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15,718 posts found
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Mar 24, 2011
novorapidboi26
1,816 posts
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Topic: Site Development / Smilie Icons.... brilliant, you didnt waste any time...
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Mar 24, 2011
marke
643 posts
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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 reliablyand they never seemed to support it. If you want specific help you need to tell us what blood meter you have. |
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Mar 24, 2011
marke
643 posts
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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. |
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Mar 24, 2011
novorapidboi26
1,816 posts
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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...... |
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Mar 24, 2011
Simon
574 posts
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Topic: Site Development / Smilie Icons.... Smilies now available!
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Mar 24, 2011
Neil Brown
28 posts
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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 |
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Mar 24, 2011
novorapidboi26
1,816 posts
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Topic: General Discussion / First week concerns is that 19 a sugar level...................you will find out even with DAFNE that you will always get unexplicable readings, days, weeks, months.............thats the joy of diabetes......................
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Mar 24, 2011
Neil Brown
28 posts
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Being told I could eat cake on DAFNE course today ....only to find BG of 19 at next test .... Oh how my smile vanished |
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Mar 24, 2011
Neil Brown
28 posts
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Topic: General Discussion / First week concerns I am just finishing course this week and can relate to this already ! Just when I think I've got it sussed along comes a cheeky wee 19 ! |
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Mar 24, 2011
novorapidboi26
1,816 posts
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Topic: General Discussion / Ratios etc the key to DAFNE is writing everything down so you can pin point your needs at specific times.................do you know what your insulin production is like, if any.......... |
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Mar 24, 2011
novorapidboi26
1,816 posts
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Topic: Carbohydrate Counting / Iphone Apps maybe you need drivers for the machine, but they may not be developed for 7, check out the manufacturers website......... |
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Mar 24, 2011
novorapidboi26
1,816 posts
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Topic: General Discussion / Loss of Hypo warning signs maybe the drops were very quick, as it was within the hour, I would say that was the case.................often i find if a low blood sugar comes on slowly, then the signs can be very delayed, getting down to 2.5 or below.................the more quicker hypos seem to be easily detected, suppose it just your body telling your sugar levels are changing........ |
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Mar 24, 2011
novorapidboi26
1,816 posts
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Topic: General Discussion / Help Hey,Once you have got your background right and your QA ratios you should be able to eat what you like................after we all eat we should expect a spike of some kind, a way to reduce this is to inject 10, 15, 20, 30 mintutes before you eat, trial and error really........... starchy foods and things with fat tend to get digested slowly, so getting the insulin in early so it matches the digestion of your food can give better mid meal results...... could you elabotate amy more............ |
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Mar 24, 2011
jondavisbooks
1 post
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Topic: General Discussion / 4mm needles I was on 8mm. 30 years of diabetes. Fatty lumps and scar tissue on thighs, arms and stomach. After DAFNE switched to 4mm. I was sceptical but can now, on advice of HCP, inject with ease in loads of new places. It's amazing - forearms, chest, side of leg, torso side. And my control is so much better for it. |
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Mar 24, 2011
vic demain
87 posts
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Wierd one for me today, on 3 occasions I had hypo signs, tested between 8-9 yet within an hour on each occasion, I was hypo. |
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Mar 24, 2011
Neil Brown
28 posts
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Topic: Carbohydrate Counting / Iphone Apps I'm using the DAFNE mobile app and find it a real help for results etc as I can't get any blood meter to work on windows 7 can anyone help with that ?? |
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Mar 24, 2011
Neil Brown
28 posts
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Topic: General Discussion / Help I'm just finishing week of DAFNE and feeling a bit of a downer ! Anytime I try and take that much talked about cake or treat and match cp to qa ratio my sugar hits the roof !!Does anyone have any suggestions ? |
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Mar 24, 2011
DerekSav
2 posts
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Topic: General Discussion / Ratios etc Thanks novorapidboi26 for swift rtesponse. I do test before most meals & sometimes 2 hours after Regarding basal Levermir: I was taking 60-40 then 60-60 the 66-66 when infection was present Can't remmeber how the nurse calculated that doseage Don't think I've ver experimented in any way to arrive @ correct amount. Hypos are rare mostly my BGs are too high not too low! Means my hbA1c is usually between 8-9 It has improved since I started carb counting/DAFNE I was on Byetta for a couple of months with insulin. Made me too sick but I did lose 10 kilos in weight which has helped. I think you are right regarding correction dose I probbaly need a larger amount in view of insulin resistance. I am suret hat the Diabetes Team have been aiming to reduce my insulin since I was often taking far too much Novorapid without it doing me much good! The aim has been to get the doseage more accurate & appropriateThe specialist dietician who was part of the DAFNE team suggested I stayed with the1:3 ration ( with the aim of reducing it furrther) & use corrective doses if BGs are too high Maybe I should do that but increasewhat I take as a correction Thanks I shall keep on keeping on & hope for better numbers! Cheers D |
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Mar 24, 2011
novorapidboi26
1,816 posts
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Topic: General Discussion / Ratios etc Welcome to the site and forum.............Being Type 2 on insulin can be very tricky, and using DAFNE principals may not be suited for everyone.... But it seems that your insulin production may have stopped pretty much all together and/or resistance is high. From a type 1 perspective I would recommend testing before every meal and recording it, this may not be possible for you, are you able to get strips easily? Are you confident your background is right............? Do you ever experience hypos..........? As your blood sugar rises, the more resistant you become to insulin and therefore need more correction to bring you down, everyone is different in terms of how much 1 unit brings you down...........1 unit dropping you 3 is probably whats happens to someone who is at a normal blood sugar and who can use insulin effectively, in your case I doubt this is enough........... eg........If I was at 17.5, I would take 12 units to get back on target...... |
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Mar 24, 2011
DerekSav
2 posts
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Topic: General Discussion / Ratios etc Hi Everyone First post Trying for some advice & encouragement Although long term Type 2 Diabetes Team have got me ona DAFNE regime Problem is that after nearly 30 years of taking very large amounts of insulin ( too much) I am tryingv to get to a realistic insulin-carb ration Iam following instruction & working on 1 unit: 3 gms CHO ratio Can't seem to get into single figures very often Situation complicated by long term Urinary Tract Infection & antibiotics. No infection showing up at present but today both pre breakfast & pre lunch BGs are over 13 Took prescribed ratio of insulin @ breakfast plus 7 units as corrective dose Thought this would be enough as DSNurse suggests ony 1 unit to bring BG down 3 mmol Disheartened that BG is over 13 still Tempted to think that either ratio is not right for me ( weight, insulin resistance?) &/or corrective dose needs to be higher for me. Any comments welcome ThanksTaking Novorapid as described Split dose Levemir 66 am & pm currectly & Metformin Also taking Ramipril Butenamide & Bisoprolol |
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Mar 24, 2011
JayBee
582 posts
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Topic: General Discussion / Blog: "DIY DAFNE" - An Diabetic Outsider's View LOL - YES! That's my first ever finger pricker! XD Thanks! I think I'll save that picture on my computer when I get home so I can show people! I can see why people hated it but I was genuinely really upset when it broke! I guess I was really uncomfortable with change because I did get put on to one of those more modern looking prickers... Love the name of it... halarious! |
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Mar 24, 2011
Garry
328 posts
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Topic: General Discussion / Blog: "DIY DAFNE" - An Diabetic Outsider's View I feel a shudder coming on!No adjustment....get whatever hole it felt like delivering into your finger...often bruised or unable to staunch the blood flow....glad those days are behind us. Garry |
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Mar 24, 2011
novorapidboi26
1,816 posts
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Topic: General Discussion / Insulin Pumps Paul...................The only true way to test your basal dose is to miss a meal, the QA dose being delivered at meal times would need to be removed to check, not all day though, just breakfast one day, lunch the next, as you described. You say you get high readings when your bolus runs out, at this point, usually before a meal, your BG readings should be on or approaching target, if it is not, then something is wrong, basal or bolus, but at the 6 months stage I would assume you have established your basal rates throughout the whole day. But it seems you may not have it sussed totally. So in light of that you need to go on a mission to establish your daytime basal rate(s) before changing your bolus ratios ,basically back to basic, the DAFNE basics............ At the 5-6 hour mark your bolus has gone, so any rise in sugars should be down to the basal................have you played about the temporary basal rate function with regards to fluctuating physical activity............? |
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Mar 23, 2011
Broady
13 posts
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Topic: General Discussion / Insulin Pumps I've been using an insulin pump for about 4 years and my diabetes is the best it's ever been. Don't get me wrong it hasn't been easy and has taken a great deal of work but i would never think of going back to injections. I was having a lot of hypos at the time and had lost most of my awareness so my specialist decided to try me on a pump. I now have some awareness back but not fully and it allows me to fine tune my insulin to suit my day to day activities. I would recommend them to everyone if given the chance to try one. |
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Mar 23, 2011
Paul Topham
1 post
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Topic: General Discussion / Insulin Pumps Hi,I have been on a pump for 6 months now. I went on one, due to high BG in morning, due to dawn rises. And also i have a job which fluctuates the amount of physical activity i do from one hour to the next and i was constantly snacking. I have found since i have been on the pump i have had less hypos but i also get a lot of high readings,especially after my bolus has run out. The thing is how do i know if my QA CP RATIO is correct if if my sugars are going up 5 or 6 hours but ok say at 4 hours after a meal. The only way i imagine is by fasting at different meals over a few days or weeks EG: skip lunch see what happens to BG and then skip dinner on some other days. I realise this probably doesnt make any sense. But how can you know if you basal is right if you keep topping up with boluses for meals |