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15,847 posts found
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Jun 13, 2011
derekh1965
90 posts
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Topic: General Discussion / Some advice please I hopefully am getting there.Here is my diary for the weekend. |
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Jun 13, 2011
Aneirin
15 posts
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Topic: Questions for HCPs / Hypoes at dinner Hello. Just a quick question (probably easily answered) about hypoes right before a meal (like when waking up low and it is breakfast time, or simply bad timing for a hypo, or a lack of hypo awareness meaning you don't notice till pre meal BM). Tradtionally I just took some quick acting with my normal CA's, and gave no insulin for the extra quick acting carbs. However it just occurred to me that it is rather pointless taking quick acting with a meal as it will just slow it down, and I usually wind up quite high after doing this. So should I put off eating until the quick acting has had time to act by itself, then eat and inject normally? How long should I wait? Should I just eat and inject less and let myself come from the hypo slowly?(I treat with 2 units worth of apple juice) |
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Jun 13, 2011
Simon Heller
46 posts
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Topic: Questions for HCPs / Metformin /Type 1 Hi Linda. I think you should be prepared to start to reduce your background insulin if there is a strong effect, which will show up on your fasting glucose and if you do a carb free lunch and miss your QA your pre evening meal BG. But I doubt there will be a major change. I think you shouldn't rush to change your insulin ratios for meals but see how you go. Perhaps to avoid hypos drop background insulin by a couple of units and then see if there is a pattern with fasting and pre evening meal glucose values? You can always push it back up after a few days or week or two if there is no effect.ATB Simon |
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Jun 13, 2011
novorapidboi26
1,819 posts
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Topic: Questions for HCPs / Metformin /Type 1 taking the risk of hypo is entirely up to you I would think, as Simon said, the affect of metformin on everyone is different, so you might end up running higher instead of low...........I have not taken metformin but I believe it can take a while to settle down in terms of BG, not to forget the side effects.......... 
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Jun 13, 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? Finding exactly were it came from might be a pain, it is used all the time though, and in fact it has been used in some android apps I have came across were it predicts your HbA1c, but yeah, its only a prediction, and one which has not proved correct for me as yet, but you would need an evenly spread set of results through the day, every day for 90 days to even come close...........and not even me with my constant testing could provide that amount consistently........
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Jun 13, 2011
novorapidboi26
1,819 posts
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Topic: General Discussion / Watch out for your dog! I seen this article when it happened last year....................the guy was quite lucky actually, he was morbidly obese and couldn't actually feel his feet, which is quite common for obese folk, diabetes was present, undiagnosed, infection set in and the dog, with its acute sense of smell got to work, he was quite lucky actually, it could have went septic and killed him, and now he has the diabetes diagnosis he can start treatment........... whether the dog wanted the rotting flesh or actually knew it/they had to be removed to save his owner is a mystery.......... |
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Jun 12, 2011
AllanR
15 posts
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Topic: General Discussion / Watch out for your dog! How did he not notice his toes were being eaten? seems a bit far fetched really. Unless that is it was all dead flesh etc and he couldn't feel anything there.Once had a hypo while dog sitting my brothers dog while I was asleep. She was great also, if overly protective over anyone trying to get anywhere near me while I was out of it. Makes you think though, if a dog can smell a hypo/your BG, surely there is a chemical reaction going on which can be measured which could be used for none blood needing BG tests surely! |
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Jun 12, 2011
Simon
578 posts
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Topic: General Discussion / How can you work out HBA1c by using your BG averages? Is it possible? You're not a cynic - just more careful and thoughtful than me You're right though - we'd have to put a disclaimer on this, and details of how it was calculated. I would only suggest we do it if there was official research which we can link to which backs it up. Would be easy enough to add the functionality, as we already calculate the 90 day average on the BG diary. |
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Jun 12, 2011
Simon
578 posts
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Topic: General Discussion / What should DUAG being doing for you? DUG is open to anyone who's taken the course, and are canvassed by DAFNE and the DUAG for opinions / research etc.DUAG are an elected representative group of DAFNE Graduates who meet regularly and take part in activities to ensure DAFNE Graduates are better represented to DAFNE, Diabetes UK, NHS Trusts etc. That's my take on it anyway! |
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Jun 12, 2011
Simon
578 posts
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Fair comment Garry, they are just the defaults - any preferences? |
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Jun 12, 2011
Garry
328 posts
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Topic: Site Development / Do you use the Diary Graphs? Bit dull in terms of colour Simon...but perhaps I'm just an old metfartin! Regards Garry |
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Jun 12, 2011
meltow
78 posts
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Topic: General Discussion / What should DUAG being doing for you? Perhaps it's only me?Sorry Peter, but I just don't get the difference between DUG and DUAG, and their roles and purpose. |
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Jun 12, 2011
Linda S123
8 posts
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Topic: General Discussion / Watch out for your dog! My labrador used to sleep at the side of my bed and when younger, I was prone to night time hypos. The dog would waken me up and one time he actually nosed the twix bar towards me that was lying on bedside cabinet. I could always trust him to look after me when I asleep. Thanx Max
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Jun 12, 2011
Linda S123
8 posts
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Topic: Questions for HCPs / Metformin /Type 1 Hi, Im about to do the same anf start taking metformin tablet, starting with one a day in morning and go on to twice daily and take it from there, Should I drop my insulin dose forst and work from there or take the chance of lows and correct as it goes ? |
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Jun 11, 2011
marke
681 posts
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Topic: General Discussion / How can you work out HBA1c by using your BG averages? Is it possible? Being the cynic of the site and the internet, I would say use this with extreme caution. There are a million sites offering suggestions and ideas as 'facts' all over the internet and most have absolutely no scientific basis for what they say. As Novarapidboi says we would neeed to make VERY clear it is only an estimate NOT based onany scientific evidence. As ever what works for some may not work for all and so the answer for some may be very accurate whilst for others it may be way off. The site referenced says its based on CGMS data and indeed if we all had Constant Glucose Montoring Systems ( man that really would be good) the HbA1c results probably could be calculated reaonably accurately. However with only 4 points of measurement each 24 hours, I don't see how any calculation can be accurate. I also think that your HbA1c result will not 'really' be a suprise to anyone, if you have been testing regularly so an estimate ( via this calculation ) will only confirm what you all ready know so will be of limited use. But if people do find it useful why not. |
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Jun 11, 2011
Peter
109 posts
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Topic: General Discussion / What should DUAG being doing for you? The DUAG (DAFNE User Action Group)team were elected 2 years ago by the membership of DUG (DAFNE User Group) to act as representatives of DUG, and to provide a User voice in the running of DAFNE in the UK and Ireland. We have members who participate in the research and educator meetings as well as on the DAFNE Executive team.In the last 2 years we have had little contact with our users, primarily because we have e-mail addresses for a subset of them. We are currently reviewing the our objectives fro the next 12-18 months, and so would welcome your thoughts (whether a DUG member or not) on what the challenges are for DAFNE at the moment, and what we should be doing to tackle them. Thanks. NB. If you're not a member of DUG and would like to join, then details are provided in the DAFNE User Group forum on this site. (All DAFNE Graduates in the last 18 months should have been told about DUG, and given the application form, as part of your training course. Those who graduated earlier will not automatically have been given the information). If you want to get involved in DUAG, then send me a message through the site. |
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Jun 11, 2011
Peter
109 posts
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Topic: General Discussion / BG Diary Tony, I would suggest you talk to your diabetes team about changing on to a twice daily basel (background insulin) regime. This is recommended for many people and when taken last thing at night and first thing in the morning it has the benefit of increasing the background insulin levels during the morning, which may help with the increases you are talking about in the morning.Given the number of changes you've made in quick succession it's difficult to know where the problem area are. I would also be thinking about increasing the background dose given that the BG level is high across the day. It would be worth talking about that with your diabetes team. Good luck. |
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Jun 11, 2011
Peter
109 posts
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Topic: Questions for HCPs / Blood Glucose range whilst pregnant There is a section in the course handbook on pregnancy (see link at the top right of the page, assuming you are logged in as a graduate). the targets stated there are:The normal level of HbA1c is lower during pregnancy so we encourage women to try to get their HbA1c below 7% if possible. During pregnancy is one of the few times we recommend testing your blood glucose level in between meals. The target levels during pregnancy are: Less than 6 mmol/l before meals. Less than 8 mmol/l 1-2 hours after meals / before bed. Good luck in meeting those. They certainly look tough to achieve. |
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Jun 11, 2011
novorapidboi26
1,819 posts
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the graphs seem to work good for me, I think I prefer these versions, might just be the novelty though, better compatibility with more devices is important though...... |
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Jun 11, 2011
novorapidboi26
1,819 posts
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Topic: General Discussion / BG Diary dawn phenomenon but a bit later, that's strange the liver action doesn't happen before you wake..............if your waking normal, then tackling the liver maybe easier, you can just compensate with some QA insulin at breakfast, nothing is ever simple though..... you don't need to suffer the highs in the morning, the 24 might be good enough to get you through the night, but it may not be enough for during the day, have you discussed that with anyone..... |
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Jun 11, 2011
Simon
578 posts
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Topic: Site Development / Do you use the Diary Graphs? If so, we've changed them recently from Flash to Javascript, which makes them viewable on a wider range of devices (purely selfishly, I'm an Apple fanboy and Flash doesn't work on iPhones/iPads).Let us know if the new graphs work OK for you - and if there are other kinds you'd like. Simon |
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Jun 11, 2011
Tony Brewster
4 posts
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Topic: General Discussion / BG Diary hi, my blood sugar goes up in the morning even when i dont eat, i could wake up norm but be about 17-19 at lunch time. its not really a ration for breakfast its more like assuming what sugar myy liver will pump out and try to match it on top of brekky. this is my week first on dafne. 24 i like because works best when im sleeping. but the mornings are killing me |
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Jun 11, 2011
novorapidboi26
1,819 posts
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Topic: General Discussion / BG Diary is this your week on the DAFNE course..............?I will assume your on Lantus as there is only one dose, and so I would also comment on the fact that you have changed your dose and not allowed 3 days for it to show its effectiveness, all dose changes should be allowed to work, but especially Lantus as it takes a few days to settle down.............is it Lantus.....? It seems like the 24 dose was the best overnight, maybe just a wee bit to strong, but you wouldn't know for sure unless you stuck with it for a few days..... As this dose is still being established insulin/carb ratios wont be able to be tweaked properly.............. I see you have went up to 3:1 at breakfast, most people are more resistant at that time so you could be right there................ |
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Jun 11, 2011
Tony Brewster
4 posts
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Topic: General Discussion / BG Diary - |
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Jun 11, 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?
Warm welcome from me............... DAFNE turns round everyones understanding of how to manage the condition, the condition still remains a pain and unpredictable as insulin needs change all the time...........i have upped my activity levels at night and my blood sugars are all messed up now............. Look forward to hearing how you get on and to discuss any concerns you may have........... |