Recent Posts - DAFNE Online

Sep 10, 2010

ThunderBolt 28 posts

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

Thanks for the encouragement regarding the ratios.Â

BI reminders sound a great idea. Especially when you're making alterations as I for one have reverted back to a dose from a day or 2 before when I've forgot about the alteration I made. I know I know. I'm a berk. Heheh!

Thanks to you both as well for the positive feedback on the start day times. I feel like a computer programmer without the hard work or knowledge. Â

Nice one Simon. Thanks again... Again!

Sep 10, 2010

novorapidboi26 1,816 posts

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

2 day fast, how does that work?

Sep 10, 2010

stacyedgington 5 posts

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

and well done novo!!! I just read your morning bg... awesome!!!

Sep 10, 2010

stacyedgington 5 posts

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

Thank you novo...
Pre DAFNE I was on Lantus, and the exact opposite was happening... I would be waking up with lows of around 1.5, its so odd!

I've been trying everything you suggested... a pre bedtime snack with quick acting didnt make any difference, but I did do a 2 day fast and the high morning glucose levels didn't happen. So I'm wondering if it is something to do with my fast acting not being right. I am going to try eating a carb free dinner for a few days and see if that makes any difference. Im also gonna have to try and stop sleeping through my alarm at 2am and check my bg to see if it is rising or not then. They had said on the DAFNE course that I was a prime candidate for a pump as I exercise a lot and cant manage my insulin around it very well, so maybe that is an option. Anyways. Thank you so much for the advice, your a star!

Martina... I haven't ever been woken with a high, but that sounds awful! I would reccomend you taking the advice novo gave me and play around a bit with seeing what the cause is. The 2 day fast I had was hard, but it has cleared a lot up for me so i would deffo reccomend that. xx

Sep 10, 2010

Simon 574 posts

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

Hi both,

I usually go to bed quite late so can identify with this too. I've just submitted the latest update to the app store for approval so this won't be in that version, however should hit the next one. If I'm right - you're after a setting the say when the 'day' starts and ends - so in the settings part you could enter a time, then the diary would be grouped by periods of that time?

On the BI remembering - yep good idea, I'll put it on the list for the next version too.

Simon

Sep 10, 2010

novorapidboi26 1,816 posts

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

Thats quite strange to get a high at 2am, and even stranger to be woken by it, must of been really high....

I think you should up your evening dose of background, assuming your on a split dose......if not on split I would consider it so your getting the most out of the background when you need it in the small hours...

This morning I woke up with a 9.2 which is good for me......I was 13.2 before bed, so I took 2 units of novo and actually dropped by background 4 units (i had previously increased it to try and tackle dawn).......

I am hoping I can achieve a smiliar result again.....I feel so much better this morning.........

Sep 9, 2010

angelaallison 7 posts

Topic: General Discussion / Diabetes Power Product Awareness Event

Hello,

In October 2010 in Chorley Lancashire, we are hosting a Diabetes Product Awareness Event for anyone who has diabetes or cares for someone with diabetes. Bayer, Roche, Animas, Medtronic, Lifescan, Home Diagnostics, Juvela (gluten free food) for further details, please visit www.diabetespower.org.uk

The event is free. Please come along or if you know anyone who may be interested please pass on the information.

Best wishes

Angela

Sep 9, 2010

Dr Jez McCole 11 posts

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

That sounds like a great idea Thunderbolt - I would find my end of day BI shots being recorded in the right place then too.
Keep going with the ratios - having different ratios for each meal is not uncommon and once you've cracked it you'll find things fall into place a little easier. Doesnt remove the need for corrections from time to time though. My QA:CP ratios are breakfast 0.5:1 - Lunch 1:1 - and tea 2:1! But you soon remember it.

Can I also suggest that since BI doses don't vary as much as QA ones that the previous BI for morning and previous BI for evening is remembered as a starting point for the following day's entry? Not sure if that's possible or not and it would only be a convenience thing.

Sep 9, 2010

Martina 1 post

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

I have also experienced the 'dawn' phenomenon, but sometimes I wake with a high headache around 2am and correct with Novorapid, but it seems to have little effect, and I end up correcting again before the night is out. Has anyone else had this problem?
Martina

Sep 9, 2010

ThunderBolt 28 posts

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

I see now why you say CP then BG. It's just a matter of getting used to it I suppose. My results are a bit high at the moment and I think I'm going to have to play around with my ratios - maybe having different ratios at different times of the day. Oh ''eck!!!

I do have one suggestion though that I think a lot of people would find useful. I'm not much of a sleeper and find I do a lot of testing after midnight so perhaps a start of day time could be added so that the before bed results don't show as before before breakfast.Â

Top work though. I'm still getting my feet wet but I'm getting there!

Sep 8, 2010

Dr Jez McCole 11 posts

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

If all is running well and the QA:CP ratios are right then there won't be much in the way of correctional doses to add to the QA BI totals.
However, in the real world, a corrective dose is making up for the inaccuracies of the previous QA:CP ratio.
In terms of the purpose behind knowing your TDD - it is all about what you have needed to keep your sugar controlled. The weighting of corrective doses in the overall calculation for TDD, that is in turn then used in subdivided doses on a sick day, should be so small that it makes little difference. If it makes a big difference then someone's ratios or BIs are well off anyway and any corrections ought to be counted.
All the best
Jez

Sep 8, 2010

Garry 328 posts

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

Rightly or wrongly! -
I have taken the rules to imply that it includes corrective QA
- it seems logical to me that if you are building up over a number of days to bringing in sick day rules to include any correctives that you have had to apply over the preceding day in order to get hold of the situation quickly.
Welcome any corrective response from HCP please.

Regards Garry

Sep 8, 2010

Simon 574 posts

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

I'm just working on the summary report for the BG, and have a question - does the TDD include corrective doses of QA? The handbook seems unclear and just gives the formula Total QA + Total BI in a day...

I've never had to calculate my own TDD so haven't come across this before.

Sep 8, 2010

Simon 574 posts

Topic: Carbohydrate Counting / Iphone Apps

Hi Brien - good spot, that will be fixed for the next update.

Sep 8, 2010

Brien Molloy 4 posts

Topic: Carbohydrate Counting / Iphone Apps

One small snag if it is left running in background overnight when you input the next day the results won't show up until the is fully closed by double clicking the home button and then holding down an app until a horz red line appears. Still great app and with carb food cp access of web page np need to carry my cp book

Sep 8, 2010

novorapidboi26 1,816 posts

Topic: Carbohydrate Counting / McD's

your lucky, my local mcdonalds staff wouldnt know what i was talking about.......

Most buns are 3CP and the bigger ones are 4CP............

Sep 8, 2010

Stew B 123 posts

Topic: Carbohydrate Counting / McD's

Not that I'm obsessed you understand... found ourselves at our local McD's again yesterday evening and chose the current special from the menu, only to discover that it hadn't made it onto the nutrition list. Undaunted Mrs B approached a staff member, and the duty manager went off to his office and came back with the carb value for me. Worth knowing..

Sep 7, 2010

caroline15 45 posts

Topic: General Discussion / Carbs and cals book

I got the book before I did the Dafne course, I've also just downloaded the app onto my ipod touch (but it did cost Â£4.99). Only problem is I keep leaving the ipod at home Smile

Sep 6, 2010

Mark2 23 posts

Topic: General Discussion / Carbs and cals book

I got this book too. Yes its certainly a useful thing to have.

Only criticism I would have is that the pictures are a bit murky and hard to make out, printing quality and colour on the photo's is not particularly good. Pity because other than that it hits the nail on the head.

Sep 3, 2010

Dr Jez McCole 11 posts

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

Excellent plans Simon. Thanks again.
I think the idea of having clear + and - functions on both BG and CP entries is important and so the scroll wheels are better as they prompt you to do this. I agree with the paper diary issue. I remember asking exactly the same question as Thunderbolt on my DAFNE course in terms of the BG / CP order and understanding then that it really is what we're choosing to eat that should be the first priority, not what the BG is at the time.
Looking forward to developments and continuing to use.
Jez

Sep 3, 2010

Simon 574 posts

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

Thunderbolt - Glad you got it sorted in the end. I only built the app with support for IPhone OS Version 4 (the latest) but it should work in OS 3 and later, so with the next update I'll add in support for OS version 3. (OS = Operating System for those who don't know).

On Dr. Jez's response - the DAFNE paper diary has CP, BQ, QA then BI so I wanted to keep entry consistent with that.

Dr. Jez - All good ideas and I'll put them on the to-do list. The BG diary improvements should make it into the next update, which I'm working on now. I'm holding off on the CP ones for a bit until DAFNE Central let us know whether we can use the DAFNE Carbs list in the app or not.

One point on the entry of information - if the app uses a keyboard rather than the picker wheels which are in there at the moment we can only use apple's standard keyboards. The one I'd suggest for entering BG, CP etc would be the Numbers and Punctuation one, as we need the plus and minus keys available to show correction doses. To see what this looks like, open up a text message and press the 123 button in the bottom left of the keyboard. If this sounds OK, then let me know.

Sep 2, 2010

NiVZ 82 posts

Topic: Site Development / New Meter Upload Development

@Labsteward - thanks for testing and reporting back. I'm working on Stage 2 Smile

NiVZ

Sep 2, 2010

HelenP 218 posts

Topic: General Discussion / Introductions

Hi, Novorapidboi!

I am in Brisbane, Australia.
Life is fairly complicated at the moment and the exercise is fairly random but does not seem to be related to the periods of relatively high readings. I think it has a lot to do with sleep (or lack of it!).
Helen

Sep 10, 2010 ThunderBolt 28 posts	Topic: Site Development / DAFNE Online iPhone application - help with content/design needed Thanks for the encouragement regarding the ratios.Â BI reminders sound a great idea. Especially when you're making alterations as I for one have reverted back to a dose from a day or 2 before when I've forgot about the alteration I made. I know I know. I'm a berk. Heheh! Thanks to you both as well for the positive feedback on the start day times. I feel like a computer programmer without the hard work or knowledge. Â Nice one Simon. Thanks again... Again!

Sep 10, 2010 novorapidboi26 1,816 posts	Topic: Questions for HCPs / dawn phenomenon... how to stop the rise? 2 day fast, how does that work?

Sep 10, 2010 stacyedgington 5 posts	Topic: Questions for HCPs / dawn phenomenon... how to stop the rise? and well done novo!!! I just read your morning bg... awesome!!!

Sep 10, 2010 stacyedgington 5 posts	Topic: Questions for HCPs / dawn phenomenon... how to stop the rise? Thank you novo... Pre DAFNE I was on Lantus, and the exact opposite was happening... I would be waking up with lows of around 1.5, its so odd! I've been trying everything you suggested... a pre bedtime snack with quick acting didnt make any difference, but I did do a 2 day fast and the high morning glucose levels didn't happen. So I'm wondering if it is something to do with my fast acting not being right. I am going to try eating a carb free dinner for a few days and see if that makes any difference. Im also gonna have to try and stop sleeping through my alarm at 2am and check my bg to see if it is rising or not then. They had said on the DAFNE course that I was a prime candidate for a pump as I exercise a lot and cant manage my insulin around it very well, so maybe that is an option. Anyways. Thank you so much for the advice, your a star! Martina... I haven't ever been woken with a high, but that sounds awful! I would reccomend you taking the advice novo gave me and play around a bit with seeing what the cause is. The 2 day fast I had was hard, but it has cleared a lot up for me so i would deffo reccomend that. xx

Sep 10, 2010 Simon 574 posts	Topic: Site Development / DAFNE Online iPhone application - help with content/design needed Hi both, I usually go to bed quite late so can identify with this too. I've just submitted the latest update to the app store for approval so this won't be in that version, however should hit the next one. If I'm right - you're after a setting the say when the 'day' starts and ends - so in the settings part you could enter a time, then the diary would be grouped by periods of that time? On the BI remembering - yep good idea, I'll put it on the list for the next version too. Simon

Sep 10, 2010 novorapidboi26 1,816 posts	Topic: Questions for HCPs / dawn phenomenon... how to stop the rise? Thats quite strange to get a high at 2am, and even stranger to be woken by it, must of been really high.... I think you should up your evening dose of background, assuming your on a split dose......if not on split I would consider it so your getting the most out of the background when you need it in the small hours... This morning I woke up with a 9.2 which is good for me......I was 13.2 before bed, so I took 2 units of novo and actually dropped by background 4 units (i had previously increased it to try and tackle dawn)....... I am hoping I can achieve a smiliar result again.....I feel so much better this morning.........

Sep 9, 2010 angelaallison 7 posts	Topic: General Discussion / Diabetes Power Product Awareness Event Hello, In October 2010 in Chorley Lancashire, we are hosting a Diabetes Product Awareness Event for anyone who has diabetes or cares for someone with diabetes. Bayer, Roche, Animas, Medtronic, Lifescan, Home Diagnostics, Juvela (gluten free food) for further details, please visit www.diabetespower.org.uk The event is free. Please come along or if you know anyone who may be interested please pass on the information. Best wishes Angela

Sep 9, 2010 Dr Jez McCole 11 posts	Topic: Site Development / DAFNE Online iPhone application - help with content/design needed That sounds like a great idea Thunderbolt - I would find my end of day BI shots being recorded in the right place then too. Keep going with the ratios - having different ratios for each meal is not uncommon and once you've cracked it you'll find things fall into place a little easier. Doesnt remove the need for corrections from time to time though. My QA:CP ratios are breakfast 0.5:1 - Lunch 1:1 - and tea 2:1! But you soon remember it. Can I also suggest that since BI doses don't vary as much as QA ones that the previous BI for morning and previous BI for evening is remembered as a starting point for the following day's entry? Not sure if that's possible or not and it would only be a convenience thing.

Sep 9, 2010 Martina 1 post	Topic: Questions for HCPs / dawn phenomenon... how to stop the rise? I have also experienced the 'dawn' phenomenon, but sometimes I wake with a high headache around 2am and correct with Novorapid, but it seems to have little effect, and I end up correcting again before the night is out. Has anyone else had this problem? Martina

Sep 9, 2010 ThunderBolt 28 posts	Topic: Site Development / DAFNE Online iPhone application - help with content/design needed I see now why you say CP then BG. It's just a matter of getting used to it I suppose. My results are a bit high at the moment and I think I'm going to have to play around with my ratios - maybe having different ratios at different times of the day. Oh ''eck!!! I do have one suggestion though that I think a lot of people would find useful. I'm not much of a sleeper and find I do a lot of testing after midnight so perhaps a start of day time could be added so that the before bed results don't show as before before breakfast.Â Top work though. I'm still getting my feet wet but I'm getting there!

Sep 8, 2010 Dr Jez McCole 11 posts	Topic: Site Development / DAFNE Online iPhone application - help with content/design needed If all is running well and the QA:CP ratios are right then there won't be much in the way of correctional doses to add to the QA BI totals. However, in the real world, a corrective dose is making up for the inaccuracies of the previous QA:CP ratio. In terms of the purpose behind knowing your TDD - it is all about what you have needed to keep your sugar controlled. The weighting of corrective doses in the overall calculation for TDD, that is in turn then used in subdivided doses on a sick day, should be so small that it makes little difference. If it makes a big difference then someone's ratios or BIs are well off anyway and any corrections ought to be counted. All the best Jez

Sep 8, 2010 Garry 328 posts	Topic: Site Development / DAFNE Online iPhone application - help with content/design needed Rightly or wrongly! - I have taken the rules to imply that it includes corrective QA - it seems logical to me that if you are building up over a number of days to bringing in sick day rules to include any correctives that you have had to apply over the preceding day in order to get hold of the situation quickly. Welcome any corrective response from HCP please. Regards Garry

Sep 8, 2010 Simon 574 posts	Topic: Site Development / DAFNE Online iPhone application - help with content/design needed I'm just working on the summary report for the BG, and have a question - does the TDD include corrective doses of QA? The handbook seems unclear and just gives the formula Total QA + Total BI in a day... I've never had to calculate my own TDD so haven't come across this before.

Sep 8, 2010 Simon 574 posts	Topic: Carbohydrate Counting / Iphone Apps Hi Brien - good spot, that will be fixed for the next update.

Sep 8, 2010 Brien Molloy 4 posts	Topic: Carbohydrate Counting / Iphone Apps One small snag if it is left running in background overnight when you input the next day the results won't show up until the is fully closed by double clicking the home button and then holding down an app until a horz red line appears. Still great app and with carb food cp access of web page np need to carry my cp book

Sep 8, 2010 novorapidboi26 1,816 posts	Topic: Carbohydrate Counting / McD's your lucky, my local mcdonalds staff wouldnt know what i was talking about....... Most buns are 3CP and the bigger ones are 4CP............

Sep 8, 2010 Stew B 123 posts	Topic: Carbohydrate Counting / McD's Not that I'm obsessed you understand... found ourselves at our local McD's again yesterday evening and chose the current special from the menu, only to discover that it hadn't made it onto the nutrition list. Undaunted Mrs B approached a staff member, and the duty manager went off to his office and came back with the carb value for me. Worth knowing..

Sep 7, 2010 caroline15 45 posts	Topic: General Discussion / Carbs and cals book I got the book before I did the Dafne course, I've also just downloaded the app onto my ipod touch (but it did cost Â£4.99). Only problem is I keep leaving the ipod at home

Sep 6, 2010 Mark2 23 posts	Topic: General Discussion / Carbs and cals book I got this book too. Yes its certainly a useful thing to have. Only criticism I would have is that the pictures are a bit murky and hard to make out, printing quality and colour on the photo's is not particularly good. Pity because other than that it hits the nail on the head.

Sep 3, 2010 Dr Jez McCole 11 posts	Topic: Site Development / DAFNE Online iPhone application - help with content/design needed Excellent plans Simon. Thanks again. I think the idea of having clear + and - functions on both BG and CP entries is important and so the scroll wheels are better as they prompt you to do this. I agree with the paper diary issue. I remember asking exactly the same question as Thunderbolt on my DAFNE course in terms of the BG / CP order and understanding then that it really is what we're choosing to eat that should be the first priority, not what the BG is at the time. Looking forward to developments and continuing to use. Jez

Sep 3, 2010 Simon 574 posts	Topic: Site Development / DAFNE Online iPhone application - help with content/design needed Thunderbolt - Glad you got it sorted in the end. I only built the app with support for IPhone OS Version 4 (the latest) but it should work in OS 3 and later, so with the next update I'll add in support for OS version 3. (OS = Operating System for those who don't know). On Dr. Jez's response - the DAFNE paper diary has CP, BQ, QA then BI so I wanted to keep entry consistent with that. Dr. Jez - All good ideas and I'll put them on the to-do list. The BG diary improvements should make it into the next update, which I'm working on now. I'm holding off on the CP ones for a bit until DAFNE Central let us know whether we can use the DAFNE Carbs list in the app or not. One point on the entry of information - if the app uses a keyboard rather than the picker wheels which are in there at the moment we can only use apple's standard keyboards. The one I'd suggest for entering BG, CP etc would be the Numbers and Punctuation one, as we need the plus and minus keys available to show correction doses. To see what this looks like, open up a text message and press the 123 button in the bottom left of the keyboard. If this sounds OK, then let me know.

Sep 2, 2010 NiVZ 82 posts	Topic: Site Development / New Meter Upload Development @Labsteward - thanks for testing and reporting back. I'm working on Stage 2 NiVZ

Sep 2, 2010 HelenP 218 posts	Topic: General Discussion / Introductions Hi, Novorapidboi! I am in Brisbane, Australia. Life is fairly complicated at the moment and the exercise is fairly random but does not seem to be related to the periods of relatively high readings. I think it has a lot to do with sleep (or lack of it!). Helen