Recent Posts - DAFNE Online

Aug 19, 2010

Maura 14 posts

Topic: General Discussion / Blood Glucose Diary

Thanks Mark2

Aug 19, 2010

Maura 14 posts

Topic: General Discussion / Blood Glucose Diary

Im on Lantus solostar 42 units at nite. Split dose from last nite to give it a try to see does it help settle down the sugars. You know yourself its just a bit frustrating when your really trying and its not working out, its good to know Im not alone and hopefully it will balance out. Cheers

Aug 19, 2010

caroline15 45 posts

Topic: General Discussion / Dawn Phenomenon

Hi, I experience DP but have noticed that that my morning BG is much better when I have a pernod before bed.

I don't normally drink but had some on holiday and noticed my morning BG was better, I had one drink before bed last night (back home now) and my blood was 6.1 at 7.30 this morning - it would normally be double figures. I just completed my dafne course last month and heard that the liver cannot do two things at once, ie deal with the alcohol and release sugars.

Has anyone else noticed this?

Aug 19, 2010

novorapidboi26 1,819 posts

Topic: General Discussion / Blood Glucose Diary

What Background Insulin are you on....??

If its Lantus then you wont be able to see a pattern til 3 days later and although Lantus has known to be split, Levemir or Humulin I or similar insulins can be.......

If you are on Lantus I would speak to your team about it in more detail......

I also felt like that on my course, I was on lots of insulin, but i was also one of the biggest there too...

Its all about the background to begin with, split the dose and start with your overnight reading, if you hold steady overnight, with no food or QA inside you, then yout night time dose is right, if not adjust accordingly........then you should know how to go from there.........

Are you getting any post course advice or help from your DAFNE educators?

Aug 19, 2010

Mark2 23 posts

Topic: General Discussion / Blood Glucose Diary

Don't worry about it. My DAFNE week was also a disaster from the blood sugar point of view, for some reason. I had blazingly high sugars all week which I couldn't explain. So the week itself I learned nothing in practice about my own control at all. After much work, an a fair amount of experimentation, its cleared up since then. Just stick at it, and I'm sure you will find a regime and a solution.

Aug 19, 2010

Maura 14 posts

Topic: General Discussion / Alternative remedies

I would try anything natural to help will also check it out!

Aug 19, 2010

Maura 14 posts

Topic: General Discussion / Blood Glucose Diary

Hi Mark2, Iv been on Dafne just cannot enter it on the login for some reason. Started to split long acting insulin from last nite. Will see how it goes today, although got up with a BG of 16.9 this morning.
I think myself I may be insulin resistant, on the Dafne course I was on the highest ration and the highest amount of insulin!! feel like a dafne failure rather than dafne graduate lol!!

Aug 18, 2010

LizB 23 posts

Topic: General Discussion / At the football

Hi - another idea for you to choose from...

I've only gone to football with my husband but if you go with a friend you could brief them so you could do what I do, which is simply turn slightly toward my husband as I'm talking to him or peering at the programme and do the injection in the side of my stomach nearest him. That way most views are blocked and no-one will even notice.

If you clock somone has spotted you make eye contact, smile and continue as if there's nothing unusual happening. If they do say anything, just graciously tell them what you're doing and why - most people don't say anything.

Good luck and enjoy the games.

Aug 18, 2010

Labsteward 6 posts

Topic: Site Development / Forum improvments

Hi Simon great Site learned loads off of the forums .
Suggestion would it be possible to have the newest posts first or sort olddest to newest, I pop in regularly and it would be good if you could just see the newest post, I agree that it is nice when I first came in as a newbie to read all the way through the posts to find out all the info but for regulars it would be nice to get on straight to the latest post.
Thanks Apreciated the hard work by all the team

Thanks Andy

Aug 18, 2010

Mark2 23 posts

Topic: General Discussion / Blood Glucose Diary

The interesting thing is that DAFNE points out that the ratio of total QA to BI taken in a day - is roughly 50/50 as a guideline (although there a lot of flexibility in this general guideline for most people). You are taking more than twice as much Background Insulin in a day than you are taking Quick Acting.

This may be right for you I guess, but would suggest some other medical factor that is playing a part in your choice of regime. It may be for example that you have insulin resistance, that would mean that you need more overall than most people

Obviously what you don't want to do is take too much BI putting you into hypo. But some trip to see a specialist or go on DAFNE, might be a good recommendation for you Maura

Aug 18, 2010

novorapidboi26 1,819 posts

Topic: General Discussion / Blood Glucose Diary

4:1 is the highest I have seen, but ideally you want a larger BI so then its just small amounts of QA..........

Aug 18, 2010

Maura 14 posts

Topic: General Discussion / Blood Glucose Diary

Many thanks Mark2 & NiVZ for your address. Going to split my night injection to start with. NiVZ I thought according to Dafne guidance 3:1 was the highest ratio to be on, because I thought I should possibly be on a higher ratio.
Cheers

Aug 18, 2010

NiVZ 82 posts

Topic: General Discussion / Blood Glucose Diary

Hi Maura,

Here's my take on your figures.

Your 3:1 ratio during the day seems to be keeping you pretty level (even if it's high it's still not going up or down too much), but you seem to creep up after supper.

You might want to think about increasing your evening meal ratio. Or perhaps your background insulin isn't quite lasting 24 hours and is running out which is causing the increase before bed. If thats the case then a couple of extra units of BI or split dosing might be better.

Just my opinion.

NiVZ

Aug 18, 2010

Mark2 23 posts

Topic: General Discussion / Blood Glucose Diary

Maura - I agree with Novorapiboi - your readings are high enough that it does look like might need more Background insulin. I also agree that it might be better to split your doses, you are getting your highest readings at night.

For example you had a much better readings on Tuesday 17 than you did on Thursday 12. The variations that you see could be caused by many things. Stress, damaged injection sites - or just high blood sugars putting your body under stress. Are you making sure that you are always injecting your BI correctly in different places, and not into muscle? Illness also causes them to be higher - are you ill in some other way at the moment?

Aug 18, 2010

Simon 578 posts

Topic: General Discussion / Blood Glucose Diary

Hi, moved to General Discussion forum.

Aug 18, 2010

novorapidboi26 1,819 posts

Topic: General Discussion / No rolls or pasta give good results.....

Had spiking problems at lunch, usually have 2 cold meat rolls amongst other small snacks...

Got rid of the carbs at lunch and look at the results.......ya beauty........

Aug 18, 2010

Mark Duncan 4 posts

Topic: General Discussion / At the football

I would just do what ever it is you usually do. I personally would just take it where I was sitting or standing. Everybody is different about taking an injection.

If I was eating a pie off the floor of a honkin toilet I would probably be more worried about catching something but am sure it would be safe to take your pen out and jag up for the 30 secs it takes without catching anything in even the most fly infested bog.

I think you are over analizing it a bit. Like Judith said "just do it" if anyone gives you a funny look just smile.

Aug 18, 2010

novorapidboi26 1,819 posts

Topic: General Discussion / Blood Glucose Diary

Stress can definelty contribute to higher blood sugars...........

There are some discrepencies in your rsults though that I will mention......

You seem to be on a 3:1 ratio everytime you eat, this infact might be right but my first thoughts are that your background insulin needs to be evaluated, this background dose is quite high as well.............I think that splitting your background would be a good option to give you even coverage throughout the day.......with an insulin like Levemir and Humilin I.

Another thing I noticed is that you ALMOST never seem to correct at meal times, only inbetween your meals.

You seem to be correcting your reading in the morning then again 2 hours later, normally that could cause hypo......

With exception to your morning reading, you shouldnt need to test inbetween each meal sitting, unless you feel unwell or are investigating something, which is obvious you are, being quite high.

I really think the first thing to check is your BI, I suspect its not lasting much longer than half the day.......

If you can get this split down the middle, a morning and evening dose then I think you will start to see good results......

Have you done a DAFNE course, it doesnt say next to your name......

THIS THREAD SHOULD BE MOVED MODS!!

Aug 18, 2010

novorapidboi26 1,819 posts

Topic: Carbohydrate Counting / muesli?

try half before and half 30 minutes later, do regular test up until lunch.........its all about experimenting.......

Aug 18, 2010

novorapidboi26 1,819 posts

Topic: General Discussion / Alternative remedies

I have not but will be investigating.........

cheers..........

Aug 18, 2010

Maura 14 posts

Topic: General Discussion / Blood Glucose Diary

Hi just wondering is anyone having problems with blood sugar levels. Mine are out of target most of the time even though I would eat pretty much the same food Mon-Fri. Does anyone find that stress increases their blood sugars?

Aug 17, 2010

Judith23 7 posts

Topic: General Discussion / At the football

I have injected in my seat at a game and never had any problems whatsoever - Just Do It!


Aug 19, 2010 Maura 14 posts	Topic: General Discussion / Blood Glucose Diary Thanks Mark2

Aug 19, 2010 Maura 14 posts	Topic: General Discussion / Blood Glucose Diary Im on Lantus solostar 42 units at nite. Split dose from last nite to give it a try to see does it help settle down the sugars. You know yourself its just a bit frustrating when your really trying and its not working out, its good to know Im not alone and hopefully it will balance out. Cheers

Aug 19, 2010 caroline15 45 posts	Topic: General Discussion / Dawn Phenomenon Hi, I experience DP but have noticed that that my morning BG is much better when I have a pernod before bed. I don't normally drink but had some on holiday and noticed my morning BG was better, I had one drink before bed last night (back home now) and my blood was 6.1 at 7.30 this morning - it would normally be double figures. I just completed my dafne course last month and heard that the liver cannot do two things at once, ie deal with the alcohol and release sugars. Has anyone else noticed this?

Aug 19, 2010 novorapidboi26 1,819 posts	Topic: General Discussion / Blood Glucose Diary What Background Insulin are you on....?? If its Lantus then you wont be able to see a pattern til 3 days later and although Lantus has known to be split, Levemir or Humulin I or similar insulins can be....... If you are on Lantus I would speak to your team about it in more detail...... I also felt like that on my course, I was on lots of insulin, but i was also one of the biggest there too... Its all about the background to begin with, split the dose and start with your overnight reading, if you hold steady overnight, with no food or QA inside you, then yout night time dose is right, if not adjust accordingly........then you should know how to go from there......... Are you getting any post course advice or help from your DAFNE educators?

Aug 19, 2010 Mark2 23 posts	Topic: General Discussion / Blood Glucose Diary Don't worry about it. My DAFNE week was also a disaster from the blood sugar point of view, for some reason. I had blazingly high sugars all week which I couldn't explain. So the week itself I learned nothing in practice about my own control at all. After much work, an a fair amount of experimentation, its cleared up since then. Just stick at it, and I'm sure you will find a regime and a solution.

Aug 19, 2010 Maura 14 posts	Topic: General Discussion / Alternative remedies I would try anything natural to help will also check it out!

Aug 19, 2010 Maura 14 posts	Topic: General Discussion / Blood Glucose Diary Hi Mark2, Iv been on Dafne just cannot enter it on the login for some reason. Started to split long acting insulin from last nite. Will see how it goes today, although got up with a BG of 16.9 this morning. I think myself I may be insulin resistant, on the Dafne course I was on the highest ration and the highest amount of insulin!! feel like a dafne failure rather than dafne graduate lol!!

Aug 18, 2010 LizB 23 posts	Topic: General Discussion / At the football Hi - another idea for you to choose from... I've only gone to football with my husband but if you go with a friend you could brief them so you could do what I do, which is simply turn slightly toward my husband as I'm talking to him or peering at the programme and do the injection in the side of my stomach nearest him. That way most views are blocked and no-one will even notice. If you clock somone has spotted you make eye contact, smile and continue as if there's nothing unusual happening. If they do say anything, just graciously tell them what you're doing and why - most people don't say anything. Good luck and enjoy the games.

Aug 18, 2010 Labsteward 6 posts	Topic: Site Development / Forum improvments Hi Simon great Site learned loads off of the forums . Suggestion would it be possible to have the newest posts first or sort olddest to newest, I pop in regularly and it would be good if you could just see the newest post, I agree that it is nice when I first came in as a newbie to read all the way through the posts to find out all the info but for regulars it would be nice to get on straight to the latest post. Thanks Apreciated the hard work by all the team Thanks Andy

Aug 18, 2010 Mark2 23 posts	Topic: General Discussion / Blood Glucose Diary The interesting thing is that DAFNE points out that the ratio of total QA to BI taken in a day - is roughly 50/50 as a guideline (although there a lot of flexibility in this general guideline for most people). You are taking more than twice as much Background Insulin in a day than you are taking Quick Acting. This may be right for you I guess, but would suggest some other medical factor that is playing a part in your choice of regime. It may be for example that you have insulin resistance, that would mean that you need more overall than most people Obviously what you don't want to do is take too much BI putting you into hypo. But some trip to see a specialist or go on DAFNE, might be a good recommendation for you Maura

Aug 18, 2010 novorapidboi26 1,819 posts	Topic: General Discussion / Blood Glucose Diary 4:1 is the highest I have seen, but ideally you want a larger BI so then its just small amounts of QA..........

Aug 18, 2010 Maura 14 posts	Topic: General Discussion / Blood Glucose Diary Many thanks Mark2 & NiVZ for your address. Going to split my night injection to start with. NiVZ I thought according to Dafne guidance 3:1 was the highest ratio to be on, because I thought I should possibly be on a higher ratio. Cheers

Aug 18, 2010 NiVZ 82 posts	Topic: General Discussion / Blood Glucose Diary Hi Maura, Here's my take on your figures. Your 3:1 ratio during the day seems to be keeping you pretty level (even if it's high it's still not going up or down too much), but you seem to creep up after supper. You might want to think about increasing your evening meal ratio. Or perhaps your background insulin isn't quite lasting 24 hours and is running out which is causing the increase before bed. If thats the case then a couple of extra units of BI or split dosing might be better. Just my opinion. NiVZ

Aug 18, 2010 Mark2 23 posts	Topic: General Discussion / Blood Glucose Diary Maura - I agree with Novorapiboi - your readings are high enough that it does look like might need more Background insulin. I also agree that it might be better to split your doses, you are getting your highest readings at night. For example you had a much better readings on Tuesday 17 than you did on Thursday 12. The variations that you see could be caused by many things. Stress, damaged injection sites - or just high blood sugars putting your body under stress. Are you making sure that you are always injecting your BI correctly in different places, and not into muscle? Illness also causes them to be higher - are you ill in some other way at the moment?

Aug 18, 2010 Simon 578 posts	Topic: General Discussion / Blood Glucose Diary Hi, moved to General Discussion forum.

Aug 18, 2010 novorapidboi26 1,819 posts	Topic: General Discussion / No rolls or pasta give good results..... Had spiking problems at lunch, usually have 2 cold meat rolls amongst other small snacks... Got rid of the carbs at lunch and look at the results.......ya beauty........

Aug 18, 2010 Mark Duncan 4 posts	Topic: General Discussion / At the football I would just do what ever it is you usually do. I personally would just take it where I was sitting or standing. Everybody is different about taking an injection. If I was eating a pie off the floor of a honkin toilet I would probably be more worried about catching something but am sure it would be safe to take your pen out and jag up for the 30 secs it takes without catching anything in even the most fly infested bog. I think you are over analizing it a bit. Like Judith said "just do it" if anyone gives you a funny look just smile.

Aug 18, 2010 novorapidboi26 1,819 posts	Topic: General Discussion / Blood Glucose Diary Stress can definelty contribute to higher blood sugars........... There are some discrepencies in your rsults though that I will mention...... You seem to be on a 3:1 ratio everytime you eat, this infact might be right but my first thoughts are that your background insulin needs to be evaluated, this background dose is quite high as well.............I think that splitting your background would be a good option to give you even coverage throughout the day.......with an insulin like Levemir and Humilin I. Another thing I noticed is that you ALMOST never seem to correct at meal times, only inbetween your meals. You seem to be correcting your reading in the morning then again 2 hours later, normally that could cause hypo...... With exception to your morning reading, you shouldnt need to test inbetween each meal sitting, unless you feel unwell or are investigating something, which is obvious you are, being quite high. I really think the first thing to check is your BI, I suspect its not lasting much longer than half the day....... If you can get this split down the middle, a morning and evening dose then I think you will start to see good results...... Have you done a DAFNE course, it doesnt say next to your name...... THIS THREAD SHOULD BE MOVED MODS!!

Aug 18, 2010 novorapidboi26 1,819 posts	Topic: Carbohydrate Counting / muesli? try half before and half 30 minutes later, do regular test up until lunch.........its all about experimenting.......

Aug 18, 2010 novorapidboi26 1,819 posts	Topic: General Discussion / Alternative remedies I have not but will be investigating......... cheers..........

Aug 18, 2010 Maura 14 posts	Topic: General Discussion / Blood Glucose Diary Hi just wondering is anyone having problems with blood sugar levels. Mine are out of target most of the time even though I would eat pretty much the same food Mon-Fri. Does anyone find that stress increases their blood sugars?

Aug 17, 2010 Judith23 7 posts	Topic: General Discussion / At the football I have injected in my seat at a game and never had any problems whatsoever - Just Do It!