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Feb 18, 2011
JayBee 582 posts

Topic: General Discussion / DAFNE news on Twitter ..and now Google Plus!

Im now wondering if multiple people can post to a main feed account... Shall have to have a look next time Im on a PC. Im happy to be a news scout or something if we think its a good idea... Smile
 
Feb 18, 2011
JayBee 582 posts

Topic: General Discussion / Exercise - personal observations on not going high

I think how your body responds, aka how well it uses the insulin you take, depends highly on how active you are. Another, very active, member of my DAFNE group found his body could work okay on BI alone when he exercises (still taking on CPs). I, on the other hand, seem to need the assistance of QA so I tend to try and take my exercise fuel off my meals, or if I know my meal QA has finished working, inject a bit of QA with a snack (applying DAFNE exercise rules at the same time). If I dont, I tend to hit 20 BG after exercise. HOWEVER, I dont correct after because my body will then use the next batch of food QA to bring it down (because body will still be affected by the exercise so using your insulin more effectively for some time afterwards). Correcting can result in hypo. Its all a little hit and miss though, sometimes taking off 2QA isnt enough but we learn! Smile
 
Feb 18, 2011
novorapidboi26 1,816 posts

Topic: General Discussion / DAFNE news on Twitter ..and now Google Plus!

I like that idea actually, well done..........
 
Feb 18, 2011
JayBee 582 posts

Topic: General Discussion / DAFNE news on Twitter ..and now Google Plus!

Hi all, For sometime now I have been interested in following a DAFNE Twitter account or, before I quit Facebook, joining a DAFNE group. Obviously, this great site stands in for the FB side, so what are our thoughts on a Twitter feed with the latest news about DAFNE and the research behind it? I know this site gets news and I think a stream would not only promote DAFNE but this very website! I think this would work well if news can be gathered related to DAFNE - including success stories (okay'd by the diabetic of course)! What do we think?
 
Feb 18, 2011
Simon Heller 46 posts

Topic: Questions for HCPs / BG rise at end of Lantus

Sorry not to have replied to this before but I am sure that your Lantus is running out. For most people it is not a true 24h insulin and in my view most people should use it as Levemir and take it twice daily, probably bedtime and before breakfast. Probably lasts about 18h in most cases, its just that it has been marketed as a once a day insulin by the company that make it so most HCPs believe this.
 
Feb 17, 2011
novorapidboi26 1,816 posts

Topic: General Discussion / Exercise - personal observations on not going high

I don't exercise that much unfortunately but reducing the QA for the previous meal would be the choice I would take, it all depends on the duration and severity of the exercise as well....

I found this some where, cant remember where:


Short Moderate Long

Low 0.90 0.80 0.70

Moderate 0.75 0.67 0.50

High 0.67 0.50 0.33


The horizontal is the duration and the vertical is the intensity..............I wouldn't use these figures as I cant confirm the source but it gives you an idea of what you could try........these numbers are multiplied with your QA dose if exercising within 1-2 hours of the meal.....

The dafne handbook also has some stuff on exercising/activity you could look at.........

I would also not excercise if my BGs were above 13, but that number can vary for everyone.....
 
Feb 17, 2011
chrisg9 7 posts

Topic: General Discussion / Exercise - personal observations on not going high

I exercise 5 evenings a week (a bit excessive, but I am trying to lose some weight). Traditional wisdom had always been to make sure to take carbs before hand. Whether I did or didnt, the result was often a >15 BG at the end. Following the DAFNE course (last month) and some good advice elsewhere on this site, last night I was 15 before I started (supper had been 90 minutes previous when BG was 10 - I still cant explain the 15 level.) Ignoring guidelines not to exercise with high BG, I took QA8. At the end of 40 minutes, my BG was 7 and it hasnt really budged from that 16 hours later.
Would be very interested to know what others do to stop the highs after exercise.
regards
Chris
 
Feb 17, 2011
Garry 328 posts

Topic: General Discussion / Whats happening?

Good to see your diary up and running Jo Penn. Good move.
I find that everything seems much clearer to me when I go back and review my own results retrospectively…especially after things have gone awry!
Helps me correct my mistakes and missing entries too. How many times have I seen QA 11.3…must have a very clever and accurate pen…Doh...entered my BG in the wrong field again.
You have a different approach to me in recording.
I only make one entry for breakfast as I take both my QA and BI during breakfast...and again only one entry at tea.
In doing that I find that it helps keep my split dose BI 12 hours apart and good consistent flowing overlap between them.
During the week I normally have breakfast at 06:45 and dinner 18:00 to 19:00 and then breakfast again at 06:45 - so give or take an hour it remains at 12 and 12.
If I get up late on a weekend it normally moves all mealtimes on - and so it tends to stay at 12 and 12 albeit with errors weekend start and finish - but still not too inaccurate.
I see your BI split is around 14 hours during the day and 10 at night. At your new, higher BI, you might try even it up if at all possible.
With recording in the OnLine diary, I hope you gain confidence in making your own decision about BI dose changes too. After all, you change one type of insulin every meal, so why should your BI be any different?
I try to take a steady view of this over 3 or 4 days results though – in the vain hope that I see a clear pattern before making BI changes. It is complicated enough without bringing another factor into play, making it too difficult to recognise the pattern. I use the graph feature on the diary all the time to help me see emerging patterns.
I now realise that I have only tinkered with BI units in the past...1u up or down, but my consultant has just told me to change 10 to 20% if I wanted to change BI and that way to see quick direct effects. He promptly advised me to knock 4u off my 28u BIs which I have done with little adverse effect.
Low dose Metformin has so far not helped my ratios but it is only 8 days. I live in hope.

Regards

Garry
 
Feb 17, 2011
Simon 574 posts

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

Hi John,

Good point - I should have said only follow point 1, and they will automatically get sent to me by Apple. Please don't post your crash reports to the MapMyFitness Forum! If you have an archive already please email them to me ([email protected])

Thanks,

Simon
 
Feb 16, 2011
John Stevens 9 posts

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

Hi Simon,
Thanks for all the work. I have it and will give you feedback next week. In the meantime, I have an archive of crash reports to send to you, but I am not sure if posting it to MapMyFitness forum will get to you. Let me precisely how to get it to you, and I will.
Thanks again, and Cheers
 
Feb 16, 2011
Jo Penn 23 posts

Topic: General Discussion / Whats happening?

Well DSN got back to me after a moany email.. (really needed to do it!) and got to up basal to 28 on both doses and do a 2am check... and then try a carb free meal (like you suggested NRBoi) at the weekend...
Mmm and asked about insulin pump/CGM - need to ask at clinic in 5 weeks

Will give it a go x
 
Feb 16, 2011
Simon 574 posts

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

Tony, Mike - you are most welcome.

A number of users have reported crashes - unfortunately I can't diagnose and fix these unless I can see your device crash logs. Most people turn these off as they don't want to submit information to Apple, however it's the only real way I can access crash logs and fix the crashes. Don't worry about turning this on - none of your private data will be shared with Apple, only the logs for each application, if it crashes.

To do this, follow the instructions in the following link: How can I send you a crash report

Thanks, Simon
 
Feb 16, 2011
MikeH 8 posts

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

thanks i just cant say thanks enough.

 
Feb 16, 2011
Megs 1 post

Topic: General Discussion / accu-check

I've had no end of problems with Lloyds pharmacy from losing my prescription to giving me th wrong insulin and then telling me that I was wrong and they were right with th insulin that they gave me so much so that I now refuse to use them and now use superdrug or boots who so far have been great but will never recommend lloyds again after th service I received
 
Feb 16, 2011
Tony 3 posts

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

Cheers simon, thats brill
 
Feb 16, 2011
Simon 574 posts

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

Hi all - the latest version of the app (1.4) is now on the app store, with the following new features:
  • Two way diary synchronization - app now downloads new and updated entries from DAFNE Online site
  • Users can now select between the UK and Australian Carbohydrate Portion lists
  • New diary entry types (Background Insulin, During Exercise and During Night)
  • Diary summary will show breakdown of Injection Site usage
  • Diary summary shows corrective dosage split by + / -
 
Feb 16, 2011
chrisg9 7 posts

Topic: Questions for HCPs / Cant stop BG Levels going up

Many thanks to both of you for those posts - the encouragement is much appreciated. The only ratio below 1:1 has been 0.5:1 prior to badminton. But as mentioned, will now up to 1:1 given high reading after. Garry, thanks for the Alan Constable details. I will see if it offers any advice for mitigating the effects of the glucagon release. For the moment, it appears to be an unavoidable evil.

Regards
Chris
 
Feb 16, 2011
Jo Penn 23 posts

Topic: General Discussion / Whats happening?

Hi there

Heres my BG Diaries for the past couple of days - my DSN is on holiday again :-( and getting frustrated with it all...

Thanks NRBoi - will try that with the no carb meal - lunch is easier in the week; but will try at weekend as its easier to have a fry up lol
 
Feb 16, 2011
Garry 328 posts

Topic: Questions for HCPs / Cant stop BG Levels going up

Please remember that your (hard) badminton session may cause an 'adrenalin rush' leading to liver glucagon release and cause BG rise as a consequence. Think insulin resistance is increased by most hormone changes. Alan Constable shared information with us in a thread called exercise within General Discussion back in November 2010 which could be of interest to you. Sounds like you are getting back on track. Well done.

Regards Garry
 
Feb 16, 2011
novorapidboi26 1,816 posts

Topic: Questions for HCPs / Cant stop BG Levels going up

those readings sound much better, well done, just keep that up for a few days, spot some patterns and you will be laughing............

Are you on any ratios that are below 1:1.......?
 
Feb 16, 2011
chrisg9 7 posts

Topic: Questions for HCPs / Cant stop BG Levels going up

Yesterday's approach seemed to bring BGs under control - BG7 at lunch.
Supper (6.30pm) - BG8, 8CP/4QA. Mars bar+banana prior to Badminton (8-9pm) - standard regime worked previously.
11pm BG18. Will probably up supper ratio to 1:1 next time. Took your advice and made no corrections and tested at 3am (BG1Cool and same again at 7:30 this morning. So, conclude bedtime BI22 is correct.
Interestingly, I corrected with 15QA and had 2CP for breakfast - but by 10am, BG at 3. I am concluding that the exercise has a longish delay with me before kicking in; compare with yesterday with essentially similar BG levels at previous bedtime and in the morning, and a bigger corrective QA at b/fast with no CPs but bringing BG levels down to "only" 7 by lunchtime.

Regards
Chris
 
Feb 16, 2011
bill allen 1 post

Topic: General Discussion / accu-check

on my first try i had to wait 24 hours to get them since then my local neumark pharmacy stocks them so no trouble since then. sounds like iv'e been lucky
 
Feb 15, 2011
Caroline 29 posts

Topic: General Discussion / TYPE 1 PREGNANCY

I have been diabetic from 16 years and now having my third baby. I think as long as you look after yourself, continue to monitor your blood glucose and eat sensible Im sure you will be able to have a healthy pregnancy and baby. My first weighed 9.4lbs but that was long ago and my education on Diabetes was pretty poor. She did spend a few weeks in special care. I was only diagnosed as diabetic 3 weeks before I fell with her so I guess I was lucky to have her. My second was born 4 years ago now. I wasnt doing Dafne then but was strict on myself. He weighed 7.9lbs and was extremely healthy. Now 16 weeks pregnant with the third... its going well... im following the Dafne way. My last HBA1C was 7.6... which isnt good accordinging to the specialists but I think differently as 4 months ago it was 8.3. Its heading in the right direction and I know my control is better. Take any advice the hospital/antenatal give you but bear in mind you know your body better than anyone. Good luck if you decide to try for another baby.
 
Feb 15, 2011
meltow 78 posts

Topic: General Discussion / What are you reading?

Topaz by Leon Uris

Only 2 reviews on Amazon, so it must be an author who has "fallen out of fashion". Based around Russian defectors, KGB, Cuba and the spy world; a typical novel of the 60's era. I'm enjoying it...
 
Feb 15, 2011
JayBee 582 posts

Topic: General Discussion / What are you reading?

Land of the Headless has been a touch slow going but it's still interesting. Plan to start on a book called "Relentless" (by Simon Kernick) after Land of the Headless because I fancy a good thrilling read next. Smile

If any one is interested, I signed up to a website called Goodreads the other day, my username is lilbuta on it... has been a great site to build up a good idea on how many books I've read overall! Smile