Recent Posts - DAFNE Online

May 10, 2011

WullieIrvine 27 posts

Topic: Questions for HCPs / No Carb and going high

Hey been reading your post Derekh and you say you went to bed with a blood sugar of 9.7 and had 1 CP. I therefore don't understand why you took 4+3 QA???

It should have been 1QA for the CP and personally I wouldn't have taken a correction at that point but instead adjusted the meal before QA in the future if you were still having the same readings over a couple of days.

It looks to me as though you have had a hypo during the night which has self rectified and your rise in blood sugar is the after effects of your bodies normal Glucose release in attempting to get you out of your hypo.

Wullie

May 10, 2011

WullieIrvine 27 posts

Topic: Site Development / Glossary of Terms

As I sit here trying very hard to get to sleep I have actually burst into one of those hysterical laughters you normally get with a hypo. I totally loved reading the slang Very Happy

May 10, 2011

novorapidboi26 1,819 posts

Topic: Carbohydrate Counting / Polyol and Maltitol

So it seems with products like protein bars and similar that there might actually be carbohydrate stated but that they dont actually effect BGs, and even for non diabetics, effect their calorie intake, for those watching their carb intake........

Definitely a point worth mentioning for any diabetics who use these products and even worth investigating and adding to the the DAFNE curriculum....

May 10, 2011

Simon 578 posts

Topic: Carbohydrate Counting / Polyol and Maltitol

Seems like its a bit of a gray area - they are only partially digested (not sure on percentages) if it's Glycerol then according to this Maximuscle article then they don't affect your blood sugars.

May 10, 2011

novorapidboi26 1,819 posts

Topic: Carbohydrate Counting / Polyol and Maltitol

Would there be a carbohydrate value next to these then, I wouldn't think so..........

May 9, 2011

Mark2 23 posts

Topic: Carbohydrate Counting / Iphone Apps

Yes, this all seems to work very well! I think this is going to be very useful for me. Main advantage - a very easy to use interface, just takes a few clicks to save your readings. Calculates your doses based on any ratio - which is also a huge advantage for me. Never been a fan of taking around booklets, pens and calculators, this is very difficult in my line of work. So next time I will have something to show the doctor. Something like this I've been looking for for years actually. Thanks for your work Simon.

May 9, 2011

Simon 578 posts

Topic: Carbohydrate Counting / Iphone Apps

Yep, you can do it the other way - if you go to the settings page enter your DAFNE Online username and password in the Credentials bit (make sure you press done on the keyboard to save it) and then make sure te Diary Upload setting (below them) is set to on. Then, whenever you save an entry in the phone (by adding a new one or updating an existine one) it will be uploaded to the site. You can then see the site diary by clicking the My Blood Glucose Diary link which appears in the toolbox in the top right of the page when you are logged in.

May 9, 2011

Simon 578 posts

Topic: Carbohydrate Counting / Polyol and Maltitol

I don't think polyols even get digested, they literally go straight through your system...

May 9, 2011

Athena 52 posts

Topic: Questions for HCPs / Information on menstrual cycle

JWo said:
Anyone had any positive progress?

Thursday (two weeks before the pill finishing tuesday) EVE: 16 BI
Friday MORN: 10 BI

Period starts late sat/early sun - only lasts a few days (due to pill). Leave it until...

Monday MORN: 7 BI (Failing to change to this causes very serious hypos post-breakfast. This happens EVERY CYCLE without fail.)
Monday EVE: 14 BI (After a hypo first thing in the morning while still taking 16 BI, this seems to have done the trick to stabilising my BGs).

I continue the above doses.... until...?

As I've shown on the updated progress of my work towards TOTM understanding, since that change from that Monday of taking MORN 7 and EVE 16... I've now been on MORN 7 and EVE 14 for a couple of weeks now but I've yet to properly identify when I'm supposed to put it back to 10BI and 16 BI.

I have also been monitoring my body temperature every morning - It has been hovering up and down between 35C and 35.8C (35.8 was this morning)... I'm not sure when to make the association that it's my "time" considering the temp window is so small... but based on that chart from the wikipedia page, perhaps I should wait until I hit above 36C?

Considering I've also been regularly under the 36C... is this because of my diabetes? I know I'm infamous for being a very easily chilled person to others.

What do we think?
Thanks for any responses!

Hi JWo,

Souonds like you are getting there.I can manage the first 2 weeks of my cycle okay now through experimentation.
It does require ignoring the step wise approach and cuttint doses drastically at my TOTM and then using those doses, sometimes w ith a slight increase for almost a fortnight. It is after ovulation when I increase doses that I am getting into a muddle. Just can't find BI to suit for that fortnight. The doses keep crepping upwards and it is so frustrating.
Haven't tried the temperature thing, but will out of curiosity.I can see when the BI drifts off though and I need more of it.

I hope DAFNE Extra will take care of this. However, this course will only be delivered in a few hospitals and is a couple of years away anyway, so we need to get this sorted.

has anyone asked their team at their hospital about this? I know one person did and was told that DAFNE doesn't cover this, but then the course doesn't cover the dawn phenomena and the idea of getting up in the middle of the night each night to inject short - acting but this seemed to be an okay area of discussion in post course meetings.

Anyway good luck all!

May 9, 2011

novorapidboi26 1,819 posts

Topic: Carbohydrate Counting / Polyol and Maltitol

If it was me, reading the carbs from the packaging would be good enough for me, otherwise there information is incorrect..........

If there 10 grams of carb present isn't absorbed, what happens to it, once digested all carbs are pretty much the same, no?

I assume these items fall under the artificial sweetener category, in which case do they not have to be in considerable quantities to even make a dent in terms of carbohydrate load.........

May 8, 2011

Mark2 23 posts

Topic: Carbohydrate Counting / Iphone Apps

Ok the ratio's do work with pressing "done". Was confused because I assumed that "done" would take me out of the page altogether. Thanks

"You can upload entries to this site". Done a fair amount of exploring and cannot figure out how to do this - how does it work? Im assuming that "download entries from site" does it the other way, and takes entries from the site and downloads them onto the iphone. I want to do it the other way if possible.

May 8, 2011

Simon 578 posts

Topic: Carbohydrate Counting / Iphone Apps

Hi Mark,

1. Make sure you press 'Done' on the popup keyboard after you enter the ratio - this should save it for you, let me know if thet's not the case.

2. You can upload the entries to this site, and the diary display on the site can be viewed in a printer friendly format, and you can also use the charts to show trends etc - is this what you are looking for?

Thanks,

Simon

May 8, 2011

derekh1965 95 posts

Topic: Carbohydrate Counting / Polyol and Maltitol

Thanks Simon

Derek

May 8, 2011

Mark2 23 posts

Topic: Carbohydrate Counting / Iphone Apps

I have recently tried to use this app, having just bought an Iphone. Two questions-

1. It seems to be be impossible to enter any ratio other that 1:1. My ratio is 1.5:1. It just cancels the entry and goes back to 1:1 ratio each time. My iphone OS is the most recent.

2. Is there any way to upload the readings that you have entered to a computer? So that they can be printed to make it easier for a doctor to look at?

May 8, 2011

Simon 578 posts

Topic: Carbohydrate Counting / Polyol and Maltitol

As far as I'm aware Polyols aren't absorbed by your body at all (hence why excessive consumption may have an adverse effect), so I wouldn't count them.

Simon

May 8, 2011

derekh1965 95 posts

Topic: Carbohydrate Counting / Polyol and Maltitol

Hi

Was wondering if anyone knew when carb counting do you include the polyols and maltitol?

Reason I ask is I bought protein bars which have 37g carbs of which 10g is polyols and I have a sweetener/syrup which is maltitol.

Thanks in advance

best regards

Derek

May 8, 2011

novorapidboi26 1,819 posts

Topic: Questions for HCPs / No Carb and going high

repeat the same conditions for another couple of days to confirm its no a one off....................as there was no other insulin action apart from your BI, mostly the 20, I would assume that 20 may need increased, but make sure it wasnt a one off though.........

May 8, 2011

novorapidboi26 1,819 posts

Topic: General Discussion / carb counting Apps

no android app unfortunately................you can visit the mobile site which is very easy to use.........

May 8, 2011

sarah0g 1 post

Topic: General Discussion / Exercise and high BG

Littleboots, i have the same problem as you. I'm a bit of a gym junkie - Ive always had the mentality that exercise will lower my BGL. Since doing dafne (and tracking my BGLs vigilantly) ive learned that this is not the case. My BGL is high 99% of the time after exercise... If I don't give 1.5- 2 units prior to exercise, my BGL goes high and stays high for hours afterwards (even if i correct straight after exercise). It left me feeling fatigued and like rubbish! I was then advised to try giving the extra units BEFORE exercising ( i was very fearful of doing this at first but carried jelly beans just in case i had a hypo), but was told by my specialist to always '"marry" this later and make sure i deduct the QA i had given from my next meal in order to prevent a hypo. After some experimenting though, I personally discovered that i don't need to "marry" this later, and that i just to indeed need the additional units to cover exercise. If you haven't already, i would suggest you monitor your BGLs very closely around exercise, and maybe try giving 0.5unit or 1 unit before you exercise to see what effect it has. Personally for me, weights, boxing and spin classes (high intensity) will have the biggest impact on my BGL so i'll give 2 extra units prior.. other less intense activities, ill give 1- 1.5 units.

May 7, 2011

WullieIrvine 27 posts

Topic: General Discussion / carb counting Apps

I think there is one available free for the android phones as there is for the iPhone and it is DAFNE specific.
Have a search where you get your apps from for your Android phone (iPhone is the App Store) for DAFNE ONLINE and you should get the website in mini version.

May 7, 2011

WullieIrvine 27 posts

Topic: General Discussion / Id cards

I constantly need to get new ID cards from my clinic as I find that they do not last as long as they used to. What I wonder though is - would there be any DAFNE specific cards available now or in the future.
Would be good in order to assist medical and nursing staff realise we are DAFNE trained.

May 7, 2011

derekh1965 95 posts

Topic: Questions for HCPs / No Carb and going high

Hi

Here's the story.

Went to bed at 12:45am this morning with a BS of 9.7, had 1 CP and took 4+3 QA, and also my BI of 18 units. Woke this morning at 8:10am with BS of 7.6, had breakfast at 9am which was Carb free (cheese omelette) so took no QA but took 20 BI and by lunchtime at 1:17pm my BS was 13.7, why?
The bedtime BI surely must have still been in my system and the morning BI kicks in after 2 hrs.

What have I done wrong and what should I have done.

kind regards

Derek

May 10, 2011 WullieIrvine 27 posts	Topic: Questions for HCPs / No Carb and going high Hey been reading your post Derekh and you say you went to bed with a blood sugar of 9.7 and had 1 CP. I therefore don't understand why you took 4+3 QA??? It should have been 1QA for the CP and personally I wouldn't have taken a correction at that point but instead adjusted the meal before QA in the future if you were still having the same readings over a couple of days. It looks to me as though you have had a hypo during the night which has self rectified and your rise in blood sugar is the after effects of your bodies normal Glucose release in attempting to get you out of your hypo. Wullie

May 10, 2011 WullieIrvine 27 posts	Topic: Site Development / Glossary of Terms As I sit here trying very hard to get to sleep I have actually burst into one of those hysterical laughters you normally get with a hypo. I totally loved reading the slang

May 10, 2011 novorapidboi26 1,819 posts	Topic: Carbohydrate Counting / Polyol and Maltitol So it seems with products like protein bars and similar that there might actually be carbohydrate stated but that they dont actually effect BGs, and even for non diabetics, effect their calorie intake, for those watching their carb intake........ Definitely a point worth mentioning for any diabetics who use these products and even worth investigating and adding to the the DAFNE curriculum....

May 10, 2011 Simon 578 posts	Topic: Carbohydrate Counting / Polyol and Maltitol Seems like its a bit of a gray area - they are only partially digested (not sure on percentages) if it's Glycerol then according to this Maximuscle article then they don't affect your blood sugars.

May 10, 2011 novorapidboi26 1,819 posts	Topic: Carbohydrate Counting / Polyol and Maltitol Would there be a carbohydrate value next to these then, I wouldn't think so..........

May 9, 2011 Mark2 23 posts	Topic: Carbohydrate Counting / Iphone Apps Yes, this all seems to work very well! I think this is going to be very useful for me. Main advantage - a very easy to use interface, just takes a few clicks to save your readings. Calculates your doses based on any ratio - which is also a huge advantage for me. Never been a fan of taking around booklets, pens and calculators, this is very difficult in my line of work. So next time I will have something to show the doctor. Something like this I've been looking for for years actually. Thanks for your work Simon.

May 9, 2011 Simon 578 posts	Topic: Carbohydrate Counting / Iphone Apps Yep, you can do it the other way - if you go to the settings page enter your DAFNE Online username and password in the Credentials bit (make sure you press done on the keyboard to save it) and then make sure te Diary Upload setting (below them) is set to on. Then, whenever you save an entry in the phone (by adding a new one or updating an existine one) it will be uploaded to the site. You can then see the site diary by clicking the My Blood Glucose Diary link which appears in the toolbox in the top right of the page when you are logged in.

May 9, 2011 Simon 578 posts	Topic: Carbohydrate Counting / Polyol and Maltitol I don't think polyols even get digested, they literally go straight through your system...

May 9, 2011 Athena 52 posts	Topic: Questions for HCPs / Information on menstrual cycle JWo said: Anyone had any positive progress? Thursday (two weeks before the pill finishing tuesday) EVE: 16 BI Friday MORN: 10 BI Period starts late sat/early sun - only lasts a few days (due to pill). Leave it until... Monday MORN: 7 BI (Failing to change to this causes very serious hypos post-breakfast. This happens EVERY CYCLE without fail.) Monday EVE: 14 BI (After a hypo first thing in the morning while still taking 16 BI, this seems to have done the trick to stabilising my BGs). I continue the above doses.... until...? As I've shown on the updated progress of my work towards TOTM understanding, since that change from that Monday of taking MORN 7 and EVE 16... I've now been on MORN 7 and EVE 14 for a couple of weeks now but I've yet to properly identify when I'm supposed to put it back to 10BI and 16 BI. I have also been monitoring my body temperature every morning - It has been hovering up and down between 35C and 35.8C (35.8 was this morning)... I'm not sure when to make the association that it's my "time" considering the temp window is so small... but based on that chart from the wikipedia page, perhaps I should wait until I hit above 36C? Considering I've also been regularly under the 36C... is this because of my diabetes? I know I'm infamous for being a very easily chilled person to others. What do we think? Thanks for any responses! Hi JWo, Souonds like you are getting there.I can manage the first 2 weeks of my cycle okay now through experimentation. It does require ignoring the step wise approach and cuttint doses drastically at my TOTM and then using those doses, sometimes w ith a slight increase for almost a fortnight. It is after ovulation when I increase doses that I am getting into a muddle. Just can't find BI to suit for that fortnight. The doses keep crepping upwards and it is so frustrating. Haven't tried the temperature thing, but will out of curiosity.I can see when the BI drifts off though and I need more of it. I hope DAFNE Extra will take care of this. However, this course will only be delivered in a few hospitals and is a couple of years away anyway, so we need to get this sorted. has anyone asked their team at their hospital about this? I know one person did and was told that DAFNE doesn't cover this, but then the course doesn't cover the dawn phenomena and the idea of getting up in the middle of the night each night to inject short - acting but this seemed to be an okay area of discussion in post course meetings. Anyway good luck all!

May 9, 2011 novorapidboi26 1,819 posts	Topic: Carbohydrate Counting / Polyol and Maltitol If it was me, reading the carbs from the packaging would be good enough for me, otherwise there information is incorrect.......... If there 10 grams of carb present isn't absorbed, what happens to it, once digested all carbs are pretty much the same, no? I assume these items fall under the artificial sweetener category, in which case do they not have to be in considerable quantities to even make a dent in terms of carbohydrate load.........

May 8, 2011 Mark2 23 posts	Topic: Carbohydrate Counting / Iphone Apps Ok the ratio's do work with pressing "done". Was confused because I assumed that "done" would take me out of the page altogether. Thanks "You can upload entries to this site". Done a fair amount of exploring and cannot figure out how to do this - how does it work? Im assuming that "download entries from site" does it the other way, and takes entries from the site and downloads them onto the iphone. I want to do it the other way if possible.

May 8, 2011 Simon 578 posts	Topic: Carbohydrate Counting / Iphone Apps Hi Mark, 1. Make sure you press 'Done' on the popup keyboard after you enter the ratio - this should save it for you, let me know if thet's not the case. 2. You can upload the entries to this site, and the diary display on the site can be viewed in a printer friendly format, and you can also use the charts to show trends etc - is this what you are looking for? Thanks, Simon

May 8, 2011 derekh1965 95 posts	Topic: Carbohydrate Counting / Polyol and Maltitol Thanks Simon Derek

May 8, 2011 Mark2 23 posts	Topic: Carbohydrate Counting / Iphone Apps I have recently tried to use this app, having just bought an Iphone. Two questions- 1. It seems to be be impossible to enter any ratio other that 1:1. My ratio is 1.5:1. It just cancels the entry and goes back to 1:1 ratio each time. My iphone OS is the most recent. 2. Is there any way to upload the readings that you have entered to a computer? So that they can be printed to make it easier for a doctor to look at?

May 8, 2011 Simon 578 posts	Topic: Carbohydrate Counting / Polyol and Maltitol As far as I'm aware Polyols aren't absorbed by your body at all (hence why excessive consumption may have an adverse effect), so I wouldn't count them. Simon

May 8, 2011 derekh1965 95 posts	Topic: Carbohydrate Counting / Polyol and Maltitol Hi Was wondering if anyone knew when carb counting do you include the polyols and maltitol? Reason I ask is I bought protein bars which have 37g carbs of which 10g is polyols and I have a sweetener/syrup which is maltitol. Thanks in advance best regards Derek

May 8, 2011 novorapidboi26 1,819 posts	Topic: Questions for HCPs / No Carb and going high repeat the same conditions for another couple of days to confirm its no a one off....................as there was no other insulin action apart from your BI, mostly the 20, I would assume that 20 may need increased, but make sure it wasnt a one off though.........

May 8, 2011 novorapidboi26 1,819 posts	Topic: General Discussion / carb counting Apps no android app unfortunately................you can visit the mobile site which is very easy to use.........

May 8, 2011 sarah0g 1 post	Topic: General Discussion / Exercise and high BG Littleboots, i have the same problem as you. I'm a bit of a gym junkie - Ive always had the mentality that exercise will lower my BGL. Since doing dafne (and tracking my BGLs vigilantly) ive learned that this is not the case. My BGL is high 99% of the time after exercise... If I don't give 1.5- 2 units prior to exercise, my BGL goes high and stays high for hours afterwards (even if i correct straight after exercise). It left me feeling fatigued and like rubbish! I was then advised to try giving the extra units BEFORE exercising ( i was very fearful of doing this at first but carried jelly beans just in case i had a hypo), but was told by my specialist to always '"marry" this later and make sure i deduct the QA i had given from my next meal in order to prevent a hypo. After some experimenting though, I personally discovered that i don't need to "marry" this later, and that i just to indeed need the additional units to cover exercise. If you haven't already, i would suggest you monitor your BGLs very closely around exercise, and maybe try giving 0.5unit or 1 unit before you exercise to see what effect it has. Personally for me, weights, boxing and spin classes (high intensity) will have the biggest impact on my BGL so i'll give 2 extra units prior.. other less intense activities, ill give 1- 1.5 units.

May 7, 2011 WullieIrvine 27 posts	Topic: General Discussion / carb counting Apps I think there is one available free for the android phones as there is for the iPhone and it is DAFNE specific. Have a search where you get your apps from for your Android phone (iPhone is the App Store) for DAFNE ONLINE and you should get the website in mini version.

May 7, 2011 WullieIrvine 27 posts	Topic: General Discussion / Id cards I constantly need to get new ID cards from my clinic as I find that they do not last as long as they used to. What I wonder though is - would there be any DAFNE specific cards available now or in the future. Would be good in order to assist medical and nursing staff realise we are DAFNE trained.

May 7, 2011 derekh1965 95 posts	Topic: Questions for HCPs / No Carb and going high Hi Here's the story. Went to bed at 12:45am this morning with a BS of 9.7, had 1 CP and took 4+3 QA, and also my BI of 18 units. Woke this morning at 8:10am with BS of 7.6, had breakfast at 9am which was Carb free (cheese omelette) so took no QA but took 20 BI and by lunchtime at 1:17pm my BS was 13.7, why? The bedtime BI surely must have still been in my system and the morning BI kicks in after 2 hrs. What have I done wrong and what should I have done. kind regards Derek