Recent Posts - DAFNE Online

Sep 14, 2010

Heather B 20 posts

Topic: Questions for HCPs / Alternative injection sites

Hello, Its maybe a bit late to reply to this post now but I've had the same issues as you with regards to painful injection sites as I too am really thin and it is really difficult for me to find enough fat to inject comfortably in to (I also use the 6mm needles). At my DAFNE course recently a nurse had a look at my injection sites (which were all marked with purple bruises) and suggested that my injection technique could be improved to make the injections less painful. She thought that I might be injecting with too much force for such a thin area. I have since been practicing by resting the needle on my skin and then very gently but quickly sliding the needle into my skin, it still stings slightly for a few seconds afterwards but I am definitely bruising much less often and the sting doesn't last nearly as long as it did before. Perhaps you could try being more gentle with your injections too and see if it then less painful, we really don't need any force at all on thin areas as there is no real resistance there. I hope it gets easier.

Sep 14, 2010

maria51 22 posts

Topic: General Discussion / Introductions

Hey All, my name's Maria from Melbourne Australia. I've had Type 1 for 14 months & finished Dafne in August but can't say I "graduated" as I missed alot of what was being said because of 50% hearing loss (listening to too many live bands) but the stuff I did hear, is actually working to some extent ! Need to go back & do another stint at Dafne (with a hearing aid) as I still don't know enough to keep my BGLs stable for my satisfaction.
I just have to say that this forum, & reading how you guys give support to one another, is truly amazing ! Being partly deaf isolates me from people, but being deaf & dealing with diabetes was too much to handle as I knew no one else who had it, until I was connected to this site. WOW, now I can "listen" & learn more from all of you. I'm not isolated anymore ! ! Cheers Smile

Sep 14, 2010

Widster 23 posts

Topic: General Discussion / Introductions

Hi Heather,

Just to let you know that i am currently 39 years old and i was diagnosed when i was 33 too. I also went on the DAFNE course a year after diagnosis. It works well for me although my HbA1c has gone up recently as i have become a bit lazy although now trying to get it back on track. Good luck with it all. You are not alone!

Cheers,
Paul

Sep 14, 2010

novorapidboi26 1,819 posts

Topic: General Discussion / loosing the plot!

Cant really add to whats been said, but ask that you fire up the results again with the full diary completed......

I say that assuming you have actually eaten over the weekend, but you might not have.......

I suspect a problem with your basal (detemir) dose.......I think the dose and timing of this should be experimented on with the help of your team if you need it..........

Sep 14, 2010

novorapidboi26 1,819 posts

Topic: General Discussion / Introductions

Warm welcome Heather................

welcome to the club of unexplicable highs and lows....

I suppose dafne at least gives you an explanation 99% of the time......

Sep 14, 2010

Stew B 125 posts

Topic: General Discussion / loosing the plot!

Hi tsavage!

Is this an accurate reflection of your diary, or have you just selected some entries for this post? We talk a lot about DAFNE principles, one of which is to test every time you inject / eat (with the possible exception of the occasional snack). Without complete and accurate entries we can't identify the patterns on which we should be basing our insulin doses (how can we know whether a pattern exists if we don't have all the information?). My DAFNE team really emphasised the need to record any scrap of information because of its potential to help our understanding of how our bodies are reacting to all of the different factors which can potentially affect BG levels.

So... if this is an accurate reflection of your lifestyle (this seems unlikely, and I'm trying to avoid making a crass comment about student lifestyles - sorry) and you didn't eat or inject during the day on Saturday then clearly there are some issues there which might help to explain what's going on.

However, it seems much more likely that you either haven't tested, haven't recorded, or haven't included in this selection, all of the other food/insulin related episodes over this period. For example, you were 13.8 at 00.43 on Sunday, took a correction and were 4.8 at breakfast - not a bad result really. However, you don't indicate whether or what you ate at breakfast and/or whether you injected. You don't record lunch on Sunday (maybe you didn't have any?), but the lack of information about breakfast (and possibly lunch if you had any) makes it impossible to know what might have contributed to the your hypo at 13.50.

Sorry, this is turning into a bit of a lecture (no pun intended). I just want to emphasise that the beauty of DAFNE is in its logic - but you need all of the information you can get in order to apply the principles. I know that my DAFNE team would tell me to make a concerted effort to record everything for a few days to try to fully understand what's going on.

Good luck!

Stew

Sep 13, 2010

HelenP 218 posts

Topic: General Discussion / loosing the plot!

Hi tsavage,

When my BG's take off with a mind of their own I find it useful to go right back to first principles for a couple of days to a week. It is a bit boring but eating the same quantity of carbs (in effect the same meals) and doing similar amounts of activity and more tests usually gives me enough data to start fiddling with doses again. My diabetes seems to have periods where things run fairly smoothly and then for no reason (that I am aware of) they are off!. My TDD can vary over these periods by upto 15%. Good luck (especially with the hypo awareness).
Helen

Sep 13, 2010

tsavage1990 11 posts

Topic: General Discussion / loosing the plot!

ah damn, i did forget my BI - its 20 units detemir every night at half 9.

and ive been diabetic for about 17 years so i hope im not honeymooning.

the half carb point was a small sweet i knew the value of as i didnt feel safe going to bed at 5 due to frequent debillitating hypos in the nights in the past. my nurse knows of my hypounawreness, which is which i was put on dafne to give me (hopefully) more regularity

Sep 13, 2010

Simon 578 posts

Topic: General Discussion / loosing the plot!

Hi tsavage - first of all I've moved this topic to the General forum, as you'll get more exposure there.

Secondly, if you take a look at the forums there is a lot of mention of the 'Dawn Phenomenon', which you may be experiencing on 11/09 where your blood sugars are massively high. What was the 0.5CP at 01:55? Did you take any background insulin then as well? You don't seem to be recording when you take that - it may be that you need to up your dose of that if you are high in the morning.

Thirdly - the no symptoms of a hypo before 1.8 mmol/l is a bit of a worry - you should really speak to your DAFNE Educators/Specialist Nurses to help you get back your warning signs as they should be appearing before 1.8 mmol/l

Fourthly - you don't mention how long you have been diabetic - is it possible that you are still honeymooning? It's a lot more difficult to predict BG trends if you are in the honeymoon phase.

Sorry I can't give you a more definite answer - others may be able to based on their own experiences, however there are so many variables with diabetes - for me it just tends to be trial and error.

Simon

Sep 13, 2010

Heather B 20 posts

Topic: General Discussion / Introductions

Hello,

I am a recent DAFNE graduate who completed the course on the first anniversary of my diagnosis. I was diagnosed last year with type 1 at the ripe old age of 33 which appears to be pretty unusual. I was really shocked at my diagnosis and i suppose, a year on, I still am a bit! The DAFNE course was great for me as I didn't know any other diabetics before meeting the rest of my group and I'm now finding reading the posts on this forum really interesting to hear how others are coping and hearing that I'm not alone (and reassuring to read that others get some mad blood glucose readings for seemingly no reason too!) It's really good to not feel so alone.

Sep 13, 2010

tsavage1990 11 posts

Topic: General Discussion / loosing the plot!

i have totally lost the plot with my sugar atm, it seems to be ignoring what i do and rising and falling of its own accord. going back to uni in a month and could really do with getting it back under control

Sep 12, 2010

ThunderBolt 28 posts

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

Not wanting tut the cat amongst the proverbial pigeons, but I'm often - Â OK always - up til stupid o'clock and up again quite early. At my DAFNE course they said the dawn effect still comes around the same time regardless. From some of my results this does seem to make sense.

I'd been doing my long acting twice a day, once at 2-4pm and again at 4-5pm. I set an alarm on my phone recently to do them at 1.30am and 1.30pm. I'm still spotting or at least trying to spot patterns and changes from the previous set up. If anything my overall sugars are up throughout the day.Â

Before I didÂ DAFNEÂ I was on a 26u and 12u. They dropped me to 6 & 6 but it seems to be climbing again. I've had some really bad morning hypos and worry about having more if I up the late one. My mam and dad worry even more than me. Heheh!

Forgive mentor droning on but the point I wanted to get to is that I was thinking whether or not taking 3 pops of slow acting a day might have a better smoother effect. Has anyone tried this? If so how did you get on?

Cheers folks!

Sep 12, 2010

ThunderBolt 28 posts

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

No problem at all Simon. I'm always getting asked for tech support from family and rarely know the answer. It makes a pleasant change. Â Â Besides I don't sleep much. Heheh.Â

As for the start & end business the time setting is more than sufficient. The button idea was just a spur of the moment thought and I don't have any programming knowledge so I had no idea of what's hard and what's even harder.Â

I'm beginning to see a few patterns emerging now thanks to the app and logging. I just need to suss how to act on them now.Â

Sep 12, 2010

Simon 578 posts

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

Thunderbolt - thanks for your technical support, we can't monitor the site 24/7 so keep up the good work Smile

"Further to the start/end day idea, would it be better to have a button - if that's the right word - to start or end a days entry?"

This would be quite difficult to implement, based on my knowledge of how the data is stored in the iPhone, however as an interim I can put in the option to set the 'Start/End of day' setting so you can specify that for all entries. I'll investigate to see if there is a more long-term solution as you have suggested above.

Sep 11, 2010

marke 681 posts

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

Hi Stacy, thanks for the length reply ! I have scoured our forums and can't find this advice anywhere. I'm not suggesting you are wrong but... are you sure it was this site and not one of the other diabetes forums. I was just keen to ensure ANY advice like this has a disclaimer with it that says you should ALWAYS check with your DAFNE/Diabetes support team before doing something like this. We are keen for graduates to help and advise each other but this advice needs to be backed up by medical staff. We don't want people making themselves ill from advice on this site.
I accept no one knows for sure how long carbs last and it IS different in everyone, but it would be a very low GI food that lasted 24 hours ! Or I have come accross people with issues with bowel issues that cause food to be absorbed more slowly. Anyway thats an aside !
It does sound that its more likely that your closer monitoring along with the reduced dose of levimir compared to the Lantus are both factors. As I said before if its 'dawn' it should happen all the time and not only occasionally. If your 48 fast has got your BI correct then its a bit more tricky. In other forum posts its been suggested that QA is the way to tackle 'dawn' although this is difficult without a pump since you are asleep !

Sep 11, 2010

gasmark 2 posts

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

Thanks thunderbolt now sorted
Mark

Sep 11, 2010

ThunderBolt 28 posts

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

You'll have to be sure your account details are entered as well (Username and password). This is so you don't have to log in and manually upload. If you're connected to the interwobble everything goes through automatically.
You do this in the settings section as well!

Sep 11, 2010

ThunderBolt 28 posts

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

Hey up Mark...

If you tap the settings button at the bottom right it will show some options. In that list you'll see "upload results" just tap the on off button at the side to highlight ON and Bob's yer uncle.

Graphs are available on the sight once your results are uploaded, but having them within the app itself would be a nice bonus.

All the best fella.

Sep 11, 2010

gasmark 2 posts

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

Hi I've just recently started using the iPhone app
Great idea but all I can do is input readings
Then I don't know where they go?
How do you view the multiple readings?
How do you sync it with the online diary?
And any chance of incorporating graphs
Mark
Graduate 2009

Sep 11, 2010

stacyedgington 5 posts

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

well it was suggested to me on here, and I did check with my doctor and they said it is an option, I just had to monitor myself very closely and I did snack on greens just no carbs and nothing with additives in so I could be as basically fasting as possible. I thought it was odd but my doctors said that there shouldnt be an issue if im not injecting QA. The thing is nobody knows exactly how long carbs have an affect on people, and it could change from person to person, thats apparently why they say 2 days, so your system is completely clear.
AAAanywhos, I do not know, I have had diabetes for... a long time, but this whole watching it thing is quite new to me, and im learning from everyone so maybe my docs were idiots, but I didnt find it too hard as I dont eat big meals anyway, so yay! haha.

Yeah I found it very strange about the fact that everyone on my course knew I was suffering from really low BG levels as I woke with the Lantus but to be honest it wasn't daily, it was happening twice a week on average, and the rest of the time i wasnt really checking my BG levels on waking up... during the DAFNE week I was, and I found that every morning it was significantly higher (around 20-24) then my evening BG levels... with no real explanation as my 2am bg levels were around the same (6- Cool

as my bedtime levels. However, pre dafne my lantus dose had been 42, and on the thursday before the dafne nurses dropped me to 30, and during the dafne week to 25, which could explain why it happened so suddenly that the high levels occured, cause it was being masked by a massive dose of lantus previously that wasnt allowing the BG levels to rise?.

I am on split dose levemir yes... I think looking at my bg levels it was the obvious thing to do really and I am happy doing that extra injection for the freedom I get with it compared to Lantus. Its soooo difficult all the DAFNE stuff, such a steep learning curve hey!

Sep 10, 2010

marke 681 posts

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

stacy, 'told on here to do it' ? when and by whom, it doesnt sound like very sound advice to me and I would never try it without checking with my DAFNE Educator/Diabetes Team first. I don't agree that carbs you eat can have an effect in excess of 24 hours, thats a very strange idea. I can see the benefit of a carb free meal to check BI but not 2 days of it.
I'm not sure that you can prove your its your BI or dawn apart from maybe testing at 3am, at this time your BG is usually at its lowest and
should not go lower if your BI is correct, however as always there are always exceptions. Generally dawn would kick in around 5am but again not guaranteed. This would normally push up your BG, due to hormones bouncing around getting you read to get up and start the day.
Still if you have already done the 2 day fast then at least it would give you an fairly good idea how your BI is working and as novoboi says
not sure we would have the dedication to do that ! Hopefully it was worth it.
Its also strange that you didn't get it with Lantus, since its apparently not something that comes and goes but rather something that happens consistently all the time. However Lantus is supposed to have a longer profile than levimir, so that 'might' explain. Are you on a split dose of levemir ? Since in many people including me it doesn't last 24 hours and needs splitting into 2 doses to make it 'last' the full 24 hours.

Sep 10, 2010

novorapidboi26 1,819 posts

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

I dont know if i could do that...........if you take your single dose at night or if your split you can see if it works if you rise the same as you went to bed with................have you tried that............I suppose it might be hard to establish if it works if your suffering from dawn phenomonon...........oh its a hard life..................

Sep 10, 2010

stacyedgington 5 posts

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

id been told on here to do it, apparently you dont eat for 2 days, and therefore dont do any of your fast acting insulin... just your BI. then you can see whether the bi is working, cause if it is you shouldnt see a rise or fall in your bg all day. they say do it for 2 days cause obviously on the first day things can still be influencing your bg's from the previous day, but by the second it should all be down to the bi. Then you can see that it definately isn't your background insulin being too low causing the rise from bed time bg levels to morning bg levels. x

Sep 14, 2010 Heather B 20 posts	Topic: Questions for HCPs / Alternative injection sites Hello, Its maybe a bit late to reply to this post now but I've had the same issues as you with regards to painful injection sites as I too am really thin and it is really difficult for me to find enough fat to inject comfortably in to (I also use the 6mm needles). At my DAFNE course recently a nurse had a look at my injection sites (which were all marked with purple bruises) and suggested that my injection technique could be improved to make the injections less painful. She thought that I might be injecting with too much force for such a thin area. I have since been practicing by resting the needle on my skin and then very gently but quickly sliding the needle into my skin, it still stings slightly for a few seconds afterwards but I am definitely bruising much less often and the sting doesn't last nearly as long as it did before. Perhaps you could try being more gentle with your injections too and see if it then less painful, we really don't need any force at all on thin areas as there is no real resistance there. I hope it gets easier.

Sep 14, 2010 maria51 22 posts	Topic: General Discussion / Introductions Hey All, my name's Maria from Melbourne Australia. I've had Type 1 for 14 months & finished Dafne in August but can't say I "graduated" as I missed alot of what was being said because of 50% hearing loss (listening to too many live bands) but the stuff I did hear, is actually working to some extent ! Need to go back & do another stint at Dafne (with a hearing aid) as I still don't know enough to keep my BGLs stable for my satisfaction. I just have to say that this forum, & reading how you guys give support to one another, is truly amazing ! Being partly deaf isolates me from people, but being deaf & dealing with diabetes was too much to handle as I knew no one else who had it, until I was connected to this site. WOW, now I can "listen" & learn more from all of you. I'm not isolated anymore ! ! Cheers

Sep 14, 2010 Widster 23 posts	Topic: General Discussion / Introductions Hi Heather, Just to let you know that i am currently 39 years old and i was diagnosed when i was 33 too. I also went on the DAFNE course a year after diagnosis. It works well for me although my HbA1c has gone up recently as i have become a bit lazy although now trying to get it back on track. Good luck with it all. You are not alone! Cheers, Paul

Sep 14, 2010 novorapidboi26 1,819 posts	Topic: General Discussion / loosing the plot! Cant really add to whats been said, but ask that you fire up the results again with the full diary completed...... I say that assuming you have actually eaten over the weekend, but you might not have....... I suspect a problem with your basal (detemir) dose.......I think the dose and timing of this should be experimented on with the help of your team if you need it..........

Sep 14, 2010 novorapidboi26 1,819 posts	Topic: General Discussion / Introductions Warm welcome Heather................ welcome to the club of unexplicable highs and lows.... I suppose dafne at least gives you an explanation 99% of the time......

Sep 14, 2010 Stew B 125 posts	Topic: General Discussion / loosing the plot! Hi tsavage! Is this an accurate reflection of your diary, or have you just selected some entries for this post? We talk a lot about DAFNE principles, one of which is to test every time you inject / eat (with the possible exception of the occasional snack). Without complete and accurate entries we can't identify the patterns on which we should be basing our insulin doses (how can we know whether a pattern exists if we don't have all the information?). My DAFNE team really emphasised the need to record any scrap of information because of its potential to help our understanding of how our bodies are reacting to all of the different factors which can potentially affect BG levels. So... if this is an accurate reflection of your lifestyle (this seems unlikely, and I'm trying to avoid making a crass comment about student lifestyles - sorry) and you didn't eat or inject during the day on Saturday then clearly there are some issues there which might help to explain what's going on. However, it seems much more likely that you either haven't tested, haven't recorded, or haven't included in this selection, all of the other food/insulin related episodes over this period. For example, you were 13.8 at 00.43 on Sunday, took a correction and were 4.8 at breakfast - not a bad result really. However, you don't indicate whether or what you ate at breakfast and/or whether you injected. You don't record lunch on Sunday (maybe you didn't have any?), but the lack of information about breakfast (and possibly lunch if you had any) makes it impossible to know what might have contributed to the your hypo at 13.50. Sorry, this is turning into a bit of a lecture (no pun intended). I just want to emphasise that the beauty of DAFNE is in its logic - but you need all of the information you can get in order to apply the principles. I know that my DAFNE team would tell me to make a concerted effort to record everything for a few days to try to fully understand what's going on. Good luck! Stew

Sep 13, 2010 HelenP 218 posts	Topic: General Discussion / loosing the plot! Hi tsavage, When my BG's take off with a mind of their own I find it useful to go right back to first principles for a couple of days to a week. It is a bit boring but eating the same quantity of carbs (in effect the same meals) and doing similar amounts of activity and more tests usually gives me enough data to start fiddling with doses again. My diabetes seems to have periods where things run fairly smoothly and then for no reason (that I am aware of) they are off!. My TDD can vary over these periods by upto 15%. Good luck (especially with the hypo awareness). Helen

Sep 13, 2010 tsavage1990 11 posts	Topic: General Discussion / loosing the plot! ah damn, i did forget my BI - its 20 units detemir every night at half 9. and ive been diabetic for about 17 years so i hope im not honeymooning. the half carb point was a small sweet i knew the value of as i didnt feel safe going to bed at 5 due to frequent debillitating hypos in the nights in the past. my nurse knows of my hypounawreness, which is which i was put on dafne to give me (hopefully) more regularity

Sep 13, 2010 Simon 578 posts	Topic: General Discussion / loosing the plot! Hi tsavage - first of all I've moved this topic to the General forum, as you'll get more exposure there. Secondly, if you take a look at the forums there is a lot of mention of the 'Dawn Phenomenon', which you may be experiencing on 11/09 where your blood sugars are massively high. What was the 0.5CP at 01:55? Did you take any background insulin then as well? You don't seem to be recording when you take that - it may be that you need to up your dose of that if you are high in the morning. Thirdly - the no symptoms of a hypo before 1.8 mmol/l is a bit of a worry - you should really speak to your DAFNE Educators/Specialist Nurses to help you get back your warning signs as they should be appearing before 1.8 mmol/l Fourthly - you don't mention how long you have been diabetic - is it possible that you are still honeymooning? It's a lot more difficult to predict BG trends if you are in the honeymoon phase. Sorry I can't give you a more definite answer - others may be able to based on their own experiences, however there are so many variables with diabetes - for me it just tends to be trial and error. Simon

Sep 13, 2010 Heather B 20 posts	Topic: General Discussion / Introductions Hello, I am a recent DAFNE graduate who completed the course on the first anniversary of my diagnosis. I was diagnosed last year with type 1 at the ripe old age of 33 which appears to be pretty unusual. I was really shocked at my diagnosis and i suppose, a year on, I still am a bit! The DAFNE course was great for me as I didn't know any other diabetics before meeting the rest of my group and I'm now finding reading the posts on this forum really interesting to hear how others are coping and hearing that I'm not alone (and reassuring to read that others get some mad blood glucose readings for seemingly no reason too!) It's really good to not feel so alone.

Sep 13, 2010 tsavage1990 11 posts	Topic: General Discussion / loosing the plot! i have totally lost the plot with my sugar atm, it seems to be ignoring what i do and rising and falling of its own accord. going back to uni in a month and could really do with getting it back under control

Sep 12, 2010 ThunderBolt 28 posts	Topic: Questions for HCPs / Rising morning BG knowing the 'Dawn' Phenomenon is not present Not wanting tut the cat amongst the proverbial pigeons, but I'm often - Â OK always - up til stupid o'clock and up again quite early. At my DAFNE course they said the dawn effect still comes around the same time regardless. From some of my results this does seem to make sense. I'd been doing my long acting twice a day, once at 2-4pm and again at 4-5pm. I set an alarm on my phone recently to do them at 1.30am and 1.30pm. I'm still spotting or at least trying to spot patterns and changes from the previous set up. If anything my overall sugars are up throughout the day.Â Before I didÂ DAFNEÂ I was on a 26u and 12u. They dropped me to 6 & 6 but it seems to be climbing again. I've had some really bad morning hypos and worry about having more if I up the late one. My mam and dad worry even more than me. Heheh! Forgive mentor droning on but the point I wanted to get to is that I was thinking whether or not taking 3 pops of slow acting a day might have a better smoother effect. Has anyone tried this? If so how did you get on? Cheers folks!

Sep 12, 2010 ThunderBolt 28 posts	Topic: Site Development / DAFNE Online iPhone application - help with content/design needed No problem at all Simon. I'm always getting asked for tech support from family and rarely know the answer. It makes a pleasant change. Â Â Besides I don't sleep much. Heheh.Â As for the start & end business the time setting is more than sufficient. The button idea was just a spur of the moment thought and I don't have any programming knowledge so I had no idea of what's hard and what's even harder.Â I'm beginning to see a few patterns emerging now thanks to the app and logging. I just need to suss how to act on them now.Â

Sep 12, 2010 Simon 578 posts	Topic: Site Development / DAFNE Online iPhone application - help with content/design needed Thunderbolt - thanks for your technical support, we can't monitor the site 24/7 so keep up the good work "Further to the start/end day idea, would it be better to have a button - if that's the right word - to start or end a days entry?" This would be quite difficult to implement, based on my knowledge of how the data is stored in the iPhone, however as an interim I can put in the option to set the 'Start/End of day' setting so you can specify that for all entries. I'll investigate to see if there is a more long-term solution as you have suggested above.

Sep 11, 2010 marke 681 posts	Topic: Questions for HCPs / dawn phenomenon... how to stop the rise? Hi Stacy, thanks for the length reply ! I have scoured our forums and can't find this advice anywhere. I'm not suggesting you are wrong but... are you sure it was this site and not one of the other diabetes forums. I was just keen to ensure ANY advice like this has a disclaimer with it that says you should ALWAYS check with your DAFNE/Diabetes support team before doing something like this. We are keen for graduates to help and advise each other but this advice needs to be backed up by medical staff. We don't want people making themselves ill from advice on this site. I accept no one knows for sure how long carbs last and it IS different in everyone, but it would be a very low GI food that lasted 24 hours ! Or I have come accross people with issues with bowel issues that cause food to be absorbed more slowly. Anyway thats an aside ! It does sound that its more likely that your closer monitoring along with the reduced dose of levimir compared to the Lantus are both factors. As I said before if its 'dawn' it should happen all the time and not only occasionally. If your 48 fast has got your BI correct then its a bit more tricky. In other forum posts its been suggested that QA is the way to tackle 'dawn' although this is difficult without a pump since you are asleep !

Sep 11, 2010 gasmark 2 posts	Topic: Site Development / DAFNE Online iPhone application - help with content/design needed Thanks thunderbolt now sorted Mark

Sep 11, 2010 ThunderBolt 28 posts	Topic: Site Development / DAFNE Online iPhone application - help with content/design needed You'll have to be sure your account details are entered as well (Username and password). This is so you don't have to log in and manually upload. If you're connected to the interwobble everything goes through automatically. You do this in the settings section as well!

Sep 11, 2010 ThunderBolt 28 posts	Topic: Site Development / DAFNE Online iPhone application - help with content/design needed Hey up Mark... If you tap the settings button at the bottom right it will show some options. In that list you'll see "upload results" just tap the on off button at the side to highlight ON and Bob's yer uncle. Graphs are available on the sight once your results are uploaded, but having them within the app itself would be a nice bonus. All the best fella.

Sep 11, 2010 gasmark 2 posts	Topic: Site Development / DAFNE Online iPhone application - help with content/design needed Hi I've just recently started using the iPhone app Great idea but all I can do is input readings Then I don't know where they go? How do you view the multiple readings? How do you sync it with the online diary? And any chance of incorporating graphs Mark Graduate 2009

Sep 11, 2010 stacyedgington 5 posts	Topic: Questions for HCPs / dawn phenomenon... how to stop the rise? well it was suggested to me on here, and I did check with my doctor and they said it is an option, I just had to monitor myself very closely and I did snack on greens just no carbs and nothing with additives in so I could be as basically fasting as possible. I thought it was odd but my doctors said that there shouldnt be an issue if im not injecting QA. The thing is nobody knows exactly how long carbs have an affect on people, and it could change from person to person, thats apparently why they say 2 days, so your system is completely clear. AAAanywhos, I do not know, I have had diabetes for... a long time, but this whole watching it thing is quite new to me, and im learning from everyone so maybe my docs were idiots, but I didnt find it too hard as I dont eat big meals anyway, so yay! haha. Yeah I found it very strange about the fact that everyone on my course knew I was suffering from really low BG levels as I woke with the Lantus but to be honest it wasn't daily, it was happening twice a week on average, and the rest of the time i wasnt really checking my BG levels on waking up... during the DAFNE week I was, and I found that every morning it was significantly higher (around 20-24) then my evening BG levels... with no real explanation as my 2am bg levels were around the same (6- as my bedtime levels. However, pre dafne my lantus dose had been 42, and on the thursday before the dafne nurses dropped me to 30, and during the dafne week to 25, which could explain why it happened so suddenly that the high levels occured, cause it was being masked by a massive dose of lantus previously that wasnt allowing the BG levels to rise?. I am on split dose levemir yes... I think looking at my bg levels it was the obvious thing to do really and I am happy doing that extra injection for the freedom I get with it compared to Lantus. Its soooo difficult all the DAFNE stuff, such a steep learning curve hey!

Sep 10, 2010 marke 681 posts	Topic: Questions for HCPs / dawn phenomenon... how to stop the rise? stacy, 'told on here to do it' ? when and by whom, it doesnt sound like very sound advice to me and I would never try it without checking with my DAFNE Educator/Diabetes Team first. I don't agree that carbs you eat can have an effect in excess of 24 hours, thats a very strange idea. I can see the benefit of a carb free meal to check BI but not 2 days of it. I'm not sure that you can prove your its your BI or dawn apart from maybe testing at 3am, at this time your BG is usually at its lowest and should not go lower if your BI is correct, however as always there are always exceptions. Generally dawn would kick in around 5am but again not guaranteed. This would normally push up your BG, due to hormones bouncing around getting you read to get up and start the day. Still if you have already done the 2 day fast then at least it would give you an fairly good idea how your BI is working and as novoboi says not sure we would have the dedication to do that ! Hopefully it was worth it. Its also strange that you didn't get it with Lantus, since its apparently not something that comes and goes but rather something that happens consistently all the time. However Lantus is supposed to have a longer profile than levimir, so that 'might' explain. Are you on a split dose of levemir ? Since in many people including me it doesn't last 24 hours and needs splitting into 2 doses to make it 'last' the full 24 hours.

Sep 10, 2010 novorapidboi26 1,819 posts	Topic: Questions for HCPs / dawn phenomenon... how to stop the rise? I dont know if i could do that...........if you take your single dose at night or if your split you can see if it works if you rise the same as you went to bed with................have you tried that............I suppose it might be hard to establish if it works if your suffering from dawn phenomonon...........oh its a hard life..................

Sep 10, 2010 stacyedgington 5 posts	Topic: Questions for HCPs / dawn phenomenon... how to stop the rise? id been told on here to do it, apparently you dont eat for 2 days, and therefore dont do any of your fast acting insulin... just your BI. then you can see whether the bi is working, cause if it is you shouldnt see a rise or fall in your bg all day. they say do it for 2 days cause obviously on the first day things can still be influencing your bg's from the previous day, but by the second it should all be down to the bi. Then you can see that it definately isn't your background insulin being too low causing the rise from bed time bg levels to morning bg levels. x