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Apr 1, 2011
marke 681 posts

Topic: General Discussion / Ideas

novorapidboi26 said:
Wow, the advice of not going above 4 for a correction is news to me, the curriculum of the course is always changing I suppose but I personally would say that is not the best advice, not going over 4 is fine if you blood sugar is not far off target ranges, but 26s are quite uncomfortably high.....


Don't worry you are not out of date Wink , I am currently toiling over the conversion of the new handbook to the online version and it states:
'Until you have worked out your own sensitivity to your quick acting insulin , it is recommended that no more than a 4 unit correction is given at one time'

The figure 4 is therefore not a hard and fast maximum rather a guide when you are first working out your individual requirements. If you need more then you can give more. They are just urging caution initially.
 
Apr 1, 2011
marke 681 posts

Topic: General Discussion / Ideas

Until you have worked out your own sensitivity to your quick acting insulin , it is recommended that no more than a 4 unit correction is given at one time
 
Apr 1, 2011
marke 681 posts

Topic: General Discussion / What The Hell Happened Today.

Davie, as others have mentioned on other posts, its far easier if you put figures into the online diary and post a setion of that into the formum. Its very hard to give advice based on your free form description of CP's and insulin, especially with no context. I would say its very unlikely one hypo would cause this and given the amount of CP's you pumped into yourself it sounds like you potentailly used the wrong insulin. That could potentially cause what you describe and is one possible explination.
 
Apr 1, 2011
daviebear 19 posts

Topic: General Discussion / What The Hell Happened Today.

I was under the impression that hypo would be easier to treat under the dafne regime.So I am wondering what the hell happened today.1240pm BG 2.3,2Cp's taken along with 8.5 as lunch.16 units of QA taken so as to reduce insulin dose as well.Background dose was 20 at 10am(reduced from 22 yesterday).Blood glucose refused to go up,with a total of 2 380ml bottles of Lucozde and 500ml bottle of coke and 2 packets of crisps taken between 1250 and 1640.Doses of lucozade taken every 10 to 20 mins.Now at 1700 Bg now at 4.4.Is this maybe beacause I hypo'd yesterday and used up my glucagon store.Haven't had a day like this for while,but before I had the excuse of being on massive doses of insulin.Any ideas?
 
Apr 1, 2011
novorapidboi26 1,819 posts

Topic: General Discussion / Mentoring

Your words are kind, thanks........

I dont think I would walk away from the opportunity, would be scary though........ Twisted Evil
 
Mar 31, 2011
Edentherapies 8 posts

Topic: General Discussion / Mentoring

Novorapidboi, I think you ARE a fab mentor! You have been really helpfull and you seem very open and always have sound advise.

Bravo!

Real shame there isn't enough funding or trained people to offer more people the DAFNE courses. I really do feel privileged to have had a place!

Alan, dont take it personally. You never know what might be going on with the mentoree. Hope it hasn't put you off!

Laughing
 
Mar 31, 2011
nomis 6 posts

Topic: General Discussion / Ideas

Hi Neil

Its all a numbers game as I am sure you are aware. For instance look at your actual results and then say to yourself what if I had injected x instead of y to get me into dafne targets and in theory it should be that simple and I no it never is.

In summary dafne targets have to be hit and use your historic results as an aid and you rid yourself of peak highs by increasing QA all else being equal.

Eventually you will be fed up with stable BG's around the 5 mark and not looking like daily temperature readouts Laughing not that mine are.


all the best
 
Mar 31, 2011
novorapidboi26 1,819 posts

Topic: Questions for HCPs / Cant stop BG Levels going up

My understanding of resistance with regards to hormones, is that the main hormone responsible for this is the alpha cell secretion - Glucagon. This has the opposite effect against insulin and also contributes to the livers dump of glucose into the blood stream.

However when stressed glucagon may only be released in small amounts and with the help of other hormones released at this time, insulin effectiveness could be knocked out from normal behavior. Thats my basic understanding/theory of it anyway......... Smile
 
Mar 31, 2011
DFH_17 22 posts

Topic: Questions for HCPs / Cant stop BG Levels going up

Sorry - in 2nd paragraph meant to say I wasnt being treated very well by some colleagues.
 
Mar 31, 2011
DFH_17 22 posts

Topic: Questions for HCPs / Cant stop BG Levels going up

Hi both,

novorapidboi - is interesting that you've said that stress leads to insulin resistance - it does feel as though my insulin isnt working v well so thats a good point. Have lots of stomach pains and last year had to go into hospital due to kidney stones due to covering 2 roles for over 6 mths.

Chris - my situation is slightly different in the fact that people I care about in the company are being potentially booted out of their jobs and not being treated well plus I had a situation all last week where I was being treated well by a few staff members - my boss intervened and sorted the situation out but am still stressed as I sit with these people! Plus 1 of my pals who has been a great support is leaving tomorrow so more upset. My BG's have calmed a bit but will need to hoik (sp) my BI again tonight as I'm still not quite there yet.
Thank you
 
Mar 31, 2011
novorapidboi26 1,819 posts

Topic: General Discussion / Mentoring

I dont think many would be up to the challenge, so its how to select people........ Question
 
Mar 31, 2011
Edentherapies 8 posts

Topic: General Discussion / dafne app/carb calculator for Blackberry phones

oh yes my mum has saved me a few times in the house!!! I have just got myself some pocket scales for out and about lol!

Should be all set now really Razz
 
Mar 31, 2011
Alan 49 284 posts

Topic: General Discussion / Mentoring

I think it was the idea of the DSN at my GP surgery and was tried experimentally. I don't know whether they are going to pursue it.
 
Mar 31, 2011
novorapidboi26 1,819 posts

Topic: Questions for HCPs / Cant stop BG Levels going up

Sounds like a plan to me........ Idea.......fortunately in my life I haven't had to many stressful times so haven't really noticed an obvious effect but if definitely effects your BGs, or more precisely your resistance to insulin as a result of the abnormal levels of hormones swimming about when we are stressed out...........
 
Mar 31, 2011
novorapidboi26 1,819 posts

Topic: General Discussion / dafne app/carb calculator for Blackberry phones

It always be a struggle when out and about...... Twisted Evil

But when in the home, a set of scales and/or a good woman is all you need.......... Wink
 
Mar 31, 2011
chrisg9 7 posts

Topic: Questions for HCPs / Cant stop BG Levels going up

Hi,
I kicked off this thread and interesting to see from yours that you mention stress. I know that sometimes this can be something of a "catch-all" to explain high BGs, so my observations here are purely regarding my own experience. During the DAFNE week, I mentioned that stress, being roller-coaster in nature, tended to lead both to consistently high BGs and, because of how it impacts the "working day", a likely drift from the DAFNE regime. I usually go from meeting to meeting and as currently the company is being acquired, its even worse; futures (along with eating and injections) are uncertain. As much as I try to stand back from all of this and calmly observe from a distance (i.e what will be, will be), it is simply not possible and BGs inevitably suffer - despite adjustments/corrections etc. My approach has been to try to introduce some non-work related activities (I may be having more of this than planned if the work situation goes belly-up) somewhere into the week to address the stress because if that's not under control (both biochemically and psychologically) the BGs wont ever be. Sorry, not very scientific I know... perhaps just more of a shared experience.
I hope it works out for you
Chris
 
Mar 30, 2011
Edentherapies 8 posts

Topic: General Discussion / dafne app/carb calculator for Blackberry phones

Aye, it's just being able to regonise the cps in portions! i'll get there Laughing

 
Mar 30, 2011
daviebear 19 posts

Topic: General Discussion / Ideas

Hi Neil,Hope you're doing ok.It looks to me that like me you have that old chestnut the dawn phenomenon.Which is a bugger.You could maybe try increasing the nightime BI to see if that helps.And again maybe the morning QA.This is what I had to do last week and it worked for me.I know that like me you want to sort everything out at once,and I know how much of pain it is that you have to wait 2 days to see if changes are working.I upped my monring ratio 2:1,2.5:1 then3:1,with good affect,it does seem safer( and I would have disagreed if anyone said this to me last week)to change backgrounds first though.Contact Margaret as well as she was great at keeping me right with my probs last week.How are your injection sites doing as I remember they were casuing you a lot of trouble as well.One last point(I know I drone on).Are thes Bg's at work or at home as my BI has to change quite a bit it would seem depending on wether i'm at work or on days off.Let me know how you get on . Smile
 
Mar 30, 2011
novorapidboi26 1,819 posts

Topic: General Discussion / dafne app/carb calculator for Blackberry phones

As times goes on Cool , you wont need any help apart from when your eating out as you can only guess...............................
 
Mar 30, 2011
Edentherapies 8 posts

Topic: General Discussion / dafne app/carb calculator for Blackberry phones

Cheers Novorapidboi,

It was mainly as a back up for when I'm oot and aboot. Been using the DAFNE handbook and keeping a note of what I have been eating regularly but still making mistakes at the moment! Just a matter of getting used to counting. I used to roughly count carbs but now I now exactly what QA's I can take I'm trying to be more precise!

Ta for the info, Hope your well.
Sam Laughing
 
Mar 30, 2011
caroline15 45 posts

Topic: Site Development / Glossary of Terms

Very Happy
 
Mar 30, 2011
novorapidboi26 1,819 posts

Topic: Site Development / Glossary of Terms

BAsal..............BAckground................................ Razz
 
Mar 30, 2011
caroline15 45 posts

Topic: Site Development / Glossary of Terms

My daughter has just gone on a pump last week and her dsn says to remember it by bolus/bowl of food. Hope this helps. Smile
 
Mar 30, 2011
novorapidboi26 1,819 posts

Topic: General Discussion / Ratios etc

I think that's getting a bit to complicated for me, I can understand what your getting at though, but I believe trying to master this is pushing the boundaries........we dont know how long our sensitivity/resistance to insulin lasts on an hourly basis...........

I suppose you could say the same for insulin/carb ratios...........I need 3 units to every 10 grams for breakfast, so why then do I not go low for lunch as my resistance to the insulin decreases to 2 units to every 10 grams