Recent Posts - DAFNE Online

Apr 19, 2018

ruthhutchinson 39 posts

Topic: General Discussion / Split Levemir dose

Another question....Is it more sensible to take the split dose 12 hours apart. I think Levemir has a 16 hour duration so I sometimes wonder which dose us currently working. I inject at 6.30am and 10.00pm.

Apr 19, 2018

ruthhutchinson 39 posts

Topic: General Discussion / Split Levemir dose

I am now taking 13 units before bed and 10 in the morning. Night time readings have improved butv i do have a peak mid morning. It quickly comes down without correction so I don't want to change my bolus. This diabetes lark ain't easy. 😄

Apr 19, 2018

novorapidboi26 1,819 posts

Topic: Questions for HCPs / Insulin Pump Query

The three day mark is when the body starts to heal up round the cannula, so you should be changing every 3 days at a minimum.....

if you think you would benefit from a change sooner then definitely give it a go...

Apr 19, 2018

novorapidboi26 1,819 posts

Topic: General Discussion / Split Levemir dose

When I say eat something I mean when you wake up, now this isn't always feasible at 5am when the rise starts, but certainly when you normally get up.....

hopefully, with the overnight basal being right, the dawn rise will only take you up a couple of mmol....and then eating something will stop it going further and of course you would accompany that food with bolus and correction...

I usually has a small yogurt as that's all I could stomach and had 15g of carbs.....so a big effect on the BG....

Sorry for the very late response.........

Apr 19, 2018

novorapidboi26 1,819 posts

Topic: General Discussion / Pump users / Glucose Control over duration of the vial volume

After three days yes, it does start to become less effective, however this is down to the body starting to heal up round the cannula is it not.....

We were told to change your cannula after three days because of this whether you have insulin in the vial or not.....

Apr 19, 2018

novorapidboi26 1,819 posts

Topic: General Discussion / Hypos

Breaking it down it could be:

1. Too much quick acting bolus insulin for your lunch and evening meals/evening snacks.
2. Too much long acting basal insulin.

A test of the basal would quickly rule that out.

Apr 17, 2018

novorapidboi26 1,819 posts

Topic: General Discussion / Daily diary entries

Well, if its the app you are using, you upload your entries on to the website, so they should be able to be viewed once that's done, on any device with the app...

is that what you mean?

Apr 16, 2018

PaulaBrew 1 post

Topic: General Discussion / Some NovoPen Echo & NovoPen 5 are faulty = Important safety information regarding NovoPen® Echo® and NovoPen® 5

Hello,
Please will You share this information with Anyone You think ill find this info useful.
(Please go to the website-link to check Your Insulin Pen number).
Thank You ~ Kind Regards Paula.

https://www.novonordisk.com/novopenecho5/en_gb.html

Important safety information regarding NovoPen® Echo® and NovoPen® 5
Novo Nordisk A/S has detected that the insulin cartridge holder used in a small number of NovoPen® Echo® and NovoPen® 5 batches may crack or break if exposed to certain chemicals, for example certain cleaning agents. NovoPen® Echo® and NovoPen® 5 are used for insulin treatment by people with diabetes.

Replacement of cartridge holder

Novo Nordisk urges people with diabetes using a NovoPen® Echo® and/or NovoPen® 5 from one of the affected batches to replace the cartridge holder as some could be damaged. Please check your device batch number against the list of affected batches which can be found here:

Easy batch number look-up

Check if your pen is from an affected batch. All affected batch numbers consist of three letters followed by four numbers only

Apr 11, 2018

gmrobertson22 1 post

Topic: General Discussion / Daily diary entries

Can an anyone tell me how I can get all my entries on iPhone to automatically go onto my iPad . I know I’m probably just being daft 😁 or vice versa

Apr 5, 2018

maturegolfer 1 post

Topic: General Discussion / Effects of stress on blood glucose levels

Certainly I have random periods of stress in my personal life and without doubt it raises my blood sugar levels. I just dose to bring it down but I do go through a bit of yo_yo effect, i.e. levels down and up for 48 hours whilst body readjusts. So you have to be careful. Deep breathing, getting things in perspective, what's the worst thing that can really happen, if you can talk to someone it does help. Take care.

Apr 2, 2018

Muncle 9 posts

Topic: General Discussion / Effects of stress on blood glucose levels

Hi Deadly,

Apologies for the late reply. I also find that stress and Anxiety at work increased my blood sugar levels so for the past couple of years I have taken up mindfulness which seems to have helped me maintain decent blood sugar levels.

I believe the basis of my improvement is concentrating on the "what is" and not worrying about the "what was" or "what if". There is a free online course on Futurelearn from Monash University in Australia https://www.futurelearn.com/courses/mindfulness-wellbeing-performance and the next course start date is 7th May. I couldn't recommend this enough and have done the same course several times Wink

Although Mindfulness is for everyone, it's probably worth pointing out that it can be uncomfortable in the sense that you get in touch with yourself so if people are having therapy for depression it may be worth discussing with a GP or therapist before starting mindfulness.

Also there is a good book by Dr Emma Mardlin called "Mind Body Diabetes Type 1 & Type 2" which is well worth a read Wink

All the best

Muncle

Mar 24, 2018

Deadly 8 posts

Topic: General Discussion / Effects of stress on blood glucose levels

Hi All
I had just changed job to a position that carries with it a fair level of stress and anxiety. I believe my blood sugars have surged upwards as a result. Can anyone offer advice on the efffects of adrenaline on blood sugars and how to control the rise in sugar levels?

Thanks

Mar 22, 2018

LucB27 3 posts

Topic: General Discussion / BACKGROUND INSULIN

Hi, ive uploaded more results over the last week. thing is i cant take any lantus before bed as im already hypoing. everyone seems to have success with there levels with LCHF but i dont seem to be, my levels are all over the place. i dont want to lose weight either but if my levels sometimes go high off just salads etc i dont want to eat carbs Sad

on the 21/03 i done no carb lunch but i dont know how to stop the highs after lunch then i drop back down, i seem to shoot up to 9s

Mar 22, 2018

torana 53 posts

Topic: General Discussion / BACKGROUND INSULIN

Hi LucB27, I have looked over your data again and it is confounding that without background insulin your BG will fall throughout the night. It can be challenging getting so many hypos, being on a LCHF diet and then having to top up all the time with carbs. It seems that on a 1:1 ratio in the morning your BG drops before lunch. It may be worthwhile to have an extra portion at breakfast to minimise this low. It could be trial and error and even half a portion may get you over the hump. My good friend is on the keto diet and has seen a doctor in Sydney who specialises in the LCHF. He has a very popular practice as diabetes and weight loss is no doubt extremely difficult on insulin. He also went to a conference which is on the web called low carb downunder. A number of the LCHF doctors attended this conference. There should be also doctors in general practices England who follow this regime either for keto or LCHF diets. Pick the amount of carbs you want to eat throughout the day and then ask the doctor to follow up, mentor or assist you to achieve your goals.

Mar 20, 2018

LucB27 3 posts

Topic: General Discussion / BACKGROUND INSULIN

torana said:
Hi LucB27, I was sifting through your BG results and my first thought was yours results are very close to the bone and to achieve low blood sugars for 24 hours with a very small margin of error is extremely difficult without going low. Sometimes taking drugs and medications the effects can be highly variable due to exercise, diet, sickness etc. This is the case with insulin. Also, there is also a huge amount of the fear factor with diabetes and many of us worry about the long term side effects from being too high for too long and hence we try to perfect the outcomes to our peril. I can only speak from my experiences on insulin for nearly 50 years. One suggestion would be to see what happens if you increase your blood sugars at the nighttime to about 8 to 9mmol/l so there is a bit of a safety net if there’s a drop at night. I believe that DAFNE has a base level of around 7 before bedtime for safety. I test my BG about 9.30pm and might make a slight adjustment with a half a piece of toast. Being a school teacher I can also have an early dinner at approximately 5pm so there is a large enough time lapse to ascertain trends.

Hi thanks for your reply. at the moment now im on 0 lantus at bedtime and im still coming down, i really dont understand it. Im also trying the whole LCHF diet but im struggling to get that right aswell at meal times its hard to judge how much quick acting to take.so last week i was getting SO many hypos so i definetly want to stop that. i just dont understand how i can go hypo at like 6am with no lantus in me.

Mar 16, 2018

Pickledeeyore 1 post

Topic: General Discussion / Travel and diabetes

I’ve used axa insurance and Aviva insurance for travel with diabetic. And have had no issues with the cost as they cover all my kit.

Mar 15, 2018

torana 53 posts

Topic: General Discussion / BACKGROUND INSULIN

Hi LucB27, I was sifting through your BG results and my first thought was yours results are very close to the bone and to achieve low blood sugars for 24 hours with a very small margin of error is extremely difficult without going low. Sometimes taking drugs and medications the effects can be highly variable due to exercise, diet, sickness etc. This is the case with insulin. Also, there is also a huge amount of the fear factor with diabetes and many of us worry about the long term side effects from being too high for too long and hence we try to perfect the outcomes to our peril. I can only speak from my experiences on insulin for nearly 50 years. One suggestion would be to see what happens if you increase your blood sugars at the nighttime to about 8 to 9mmol/l so there is a bit of a safety net if there’s a drop at night. I believe that DAFNE has a base level of around 7 before bedtime for safety. I test my BG about 9.30pm and might make a slight adjustment with a half a piece of toast. Being a school teacher I can also have an early dinner at approximately 5pm so there is a large enough time lapse to ascertain trends.

Mar 12, 2018

LucB27 3 posts

Topic: General Discussion / BACKGROUND INSULIN

Hi, ive attched my diary entires so its easier for you to see.I done a fasting morning on the 8th march. I was on 11BG in the morning and 1.5BG before bed, I found i was going low in the morning alot and also pre meals i was going low. so ive now changed my BG before bed to 0.5 and morning to 10.5. im doing a fasting morning today for you to see. i dont like how high my levels are today they have jumped up alot from 3am, i know its the DP but i dont like being on these levels. if i up it to 1BG before bed im worried that will make me go low. just really want some help and advice.

so fasting morning on 11BG was 5.5,5.9,6.7,5.7,5.2,4.9
fasting on 10.5 BG was 7.2,7.2,8.4,8.4,7.2, 7.8

also need to sort out BG before bed

Mar 6, 2018

Stanislava M... 1 post

Topic: General Discussion / Travel and diabetes

Hi there
What is the best travel insurans for people with diabetes?

Feb 25, 2018

Colin McC 15 posts

Topic: General Discussion / BD pen 4mm/32g needles

Michaelj,I have never had problems with changing needles, been using 4mm for @ 9 years now. My care professionals have always given advice but in turn they always listen to my side. So I have always taken their views & 'giving a try', as I have always found that it may be better, but if it's not then I can always revert back, which you have done & now know that 6mm work for you. Though we are all type 1's what works for one person may not work for someone else.as we are all different. Good that your back to normal Smile

Apr 19, 2018 ruthhutchinson 39 posts	Topic: General Discussion / Split Levemir dose Another question....Is it more sensible to take the split dose 12 hours apart. I think Levemir has a 16 hour duration so I sometimes wonder which dose us currently working. I inject at 6.30am and 10.00pm.

Apr 19, 2018 ruthhutchinson 39 posts	Topic: General Discussion / Split Levemir dose I am now taking 13 units before bed and 10 in the morning. Night time readings have improved butv i do have a peak mid morning. It quickly comes down without correction so I don't want to change my bolus. This diabetes lark ain't easy. 😄

Apr 19, 2018 novorapidboi26 1,819 posts	Topic: Questions for HCPs / Insulin Pump Query The three day mark is when the body starts to heal up round the cannula, so you should be changing every 3 days at a minimum..... if you think you would benefit from a change sooner then definitely give it a go...

Apr 19, 2018 novorapidboi26 1,819 posts	Topic: General Discussion / Split Levemir dose When I say eat something I mean when you wake up, now this isn't always feasible at 5am when the rise starts, but certainly when you normally get up..... hopefully, with the overnight basal being right, the dawn rise will only take you up a couple of mmol....and then eating something will stop it going further and of course you would accompany that food with bolus and correction... I usually has a small yogurt as that's all I could stomach and had 15g of carbs.....so a big effect on the BG.... Sorry for the very late response.........

Apr 19, 2018 novorapidboi26 1,819 posts	Topic: General Discussion / Pump users / Glucose Control over duration of the vial volume After three days yes, it does start to become less effective, however this is down to the body starting to heal up round the cannula is it not..... We were told to change your cannula after three days because of this whether you have insulin in the vial or not.....

Apr 19, 2018 novorapidboi26 1,819 posts	Topic: General Discussion / Hypos Breaking it down it could be: 1. Too much quick acting bolus insulin for your lunch and evening meals/evening snacks. 2. Too much long acting basal insulin. A test of the basal would quickly rule that out.

Apr 17, 2018 novorapidboi26 1,819 posts	Topic: General Discussion / Daily diary entries Well, if its the app you are using, you upload your entries on to the website, so they should be able to be viewed once that's done, on any device with the app... is that what you mean?

Apr 16, 2018 PaulaBrew 1 post	Topic: General Discussion / Some NovoPen Echo & NovoPen 5 are faulty = Important safety information regarding NovoPen® Echo® and NovoPen® 5 Hello, Please will You share this information with Anyone You think ill find this info useful. (Please go to the website-link to check Your Insulin Pen number). Thank You ~ Kind Regards Paula. https://www.novonordisk.com/novopenecho5/en_gb.html Important safety information regarding NovoPen® Echo® and NovoPen® 5 Novo Nordisk A/S has detected that the insulin cartridge holder used in a small number of NovoPen® Echo® and NovoPen® 5 batches may crack or break if exposed to certain chemicals, for example certain cleaning agents. NovoPen® Echo® and NovoPen® 5 are used for insulin treatment by people with diabetes. Replacement of cartridge holder Novo Nordisk urges people with diabetes using a NovoPen® Echo® and/or NovoPen® 5 from one of the affected batches to replace the cartridge holder as some could be damaged. Please check your device batch number against the list of affected batches which can be found here: Easy batch number look-up Check if your pen is from an affected batch. All affected batch numbers consist of three letters followed by four numbers only

Apr 11, 2018 gmrobertson22 1 post	Topic: General Discussion / Daily diary entries Can an anyone tell me how I can get all my entries on iPhone to automatically go onto my iPad . I know I’m probably just being daft 😁 or vice versa

Apr 5, 2018 maturegolfer 1 post	Topic: General Discussion / Effects of stress on blood glucose levels Certainly I have random periods of stress in my personal life and without doubt it raises my blood sugar levels. I just dose to bring it down but I do go through a bit of yo_yo effect, i.e. levels down and up for 48 hours whilst body readjusts. So you have to be careful. Deep breathing, getting things in perspective, what's the worst thing that can really happen, if you can talk to someone it does help. Take care.

Apr 2, 2018 Muncle 9 posts	Topic: General Discussion / Effects of stress on blood glucose levels Hi Deadly, Apologies for the late reply. I also find that stress and Anxiety at work increased my blood sugar levels so for the past couple of years I have taken up mindfulness which seems to have helped me maintain decent blood sugar levels. I believe the basis of my improvement is concentrating on the "what is" and not worrying about the "what was" or "what if". There is a free online course on Futurelearn from Monash University in Australia https://www.futurelearn.com/courses/mindfulness-wellbeing-performance and the next course start date is 7th May. I couldn't recommend this enough and have done the same course several times Although Mindfulness is for everyone, it's probably worth pointing out that it can be uncomfortable in the sense that you get in touch with yourself so if people are having therapy for depression it may be worth discussing with a GP or therapist before starting mindfulness. Also there is a good book by Dr Emma Mardlin called "Mind Body Diabetes Type 1 & Type 2" which is well worth a read All the best Muncle

Mar 24, 2018 Deadly 8 posts	Topic: General Discussion / Effects of stress on blood glucose levels Hi All I had just changed job to a position that carries with it a fair level of stress and anxiety. I believe my blood sugars have surged upwards as a result. Can anyone offer advice on the efffects of adrenaline on blood sugars and how to control the rise in sugar levels? Thanks

Mar 22, 2018 LucB27 3 posts	Topic: General Discussion / BACKGROUND INSULIN Hi, ive uploaded more results over the last week. thing is i cant take any lantus before bed as im already hypoing. everyone seems to have success with there levels with LCHF but i dont seem to be, my levels are all over the place. i dont want to lose weight either but if my levels sometimes go high off just salads etc i dont want to eat carbs on the 21/03 i done no carb lunch but i dont know how to stop the highs after lunch then i drop back down, i seem to shoot up to 9s

Mar 22, 2018 torana 53 posts	Topic: General Discussion / BACKGROUND INSULIN Hi LucB27, I have looked over your data again and it is confounding that without background insulin your BG will fall throughout the night. It can be challenging getting so many hypos, being on a LCHF diet and then having to top up all the time with carbs. It seems that on a 1:1 ratio in the morning your BG drops before lunch. It may be worthwhile to have an extra portion at breakfast to minimise this low. It could be trial and error and even half a portion may get you over the hump. My good friend is on the keto diet and has seen a doctor in Sydney who specialises in the LCHF. He has a very popular practice as diabetes and weight loss is no doubt extremely difficult on insulin. He also went to a conference which is on the web called low carb downunder. A number of the LCHF doctors attended this conference. There should be also doctors in general practices England who follow this regime either for keto or LCHF diets. Pick the amount of carbs you want to eat throughout the day and then ask the doctor to follow up, mentor or assist you to achieve your goals.

Mar 20, 2018 LucB27 3 posts	Topic: General Discussion / BACKGROUND INSULIN torana said: Hi LucB27, I was sifting through your BG results and my first thought was yours results are very close to the bone and to achieve low blood sugars for 24 hours with a very small margin of error is extremely difficult without going low. Sometimes taking drugs and medications the effects can be highly variable due to exercise, diet, sickness etc. This is the case with insulin. Also, there is also a huge amount of the fear factor with diabetes and many of us worry about the long term side effects from being too high for too long and hence we try to perfect the outcomes to our peril. I can only speak from my experiences on insulin for nearly 50 years. One suggestion would be to see what happens if you increase your blood sugars at the nighttime to about 8 to 9mmol/l so there is a bit of a safety net if there’s a drop at night. I believe that DAFNE has a base level of around 7 before bedtime for safety. I test my BG about 9.30pm and might make a slight adjustment with a half a piece of toast. Being a school teacher I can also have an early dinner at approximately 5pm so there is a large enough time lapse to ascertain trends. Hi thanks for your reply. at the moment now im on 0 lantus at bedtime and im still coming down, i really dont understand it. Im also trying the whole LCHF diet but im struggling to get that right aswell at meal times its hard to judge how much quick acting to take.so last week i was getting SO many hypos so i definetly want to stop that. i just dont understand how i can go hypo at like 6am with no lantus in me.

Mar 16, 2018 Pickledeeyore 1 post	Topic: General Discussion / Travel and diabetes I’ve used axa insurance and Aviva insurance for travel with diabetic. And have had no issues with the cost as they cover all my kit.

Mar 15, 2018 torana 53 posts	Topic: General Discussion / BACKGROUND INSULIN Hi LucB27, I was sifting through your BG results and my first thought was yours results are very close to the bone and to achieve low blood sugars for 24 hours with a very small margin of error is extremely difficult without going low. Sometimes taking drugs and medications the effects can be highly variable due to exercise, diet, sickness etc. This is the case with insulin. Also, there is also a huge amount of the fear factor with diabetes and many of us worry about the long term side effects from being too high for too long and hence we try to perfect the outcomes to our peril. I can only speak from my experiences on insulin for nearly 50 years. One suggestion would be to see what happens if you increase your blood sugars at the nighttime to about 8 to 9mmol/l so there is a bit of a safety net if there’s a drop at night. I believe that DAFNE has a base level of around 7 before bedtime for safety. I test my BG about 9.30pm and might make a slight adjustment with a half a piece of toast. Being a school teacher I can also have an early dinner at approximately 5pm so there is a large enough time lapse to ascertain trends.

Mar 12, 2018 LucB27 3 posts	Topic: General Discussion / BACKGROUND INSULIN Hi, ive attched my diary entires so its easier for you to see.I done a fasting morning on the 8th march. I was on 11BG in the morning and 1.5BG before bed, I found i was going low in the morning alot and also pre meals i was going low. so ive now changed my BG before bed to 0.5 and morning to 10.5. im doing a fasting morning today for you to see. i dont like how high my levels are today they have jumped up alot from 3am, i know its the DP but i dont like being on these levels. if i up it to 1BG before bed im worried that will make me go low. just really want some help and advice. so fasting morning on 11BG was 5.5,5.9,6.7,5.7,5.2,4.9 fasting on 10.5 BG was 7.2,7.2,8.4,8.4,7.2, 7.8 also need to sort out BG before bed

Mar 6, 2018 Stanislava M... 1 post	Topic: General Discussion / Travel and diabetes Hi there What is the best travel insurans for people with diabetes?

Feb 25, 2018 Colin McC 15 posts	Topic: General Discussion / BD pen 4mm/32g needles Michaelj,I have never had problems with changing needles, been using 4mm for @ 9 years now. My care professionals have always given advice but in turn they always listen to my side. So I have always taken their views & 'giving a try', as I have always found that it may be better, but if it's not then I can always revert back, which you have done & now know that 6mm work for you. Though we are all type 1's what works for one person may not work for someone else.as we are all different. Good that your back to normal