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15,864 posts found
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May 10, 2018
novorapidboi26
1,819 posts
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Topic: Questions for HCPs / Splitting the bolus for fatty foods I don't know if there is any official advice on this particular type of bolus.......you will get valuable information from the trial and error approach... see what your diabetic nurse/doctor has to say maybe... |
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May 7, 2018
Jo Smith
8 posts
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Topic: Carbohydrate Counting / Red papaya
Thanks Helen, Fruit is certainly a guessing game at times but I will try the carb count next time I eat this delicious fruit! |
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May 7, 2018
Jo Smith
8 posts
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Topic: Carbohydrate Counting / Red papaya
Thanks will certainly trial the carb info on red papaya!! |
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May 7, 2018
Jo Smith
8 posts
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Topic: General Discussion / Problems with loaner pumps Hi HelenP,Thanks for your advice! I have ordered a Silhouette infusion set and look forward to using it! No more "insulin blocked" alerts with the latest replacement pump! Yee haa! |
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May 6, 2018
HelenP
218 posts
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Hi Jo, I have had a 640g for a couple of years and have had several "insulin block" alerts. Mine appear to be bubbles in the reservoir! I run about 10units through pump (plays havoc with the data) and then reposition the pump ensuring the pump is upside down (I wear it in a pocket not using the clip...this puts any bubbles at the bottom away from where the insulin comes out). Very occasionally it is the infusion set...a kink in the cannula. I also use the Silhouette and have had very few issues. Have not ever needed a loaner pump from Medtronic. Helen |
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May 6, 2018
HelenP
218 posts
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Topic: Carbohydrate Counting / Red papaya Hi Jo, I certainly count red papaya as carbs. Mine are home grown and I believe sweeter than the shop bought variety. I count it as equivalent to apple ( 100g weight = 10g carb). This works out OK. But I do find fruit to be a bit of a guessing game re weight as I certainly do not weigh each piece of fruit! They are delicious at the moment! Best with a small banana and a squeeze of lime (25g carbs all up). Best wishes, Helen |
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May 6, 2018
Rose Douglas
1 post
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Topic: DAFNE Graduate Group (DGG) / getting involved HiI have had Diabetes for 64 years and have been a DAFNE Graduate for several years. I did not use this site. I have just been on a Refresher Course which I found most helpful even after 14 years. I am interested in getting involved . I am a pensioner and have other disabilities and am limited as to what I can do. |
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May 3, 2018
Gander
7 posts
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Topic: Questions for HCPs / Splitting the bolus for fatty foods Hi thanks for your early reply!Yes I was DAFNE trained three or four years ago, but never paid much attention to the problem before I went on to the Libre system as it wasn't very obvious then what was happening. I am thinking of things like pizzas, fish and chips and especially things like German Bratwurst sausages. I seem to react a lot slower than you do though as I would have to wait at least a couple of hours before taking the second part of the bolus - bed time even! That's why I'd like to have a look at some official advice before I start experimenting on my own! :-) |
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May 3, 2018
novorapidboi26
1,819 posts
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Topic: Questions for HCPs / Splitting the bolus for fatty foods As with everything DAFNE, trial and error is the best approach......Before the pump, when I had pizza, I started by splitting the dose 50/50 and then taking the second dose 30 minutes after eating.... this stopped the high later but it wasn't perfect.... the truth is with all the other hidden variables it doesn't always work...... so to come back to first point, trial and error is best..... what specific foods are you thinking about....? are you DAFNE trained? |
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May 3, 2018
novorapidboi26
1,819 posts
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Topic: Carbohydrate Counting / Red papaya the my fitness pal website, which has a large database of official and user uploaded nutritional info, states 7g or carbs per 100g of fruit......its also has a medium glycaemic index which rules out a slower absorbed item where you could get away with not taking any bolus insulin..... going on the above info you could certainly carry out some test to see what it does to you.... |
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May 3, 2018
Jo Smith
8 posts
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Topic: Carbohydrate Counting / Red papaya Just wondering how DAFNE treats red papaya (paw paw) In some carb counting sites they say 140 grames = 9.7 grms Carb but in other places it says No carbs?? |
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May 3, 2018
Jo Smith
8 posts
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Topic: General Discussion / Problems with loaner pumps
I am going to try another infusion set (Silhouette) although Medtronic said there was nothing wrong with the infusion set I was using! |
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May 3, 2018
Jo Smith
8 posts
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Topic: General Discussion / Problems with loaner pumps Hi Marke,I have been in contact with Medtronic and after trying to problem solve they have sent me a replacement loaner pump twice as they said there was nothing wrong with the infusion set (Sure T) and this morning I connected the third replacement pump!! So far so good!!! Fingers crossed it will be third time lucky! I honestly would not have bothered with a loaner pump had I realised how much stress it would cause me! In January I will qualify for a brand NEW pump so I'm looking forward to that.  |
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May 2, 2018
Gander
7 posts
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Topic: Questions for HCPs / Splitting the bolus for fatty foods Hello, I started on the Freestyle Libre system about 6 weeks ago and have found it very revealing, causing me to revise my opinions on how to deal with many foods.I have found that fatty foods cause a delay in the effectiveness of the fast acting bolus and would appreciate some guidance on how to split the bolus so I don't end up taking extra CHO at bedtime! Are there any links to available articles on this subject? |
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May 2, 2018
Gander
7 posts
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Topic: Carbohydrate Counting / Eating in Japan - any tips? Sushi is quite easy to estimate actually, particularly maki. As you say there is some sugar in the rice but I find if I have six maki rolls it works out about 70 grams of CHO. Some of the starters are heavily sugared however and best avoided altogether - apart from the seaweed!
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May 2, 2018
novorapidboi26
1,819 posts
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Topic: General Discussion / Problems with loaner pumps
is it the same clip that goes on to the Veo? I have had quite a few failures, although I have became a tad more careful with it now... |
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May 2, 2018
marke
686 posts
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Topic: General Discussion / Problems with loaner pumps Hi,Had a 640G for around 2 years now and have never had an issue with it, apart from the plastic clips that fit to the back of it breaking I have never seen an insulin blocked error so would leave that to Medtronic to diagnose.....
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Apr 30, 2018
novorapidboi26
1,819 posts
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Topic: General Discussion / Problems with loaner pumps I don't use the 640g so cant really comment but I don't think I have heard any other people on other forums having this particular software issue, if it is software as Medtronic have told you.....could it be the infusion set that's the problem.....? could maybe try another one....what one are you using now....? you could always try another brand if they are on offer.. |
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Apr 30, 2018
Jo Smith
8 posts
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Just wondering if there are others who have had issues with a loaner pump? I started using a pump (Medtronic 640g) in February this year and because I was not eligible for a pump until January 2019 I was given a loaner pump for 12 months. When the technology works it is fantastic but I am disappointed in the many failures I have had! The first pump alerted "Insulin blocked" and after changing my infusion set and retrying I got the same alert. I spoke to the Medtronic helpline and they then said they would replace the pump for me. With the second pump the same thing occurred whilst on a cruise holiday and I then reverted to insulin injections until I returned home. I spoke to Medtronic and they did trouble shooting. After 3 weeks of using the replacement pump again I was alerted to "insulin blocked", however I retried bolussing without changing infusion set and it worked! Now they are saying there is a problem with the pump which is sending an inaccurate alert. Once again they are replacing my 2nd pump and I am at my wits end. I have decided that if this 3rd pump fails then I will revert to injecting again until I am eligible for a brand new pump next January. I have to wonder if other pump users are having these problems and if the loaner pumps are not up to scratch and are causing endless stress!! J0 |
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Apr 23, 2018
HelenP
218 posts
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Topic: Questions for HCPs / Insulin Pump Query
The issue, as I see it, is that if I get elevated levels post changing the set for the next 8+ hours then every third day I am getting elevated levels (which I currently reduce with injections...recorded on the pump). This means that I have about a 1.5 day window out of three days during which I can get reliable data to drive changes in basal rates. Thus by delaying the changing of the set I am postponing the period of elevated levels post set....and of course if I have had a period of elevated levels dealt with by injections ... I have more insulin in the reservoir and can postpone it longer...devil and the deep blue sea! Helen |
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Apr 19, 2018
novorapidboi26
1,819 posts
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Topic: General Discussion / Split Levemir dose Going back to normal by lunch, as you have pointed out, means your dosing is right......getting the spike down as low as possible 1.5-2 hours after eating is achieved by timing.....so at a minimum, giving your insulin ten minutes before anything passes your lips.....this timing can be increased as well if the spike is still too high for your liking..... |
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Apr 19, 2018
ruthhutchinson
39 posts
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Topic: General Discussion / Split Levemir dose Have considered that but as I said I do revert to normal numbers by lunch so an I crease in bolus.might be risky. Will go e it a try some day I am not at work and keep a close eye on it. Thanks. |
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Apr 19, 2018
novorapidboi26
1,819 posts
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Topic: General Discussion / Split Levemir dose
That's good, you seem to have it sorted overnight..... Is the peak mid morning after your breakfast......first thoughts of a mid morning peak is an issue with the bolus dose..... |
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Apr 19, 2018
ruthhutchinson
39 posts
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Topic: General Discussion / Split Levemir dose No. My evening numbers aren't too bad. Low if anything. Just the peak mid morning which is puzzling me. |
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Apr 19, 2018
novorapidboi26
1,819 posts
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Topic: General Discussion / Split Levemir dose As I too suffer from dawn phenomenon, I actually took my split Levemir right before bed, which varied, and then in the morning.....This was to give me the best chance overnight to overcome DP and wake up on single figures....] So you don't need to have 12 hour split exactly......I think the 0630 and 1000 times you are using is ideal..... there is a chance taking it before bed means the morning dose may be on the way out in the evening, which you would see from higher numbers between dinner and bed.....I just compensated for that with a tweak to the evening bolus ratios.... |