Recent Posts - DAFNE Online

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 578 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 578 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 1,819 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 125 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 578 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 2, 2010

marke 686 posts

Topic: General Discussion / Introductions

welcome helen, I'm sure she will tell you were she's from, but her user description tells you ! In Brisbane, Australia. At the start of the year I spent a lot of time converting their handbook and carb book into online versions for the site (they see their own 'versions' when they log in), so its nice to see the numbers from Oz gradually increasing. Its also good for all of us to talk to DAFNE Grads around the world, maybe get a different perspective from people in different parts of the world. We also have a number of grads fron New Zealand and have just created our first Quwait DAFNE Centre on the site which we hope will have graduates starting to sign up in the not too distant future. I am looking forward to converting an arabic handbook to an online version ;^)

Sep 2, 2010

novorapidboi26 1,819 posts

Topic: General Discussion / Introductions

Hey Helen, welcome to the forum, if you need help at the click of a button your sure to find it here, from plain old graduates like myself to healthcare professionals....

You are on quite alot of insuluin, much as I am.

I am on 17 Humulin I AM and 28 Humulin I PM and then 1.5-3 units per 10g for my meals....

I am sure it is sensitivity as well which can only be improved by firstly excercise to stimulate the muscles and so on to produce more 'doors' for the insulin to unlock and secondly drugs......

Where in the planet are you from?

Sep 1, 2010

HelenP 218 posts

Topic: General Discussion / Introductions

Hi, I'm Helen (from the other side of the planet!). Have had diabetes since 1979 and completed Dafne two years ago. Dafne was like switching on a light as I had previously believed that I really did not have that much control. Still adjusting doses etc as I seem to have periods where for no reason the BGs will run universally high for a week or so and then drop back. I am on high doses Lantus morning 45, evening 25 and a 3 to 4 novorapid for each carb (10g) portion. Total daily dose is about 100. I have been told that this could be insulin sensitivity but...
I have been thinking of joining this forum for a while so here goes. Helen

Sep 1, 2010

Byron 2 posts

Topic: General Discussion / Introductions

'but three years later I saw the same happening to me' - What you started drinking from puddles!

Lol I probably wasn't far from that, the thirst was unquenchable at times. Happily sorted now though.

Sep 1, 2010

Karl 83 posts

Topic: General Discussion / Introductions

Hi Jack

Welcome.

'but three years later I saw the same happening to me' - What you started drinking from puddles!

Glad to see another graduate from Hull actually posting :-)

Karl

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 578 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 578 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 1,819 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 125 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 578 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

Sep 2, 2010 marke 686 posts	Topic: General Discussion / Introductions welcome helen, I'm sure she will tell you were she's from, but her user description tells you ! In Brisbane, Australia. At the start of the year I spent a lot of time converting their handbook and carb book into online versions for the site (they see their own 'versions' when they log in), so its nice to see the numbers from Oz gradually increasing. Its also good for all of us to talk to DAFNE Grads around the world, maybe get a different perspective from people in different parts of the world. We also have a number of grads fron New Zealand and have just created our first Quwait DAFNE Centre on the site which we hope will have graduates starting to sign up in the not too distant future. I am looking forward to converting an arabic handbook to an online version ;^)

Sep 2, 2010 novorapidboi26 1,819 posts	Topic: General Discussion / Introductions Hey Helen, welcome to the forum, if you need help at the click of a button your sure to find it here, from plain old graduates like myself to healthcare professionals.... You are on quite alot of insuluin, much as I am. I am on 17 Humulin I AM and 28 Humulin I PM and then 1.5-3 units per 10g for my meals.... I am sure it is sensitivity as well which can only be improved by firstly excercise to stimulate the muscles and so on to produce more 'doors' for the insulin to unlock and secondly drugs...... Where in the planet are you from?

Sep 1, 2010 HelenP 218 posts	Topic: General Discussion / Introductions Hi, I'm Helen (from the other side of the planet!). Have had diabetes since 1979 and completed Dafne two years ago. Dafne was like switching on a light as I had previously believed that I really did not have that much control. Still adjusting doses etc as I seem to have periods where for no reason the BGs will run universally high for a week or so and then drop back. I am on high doses Lantus morning 45, evening 25 and a 3 to 4 novorapid for each carb (10g) portion. Total daily dose is about 100. I have been told that this could be insulin sensitivity but... I have been thinking of joining this forum for a while so here goes. Helen

Sep 1, 2010 Byron 2 posts	Topic: General Discussion / Introductions 'but three years later I saw the same happening to me' - What you started drinking from puddles! Lol I probably wasn't far from that, the thirst was unquenchable at times. Happily sorted now though.

Sep 1, 2010 Karl 83 posts	Topic: General Discussion / Introductions Hi Jack Welcome. 'but three years later I saw the same happening to me' - What you started drinking from puddles! Glad to see another graduate from Hull actually posting :-) Karl