the sr version, I take 1000 mg and no problems.

Jun 23, 2011

Broady 13 posts

Topic: Questions for HCPs / Does flu vaccine affect BGLs

I have a flu jab every year and it never affects my blood glucose levels

Jun 23, 2011

novorapidboi26 1,816 posts

Topic: Questions for HCPs / Does flu vaccine affect BGLs

As already mentioned, your immune system is being put to work and so this requires a little extra energy, supplied by your livers stores, so you might be dealing with slightly elevated levels for a short time............

Jun 23, 2011

chrisinbrum 41 posts

Topic: Questions for HCPs / Does flu vaccine affect BGLs

maria51 said:
Can any one please tell me if getting the jab with the flu vaccine can affect your BGLs or not?
My sister-in-law (non diabetic) gets the flu jab every year & told me she falls ill with a small case of aches & pains for a few days after the injection.

Can some one enlighten me about the affects if any,the vaccination has had on them.It's winter here now so I need to get it done asap & I'd like to be prepared just in case.

Many thanks.

I don't think your sister-in-law will be getting ill from the vaccine because there is no active flu virus in there, so the aches and pains will just be her immune system reacting to the vaccine which could be causing a bit of a reaction (but thta's a sign it's vaccinating her).

I suppose if your immune system reacts a lot to the vaccine it might affect BGLs, but I doubt it would be as much as if you actually had a real infection when the DAFNE sick day rules could be used.

I've been having the vaccination for years and I've never noticed any obvious effect on my BGL, even if it's given me an achey arm sometimes.

I think it's safer to have the vaccination to hopefully avoid getting flu and just check your BGL afterwards if you're concerned at all Smile

Jun 23, 2011

maria51 22 posts

Topic: Questions for HCPs / Does flu vaccine affect BGLs

Can any one please tell me if getting the jab with the flu vaccine can affect your BGLs or not?
My sister-in-law (non diabetic) gets the flu jab every year & told me she falls ill with a small case of aches & pains for a few days after the injection.

Can some one enlighten me about the affects if any,the vaccination has had on them.It's winter here now so I need to get it done asap & I'd like to be prepared just in case.

Many thanks.

Jun 23, 2011

JayBee 582 posts

Topic: General Discussion / Travelling with insulin

I've only been abroad for 2 weeks at most so all I've done is the typical of carrying the declaration of diabetes from my care team and various medication in my hand luggage.

I avoid the diabetic meal myself because of the typical "diabetic foods" rubbish... meal with a feel of where I am going I'd much rather have on that note (aka, often Japanese! Yummy!).

I hope you have a smashing time living in Australia whatever you end up doing about insulin, GXK949! Very Happy

Jun 22, 2011

HelenP 218 posts

Topic: General Discussion / Travelling with insulin

I regularly travel with a frio pack. Do you plan to have it with you in the cabin? The pack is great and you can get into an airport without immersing it in water before you have to declare whether or not you have a gel. It has not been a problem but all you need is one over zealous official! Take loads of paperwork to cover you.

I am not sure I would recommend a "diabetic meal". I have found that you are better off just dealing with the meal you get...real food!

I do not notify the airline of my diabetic status.

Helen

Jun 22, 2011

JayBee 582 posts

Topic: General Discussion / DAFNE Myths

novorapidboi26 said:
I agree with the correction principals you are reffering to, I suppose I am only referring to text book lows as opposed to unforeseen ones when you may be dropping really fast.........

When I am low I correct with 2cps and its usually before a meal, and by the time the meal comes I am on Target..........do you find yourself high after correcting?

Ah I see.

I get hypos at various points of the day and not always before a meal.

If I have a high after a hypo, it's usually either because I didn't treat it in time (so liver responds I believe - which seems to be the cause of highs of 17-20 BG I think after hypos for me) or if I go 2+2, 12-14 BG seems to be the common spot I hit. I do exercise the "2+" only rule for pre-meals but sometimes take more off if I'm sure I'll be exercising of some kind.

I usually do not correct with QA for 24 hours so my BI brings me down instead, but if I hit the 20s, I usually look at 1 QA to get me down a bit faster, especially if feeling a bit rubbish(!). It's during this sort of time that I found that 1 QA took me down by so much when working with only BI as well. Quite frightening to see when it happened and explained a lot - such as the boomeranging BGs pre-DAFNE. Sad

If I over eat for a hypo, I usually take the insulin for the extra because well, CPs are CPs and it's not a correction... I try not to over eat though, as tempting as it is lol. ^_^;

....If you mean QA for your question regarding me being high after correcting (assuming after a hypo?)... no, I hypo again.

Jun 22, 2011

novorapidboi26 1,816 posts

Topic: General Discussion / DAFNE Myths

I agree with the correction principals you are reffering to, I suppose I am only referring to text book lows as opposed to unforeseen ones when you may be dropping really fast.........

When I am low I correct with 2cps and its usually before a meal, and by the time the meal comes I am on Target..........do you find yourself high after correcting?

Jun 22, 2011

JayBee 582 posts

Topic: Questions for HCPs / Menstrual Cycle, BI

Sorry about the delay... work got in the way!

Here's my current period pattern... look familiar?

Jun 22, 2011

JayBee 582 posts

Topic: General Discussion / DAFNE Myths

I'm impressed if you've never been over 10 BG after a hypo to not want to take a correction, novorapidboi26.

You say you can correct freely... I'm confused. I know my sensitivity increases when I hypo because even when eating at the same time, I have hypo'd without fail after correcting after a hypo (I have even witnessed 1QA take me down by 9 points of BG during a correction test from 20BG to 11 - how would that be possible if this wasn't true?).

I can't see why my DAFNE care team would mislead my entire group about this correction business either.

Jun 22, 2011

novorapidboi26 1,816 posts

Topic: General Discussion / DAFNE Myths

I wouldn't correct after a hypo, as I would expect my BG to be on target after treating with 1.5-2 quick acting CPs..........

If I had a hypo at 3PM, corrected, had dinner, then went to have some toast before bed, I would correct a high at the pre toast test........as you are now on a totally different cycle of insulin/carbohydrates.....

To me, that principal seems straight forward knowing now what I know about insulin action and digestion etc......

So I would of thought that particular misconception should be in the myth section............

Jun 22, 2011

dafne-dude 11 posts

Topic: General Discussion / Travelling with insulin

i did notify the airline i was diabetic when i booked but that was just to request an alternative menu, you may need something from your GP stating you are diabetic and will be carrying needles on you ect..(but to be honest no-one checked this when boarding) also tell the airline you have diabetes when booking and they will request an alternative menu, (all your meals are served first and the food is alot better).. I flew with emirates when travelling to australia and they were very helpful and understanding about keeping the insulins in the fridge..

hope that makes sense to you,,

Jun 22, 2011

JayBee 582 posts

Topic: General Discussion / DAFNE Myths

I'm confused about the "High BGLs after a hypo should not be corrected with QA insulin for 24 hrs"... is the "should not" the reason it is a misconception? I don't believe that it "should not be corrected" by QA... however, it was drilled into my DAFNE group to be very wary about correcting because of the increased insulin sensitivity... correcting after hypos was a very hard habit for me to break so to see it stated as a misconception is a bit disappointing. Sad

Others are funny - but also kind of scary because some are a mixture of old general diabetic myths and misconceptions being mixed in with DAFNE rules.... it is very frustrating sometimes the amount of ignorance you can find (especially on the internet).

I do find it particularly interesting about what insulins DAFNE has been designed for! I had no idea (before this and another thread on here stated it). Smile

Jun 22, 2011

GXK949 4 posts

Topic: General Discussion / Travelling with insulin

sjohno said:

I'm not sure if this site will help but try http://www.friouk.com they may have some travelling equipment that may help you, good luck.

Brilliant thankyou! Very Happy

Jun 24, 2011 ang31 1 post	Topic: General Discussion / ratio for snacks if your on 3-1 ratio should what ratio do you take for snacks or extra food in between

Jun 24, 2011 JayBee 582 posts	Topic: Questions for HCPs / Menstrual Cycle, BI Considering I feel like I'm experiencing deja vu this time around compared with last month while I was also recovering from stomach flu, I'm not convinced those hypos were caused by the illness recovery. Looking back at the previous thread, I'm going to look more into this tid bit: Athena said: Looked into this a bit more and there should be a pattern of: lowest insulin requirements during menstruation Rising requirements at end of menstruation Highest requirements just prior to next menstruation This is the most typical pattern, but it is not everybody's pattern. Yours may be different, it is just a question of noticing it. Considering I did pick up on a slight raise before the drop day, I suspect this "typical" logic may apply to me, but considering I'm off the pill now and have a month (possibly 5 weeks) to wait, shall have to see...

Jun 24, 2011 maria51 22 posts	Topic: Questions for HCPs / Does flu vaccine affect BGLs Thank you to all who replied, I appreciate all of your comments very much.

Jun 23, 2011 Simon Heller 46 posts	Topic: Questions for HCPs / Does flu vaccine affect BGLs I guess its conceivable that if you have a 'stress response' to the vaccination (ie mild inflammatory immune response) which is unusual this could raise your stress hormones such as cortisol and adrenaline and this could raise your blood glucose for a day or two but I doubt it would have a major effect. Also very individual and wouldn't expect it effect most people. Simon

Jun 23, 2011 Willie Miller 1 post	Topic: Questions for HCPs / Does flu vaccine affect BGLs I suppose everyone is different. I have the flu jab every year and immediately afterwards, my levels go up significantly for approx 24-36 hours, then back to normal.

Jun 23, 2011 marke 643 posts	Topic: Questions for HCPs / Does flu vaccine affect BGLs 99% of people react to the suspension (fluid) used to deliver the vaccine into your system NOT the vaccine. The vaccine is NOT active and cannot make you ill, the suspension can and in some people does. I may be wrong but I don't think the vaccine works your immune system much, its just used as a 'id' so when you get the 'real' thing your immune system is ready for action. Like others I have the vaccine every year and have never had a reaction on any kind. I wouldn't worry about it

Jun 23, 2011 Adrian_Hill 8 posts	Topic: Questions for HCPs / Metformin /Type 1 I have been on slow release metformin for a number of years and I am so pleased that I now know I am not the only one. I think that people often forget that type 1's can take metformin and so only talk about it in terms of type 2. Metformin sr has reduced my BI but has no effect on my ratios. If you have problems with metformin, try the sr version, I take 1000 mg and no problems.

Jun 23, 2011 Broady 13 posts	Topic: Questions for HCPs / Does flu vaccine affect BGLs I have a flu jab every year and it never affects my blood glucose levels

Jun 23, 2011 novorapidboi26 1,816 posts	Topic: Questions for HCPs / Does flu vaccine affect BGLs As already mentioned, your immune system is being put to work and so this requires a little extra energy, supplied by your livers stores, so you might be dealing with slightly elevated levels for a short time............

Jun 23, 2011 chrisinbrum 41 posts	Topic: Questions for HCPs / Does flu vaccine affect BGLs maria51 said: Can any one please tell me if getting the jab with the flu vaccine can affect your BGLs or not? My sister-in-law (non diabetic) gets the flu jab every year & told me she falls ill with a small case of aches & pains for a few days after the injection. Can some one enlighten me about the affects if any,the vaccination has had on them.It's winter here now so I need to get it done asap & I'd like to be prepared just in case. Many thanks. I don't think your sister-in-law will be getting ill from the vaccine because there is no active flu virus in there, so the aches and pains will just be her immune system reacting to the vaccine which could be causing a bit of a reaction (but thta's a sign it's vaccinating her). I suppose if your immune system reacts a lot to the vaccine it might affect BGLs, but I doubt it would be as much as if you actually had a real infection when the DAFNE sick day rules could be used. I've been having the vaccination for years and I've never noticed any obvious effect on my BGL, even if it's given me an achey arm sometimes. I think it's safer to have the vaccination to hopefully avoid getting flu and just check your BGL afterwards if you're concerned at all

Jun 23, 2011 maria51 22 posts	Topic: Questions for HCPs / Does flu vaccine affect BGLs Can any one please tell me if getting the jab with the flu vaccine can affect your BGLs or not? My sister-in-law (non diabetic) gets the flu jab every year & told me she falls ill with a small case of aches & pains for a few days after the injection. Can some one enlighten me about the affects if any,the vaccination has had on them.It's winter here now so I need to get it done asap & I'd like to be prepared just in case. Many thanks.

Jun 23, 2011 JayBee 582 posts	Topic: General Discussion / Travelling with insulin I've only been abroad for 2 weeks at most so all I've done is the typical of carrying the declaration of diabetes from my care team and various medication in my hand luggage. I avoid the diabetic meal myself because of the typical "diabetic foods" rubbish... meal with a feel of where I am going I'd much rather have on that note (aka, often Japanese! Yummy!). I hope you have a smashing time living in Australia whatever you end up doing about insulin, GXK949!

Jun 22, 2011 HelenP 218 posts	Topic: General Discussion / Travelling with insulin I regularly travel with a frio pack. Do you plan to have it with you in the cabin? The pack is great and you can get into an airport without immersing it in water before you have to declare whether or not you have a gel. It has not been a problem but all you need is one over zealous official! Take loads of paperwork to cover you. I am not sure I would recommend a "diabetic meal". I have found that you are better off just dealing with the meal you get...real food! I do not notify the airline of my diabetic status. Helen

Jun 22, 2011 JayBee 582 posts	Topic: General Discussion / DAFNE Myths novorapidboi26 said: I agree with the correction principals you are reffering to, I suppose I am only referring to text book lows as opposed to unforeseen ones when you may be dropping really fast......... When I am low I correct with 2cps and its usually before a meal, and by the time the meal comes I am on Target..........do you find yourself high after correcting? Ah I see. I get hypos at various points of the day and not always before a meal. If I have a high after a hypo, it's usually either because I didn't treat it in time (so liver responds I believe - which seems to be the cause of highs of 17-20 BG I think after hypos for me) or if I go 2+2, 12-14 BG seems to be the common spot I hit. I do exercise the "2+" only rule for pre-meals but sometimes take more off if I'm sure I'll be exercising of some kind. I usually do not correct with QA for 24 hours so my BI brings me down instead, but if I hit the 20s, I usually look at 1 QA to get me down a bit faster, especially if feeling a bit rubbish(!). It's during this sort of time that I found that 1 QA took me down by so much when working with only BI as well. Quite frightening to see when it happened and explained a lot - such as the boomeranging BGs pre-DAFNE. If I over eat for a hypo, I usually take the insulin for the extra because well, CPs are CPs and it's not a correction... I try not to over eat though, as tempting as it is lol. ^_^; ....If you mean QA for your question regarding me being high after correcting (assuming after a hypo?)... no, I hypo again.

Jun 22, 2011 novorapidboi26 1,816 posts	Topic: General Discussion / DAFNE Myths I agree with the correction principals you are reffering to, I suppose I am only referring to text book lows as opposed to unforeseen ones when you may be dropping really fast......... When I am low I correct with 2cps and its usually before a meal, and by the time the meal comes I am on Target..........do you find yourself high after correcting?

Jun 22, 2011 JayBee 582 posts	Topic: Questions for HCPs / Menstrual Cycle, BI Sorry about the delay... work got in the way! Here's my current period pattern... look familiar?

Jun 22, 2011 JayBee 582 posts	Topic: General Discussion / DAFNE Myths I'm impressed if you've never been over 10 BG after a hypo to not want to take a correction, novorapidboi26. You say you can correct freely... I'm confused. I know my sensitivity increases when I hypo because even when eating at the same time, I have hypo'd without fail after correcting after a hypo (I have even witnessed 1QA take me down by 9 points of BG during a correction test from 20BG to 11 - how would that be possible if this wasn't true?). I can't see why my DAFNE care team would mislead my entire group about this correction business either.

Jun 22, 2011 novorapidboi26 1,816 posts	Topic: General Discussion / DAFNE Myths I wouldn't correct after a hypo, as I would expect my BG to be on target after treating with 1.5-2 quick acting CPs.......... If I had a hypo at 3PM, corrected, had dinner, then went to have some toast before bed, I would correct a high at the pre toast test........as you are now on a totally different cycle of insulin/carbohydrates..... To me, that principal seems straight forward knowing now what I know about insulin action and digestion etc...... So I would of thought that particular misconception should be in the myth section............

Jun 22, 2011 dafne-dude 11 posts	Topic: General Discussion / Travelling with insulin i did notify the airline i was diabetic when i booked but that was just to request an alternative menu, you may need something from your GP stating you are diabetic and will be carrying needles on you ect..(but to be honest no-one checked this when boarding) also tell the airline you have diabetes when booking and they will request an alternative menu, (all your meals are served first and the food is alot better).. I flew with emirates when travelling to australia and they were very helpful and understanding about keeping the insulins in the fridge.. hope that makes sense to you,,

Jun 22, 2011 JayBee 582 posts	Topic: General Discussion / DAFNE Myths I'm confused about the "High BGLs after a hypo should not be corrected with QA insulin for 24 hrs"... is the "should not" the reason it is a misconception? I don't believe that it "should not be corrected" by QA... however, it was drilled into my DAFNE group to be very wary about correcting because of the increased insulin sensitivity... correcting after hypos was a very hard habit for me to break so to see it stated as a misconception is a bit disappointing. Others are funny - but also kind of scary because some are a mixture of old general diabetic myths and misconceptions being mixed in with DAFNE rules.... it is very frustrating sometimes the amount of ignorance you can find (especially on the internet). I do find it particularly interesting about what insulins DAFNE has been designed for! I had no idea (before this and another thread on here stated it).

Jun 22, 2011 GXK949 4 posts	Topic: General Discussion / Travelling with insulin sjohno said: I'm not sure if this site will help but try http://www.friouk.com they may have some travelling equipment that may help you, good luck. Brilliant thankyou!