Recent Posts - DAFNE Online

Mar 24, 2011

Neil Brown 28 posts

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 ?

Mar 24, 2011

DerekSav 2 posts

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

Mar 24, 2011

novorapidboi26 1,819 posts

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......

Mar 24, 2011

DerekSav 2 posts

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 Thanks
Taking Novorapid as described Split dose Levemir 66 am & pm currectly & Metformin
Also taking Ramipril Butenamide & Bisoprolol

Mar 24, 2011

JayBee 587 posts

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! Razz

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!

Mar 24, 2011

Garry 328 posts

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

Mar 24, 2011

novorapidboi26 1,819 posts

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............?

Mar 23, 2011

Broady 13 posts

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.

Mar 23, 2011

Paul Topham 1 post

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

Mar 23, 2011

vic demain 87 posts

Topic: General Discussion / Blog: "DIY DAFNE" - An Diabetic Outsider's View

Yep, that was the beast. Hated it every time, did about 2 tests per annum.

Mar 23, 2011

novorapidboi26 1,819 posts

Topic: Site Development / Hyperlinks.....

Thanks for the quick response.......

Mar 23, 2011

Alan 49 284 posts

Topic: General Discussion / Blog: "DIY DAFNE" - An Diabetic Outsider's View

Yes, I remember these - terrible things! And that 'shunk' noise they made - OUCH!

Mar 23, 2011

Simon 578 posts

Topic: Site Development / Hyperlinks.....

novorapidboi, you don't need the quotes around the URL - I've fixed it in your post.

Mar 23, 2011

novorapidboi26 1,819 posts

Topic: Site Development / Hyperlinks.....

Although there is no automatic way of doing this I did try and insert one with the right code, it was displayed correctly but the link within it wasn't accepted.

The post in question is within this thread......."Blog: "DIY DAFNE" - An Diabetic Outsider's View"

Enjoy...

Mar 23, 2011

novorapidboi26 1,819 posts

Topic: General Discussion / Blog: "DIY DAFNE" - An Diabetic Outsider's View

Do you mean this

Mar 23, 2011

JayBee 587 posts

Topic: General Discussion / Blog: "DIY DAFNE" - An Diabetic Outsider's View

Haha, I still remember my first finger pricker - that was a nasty looking thing, but I was a heart broken little girl when it eventually broke!

It was one of those ones that you'd put the needle in a sort of 'catapult' bit and then you'd watch it fly down the side of the body into your finger. The place where you put your finger was like a little target! XD

Golly, I can't find a picture of it any where online!

Mar 23, 2011

DFH_17 22 posts

Topic: General Discussion / local meetings

I've been very lucky with the group I did DAFNE with - we've met up once and another meet is planned for next month - plus we all have each others mob numbers/e-mails, which is nice :-)

Mar 23, 2011

novorapidboi26 1,819 posts

Topic: Site Development / Smilie Icons....

No need to apologize, you do a great job......

Mar 22, 2011

Simon 578 posts

Topic: Site Development / Smilie Icons....

Added to the list! (Sorry, I've been away....)

Mar 22, 2011

graham burton 14 posts

Topic: General Discussion / New European Commission directive affecting drivers with diabetes

just checked with dvla and this process is still going through the house of commons so the law still sticks that if you are on insulin you can not drive any vcechile that is D1

this would be a minibus i would say email and write a letter to your mp gto push this back on to the commons agenda ASAP and also email the diabetes uk about this and to see if they can find out when it will become law.

Mar 22, 2011

novorapidboi26 1,819 posts

Topic: Carbohydrate Counting / glucogel

each to their own, your not vegan are you................ Smile

Mar 22, 2011

tsavage1990 11 posts

Topic: Carbohydrate Counting / glucogel

im strict vegetarian so jellybabies arent any good. and mini cans of coke are ok but expensive and not great if your going on a night away with little room in your bag. plus glucogel is the only thing ive ever seen used in firstaid cause it is so damn handy

Mar 22, 2011

grandma carol 61 posts

Topic: General Discussion / Going below a 1:1 ratio

Reading your posts think thats why things have started to get complicated for me.I was 10 stone for years and things were ok but for no reason I lost weight wasent ill wasent on a diet just did the same from day today then about 2 years a go started to loss weight went down to 6.5 stone. dident know why and Doctor was bothered.Well then started to put it back on and have stoped at 7.8 stone for 16 months now. But as you say novorapidboi26 I now need a lot less insulin went down from 20 Lantus to 9 at 18.00 at night thins have been a bit hetick as you know but getting better now

Mar 22, 2011

novorapidboi26 1,819 posts

Topic: General Discussion / Going below a 1:1 ratio

Slim maybe......lol........think I used the word skinny to make me feel better, being overweight....................the less there is off you the less insulin you need, which is reflected in your background dose. But it seems you are very sensitive to insulin and/or have been diagnosed in the last few years...........has it always been like this, well, similar insulin amounts anyway...?

Mar 22, 2011

grandma carol 61 posts

Topic: General Discussion / Old habits die hard...

i was diagnosed at the same time I was pregnant and like patty panick with anything above 10 but since doing Dafne my bloods have been up to 18.0 sometime and I was feeling realy un well. But think things are getting better a bit now down in the 7.0 and 8.0 most of the time its just the morning that I have the trouble with.From getting up untill I have breakfast like this morning I was 8.3 and before I had me breakfast 30 mins later I was 12.1 It just drives me mad at times. Well my son is 36 now but I still dont like the highs know what you mean Patty.

Mar 24, 2011 Neil Brown 28 posts	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 ?

Mar 24, 2011 DerekSav 2 posts	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

Mar 24, 2011 novorapidboi26 1,819 posts	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......

Mar 24, 2011 DerekSav 2 posts	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 Thanks Taking Novorapid as described Split dose Levemir 66 am & pm currectly & Metformin Also taking Ramipril Butenamide & Bisoprolol

Mar 24, 2011 JayBee 587 posts	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!

Mar 24, 2011 Garry 328 posts	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

Mar 24, 2011 novorapidboi26 1,819 posts	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............?

Mar 23, 2011 Broady 13 posts	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.

Mar 23, 2011 Paul Topham 1 post	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

Mar 23, 2011 vic demain 87 posts	Topic: General Discussion / Blog: "DIY DAFNE" - An Diabetic Outsider's View Yep, that was the beast. Hated it every time, did about 2 tests per annum.

Mar 23, 2011 novorapidboi26 1,819 posts	Topic: Site Development / Hyperlinks..... Thanks for the quick response.......

Mar 23, 2011 Alan 49 284 posts	Topic: General Discussion / Blog: "DIY DAFNE" - An Diabetic Outsider's View Yes, I remember these - terrible things! And that 'shunk' noise they made - OUCH!

Mar 23, 2011 Simon 578 posts	Topic: Site Development / Hyperlinks..... novorapidboi, you don't need the quotes around the URL - I've fixed it in your post.

Mar 23, 2011 novorapidboi26 1,819 posts	Topic: Site Development / Hyperlinks..... Although there is no automatic way of doing this I did try and insert one with the right code, it was displayed correctly but the link within it wasn't accepted. The post in question is within this thread......."Blog: "DIY DAFNE" - An Diabetic Outsider's View" Enjoy...

Mar 23, 2011 novorapidboi26 1,819 posts	Topic: General Discussion / Blog: "DIY DAFNE" - An Diabetic Outsider's View Do you mean this

Mar 23, 2011 JayBee 587 posts	Topic: General Discussion / Blog: "DIY DAFNE" - An Diabetic Outsider's View Haha, I still remember my first finger pricker - that was a nasty looking thing, but I was a heart broken little girl when it eventually broke! It was one of those ones that you'd put the needle in a sort of 'catapult' bit and then you'd watch it fly down the side of the body into your finger. The place where you put your finger was like a little target! XD Golly, I can't find a picture of it any where online!

Mar 23, 2011 DFH_17 22 posts	Topic: General Discussion / local meetings I've been very lucky with the group I did DAFNE with - we've met up once and another meet is planned for next month - plus we all have each others mob numbers/e-mails, which is nice :-)

Mar 23, 2011 novorapidboi26 1,819 posts	Topic: Site Development / Smilie Icons.... No need to apologize, you do a great job......

Mar 22, 2011 Simon 578 posts	Topic: Site Development / Smilie Icons.... Added to the list! (Sorry, I've been away....)

Mar 22, 2011 graham burton 14 posts	Topic: General Discussion / New European Commission directive affecting drivers with diabetes just checked with dvla and this process is still going through the house of commons so the law still sticks that if you are on insulin you can not drive any vcechile that is D1 this would be a minibus i would say email and write a letter to your mp gto push this back on to the commons agenda ASAP and also email the diabetes uk about this and to see if they can find out when it will become law.

Mar 22, 2011 novorapidboi26 1,819 posts	Topic: Carbohydrate Counting / glucogel each to their own, your not vegan are you................

Mar 22, 2011 tsavage1990 11 posts	Topic: Carbohydrate Counting / glucogel im strict vegetarian so jellybabies arent any good. and mini cans of coke are ok but expensive and not great if your going on a night away with little room in your bag. plus glucogel is the only thing ive ever seen used in firstaid cause it is so damn handy

Mar 22, 2011 grandma carol 61 posts	Topic: General Discussion / Going below a 1:1 ratio Reading your posts think thats why things have started to get complicated for me.I was 10 stone for years and things were ok but for no reason I lost weight wasent ill wasent on a diet just did the same from day today then about 2 years a go started to loss weight went down to 6.5 stone. dident know why and Doctor was bothered.Well then started to put it back on and have stoped at 7.8 stone for 16 months now. But as you say novorapidboi26 I now need a lot less insulin went down from 20 Lantus to 9 at 18.00 at night thins have been a bit hetick as you know but getting better now

Mar 22, 2011 novorapidboi26 1,819 posts	Topic: General Discussion / Going below a 1:1 ratio Slim maybe......lol........think I used the word skinny to make me feel better, being overweight....................the less there is off you the less insulin you need, which is reflected in your background dose. But it seems you are very sensitive to insulin and/or have been diagnosed in the last few years...........has it always been like this, well, similar insulin amounts anyway...?

Mar 22, 2011 grandma carol 61 posts	Topic: General Discussion / Old habits die hard... i was diagnosed at the same time I was pregnant and like patty panick with anything above 10 but since doing Dafne my bloods have been up to 18.0 sometime and I was feeling realy un well. But think things are getting better a bit now down in the 7.0 and 8.0 most of the time its just the morning that I have the trouble with.From getting up untill I have breakfast like this morning I was 8.3 and before I had me breakfast 30 mins later I was 12.1 It just drives me mad at times. Well my son is 36 now but I still dont like the highs know what you mean Patty.