Recent Posts

Search the DAFNE Online Forums

15,718 posts found

May 24, 2011
novorapidboi26 1,816 posts

Topic: General Discussion / Some advice please

I am on Levemir Insulin, been on Lantus and Humilin I, Lantus didn't last 24 hours and I tried Humilin I to tackle DP as it has more of a peak, but it didn't help.......

I admitted defeat to DP purely because I didn't KEEP upping my dose as it wasn't having an effect, I was still high in the morning, so I stopped increasing, it took a fresh look from my DSN to get me to try and keep increasing it, that is the step wise approach we have been taught at the DAFNE courses, it sometimes easy to forget that.....

Its all a process of elimination, and it may be the case that your morning highs just wont be beaten and a pump will be needed, but you need to try increasing first, starting wit the overnight dose, our BI requirements can change all the time, sometimes quite considerably, its a pain, but that's Diabetes for you........

 
May 24, 2011
NiVZ 82 posts

Topic: DAFNE Online Mobile / Android app

Simon said:
I'm going to have a look at this now - what version of the Android OS is everyone using? NiVZ - perhaps you, Mark and I could work together on it, sharing the workload? I've done some Java dev in the past, just need to get my head around the Android SDK.



Hi Simon,

Sorry, been busy as usual - moving house this Friday! Most phones out there are Android 2.x so it's probably best to aim for Android 2.1 that way it will work on all Android 2 and above phones. Biggest difficulty with Android is coding UI for different screen sizes and densities.

Here's a quick guide I wrote to get the SDK all setup and ready to compile your first program:

Setup Android Development Environment
-------------------------------------

1. Download and Install JDK 1.6
2. Download and Install Android SDK (if JDK not found, press back then next)
3. Use Android SDK to download required APIs (these are emulators of the Android OS - I just chose Android 2.1 and the Sample API Demo programs)
4. Create an Android Virtual Machine (AVD) - this is your emulator and can be configured to different screen sizes
5. Download Eclipse for Java (Helios) and unzip Eclipse to C:\Program Files\eclipse
6. Add Android ADT plugin to Eclipse by starting Eclipse and:

Click Help -> Install New Software
Click Add
Enter Name: ADT plugin
Enter URL: https://dl-ssl.google.com/android/eclipse/ (can try http:// if https:// fails)
Click OK
Click checkbox next to 'Developer Tools'
Click Next
Click Finish

7. Configure ADT Plugin in Eclipse

Click Window -> Preferences
Select Android from left panel
Click Browse and choose Android SDK location
Click Apply
Click OK

NiVZ
 
May 24, 2011
derekh1965 99 posts

Topic: General Discussion / Some advice please

Thanks for your reply novoraoidboi26. I am 19.5 stone and was under 19 before dafne, was trying to loose weight cutting out most carbs but diabetes nurse "streesed" to me my body needed carbohydrates, so I am taking carbs now and you can see the result, high BS and over 7lbs weight gain.

You can see last nights bedtime BS, CP and insulin taken at 11.45 and I woke at 8.45 with a BS of 13.9!!

I've tried taking upto 22 BI at night and still high. On sat 21/5 had 22 BI at 11.45, bed at 1am with an 8.4 BG and tested at 7.50am with a BG of 17.9!!

What type of BI do you take? I had been on Humilin Isophane for years with the same high BS in the morning, put me on Lantus and had greater control but didn't feel right on it and asked to try animal insulin. Been off lantus for a couple months now and don't feel any better so it probably wasn't the lantus that was making me feel bad.

Got DAFNE review on 6th June so see what they say.


Bests regards

Derek

 
May 24, 2011
MelissaF 56 posts

Topic: General Discussion / Levemir versus Lantus

Hi Claire,

Just another idea for you... I've been having the same problem recently (OK at 3am tests and then high in the morning) and I assumed that it was dawn phenomenon and that I needed to up my BI to compensate.

I currently have a very good diabetes nurse who said that, looking at other hypos I'd been having over the course of the day, she thought that it might be too much BI and nightime hypos between the 3am reading and waking at 7am that were causing the highs on waking. I've been doing some experiments and she was absolutely right so I've dropped the nightime Lantus right back down again.

This may well not be the case with you but it's something to think about if things still don't seem to be working. Not sure how you'd know - maybe test a bit later than 3am and see if it's dropping or rising then? Maybe if you're splitting your Lantus then there's a bit of an overlap somewhere between doses that's making you low?

Good luck.

Melissa xx
 
May 24, 2011
novorapidboi26 1,816 posts

Topic: General Discussion / Some advice please

You cant really compare, but I am about 16-17 stone, so overweight and my BI requirements are 30 in the morning and 38 at night, with a 3:1 carb ratio at breakfast, the remainder are 1.5:1........

So, although we are not the same, my point would be, get your BI doses up, and continue to do so until you hold steady, you may be resistant to insulin but I suspect you could do with more BI, BI does lower your blood sugar if the dose is too high for your livers rate of glucose secretion...........

The theory of rising BGs/liver dump when there are no carbs present is correct, or at least for me, but this wouldn't normally happen overnight when your body knows it should be asleep, only when the internal clock goes off and tells the liver to start dumping glucose in the morning (Dawn Phenomenon) would carbs help in turning off/suppressing the dump...........

I realised this last week when I decided to go carb free at breakfast for a few days, BGs went up until lunch......... Crying or Very sad
 
May 23, 2011
derekh1965 99 posts

Topic: General Discussion / Some advice please

Hi marke
Thanks for your reply.

The HCP told me BI does not lower your BS, although I suspected it did.
You are right about me having to take a lot of insulin, never used to be like that. I would never have dreamed of taking that amount of insulin.
If I have a portion of rice (200g) I need 24 units. Before I would have maybe taken 14.
Last night bedtime you can see what carbs and insulin had and I woke this morning with a BS of 13.7!! This is really p^^ing me off,
Tonight my BS was in the normal range, had 2 CPs and 8 units of QA so will see what my BS is in the morning. If it is high then I am very confused and clueless.
I took 18 BI last night and 18 tonight as you are right I was chopping and changing too often.

thanks and best regards

Derek

 
May 23, 2011
marke 643 posts

Topic: General Discussion / Some advice please

Hi, well BI won't affect Dawn Phenomenon so don't try to use it to do that. Also I'm a bit worried about the variations in your BI in the evening. You shouldn't be changing it that radically and that often. You won't see a pattern if you keep changing it so much so quickly. You need small changes and slowly (2-3 days at least between changes).
The tues/weds/thurs you hypo-ed and so this could case fluctuations in your BG's. You need to settle on getting your BG right and changing it slowly. A few days of high BG's is NOT going to cause any damage and it will let you get things under control slowly.
ALL insulin affects your BG, thats its whole purpose so I don't know who told you BI doesn't affect it. Yes BI is primarily to keep you BG steady not cover CP's but it does have an effect and it is the key to good control. Get it correct and you will find things much easier.
It does look though from your readings that you are insulin resistant, you seem to need a lot of insulin for not much CP and if I injected that much QA I would be straight to A&E ! Have your Diabetes team not discussed insulin resistance with you ?
 
May 23, 2011
JayBee 582 posts

Topic: General Discussion / Diabetic Survey

Consider it now done! ^_^
 
May 23, 2011
novorapidboi26 1,816 posts

Topic: General Discussion / Diabetic Survey

On my way over now.............. Very Happy
 
May 23, 2011
marke 643 posts

Topic: General Discussion / Diabetic Survey

All,
We have been requested by someone at University College London to post a link to a survey they are conducting on Type 1 Diabetes. The link is here and we would encourage everyone to follow the link and do the survey.
The results of this survey may not benefit us immediately however it is a chance to express your opinions to people that want to listen and compile results besed on what we say. It might not make a difference to anything, but then again it just might and unless we try we will never know.
so go on click on the link you know it makes sense Very Happy
 
May 23, 2011
JayBee 582 posts

Topic: Questions for HCPs / Information on menstrual cycle

Being knocked off track feels like a common theme for 2011. I do wonder when I'll be back on track - my body has been hypoing a lot since being ill, I feel like Im a different creature. I would be on 7 MORN 14 EVE BI with the newly found ratios if I was fine, but Ive had to pull back all ratios back to 1:1 and my BIs are currently 5 MORN and 12 EVE. This past weekend has been very hard due to hypos. I look forward to being well again. Its amazing how much mess stomach flu can cause even when you feel better! >_<
 
May 23, 2011
Athena 52 posts

Topic: Questions for HCPs / Information on menstrual cycle

I also hope you are feeling better. Obviously this has mucked up looking for patterns etc. so another thing to take you off track. I think I am lucky in that I have quite a discernable pattern. I am now in the tricky part which is the gradually moving the doses up until I hit the all time high of the pre-menstrual one.
this is the worst part for me. I think the problem is that the step -wise approach is too slow. You are trying to get a dose and your requirment have shifted on again. I intend to be a bit more gung ho this month and just go for it without waiting for a pattern. Next month I am considering using ratios to sort thing s to see if that helps. I just want to test the difference between the two methods. Of course that wiil mean eating regular carbs and losing the benefits of DAFNE but I have to keep trying things. Anything to feel well.

Good luck to all !

PS WOuld be interested in hearing how people on the pump are doing with this.
I remember the girl who was about to try it.
If you are on line still, pleae let us know how you get on.
 
May 23, 2011
tweety 13 posts

Topic: General Discussion / So what do you do?

Thanks Wullie, I know what u mean. I have spoken to so many line managers as they change so frequently for me. I have noticed that the ones who do understand only understand when it suits them, I've even had to produce letters from my opthamologist to get time of for clinics as im unable to c or drive after my appointment! (I've had laser done a few times now). They are a total nightmare, novorapidboi is right as soon as you mention DDA they couldn't be more helpful although it doesnt last very long. If it werent for my union fightin for me all the time i prob wldnt be there now, bn with company for 13yrs.
 
May 22, 2011
derekh1965 99 posts

Topic: General Discussion / Some advice please

Hi

hoping someone can advise me on my diary. My morning BG is always high, no matter how much evening BI I take.
Was told the BI would not lower your BS. I knows about the dawn phenomenon and 3am testing.
I have tried taking more BI insulin to cover any liver dumps, or less case it was lowering my BS.
Last night I took 22 units of BI to see if it would cover the dawn phenomenon. Went to bed at 1am at 8.4, had a carb free supper. The lat QA was at 10.30pm and that would've been in my system upto 3am. But I woke up with a BS of 17.9!!
A couple od weeks ago I thought I had it sorted, that didn't last long.
The HCP told me it was because I was eating no carbs and my body was craving glucose so sending a message to the liver to give it some. If my sugar is high why is the brain asking for some?

am having 2 slices of toast for supper tonight to put that theory to the test.

You can see how confused |I am, I hope.

thanks in advance and best regards

Derek

ps weighed myself tonight and I have gained 10lbs since graduating from DAFNE. I blame the massive amount of insulin I am having to inject.
 
May 22, 2011
novorapidboi26 1,816 posts

Topic: General Discussion / What are you reading?

WullieIrvine said:
I'm very much a Clive Cussler fan and all his books regarding Dirk Pitt, NUMA, etc. I love the fantasy books that could actually be turned into good films :0


Anyone notice something by the way.......

Think I may have found one of the few message boards that Novorapidboi HASN'T commented on Smile
Only kidding mate Smile

Wullie (RNA)



LOL, i have now........... Very Happy .....unfortunately i dont read many books so wont be posting here on a regular basis............... Crying or Very sad
 
May 21, 2011
AK 16 posts

Topic: General Discussion / Old habits die hard...

WullieIrvine said:
All you talk of over correcting but I still do both pre and post DAFNE over compensate on hypo's.
I hate being hypo, usually can't remember whats happened, what I've done, who've I up-setted and so on. I HATE IT!

So when I hypo I munch, munch, munch, drink and munch..... needless to say I end up high for a few days.

Any advice?

Wullie (RNA)


I can understand why you hate them Wullie, but as someone who has several a day Embarassed I can give you some advice.
Firstly, you may not treat them early enough if they have such a memory-wiping effect etc, there are tips on the RunSweet website on how to reclaim your early-warning signs. This might make you less afraid of them.

Secondly, the Dafne rule about 2.5 - 3 CPs being sufficient really does work! That was a revelation to me as I used to have a similar problem after hypos. I find that if you drink a lunchbox carton of fruit juice (eg Ribena, even Asda own brands) this is the best hypo treatment (although rinse your mouth out as the acid isn't good if you hypo frequently). These not only say they have the correct CP in carb grams on the box so you can rest assured that a whole packet is all you need, they are absorbed rapidly into the bloodstream making recovery quicker. I've tried many hypo treatments in my time and they are by far the best. The usual disclaimer that everybody's different applies of course, but there are good objective reasons for this to work for you!

Thirdly, look after yourself, don't make yourself carry on after treating a hypo. Take it as me-time and rest somewhere quiet where you won't be afraid of offending anyone etc and take the time you need to recover. I actually find I don't need to rest if I take juice as opposed to glucose tablets etc. Liquids better than solids, and especially those with a fast GI.

Sorry if you know all this already!
 
May 20, 2011
WullieIrvine 26 posts

Topic: General Discussion / Old habits die hard...

All you talk of over correcting but I still do both pre and post DAFNE over compensate on hypo's.
I hate being hypo, usually can't remember whats happened, what I've done, who've I up-setted and so on. I HATE IT!

So when I hypo I munch, munch, munch, drink and munch..... needless to say I end up high for a few days.

Any advice?

Wullie (RNA)
 
May 20, 2011
WullieIrvine 26 posts

Topic: General Discussion / Do you usually ignore warnings to diabetics to 'consult your GP before use'?

I used to ignore the warning - after all I've had Type 1 diabetes since birth and no problems...... until now when I developed Diabetic Foot Ulcers. I will now adhere to warnings.

Wullie (RNA)
 
May 20, 2011
WullieIrvine 26 posts

Topic: General Discussion / So what do you do?

Tweety usually the best option is to speak to your line manager - it is very much a lack of understanding of how diabetes is treated thast leads to people being unhappy. Imagine how they will feel if you are DAFNE trained.
Before jumping on the discrimination line - talk to them. I informed my lline manager (all be it an Agency manager) but she is very aware of what I need to do and why so if any complaints come in she can deal with it appropriately.

Wullie (RNA)
 
May 20, 2011
WullieIrvine 26 posts

Topic: General Discussion / Feeling hungover!!

I always always feel hungover after a hypo.... never after a high.
In fact I'm knackered and " can't be arsed" when high.

Your corrections will very much depend on you. Mine thankfully are 1:1 at the moment but during a spell in hospital they increased slightly.
It will very much depend on time, type of day, stress, life....... the list can go on but what you need to do is find what you are both confident and comfortable with.
DAFNE is very much trial and error until you get to this point.
Any doubts see your DAFNE Educator.

Wullie (RNA)
 
May 20, 2011
WullieIrvine 26 posts

Topic: General Discussion / What are you reading?

I'm very much a Clive Cussler fan and all his books regarding Dirk Pitt, NUMA, etc. I love the fantasy books that could actually be turned into good films :0


Anyone notice something by the way.......

Think I may have found one of the few message boards that Novorapidboi HASN'T commented on Smile
Only kidding mate Smile

Wullie (RNA)
 
May 20, 2011
WullieIrvine 26 posts

Topic: DAFNE Online Mobile / Android app

Makes me glad that I got an iPhone Smile

But yeah I do have an Android tablet and it is very much when the network decides to update it. It is also very much dependent on where you got your Android.... mines what a cheapy from HMV so it takes forever!!!!

But hey ho - love the Iphone and the apps it has Smile

Wullie (RNA)
 
May 20, 2011
WullieIrvine 26 posts

Topic: Carbohydrate Counting / Diabetic Foot Ulcers

Ok guys - through no fault of my own I developed infected diabetic foot ulcers on my right foot. It appears that for whatever reason a blister on my second toe that had burst overnight in my sleep became infected and this developed into a severe diabetic foot ulcer infection in no less that 48 hours.
IT SHOCKED ME!
I don't say I am the best in the world but I did treat it with a dressing and antiseptic cover as quickly as possible.
How it happened is neither here nor there but has anyone else had the same in the past, or even thought "it'll never happen to me!"

Let's chat here

Wullie (RNA)
 
May 20, 2011
WullieIrvine 26 posts

Topic: General Discussion / Levemir versus Lantus

I was put on Lantus but unfortunately it was guestimated that it wasn't even lasting a full 18 hours for me - this said I was going high early evenings. I have actually went back to using insulatard twice daily and get a much much better control from that. The one thing you need to remember is that it is very very much all individual and no matter what is said here - it will very much depend on your reaction and sensitivity. to your insulin.

Wullie (RNA)