Recent Posts - DAFNE Online

Nov 29, 2010

Simon 578 posts

Topic: Site Development / Online BG Diaries

No JWo I just never have ketostix to hand and my meter doesn't do ketones Smile

(does it test your blood for them at the same time as glucose? pretty cool if so). I'm still not clear if a numeric field is the right way to go - if you used ketostix would you put the mg/dl value in? I'm only asking as it's easier to decide on this up front than change our database later.

Nov 29, 2010

caroline15 45 posts

Topic: General Discussion / NEED HELP

I'd increase my ratio as I'd be worried about going hypo overnight if my BI was increased - (something that probably wouldn't worry you with your DP). When Amy was ill we increased her ratio and background but that was over a long period of time, hopefully you will be better in days rather than weeks.

Hope you feel better very soon.

Nov 29, 2010

novorapidboi26 1,819 posts

Topic: General Discussion / NEED HELP

Thanks for the advice, I will take it on board this evening.......Cant wait to the get the flu jab every year, what was I thinking........

Nov 29, 2010

JayBee 587 posts

Topic: General Discussion / NEED HELP

Sorry - just to add - Im not sure what percentage would be best to put BI up by but I would look at 2 units of BI if I was correcting with 2 or more units of QA regularly.

Nov 29, 2010

JayBee 587 posts

Topic: General Discussion / NEED HELP

Firstly, well done for getting ketones under control! Now if you are mainly suffering from highs and are having to correct a lot even without food - if it was me, I would consider putting my BI up - ESPECIALLY if the illness is for more than one day (as it suggests in DAFNE guidebook). Get well soon...

Nov 29, 2010

novorapidboi26 1,819 posts

Topic: General Discussion / NEED HELP

Got the flu bad, went from not eating and having lots of ketones with avergare BGS, now I have no ketones, I am eating and my BGS are sky high........

What have others done, do you increase your BI by a percentage or do you bump up the ratios.............Im lost and ill............

Just a note: the sick day rules work great if your not eating....

Nov 29, 2010

Garry 328 posts

Topic: Site Development / Online BG Diaries

I also use an Optium Xceed meter to test for Ketones. Very easy to use with digital value given using a specific test strip ... can recommend. Software called Co-Pilot is available free from Abbot, once registered as a an Optium Xceed meter user, and downloads meter to computer through a specific USB lead and will log ketone info too.
Regards
Garry

Nov 28, 2010

Sbee1980 7 posts

Topic: General Discussion / Pre-conception Plans

Hi all, I am hoping to get the go-ahead from HCPs early next year for trying for a baby.. my HBa1c results over the last couple of years have been very high but since doing DAFNE I have really come to understand diabetes a lot better & have made a real effort to get my BG under control. Has anyone requested pre-conception care or been pregnant since completing DAFNE training? Just looking for some pointers & advice..

Nov 28, 2010

JayBee 587 posts

Topic: Site Development / Online BG Diaries

Using the comments bit is what we're having to do right now... I feel it's easy to be ignored there when getting feedback, but that's me...

You're lucky to not have to check for ketones much Simon! Your control must be excellent! Very Happy

Nov 28, 2010

Simon 578 posts

Topic: Site Development / Online BG Diaries

Perhaps it would be best to allow you guys to add ketones as free text (like the comments field), although this may prove difficult to make a chart of, if you wanted that. What do you all think?

I rarely test myself for ketones so will take your guidance on what is best.

Edit: mg/dl measures the same thing as mmol/l, but with a different scale - the amount of one substance in another. In this case I think it is mg of Ketones per dL (deciLitre?) of urine

Nov 28, 2010

JayBee 587 posts

Topic: Site Development / Online BG Diaries

I might be getting another machine for dedicated use for ketones after the spell of illness I've had recently... so it might be worth looking at the other variants besides the traditional use of - and +.

Unless there's a way to convert the numbers over to the traditional system used on ketone stixs?

Not 100% sure what mg/dL stands for (sorry Sad

). I can't seem to find a more up to date image of the bottle side on the net! >_<

Nov 28, 2010

Karl 83 posts

Topic: Site Development / Online BG Diaries

I also use an Optium Xceed meter for testing for Ketones (number format)

Nov 28, 2010

caroline15 45 posts

Topic: Site Development / Online BG Diaries

I check for ketones on my daughter's spare meter which gives the reading in number form. (0.0 up to 6.6 are the results we've had)

Nov 28, 2010

Simon 578 posts

Topic: Site Development / Online BG Diaries

Hi all,

We've been updating the site to new software recently, getting to the end of that now so will look to add the ketones value to the diary and iPhone app. How is the best way to record these? I was thinking a drop down list with the options (-, +, ++, +++, ++++) - would this be OK or does anybody record them differenty?

Simon

Nov 27, 2010

Simon 578 posts

Topic: General Discussion / Apologies...

Hi all, all of the above problems have now been fixed. Apologies for the inconvenience caused, and do let us know if you find any more problems.

Simon

Nov 27, 2010

grandma carol 61 posts

Topic: General Discussion / think I am getting there

Well thank you for your help I think my BI is ok as I have stoped the night hypos and BGs stay about the same through night so have been on 10 BI for 4 days now and I am still in the 14.0s for lunch time BGs so this morning I have put my ratio up at breakfast from 2:1 up to 2.5:1 so I will see how it goes. I was 7.3 at 3.00 and 8.9 at 7.30 so did not do a correct at 7.30 Ill see if it has come down with doing the correction. Ill let you know how it goes thank you for sharing yours .

Nov 26, 2010

meltow 78 posts

Topic: General Discussion / What are you reading?

The Alchemists Daughter by Katharine McMahon - and my Amazon review
The length of the book was far too short for me. I was captivated from the first page; life at Selden, not knowing your mother, words I had never read/seen before - "phlogiston", romance, a cad, human trafficking, wigs, whorehouses, and death. A delight to read with some wonderful descriptive passages, together with dialogue that kept the story moving at a relaxed pace, but sufficient to keep me enthralled. FAB-U-LOUS, and will have no difficulty selecting Miss McMahon's other books from the bookshop.

Just to give you an idea of the type of anorak I am; I have a list of every book title and author I have read since August 7th 1973 - and I'd just reached double figures in '73. It makes fascinating reading!

Nov 26, 2010

marke 681 posts

Topic: General Discussion / Apologies...

trudi, your dafne centre's forum should appear on the forum's page at the bottom. The 'My DAFNE Centre' link is a shortcut to the same place.

Nov 26, 2010

JayBee 587 posts

Topic: General Discussion / think I am getting there

As long as you can see patterns, the highs will eventually be resolved - try to not be distracted by them, okay? Smile

Take my results on this date (above) for an example. I knew from seeing this regular pattern of 10 BG after letting my meal insulin finish with no corrections for the highs that it was likely that I would only need to put my during the day BI up 1 or 2 units to get everything right.

Though I was not aware that I was ill on that occasion, but if I had not been, it is very likely that putting that BI up would have been my final action to take.

As long as you're very very sure that your BI doses are reasonably correct, then look at ratio adjustment . This is what my DAFNE nurse had to say to me a few times - should be putting more demand on our BI than our meal ratios. Keep this in mind before correcting if you're not sure on your BI!

You're very lucky to not have to split dose while being on Lantus... I did have to, so I changed over to Levemir because it was intentionally made to be a split dose insulin.

Nov 26, 2010

Karl 83 posts

Topic: General Discussion / Exercise

I use Hypo-Fit http://articmedical.co.uk/contents/en-uk/d20_Hypo-Fit.html take 1 about every 30 minutes on a long run - I find them easier to carry than drinks / jellies

Nov 26, 2010

Sbee1980 7 posts

Topic: General Discussion / Apologies...

I've posted on the Dafne Online Mobile page too.. but when I access the site from my Blackberry it says my last reading was Aug!! Is this an error from my phone or from the changes? Thanks!!

Nov 26, 2010

grandma carol 61 posts

Topic: General Discussion / think I am getting there

Thank you JWo it is hard when you think you are getting there and then things go wrong agen BGs have been high for 3 days now thank god no ketones like you had but think I have my BI about right as no more night hypos. BGs have been high at lunch times so think I might try and see what happens if I up my breakfast ratio as thy are up then for a week now but left it as I was getting BI right to stop hypos at night bbut think that its about time now to start on that one. I think that the DAFNE book is ok but it dosent say what to do when all your readings are up. Think I must be just daft or my mind dosent work like everbody else. Or its just because I am not well that I carnt make head or tale of the dam thing. Take Care

Nov 29, 2010 Simon 578 posts	Topic: Site Development / Online BG Diaries No JWo I just never have ketostix to hand and my meter doesn't do ketones (does it test your blood for them at the same time as glucose? pretty cool if so). I'm still not clear if a numeric field is the right way to go - if you used ketostix would you put the mg/dl value in? I'm only asking as it's easier to decide on this up front than change our database later.

Nov 29, 2010 caroline15 45 posts	Topic: General Discussion / NEED HELP I'd increase my ratio as I'd be worried about going hypo overnight if my BI was increased - (something that probably wouldn't worry you with your DP). When Amy was ill we increased her ratio and background but that was over a long period of time, hopefully you will be better in days rather than weeks. Hope you feel better very soon.

Nov 29, 2010 novorapidboi26 1,819 posts	Topic: General Discussion / NEED HELP Thanks for the advice, I will take it on board this evening.......Cant wait to the get the flu jab every year, what was I thinking........

Nov 29, 2010 JayBee 587 posts	Topic: General Discussion / NEED HELP Sorry - just to add - Im not sure what percentage would be best to put BI up by but I would look at 2 units of BI if I was correcting with 2 or more units of QA regularly.

Nov 29, 2010 JayBee 587 posts	Topic: General Discussion / NEED HELP Firstly, well done for getting ketones under control! Now if you are mainly suffering from highs and are having to correct a lot even without food - if it was me, I would consider putting my BI up - ESPECIALLY if the illness is for more than one day (as it suggests in DAFNE guidebook). Get well soon...

Nov 29, 2010 novorapidboi26 1,819 posts	Topic: General Discussion / NEED HELP Got the flu bad, went from not eating and having lots of ketones with avergare BGS, now I have no ketones, I am eating and my BGS are sky high........ What have others done, do you increase your BI by a percentage or do you bump up the ratios.............Im lost and ill............ Just a note: the sick day rules work great if your not eating....

Nov 29, 2010 Garry 328 posts	Topic: Site Development / Online BG Diaries I also use an Optium Xceed meter to test for Ketones. Very easy to use with digital value given using a specific test strip ... can recommend. Software called Co-Pilot is available free from Abbot, once registered as a an Optium Xceed meter user, and downloads meter to computer through a specific USB lead and will log ketone info too. Regards Garry

Nov 28, 2010 Sbee1980 7 posts	Topic: General Discussion / Pre-conception Plans Hi all, I am hoping to get the go-ahead from HCPs early next year for trying for a baby.. my HBa1c results over the last couple of years have been very high but since doing DAFNE I have really come to understand diabetes a lot better & have made a real effort to get my BG under control. Has anyone requested pre-conception care or been pregnant since completing DAFNE training? Just looking for some pointers & advice..

Nov 28, 2010 JayBee 587 posts	Topic: Site Development / Online BG Diaries Using the comments bit is what we're having to do right now... I feel it's easy to be ignored there when getting feedback, but that's me... You're lucky to not have to check for ketones much Simon! Your control must be excellent!

Nov 28, 2010 Simon 578 posts	Topic: Site Development / Online BG Diaries Perhaps it would be best to allow you guys to add ketones as free text (like the comments field), although this may prove difficult to make a chart of, if you wanted that. What do you all think? I rarely test myself for ketones so will take your guidance on what is best. Edit: mg/dl measures the same thing as mmol/l, but with a different scale - the amount of one substance in another. In this case I think* it is mg of Ketones per dL (deciLitre?) of urine*

Nov 28, 2010 JayBee 587 posts	Topic: Site Development / Online BG Diaries I might be getting another machine for dedicated use for ketones after the spell of illness I've had recently... so it might be worth looking at the other variants besides the traditional use of - and +. Unless there's a way to convert the numbers over to the traditional system used on ketone stixs? Not 100% sure what mg/dL stands for (sorry ). I can't seem to find a more up to date image of the bottle side on the net! >_<

Nov 28, 2010 Karl 83 posts	Topic: Site Development / Online BG Diaries I also use an Optium Xceed meter for testing for Ketones (number format)

Nov 28, 2010 caroline15 45 posts	Topic: Site Development / Online BG Diaries I check for ketones on my daughter's spare meter which gives the reading in number form. (0.0 up to 6.6 are the results we've had)

Nov 28, 2010 Simon 578 posts	Topic: Site Development / Online BG Diaries Hi all, We've been updating the site to new software recently, getting to the end of that now so will look to add the ketones value to the diary and iPhone app. How is the best way to record these? I was thinking a drop down list with the options (-, +, ++, +++, ++++) - would this be OK or does anybody record them differenty? Simon

Nov 27, 2010 Simon 578 posts	Topic: General Discussion / Apologies... Hi all, all of the above problems have now been fixed. Apologies for the inconvenience caused, and do let us know if you find any more problems. Simon

Nov 27, 2010 grandma carol 61 posts	Topic: General Discussion / think I am getting there Well thank you for your help I think my BI is ok as I have stoped the night hypos and BGs stay about the same through night so have been on 10 BI for 4 days now and I am still in the 14.0s for lunch time BGs so this morning I have put my ratio up at breakfast from 2:1 up to 2.5:1 so I will see how it goes. I was 7.3 at 3.00 and 8.9 at 7.30 so did not do a correct at 7.30 Ill see if it has come down with doing the correction. Ill let you know how it goes thank you for sharing yours .

Nov 26, 2010 meltow 78 posts	Topic: General Discussion / What are you reading? The Alchemists Daughter by Katharine McMahon - and my Amazon review The length of the book was far too short for me. I was captivated from the first page; life at Selden, not knowing your mother, words I had never read/seen before - "phlogiston", romance, a cad, human trafficking, wigs, whorehouses, and death. A delight to read with some wonderful descriptive passages, together with dialogue that kept the story moving at a relaxed pace, but sufficient to keep me enthralled. FAB-U-LOUS, and will have no difficulty selecting Miss McMahon's other books from the bookshop. Just to give you an idea of the type of anorak I am; I have a list of every book title and author I have read since August 7th 1973 - and I'd just reached double figures in '73. It makes fascinating reading!

Nov 26, 2010 marke 681 posts	Topic: General Discussion / Apologies... trudi, your dafne centre's forum should appear on the forum's page at the bottom. The 'My DAFNE Centre' link is a shortcut to the same place.

Nov 26, 2010 JayBee 587 posts	Topic: General Discussion / think I am getting there As long as you can see patterns, the highs will eventually be resolved - try to not be distracted by them, okay? Take my results on this date (above) for an example. I knew from seeing this regular pattern of 10 BG after letting my meal insulin finish with no corrections for the highs that it was likely that I would only need to put my during the day BI up 1 or 2 units to get everything right. Though I was not aware that I was ill on that occasion, but if I had not been, it is very likely that putting that BI up would have been my final action to take. As long as you're very very sure that your BI doses are reasonably correct, then look at ratio adjustment . This is what my DAFNE nurse had to say to me a few times - should be putting more demand on our BI than our meal ratios. Keep this in mind before correcting if you're not sure on your BI! You're very lucky to not have to split dose while being on Lantus... I did have to, so I changed over to Levemir because it was intentionally made to be a split dose insulin.

Nov 26, 2010 Karl 83 posts	Topic: General Discussion / Exercise I use Hypo-Fit http://articmedical.co.uk/contents/en-uk/d20_Hypo-Fit.html take 1 about every 30 minutes on a long run - I find them easier to carry than drinks / jellies

Nov 26, 2010 Sbee1980 7 posts	Topic: General Discussion / Apologies... I've posted on the Dafne Online Mobile page too.. but when I access the site from my Blackberry it says my last reading was Aug!! Is this an error from my phone or from the changes? Thanks!!

Nov 26, 2010 grandma carol 61 posts	Topic: General Discussion / think I am getting there Thank you JWo it is hard when you think you are getting there and then things go wrong agen BGs have been high for 3 days now thank god no ketones like you had but think I have my BI about right as no more night hypos. BGs have been high at lunch times so think I might try and see what happens if I up my breakfast ratio as thy are up then for a week now but left it as I was getting BI right to stop hypos at night bbut think that its about time now to start on that one. I think that the DAFNE book is ok but it dosent say what to do when all your readings are up. Think I must be just daft or my mind dosent work like everbody else. Or its just because I am not well that I carnt make head or tale of the dam thing. Take Care