Recent Posts - DAFNE Online

Sep 21, 2010

Paulak 2 posts

Topic: Questions ? / High bgl in the morning.

Hi
I've been having high bgl readings every morning and am almost sure its not the Dawn Phanonomom, I was just wondering if anyone could tell me what else it could possibly be because every other bgl is perfectly in target including bedtime. I've tried increasing Levemir at night but end up with low sugars. I'm stuck.
Paula.

Sep 21, 2010

Jennifer Iden 11 posts

Topic: General Discussion / Introductions

Thanks everyone for the warm welcome!
Whats' the view on pumps then? I've always said 'no' as I felt it might cramp my style - I've since realised I have no style, but seriously, is the vibe these days a positive one and do they work?

Sep 21, 2010

Simon 574 posts

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

Hi All, the latest update (DAFNE Online 1.1) is now on the app store - with the following updates:

Modified BG, QA, CP entry to use custom keyboards for ease of use.
Summary view for Blood Glucose Diary, showing: 1. BG averages 2. Total Daily Dose (TDD) averages 3. Number of corrective doses at mealtimes
Diary Entry Types now ordered by time of day rather than alphabetically
App now guesses Diary Entry Type depending on time of day.
Fixed bug where the diary view wouldn't refresh if app left open overnight
Changed Target Min BG for 'Before Driving' to 5 as per DAFNE Principles

As always, let us know if you find any problems with the app, and rate it on the app store if you like it!

Simon

Sep 20, 2010

marke 655 posts

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

yes, we hope to do an android version. However how soon it will be available depends on how quickly I learn how to do it and then implement it. Hopefully this will be in the not too distant future, but I can't make any guarantees exactly when.

Sep 20, 2010

novorapidboi26 1,818 posts

Topic: General Discussion / Introductions

58 years Phil.............respect............

Sep 20, 2010

Phil Child 3 posts

Topic: General Discussion / Introductions

Welcome Jennifer,

I work in Oakham and have been type 1 for 58 years. so, if you need a chat or advice, I'm close to hand.

I was the same when I was younger and my wife tells me I haven't changed much, but I like to think I know what I'm doing now. My HbA1C is certainly dropping steadily, so I must be doing something right.

Phil

Sep 20, 2010

novorapidboi26 1,818 posts

Topic: General Discussion / Introductions

Welcome Jennifer...............

I have been diabetic for 11 years and for about 7 of those years didnt really control it effectively, not that i didnt want to, I didnt know how to....

DAFNE changed that for me, at least my attitude anyway, I test all the time and follow the principals religously..........I have dawn phenomonon though and its really starting to annoy me..........a pump may be the only other option.....

Anyway, life story over...............welcome again.......hope to see you around on a regular basis........

Sep 20, 2010

Jennifer Iden 11 posts

Topic: General Discussion / Introductions

Hello fellow diabetics. I completed the DAFNE course in Rutland in October 2009, but have only just signed up to this site. I have been type 1 diabetic since 1992, which was diagnosed in my early twenties totally out of the blue - to this day I still feel that if I hadnt had my urine tested I wouldnt be diabetic today!

I am a very negative diabetic and so far, reading posts here, already feel more positive.

I continue to struggle with my control and my weight and with a young family am now feeling that I need to take more control of my life. I'm using the iPhone App to monitor my suagrs and just want to join this community of fellow diabetics to share my thoughts, worries and successes - hopefully!

Look forward to joining the forums!

Jennifer

Sep 20, 2010

novorapidboi26 1,818 posts

Topic: General Discussion / Hello!

Welcome Fred, good to see you here..............

Your readings at the weekend sound excellent, for me the weekend is the bad time.......

See you around.........

Sep 20, 2010

joasa404 1 post

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

Hi, are you planning to release a Android App in addition to the DAFNE Online iPhone app?

Sep 20, 2010

Benton Fred 7 posts

Topic: General Discussion / Hello!

Hi everyone. My name is Fred and I'm a DAFNE graduate from Newcastle. I'm 34 now and was diagnosed in 2007. I was treated for type 2 for two years before my GP finally realized that there was something wrong when my HbA1c would go below 10!
My initial reaction to DAFNE is fantastic!! We so need to spread the word to other Type 1's. My BG level hasn't been above 8 this weekend.
Anyway this is my first week in the big wide world "alone" so we'll see what happens eh?
C U all soon. X

Fred

Sep 19, 2010

Simon Heller 46 posts

Topic: Questions ? / Rising morning BG knowing the 'Dawn' Phenomenon is not present

You could although 7 injections might be considered a bit excessive by some, it was done in a clinical trial and got pretty good control for those who put up with it but hasn't caught on, on the basis that it is not really practical. Simon

Sep 18, 2010

Alan 49 280 posts

Topic: Questions ? / Rising morning BG knowing the 'Dawn' Phenomenon is not present

Instead of 'free mixing', why can't you give yourself your dose of QA insulin and then the small dose of BI from a different pen?

Alan

Sep 17, 2010

Simon Heller 46 posts

Topic: Questions ? / Rising morning BG knowing the 'Dawn' Phenomenon is not present

Sorry about the jargon, it means using a traditional syringe and needle (not many people using disposable syringes any more) and drawing up the two different insulins from vials. very complicated and old fashioned and impractical.

Sep 17, 2010

novorapidboi26 1,818 posts

Topic: Questions ? / Rising morning BG knowing the 'Dawn' Phenomenon is not present

what do you mean by free mixing of insulin??

Sep 17, 2010

kid127 25 posts

Topic: Questions ? / Alternative injection sites

thanks for the replies to this. since i posted i was moved on to 5mm needles which helped but i've also been referred for a pump which should fix the problem altogether hopefully!

i was having random highs and lows that i couldnt sort using dafne principles but after talking it over with the pump nuse she thinks its all down to my injection sites

i'll try your tip until i get the pump tho heather b, thanks!

Sep 17, 2010

Simon Heller 46 posts

Topic: Questions ? / dawn phenomenon... how to stop the rise?

I don't think a 2 day carb free approach is a great idea as cutting out carbs from the diet will tend to reduce blood glucose more generally and provide an artificially low glucose profile, a 12-24h period should be sufficient to measure the effect of background insulin alone. I also agree that twice daily Detemir is probably the best of relatively limited long acting insulins. At least two of the insulin companies are working on even longer acting insulins but whether they will prove more useful is yet to be shown. Simon

Sep 17, 2010

Simon Heller 46 posts

Topic: Questions ? / Rising morning BG knowing the 'Dawn' Phenomenon is not present

Actually there is some evidence that multiple small doses of an insulin such as Humulin I or Insulatard with each meal alongside quick acting insulin does work pretty well but it does involve free mixing of insulin in syringes so not terribly practical. on the basis that an insulin pump replaces background insulin most effectively then probably for those who are prepared to be pushing the envelope in terms of glucose control and effective self management, this is probably the best solution, that is if a pump is acceptable. Simon

Sep 17, 2010

novorapidboi26 1,818 posts

Topic: General Discussion / Mystery!!!!!!!!!!!!!!

It seems to be getting that way now...last week was not as consistent...........I will be trying the higher ratio today at lunchtime...........

I really wanted to reduce my TDD...........oh well.....needs must and all that...

Cheers Si.......

Sep 16, 2010

Simon 574 posts

Topic: General Discussion / Mystery!!!!!!!!!!!!!!

Hi novorapidboi, have you tried upping you ratio at lunchtime to 2:1? The rise from Lunch to the next reading seems to be pretty consistent in how much it goes up (for the last 2 days anyway)

Sep 16, 2010

novorapidboi26 1,818 posts

Topic: General Discussion / Mystery!!!!!!!!!!!!!!

Those two days were identical in terms of food and activity before and during lunch....... its a pain.....

Usually I am about 12-15, but the last week and a half I have been rising with those high numbers, 17 yesterday, 13 today.....had some wine last nght though explaining the drop......

I have done 3 am bloods every now and again and they are fine, its seems to be the 4 and 5 am it will start to rise.........I agree it does seem excessive, and its a struggle to get going......

Might need a pump soon.......

Sep 21, 2010 Paulak 2 posts	Topic: Questions ? / High bgl in the morning. Hi I've been having high bgl readings every morning and am almost sure its not the Dawn Phanonomom, I was just wondering if anyone could tell me what else it could possibly be because every other bgl is perfectly in target including bedtime. I've tried increasing Levemir at night but end up with low sugars. I'm stuck. Paula.

Sep 21, 2010 Jennifer Iden 11 posts	Topic: General Discussion / Introductions Thanks everyone for the warm welcome! Whats' the view on pumps then? I've always said 'no' as I felt it might cramp my style - I've since realised I have no style, but seriously, is the vibe these days a positive one and do they work?

Sep 21, 2010 Simon 574 posts	Topic: Site Development / DAFNE Online iPhone application - help with content/design needed Hi All, the latest update (DAFNE Online 1.1) is now on the app store - with the following updates: Modified BG, QA, CP entry to use custom keyboards for ease of use. Summary view for Blood Glucose Diary, showing: 1. BG averages 2. Total Daily Dose (TDD) averages 3. Number of corrective doses at mealtimes Diary Entry Types now ordered by time of day rather than alphabetically App now guesses Diary Entry Type depending on time of day. Fixed bug where the diary view wouldn't refresh if app left open overnight Changed Target Min BG for 'Before Driving' to 5 as per DAFNE Principles As always, let us know if you find any problems with the app, and rate it on the app store if you like it! Simon

Sep 20, 2010 marke 655 posts	Topic: Site Development / DAFNE Online iPhone application - help with content/design needed yes, we hope to do an android version. However how soon it will be available depends on how quickly I learn how to do it and then implement it. Hopefully this will be in the not too distant future, but I can't make any guarantees exactly when.

Sep 20, 2010 novorapidboi26 1,818 posts	Topic: General Discussion / Introductions 58 years Phil.............respect............

Sep 20, 2010 Phil Child 3 posts	Topic: General Discussion / Introductions Welcome Jennifer, I work in Oakham and have been type 1 for 58 years. so, if you need a chat or advice, I'm close to hand. I was the same when I was younger and my wife tells me I haven't changed much, but I like to think I know what I'm doing now. My HbA1C is certainly dropping steadily, so I must be doing something right. Phil

Sep 20, 2010 novorapidboi26 1,818 posts	Topic: General Discussion / Introductions Welcome Jennifer............... I have been diabetic for 11 years and for about 7 of those years didnt really control it effectively, not that i didnt want to, I didnt know how to.... DAFNE changed that for me, at least my attitude anyway, I test all the time and follow the principals religously..........I have dawn phenomonon though and its really starting to annoy me..........a pump may be the only other option..... Anyway, life story over...............welcome again.......hope to see you around on a regular basis........

Sep 20, 2010 Jennifer Iden 11 posts	Topic: General Discussion / Introductions Hello fellow diabetics. I completed the DAFNE course in Rutland in October 2009, but have only just signed up to this site. I have been type 1 diabetic since 1992, which was diagnosed in my early twenties totally out of the blue - to this day I still feel that if I hadnt had my urine tested I wouldnt be diabetic today! I am a very negative diabetic and so far, reading posts here, already feel more positive. I continue to struggle with my control and my weight and with a young family am now feeling that I need to take more control of my life. I'm using the iPhone App to monitor my suagrs and just want to join this community of fellow diabetics to share my thoughts, worries and successes - hopefully! Look forward to joining the forums! Jennifer

Sep 20, 2010 novorapidboi26 1,818 posts	Topic: General Discussion / Hello! Welcome Fred, good to see you here.............. Your readings at the weekend sound excellent, for me the weekend is the bad time....... See you around.........

Sep 20, 2010 joasa404 1 post	Topic: Site Development / DAFNE Online iPhone application - help with content/design needed Hi, are you planning to release a Android App in addition to the DAFNE Online iPhone app?

Sep 20, 2010 Benton Fred 7 posts	Topic: General Discussion / Hello! Hi everyone. My name is Fred and I'm a DAFNE graduate from Newcastle. I'm 34 now and was diagnosed in 2007. I was treated for type 2 for two years before my GP finally realized that there was something wrong when my HbA1c would go below 10! My initial reaction to DAFNE is fantastic!! We so need to spread the word to other Type 1's. My BG level hasn't been above 8 this weekend. Anyway this is my first week in the big wide world "alone" so we'll see what happens eh? C U all soon. X Fred

Sep 19, 2010 Simon Heller 46 posts	Topic: Questions ? / Rising morning BG knowing the 'Dawn' Phenomenon is not present You could although 7 injections might be considered a bit excessive by some, it was done in a clinical trial and got pretty good control for those who put up with it but hasn't caught on, on the basis that it is not really practical. Simon

Sep 18, 2010 Alan 49 280 posts	Topic: Questions ? / Rising morning BG knowing the 'Dawn' Phenomenon is not present Instead of 'free mixing', why can't you give yourself your dose of QA insulin and then the small dose of BI from a different pen? Alan

Sep 17, 2010 Simon Heller 46 posts	Topic: Questions ? / Rising morning BG knowing the 'Dawn' Phenomenon is not present Sorry about the jargon, it means using a traditional syringe and needle (not many people using disposable syringes any more) and drawing up the two different insulins from vials. very complicated and old fashioned and impractical.

Sep 17, 2010 novorapidboi26 1,818 posts	Topic: Questions ? / Rising morning BG knowing the 'Dawn' Phenomenon is not present what do you mean by free mixing of insulin??

Sep 17, 2010 kid127 25 posts	Topic: Questions ? / Alternative injection sites thanks for the replies to this. since i posted i was moved on to 5mm needles which helped but i've also been referred for a pump which should fix the problem altogether hopefully! i was having random highs and lows that i couldnt sort using dafne principles but after talking it over with the pump nuse she thinks its all down to my injection sites i'll try your tip until i get the pump tho heather b, thanks!

Sep 17, 2010 Simon Heller 46 posts	Topic: Questions ? / dawn phenomenon... how to stop the rise? I don't think a 2 day carb free approach is a great idea as cutting out carbs from the diet will tend to reduce blood glucose more generally and provide an artificially low glucose profile, a 12-24h period should be sufficient to measure the effect of background insulin alone. I also agree that twice daily Detemir is probably the best of relatively limited long acting insulins. At least two of the insulin companies are working on even longer acting insulins but whether they will prove more useful is yet to be shown. Simon

Sep 17, 2010 Simon Heller 46 posts	Topic: Questions ? / Rising morning BG knowing the 'Dawn' Phenomenon is not present Actually there is some evidence that multiple small doses of an insulin such as Humulin I or Insulatard with each meal alongside quick acting insulin does work pretty well but it does involve free mixing of insulin in syringes so not terribly practical. on the basis that an insulin pump replaces background insulin most effectively then probably for those who are prepared to be pushing the envelope in terms of glucose control and effective self management, this is probably the best solution, that is if a pump is acceptable. Simon

Sep 17, 2010 novorapidboi26 1,818 posts	Topic: General Discussion / Mystery!!!!!!!!!!!!!! It seems to be getting that way now...last week was not as consistent...........I will be trying the higher ratio today at lunchtime........... I really wanted to reduce my TDD...........oh well.....needs must and all that... Cheers Si.......

Sep 16, 2010 Simon 574 posts	Topic: General Discussion / Mystery!!!!!!!!!!!!!! Hi novorapidboi, have you tried upping you ratio at lunchtime to 2:1? The rise from Lunch to the next reading seems to be pretty consistent in how much it goes up (for the last 2 days anyway)

Sep 16, 2010 novorapidboi26 1,818 posts	Topic: General Discussion / Mystery!!!!!!!!!!!!!! Those two days were identical in terms of food and activity before and during lunch....... its a pain..... Usually I am about 12-15, but the last week and a half I have been rising with those high numbers, 17 yesterday, 13 today.....had some wine last nght though explaining the drop...... I have done 3 am bloods every now and again and they are fine, its seems to be the 4 and 5 am it will start to rise.........I agree it does seem excessive, and its a struggle to get going...... Might need a pump soon.......