Recent Posts

I've never really thought about it before, yet another thing I may see a pattern for now I'm keeping a diary! It has been really cold here the last few days, my sugars have been really high though until yesterday but that's more of a "new to DAFNE" thing.

Mar 4, 2011

JayBee 587 posts

This week has been quite a bit cold here on the east coast of the UK (the winds have been ever so icy feeling!), though I'm already coming out of the other end of the "time of the month" which often means my hormones are mucking me about. Due to this, I'm needing less insulin at the moment anyway (semi-expected).

Mar 4, 2011

HelenP 218 posts

Hi Linsey,

I have the opposite I need less insulin in the warmer weather. So February is my "low" month! However if it gets too hot (35 degrees C) the insulin demand goes up. What constitutes "colder" where you are?

Helen

Mar 4, 2011

linsey ramage 6 posts

anyone experiening hypos due to cold weather??
weather has just got cooler in oz an i have suffered 6 hypos in one day!!
nothing else has changed.....:0(

Mar 3, 2011

Simon 578 posts

Topic: Site Development / DAFNE Online iPhone application - help with content/design needed

Hi all, the latest version of the app (1.4.1) is now on the app store - fixing problems with the AU carbs list, making the download of entries from the site to your device manual, and other minor bugfixes - suggest you all upgrade now!

Mar 3, 2011

michellem 23 posts

Well I saw my DAFNE educator today and we've decided on a plan of action:
Upping my dinner ratio to 1.5:1 ad putting my BI back down to 16
If still running high do the same for my luchtime ratior
If still problems try moving my lantus to midday and putting it back to 18units
I also need to stop using some of my injection sites.
Will see how it goes and update you all.
Thanks again for all your support and thoughts.
Michelle

Mar 3, 2011

novorapidboi26 1,819 posts

I agree that a reduction is on the cards, however, the less you take the shorter its action time, which will almost definitely mean climbing numbers in the evening............

The majority of people spit out glucose at different rates between the night and day, which makes sense as you are winding down at night and ultimately sleeping, so the liver releases less. Thats why a split would almost certainty give better results and flexibility. Obviously it is an extra injection but on a Multiple Daily Injection regime there are bound to be more, that's just the way of it.

I personally take my two doses of background with my breakfast and then with my dinner, so the impact of the extra injection is somewhat dampened as its just routine now.

I would drop the BI, until you see the holding over night, if on Lantus, wait for a few days as a change of dose doesn't give instant results. Then you can tackle your daytime needs, you might be able to compensate with higher QA doses, but I think in the end the hours running up to you BI dose will be a struggle I think as your now lower dose is running out.....

Good luck with the DAFNE team, they will help you figure it out............. Smile

Mar 3, 2011

michellem 23 posts

I reluctantly think you may be right but not keen on the extra injection. I ended up not walking from the station this morning, that was added before and I ended up getting the bus so still think my BI is too high. Need to think more about the BI and whether I can cope with another injection. Still I've only been doing things the DAFNE way 1.5 weeks so maybe need to calm down!!

Mar 3, 2011

novorapidboi26 1,819 posts

I think your BI may be a bit too high, but overnight you didn't drop that much and some would expect a + or - 2 mmol/l with their background being correct.

Your lows today may have been due to the extra activity walking to the station, as the effects can last hours, even days, depending on intensity, so on that note I wouldn't draw the conclusions that your BI is too high as the previous day you were OK, or not low anyway.

I suspect your BI is running out, to be honest I only know of a few people that are successful with a single dose. Between 4 and 7 on the Wednesday afternoon/night you actually climb suggesting your BI dose is not lasting 24 hours, more like 18-20 hours.

I think splitting your BI dose is the way to go, so you can supply full day coverage for your liver dump and be able to give more at night and less during the day, or vice versa.

What do you think...?

Mar 3, 2011

michellem 23 posts

My current diary

Mar 3, 2011

michellem 23 posts

Hi
Well things got worse yesterday and I cracked and upped my BI to 18, I was 20.4 at bed time(I've had the smae dinner for 3 nights and had more insulin for it eah night but then had higher BG's each night), 17.3 at 2.30am and 13.1 at breakfast. Going to put by BI back to 16 tonight and be more sensible. Think the constant highs just got to me. Going to see my DAFNE educator this afternoon so I can talk it through with her. Been advised to get my injection sites checked and also been given 5mm needles to try (I have a DSN friend!)
On the positive side I've had a green just now before lunch and mid morning was 4.1 (I don't consider that lo but I know DAFNE does)
Michelle

Mar 3, 2011

novorapidboi26 1,819 posts

Awwwwwwwwwwww..........no...................just go out and eat what you like and enjoy............if you split you wont get the low straight after as the peak of your first dose wont be strong enough, then the next peak should marry up with the later release of glucose.............

Its all about experimenting and results will vary but you get the idea.....

Mar 3, 2011

Cas 4 posts

Hi- thanks for that suggestion. I have always had huge problems with pasta- used to have a hypos 1 hour after eating- then of course major high in the morning! Very annoying- the DAFNE course did wonders for the understanding re fat/ carbs etc. I could chicken out and have fish and salad of course!!! Cheers.

Mar 3, 2011

novorapidboi26 1,819 posts

Enjoy the Italian...............

Remember that some starchier carbs like pasta and pizza, which can also have higher fat content as well can have a delayed release of glucose in to the blood stream.........so once the CPs have been calculated you could maybe think about splitting the dose, half before the meal and half during/after.........this should prevent or alleviate the spike you may get post meal..........the 50:50, split is just a good place to start, I personally give 75% first then the rest after..

Good Luck and enjoy........

Mar 3, 2011

Cas 4 posts

Am spending time calculating everything I cook and dividing into portions. I seem to need a higher ratio pm so am trying that- doing fairly well at present. Going out to Italian meal tonight- fingers crossed! Thanks to all

Mar 3, 2011

CBurchell 2 posts

Topic: DAFNE Online Mobile / Mobile site released

If I click on Carb Counting link from mobile site (BB Bold2) it just brings up a little box with the word 'results' - and the back, home and logout links - nothing else...help please...?

Mar 3, 2011

Alan 49 284 posts

My HCP told me recently that 5mm is now the recommended needle length for most diabetics.

Mar 3, 2011

graham burton 14 posts

it is depending on how big or small you are as i am skinny 8mm was not good for me but 5mm is better

Mar 3, 2011

MikeH 9 posts

shorter is not always better i was addvised to change up from 6mm to 8 mm and this made a improvment to my control but i am quite a big chap and on very high ratios, i will see what happens as i lose a few stone.

Mar 2, 2011

graham burton 14 posts

Topic: Site Development / New Meter Upload Development

ordered metre and lead on line thanks nivz

Mar 2, 2011

Anibee 4 posts

As an ex baker and now Diabetes Dietitian - I have found that alot of the breads I used to make commercially have all changed. As mentioned, when making your own, it really depends on the carb value of your flour - but if you are making your own don't forget to add any extra bits of carb that you include - for example dried fruit or such, but depending on your additions of nuts or seeds you may find that the Glycaemic index changes too - so you may need to factor that in for a bit of a rise in BG later on.

Mar 2, 2011

Garry 328 posts

Have a search on the web for your QA insulin type michellem and when there search site for the insulin absorption graph.
This will give you a good indication about action time for your QA.
As you say you will probably find that 2 hours is too short a time for trimming off of the post meal peak.
Regards
Garry

Mar 2, 2011

michellem 23 posts

Going to try the 5mm ones this week (have a nurse friend!). If I like them I will change over.
I also remember the glass syringe and my parents being told to use the needly until it was blunt! I was 5 and very skinny so luckily my parents were having none of that and bought them for me, bless.

Mar 2, 2011

michellem 23 posts