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15,859 posts found
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Jun 27, 2011
chrisinbrum
41 posts
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Topic: Site Development / Comments
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. 
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Jun 27, 2011
Anele46
109 posts
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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
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Jun 27, 2011
marke
684 posts
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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
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Jun 27, 2011
mcmasca902
1 post
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Topic: Questions for HCPs / For Carol McMasters RonI 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 |
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Jun 27, 2011
novorapidboi26
1,819 posts
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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..................
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Jun 27, 2011
RonM
1 post
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Topic: Questions for HCPs / For Carol McMasters What do you think, should I split the morning QA? |
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Jun 27, 2011
novorapidboi26
1,819 posts
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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.......... 
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Jun 27, 2011
HelenP
218 posts
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Topic: Questions for HCPs / over injected Linda,Are you OK? Helen |
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Jun 27, 2011
HelenP
218 posts
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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 |
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Jun 26, 2011
Linda S123
8 posts
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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 ? |
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Jun 26, 2011
HelenP
218 posts
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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 |
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Jun 26, 2011
Alan 49
284 posts
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Topic: General Discussion / Travelling with insulin RichardI 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. |
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Jun 25, 2011
richard.arkle
16 posts
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Topic: General Discussion / Travelling with insulin 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 |
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Jun 25, 2011
Karen Westwood
38 posts
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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 |
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Jun 25, 2011
Alan 49
284 posts
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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. |
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Jun 24, 2011
HelenP
218 posts
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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 |
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Jun 24, 2011
Dave Marshall
7 posts
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Topic: General Discussion / Diabetic Survey Will do it now , lets hope it will help ! |
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Jun 24, 2011
Alan 49
284 posts
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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? |
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Jun 24, 2011
JayBee
587 posts
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Topic: General Discussion / ratio for snacks 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. 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!
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Jun 24, 2011
novorapidboi26
1,819 posts
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Topic: General Discussion / ratio for snacks Well, unless you waited till all QA and CPs had diminished................ |
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Jun 24, 2011
Carolin
83 posts
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Topic: General Discussion / ratio for snacks
Yep. Spot on! Down side of lots of snacks however is you never get a 'true' BG reading before meals which can sometimes make it difficult to work out if your ratios are right. |
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Jun 24, 2011
novorapidboi26
1,819 posts
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Topic: General Discussion / ratio for snacks OK, so in theory you could snack numerous times and as long as you have delivered the right QA, all should be well.........?I kinda thought that the peaks of the QA could clash etc and thus cause a low............. As I say, this is only a pretend situation and its unlikely folk are going to have several consecutive snacks to which they will match with QA....... I just assumed the OP was aware that you dont correct between meals/insulin doses [4-5hours], as it is one of the rules were taught as DAFNE graduates.... |
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Jun 24, 2011
Carolin
83 posts
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Topic: General Discussion / ratio for snacks Snacking can admittedly be a tricky concept to grasp sometimes. But your QA:CP ratio should just 'cover' CPs eaten (or drunk) so that your BG doesn't end up high.Clearly ratios can differ from person to person and/or at different times of the day, but if you get your ratio(s) right it means that by the time both your food and the corresponding dose of QA have cleared your system your BG should be back to where it started before you had the CPs. If you were to test your BG within a couple of hrs of having CPs/QA it's likely to be high as the QA hasn't finished working on the carbohydrate, so if you choose to have more CPs you should only have the QA to cover what you're having, no extra to correct the BG. That's what these fancy new bolus adviser meters take into consideration with this 'insulin on board' thing. If you find that you get low BGs when you snack and inject QA, then (unless you're exercising) it could be either you're overestimating the CPs in the snack, or using the wrong ratio, or that your BI is a little too high (which as you know you can test out by doing carb-free meal(s)) Hope this clarifies it? Carolin |
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Jun 24, 2011
novorapidboi26
1,819 posts
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Topic: General Discussion / ratio for snacks What do you mean it only relates to correction doses.....................?would there still not be a 'stacking effect' if you continued to snack several times between meals purely with the QA for the carbs alone......... I would consider what insulin is on board each time [with the help of my fancy meter... ], but if I were to snack 2, 3, 4 separate times then I would expect my BGs to drop lower than expected, hence the reason I dont actually do this, and I expect for most people this doesn't happen often...
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Jun 24, 2011
Carolin
83 posts
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Topic: General Discussion / ratio for snacks
Any carbohydrate (over 1 CP) eaten will need to be covered by QA and we suggest you use the ratio you use at the mealtime closest to the snack. The thing to be cautious of (and to which Novorapidboi alludes) is overlapping doses, however this really only relates to correction doses. For that reason DAFNE Educators normally recommend NOT testing your BG when you snack, especially if it's within maybe 2-3hrs of your last dose of QA as it may lead you to making an inappropriate decision on your insulin and potentially take more corrective. So essentially, just take your usual ratio for that time of day for snacks, but don't take corrective. Correct only at mealtimes when you know all previous dose(s) of QA are out of your system and no longer affecting your BG. Good luck, Carolin |