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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 1,819 posts

Topic: General Discussion / Hb1Ac results

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

thanks for sharing............
 
Jun 13, 2011
novorapidboi26 1,819 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!

Confused



...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 13, 2011
chrisinbrum 41 posts

Topic: Carbohydrate Counting / Lasagne

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

Confused



...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
 
Jun 13, 2011
chrisinbrum 41 posts

Topic: Carbohydrate Counting / Lasagne

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

Confused
 
Jun 13, 2011
novorapidboi26 1,819 posts

Topic: Carbohydrate Counting / Lasagne

Michaela said:
Carb counter = Dafne one yes

No dairy as this is a vegan dish as stated.

6 sheets lasagne not pre-cooked
1 700g bottle of passatta (see first post for break down)
half an onion
several mushrooms
half a pack of tofu (negligible carbs)
drained chopped spinach

Allows for 4 portions



So in my opinion its only the lasagne sheets, you could maybe add one on for the whole bottle of passata and tofu, equaling 7 CPs, so 1.75CP per portion, assuming it has been divided equally, round it up to 2 if you want........apply your ratio and your off...................

i could go a lasagne now........... Smile
 
Jun 13, 2011
Michaela 13 posts

Topic: Carbohydrate Counting / Lasagne

Carb counter = Dafne one yes

No dairy as this is a vegan dish as stated.

6 sheets lasagne not pre-cooked
1 700g bottle of passatta (see first post for break down)
half an onion
several mushrooms
half a pack of tofu (negligible carbs)
drained chopped spinach

Allows for 4 portions
 
Jun 13, 2011
chrisinbrum 41 posts

Topic: Carbohydrate Counting / Lasagne

Did you have any cheese sauce on the lasagne - that would add CPs with any milk or flour/cornflour used.

I made a vegetarian lasagne recently and I found that my calculated CP per portion works out less than a pre-packed version or the values the carb counters give.
 
Jun 13, 2011
Karen Westwood 38 posts

Topic: General Discussion / Orlistat (Xenical)

Just wondering whether anyone has used Orlistat as a weight loss drug.

Started taking this today and my BG increased considerably between breakfast and lunch even though I had used a correction dose at breakfast. Don't know whether this is just 'one of those things' or whether there is some relevance to me taking the tablet this morning.

Any comments would be appreciated.

Thanks.

Karen x
 
Jun 13, 2011
novorapidboi26 1,819 posts

Topic: Carbohydrate Counting / Lasagne

The tomato sauce wouldn't really be significant, as its less than 10g per bottle, how much do you use, all of it............?

To me there a 6CPs in this dish, if in fact the packaging stated it as 1CP per sheet.................so divide that by 4 and you get 1.5CP per portion..........when you refer to carb counter, is that the DAFNE carb counter?

The 4.5CP listed is a reasonably accurate guide to the value in 300g of pasta, you cant beat the actual packaging you buy it in though.......

 
Jun 13, 2011
Michaela 13 posts

Topic: Carbohydrate Counting / Lasagne

I made vegan lasagne with 6 sheets dried and not pre-boiled. The carb counter says 1cp per sheet. My 6 sheet lasagne issued 4 portions so wouldn't that be 1.5cp per portion vs 4.5 listed under lasagne portion?

Is it counting the tomato sauce? mine is just passatta with onions and mushrooms in it. According to my calculations the cp would be 1.5 per portion (6gram carb per 100g in 700g bottle)

So I am looking at 3cp per portion?
 
Jun 13, 2011
novorapidboi26 1,819 posts

Topic: Questions for HCPs / Hypoes at dinner

I would normally treat the hypo with jelly babies, but I am confident the glucose from it would be used up very quickly, so not noticeably effected by the following meal.............only high fat items would keep digestion at bay..........

treating also means you can inject before eating too, which is sometimes essential when trying to match the digestion to the insulin action........

my vote would be to treat the low, then inject as normal................and then start thinking about why your low, and if happening regularly your dose might be out..............
 
Jun 13, 2011
chrisinbrum 41 posts

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

I think the graphs are very good, and helpful. The only problem is that if I have any QA or BI without checking BG, the graphs just treat the absence of a BG reading as 0 and the graphs and averages are then confusing and inaccurate. Can the settings be changed so that any absent BG readings don't affect the data in this way?

(The reason i sometimes don't do a BG reading at food/injection times is if for example I did a BG half an hour earlier while driving, or if it's only a couple of hours since a previous QA so any BG wouldn't give a true result because there's still QA in my system etc.)
 
Jun 13, 2011
novorapidboi26 1,819 posts

Topic: General Discussion / Some advice please

WOW, they are good results, apart from the lows obviously...........

I would maybe think about your ratios now your BI is doing the job.....

you must be well chuffed................... Very Happy
 
Jun 13, 2011
derekh1965 95 posts

Topic: General Discussion / Some advice please

I hopefully am getting there.

Here is my diary for the weekend.
 
Jun 13, 2011
Aneirin 15 posts

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)
 
Jun 13, 2011
Simon Heller 46 posts

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
 
Jun 13, 2011
novorapidboi26 1,819 posts

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.......... Sad
 
Jun 13, 2011
novorapidboi26 1,819 posts

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........ Very Happy
 
Jun 13, 2011
novorapidboi26 1,819 posts

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..........
 
Jun 12, 2011
AllanR 15 posts

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!
 
Jun 12, 2011
Simon 578 posts

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 Wink

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.