Recent Posts - DAFNE Online

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 4, 2010

emmacool 17 posts

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

hi all

i recieved an email regarding the above meeting which is due to take place in sheffield on monday 10th jan as ian and i were involved in the initial stage of this would anyone have any objections to me attending the above meeting, also would i have to email clair to arrange travel for this?

emma x

Dec 3, 2010

Rashid 3 posts

Topic: General Discussion / Insurance for pump

Hi Kid127
I also have a combo (that's the one with the Bluetooth remote) but I was told it was worth Â£5000 so haven't insured it as yet, as no one would cover it.

Dec 3, 2010

Sbee1980 7 posts

Topic: General Discussion / Advice on Diabetes Doctors

Mia, I am in the same boat as you - I had my appointment 6 weeks ago and asked about pre-conception care. I have a little girl who is 4yr and would like to try for another baby next year. My hospital take this very seriously when you are diabetic, and I have been type 1 for 21 years now. My control was appalling before DAFNE and I have done really well since graduating a year ago but still need to tighten my control a lot before they will give me the go-ahead to get pregnant. The general process at my hospital is 6 month pre-conception care with a diabetes specialist midwife and then careful monitoring once you have stopped the contraception! Good luck. If you want to inbox me I am happy to discuss what they have advised me! Sarah

Dec 3, 2010

JayBee 587 posts

Topic: Site Development / Online BG Diaries

Many thanks! <3

Dec 3, 2010

John Stevens 9 posts

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

Hi Simon,
Great App. Wish I could help out with development. One thing, and it may be a local DAFNE interpretation, but we were taught to actually note corrections in Paper diaries with a + before the corrective insulin dose or CP. ie, if we are BG high, and not eating any CP, we would put a +1 in QA. Same if we are taking BI and need to add QI for a correction. Everytime I try to do this (on the odd occation) I get a message about the wrong format. I assume the Correction type is to take care of this, but if I am doing this Before Bed, then the type is wrong one way or the other. I have noticed that the summary page only shows entries that have the X+Y, or X-Y format. I think it would be better if we could include +/-X entries as well, so it is easier to enter a corrective dose.

Anyway, just a suggestion/request. Not overly concerned with HbA1C, but the ketones suggestion previously made would be good. Like the paper diaries.
Cheers
John

Dec 2, 2010

Garry 328 posts

Topic: Site Development / Online BG Diaries

Works well.
Thanks to you again Simon.
Regards
Garry

Dec 2, 2010

Simon 578 posts

Topic: Site Development / Online BG Diaries

OK guys you can now add your Ketone information to the online diary!

Dec 2, 2010

kid127 25 posts

Topic: General Discussion / Insurance for pump

Hi Rashid,

What sort of pump do you have? I have accu-chek combo and was told it was worth Â£2500 but I insured it for Â£3000 anyway

Dec 2, 2010

Rashid 3 posts

Topic: General Discussion / Insurance for pump

Ive hac my pump for a while but I still haven't found a company that will cover it, the maximum they say they that can give on a single item is Â£3000 but I've been told my pump is worth considerably more! Any help?


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

Dec 4, 2010 emmacool 17 posts	Topic: DUAG Committee / 5 x 1 a day investigator meeting hi all i recieved an email regarding the above meeting which is due to take place in sheffield on monday 10th jan as ian and i were involved in the initial stage of this would anyone have any objections to me attending the above meeting, also would i have to email clair to arrange travel for this? emma x

Dec 3, 2010 Rashid 3 posts	Topic: General Discussion / Insurance for pump Hi Kid127 I also have a combo (that's the one with the Bluetooth remote) but I was told it was worth Â£5000 so haven't insured it as yet, as no one would cover it.

Dec 3, 2010 Sbee1980 7 posts	Topic: General Discussion / Advice on Diabetes Doctors Mia, I am in the same boat as you - I had my appointment 6 weeks ago and asked about pre-conception care. I have a little girl who is 4yr and would like to try for another baby next year. My hospital take this very seriously when you are diabetic, and I have been type 1 for 21 years now. My control was appalling before DAFNE and I have done really well since graduating a year ago but still need to tighten my control a lot before they will give me the go-ahead to get pregnant. The general process at my hospital is 6 month pre-conception care with a diabetes specialist midwife and then careful monitoring once you have stopped the contraception! Good luck. If you want to inbox me I am happy to discuss what they have advised me! Sarah

Dec 3, 2010 JayBee 587 posts	Topic: Site Development / Online BG Diaries Many thanks! <3

Dec 3, 2010 John Stevens 9 posts	Topic: Site Development / DAFNE Online iPhone application - help with content/design needed Hi Simon, Great App. Wish I could help out with development. One thing, and it may be a local DAFNE interpretation, but we were taught to actually note corrections in Paper diaries with a + before the corrective insulin dose or CP. ie, if we are BG high, and not eating any CP, we would put a +1 in QA. Same if we are taking BI and need to add QI for a correction. Everytime I try to do this (on the odd occation) I get a message about the wrong format. I assume the Correction type is to take care of this, but if I am doing this Before Bed, then the type is wrong one way or the other. I have noticed that the summary page only shows entries that have the X+Y, or X-Y format. I think it would be better if we could include +/-X entries as well, so it is easier to enter a corrective dose. Anyway, just a suggestion/request. Not overly concerned with HbA1C, but the ketones suggestion previously made would be good. Like the paper diaries. Cheers John

Dec 2, 2010 Garry 328 posts	Topic: Site Development / Online BG Diaries Works well. Thanks to you again Simon. Regards Garry

Dec 2, 2010 Simon 578 posts	Topic: Site Development / Online BG Diaries OK guys you can now add your Ketone information to the online diary!

Dec 2, 2010 kid127 25 posts	Topic: General Discussion / Insurance for pump Hi Rashid, What sort of pump do you have? I have accu-chek combo and was told it was worth Â£2500 but I insured it for Â£3000 anyway

Dec 2, 2010 Rashid 3 posts	Topic: General Discussion / Insurance for pump Ive hac my pump for a while but I still haven't found a company that will cover it, the maximum they say they that can give on a single item is Â£3000 but I've been told my pump is worth considerably more! Any help?