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Jun 23, 2011
JayBee
587 posts
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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! 
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Jun 22, 2011
HelenP
218 posts
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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 |
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Jun 22, 2011
JayBee
587 posts
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Topic: General Discussion / DAFNE Myths
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. |
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Jun 22, 2011
novorapidboi26
1,819 posts
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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? |
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Jun 22, 2011
JayBee
587 posts
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Topic: Questions for HCPs / Menstrual Cycle, BI Sorry about the delay... work got in the way!Here's my current period pattern... look familiar? |
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Jun 22, 2011
JayBee
587 posts
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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. |
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Jun 22, 2011
novorapidboi26
1,819 posts
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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............ |
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Jun 22, 2011
dafne-dude
11 posts
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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,, |
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Jun 22, 2011
JayBee
587 posts
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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). 
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Jun 22, 2011
GXK949
4 posts
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Topic: General Discussion / Travelling with insulin
Brilliant thankyou!
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Jun 22, 2011
GXK949
4 posts
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Topic: General Discussion / Travelling with insulin
Thanks! one more question! Did you have to notify the airline before you travelled that you would be carrying insulin? or did you just tell them when you got on the plane?
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Jun 22, 2011
dafne-dude
11 posts
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Topic: General Discussion / Travelling with insulin Hi there,I did travel to austrailia a few years back but only for 6weeks not a full year but like you say alot cheaper to take insulin over than buy it... For the insulins that i was'nt usin i would wrap a dish towel around a cool pack and sit this next to my insulin until i was on the plane then mentioned to the air steward who would kindly store the insulin in a fridge for me.. Hope this helps it worked for me traveling to austrailia then brazil... |
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Jun 22, 2011
GXK949
4 posts
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Topic: General Discussion / Travelling with insulin 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 |
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Jun 22, 2011
dafne-dude
11 posts
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Topic: General Discussion / Eye Screening I would'nt worry too much about the laser treatment third lanark, i had retinopathy treatment about 3 yrs ago due to the diabetes and at first i was worried too but 3 short blasts of the laser and it was corrected, got a check up about 6months after treatment and all ok.. |
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Jun 22, 2011
novorapidboi26
1,819 posts
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Topic: General Discussion / Eye Screening LOL...........I suppose it would have been worse if you had known you were covered in it......at least you traveled home comfortably thinking thank god that's over..... |
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Jun 21, 2011
Alan 49
284 posts
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Topic: General Discussion / Eye Screening I have my eyes checked for retinopathy twice a year at my local hospital and so far there has been no need for laser surgery. A couple of years ago, the opthalmologist noticed some a slight worsening and I had to go in for a different sort of test. This involved putting a drip into the back of my hand and feeding in a flourescent yellow dye. The opthalmologoist then put the drops in my eyes to dilate the pupils and looked at the back of my eyes with one of the special viewing thingies, to see if any of the dye had leaked out. Thankfully, it hadn't. On the way out of the hospital, I went to the toilet and noticed that my pee was flourescent - I'm sure it would have shown up in the dark. It was alarming at first, but then I realised that it was the dye and I was quite amused.Because of the pupil dilation, I had to get the bus home and when I got there, my wife was alarmed at the way I looked. There were yellow streaks down my face - when I had the drops in my eyes, they gave me tissues to wipe my eyes, which obviously spread the dye over my face - I wondered why I was getting some funny looks on the bus. |
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Jun 21, 2011
novorapidboi26
1,819 posts
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Topic: General Discussion / Some advice please The concept of your liver releasing energy more severely through lack of carbs is valid and one which I experience on a daily basis........but surely your liver would not release extra stores of glucose during the night when you are sleeping, it wouldn't need to, as your energy need are lower at night.........So for the purpose of testing an overnight BI dose you could still go carb free, to see what is happening up until the point the DP kicks in.........and if you observe a greater rise when not having anything you can go back to having carbs once you know the dose is right, as it will also help beat the morning highs...... |
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Jun 21, 2011
derekh1965
90 posts
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Topic: General Discussion / Some advice please When I was on the Isophane I took that at dinnertime, teatime to us scots and always high. Then when on the lantus took that at the same time and my bs was on target all the time. A vast improvement.I was having 0 carbs at bedtime for months and then the DAFNE HCP told me that was probably why I was going high as my body was crying out for glucose and the brain was telling the liver to produce some glucose. |
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Jun 21, 2011
novorapidboi26
1,819 posts
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Topic: General Discussion / Some advice please From previous diary results you seem to consistently have some carbs at about 23:30, so the option to move to that time is available........That 3 am test you have given is a useful bit of information, it tells you that your BI is too strong or that your QA is too much, that's why carb free is best when BI testing........... You could have went lower than that 5.6 and then rebounded to give you the 14.7, or you could have remained within 1/2 mmols of the 5.4 then the DP could have kicked in, again, confirming this with the 3am, 4am, 5am tests would be good also....... Allegedly 3 am is a time where there is the least hormonal activity, and its the hormones we need try and fight on a daily basis, as opposed to just meeting carbs with insulin..... When taking your BI at dinner time in the past, was it successful? You say you have had high mornings for the past 17 years.............that must be really tiring......... Moving your dose to later on would increase the chances of beating the highs ie. more insulin at 3, 4, 5am inside you......increasing the dose would also help, and that's were a 3 am is important, eventually you will increase the dose to a point were it is too much, 3 am test is the only way to know when this happens...... |
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Jun 21, 2011
derekh1965
90 posts
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Topic: General Discussion / Some advice please HiI am not sure I believe in the 3am testing as can be seen by this diary. Bed was 7, 3 am test 5 and then 14 at breakfast.That was with 30 units of Isophane at 22:30. When I was diagnosed I was on a Hunilin S (soluble) and Humilin I mix twice a day. Then they moved me onto Humalog and told me to only take the isophane at dinnertime. The reason for moving my lantus onto dinnertime was that was what worked in the past for me. I am used to having no BI during the day. Thought that was normal and the QA covered you anyway. As I said the BI function was never explained to me. I was taking the BI at bedtime and because of my bedtime being all different times the HCP told me I needed to be more regular? take it the same time every night and that is where the 10:30 and 22:30 comes in. Having lived with high morning BS, over 15, for the past 17 years and starting to see an improvement in the last 2 months I am happy I will get there eventually. |