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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

Hi
Thanks for your thoughts on my diary and I reluctantly agree I need to stop correcting after hypos. I knew at the time but have't quite got my head around it (I am new to this method!!)
I'm the same with my bedtime BGs as I often don't eat til 7.30/8pm then go to bed at 10 so it's not really an accurate reading.
I've still not achieved a green since breakfast on Monday which is a bit depressing. I nearly shed a tear at my18.1 last night as I don't know why it happened but then I thought of all the advice I've got on here and thought I just need to give it time and don't give up.
I am tempted to up my BI to 18 but had night hypos when I was previously on this and they are my BIG fear so I'm still thinking about it, any thoughts?
Michelle

Mar 2, 2011

HelenP 218 posts

Topic: General Discussion / Insulin Pumps

Hi Guys!

Well I go into hospital next Wednesday to be "fitted" with an Animas 2020 pump. My understanding is that I am then fairly closely monitored for 24+ hours (by nursing staff) and let loose (by the CDE) when she thinks I have "got it". I am really busy at the moment and am getting a little nervous but hope that It all goes smoothly. The sales person for the pump has been an excellent resource and has responded to my requests for info etc very quickly.

It appears that I am now fully recovered from the surgery and my TDD is back where it was 8 months (pre surgery) ago. It is probably best that this has happened before the pump. Do any of you run an Animas pump? It is not as common as the Medtronic version but as I said before I asked for info from Medtronic, gave them my email address and telephone number (last October!) and still have not heard from them! Helen

Mar 2, 2011

jackieh 4 posts

Topic: General Discussion / Insulin Pumps

Davejg

Tell me more about this Medtronic pump! I am taking part in research and there is a Medtronic Paradigm Veo minimed pump sitting on my kitchen table waiting for me. I am having to check my blood with the Contour Link BG monitor, which then sends the results to the pump, I put in the carbs I will eat and the pump comes up with a number that it would send along the tubing if it were attached. I am still actually injecting insulin at the moment. I'm taking 6 or 7 lots of insulin a day - 6 EVERY day and 7 if it goes mad like the other night! I don't know how these pumps work - the insulin: is it a mix of QA and BI? Or if it's just QA, will I still have to have BI INJECTIONS? I am on 2 Lantus jabs a day (that adds up to a whole 10 units in total).

I'm used to carb counting - have been doing it 38 years too. I was horrified a few years ago when my friends daughter was diagnosed with Type 1 diabetes and carb counting wasn't really emphasised enough. Even now I say, how many carbs was in that cake, and she says oh it doesn't matter, it tastes so good! Mmmmmmm!

Guys, just to let you know, I get a mix of green, red and orange boxes on my DAFNE charts, every day. I did actually ask, via email, if it will ever work! I got a phone call.

Jackieh

Mar 1, 2011

JayBee 587 posts

Michelle,

Based on what you've posted on page 1, I would first recommend you stop correcting so soon after hypos.

Your insulin sensitivity is increased due to a hypo (section in DAFNE book: Hypo -> Increased sensitivity to insulin) and this means when you correct afterwards (even with a meal), it will usually result in another hypo. Correcting soon after often causes that annoying problem called "BG boomeranging" which can leave you feeling tired and run down if left to continue.

Leave it for 24 hours so your body gets a chance to recover after a hypo and then see what patterns arise after (this just means - no corrections - just take usual BI and only inject required QA for CPs for the next 24 hours after a hypo).
Try not be afraid to go high after a hypo - it is normal and your BI will bring it down for you. Smile

If you stick to the hypo rules, you will have a controlled rise after a hypo as well.

To help put things into perspective, I have witnessed 1QA bring my BG down by 9BG points (I think it was from 20 BG down to 11 BG - this was just the QA on it's own, no food QA at all).
On another occasion when I decided to test what happened if I ate as well as corrected - I just shot down straight down into another hypo. This was with food!

Yes, I am a "hard way learner". I used to be very bad for correcting when I shouldn't have been - it was a hard habit to break when all I wanted was to never be high! It's not worth the hassle that comes from being impatient with your body.

The unexpected highs may be a result of your body releasing glucose to cope with the extra insulin you're injecting.

Best of luck! Keep your chin up - and I completely understand your frustration!

--------

I've only had trouble once where the doctors thought I was a Type 2 Diabetic and therefore shouldn't be testing as much as I was... soon got that cleared up! XD

--------

I'm not sure if I've had an all green day... My evening meals often are a few hours from my evening BI jab and test (my QA's working time seems to be 5 hours), so I'm almost always still processing meal QA when I get around to doing my before bed BI which often is around 11BG ... so red most evenings.

I don't think I will ever have a "all green day" because of this, not that it matters really. As long as my results go back to green when the insulin is done, then I'm happy as a bunny. Smile

Mar 1, 2011

marke 686 posts

Topic: Site Development / Web Service

Hi, I suggest you email us about this at admin@dafneonline.co.uk since its a bit technical for the general forums. I brief answer is it very much depends on what your definition of a web service is.

Mar 1, 2011

michellem 23 posts

I seem to be allowed to order as many strips as I need, they've never queried so hope this continues now!
I was highish again before tea as I've been all day. Had the same dinner as last night and increased my QA so hope to be green before bed!!

Mar 1, 2011

grandma carol 61 posts

I have been the same and since doing Dafne last SEP. could not get Bgs down and thought that it was not for me but things are starting to get better now and untill this week was not to bad for a week but I hve a chest infection now and things have gone to pot agen. B ut I am going to keep at it as even though things are not right yet I do feel better than I did.
vic demain I get 2 cassettes in 1 box and thats 100 tests and thats every 2 weeks I have just asked for more as I test about 10 - 14 times a day as i DRIVE and need to test with that as well as with the food carb counting. T hey have just agreed to increase what I get and with no argument or anything said about it.

Mar 1, 2011

vic demain 87 posts

3 boxes of 50 every 8 weeks.

Mar 1, 2011

Karl 83 posts

I get 4 boxs of 50 every 4 weeks - This was due to a letter from my DAFNE course to GP to up it to that. If they wont increase dont forget you 'should test everytime you drive' as a good argument

Mar 1, 2011

vic demain 87 posts