Recent Posts - DAFNE Online

Jan 26, 2011

NiVZ 82 posts

Topic: General Discussion / What are you reading?

I'm another fan of the author Lee Child's Jack Reacher series and have read them all except the latest one.

Currently reading Dan Brown's "The Lost Symbol" and have read his previous books too (Angels and Demons, Da Vinci Code, Deception Point and Digital Fortress)

I also enjoy books by Kathy Reichs, Karyn Slaughter and Harlan Coben.

As you'll notice, most are thriller, mystery, whodunnit style books which appeal to my problem solving/investigative nature Surprised

)

NiVZ

Jan 26, 2011

Paul Lyons 8 posts

Topic: General Discussion / Any issues whilst on Thyroxine?

I have been put on levothyroxine 12 months ago and recently upped to 150mcg a day. I still feel shattered and have had a few strange hypos where my blood sugar seems to dip very fast 2 hours after my evening meal.

I just wondered if there was any connection between levothyroxine or treatment of thyroid problems and diabetes control?

Has anyone else experienced any issues please?

Jan 26, 2011

Paul Lyons 8 posts

Topic: Questions for HCPs / Difference in BG from different fingers!

Having used a one touch ultra for maybe 8 years now (I have 3 of them between work, home and my car) I feel that even if the meters werent that accurate, I know that when I start feeling the signs of a hypo, I will most likely read 3.5 to 4.0 on my meters. That for me is more than adequate.

I suppose that if I used a variety of meters when testing throughout the course of a day (bfast, car drive to work, car to clients, lunch, car to clients, car drive home, dinner time, before bed - probably 10 tests a day) that I am just adding another factor into differing readings.

Best to keep as many things stable as possible for better control.

The one thing I find affects my readings more than anything else is my 2 sweetheart children at home. After eating at 6pm I may get 2 hours of playing, rolling around on the floor, dancing etc, whereas other nights they may watch a film and we do nothing. Its the difference between a hypo around 8pm and a high reading before bed after I have topped myself up (then correcting in the morning) or a 6mmol and a great start to the next day!

Jan 25, 2011

emmacool 17 posts

Topic: DUAG Committee / 21st jan

thanks mark it will be hopefully

Jan 25, 2011

Carolin 83 posts

Topic: Carbohydrate Counting / glucogel

Hi,

There's only 9g (1 CP) glucose in 1 of the 'single dose' tubes of GlucoGel, therefore to treat your hypo with the recommended 1.5 - 2 CPs rapid acting carbohydrate you would need to take 2 tubes!

Carolin

Jan 25, 2011

Carolin 83 posts

Topic: Questions for HCPs / sport and high bloods

Hi Carl,
It is highly likely your Lantus has run out by that time in the evening, resulting in adrenaline-release of glucose from your muscles and liver during the exercise.
If you refer back to your DAFNE handbook as JWo suggests, you should find some guidance in there, but your options may be:
take a small dose of QA with CPs prior to the kickboxing
consider changing to a twice daily Background Insulin to get better 24-hr coverage (best to discuss this with your local DAFNE Educators)
A very useful source of information is:
www.runsweet.com
Good luck,
Carolin

Jan 25, 2011

Carolin 83 posts

Topic: General Discussion / Conflicting Advice

Hi Jen,
The '4 is the floor' is quite out-dated now.
In DAFNE we recommend you should keep your BG above 4.5mmol/l at any time of the day; remember your DAFNE pre-meal target BG:
Breakfast: 5.5 - 7.5mmol/l
Lunch/Tea: 4.5 - 7.5mmol/l
Bed: 6.5 - 8.0mmol/l
In terms of hypos, we still define a hypo as a BG below 3.5mmol/l and you should always treat these immediately with your 1.5 - 2 CPs of rapid acting carbohydrate.
If you have a BG between 3.5 and 4.5mmol/l (so not hypo but below target) you should have carbohydrate to get your BG back into a safe target range: you may only need 1 CP to raise your BG by 2-3mmol/l.
If you do have difficulties recognising your hypos, we recommend you aim to keep your pre-meal BG towards the upper end of the DAFNE target range, e.g. 6.0 - 8.0mmol/l for a couple of months, so during this time be very cautious with corrective QA doses and try to avoid going hypo at all costs.
I hope this clarifies and helps you.
Good luck,
Carolin

Jan 25, 2011

tsavage1990 11 posts

Topic: Carbohydrate Counting / glucogel

i take glucogel when my hypos more severe or when i dont trust myself not to just spill lucozade everywhere. thanks

Jan 24, 2011

Trudi 8 posts

Topic: General Discussion / TYPE 1 PREGNANCY

Hi Vickyrees,
I waited a LONG time to have children because I was so concerned about bringing a child into the world who may get diabetes and before I could make the decision to go ahead, I needed to rationalise that even healthy women had babies that were not. I needed to take diabetes out of the mix as much as I could. This is where my control became so important â€“ if I could ensure that my levels were as good as I could get them, that my HbA1C was below 6.5 and stayed there, that I took all the appropriate pills/meds etc, worked with my team and was open and honest about everything (even if I wasnâ€™t sure if it was important), then I was minimising the impact that diabetes could play. Of course I knew that problems could still arise but I needed to go into this feeling that I wouldnâ€™t look back and feel guilty about not doing enough if something did go wrong.
My retinopathy played up during both pregnancies but fortunately for me, after giving birth both times has settled down. I knew this might occur but I decided that having the babies was really important to us as a family and went into it knowing that my eyes may not be as good on the other side.
I loved being pregnant and had two reasonably easy pregnancies - one at age 38, the other at 39 and the babies were born 7ib 2oz and 5lb 9oz so weren't the diabetic 'big babies' that everyone told me I'd have.
Best wishes with your choice - weigh up what the experts have told you and your own desires for your family - good luck with it all.
Trudi

Jan 24, 2011

Simon 578 posts

Topic: DAFNE Online Mobile / Pump Users

Hi Chris,

Yes - as a non pump user I need a definitive list of what fields you want to store, as well as the units these are measured in.

Simon

Jan 24, 2011

SimonR 3 posts

Topic: Site Development / Entry type

Would it be possible to have a Type called 'During Exercise'? I do a lot of long distance running/cycling events, whilst I dont tend to enter my CP's etc... whilst exercising, although you could if you wanted, I think it would be useful to retrospectively log CP's taken specifically during an exercise session. Kind Regards

Jan 23, 2011

JayBee 587 posts

Topic: Questions for HCPs / Difference in BG from different fingers!

Hear, hear! Smile

Even if we have the 20%, I don't know about you guys, but I've yet to find it that big of an issue while seeking great control. Smile

Having some rough indication is better than no indication at all after all! Very Happy

Jan 23, 2011

JayBee 587 posts

Topic: Questions for HCPs / Information on menstrual cycle

Golly, I don't think it's worth quitting DAFNE over this. Sad

If anything, DAFNE is the first step to working it all out!

If it's of any help towards figuring it out, it's taken me more than one hormonal time to work it out before even if I put my BI up two units at a time, I needed more than a week to find out my final dose (all because life gets in the way - and I'm still not sure I'm 100% there yet but my sugar levels have been much better since doing the experiment to find out). Make sure you compare each time!

I'm finding at the moment that I go from 11 - 9 (split dose on Levermir, morning - night) to 11 - 18 and this is for the whole week before my period properly starts. Once this week finishes I put it back down to 11 - 9 to prevent any hypos.

I recall the pre-menstrual time is the week before so I think it's happening because of that (thankfully I don't get PMS! XD). With me taking the pill, it seems to happen on the thursday night, about 4 nights before I finish the pills - this has been consistent each month thankfully (possibly due to the pill?).

On another related note, I found that before my this time last month, I was 11 - 9, but when I came off, I seemed to need 11 - 11 because my BG was still fairly raised which hints that it can change. I have been stressed out a bit lately which may be a factor to consider.

I shall continue working on finding my doses (and please don't use me as a generalisation because we know we're not all the same)!
Good luck everyone!

Jan 23, 2011

Stew B 125 posts

Topic: Site Development / Targets for exercise

Ooooohhhh! Brill, thanks Simon!

Stew

Jan 23, 2011

ChrisE 2 posts

Topic: DAFNE Online Mobile / Pump Users

Before recently starting on a pump I was using the App on a Ipod and it was extremely useful. Is there any way it could be modified slightly for use by pump users?

Jan 23, 2011

Sam 64 posts

Topic: General Discussion / Driving Licence Renewal

I also received my renewal a few weeks ago and like you the photo form wasn't there so I called them and they told me it was a mistake and to ignore it, also if you send you're licence away and you're unfortunate to be stopped by the police you quote under section 88 of road traffic etc let's them know it's with dvla

Jan 21, 2011

marke 686 posts

Topic: DUAG Committee / 21st jan

ok emma, hope it has been resolved now. You were not the only absentee don't worry !!

Jan 26, 2011 NiVZ 82 posts	Topic: General Discussion / What are you reading? I'm another fan of the author Lee Child's Jack Reacher series and have read them all except the latest one. Currently reading Dan Brown's "The Lost Symbol" and have read his previous books too (Angels and Demons, Da Vinci Code, Deception Point and Digital Fortress) I also enjoy books by Kathy Reichs, Karyn Slaughter and Harlan Coben. As you'll notice, most are thriller, mystery, whodunnit style books which appeal to my problem solving/investigative nature ) NiVZ

Jan 26, 2011 Paul Lyons 8 posts	Topic: General Discussion / Any issues whilst on Thyroxine? I have been put on levothyroxine 12 months ago and recently upped to 150mcg a day. I still feel shattered and have had a few strange hypos where my blood sugar seems to dip very fast 2 hours after my evening meal. I just wondered if there was any connection between levothyroxine or treatment of thyroid problems and diabetes control? Has anyone else experienced any issues please?

Jan 26, 2011 Paul Lyons 8 posts	Topic: Questions for HCPs / Difference in BG from different fingers! Having used a one touch ultra for maybe 8 years now (I have 3 of them between work, home and my car) I feel that even if the meters werent that accurate, I know that when I start feeling the signs of a hypo, I will most likely read 3.5 to 4.0 on my meters. That for me is more than adequate. I suppose that if I used a variety of meters when testing throughout the course of a day (bfast, car drive to work, car to clients, lunch, car to clients, car drive home, dinner time, before bed - probably 10 tests a day) that I am just adding another factor into differing readings. Best to keep as many things stable as possible for better control. The one thing I find affects my readings more than anything else is my 2 sweetheart children at home. After eating at 6pm I may get 2 hours of playing, rolling around on the floor, dancing etc, whereas other nights they may watch a film and we do nothing. Its the difference between a hypo around 8pm and a high reading before bed after I have topped myself up (then correcting in the morning) or a 6mmol and a great start to the next day!

Jan 25, 2011 emmacool 17 posts	Topic: DUAG Committee / 21st jan thanks mark it will be hopefully

Jan 25, 2011 Carolin 83 posts	Topic: Carbohydrate Counting / glucogel Hi, There's only 9g (1 CP) glucose in 1 of the 'single dose' tubes of GlucoGel, therefore to treat your hypo with the recommended 1.5 - 2 CPs rapid acting carbohydrate you would need to take 2 tubes! Carolin

Jan 25, 2011 Carolin 83 posts	Topic: Questions for HCPs / sport and high bloods Hi Carl, It is highly likely your Lantus has run out by that time in the evening, resulting in adrenaline-release of glucose from your muscles and liver during the exercise. If you refer back to your DAFNE handbook as JWo suggests, you should find some guidance in there, but your options may be: take a small dose of QA with CPs prior to the kickboxing consider changing to a twice daily Background Insulin to get better 24-hr coverage (best to discuss this with your local DAFNE Educators) A very useful source of information is: www.runsweet.com Good luck, Carolin

Jan 25, 2011 Carolin 83 posts	Topic: General Discussion / Conflicting Advice Hi Jen, The '4 is the floor' is quite out-dated now. In DAFNE we recommend you should keep your BG above 4.5mmol/l at any time of the day; remember your DAFNE pre-meal target BG: Breakfast: 5.5 - 7.5mmol/l Lunch/Tea: 4.5 - 7.5mmol/l Bed: 6.5 - 8.0mmol/l In terms of hypos, we still define a hypo as a BG below 3.5mmol/l and you should always treat these immediately with your 1.5 - 2 CPs of rapid acting carbohydrate. If you have a BG between 3.5 and 4.5mmol/l (so not hypo but below target) you should have carbohydrate to get your BG back into a safe target range: you may only need 1 CP to raise your BG by 2-3mmol/l. If you do have difficulties recognising your hypos, we recommend you aim to keep your pre-meal BG towards the upper end of the DAFNE target range, e.g. 6.0 - 8.0mmol/l for a couple of months, so during this time be very cautious with corrective QA doses and try to avoid going hypo at all costs. I hope this clarifies and helps you. Good luck, Carolin

Jan 25, 2011 tsavage1990 11 posts	Topic: Carbohydrate Counting / glucogel i take glucogel when my hypos more severe or when i dont trust myself not to just spill lucozade everywhere. thanks

Jan 24, 2011 Trudi 8 posts	Topic: General Discussion / TYPE 1 PREGNANCY Hi Vickyrees, I waited a LONG time to have children because I was so concerned about bringing a child into the world who may get diabetes and before I could make the decision to go ahead, I needed to rationalise that even healthy women had babies that were not. I needed to take diabetes out of the mix as much as I could. This is where my control became so important â€“ if I could ensure that my levels were as good as I could get them, that my HbA1C was below 6.5 and stayed there, that I took all the appropriate pills/meds etc, worked with my team and was open and honest about everything (even if I wasnâ€™t sure if it was important), then I was minimising the impact that diabetes could play. Of course I knew that problems could still arise but I needed to go into this feeling that I wouldnâ€™t look back and feel guilty about not doing enough if something did go wrong. My retinopathy played up during both pregnancies but fortunately for me, after giving birth both times has settled down. I knew this might occur but I decided that having the babies was really important to us as a family and went into it knowing that my eyes may not be as good on the other side. I loved being pregnant and had two reasonably easy pregnancies - one at age 38, the other at 39 and the babies were born 7ib 2oz and 5lb 9oz so weren't the diabetic 'big babies' that everyone told me I'd have. Best wishes with your choice - weigh up what the experts have told you and your own desires for your family - good luck with it all. Trudi

Jan 24, 2011 Simon 578 posts	Topic: DAFNE Online Mobile / Pump Users Hi Chris, Yes - as a non pump user I need a definitive list of what fields you want to store, as well as the units these are measured in. Simon

Jan 24, 2011 SimonR 3 posts	Topic: Site Development / Entry type Would it be possible to have a Type called 'During Exercise'? I do a lot of long distance running/cycling events, whilst I dont tend to enter my CP's etc... whilst exercising, although you could if you wanted, I think it would be useful to retrospectively log CP's taken specifically during an exercise session. Kind Regards

Jan 23, 2011 JayBee 587 posts	Topic: Questions for HCPs / Difference in BG from different fingers! Hear, hear! Even if we have the 20%, I don't know about you guys, but I've yet to find it that big of an issue while seeking great control. Having some rough indication is better than no indication at all after all!

Jan 23, 2011 JayBee 587 posts	Topic: Questions for HCPs / Information on menstrual cycle Golly, I don't think it's worth quitting DAFNE over this. If anything, DAFNE is the first step to working it all out! If it's of any help towards figuring it out, it's taken me more than one hormonal time to work it out before even if I put my BI up two units at a time, I needed more than a week to find out my final dose (all because life gets in the way - and I'm still not sure I'm 100% there yet but my sugar levels have been much better since doing the experiment to find out). Make sure you compare each time! I'm finding at the moment that I go from 11 - 9 (split dose on Levermir, morning - night) to 11 - 18 and this is for the whole week before my period properly starts. Once this week finishes I put it back down to 11 - 9 to prevent any hypos. I recall the pre-menstrual time is the week before so I think it's happening because of that (thankfully I don't get PMS! XD). With me taking the pill, it seems to happen on the thursday night, about 4 nights before I finish the pills - this has been consistent each month thankfully (possibly due to the pill?). On another related note, I found that before my this time last month, I was 11 - 9, but when I came off, I seemed to need 11 - 11 because my BG was still fairly raised which hints that it can change. I have been stressed out a bit lately which may be a factor to consider. I shall continue working on finding my doses (and please don't use me as a generalisation because we know we're not all the same)! Good luck everyone!

Jan 23, 2011 Stew B 125 posts	Topic: Site Development / Targets for exercise Ooooohhhh! Brill, thanks Simon! Stew

Jan 23, 2011 ChrisE 2 posts	Topic: DAFNE Online Mobile / Pump Users Before recently starting on a pump I was using the App on a Ipod and it was extremely useful. Is there any way it could be modified slightly for use by pump users?

Jan 23, 2011 Sam 64 posts	Topic: General Discussion / Driving Licence Renewal I also received my renewal a few weeks ago and like you the photo form wasn't there so I called them and they told me it was a mistake and to ignore it, also if you send you're licence away and you're unfortunate to be stopped by the police you quote under section 88 of road traffic etc let's them know it's with dvla

Jan 21, 2011 marke 686 posts	Topic: DUAG Committee / 21st jan ok emma, hope it has been resolved now. You were not the only absentee don't worry !!