Recent Posts - DAFNE Online

Dec 8, 2010

JayBee 587 posts

Topic: Questions for HCPs / Can't figure out what I'm doing wrong

It is very puzzling to look at... try not to be disheartened though. Keep working at it.

Besides the one off good result during the day, your results do seem to be fairly consistent - I mean, looking at the last day (7/12), 10 - 12 is not that much difference. This suggests that you mainly need to put your BI up... but saying that, your 5/12 results are very strange.

With this...

How are you feeling? Have you been testing for ketones? There is also the possibly that illness could be affecting your insulin responses.
The common cold affected me recently so it's a thought that comes to mind. Sad

Hopefully a HCP will also reply to this thread... if not, best contact your DAFNE team for advice.

Dec 8, 2010

JayBee 587 posts

Topic: General Discussion / Forums Have Gone Quiet

Yeah... I have a lot on my mind at the moment with my car and motorbike tests coming up so a lot of my hobbies are taking a back seat at the moment. I have ordered some more reads though, so this might change soon... I need the distraction considering it's been a bit of a stressful time!

If I think of any more good thread ideas, I'll post them... how happy are we with things like forum word games and the like?
I'm sure we have a varied group of ages on here too which makes it a bit difficult to pin point what makes good subjects to start up... I felt the books would be a safe bet - maybe I should start one about films too?

What sort of graphics are we talking about Simon? Cool to hear we're looking at a server upgrade. Smile

Dec 8, 2010

Simon 578 posts

Topic: General Discussion / Forums Have Gone Quiet

I agree - as well as being diabetic we're all people too with interests above and beyond controlling our blood sugar levels so feel free to discuss anything! And as always, ask us if you want more features on the site. Over the next few months we'll be upgrading our servers, as well as improving the graphic design of the site (though Mark and I are Computer Programmers, and as such have little to no artistic flair, so any help would be appreciated!).

Dec 8, 2010

Caimin 4 posts

Topic: Questions for HCPs / Can't figure out what I'm doing wrong

Hi Folks -

I'm a recent DAFNE graduate, and prior to the week I was on 40 BI and roughly 30 QA per day, with not great control. My last HB1aC was 9.4%

For the week of DAFNE, I went to 22 BI and QA ratio of 1:1 and typically, while I was doing the course, my bloods were pretty good.
However in the last ten days or so, it feels like I've lost all control and I cannot see what I'm doing wrong. I've gone back up to 26 BI and 3:1 ratio and my bloods are constantly over 10. I wake with a BG of something like 13, take a correction of +4 NovoRapid and two hours later my bloods have gone up.

At the moment, I can only think of two possibilities: I've wrecked my insulin (I store it on the bottom shelf of the fridge) or I've coincidentally become super-resistant to insulin in the last two weeks. Just today, at 4pm I had BG of 12, took 15 QA out of frustration and two hours later my bloods had dropped by maybe 2.

If anyone can offer any advice, i'd be grateful. I feel like such a failure at the moment.

thanks,
Caimin

Dec 8, 2010

Garry 328 posts

Topic: General Discussion / Forums Have Gone Quiet

Hope all those stories are successful ones of keeping control despite the excessive treats that we have to endure! How many units of insulin!!!
Some people were sharing book enjoyment a few weeks ago.
Regards Garry

Dec 8, 2010

JayBee 587 posts

Topic: General Discussion / Forums Have Gone Quiet

I think most of the ones I've been posting in have come to the end of their natural life span... Sad

Heh, perhaps things will pick up after Christmas when we're loaded with stories involving too many treats and sugar levels? Razz

I have been wondering what sorts of discussions would be a nice contribution to the forum - especially the General Discussion area... so we're not just talking about Diabetes.

Dec 8, 2010

Garry 328 posts

Topic: General Discussion / Forums Have Gone Quiet

Wondering whether all is OK with the system...or is it that we all just have too much to do at this time of year?
Have followed with interest many of the threads recently...have they all have reached their natural lifespan at the same time?
Curious
Garry

Dec 6, 2010

JayBee 587 posts

Topic: Carbohydrate Counting / Frozen oven chips

I understand that you're injecting straight after the meal but you have to remember that your sugar levels will start to rise as soon as you start eating. You are taking quite some time to get your insulin on board after you start (it is easily done!)... Have you considered splitting the meal dose if you're not sure if you'll eat it all? Weigh them before cooking, weigh them after cooking to get new weigh, take percentage of dose that you think you can manage and then take rest when you decide to eat more, paying attention to the outstanding weight remaining. Its what I'd do if I was worried about how much I was going to eat with scales available...

Dec 5, 2010

Steven 18 posts

Topic: Carbohydrate Counting / Frozen oven chips

I inject straight after eating at tea time so I'm not delaying it or anything - I just prefer to see what's on my plate before doing my injection (and make sure I eat it all). I did inject before tea in the past though.

Dec 5, 2010

JayBee 587 posts

Topic: General Discussion / glargine

Sounds likely - I've had the same problem when I was still on Lantus... I found my 10pm jab was running out around 2pm in the afternoon the next day so the highs would appear! I got changed over to Levemir because it is "meant" to be a split dose after a while of still having problems with lantus... not been on Levemir long so I'm still working out my doses even now.

If the highs seem to be now gone, good - and best wishes with resolving all the issues if any more pop up! Smile

Dec 5, 2010

saxman 28 posts

Topic: General Discussion / glargine

i split my lantus to 20 before bed and 10 twelve hrs later and so far i dont have a dramatic bg rise after ten hrs,am hoping its as simple as this

Dec 5, 2010

JayBee 587 posts

Topic: Carbohydrate Counting / Frozen oven chips

I know what you mean... I usually end up waiting the 5 hours to be honest... but I guess if one must eat, perhaps a carb free snack for the sake of experimentation? Very Happy

If I end up eating anything, I usually make sure it's after 4 hours or I have 0.5 CPs max.

You do leave it quite a long time afterwards... is there any particular reason why you delay your insulin so much? Pre-DAFNE I was told off for doing that sort of thing so I try to jab when I do my blood test pre-meal.

No worries - don't ask, don't know! Smile

I did notice this thread a few topics down... any good for this question?
This is reminding me of the hassle I've had with pasta and rice... it's usually best to weigh them before cooking so you don't get the weight distorted by water. Potato doesn't have exactly the same problem, but how it's cooked does... I mean, look at the jacket potatoes bit in the CP book... blinking confusing when some of us microwave and then stick it in an oven (or is it the other way around? I forget lol).

Dec 5, 2010

Steven 18 posts

Topic: Carbohydrate Counting / Frozen oven chips

Well I've slept since the course so I *think* that's what she said but I could have misunderstood or misremembered :-)

I tend to have small snacks between meals (mainly Mon - Fri) so I don't normally fast for 5 hours at a time! Last Friday my BG was 6.7 at around 18:30 before having chips as part of my tea, then I probably did my QA injection about 19:15, after eating, then at 22:30 before having some supper (and beer!) it was 12.5, so it seemed like I hadn't covered all the CPs I'd eaten at tea time :-/

Still learning though!

Dec 5, 2010

JayBee 587 posts

Topic: Carbohydrate Counting / Frozen oven chips

Wow - my DSN said nothing as general as that about this sort of thing...! How strange considering there's the stated potential for it working for up to 5 hours - shouldn't always assume it will be 3 hours, especially when how insulin responds purely depends on the individual. I'd love for Humalog to work for me for 3 hours, but that looks very unlikely based on my results. :/

Those graphs mainly show peak working times - this doesn't necessarily mean that the insulin has finished though. My DSN recommended that you give it a chance to finish - unless you've managed to find hard evidence that it runs out for you personally after 3 hours? I mean, have you done a check after the 4 or 5 hour marker to prove that it's still not going down?

Either way, good luck with working this out. Must be annoying. o_o

Dec 5, 2010

Steven 18 posts

Topic: Carbohydrate Counting / Frozen oven chips

Thanks to both of you.

I'm on NovoRapid, so that's 2-5 hours according to the handbook, although I thought the DSN on the course reckoned that after 3 hours there wasn't very much insulin left working. It seems to show that on the graph too.

Good point Stew - I had forgotten about the slower absorption. I always inject after tea anyway just so I know for sure how many CPs I've eaten, but at breakfast I always inject beforehand.

I'll carry on using the figures on the packet for now and see how it goes. Got another blood test coming up this week so fingers crossed!

Cheers
Steven

Dec 5, 2010

Stew B 125 posts

Topic: Carbohydrate Counting / Frozen oven chips

I remember from my DAFNE course that things like fish and chips and some Asian foods which can be quite "greasy" block the absorption of carbs and thus take a long while to enter the system. Meanwhile your QA carries on as normal and can be well past its peak before the carbs are fully into the system - hence a higher reading than expected. I always inject after eating for fish and chips (including oven chips) - for some foods I find waiting 45 mins to an hour later before injecting is necessary (I use the packaging amounts). Might be worth trying?

Stew

Dec 5, 2010

JayBee 587 posts

Topic: Carbohydrate Counting / Frozen oven chips

I apply the cooked packaging facts before the DAFNE carb counting stuff usually - with no problems yet.

By the way, your insulin is very likely to be still working about 2-3 hours after you've eaten so highs are not that surprising. What QA insulin are you using and what does the DAFNE guidebook say about it's working time? Are you testing after it has finished working?

I'm on Humalog and that last 5 hours odd... so testing 2-3 hours after eating is not likely to be a genuine result when trying to find out what effect the food has on your sugar levels.

Dec 5, 2010

Brian Trench 17 posts

Topic: DUAG Committee / 5 x 1 a day investigator meeting

Hi Emma,

I think you will find a welcome for any DUAG member that wishes to assist. On the question of expenses I have had mine paid by the Sheffield researches without any hassle when I have attended the research study meetings and payment was much quicker than N Tyneside!
Let us all know how you get on.

Regards,

Brian

Dec 5, 2010

Steven 18 posts

Topic: Carbohydrate Counting / Frozen oven chips

Hi all,

We have McCain HomeFries, which according to the packet have 21g carbs per 100g frozen and 28g per 100g when oven baked. I tend to have around 200g worth (when frozen), so I reckon that's 4 CPs. It doesn't seem to be working out though as my BG 2-3 hours later is normally in double figures even when in the correct range before eating.

In the CP list it says 100g chips is 3 CPs, but it doesn't say whether that's oven chips, frozen, cooked or what.

What does everyone else use for oven chips please?

Thanks in advance
Steven

Dec 8, 2010 JayBee 587 posts	Topic: Questions for HCPs / Can't figure out what I'm doing wrong It is very puzzling to look at... try not to be disheartened though. Keep working at it. Besides the one off good result during the day, your results do seem to be fairly consistent - I mean, looking at the last day (7/12), 10 - 12 is not that much difference. This suggests that you mainly need to put your BI up... but saying that, your 5/12 results are very strange. With this... How are you feeling? Have you been testing for ketones? There is also the possibly that illness could be affecting your insulin responses. The common cold affected me recently so it's a thought that comes to mind. Hopefully a HCP will also reply to this thread... if not, best contact your DAFNE team for advice.

Dec 8, 2010 JayBee 587 posts	Topic: General Discussion / Forums Have Gone Quiet Yeah... I have a lot on my mind at the moment with my car and motorbike tests coming up so a lot of my hobbies are taking a back seat at the moment. I have ordered some more reads though, so this might change soon... I need the distraction considering it's been a bit of a stressful time! If I think of any more good thread ideas, I'll post them... how happy are we with things like forum word games and the like? I'm sure we have a varied group of ages on here too which makes it a bit difficult to pin point what makes good subjects to start up... I felt the books would be a safe bet - maybe I should start one about films too? What sort of graphics are we talking about Simon? Cool to hear we're looking at a server upgrade.

Dec 8, 2010 Simon 578 posts	Topic: General Discussion / Forums Have Gone Quiet I agree - as well as being diabetic we're all people too with interests above and beyond controlling our blood sugar levels so feel free to discuss anything! And as always, ask us if you want more features on the site. Over the next few months we'll be upgrading our servers, as well as improving the graphic design of the site (though Mark and I are Computer Programmers, and as such have little to no artistic flair, so any help would be appreciated!).

Dec 8, 2010 Caimin 4 posts	Topic: Questions for HCPs / Can't figure out what I'm doing wrong Hi Folks - I'm a recent DAFNE graduate, and prior to the week I was on 40 BI and roughly 30 QA per day, with not great control. My last HB1aC was 9.4% For the week of DAFNE, I went to 22 BI and QA ratio of 1:1 and typically, while I was doing the course, my bloods were pretty good. However in the last ten days or so, it feels like I've lost all control and I cannot see what I'm doing wrong. I've gone back up to 26 BI and 3:1 ratio and my bloods are constantly over 10. I wake with a BG of something like 13, take a correction of +4 NovoRapid and two hours later my bloods have gone up. At the moment, I can only think of two possibilities: I've wrecked my insulin (I store it on the bottom shelf of the fridge) or I've coincidentally become super-resistant to insulin in the last two weeks. Just today, at 4pm I had BG of 12, took 15 QA out of frustration and two hours later my bloods had dropped by maybe 2. If anyone can offer any advice, i'd be grateful. I feel like such a failure at the moment. thanks, Caimin

Dec 8, 2010 Garry 328 posts	Topic: General Discussion / Forums Have Gone Quiet Hope all those stories are successful ones of keeping control despite the excessive treats that we have to endure! How many units of insulin!!! Some people were sharing book enjoyment a few weeks ago. Regards Garry

Dec 8, 2010 JayBee 587 posts	Topic: General Discussion / Forums Have Gone Quiet I think most of the ones I've been posting in have come to the end of their natural life span... Heh, perhaps things will pick up after Christmas when we're loaded with stories involving too many treats and sugar levels? I have been wondering what sorts of discussions would be a nice contribution to the forum - especially the General Discussion area... so we're not just talking about Diabetes.

Dec 8, 2010 Garry 328 posts	Topic: General Discussion / Forums Have Gone Quiet Wondering whether all is OK with the system...or is it that we all just have too much to do at this time of year? Have followed with interest many of the threads recently...have they all have reached their natural lifespan at the same time? Curious Garry

Dec 6, 2010 JayBee 587 posts	Topic: Carbohydrate Counting / Frozen oven chips I understand that you're injecting straight after the meal but you have to remember that your sugar levels will start to rise as soon as you start eating. You are taking quite some time to get your insulin on board after you start (it is easily done!)... Have you considered splitting the meal dose if you're not sure if you'll eat it all? Weigh them before cooking, weigh them after cooking to get new weigh, take percentage of dose that you think you can manage and then take rest when you decide to eat more, paying attention to the outstanding weight remaining. Its what I'd do if I was worried about how much I was going to eat with scales available...

Dec 5, 2010 Steven 18 posts	Topic: Carbohydrate Counting / Frozen oven chips I inject straight after eating at tea time so I'm not delaying it or anything - I just prefer to see what's on my plate before doing my injection (and make sure I eat it all). I did inject before tea in the past though.

Dec 5, 2010 JayBee 587 posts	Topic: General Discussion / glargine Sounds likely - I've had the same problem when I was still on Lantus... I found my 10pm jab was running out around 2pm in the afternoon the next day so the highs would appear! I got changed over to Levemir because it is "meant" to be a split dose after a while of still having problems with lantus... not been on Levemir long so I'm still working out my doses even now. If the highs seem to be now gone, good - and best wishes with resolving all the issues if any more pop up!

Dec 5, 2010 saxman 28 posts	Topic: General Discussion / glargine i split my lantus to 20 before bed and 10 twelve hrs later and so far i dont have a dramatic bg rise after ten hrs,am hoping its as simple as this

Dec 5, 2010 JayBee 587 posts	Topic: Carbohydrate Counting / Frozen oven chips I know what you mean... I usually end up waiting the 5 hours to be honest... but I guess if one must eat, perhaps a carb free snack for the sake of experimentation? If I end up eating anything, I usually make sure it's after 4 hours or I have 0.5 CPs max. You do leave it quite a long time afterwards... is there any particular reason why you delay your insulin so much? Pre-DAFNE I was told off for doing that sort of thing so I try to jab when I do my blood test pre-meal. No worries - don't ask, don't know! I did notice this thread a few topics down... any good for this question? This is reminding me of the hassle I've had with pasta and rice... it's usually best to weigh them before cooking so you don't get the weight distorted by water. Potato doesn't have exactly the same problem, but how it's cooked does... I mean, look at the jacket potatoes bit in the CP book... blinking confusing when some of us microwave and then stick it in an oven (or is it the other way around? I forget lol).

Dec 5, 2010 Steven 18 posts	Topic: Carbohydrate Counting / Frozen oven chips Well I've slept since the course so I think that's what she said but I could have misunderstood or misremembered :-) I tend to have small snacks between meals (mainly Mon - Fri) so I don't normally fast for 5 hours at a time! Last Friday my BG was 6.7 at around 18:30 before having chips as part of my tea, then I probably did my QA injection about 19:15, after eating, then at 22:30 before having some supper (and beer!) it was 12.5, so it seemed like I hadn't covered all the CPs I'd eaten at tea time :-/ Still learning though!

Dec 5, 2010 JayBee 587 posts	Topic: Carbohydrate Counting / Frozen oven chips Wow - my DSN said nothing as general as that about this sort of thing...! How strange considering there's the stated potential for it working for up to 5 hours - shouldn't always assume it will be 3 hours, especially when how insulin responds purely depends on the individual. I'd love for Humalog to work for me for 3 hours, but that looks very unlikely based on my results. :/ Those graphs mainly show peak working times - this doesn't necessarily mean that the insulin has finished though. My DSN recommended that you give it a chance to finish - unless you've managed to find hard evidence that it runs out for you personally after 3 hours? I mean, have you done a check after the 4 or 5 hour marker to prove that it's still not going down? Either way, good luck with working this out. Must be annoying. o_o

Dec 5, 2010 Steven 18 posts	Topic: Carbohydrate Counting / Frozen oven chips Thanks to both of you. I'm on NovoRapid, so that's 2-5 hours according to the handbook, although I thought the DSN on the course reckoned that after 3 hours there wasn't very much insulin left working. It seems to show that on the graph too. Good point Stew - I had forgotten about the slower absorption. I always inject after tea anyway just so I know for sure how many CPs I've eaten, but at breakfast I always inject beforehand. I'll carry on using the figures on the packet for now and see how it goes. Got another blood test coming up this week so fingers crossed! Cheers Steven

Dec 5, 2010 Stew B 125 posts	Topic: Carbohydrate Counting / Frozen oven chips I remember from my DAFNE course that things like fish and chips and some Asian foods which can be quite "greasy" block the absorption of carbs and thus take a long while to enter the system. Meanwhile your QA carries on as normal and can be well past its peak before the carbs are fully into the system - hence a higher reading than expected. I always inject after eating for fish and chips (including oven chips) - for some foods I find waiting 45 mins to an hour later before injecting is necessary (I use the packaging amounts). Might be worth trying? Stew

Dec 5, 2010 JayBee 587 posts	Topic: Carbohydrate Counting / Frozen oven chips I apply the cooked packaging facts before the DAFNE carb counting stuff usually - with no problems yet. By the way, your insulin is very likely to be still working about 2-3 hours after you've eaten so highs are not that surprising. What QA insulin are you using and what does the DAFNE guidebook say about it's working time? Are you testing after it has finished working? I'm on Humalog and that last 5 hours odd... so testing 2-3 hours after eating is not likely to be a genuine result when trying to find out what effect the food has on your sugar levels.

Dec 5, 2010 Brian Trench 17 posts	Topic: DUAG Committee / 5 x 1 a day investigator meeting Hi Emma, I think you will find a welcome for any DUAG member that wishes to assist. On the question of expenses I have had mine paid by the Sheffield researches without any hassle when I have attended the research study meetings and payment was much quicker than N Tyneside! Let us all know how you get on. Regards, Brian

Dec 5, 2010 Steven 18 posts	Topic: Carbohydrate Counting / Frozen oven chips Hi all, We have McCain HomeFries, which according to the packet have 21g carbs per 100g frozen and 28g per 100g when oven baked. I tend to have around 200g worth (when frozen), so I reckon that's 4 CPs. It doesn't seem to be working out though as my BG 2-3 hours later is normally in double figures even when in the correct range before eating. In the CP list it says 100g chips is 3 CPs, but it doesn't say whether that's oven chips, frozen, cooked or what. What does everyone else use for oven chips please? Thanks in advance Steven