Recent Posts - DAFNE Online

Sep 26, 2010

Caroline 29 posts

Topic: General Discussion / Split background insulin

Thanks for getting back to me. Yes I should have perhaps posted this to the medical staff; being the weekend. Im on lantus. Thanks for your input, I will monitor it closely and see what happens. Think there is alot to take in from the course and maybe im just a bit bamboozled by it all! I will speak to the hosp as I have an appointment on Thursday.

Sep 26, 2010

marke 686 posts

Topic: Questions for HCPs / wound healing

Helen, Do you see anyone at a Hospital for your Diabetes or just your GP. The issue for me is GP's are NOT Diabetes experts and generally seem to think any issue that could be diabetes related IS diabetes related. I had another condition 2 years ago that has re-occured since. The GP's reaction was its caused by your Diabetes, my Diabetes consulant and the consultant I see for the condtion both say, it had nothing to do
with your Diabetes. Since both of these are experts rather than 'General Practioners' I tend to go with their opinions. I have absolutely no
issues with GP's doing what they normally do, its just I don't trust mine to manage my Diabetes.
As a non medical person, I would say that generally if your diabetes is reasonably well controlled it should have no impact on the healing process. You should heal just like a non-diabetic. Hopefully a HCP on the site can confirm this or give some guidance as to why this is not the
case.

Sep 26, 2010

marke 686 posts

Topic: General Discussion / Giving Blood

I think mines going to give them plenty to work on, well my immune system is anyway. It certainly seems to be challenging the medical profession whilst I am still alive ;^)

Sep 26, 2010

marke 686 posts

Topic: General Discussion / Split background insulin

Caroline, I think you should talk to yuor DAFNE Educator and/or Diabetes support team ( Diabetes Nurse/Consultant). I don't think you should rely on advice from this site when changing to split doses.
I also don't think there is enough info above to give much advice anyway. You need at least a few more days before a pattern can emerge.
The main thing to remember is that your BI is supposed to keep your blood sugar fairly constant in the absence of food. Therefore you need to look for patterns where it increases either overnight or during they day when you don't have carbs. Your QA is what should take care of food. Therefore if a hypo/hyper occurs within an hour of eating it should be down to QA and NOT BI.
You don't say what type of BI you are taking either, the profiles of all BI's are not the same and they can behave slightly differently. This is another reason for speaking to your Educator. They might suggest switching BI to another type, which again is not something anyone on
here can recommend. We are all happy to help and advise, however you probably need more detailed avice than we can provide.

Sep 26, 2010

Brien Molloy 4 posts

Topic: Carbohydrate Counting / Iphone Apps

Simon great update much much better one snag impossible to tick corrective box and before driving. Well done again.

Sep 26, 2010

Caroline 29 posts

Topic: General Discussion / Split background insulin

Hi, I have just graduated on the Dafne course. We did not cover the impact of split background insulin. I have split mine as my BI seems to run out early afternoon and I seem to go higher as the day goes on even though Im doing corrections at Breakfast lunch and dinner. Can someone please advise how I would know what needs changing should hypos/hypers show thoroughout the day. Would I change the BI if the hypo/hyper is within an hour of eating for instance, or is there any other way to tell? ... Im a bit confused as to whether to change to BI or QA ratios. I hope this makes sense!

Any help would be greatly appreciated. Thanks

Sep 25, 2010

HelenP 218 posts

Topic: Questions for HCPs / wound healing

On 7th June '10 I had some fairly serious abdominal surgery. It has now been 110 days and I still have a "sinus" in the incision line. It is about the size of a belly button and is described as having a "pit". The surgeon is "not worried" as non diabetics also have the same problem. My GP is a little more concerned and cites the diabetes as an exacerbating influence. I have had diabetes for 32 years and would like to know if the problem healing relates to general health (and complications) from being a long term diabetic or does it reflect the current BGs. Advice from both the surgeon and GP is to keep the levels as low as possible (as if I don't). I have had no prior surgery (except wisdom teeth extraction about 5 years ago).
Treatment is currently removing "proud" flesh and packing with a gel that promotes epithelialization. Prior to this it was simply bathing in saline and keeping it dry. Any advice?

Helen

Sep 25, 2010

grandma carol 61 posts

Topic: General Discussion / Giving Blood

Think we might just have to leave our bodys to science

Sep 24, 2010

Caroline 29 posts

Topic: General Discussion / Giving Blood

Oh well... it would have been nice to give something back, perhaps a half ticked donor card would be more sufficient;-) Thanks

Sep 24, 2010

Karl 83 posts

Topic: General Discussion / Giving Blood

Found on http://www.tudiabetes.org/forum/topics/giving-blood

I emailed the blood service here in the UK, asking if Type 1's can give blood, the response was.....

"Thank you very much for your enquiry. We hope the following answers your concerns.

I am sorry but this will prevent you from donating blood. If anything changes in the future please contact us back.

If there is anything we can help with or that you would like to discuss further, please do not hesitate to contact us again. We would be pleased to help if we can."

So that's the stand in the UK - Not sure what they think is going to happen in the tuture

Sep 24, 2010

Caroline 29 posts

Topic: General Discussion / Giving Blood

Hi, does anyone know if a diabetic type 1, can give blood.(ps graduate now yippee) Thanks

Sep 24, 2010

NiVZ 82 posts

Topic: Site Development / New Meter Upload Development

Another small breakthrough today - I've figured out how they calculate the checksum on the 'DM' commands (which get Serial number, software version, date/time, etc). Just need to write some code for it now, and I'll be able to tell that the 'DM' commands are being sent and received error free Smile

NiVZ

Sep 23, 2010

Garry 328 posts

Topic: General Discussion / Introductions

Your HBA1c levels are very good and I think you have been given a general blurb statement. Don't worry about it. Most of us have background retinopathy - especially after your 20 years.
Our local eye consultant signed me off after 30 years monitoring and I only go to regular Diabetic retina screening reviewed by consultant and yearly regular local Optician screening now.
You are doing very well.
Keep it up.
Regards
Garry

Sep 23, 2010

Karl 83 posts

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

Another for you Simon

If you make an entry - say 7CP 10 QA it calculates 1.6:1

if you then - change it to 8CP ( had a little extra :-) ) 12QA it stays at 1.6:1 (should be 1.5:1)

Sep 23, 2010

SimonC 78 posts

Topic: General Discussion / Introductions

Hi all

My name is Simon - and I have been Diabetic (type 1) for 20 years - blimey this sounds like a meeting of AA - not that I know what they are like.

I am on Humalog and Glargine, and after my DAFNE course I split my BI to 14 each time - was on 28 in the evening.

All the time I have been Diabetic I have worked shifts and when younger it was often physically demanding at short notice, and so with the improvements in Insulins and now DAFNE things are much much better.

My HBa1C (or whatever they are called) have always been pretty good - I once got it down to 5.9, but over the past 2 or 3 years the trend was for them to go up - rising up to 6.9 - which I know is not high, but it was for me.

Since my course in Jan I have had a test done and it was back down to 6.2.

I do want to get a pump, but, as with others here, they wouldnt fund one for me, esp as my long term levels are so good.

I recently had an eye screening and they say I have background retinopothy [spelling] and to control it they recommend I take better care of my sugar levels.

Anyway, many thanks for the great site - the iphone app is brilliant.

Simon

Sep 23, 2010

SimonC 78 posts

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

Hi there

Many many thanks for the iphone app - I love it, it is so much easier to use than using the online version of this site - although that wasnt too hard.

I was going to suggest being able to set your BI level, just to save that tiny bit of time, but I see it has been suggested already.

Not sure if this is just me, but I am unable to add comments.

Anyway, once again many thanks.

Simon

Sep 23, 2010

grandma carol 61 posts

Topic: General Discussion / Hello!

no he dident ill tell him, i give him all his meals so i am doing it for him in a way. And we go just about everyware together.So he will be doing it with out knowing realey. Well see how it goes. Ihave felt better this week my BGs have been 6.7 8.7 6.2 so not bad today. I was having a lot of hypos at night before things better now hope it stayes that way.

Sep 23, 2010

novorapidboi26 1,819 posts

Topic: General Discussion / Hello!

I hope it works out for you, did your husband do it or are you teaching him...................my sugars are still up and down regardless of dafne, but its stil the best way............

Sep 23, 2010

grandma carol 61 posts

Topic: General Discussion / Hello!

No Ijust tell him what to do and he dose it. Think he just likes a quiet life haha. He was diabetic before we got married and Istarted when I was pregnant with our son. We havent been to bad with it. You just have to get on with it take the ups with the downs, we have been married 36 years so must be doing something right. Ihave just graduated the Dafne caurse last week so Ihope things might be a bit better with BGs my have been a bit up and down latley so we will see how it goes. Granny Carol

Sep 23, 2010

novorapidboi26 1,819 posts

Topic: General Discussion / Advice from fellow grads.......

Thats also a typo.........i did actually take the 9 and the correction.............

Looks like I might need to go to the 1:4

Sep 23, 2010

Garry 328 posts

Topic: General Discussion / Advice from fellow grads.......

Personally speaking:
A bit short of info to advise on BI.
But on QA you appear to be making corrections each morning which are higher than a 1:4 ratio anyway so why not go to 1:4 and see how it goes.
Notice that this mornings breakfast - 23/09 06:40 ratio was only 1:1 not your normal 1:3.

Regards Garry

Sep 23, 2010

novorapidboi26 1,819 posts

Topic: General Discussion / Advice from fellow grads.......

Well spotted, I love a fresh pair of eyes........

What do you think then, up my BI or up my QA??

Sep 23, 2010

Garry 328 posts

Topic: General Discussion / Advice from fellow grads.......

Did you notice that 22/09 12:00 at a 1:2 ratio was 4u short or was it a typo?

Sep 23, 2010

novorapidboi26 1,819 posts

Topic: General Discussion / Advice from fellow grads.......

As you can see I dont have the best numbers but would like some opnions......

My breakfast ratio is 1:3, over the past few days I have been unable to hit targets at lunch, the week before I could, why cant it be simple.....

My question to you all is up the morning ratio or continue to increase my AM background dose...

I would prefer to up the BI as 1:3 is the highest I would like to go with the novo........

Thanks in advance

Sep 23, 2010

novorapidboi26 1,819 posts

Topic: General Discussion / Hello!

Hey Carol, that must be weird at times both of you having it.......do you argue over who knows best...........?

Hope you feel better soon Fred....

Sep 26, 2010 Caroline 29 posts	Topic: General Discussion / Split background insulin Thanks for getting back to me. Yes I should have perhaps posted this to the medical staff; being the weekend. Im on lantus. Thanks for your input, I will monitor it closely and see what happens. Think there is alot to take in from the course and maybe im just a bit bamboozled by it all! I will speak to the hosp as I have an appointment on Thursday.

Sep 26, 2010 marke 686 posts	Topic: Questions for HCPs / wound healing Helen, Do you see anyone at a Hospital for your Diabetes or just your GP. The issue for me is GP's are NOT Diabetes experts and generally seem to think any issue that could be diabetes related IS diabetes related. I had another condition 2 years ago that has re-occured since. The GP's reaction was its caused by your Diabetes, my Diabetes consulant and the consultant I see for the condtion both say, it had nothing to do with your Diabetes. Since both of these are experts rather than 'General Practioners' I tend to go with their opinions. I have absolutely no issues with GP's doing what they normally do, its just I don't trust mine to manage my Diabetes. As a non medical person, I would say that generally if your diabetes is reasonably well controlled it should have no impact on the healing process. You should heal just like a non-diabetic. Hopefully a HCP on the site can confirm this or give some guidance as to why this is not the case.

Sep 26, 2010 marke 686 posts	Topic: General Discussion / Giving Blood I think mines going to give them plenty to work on, well my immune system is anyway. It certainly seems to be challenging the medical profession whilst I am still alive ;^)

Sep 26, 2010 marke 686 posts	Topic: General Discussion / Split background insulin Caroline, I think you should talk to yuor DAFNE Educator and/or Diabetes support team ( Diabetes Nurse/Consultant). I don't think you should rely on advice from this site when changing to split doses. I also don't think there is enough info above to give much advice anyway. You need at least a few more days before a pattern can emerge. The main thing to remember is that your BI is supposed to keep your blood sugar fairly constant in the absence of food. Therefore you need to look for patterns where it increases either overnight or during they day when you don't have carbs. Your QA is what should take care of food. Therefore if a hypo/hyper occurs within an hour of eating it should be down to QA and NOT BI. You don't say what type of BI you are taking either, the profiles of all BI's are not the same and they can behave slightly differently. This is another reason for speaking to your Educator. They might suggest switching BI to another type, which again is not something anyone on here can recommend. We are all happy to help and advise, however you probably need more detailed avice than we can provide.

Sep 26, 2010 Brien Molloy 4 posts	Topic: Carbohydrate Counting / Iphone Apps Simon great update much much better one snag impossible to tick corrective box and before driving. Well done again.

Sep 26, 2010 Caroline 29 posts	Topic: General Discussion / Split background insulin Hi, I have just graduated on the Dafne course. We did not cover the impact of split background insulin. I have split mine as my BI seems to run out early afternoon and I seem to go higher as the day goes on even though Im doing corrections at Breakfast lunch and dinner. Can someone please advise how I would know what needs changing should hypos/hypers show thoroughout the day. Would I change the BI if the hypo/hyper is within an hour of eating for instance, or is there any other way to tell? ... Im a bit confused as to whether to change to BI or QA ratios. I hope this makes sense! Any help would be greatly appreciated. Thanks

Sep 25, 2010 HelenP 218 posts	Topic: Questions for HCPs / wound healing On 7th June '10 I had some fairly serious abdominal surgery. It has now been 110 days and I still have a "sinus" in the incision line. It is about the size of a belly button and is described as having a "pit". The surgeon is "not worried" as non diabetics also have the same problem. My GP is a little more concerned and cites the diabetes as an exacerbating influence. I have had diabetes for 32 years and would like to know if the problem healing relates to general health (and complications) from being a long term diabetic or does it reflect the current BGs. Advice from both the surgeon and GP is to keep the levels as low as possible (as if I don't). I have had no prior surgery (except wisdom teeth extraction about 5 years ago). Treatment is currently removing "proud" flesh and packing with a gel that promotes epithelialization. Prior to this it was simply bathing in saline and keeping it dry. Any advice? Helen

Sep 25, 2010 grandma carol 61 posts	Topic: General Discussion / Giving Blood Think we might just have to leave our bodys to science

Sep 24, 2010 Caroline 29 posts	Topic: General Discussion / Giving Blood Oh well... it would have been nice to give something back, perhaps a half ticked donor card would be more sufficient;-) Thanks

Sep 24, 2010 Karl 83 posts	Topic: General Discussion / Giving Blood Found on http://www.tudiabetes.org/forum/topics/giving-blood I emailed the blood service here in the UK, asking if Type 1's can give blood, the response was..... "Thank you very much for your enquiry. We hope the following answers your concerns. I am sorry but this will prevent you from donating blood. If anything changes in the future please contact us back. If there is anything we can help with or that you would like to discuss further, please do not hesitate to contact us again. We would be pleased to help if we can." So that's the stand in the UK - Not sure what they think is going to happen in the tuture

Sep 24, 2010 Caroline 29 posts	Topic: General Discussion / Giving Blood Hi, does anyone know if a diabetic type 1, can give blood.(ps graduate now yippee) Thanks

Sep 24, 2010 NiVZ 82 posts	Topic: Site Development / New Meter Upload Development Another small breakthrough today - I've figured out how they calculate the checksum on the 'DM' commands (which get Serial number, software version, date/time, etc). Just need to write some code for it now, and I'll be able to tell that the 'DM' commands are being sent and received error free NiVZ

Sep 23, 2010 Garry 328 posts	Topic: General Discussion / Introductions Your HBA1c levels are very good and I think you have been given a general blurb statement. Don't worry about it. Most of us have background retinopathy - especially after your 20 years. Our local eye consultant signed me off after 30 years monitoring and I only go to regular Diabetic retina screening reviewed by consultant and yearly regular local Optician screening now. You are doing very well. Keep it up. Regards Garry

Sep 23, 2010 Karl 83 posts	Topic: Site Development / DAFNE Online iPhone application - help with content/design needed Another for you Simon If you make an entry - say 7CP 10 QA it calculates 1.6:1 if you then - change it to 8CP ( had a little extra :-) ) 12QA it stays at 1.6:1 (should be 1.5:1)

Sep 23, 2010 SimonC 78 posts	Topic: General Discussion / Introductions Hi all My name is Simon - and I have been Diabetic (type 1) for 20 years - blimey this sounds like a meeting of AA - not that I know what they are like. I am on Humalog and Glargine, and after my DAFNE course I split my BI to 14 each time - was on 28 in the evening. All the time I have been Diabetic I have worked shifts and when younger it was often physically demanding at short notice, and so with the improvements in Insulins and now DAFNE things are much much better. My HBa1C (or whatever they are called) have always been pretty good - I once got it down to 5.9, but over the past 2 or 3 years the trend was for them to go up - rising up to 6.9 - which I know is not high, but it was for me. Since my course in Jan I have had a test done and it was back down to 6.2. I do want to get a pump, but, as with others here, they wouldnt fund one for me, esp as my long term levels are so good. I recently had an eye screening and they say I have background retinopothy [spelling] and to control it they recommend I take better care of my sugar levels. Anyway, many thanks for the great site - the iphone app is brilliant. Simon

Sep 23, 2010 SimonC 78 posts	Topic: Site Development / DAFNE Online iPhone application - help with content/design needed Hi there Many many thanks for the iphone app - I love it, it is so much easier to use than using the online version of this site - although that wasnt too hard. I was going to suggest being able to set your BI level, just to save that tiny bit of time, but I see it has been suggested already. Not sure if this is just me, but I am unable to add comments. Anyway, once again many thanks. Simon

Sep 23, 2010 grandma carol 61 posts	Topic: General Discussion / Hello! no he dident ill tell him, i give him all his meals so i am doing it for him in a way. And we go just about everyware together.So he will be doing it with out knowing realey. Well see how it goes. Ihave felt better this week my BGs have been 6.7 8.7 6.2 so not bad today. I was having a lot of hypos at night before things better now hope it stayes that way.

Sep 23, 2010 novorapidboi26 1,819 posts	Topic: General Discussion / Hello! I hope it works out for you, did your husband do it or are you teaching him...................my sugars are still up and down regardless of dafne, but its stil the best way............

Sep 23, 2010 grandma carol 61 posts	Topic: General Discussion / Hello! No Ijust tell him what to do and he dose it. Think he just likes a quiet life haha. He was diabetic before we got married and Istarted when I was pregnant with our son. We havent been to bad with it. You just have to get on with it take the ups with the downs, we have been married 36 years so must be doing something right. Ihave just graduated the Dafne caurse last week so Ihope things might be a bit better with BGs my have been a bit up and down latley so we will see how it goes. Granny Carol

Sep 23, 2010 novorapidboi26 1,819 posts	Topic: General Discussion / Advice from fellow grads....... Thats also a typo.........i did actually take the 9 and the correction............. Looks like I might need to go to the 1:4

Sep 23, 2010 Garry 328 posts	Topic: General Discussion / Advice from fellow grads....... Personally speaking: A bit short of info to advise on BI. But on QA you appear to be making corrections each morning which are higher than a 1:4 ratio anyway so why not go to 1:4 and see how it goes. Notice that this mornings breakfast - 23/09 06:40 ratio was only 1:1 not your normal 1:3. Regards Garry

Sep 23, 2010 novorapidboi26 1,819 posts	Topic: General Discussion / Advice from fellow grads....... Well spotted, I love a fresh pair of eyes........ What do you think then, up my BI or up my QA??

Sep 23, 2010 Garry 328 posts	Topic: General Discussion / Advice from fellow grads....... Did you notice that 22/09 12:00 at a 1:2 ratio was 4u short or was it a typo?

Sep 23, 2010 novorapidboi26 1,819 posts	Topic: General Discussion / Advice from fellow grads....... As you can see I dont have the best numbers but would like some opnions...... My breakfast ratio is 1:3, over the past few days I have been unable to hit targets at lunch, the week before I could, why cant it be simple..... My question to you all is up the morning ratio or continue to increase my AM background dose... I would prefer to up the BI as 1:3 is the highest I would like to go with the novo........ Thanks in advance

Sep 23, 2010 novorapidboi26 1,819 posts	Topic: General Discussion / Hello! Hey Carol, that must be weird at times both of you having it.......do you argue over who knows best...........? Hope you feel better soon Fred....