Recent Posts - DAFNE Online

Jul 15, 2010

novorapidboi26 1,818 posts

Topic: General Discussion / Adjusting Dosages

Sorry about that, I didnt know what privelages each user class had, makes sense I suppose................

I however was given the basics of dafne a year before attending by my dietician, even then it made a big difference.......

The course cements it all together.........

Jul 15, 2010

marke 655 posts

Topic: Questions ? / Night hypo and Morning BG

I have also requested that its added to the Hypo section as well as its current location to ensure people like me don't miss it ! This is the benefit of having it online and having thousands of people reading it !

Jul 15, 2010

marke 655 posts

Topic: General Discussion / Adjusting Dosages

all, sorry she can't read the DAFNE manual without going on the course and the hospital should NOT tell her to 'try the DAFNE way' without sending her on the course !
Caroline did they say they were going to put you on the waiting list for the course ? There is so much to take in and understand you really do need to attend the course. Everyone is welcome to advise and help you thats what the site is for, but ultimately you need the support of a DAFNE team and that means going on the course.

Unfortunately 'users' do not get access to the DAFNE Online manual only 'graduates', this is to protect them as well as DAFNE Central.

Jul 15, 2010

novorapidboi26 1,818 posts

Topic: General Discussion / Adjusting Dosages

Hey there,

My advice is get on the course and in the meantime have a read at the DAFNE manual.

As I am settled with the dafne principals I am struggling to make sense of your sugars as they are not displayed the way a dafne student would.

For example corrections being shown as +1 or +2 onto your QA.

Your QA insulin is lower than your carb intake, this might be because your writing the carbs down wrong, 1CP being ten grams of carbohydrate. (Nat and Karl noticed this too and explained)

Recording the results in the easiest way possible is paramount in order to spot patterns and also to allow other to help you easily.

Looking closely at the results you are using the principals correctly, which is brilliant.

The first thing I would do is make sure your BI is right, your on one dose so that means Lantus more than likely.

If you take you BI at bed with no food inside you or QA insulin and you wake up with the same reading as you went to bed with you can bet that its doing its job.

If not then you need to up or down the dose a few units, because its lantus (I am assuming), you will have to wait a few days to see the effects, continue until you are held steady over night.

Then you can start with your QA insulin, if the BI alterations didnt iron out your highs through the day then you can start with the lunchtime reading, is it high 3 consecutive days?, if so ratio needs to go up at breakfast, and this works vice versa, if low, ratio down.

Eventually you will get it, then move onto the dinner, altering the lunchtime dose.........

I feel as if I have just rabbled on the basics there so I apologise if you have heard it before......

Have a read at the manual as I say, but it may seem overwhelming if the theory is not explained to you...

DAFNE asap......

Good Luck........

Jul 14, 2010

Karl 83 posts

Topic: General Discussion / Adjusting Dosages

I would guess your CP are in grams? CP should be 1 / 10g

I would say you need to up the dose at lunch as you are high at dinner most days

Are you on a list to get on the course, there is lots to learn - I tried before i went on the course, didn't work that well but since the course (Jan '10) A1C is already down by 2

Jul 14, 2010

Nat 30 posts

Topic: General Discussion / Adjusting Dosages

Hi, I am new to daphne too about 3 weeks in now. I have had diabetes type 1 for 19 years. When we started the course everybody started on the same ratio i.e. for every 10g of carbs you took 1 unit of insulin. When you start seeing a pattern then you can started to change things. Your carb portions look very high are you using the carb counter link to find out what your carbs are? If like on your wednesday reading you had 20 cps (carb portions) for breakfast really you should have taken 20 units of insulin - that is why I am wondering how you are counting your carbs as this is really high. Most cereals and bread would only be about 4 carb portions although some how you managed to keep well controlled until later on in the day.

Jul 14, 2010

Caroline 29 posts

Topic: General Discussion / Adjusting Dosages

Hi wanted your opinion on dosages. I have been an insulin dependant diabetic for 15 years and have been using the old method. As my diabetes is unstable and has been affecting my work life balance my local hospital has advised e to try the dafne way to ontrol my diabetes. I have been using the dafne way for a number of weeks now. I have not been on a course so a bit unsure as to whether I am adjusting my dosages correctly. I am taking 3 units of insulin for 1 carb for breakfast, 2 units of insulin for 1 carb lunchtimes and 2.5 units of insulin for 1 carb at dinner. Does this seem responsible to take a different dosage for different meals? Your help in this matter would be greatly appreciated. Thanks

Jul 14, 2010

Nat 30 posts

Topic: Carbohydrate Counting / Ripness of bananas

I, like novorapidboi26 was told there isn't much in it but I have problems whenever I eat bananas so might be a try it and see situation.

Jul 14, 2010

digth 16 posts

Topic: Questions ? / Night hypo and Morning BG

I have clarified the detail in the handbook step wise approach (as posted by Karl) with the Chair of the DAFNE Educator Group. I can confirm that this informaiton IS CORRECT and is a DAFNE principle for dose adjustment.

Jul 14, 2010

novorapidboi26 1,818 posts

Topic: Carbohydrate Counting / Ripness of bananas

I would think yes, but "negligible" amounts, nothing that would change your insulin........

Anyone else?

Jul 14, 2010

novorapidboi26 1,818 posts

Topic: Carbohydrate Counting / Monster Energy Drink

Damn...........I need to try this jaigermeister stuff.........

Jul 14, 2010

marke 655 posts

Topic: Questions ? / Night hypo and Morning BG

Karl, thanks for the link. I had never noticed this statement before on the diagram and it is NOT mentioned in the section on Hypo's. i have therefore raised it with DAFNE Central and they will come back to me ( and I will pass it on here) with a clarification on this subject. The handbook is due to be revised soon as it happens so its an ideal time to clarify this. If the statement is considered correct then it should be included in the Hypo section as well to ensure consistency and ensure that people ( like me) don't miss it.
I will let you know as soon as I get feedback.

Jul 14, 2010

Mark2 23 posts

Topic: General Discussion / Leaking Novopen ?!?!

I have had a problem with Novopens which seem to leak as well. I've thrown pens away in the past that seemed to have this problem. It never occurred to me that it was just the needle and the rubber on the insulin vial that caused this.

Jul 14, 2010

Ffi010 8 posts

Topic: Carbohydrate Counting / Ripness of bananas

Hi,
I was wondering if there was a difference in CPs between a slightly green banana, ripe and over ripe (slightly brown) banana?
I have been told that there is more sugar in a bruised banana. Does that mean More CPs??

Jul 14, 2010

Ffi010 8 posts

Topic: Carbohydrate Counting / Monster Energy Drink

This stuff is like Red Bull on speed!! Amazing! ha. I often have the low carb one on its own before a long day or before a lecture!
I cant drink a whole can though as it makes me feel sick and shakey, due to the large amounts of caffeine and taurin.
As there is only 2.4g CHO in 100ml (12g in the whole can) I dont inject at all. esp not as a jaiger bomb (also a fav of mine) as not only is there negligable carbs in it but also it is with alcohol. unless you do alot of bombs, say 4+ it wouldnt inject and would be caucious if you did inject.
Hope this helps.

Jul 14, 2010

marke 655 posts

Topic: General Discussion / fiona walkers bg diary

I'm with Mark2 it looks like your BI in the evening is not enough. Given your sensitivity to insulin I would only change it by 1 max (you probably don't have a pen that can do 0.5, but it might be worth looking for one if you are that sensitve). After the change give it a few days to fully see if it has had the desired effect. You may also need to do a 3am test ( sorry) to see how your BG changes over night, sometimes higher BG's in the morning is dawn phenomenom but not always. Probably the BI at night change will do the job, if you start lower you will probably tend to stay lower during the day and if you don't need to constantly correct it will be easier to see if your CP estimates are good or not so good. ( indian food is full of CP's, well it always seems that way to my body anyway ;-) )

Jul 13, 2010

Mark2 23 posts

Topic: General Discussion / fiona walkers bg diary

Fiona - to me you don't seem to be taking enough Background insulin. You seem to be on very small doses at unequal times of the day.

Many people with type 1 seem to be on about 20 to 28 units of Background insulin a day (1 or two injections). Of course you may be different, but this certainly looks like the problem. Remember to adjust your doses gradually 2 units at a time.

Jul 13, 2010

novorapidboi26 1,818 posts

Topic: General Discussion / Diabetes.............

wow.............lots of jargon there................

Jul 13, 2010

Angie 3 posts

Topic: General Discussion / Diabetes.............

A disease isn't necessarily something you catch - it's defined in medical terms as "any deviation from or interruption of the normal structure or function of any body part, organ, or system that is manifested by a characteristic set of symptoms and signs and whose etiology, pathology, and prognosis may be known or unknown", which definitely fits diabetes.

I guess I've thought of it as both a disease and a condition somewhat interchangeably, though when I'm having one of those days it does get referred to as "that damn disease!" ;)

Jul 13, 2010

meltow 78 posts

Topic: General Discussion / Diabetes.............

Diabetes is a condition
A disease you catch [bacteria or virus], whereas a condition happens, and in the case of diabetes you can't necessarily put your finger on the reason why.

Jul 13, 2010

novorapidboi26 1,818 posts

Topic: General Discussion / Diabetes.............

I agree with you marke.............

For me a disease is an outside force entering the body having adverse effects....

A condition is more genetic, or at least comes from inside...... Alzheimers, cancer and so on.....

I thought I would start this thread as I have seen it written as disease many times and totally disagree...

Jul 13, 2010

marke 655 posts

Topic: General Discussion / Clikstar Pens

that doesn't make sense, from a chemist point of view. If they had them on their system then they should have a PIP code. All medicines have a PIP code, either by the manufacturer or 'internal' if its a 'repackaged'.
If the chemist orders it from a supplier they might not have the correct PIP code but the supplier should be able to look up the correct one...
( I work in the IT dept of a pharmaceutical company, so deal with this kind of thing). The PIP codes you give should be enough for any chemist to obtain them, presuming they are correct.

Jul 13, 2010

marke 655 posts

Topic: General Discussion / Diabetes.............

no sooner do I post than I think of heart 'disease' which is also referred to as a condition. Anyway I still go with condition myself....

Jul 15, 2010 novorapidboi26 1,818 posts	Topic: General Discussion / Adjusting Dosages Sorry about that, I didnt know what privelages each user class had, makes sense I suppose................ I however was given the basics of dafne a year before attending by my dietician, even then it made a big difference....... The course cements it all together.........

Jul 15, 2010 marke 655 posts	Topic: Questions ? / Night hypo and Morning BG I have also requested that its added to the Hypo section as well as its current location to ensure people like me don't miss it ! This is the benefit of having it online and having thousands of people reading it !

Jul 15, 2010 marke 655 posts	Topic: General Discussion / Adjusting Dosages all, sorry she can't read the DAFNE manual without going on the course and the hospital should NOT tell her to 'try the DAFNE way' without sending her on the course ! Caroline did they say they were going to put you on the waiting list for the course ? There is so much to take in and understand you really do need to attend the course. Everyone is welcome to advise and help you thats what the site is for, but ultimately you need the support of a DAFNE team and that means going on the course. Unfortunately 'users' do not get access to the DAFNE Online manual only 'graduates', this is to protect them as well as DAFNE Central.

Jul 15, 2010 novorapidboi26 1,818 posts	Topic: General Discussion / Adjusting Dosages Hey there, My advice is get on the course and in the meantime have a read at the DAFNE manual. As I am settled with the dafne principals I am struggling to make sense of your sugars as they are not displayed the way a dafne student would. For example corrections being shown as +1 or +2 onto your QA. Your QA insulin is lower than your carb intake, this might be because your writing the carbs down wrong, 1CP being ten grams of carbohydrate. (Nat and Karl noticed this too and explained) Recording the results in the easiest way possible is paramount in order to spot patterns and also to allow other to help you easily. Looking closely at the results you are using the principals correctly, which is brilliant. The first thing I would do is make sure your BI is right, your on one dose so that means Lantus more than likely. If you take you BI at bed with no food inside you or QA insulin and you wake up with the same reading as you went to bed with you can bet that its doing its job. If not then you need to up or down the dose a few units, because its lantus (I am assuming), you will have to wait a few days to see the effects, continue until you are held steady over night. Then you can start with your QA insulin, if the BI alterations didnt iron out your highs through the day then you can start with the lunchtime reading, is it high 3 consecutive days?, if so ratio needs to go up at breakfast, and this works vice versa, if low, ratio down. Eventually you will get it, then move onto the dinner, altering the lunchtime dose......... I feel as if I have just rabbled on the basics there so I apologise if you have heard it before...... Have a read at the manual as I say, but it may seem overwhelming if the theory is not explained to you... DAFNE asap...... Good Luck........

Jul 14, 2010 Karl 83 posts	Topic: General Discussion / Adjusting Dosages I would guess your CP are in grams? CP should be 1 / 10g I would say you need to up the dose at lunch as you are high at dinner most days Are you on a list to get on the course, there is lots to learn - I tried before i went on the course, didn't work that well but since the course (Jan '10) A1C is already down by 2

Jul 14, 2010 Nat 30 posts	Topic: General Discussion / Adjusting Dosages Hi, I am new to daphne too about 3 weeks in now. I have had diabetes type 1 for 19 years. When we started the course everybody started on the same ratio i.e. for every 10g of carbs you took 1 unit of insulin. When you start seeing a pattern then you can started to change things. Your carb portions look very high are you using the carb counter link to find out what your carbs are? If like on your wednesday reading you had 20 cps (carb portions) for breakfast really you should have taken 20 units of insulin - that is why I am wondering how you are counting your carbs as this is really high. Most cereals and bread would only be about 4 carb portions although some how you managed to keep well controlled until later on in the day.

Jul 14, 2010 Caroline 29 posts	Topic: General Discussion / Adjusting Dosages Hi wanted your opinion on dosages. I have been an insulin dependant diabetic for 15 years and have been using the old method. As my diabetes is unstable and has been affecting my work life balance my local hospital has advised e to try the dafne way to ontrol my diabetes. I have been using the dafne way for a number of weeks now. I have not been on a course so a bit unsure as to whether I am adjusting my dosages correctly. I am taking 3 units of insulin for 1 carb for breakfast, 2 units of insulin for 1 carb lunchtimes and 2.5 units of insulin for 1 carb at dinner. Does this seem responsible to take a different dosage for different meals? Your help in this matter would be greatly appreciated. Thanks

Jul 14, 2010 Nat 30 posts	Topic: Carbohydrate Counting / Ripness of bananas I, like novorapidboi26 was told there isn't much in it but I have problems whenever I eat bananas so might be a try it and see situation.

Jul 14, 2010 digth 16 posts	Topic: Questions ? / Night hypo and Morning BG I have clarified the detail in the handbook step wise approach (as posted by Karl) with the Chair of the DAFNE Educator Group. I can confirm that this informaiton IS CORRECT and is a DAFNE principle for dose adjustment.

Jul 14, 2010 novorapidboi26 1,818 posts	Topic: Carbohydrate Counting / Ripness of bananas I would think yes, but "negligible" amounts, nothing that would change your insulin........ Anyone else?

Jul 14, 2010 novorapidboi26 1,818 posts	Topic: Carbohydrate Counting / Monster Energy Drink Damn...........I need to try this jaigermeister stuff.........

Jul 14, 2010 marke 655 posts	Topic: Questions ? / Night hypo and Morning BG Karl, thanks for the link. I had never noticed this statement before on the diagram and it is NOT mentioned in the section on Hypo's. i have therefore raised it with DAFNE Central and they will come back to me ( and I will pass it on here) with a clarification on this subject. The handbook is due to be revised soon as it happens so its an ideal time to clarify this. If the statement is considered correct then it should be included in the Hypo section as well to ensure consistency and ensure that people ( like me) don't miss it. I will let you know as soon as I get feedback.

Jul 14, 2010 Mark2 23 posts	Topic: General Discussion / Leaking Novopen ?!?! I have had a problem with Novopens which seem to leak as well. I've thrown pens away in the past that seemed to have this problem. It never occurred to me that it was just the needle and the rubber on the insulin vial that caused this.

Jul 14, 2010 Ffi010 8 posts	Topic: Carbohydrate Counting / Ripness of bananas Hi, I was wondering if there was a difference in CPs between a slightly green banana, ripe and over ripe (slightly brown) banana? I have been told that there is more sugar in a bruised banana. Does that mean More CPs??

Jul 14, 2010 Ffi010 8 posts	Topic: Carbohydrate Counting / Monster Energy Drink This stuff is like Red Bull on speed!! Amazing! ha. I often have the low carb one on its own before a long day or before a lecture! I cant drink a whole can though as it makes me feel sick and shakey, due to the large amounts of caffeine and taurin. As there is only 2.4g CHO in 100ml (12g in the whole can) I dont inject at all. esp not as a jaiger bomb (also a fav of mine) as not only is there negligable carbs in it but also it is with alcohol. unless you do alot of bombs, say 4+ it wouldnt inject and would be caucious if you did inject. Hope this helps.

Jul 14, 2010 marke 655 posts	Topic: General Discussion / fiona walkers bg diary I'm with Mark2 it looks like your BI in the evening is not enough. Given your sensitivity to insulin I would only change it by 1 max (you probably don't have a pen that can do 0.5, but it might be worth looking for one if you are that sensitve). After the change give it a few days to fully see if it has had the desired effect. You may also need to do a 3am test ( sorry) to see how your BG changes over night, sometimes higher BG's in the morning is dawn phenomenom but not always. Probably the BI at night change will do the job, if you start lower you will probably tend to stay lower during the day and if you don't need to constantly correct it will be easier to see if your CP estimates are good or not so good. ( indian food is full of CP's, well it always seems that way to my body anyway ;-) )

Jul 13, 2010 Mark2 23 posts	Topic: General Discussion / fiona walkers bg diary Fiona - to me you don't seem to be taking enough Background insulin. You seem to be on very small doses at unequal times of the day. Many people with type 1 seem to be on about 20 to 28 units of Background insulin a day (1 or two injections). Of course you may be different, but this certainly looks like the problem. Remember to adjust your doses gradually 2 units at a time.

Jul 13, 2010 novorapidboi26 1,818 posts	Topic: General Discussion / Diabetes............. wow.............lots of jargon there................

Jul 13, 2010 Angie 3 posts	Topic: General Discussion / Diabetes............. A disease isn't necessarily something you catch - it's defined in medical terms as "any deviation from or interruption of the normal structure or function of any body part, organ, or system that is manifested by a characteristic set of symptoms and signs and whose etiology, pathology, and prognosis may be known or unknown", which definitely fits diabetes. I guess I've thought of it as both a disease and a condition somewhat interchangeably, though when I'm having one of those days it does get referred to as "that damn disease!" ;)

Jul 13, 2010 meltow 78 posts	Topic: General Discussion / Diabetes............. Diabetes is a condition A disease you catch [bacteria or virus], whereas a condition happens, and in the case of diabetes you can't necessarily put your finger on the reason why.

Jul 13, 2010 novorapidboi26 1,818 posts	Topic: General Discussion / Diabetes............. I agree with you marke............. For me a disease is an outside force entering the body having adverse effects.... A condition is more genetic, or at least comes from inside...... Alzheimers, cancer and so on..... I thought I would start this thread as I have seen it written as disease many times and totally disagree...

Jul 13, 2010 marke 655 posts	Topic: General Discussion / Clikstar Pens that doesn't make sense, from a chemist point of view. If they had them on their system then they should have a PIP code. All medicines have a PIP code, either by the manufacturer or 'internal' if its a 'repackaged'. If the chemist orders it from a supplier they might not have the correct PIP code but the supplier should be able to look up the correct one... ( I work in the IT dept of a pharmaceutical company, so deal with this kind of thing). The PIP codes you give should be enough for any chemist to obtain them, presuming they are correct.

Jul 13, 2010 marke 655 posts	Topic: General Discussion / Diabetes............. no sooner do I post than I think of heart 'disease' which is also referred to as a condition. Anyway I still go with condition myself....