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May 27, 2011
novorapidboi26 1,816 posts

Topic: General Discussion / Thank you DAFNE

you get that from the DAFNE training centre you attended the course at.............give them a call..........
 
May 27, 2011
novorapidboi26 1,816 posts

Topic: General Discussion / Advice please

If its the dawn phenomenon, then you cant really stop it, it will always happen, i think the drug metformin can stop glucose dumps from the liver but i couldnt comment on its effectiveness................

moving your BI dose to immediately before bed may help as you will then have more units in your system at the 4, 5 am time...............i moved mine from 1800 to 2230 and can wake with single figures now..............but trying to get the daytime dose to last longer or compensating with QA in the evening may be needed......

that could be an option for you if your sure the dose is correct......

getting up earlier to carch the rise in BG is another option...........i get up at 630, so my body starts the hormonal response about 430-530, this is probably down to my internal body clock being used to the 630 wake, if i got up an hour earlier the response may even start ealier, so you might never be able to catch it effectively........

some think that eating slow released carbohydrate before bed results in you still digesting food/absorbing carbs in the early hours that essentially tells the liver that the glucose dump is not required, and so dropping the BG slightly, there will still be increased insulin resistnce though.............

theres lots of ways to try and trick the liver but sometimes this is not enoug and pump is needed, but you will need to prove this with results obviously......

 
May 27, 2011
Alan 49 280 posts

Topic: General Discussion / Changes to the NHS

I am very concerned about all the changes the government are proposing to make and the speed of the reforms. I sent a list of questions I had to my MP, but she never answered any of them, she just said they were a good thing. I wrote back and she replied that she would pass them on to Andrew Lansley (the Health Secretary). Eventually, I got a letter from Earl Howe (remember him?) He didn't answer any of my questions either; instead, he referred me to the 'Listening Exercise'. I didn't even know there was such a thing - has anybody else heard about it?

If anybody's interested the website address is www.dh.gov.uk/healthandcare

Its name doesn't actually give any clues that it is a Listening Excercise, does it? It smacks of a political ploy, so that they can say that they listened, before implementing the changes.

This 'Listening Exercise' closes at the end of May, so if you want to have your say, you'd better do it quick.
 
May 27, 2011
saxman 28 posts

Topic: General Discussion / Advice please

I have been using levamir as BI for a while now and I have got the dose right for the day but try as I might I cant lower the early morning levels. My BG is normal at 3am but at breakfast its more like 8,9,more sometimes. I know about dawn effect and after breakfast it lowes to near normal. I have altered the eve BI dose to no effect any other ideas please???
 
May 27, 2011
Mark Bendall 4 posts

Topic: General Discussion / Thank you DAFNE

novorapidboi26 said:
Welcome to the graduate club..................and the forum....

have a look round and feel free to ask any questions you might have............ Very Happy

Thanks, I need to find out the code to change to 'Graduate' the code I was given is wrong
 
May 27, 2011
Mark Bendall 4 posts

Topic: General Discussion / Thank you DAFNE

Thanks, I need to find out the code to change to 'Graduate' the code I was given is wrong Crying or Very sad
 
May 27, 2011
novorapidboi26 1,816 posts

Topic: General Discussion / Thank you DAFNE

Welcome to the graduate club..................and the forum....

have a look round and feel free to ask any questions you might have............ Very Happy
 
May 27, 2011
novorapidboi26 1,816 posts

Topic: Carbohydrate Counting / Jacket Potato

It seems a baked potato actually absorbs faster than pasta, but about the same as rice.................and white bread, so starchy, but still high medium to high GI, which means higher spikes as opposed to a slow gradual impact on BG................

try it without cheese and see what happens.......the impace may be less severe, then you can start thinking about other toppings.............
 
May 27, 2011
Mark Bendall 4 posts

Topic: General Discussion / Thank you DAFNE

Hi, I have just finished my weeks course on DAFNE at Bromley(Beckenham). I would just like to say how glad I am to have been able to attend it, I learnt so much from Kaylee and Caroline and meet some nice people too (Diabetics). I have been type 1 for over 30 years and was very un-educated on the subject, I hope now to be able to keep a better control. Thanks again. Laughing

Cheers Mark
 
May 27, 2011
novorapidboi26 1,816 posts

Topic: General Discussion / Hello

Daniel Leone said:
Novorapidboi26,penty of work for everyone down under.



thats good news.............. Laughing
 
May 27, 2011
novorapidboi26 1,816 posts

Topic: General Discussion / Some advice please

Its definetly something to discuss with your team.....but they may just offer another background insulin that has a longer duration..................if you can prove with results how long it is actually lasting that would help.........

See how the higher dose of 24 goes, I suspect you may need to still go further, also the more units you put in, the longer its active duration, they may have told you this in the course...........so theoretically you could end up on 30 units and it may also last past the time when the hormones kick in...........

Keep up th good work........... Very Happy
 
May 27, 2011
JayBee 582 posts

Topic: General Discussion / OneTouch users beware

Simon said:
The moral of the story - don't trust what the pharmacist tells you!



Hear, hear!
 
May 27, 2011
JayBee 582 posts

Topic: Carbohydrate Counting / Jacket Potato

So a jacket potato behaves like pasta and rice? How weird!

I do remember my DAFNE team saying about how it's cooked effects it's out come... didn't click in my head that it was like pasta and rice though (probably because most potato doesn't change due to water, but in a way, for a jacket to behave differently to say chips, does make some sense when you think about it).
 
May 27, 2011
derekh1965 99 posts

Topic: General Discussion / Some advice please

Not very good BS this morning at 11.2. Bedtime was at 11.7, had 1 cp and 4+7 QA along with my 22 BI.
That is me tried the 22 BI for 2 days so will try 24 tonight.

With regards to a cp free bedtime snack. I used to always have a cp free snack and it was only because the HC told me that was why I was going high.
With no carbs the brain was telling the liver to pump out glucose as it needed it.

Withy my BI being isophane and the duration being 8-14 hrs and I suspect it only lasts 89 hrs, would I better taking it 3x daily? 1 in the morning 8am another 1 at 4 or 5pm and then at bedtime. I know there is a risk of them overlapping but the morning one has ran out by 5 or 6pm.

If it lasted 14 hrs for me 2 a day would be fine. When first put on isophane, 15 yrs ago, was told take it at dinnertime which is ok if it lasted the full duration.
However, if it only lasted 10 hrs that would explain why I was always high in the morning. Take it at 5pm, 10 hrs later at 3am it has ran out so nothing to cover the dawn phenomenon which, incidentally I was never told about.

Thanks for all the help your giving me it is very much appreciated.


Best regards

Derek
ps they told me the metformin stops the liver producing glucose.


 
May 27, 2011
maria51 22 posts

Topic: General Discussion / Hello

Thanks Daniel will give it a go.

Cheers.
 
May 27, 2011
Carolin 83 posts

Topic: Carbohydrate Counting / Jacket Potato

Hi guys,

Interesting discussion and strangely enough (contrary to what health professionals previously believed / understood / advised), jacket potatoes have a relatively fast absorption rate, so the CPs get into your blood stream pretty quickly.

We know from experience that different cooking methods (eg oven baked; microwaved; cooked in foil) appear to make a difference to the CP value of a potato once it's cooked, most likely due to how much water is lost in the cooking process, however the 'validated' nutritional text books give the 3CPs per 100g value which is what's stated in the DAFNE CP List.

Many DAFNE Educators suggest, where possible, to weigh the potato while it's raw, to get a more accurate value (based on 1.5 CPs per 100g) then it doesn't matter how it's cooked.

The other thing to consider is whether or not you eat the skin..... you may lose up to 1CP if you leave the skin Very Happy

Hope this helps the discussion?

Carolin
 
May 27, 2011
Daniel Leone 8 posts

Topic: General Discussion / Hello

Novorapidboi26,penty of work for everyone down under.
 
May 27, 2011
Daniel Leone 8 posts

Topic: General Discussion / Hello

Hi Maria51,im taking to it very well love all the infomation i can get,you can also look at Reality Check Forum its great too. Very Happy
 
May 26, 2011
Simon 574 posts

Topic: General Discussion / OneTouch users beware

Thanks for your replys all - my doctors surgery gave me a meter to tide me over but it turned out to be broken with expired test strips. So I went to the late night pharmacy (a different boots) and bought a new meter, whilst I was there I asked them if they had any OneTouch Ultra strips and they said... Yes! No supply problem or anything. So today I went into the original Boots to complain and tell them they had to refund me for the meter purchase - after going away to consult with the area manager they said they'd refund the meter, get my OneTouch strips in for tomorrow and also gave me a £10 gift card for the trouble. Guess they don't like being exposed as liars....

Anyway, the new meter I got is an AccuCheck Aviva Nano, and I much prefer it to the old OneTouch Ultra, so today I went into the docs and got my prescription changed to the Aviva strips/lancets.

The moral of the story - don't trust what the pharmacist tells you!
 
May 26, 2011
maria51 22 posts

Topic: General Discussion / Hello

Hey Daniel, I"m from Melbourne too. Sounds like you're pretty level headed about having Diabetes only 10 months down the track, as I sure wasn't ! I only wished I'd heard about this forum before I'd done the Dafne course as it's extremely informative & supportive.

All the best.

 
May 26, 2011
Simon Quinnell 16 posts

Topic: General Discussion / OneTouch users beware

A couple of weeks ago when I went to my local Morrison's pharmacy, I had the same problem. They too said there's a shortage, but gave me my prescription back so I could try elsewhere. Fortunately, another local pharmacy had plenty in stock!
 
May 26, 2011
JayBee 582 posts

Topic: General Discussion / OneTouch users beware

I will be putting in a prescription again soon... hopefully no problems will come up (I go to a Lloyds/Co-Op usually).

I've only used a Boots once, can't say it was the most reliable service but sometimes it's good to know there is a 24 hour pharmacy option somewhere. Smile
 
May 26, 2011
novorapidboi26 1,816 posts

Topic: General Discussion / Hello

Anything for civil engineers.........?