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Jul 29, 2017
Alan 49 284 posts

Topic: General Discussion / Insulin Sensitivity

Thanks for the replies - very useful.
 
Jul 29, 2017
PAR 2 posts

Topic: Site Development / Time settings

It's annoying isn't it, the time seems to stay at GMT. I use the software on my iPad and it's the same. Either have to remember during summer time or change it with every entry.
 
Jul 27, 2017
Warwick 423 posts

Topic: General Discussion / Insulin Sensitivity

Insulin sensitivity is simply how well your body responds to insulin.

Type 2 diabetes is a result of low insulin sensitivity - high blood sugars are a result of more insulin being required to carry the blood glucose into cells. There are a number of factors that can cause this - see https://en.wikipedia.org/wiki/Diabetes_mellitus_type_2#Cause

At the other end of the spectrum, high insulin sensitivity means that a small amount of insulin converts a larger amount of blood glucose into cells, leading to lower blood glucose levels. There are also a number of factors that influence this such as body mass composition, exercise, fasting, seasons of the year, ability to sleep well, and diet.

 
Jul 26, 2017
alturn 78 posts

Topic: General Discussion / Insulin Sensitivity

I am not aware of any definition of "sensitivity", so as usual it's in the eye of the user.

As a user, I would define high sensitivity if your QA ratios are low eg 0.5:1 or 1:1 (units of insulin to counteract 1 CP of carbs), and your BI is low. I thought I saw some entries where ratios were given as even less but my meter only works in 0.5 increments. Conversely, I would say ratios of 2.5:1 or 3:1 indicate less sensitivity.

But sensitivity can vary for each meal time (mine are 2:1, 1.5:1 and 2.5:1 and even 2.5:1 seems much too low sometimes as often high at bedtime and can drop a lot overnight). So this makes it all more complicated.

High sensitivity means a small change in units can lead to a large change in BG, so possibly more prone to low and high BG levels. Less sensitivity means it may be more difficult to get BG levels down if high.

Tried to keep it simple, hope it helps,

J
 
Jul 26, 2017
Alan 49 284 posts

Topic: General Discussion / Insulin Sensitivity

Can someone please explain - in simple terms - what this is and what effects it can have.
 
Jul 26, 2017
Warwick 423 posts

Topic: General Discussion / Wits end

If you can share your diary, then we can make some suggestions. First off, compare your before bed and waking readings. If you are regularly waking up higher than when you go to bed, then take a look at increasing your basal insulin - 1 unit or 10 %, then wait three days to observe any changes before making any further adjustments.

Frustrating I know. I find that low-carb does make it a lot easier for me to control my blood sugars, but every now and again my insulin sensitivity takes a dive, or goes the other way without rhyme or reason and I need to adjust basal and insulin ratios all over again.

And as mentioned previously in this thread, some T1Ds (myself among them) find that protein needs to be accounted for when dosing when having a low carb meal.
 
Jul 22, 2017
derekh1965 90 posts

Topic: Site Development / Time settings

Hi,
my time i stil a houir behind and has been since the time change and it is nothing to do with my PC clock.
 
Jul 21, 2017
JayBee 587 posts

Topic: General Discussion / Libre

Yeah, the inaccuracy of the Libre is why you can't use a result from it for before driving. Stay safe.
 
Jul 21, 2017
JayBee 587 posts

Topic: General Discussion / Wits end

DoricAndy said:
What I don't get is why this is happening now after all these years, I'm not suffering from some lurgy.
I'm sounding like a newbie here and I've been diabetic 50 years!!!!!!!!



Sadly the goal posts do move for all sorts of reasons. Sad Keep working at it. All the best.
 
Jul 20, 2017
novorapidboi26 1,819 posts

Topic: General Discussion / Wits end

DoricAndy said:
Insulin - Novorapid & Levemir. Levemir split into am & pm dosage

Correction factor - 2 or 3 units max based on lowering bloods by 4-6, but CF dependant on how much I'm "over" 6

Could you elaborate on dose timings, what exactly do you mean.

What I don't get is why this is happening now after all these years, I'm not suffering from some lurgy.
I'm sounding like a newbie here and I've been diabetic 50 years!!!!!!!!



I thought I had responded on my phone....

Dose timings refers to the time between injecting and actually eating....novorapid takes 10-15 minutes to get going properly so you should wait that time minimum before eating. This will get your post meal spikes down...

You should do basal testing though and then move on to the insulin carb ratios...just the way DAFNE teaches...
 
Jul 20, 2017
torana 53 posts

Topic: General Discussion / Wits end

Hi Andy,
I can empathise with your situation of up and down BG's. I try to limit the amount of variables in order to get some data to ascertain where I'm going throughout the week. I find giving my doses as soon as I get home from work at say at 5.00pm creates a constant. It also gives time for small adjustments later on in the night without worrying too much. By doing this I can get measurements and BGs at the same time every day which makes it easier to compare.
On another tangent, there has been much discussion on low carb diets. I started on one and found my sugars were rising after dinner. I also love yoghurt with nuts, strawberries and cinnamon spread on top for my meal. After a meeting with my dietician I realised that in yogurt and nuts are fats and proteins which were not added to my calculations. There is literature on fats and proteins being a significant factor in increasing BGs. I have also found that diabetes control is not consistent or easy. All the best
 
Jul 19, 2017
Kamil 3 posts

Topic: General Discussion / Libre

marke said:
woah there a minute, the Libre doesn't show you accurate BG so using it as the basis to make corrections is potentially dangerous. It measures inter-cell fluid BG NOT blood BG and so is only a 'guide' . Whilst I agree that it would be concerning if your BG appears to stay at 11. You should do a normal BG test and base it on that. We can have too much information and make too many corrections based on this information. Easy to say I know, also easy to say but my cure for all this was a pump an advantage that I know NovarapidBoi also has. Unofrtunately getting them is a post code lottery. Hover if you get the chance , grab it as I believe they make a huge difference.



thank you. i know that it accuracy depends on a individual . i have tested it number of times and its always within 0.2 mmols unless im hypo which in my opinion is accurate enough to make decisions about corrections at meal time. but i will take your advice in the future
 
Jul 19, 2017
marke 681 posts

Topic: General Discussion / Libre

woah there a minute, the Libre doesn't show you accurate BG so using it as the basis to make corrections is potentially dangerous. It measures inter-cell fluid BG NOT blood BG and so is only a 'guide' . Whilst I agree that it would be concerning if your BG appears to stay at 11. You should do a normal BG test and base it on that. We can have too much information and make too many corrections based on this information. Easy to say I know, also easy to say but my cure for all this was a pump an advantage that I know NovarapidBoi also has. Unofrtunately getting them is a post code lottery. Hover if you get the chance , grab it as I believe they make a huge difference.
 
Jul 19, 2017
Kamil 3 posts

Topic: General Discussion / Libre

novorapidboi26 said:

Kamil said:
For me Libre was the best thing that happened to my diabetes management. Before Libre my HbA1c was 86 ( 10.0%) and now it's 60 ( 7.6). This is after 9 months of Libre; and I hope to get to 6.5-6.8 within next few months. I just finished my DAFNE course and Libre was very helpful with seeing my trend overnight, how quickly my insulin works for etc. In terms of Libre , I think it's very personal as some people find differences to be bigger then others and some people don't like or trust new technologies. Personally I love it and I can't imagine a day without it.



Would you say the overnight basal needs was the most significant bit of information you got from it.......how did that information effect your dose adjustment...?



i dont know if you are referring to libre in general or dafne. In terms of libre, it was adjusting my ratios and corrections as for example after breakfast my sugar level would stay at 11 and wouldn't decrease further so libre showed that corrections need increasing. also with basal it showed me that i have this dawn phenomenon and that increasing my basel will result in more hypos ( which did happen before libre ).
In terms of dafne, it was a bit tougher as DAFNE tells you to test 4 times a day and not to correct in between meals and i was doing something crazy like 30 scans before dafne so my diary was full and it was harder to see the pathen so i rewrote it. However, it was very usuful when increasing my background to see 24 h picture of my sugars and to see which basal needs increasing. i hope that answers your question
 
Jul 19, 2017
DoricAndy 2 posts

Topic: General Discussion / Wits end

Insulin - Novorapid & Levemir. Levemir split into am & pm dosage

Correction factor - 2 or 3 units max based on lowering bloods by 4-6, but CF dependant on how much I'm "over" 6

Could you elaborate on dose timings, what exactly do you mean.

What I don't get is why this is happening now after all these years, I'm not suffering from some lurgy.
I'm sounding like a newbie here and I've been diabetic 50 years!!!!!!!!
 
Jul 19, 2017
novorapidboi26 1,819 posts

Topic: General Discussion / Wits end

As you have said its time to reassess......both the ratios and the basal...........the basal first is wise......you should also try and establish your correction factor.....normally between 2 and 3 mmol per unit of insulin, but this can be tweaked too....

You should also consider experimenting with dose timing once you have conformed basal and insulin/carb ratios...

What insulin are you using...?
 
Jul 19, 2017
novorapidboi26 1,819 posts

Topic: General Discussion / Libre

Kamil said:
For me Libre was the best thing that happened to my diabetes management. Before Libre my HbA1c was 86 ( 10.0%) and now it's 60 ( 7.6). This is after 9 months of Libre; and I hope to get to 6.5-6.8 within next few months. I just finished my DAFNE course and Libre was very helpful with seeing my trend overnight, how quickly my insulin works for etc. In terms of Libre , I think it's very personal as some people find differences to be bigger then others and some people don't like or trust new technologies. Personally I love it and I can't imagine a day without it.



Would you say the overnight basal needs was the most significant bit of information you got from it.......how did that information effect your dose adjustment...?
 
Jul 19, 2017
DoricAndy 2 posts

Topic: General Discussion / Wits end

Been on Dafne now for 10 + years and have had a few ups and downs over the years BUT just recently I my bloods have been running riot and I cannot seem to get a grip of them. Just recently my partner decided it was time to try a low carb diet - good but since starting this regime my bloods have been running consistently high, running at around 14/15. In the morning I can be spot on at about 6, have my "low" carb breakfast, usually soya yogurt, some seeds and maybe 5 strawberries, I take 3 units to cover the strawberries as the yogurt and seed are negligible, Test 2 hours after breakfast and I'm running at 10/11, after that it's all downhill..........
What concerns me is that no matter how I try to correct I don't seem to bring down blood levels, even eating a low carb meal doesn't seem to help. There is no rhyme nor reason as to why this big change (or is there), or is it just a sign that I'm getting oldSad
Since starting Dafne I have always used a 1:2 ratio and this has worked out fine, but is it time to reassess ratios even though it hasn't let me down over the past 10+ years and nothing seems to have upset my regime (except my "new diet").
Any ideas?
 
Jul 16, 2017
Kamil 3 posts

Topic: General Discussion / Libre

For me Libre was the best thing that happened to my diabetes management. Before Libre my HbA1c was 86 ( 10.0%) and now it's 60 ( 7.6). This is after 9 months of Libre; and I hope to get to 6.5-6.8 within next few months. I just finished my DAFNE course and Libre was very helpful with seeing my trend overnight, how quickly my insulin works for etc. In terms of Libre , I think it's very personal as some people find differences to be bigger then others and some people don't like or trust new technologies. Personally I love it and I can't imagine a day without it.
 
Jul 14, 2017
Warwick 423 posts

Topic: General Discussion / Libre

Wow. I had one Dexcom sensor knocked out during basketball. Now I wear my cycle bib shorts over the sensor and under my basketball gear and had no further trouble. I'd be very upset through if someone tried to rip it out. I wear the Dexcom sensor on my abdomen so not usually visible to public.
 
Jul 13, 2017
sjohno 37 posts

Topic: General Discussion / Libre

DianeH said:
I've been wondering about Libre. What is Dexcom and is it available in the UK? Which works better? I am hesitating partly because I have not seen one as it (Libre) only seems to be available online and I am not sure what thickness it is. Is it like a thickish plaster or is it something hard, a couple of mm thick, that could catch on things. I tend to brush against furniture in the house and twigs etc when gardening and wonder whether that would be a problem. Diabetes nurse suggested it might help and I would find the data useful, at least occasionally, for a month or two, to check what is really going on. My fingers do get sore and very calloussed.I would welcome advice from other users. Smile



Hi DianeH

I did actually chat to the lady with the Libre so I had quite a good look and she showed me how it worked. It was a grey round disc, quite big - you can't miss it Laughing She did let me know that one day someone came up to her and told her 'oh you've got something on your arm' and started flicking at it till they flicked it off her arm Shocked
 
Jul 12, 2017
Warwick 423 posts

Topic: General Discussion / Libre

http://www.dexcom.com/en-GB I use the Dexcom G4 Platinum which I am not sure if it is still available. It works out more cost effective for me then the Libre as I can get sensors to last around 6 weeks as opposed to 2 weeks. I have no plans to upgrade to the Dexcom G5 though as its transmitter is hard-wired to last 3 months which would make it unaffordable for me. I'm currently getting in excess of a year from a G4 transmitter. If the G4 stops being supported then I'll switch to a Libre.
 
Jul 11, 2017
DianeH 7 posts

Topic: General Discussion / Libre

I've been wondering about Libre. What is Dexcom and is it available in the UK? Which works better? I am hesitating partly because I have not seen one as it (Libre) only seems to be available online and I am not sure what thickness it is. Is it like a thickish plaster or is it something hard, a couple of mm thick, that could catch on things. I tend to brush against furniture in the house and twigs etc when gardening and wonder whether that would be a problem. Diabetes nurse suggested it might help and I would find the data useful, at least occasionally, for a month or two, to check what is really going on. My fingers do get sore and very calloussed.I would welcome advice from other users. Smile
 
Jul 4, 2017
JayBee 587 posts

Topic: General Discussion / DAFNE Follow-Up Course - No Help?

If your DSN team are anything like mine, they expect that if you've done DAFNE then you should be able to suss everything out yourself with minimal follow up care from them (which is a stupid attitude to be frank but that's how it is with my DSN team).

All the best with tackling it all.