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Jun 15, 2011
chrisinbrum
41 posts
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Topic: General Discussion / How can you work out HBA1c by using your BG averages? Is it possible?
Presumably if you did a lot of BG readings 1-2 hours after food when your BG is highest, then your average BG would be higher than if you always waited and just tested after the 4 or 5 hours that the QA would be working for. The equation isn't able to tell whether a high average BG is because you have genuinely high readings, or because you always test before exercise and need to have high BG, or because you've done a lot of tests between breakfast and lunch (like I do) to look at the way the BG drops between injections. |
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Jun 15, 2011
Welshmapleleaf
19 posts
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Topic: General Discussion / Carbs v Cals I think for diabetics and non diabetics, it's a mixture of1) What types of food you eat and 2) PORTION SIZE!!!! It's just that it becomes a bit more complicated / scientific for us diabetics as not only do we have to watch what and how much we eat, but we also have to try to replicate the body's natural BG balancing act at the same time. I only graduated last week, and I'm aware that as a result of improving my overall BG levels, I could put on weight through fat that that was previously being excreted through my urea, BUT (and this will hopefully be my saving grace!), my actual portion sizes since starting DAFNE are much smaller, I don't snack between meals at all, and I'm using less insulin. I hope the net effect of this will be weight loss. 
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Jun 15, 2011
Garry
328 posts
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Topic: Questions for HCPs / Metformin /Type 1 novorapidboi said not to forget the side effects....... he once renamed it 'metfartin' which had me laughing.... as that's what it does to you. I am only taking 1 g a day, 500 morning 500 mg evening and so far, over the last two months, it has not changed my ratios at all. Consultant said feel free to take metformin at up to 3 g a day but I feel in control and am happy enough with ratios up to 2.5 - 3.0. But we are all different, so as usual..... slow changes, a step at a time, so you can clearly recognise any beneficial effect. Regards Garry |
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Jun 15, 2011
Karen Westwood
38 posts
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Topic: General Discussion / Hb1Ac results Wow those readings are amazing! To have kept at those levels over such a long period of time is really good and you must be really proud of yourself!! I was diagnosed in 1981 at the age of 10 and it would be interesting to be able to find out past HbA1 readings, how did you manage to get this information?Well done  Karen x |
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Jun 15, 2011
Karen Westwood
38 posts
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Topic: General Discussion / Orlistat (Xenical) Thanks Tony! BG levels have now leveled out again so must have just been a rogue test at lunch time on Monday. I too used reductil and lost a great deal of weight using it but it was taken off the market early last year and since then my weight has, unfortunately, been on the upwards slope AGAIN!! Just into day 3 now and so far I have not had any problems with the orlistat tablets - fingers crossed it stays that way and the weight starts to drop off soon
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Jun 15, 2011
novorapidboi26
1,819 posts
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Topic: General Discussion / Carbs v Cals I carb count but I seem to put on weight.............Probably down to an increased resistance to the insulin, which means more insulin and then more weight..... 
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Jun 15, 2011
novorapidboi26
1,819 posts
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Topic: General Discussion / How can you work out HBA1c by using your BG averages? Is it possible?
I would agree with your statement......... I dont understand your 4 hours comment though..........the more readings the better...... If a CGM was 100% accurate, I believe the formula mentioned could get pretty close to the actual HbA1c |
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Jun 15, 2011
Nikki H-C
23 posts
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Topic: General Discussion / How can you work out HBA1c by using your BG averages? Is it possible? I understood that your HBA1c was a measure of the amount of "sugar" attached to newly produced blood cells from your bone marrow. Hence it being a reflection of your levels over 3 months as your new blood cells last 3 months.So whilst an average daily reading is a good indicator of what your hba1c will be, it'll never be a true reflection. Especially as you might test yourself within you 4ish hour window of eating, thus skewing your readings. Does any of that make sense??!! |
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Jun 15, 2011
Nikki H-C
23 posts
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Topic: General Discussion / Carbs v Cals Whilst I appriciate calories are a different messurment of food "energy", it would seem to me that if your levels are under control you don't put on weight.Therefore, would it be fair to say A) you don't need to calorie count to loose weight B) people in general should carbs count rather than calorie count to lose weight My parter is dieting at the mo and he has to count calories in items that us type 1's don't really have to worry about I.e. Tea, salad etc. What are your thoughts? |
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Jun 14, 2011
Linda S123
8 posts
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Topic: Questions for HCPs / Metformin /Type 1 Thanks everyone. The info received has given me bit more confidence to actually start taking the tablets. Ive has them for 3 weeks now and havent started yet !
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Jun 14, 2011
Michaela
13 posts
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Topic: Questions for HCPs / Metformin /Type 1 I take metformin also 1 a day and I don't think it effected me one way or the other when I started using DAFNE. Although, the course leaders were shocked that I need so little BI (so they said). I take 10 at night only. |
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Jun 14, 2011
Michaela
13 posts
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Topic: Carbohydrate Counting / Lasagne Sorry to confuse you as you would not know I tend to round up in cases where the value comes out by half. So I did indeed take 6 my BG is at 6.9 |
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Jun 14, 2011
novorapidboi26
1,819 posts
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Topic: Questions for HCPs / Hypoes at dinner Thats it in a nut shell...............Are you regularly going low before dinner...........? |
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Jun 14, 2011
novorapidboi26
1,819 posts
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Topic: Carbohydrate Counting / Lasagne Ahh, I though you decided on 4CP for the lasagne.................so with your ratio of 1.5:1 you would be taking 6 units of insulin.....Your method of correction is news to me also, would you not just add 1 unit onto your carb dose of 6, or if you decided on 3CPs, 5 units....... |
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Jun 14, 2011
Aneirin
15 posts
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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) |
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Jun 14, 2011
Michaela
13 posts
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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. |
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Jun 14, 2011
novorapidboi26
1,819 posts
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Topic: Carbohydrate Counting / Lasagne So does that mean you are taking less insulin with a higher blood glucose?Sorry confused......... 
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Jun 14, 2011
Michaela
13 posts
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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 |
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Jun 14, 2011
novorapidboi26
1,819 posts
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Topic: Carbohydrate Counting / Lasagne Look froward to the results...........My money is on 4 being too much............. 
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Jun 14, 2011
novorapidboi26
1,819 posts
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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..........
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Jun 14, 2011
novorapidboi26
1,819 posts
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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 |
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Jun 14, 2011
Garry
328 posts
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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 |