Recent Posts - DAFNE Online

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 19 posts

Topic: Questions for HCPs / 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 1,819 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 1,819 posts

Topic: Carbohydrate Counting / Monster Energy Drink

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

Jul 14, 2010

marke 681 posts

Topic: Questions for HCPs / 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 681 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 1,819 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 1,819 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 681 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 681 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 13, 2010

marke 681 posts

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

for me a disease is an outside 'agent' that you 'catch'. As far as I understand Type 1 is caused by your own body attacking itself and so is a 'condition'. We won't go into causes as this is potential contentious and not completely clear cut. It could be triggered by a 'disease' and then again maybe not....

Jul 13, 2010

Jo Penn 24 posts

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

Mmm I think of it as a condition; but used to think of it as a disease....
A condition is something you can control; but a disease can be life-limiting.....

Jul 13, 2010

novorapidboi26 1,819 posts

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

Diesease or Condition...........

What do you refer to it as........?????????

Jul 13, 2010

NiVZ 82 posts

Topic: General Discussion / Clikstar Pens

Hello,

OK after many a telling off for using Lantus cartridges in a Humapen I've decided to do something about it. I previously used the Autopen but hate these as they are so plasticy, and two of them broke during injections!

So I've been trying to get hold of a Clikstar pen. My chemist has them on their system but they didn't have a PIP code. Called the doctors surgery and they couldn't find them on their system, even with the manufacturers PIP code. They have submitted a handwritten prescription so fingers crossed I'll get one.

If anyone else is interested in these here are the PIP codes I was given - hopefully your doctors surgery can find them using these:

Silver - 354 8559
Blue - 354 8542

NiVZ

Jul 13, 2010

novorapidboi26 1,819 posts

Topic: Questions for HCPs / Night hypo and Morning BG

In black and white, but obviously all other reasons for lows must be excluded and the possibility its just a fluke..

If it happens again you can be sure the BI needs tweaked......

Jul 13, 2010

Karl 83 posts

Topic: Questions for HCPs / Night hypo and Morning BG

http://www.dafneonline.co.uk/hbook_topics/36

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 19 posts	Topic: Questions for HCPs / 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 1,819 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 1,819 posts	Topic: Carbohydrate Counting / Monster Energy Drink Damn...........I need to try this jaigermeister stuff.........

Jul 14, 2010 marke 681 posts	Topic: Questions for HCPs / 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 681 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 1,819 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 1,819 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 681 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 681 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 13, 2010 marke 681 posts	Topic: General Discussion / Diabetes............. for me a disease is an outside 'agent' that you 'catch'. As far as I understand Type 1 is caused by your own body attacking itself and so is a 'condition'. We won't go into causes as this is potential contentious and not completely clear cut. It could be triggered by a 'disease' and then again maybe not....

Jul 13, 2010 Jo Penn 24 posts	Topic: General Discussion / Diabetes............. Mmm I think of it as a condition; but used to think of it as a disease.... A condition is something you can control; but a disease can be life-limiting.....

Jul 13, 2010 novorapidboi26 1,819 posts	Topic: General Discussion / Diabetes............. Diesease or Condition........... What do you refer to it as........?????????

Jul 13, 2010 NiVZ 82 posts	Topic: General Discussion / Clikstar Pens Hello, OK after many a telling off for using Lantus cartridges in a Humapen I've decided to do something about it. I previously used the Autopen but hate these as they are so plasticy, and two of them broke during injections! So I've been trying to get hold of a Clikstar pen. My chemist has them on their system but they didn't have a PIP code. Called the doctors surgery and they couldn't find them on their system, even with the manufacturers PIP code. They have submitted a handwritten prescription so fingers crossed I'll get one. If anyone else is interested in these here are the PIP codes I was given - hopefully your doctors surgery can find them using these: Silver - 354 8559 Blue - 354 8542 NiVZ

Jul 13, 2010 novorapidboi26 1,819 posts	Topic: Questions for HCPs / Night hypo and Morning BG In black and white, but obviously all other reasons for lows must be excluded and the possibility its just a fluke.. If it happens again you can be sure the BI needs tweaked......

Jul 13, 2010 Karl 83 posts	Topic: Questions for HCPs / Night hypo and Morning BG http://www.dafneonline.co.uk/hbook_topics/36