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Nov 19, 2010
Garry 328 posts

Topic: Questions for HCPs / Levemir issues

I love cooking.
Worst errors arose when preparing something, putting it on the table and then thinking...Doh...havn't done blood...getting a wacky result and then washing hands - repeating blood test and getting the expected BG. So that's what set me investigating.
Even found that unless my hands were perfectly dry that errors crept in.
Reading your replies above reminded me that one of the best things that I have done since DAFNE is not overCPing after hypo.
I was a villain for too much carbohydrate... go downstairs at 03:00... test to confirm hypo and then have two glasses of milk and three biscuits... result... well you know the result... BG 13 - 15 with a worst case 21.5.
Regards
Garry
 
Nov 19, 2010
karaway 7 posts

Topic: Carbohydrate Counting / Carb Free Breakfast

The filling in sausage is a higher percentage fat then anything else and should not be counted as carbs
 
Nov 19, 2010
HelenP 218 posts

Topic: Questions for HCPs / wound healing

GP not prepared to go out on a limb. Wants me to do what the Plastic Surgeon says! GP would be happy to wait for 6 weeks just to see if it closes over without intervention but basically is encouraging me to have it dealt with as it is nearly 6 months! There are differing opinions as to whether or not it has actually closed over. (The "yellow" cannula is very fine (26 gauge(?)). Not sure what I have to gain by having the surgery! What ever happens the hole I will get is bigger than the one I currently have! I am really tempted to leave well enough alone! Helen
 
Nov 18, 2010
MelissaF 56 posts

Topic: Questions for HCPs / Levemir issues

Hi guys,

Thanks Garry, you're right, I'm not always good at washing my hands before tests (probably because I test far too much as well as I've explained to J). I'll try to from now on and I'm going to test my meter with the control fluid as well just to make sure that that's all working OK.

Can I just check, are all wipes not recommended? Can you use something like baby wipes or are they as bad for potentially throwing out your readings?

J - everything that you say is totally correct and you're right. I am confusing my results by snacking/testing at the wrong times/over-correcting etc. I would like to say that it's because I've had diabetes for so long that I'm not as careful as I used to be but that's really no excuse as you've had it for just as long as me and you're so much better. I think that your point is valid though - if I'm ultra careful for a few weeks just to see how things pan out then there's no reason why I can't go back to eating snacks etc if I want to, once I can gauge better how to deal with them. That's what DAFNE's all about I guess isn't it really? The hypo and subsequent eating that you referred to was me giving into the ravenous hunger that usually accompanies a hypo for me. I know that I should really eat 4 jelly babies but sometimes I'm not thinking straight and I shovel in some biscuits as well!

However, I'm afraid that I think I'd going back on the Lantus. I make an appointment today to see another DAFNE educator for another opinion and, when I got there, she was on a course and I was seen by a lady with no DAFNE training. Not her fault and she was very nice but I haven't heard back from the other two people I've left messages for either and I think I'm just going to stick my neck out and go with my gut feeling. The lady I saw today said that she didn't think that it was a major problem for me to revert to the Lantus for a bit. I said that if it didn't make things any better then I would go back on the Levemir and give it another go. I want to see if it makes me more stable and I'm going to keep a close eye on my evening readings to check whether I think it's not lasting the 24 hours. If it seems to be lasting then I guess there's no reason why the Levemir is a better option as the two insulins apparently work in very similar ways.

I know that you're probably going to think that I'm wimping out but I've got a very very short period of time to get this right if I want to have another baby and I'm really not heading in the right direction at the moment.

My motivating factor today was the fact that, for once, my blood sugars were relatively normal (7.9) when I woke up this morning. I had my usual 3 units of Levemir and a breakfast of 3 CP (weighed) with 3 units of insulin. I had to drive to pick up my son from nursery at 12.30 so I tested before getting in the car and my sugars were 7.6 so I thought fantastic, that's all worked today. When I tested for lunch an hour later it had jumped to 13.9 for absolutely no reason whatsoever. Weirdly enough I hadn't read Garry's post at that point so I washed my hands just to make sure and it came out the same. I can't find any reason why it should have done that and it freaks me out! At the moment, the only reason that I've got for using Levemir is that it might help and it isn't so I think I'm giving up. I will let you know what I find out with the Lantus though and see what happens.

Having said that though, any support you need for your regime, please let me know if I can help. You obviously know far more that I do about the technicalities of it but if you just want a second opinion or just a moan every now and then please tell me. You've managed to get your BG levels stabilised (albeit at a slightly higher level than you want) so I guess you're closer to finding a pattern. Keep me posted and I'll let you know what happens with mine.

M xx
 
Nov 18, 2010
grandma carol 61 posts

Topic: Questions for HCPs / Help with BI

Yes when I started the caurse I was on 20 and they told me to drop it to 14. But I was ill and realy on well very dizzy and BGs up in the 18 19 17 even 22 so when I went to the Doctors she told me to put it back up. I was changing my ratio and puting that back up and with not being well I just dident know ware I was at and what I was doing. So I had put it back up to 18 but now I am droping it as I am having hypos at night even when I have some CPs before bed. The only other factor with last night was that I was low all day untill I went to bed and Iwas 8.5 and I had 1CP but still went down to 3.9 at 2.30. THANK YOU ill let you know how I get on tonight. Wish me look haha.
 
Nov 18, 2010
JayBee 587 posts

Topic: Questions for HCPs / Levemir issues

Wow, that's quite a contrast of results for not washing your hands, but it does make sense! :/ I'm quite religious with my hand washing before meals so this potential problem shouldn't be an issue for me (hopefully).

On a similar note - do you avoid the 99.9% hand cleaning stuff? I hate it, personally, so I usually do. I'm often worried it'll make my results in correct - along very similar lines to being as bad as not washing your hands.

There is also those cleaning wipes as well - I used to grab the clean wipes that you get at places like KFC but my nurse told me that they had chemicals that would throw my blood results off so I avoid those too now.

Would be great to have a simple wipe that doesn't require water... would be a great addition to our medical kits! ^_^
 
Nov 18, 2010
novorapidboi26 1,819 posts

Topic: Questions for HCPs / Help with BI

I agree you should drop it, if there were no other factors influencing the reading.....

Are you not approaching the dose they had you on when attending the course?
 
Nov 18, 2010
grandma carol 61 posts

Topic: Questions for HCPs / Help with BI

yes thank you but she the DAFNE nurse told me to drop it if I had hypo at night and I have agen last night so thats why I thought that I should drop it agen tonight Asked her on the phone about doing a split of BI and she said just to leave it I have to go back on 3rd Dec for the blood moniter but it will be a different nurse the one I spoke to is on holiday. It just to get this moniter fitted.
 
Nov 18, 2010
novorapidboi26 1,819 posts

Topic: Questions for HCPs / Help with BI

As your on Lantus changing your dose on a daily basis is madness.........you need to look for patterns.......

If you hold steady for 2-3 nights in a row and thats without food or quick acting working then the dose is right.....

You can then start work on the ratios etc........

Another problem with one a day is that you may hold steady overnight but then become more resistant to insulin during the day, which means you may need more during the day.....but you cant as you are only on one dose...

It will be a pain, but try and get 2-3 days holding overnight with no food or quick acting....
 
Nov 18, 2010
grandma carol 61 posts

Topic: Questions for HCPs / Help with BI

well I dident get an appointment she just phoned back and said to drop BI to 14. Well did and still had another hypo at 2.30 going to drop it agen to night I have been low all day yesterday and so far today as well .Thank you
 
Nov 18, 2010
Garry 328 posts

Topic: Questions for HCPs / Levemir issues

Mellissa
May I ask - Do you always wash your hands before blood testing?
Most BG kits now use such a small blood sample that any contamination error has a really dramatic effect.
BG 16 to 5.6 in 45 minutes is very unusual.

I say this from experience with an Medisense Abbott Optium Xceed meter which on 5 second Optium Plus test strips uses a tiny blood sample - 0.6 μL.
They did a 3 second strip for a time which used an even smaller blood sample. But not sure whether they are available now.
Anyway I proved contamination error to myself by repeated trials of unwashed hands v washed hands - washed immediately after - and saw errors of up to 8 BG.

My conclusion was that I had to always accept the need for lack of contamination and to stick with washed hands at testing time.

Regards Garry
 
Nov 18, 2010
JayBee 587 posts

Topic: Carbohydrate Counting / Carb Free Breakfast

Ooooo sounds lovely! I hope you get the results you're hoping for! ^0^
 
Nov 18, 2010
Sam 64 posts

Topic: Carbohydrate Counting / Carb Free Breakfast

Well Guys

I had sausage, bacon and eggs from the delightful NHS canteen! As much as I enjoy a cooked breakfast I enjoy it more at the weekend, I felt as though I forced myself to eat it and washed it down with diet irn bru lol! Just hope it fills me up until lunchtime. Thanks for all the replies I guess when you're so used to eating a carb breakfast you forget what you can eat carb free!

Sam
 
Nov 18, 2010
JayBee 587 posts

Topic: Carbohydrate Counting / Carb Free Breakfast

Sausages will have carbs? I've never had any problems with sausages!

Are we talking about meat sausages right? Or a special kind? :/ Usually it's the meat proteins that stop the carbs in the meat from affecting your sugar levels - this applies to all meats - and fish I suppose...
 
Nov 18, 2010
novorapidboi26 1,819 posts

Topic: Questions for HCPs / Help with BI

Appointments are had to get I know, but if your online you can keep in touch be email too, thats what I do.........

However if you need help quick if things are not working then they shoull make time sharpish.....
 
Nov 18, 2010
meltow 78 posts

Topic: Carbohydrate Counting / Carb Free Breakfast

Karaway, don't get carried away!
The sausage, no matter how premium, will have carbs. The filler in sausages is usually iderived from bread or breadcrumbs.
I can smell the bacon cooking, from here! ; )
 
Nov 18, 2010
vic demain 87 posts

Topic: General Discussion / oz

Lucky you linsey, just in time for the Ashes.
 
Nov 18, 2010
karaway 7 posts

Topic: Carbohydrate Counting / Carb Free Breakfast

I'm with the bacon and eggs but I would add mushrooms, half a tomato, onions and sausage!!!! Yum
 
Nov 18, 2010
HelenP 218 posts

Topic: General Discussion / flu jab

See the Oz thread! Helen
 
Nov 18, 2010
HelenP 218 posts

Topic: General Discussion / oz

Depends on your GP.
Depends on your GP and YES you really need it!

I have one every year and because I am an insulin dependent diabetic I get it for free.
I believe some GPs charge for the visit but you actually get the jab for free. Consultation plus jab for the price of the consultation (usually about $AUD60). You may be eligible for a rebate from Medicare of a bit over $30. You can ask before you see the Dr and you can search for a bulk billing Dr but they are fairly hard to find.
My winters have been much healthier since adopting the annual flu regime. Usually get mine about Easter.
Helen
 
Nov 18, 2010
linsey ramage 6 posts

Topic: General Discussion / oz

will i be offered a flu jab just emigrated dont no the procedure?
how much will it cost?
do i really need it?
 
Nov 18, 2010
linsey ramage 6 posts

Topic: General Discussion / flu jab

hey peeps,just emigrated to oz 5 weeks ago any ideas if i will be offered flu jab here?will i pay for it?whats the cost? do i really need it?
 
Nov 17, 2010
JayBee 587 posts

Topic: Questions for HCPs / Levemir issues

My last HbA1c was 8.5%, or under the new system, IFCC 69mmol/mol. I'm still mainly familiar with HbA1c so the new results system confuses me still - but whatever way I look at it, this was an improvement on my last HbA1c which was above 9%. I went on Levemir towards the end of this result.


Try very hard to not over correct - or snack - if you can. Trust me, the results will be worth while in the long run! Once everything is clarified, your freedoms will come back. Don't panic - remember, short term highs won't do you any long term harm. One day of highs can help for more days of good levels.

You can do it! ^_^


Also, for a suggestion, how about for each hypo you have, if it's not right before a meal, you only eat 2 fast CPs (tablets, jelly babies, etc) and 2 slow CPs... this is so you don't have to inject more insulin (for example, 13 Nov - you had a hypo over 3 hours before your next meal. To make sure you got what you needed, it would have been better to leave off 2 units off the 5 slow CPs - this is to make sure you recover during the time before your next meal). See the hypos section of the DAFNE booklet (bottom of page 37 to be exact) to see what I'm talking about. Smile


Don't worry if you don't know things - or even forget things about DAFNE - it'll happen (especially when you're having a hypo - logic goes out the window usually for me!)


I think if that's the case with the educator, perhaps it's not worth worrying about too much now. If you feel that you weren't being very good with your DAFNE towards the end of using Lantus, how can you be sure that going back is worth it really?

I do get you with agreeing with changes very easily though. If only diabetic control was something you could quick fix! ^_^ I'm sure they meant well.

It's funny you mention about pumps - I was told that if you're offered a pump at my hospital it's usually because you're not one for controling your sugar levels well. I never want to go on a pump generally and in a way, this statement from my hospital makes me even more determined to get my levels under control!


You'll be surprised how much exercise just playing with your little boy will provide! Picking him up for example... that's lifting a weight! Smile


That's perfectly fine about trying out the 12 hour markers for the BI doses. I hope it provides some results! Very Happy


The between meal stuff for things like driving is understandable - I test every time before I drive as well (every diabetic should do).

However, its the snacking and insulin taking that's the main problem because you're taking on extra QA. If you start to feel funny, see if you are low rather than just eat something - doing so will help with pattern finding - especially if you find you hypo after lunch or dinner as well (like I did for the 8th November in my first set of copied and pasted results back on page 3 of this thread - I put my morning BI down for this because it affected me during the day).


When I was still on Lantus I used to have to snack around 11am but that was because I was taking the incorrect amount of insulin. Unfortunately, I didn't realise that until quite some time after doing DAFNE - the breakfasts I used to eat to compensate were a lot of CPs! I hope something similar is not happening with you... (signs are showing on 14 and 15 Nov results I think).


Let's see how we get on... leave it for a few days and post our results together if you like. Very Happy We can do this, M!