Recent Posts - DAFNE Online

Mar 26, 2011

daviebear 19 posts

Topic: Questions for HCPs / New Graduate Ketonuria

Beacuse different result througout day were affected.It would seem that my BG's are poor throughout the whole day.My BG is especially poor at lunchtime which would suggest a 3;1 ratio at breakfast.From now just changing my BI if i need to until Monday when i can get more advice.

Mar 26, 2011

Neil Brown 28 posts

Topic: Questions for HCPs / New Graduate Ketonuria

why did you take corrective and raise ratio and raise BI at the same time?

Mar 26, 2011

JayBee 587 posts

Topic: General Discussion / local meetings

Oooo lovely! What sort thing would you like to do Emily2556?
Let's see about choosing something, perhaps promote it and see who comes along as well...? Smile

Mar 26, 2011

daviebear 19 posts

Topic: Questions for HCPs / New Graduate Ketonuria

Thanks Nomis for your reply.Amazingly my ketones are now away after 2 doses of 11units of insulin as per sick day rules regime.I can't believe how quick that works.Glucose is normal at present so back to the usual regimes from now on.I just suppose I need to get my BI sorted to stop the rise in BG's.I did certainl calm down though after reading your reply which helped me a lot so thanks! Smile

Mar 26, 2011

nomis 6 posts

Topic: Questions for HCPs / New Graduate Ketonuria

Hi

My first advice is don't panic you seem to be doing everything asked of the dafne regime, it's just the results are outside targets at the point of testing. I cannot give you any professional advice and it will soon be Monday when you can see someone, the course I went on aimed at getting the Lantus dose spot on and the rest follows

Then watch out for the liver dumps of glucose and over correcting hypos with CP's also try to aim for a good test result before breakfast as the little dafne diary states "as a general guidline breakfast = 2-3 UNITS/CP and other meals 1-2 UNITS/CP".

Your ratios are constant mid-week and mid-day your readings are higher than other times.

In Summary
Do not panic
Follow Dafne regime
Ensure Lantus correct
Watch out for over correcting hypos and liver dumps
Re-visit morning ratio as outlined in diary.

If all else fails get in front of your blood sugars test as necessary for 1 day to have full anlaysis so you know the full picture and with that you will have the answers you need.

Good Luck

Mar 26, 2011

Emily2556 2 posts

Topic: General Discussion / local meetings

This is a reply to JWo, i live in Norfolk too and would be interested in meeting up with others in the area Smile

Mar 26, 2011

daviebear 19 posts

Topic: Questions for HCPs / New Graduate Ketonuria

Hi there.Just graduated yesterday.BG's rising throughout week with some changes to QA/CP ratio and BI taken.Last night at 3am Bg 4.3.I know not technically hypo but took 1 Cp to cover myself til I woke.Woke at 10am with Bg of 15.3.Took covering insulin and increased my ratio to 3:1.At 1230pm felt sicky took urine to find +1 Ketonuria and BG of 18.5.Looking for any advice as have only had ketones once in 28 years of Diabtes.I know weekend is a difficult time to get advice and will contact my own DSN on monday,but as I say any advice would help as I am panicking a bit.Cheers folks! Very Happy

Mar 26, 2011

Dave W 2 posts

Topic: Questions for HCPs / Painfull Hands

I recently suffered from 'Trigger Finger' in both hands. Thankfully the problem was resolved with a couple of cortisone injections. Interestingly I read that such an affliction can effect up to 3% of the population but, in the case of Diabetics, this can rise to 10% Crying or Very sad

Mar 26, 2011

grandma carol 61 posts

Topic: General Discussion / What made you smile today?

Seeing 2 of my grandsons comming down this morning and saying I love you grandma and the look on there faces, when they say uou are the best grandma you make such nice things to eat. Laughing

Mar 25, 2011

meltow 78 posts

Topic: General Discussion / What made you smile today?

Seeing the faces and expressions of the under dogs, when they beat the favourites.
NZ vs SA, Cricket World Cup 2011. Superb performance, well done the kiwis! Exclamation

Mar 25, 2011

meltow 78 posts

Topic: General Discussion / What made you smile today?

Watching new lambs galloping around a field corner - all mates together! Wink

Mar 25, 2011

mfrancis 4 posts

Topic: Questions for HCPs / Painfull Hands

I am on levemir and apidra, i have problems with painful left hand which even wakes me up most nights, asked the question of GP regarding diabetes induced but was told it was more than likely a trapped nerve, that was a couple of months ago and pain getting worse so will be going back next week for more info.....

Mar 25, 2011

JayBee 587 posts

Topic: Questions for HCPs / Painfull Hands

I've had wrist with some hand discomfort when motorbike riding a lot (particularly clutch control practice) but this has eventually eased off as I carried on. That hand ache was very annoying - couldn't even hold a cup for too long sometimes. Sad

Wore a wrist support for a while too.

My doctor suggested that it might be carpal tunnel syndrome for me but it did clear up on it's own.

I think it's best you ask a doctor rather than try to self diagnose (at least you have the opportunity to be more prepared for the news that it may be arthritis - Type 1 Diabetes and Arthritis are both auto immune (so in the same medical problem family)).

Take care and I hope it gets better!

Mar 25, 2011

novorapidboi26 1,819 posts

Topic: Questions for HCPs / Painfull Hands

I couldn't say I have heard of insulin causing such problems..........

Numbness and tingling can be an effect of diabetes after so many years, I would go see the doc if its causing you problems, but to me it sounds like arthritis purely from your symptoms of stiffness.....

Good Luck........... Smile

Mar 25, 2011

vic demain 87 posts

Topic: General Discussion / What made you smile today?

Being told the lumps were benign.

Mar 25, 2011

Possum 7 posts

Topic: Questions for HCPs / Painfull Hands

I am a 58 year old Female and use Novo Rapid & Levemir... has anyone noticed that they get stiff/painfull hands?... is it the Insulin or am I thinking that I am developing Arthritis (Father suffered from it)

Mar 24, 2011

novorapidboi26 1,819 posts

Topic: Site Development / Smilie Icons....

brilliant, you didnt waste any time... Shocked

Mar 24, 2011

marke 681 posts

Topic: Carbohydrate Counting / Iphone Apps

my lifescan meter works fine under windows 7. I used to have Roche Accu-Check meter and SW but gave up on that years ago since I could never get it to work reliably
and they never seemed to support it. If you want specific help you need to tell us what blood meter you have.

Mar 24, 2011

marke 681 posts

Topic: General Discussion / Ratios etc

I'm with Novarapidboi, I think your major issue is being Type 2 you are battling with Insulin Resistance not just a CP ratio. Your DSN should be aware of this and taking this into account but I'm not sure they are fully. As pointed out when your BG is high a normal 1unit QA to 3mmol doesn't really apply and everyones requirements are different. I know its frustratiing and that its not a simple job getting your BG under control but just keep at it and eventually it will start to happen. Patience is the key, which is one of the key DAFNE principles. Often people make a change and think at their next blood test things will have changed. It doesn't unfortunately happen that way and any change you make will take a few days to take effect.
For me your DSN should be concentrating on the Background dose and getting that right. If you keep having to do corrections the whole time that points towards BI not being right. However as you say, your other problems could be having an affect even if all seems well at the moment. Just keep going, you are not alone. All of us on here at one time or another have had problems getting things back in control and sometimes it feels like its a hopeless cause, however it almost always comes right in the end if you stick with it. So keep the faith and if you want any more help or just support keep posting on the site.

Mar 24, 2011

novorapidboi26 1,819 posts

Topic: General Discussion / Help

thats seems strange, you should confirm that over a few days, often when a snack comes soon after a meal, a hypo can occur due to the stacking/overlaping of insulin......

Mar 24, 2011

Simon 578 posts

Topic: Site Development / Smilie Icons....

Smilies now available! Very Happy

Mar 24, 2011

Neil Brown 28 posts

Topic: General Discussion / Help

It seems like I can control BG when I use ratio at meals but any extra CP seems to cause huge rise in BG even if I give QA as per my ratio !
Thanks for your response

Mar 26, 2011 daviebear 19 posts	Topic: Questions for HCPs / New Graduate Ketonuria Beacuse different result througout day were affected.It would seem that my BG's are poor throughout the whole day.My BG is especially poor at lunchtime which would suggest a 3;1 ratio at breakfast.From now just changing my BI if i need to until Monday when i can get more advice.

Mar 26, 2011 Neil Brown 28 posts	Topic: Questions for HCPs / New Graduate Ketonuria why did you take corrective and raise ratio and raise BI at the same time?

Mar 26, 2011 JayBee 587 posts	Topic: General Discussion / local meetings Oooo lovely! What sort thing would you like to do Emily2556? Let's see about choosing something, perhaps promote it and see who comes along as well...?

Mar 26, 2011 daviebear 19 posts	Topic: Questions for HCPs / New Graduate Ketonuria Thanks Nomis for your reply.Amazingly my ketones are now away after 2 doses of 11units of insulin as per sick day rules regime.I can't believe how quick that works.Glucose is normal at present so back to the usual regimes from now on.I just suppose I need to get my BI sorted to stop the rise in BG's.I did certainl calm down though after reading your reply which helped me a lot so thanks!

Mar 26, 2011 nomis 6 posts	Topic: Questions for HCPs / New Graduate Ketonuria Hi My first advice is don't panic you seem to be doing everything asked of the dafne regime, it's just the results are outside targets at the point of testing. I cannot give you any professional advice and it will soon be Monday when you can see someone, the course I went on aimed at getting the Lantus dose spot on and the rest follows Then watch out for the liver dumps of glucose and over correcting hypos with CP's also try to aim for a good test result before breakfast as the little dafne diary states "as a general guidline breakfast = 2-3 UNITS/CP and other meals 1-2 UNITS/CP". Your ratios are constant mid-week and mid-day your readings are higher than other times. In Summary Do not panic Follow Dafne regime Ensure Lantus correct Watch out for over correcting hypos and liver dumps Re-visit morning ratio as outlined in diary. If all else fails get in front of your blood sugars test as necessary for 1 day to have full anlaysis so you know the full picture and with that you will have the answers you need. Good Luck

Mar 26, 2011 Emily2556 2 posts	Topic: General Discussion / local meetings This is a reply to JWo, i live in Norfolk too and would be interested in meeting up with others in the area

Mar 26, 2011 daviebear 19 posts	Topic: Questions for HCPs / New Graduate Ketonuria Hi there.Just graduated yesterday.BG's rising throughout week with some changes to QA/CP ratio and BI taken.Last night at 3am Bg 4.3.I know not technically hypo but took 1 Cp to cover myself til I woke.Woke at 10am with Bg of 15.3.Took covering insulin and increased my ratio to 3:1.At 1230pm felt sicky took urine to find +1 Ketonuria and BG of 18.5.Looking for any advice as have only had ketones once in 28 years of Diabtes.I know weekend is a difficult time to get advice and will contact my own DSN on monday,but as I say any advice would help as I am panicking a bit.Cheers folks!

Mar 26, 2011 Dave W 2 posts	Topic: Questions for HCPs / Painfull Hands I recently suffered from 'Trigger Finger' in both hands. Thankfully the problem was resolved with a couple of cortisone injections. Interestingly I read that such an affliction can effect up to 3% of the population but, in the case of Diabetics, this can rise to 10%

Mar 26, 2011 grandma carol 61 posts	Topic: General Discussion / What made you smile today? Seeing 2 of my grandsons comming down this morning and saying I love you grandma and the look on there faces, when they say uou are the best grandma you make such nice things to eat.

Mar 25, 2011 meltow 78 posts	Topic: General Discussion / What made you smile today? Seeing the faces and expressions of the under dogs, when they beat the favourites. NZ vs SA, Cricket World Cup 2011. Superb performance, well done the kiwis!

Mar 25, 2011 meltow 78 posts	Topic: General Discussion / What made you smile today? Watching new lambs galloping around a field corner - all mates together!

Mar 25, 2011 mfrancis 4 posts	Topic: Questions for HCPs / Painfull Hands I am on levemir and apidra, i have problems with painful left hand which even wakes me up most nights, asked the question of GP regarding diabetes induced but was told it was more than likely a trapped nerve, that was a couple of months ago and pain getting worse so will be going back next week for more info.....

Mar 25, 2011 JayBee 587 posts	Topic: Questions for HCPs / Painfull Hands I've had wrist with some hand discomfort when motorbike riding a lot (particularly clutch control practice) but this has eventually eased off as I carried on. That hand ache was very annoying - couldn't even hold a cup for too long sometimes. Wore a wrist support for a while too. My doctor suggested that it might be carpal tunnel syndrome for me but it did clear up on it's own. I think it's best you ask a doctor rather than try to self diagnose (at least you have the opportunity to be more prepared for the news that it may be arthritis - Type 1 Diabetes and Arthritis are both auto immune (so in the same medical problem family)). Take care and I hope it gets better!

Mar 25, 2011 novorapidboi26 1,819 posts	Topic: Questions for HCPs / Painfull Hands I couldn't say I have heard of insulin causing such problems.......... Numbness and tingling can be an effect of diabetes after so many years, I would go see the doc if its causing you problems, but to me it sounds like arthritis purely from your symptoms of stiffness..... Good Luck...........

Mar 25, 2011 vic demain 87 posts	Topic: General Discussion / What made you smile today? Being told the lumps were benign.

Mar 25, 2011 Possum 7 posts	Topic: Questions for HCPs / Painfull Hands I am a 58 year old Female and use Novo Rapid & Levemir... has anyone noticed that they get stiff/painfull hands?... is it the Insulin or am I thinking that I am developing Arthritis (Father suffered from it)

Mar 24, 2011 novorapidboi26 1,819 posts	Topic: Site Development / Smilie Icons.... brilliant, you didnt waste any time...

Mar 24, 2011 marke 681 posts	Topic: Carbohydrate Counting / Iphone Apps my lifescan meter works fine under windows 7. I used to have Roche Accu-Check meter and SW but gave up on that years ago since I could never get it to work reliably and they never seemed to support it. If you want specific help you need to tell us what blood meter you have.

Mar 24, 2011 marke 681 posts	Topic: General Discussion / Ratios etc I'm with Novarapidboi, I think your major issue is being Type 2 you are battling with Insulin Resistance not just a CP ratio. Your DSN should be aware of this and taking this into account but I'm not sure they are fully. As pointed out when your BG is high a normal 1unit QA to 3mmol doesn't really apply and everyones requirements are different. I know its frustratiing and that its not a simple job getting your BG under control but just keep at it and eventually it will start to happen. Patience is the key, which is one of the key DAFNE principles. Often people make a change and think at their next blood test things will have changed. It doesn't unfortunately happen that way and any change you make will take a few days to take effect. For me your DSN should be concentrating on the Background dose and getting that right. If you keep having to do corrections the whole time that points towards BI not being right. However as you say, your other problems could be having an affect even if all seems well at the moment. Just keep going, you are not alone. All of us on here at one time or another have had problems getting things back in control and sometimes it feels like its a hopeless cause, however it almost always comes right in the end if you stick with it. So keep the faith and if you want any more help or just support keep posting on the site.

Mar 24, 2011 novorapidboi26 1,819 posts	Topic: General Discussion / Help thats seems strange, you should confirm that over a few days, often when a snack comes soon after a meal, a hypo can occur due to the stacking/overlaping of insulin......

Mar 24, 2011 Simon 578 posts	Topic: Site Development / Smilie Icons.... Smilies now available!

Mar 24, 2011 Neil Brown 28 posts	Topic: General Discussion / Help It seems like I can control BG when I use ratio at meals but any extra CP seems to cause huge rise in BG even if I give QA as per my ratio ! Thanks for your response