Recent Posts - DAFNE Online

Jun 14, 2011

Aneirin 15 posts

Topic: Questions for HCPs / Hypoes at dinner

Exactly the advice I was looking for. Essentially if a do have a hypo at meal, treat it, wait 15 minutes, then act as normal (though no adjustments for the mealt time, jsut straight QA to CP ratio)

Jun 14, 2011

Michaela 13 posts

Topic: Carbohydrate Counting / Lasagne

No I opted for 3 as the CP value of my vegan lasagne so I added .5 for the borderline BG and I'll test again in an hour or so and see where I am at.

Jun 14, 2011

novorapidboi26 1,816 posts

Topic: Carbohydrate Counting / Lasagne

So does that mean you are taking less insulin with a higher blood glucose?

Sorry confused......... Question

Jun 14, 2011

Michaela 13 posts

Topic: Carbohydrate Counting / Lasagne

I went for 3.5 as I was over 8bg I'll let you know later if there is anything to report

Jun 14, 2011

novorapidboi26 1,816 posts

Topic: Carbohydrate Counting / Lasagne

Look froward to the results...........

My money is on 4 being too much............. Wink

Jun 14, 2011

novorapidboi26 1,816 posts

Topic: General Discussion / How can you work out HBA1c by using your BG averages? Is it possible?

I think the formula came from a calculated observation/relationship between the finger test averages and the HbA1c test result....

As I say, so far its not been correct, but definitely close, the more reading you have the more accurate it may become.......... Very Happy

Jun 14, 2011

novorapidboi26 1,816 posts

Topic: General Discussion / BG Diary

It is a pain I know..................

For best results on Injections, splitting your BI dose is best, this can be with Lantus or Levemir most commonly, Humilin I is another, one will work best...............injecting your evening dose right before bed is best together with another injection when you wake, this gives you a larger quantity of BI in your system at this time, which will help towards getting your waking level down........

This also means that you may be running out of BI on the run up to bedtime, so you will need to compensate with more daytime BI, higher dinner time QA ratio or a combination of both..........

From my own personal experience, carbs are needed when you wake in order to let the liver know you no longer need a dump of glucose as you have refueled manually...............I have wanted to test my daytime dose with a carb free breakfast, or no breakfast at all, but its impossible, as the dawn phenomenon continues right up until lunch unless you refuel with carbs.........

Currently I am carrying out this scenario, I inject at 2230 every night though as opposed to straight before bed, I have also noticed that 15-30 minutes of moderate activity (sweaty and heavy breathing) after dinner also helps as the muscles regain their stores of energy right into the next morning.........

Trying to beat DP can be easy for some, but for other like myself, and possible you, a more strategic approach is needed.....

Have you also considered resistance to insulin at different BG levels, the higher you are the less 1 unit may drop you, this may also help trying to get on target for lunch....

I would also stress again, that in order to be effective, you should not change your ratios by the day, you need to give that ratio a chance for a few days, and only try and change one thing at a time.............so I would recommend concentrating on your BI

Jun 14, 2011

Garry 328 posts

Topic: Site Development / Do you use the Diary Graphs?

Blood Glucose Target Charts are good and bright. Like the way the graph scrolls out when started Very Happy

Is it possible to use these colours throughout all of the graph types as the rest are indistinct and although I have no experience I could imagine them being difficult to see on a smart phone screen in bright light.
chrisinbrum - I just manipulate the data entry to get the info where I want and that keeps the graph right.

Regards
Garry

Jun 13, 2011

Tony Brewster 4 posts

Topic: General Discussion / BG Diary

the last few days ive eaten a cereal bar with 22g of carbs in but at 7am i have to have 8 units of QA to cover it, i have monitored my sugar closely i havnt hypod, but if i dont want to wake up at 7am i am actually condemned, BI wont cover the morning rise. I have also tried splitting lantus many times and dosages in the last 6 months, which for some parts of the day worked out good and bad but never covers the morning rise. Im a single parent and i just feel so energyless everyday, im not sure whether a pump would be the best option either, however i think i will discuss having a pancreas transplant because most days i wake up with blurry vision because of this and i dont seem to be able to do anything with injections to prevent it

Jun 13, 2011

Peter 103 posts

Topic: General Discussion / What should DUAG being doing for you?

Correct.

Jun 13, 2011

Tony Brewster 4 posts

Topic: General Discussion / Orlistat (Xenical)

i took that about 2 years ago, it didnt effect my blood sugar though. But it does cause an uncontrollable laxative effect which can be embarassing even when you consume little amounts of fat. Doctor put me on reductil after that which stopped my appetite completely but it did drop my blood sugar because reductil is related to anti depressant.
I hope you have some luck with your xenical Smile

Jun 13, 2011

marke 643 posts

Topic: General Discussion / Hb1Ac results

hmm your worst years seem to be your teenage years, I just can't imagine why Wink

I always tell people how thankful I am that I didn't develop my Diabetes until I was in my 30's when my rock'n'roll years where all behind me. I meet so many people who were 'off the rails' in their teenage years and its not hard to imagine why.
It does show however 30 years and hopefully only a minor complication so its not inevitable that complications occur. Nice to see you Hb1Ac drop after the course as well, another happy DAFNE customer Very Happy

Jun 13, 2011

Michaela 13 posts

Topic: Carbohydrate Counting / Lasagne

no worries some people can't see the word vegan Laughing

As for the tofu it's roughly 7-8cps per package at 400g but there is a lot of water in that weight. Also I only used half a pack so say 3 making it about .5cp per portion depending on which way you want to round it which is why i didn't really bother counting it.

I'll roughly estimate it at 4 and see what happens. My standard ratio is 1.5

Jun 13, 2011

Carolin 83 posts

Topic: General Discussion / How can you work out HBA1c by using your BG averages? Is it possible?

Blood Glucose Range HbA1c Result
% mmol/mol
Under 7mmol/l (non-diabetic) Less than 6.0 Less than 42

Mostly under 10mmol/l 6.0 42
7.0 53
Frequently over 10mmol/l 8.0 64
9.0 75
10.0 86
11.0 97
12.0 108
Mostly over 17mmol/l Over 13 Over 119

Jun 13, 2011

Carolin 83 posts

Topic: General Discussion / How can you work out HBA1c by using your BG averages? Is it possible?

Just a reminder that your 'capillary' (finger-prick) BG tests and HbA1c are measuring completely different things so it's not really possible to apply a formula to work it out, however if you refer to the course handbook, that does give a very rough guide to your HbA1c and how it might relate to your overall BG levels.

The reporting of HbA1c has also changed, so you will be seeing the phasing out of the '%' results, to be replaced with 'mmol/mol', therefore if you have a HbA1c of 8% that will now be reported as 64mmol/mol.

Blood Glucose Range HbA1c Result
% mmol/mol
Under 7mmol/l (non-diabetic) Less than 6.0 Less than 42

Mostly under 10mmol/l 6.0 42
7.0 53
Frequently over 10mmol/l 8.0 64
9.0 75
10.0 86
11.0 97
12.0 108
Mostly over 17mmol/l Over 13 Over 119

Carolin

Jun 13, 2011

Carolin 83 posts

Topic: Questions for HCPs / Hypoes at dinner

Hi,

The safe advice is to treat any BG below 3.5mmol/l (even if it's a meal time) with 1.5 - 2 CPs rapid acting carbs, e.g. 150ml-200ml fruit juice; 3 - 4 jelly babies; 5 - 6 Dextrose tablets; 100ml - 120ml Lucozade.

You need to give these rapid acting carbs 10-15min to get into your bloodstream before you start to eat more food, otherwise it could take you longer to recover as the other food in your stomach will slow down the absorption of the glucose.

Once your BG is back up into the correct range for the time of day, simply match any mealtime CPs with your usual ratio of QA insulin.

Hope this answers your query?

Carolin

Jun 13, 2011

novorapidboi26 1,816 posts

Topic: General Discussion / Hb1Ac results

You seemed to have done OK over the years, well done............

thanks for sharing............

Jun 13, 2011

novorapidboi26 1,816 posts

Topic: Carbohydrate Counting / Lasagne

chrisinbrum said:
chrisinbrum said:
Sorry Michaela, I don't think my brain was in gear when I suggested cheese sauce!

...I gues the carb counter will be including cheese sauce though, so that might explain some of the difference between your calculation and the published on

you may be right there...................

moral of the story, unless eating out, use the packaging.................. Very Happy

Jun 14, 2011 Aneirin 15 posts	Topic: Questions for HCPs / Hypoes at dinner Exactly the advice I was looking for. Essentially if a do have a hypo at meal, treat it, wait 15 minutes, then act as normal (though no adjustments for the mealt time, jsut straight QA to CP ratio)

Jun 14, 2011 Michaela 13 posts	Topic: Carbohydrate Counting / Lasagne No I opted for 3 as the CP value of my vegan lasagne so I added .5 for the borderline BG and I'll test again in an hour or so and see where I am at.

Jun 14, 2011 novorapidboi26 1,816 posts	Topic: Carbohydrate Counting / Lasagne So does that mean you are taking less insulin with a higher blood glucose? Sorry confused.........

Jun 14, 2011 Michaela 13 posts	Topic: Carbohydrate Counting / Lasagne I went for 3.5 as I was over 8bg I'll let you know later if there is anything to report

Jun 14, 2011 novorapidboi26 1,816 posts	Topic: Carbohydrate Counting / Lasagne Look froward to the results........... My money is on 4 being too much.............

Jun 14, 2011 novorapidboi26 1,816 posts	Topic: General Discussion / How can you work out HBA1c by using your BG averages? Is it possible? I think the formula came from a calculated observation/relationship between the finger test averages and the HbA1c test result.... As I say, so far its not been correct, but definitely close, the more reading you have the more accurate it may become..........

Jun 14, 2011 novorapidboi26 1,816 posts	Topic: General Discussion / BG Diary It is a pain I know.................. For best results on Injections, splitting your BI dose is best, this can be with Lantus or Levemir most commonly, Humilin I is another, one will work best...............injecting your evening dose right before bed is best together with another injection when you wake, this gives you a larger quantity of BI in your system at this time, which will help towards getting your waking level down........ This also means that you may be running out of BI on the run up to bedtime, so you will need to compensate with more daytime BI, higher dinner time QA ratio or a combination of both.......... From my own personal experience, carbs are needed when you wake in order to let the liver know you no longer need a dump of glucose as you have refueled manually...............I have wanted to test my daytime dose with a carb free breakfast, or no breakfast at all, but its impossible, as the dawn phenomenon continues right up until lunch unless you refuel with carbs......... Currently I am carrying out this scenario, I inject at 2230 every night though as opposed to straight before bed, I have also noticed that 15-30 minutes of moderate activity (sweaty and heavy breathing) after dinner also helps as the muscles regain their stores of energy right into the next morning......... Trying to beat DP can be easy for some, but for other like myself, and possible you, a more strategic approach is needed..... Have you also considered resistance to insulin at different BG levels, the higher you are the less 1 unit may drop you, this may also help trying to get on target for lunch.... I would also stress again, that in order to be effective, you should not change your ratios by the day, you need to give that ratio a chance for a few days, and only try and change one thing at a time.............so I would recommend concentrating on your BI

Jun 14, 2011 Garry 328 posts	Topic: Site Development / Do you use the Diary Graphs? Blood Glucose Target Charts are good and bright. Like the way the graph scrolls out when started Is it possible to use these colours throughout all of the graph types as the rest are indistinct and although I have no experience I could imagine them being difficult to see on a smart phone screen in bright light. chrisinbrum - I just manipulate the data entry to get the info where I want and that keeps the graph right. Regards Garry

Jun 13, 2011 Tony Brewster 4 posts	Topic: General Discussion / BG Diary the last few days ive eaten a cereal bar with 22g of carbs in but at 7am i have to have 8 units of QA to cover it, i have monitored my sugar closely i havnt hypod, but if i dont want to wake up at 7am i am actually condemned, BI wont cover the morning rise. I have also tried splitting lantus many times and dosages in the last 6 months, which for some parts of the day worked out good and bad but never covers the morning rise. Im a single parent and i just feel so energyless everyday, im not sure whether a pump would be the best option either, however i think i will discuss having a pancreas transplant because most days i wake up with blurry vision because of this and i dont seem to be able to do anything with injections to prevent it

Jun 13, 2011 Peter 103 posts	Topic: General Discussion / What should DUAG being doing for you? Correct.

Jun 13, 2011 Tony Brewster 4 posts	Topic: General Discussion / Orlistat (Xenical) i took that about 2 years ago, it didnt effect my blood sugar though. But it does cause an uncontrollable laxative effect which can be embarassing even when you consume little amounts of fat. Doctor put me on reductil after that which stopped my appetite completely but it did drop my blood sugar because reductil is related to anti depressant. I hope you have some luck with your xenical

Jun 13, 2011 marke 643 posts	Topic: General Discussion / Hb1Ac results hmm your worst years seem to be your teenage years, I just can't imagine why I always tell people how thankful I am that I didn't develop my Diabetes until I was in my 30's when my rock'n'roll years where all behind me. I meet so many people who were 'off the rails' in their teenage years and its not hard to imagine why. It does show however 30 years and hopefully only a minor complication so its not inevitable that complications occur. Nice to see you Hb1Ac drop after the course as well, another happy DAFNE customer

Jun 13, 2011 Michaela 13 posts	Topic: Carbohydrate Counting / Lasagne no worries some people can't see the word vegan As for the tofu it's roughly 7-8cps per package at 400g but there is a lot of water in that weight. Also I only used half a pack so say 3 making it about .5cp per portion depending on which way you want to round it which is why i didn't really bother counting it. I'll roughly estimate it at 4 and see what happens. My standard ratio is 1.5

Jun 13, 2011 Carolin 83 posts	Topic: General Discussion / How can you work out HBA1c by using your BG averages? Is it possible? Blood Glucose Range HbA1c Result % mmol/mol Under 7mmol/l (non-diabetic) Less than 6.0 Less than 42 Mostly under 10mmol/l 6.0 42 7.0 53 Frequently over 10mmol/l 8.0 64 9.0 75 10.0 86 11.0 97 12.0 108 Mostly over 17mmol/l Over 13 Over 119

Jun 13, 2011 Carolin 83 posts	Topic: General Discussion / How can you work out HBA1c by using your BG averages? Is it possible? Just a reminder that your 'capillary' (finger-prick) BG tests and HbA1c are measuring completely different things so it's not really possible to apply a formula to work it out, however if you refer to the course handbook, that does give a very rough guide to your HbA1c and how it might relate to your overall BG levels. The reporting of HbA1c has also changed, so you will be seeing the phasing out of the '%' results, to be replaced with 'mmol/mol', therefore if you have a HbA1c of 8% that will now be reported as 64mmol/mol. Blood Glucose Range HbA1c Result % mmol/mol Under 7mmol/l (non-diabetic) Less than 6.0 Less than 42 Mostly under 10mmol/l 6.0 42 7.0 53 Frequently over 10mmol/l 8.0 64 9.0 75 10.0 86 11.0 97 12.0 108 Mostly over 17mmol/l Over 13 Over 119 Carolin

Jun 13, 2011 Carolin 83 posts	Topic: Questions for HCPs / Hypoes at dinner Hi, The safe advice is to treat any BG below 3.5mmol/l (even if it's a meal time) with 1.5 - 2 CPs rapid acting carbs, e.g. 150ml-200ml fruit juice; 3 - 4 jelly babies; 5 - 6 Dextrose tablets; 100ml - 120ml Lucozade. You need to give these rapid acting carbs 10-15min to get into your bloodstream before you start to eat more food, otherwise it could take you longer to recover as the other food in your stomach will slow down the absorption of the glucose. Once your BG is back up into the correct range for the time of day, simply match any mealtime CPs with your usual ratio of QA insulin. Hope this answers your query? Carolin

Jun 13, 2011 novorapidboi26 1,816 posts	Topic: General Discussion / Hb1Ac results You seemed to have done OK over the years, well done............ thanks for sharing............

Jun 13, 2011 novorapidboi26 1,816 posts	Topic: Carbohydrate Counting / Lasagne chrisinbrum said: chrisinbrum said: Sorry Michaela, I don't think my brain was in gear when I suggested cheese sauce! ...I gues the carb counter will be including cheese sauce though, so that might explain some of the difference between your calculation and the published on you may be right there................... moral of the story, unless eating out, use the packaging..................