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Jul 1, 2010
novorapidboi26 1,819 posts

Topic: General Discussion / fiona walkers bg diary

Hey fiona........

My first thoughts are jesus, you are on hardly any insulin, are you just recently diagnosed.

Secondly, It seems that your ratios are fine, assuming 1+1 actually means 1:1.

In the morning however you dont seem to be correcting enough.

On the sunday you were 18.9, so to get down to the magic 5.5, you need to come down 13.4 mmol/l, so if 1 unit brings you down between 2-3 mmol/l then you will need 5 units correction, instead of 3.

Likely more as your BG was quite high and the 2-3 rule usually doesnt apply.

You seem to be doing this every morning, I think if you get that correction right you will be on target the rest of the day.

On the drink side, I myself drink buckfast, by the bottle (75cl). I contacted Buckfast to find out how much sugar was in it, they got back and said 90g of grape sugar per 75cl bottle.

So when I have buckfast, usually after my dinner insulin has peaked, I inject for the wine (12 with my ratio of 1.5:1 at that time).

So I would reccomend injecting 4 units if your having a half flask, if drinking before the peak of dinner insulin, add it on to your dinner dose, if after, just inject before you start.

As I am no HCP and have a different physiology from you, make sure you have some hypo relief at hand later on, incase the alcohol and insulin bring your sugars down fast.

I look forward to hearing your results.

 
Jul 1, 2010
novorapidboi26 1,819 posts

Topic: General Discussion / DAFNE and Employers

Most employers seem ok with it.......

Fortunately I was unemployed at the time....
 
Jun 30, 2010
fionawalker3 1 post

Topic: General Discussion / fiona walkers bg diary

bg diary
 
Jun 30, 2010
Nat 30 posts

Topic: General Discussion / DAFNE and Employers

I completed my course last week. I just handed in the letter which my course administrator sent me and they never mentioned anything. I explained that I was attending not only for my own health but to minimise the need for more hospital trips etc and left it up to them to decide whether they wanted to support me or not and it was all fine!
 
Jun 30, 2010
novorapidboi26 1,819 posts

Topic: General Discussion / I want an insulin pump

I mean no offence......all I m saying is everyone can't have one just because they can't be arsed injecting.....patterns can be spotted on paper......dafne educators would agree I say......only if u can control the condition after trying everythin is it suitable........
 
Jun 30, 2010
Katy B 8 posts

Topic: General Discussion / I want an insulin pump

Are you more worried about the cost to the NHS or the cost of your health? your own health is priceless and you should want the best care possible! You do not need to carry around canulars and resovoirs unless you were going on holiday or something. All you need day to day is your pump and testing kit. Sleeping with it doesnt bother me, I leave it loose and it follows me around the bed. Its not even an issue!

* Pumpers report better quality of life compared to using other devices for administering insulin. The improvement in QOL is reported in type 1 and insulin-requiring type 2 diabetes subjects on pumps.

*The use of rapid-acting insulin for basal needs offers relative freedom from a structured meal and exercise regimen previously needed to control blood sugar with slow-acting insulin. The alternative basal insulins, such as the long lasting insulins injected once a day, often release their insulin at a very unpredictable rate.
Many pumpers feel that bolusing insulin from a pump is more convenient and discreet than injection.

*Insulin pumps make it possible to deliver more precise amounts of insulin than can be injected using a syringe. This supports tighter control over blood sugar and Hemoglobin A1c levels, reducing the chance of long-term complications associated with diabetes. This is predicted to result in a long-term cost savings relative to multiple daily injections.

*Many modern "smart" pumps have a "bolus wizard" that calculates how much bolus insulin you need taking into account your expected carbohydrate intake, blood sugar level, and still-active insulin.

*Insulin pumps can provide an accurate record of insulin usage through their history menus. On many insulin pumps, this history can be uploaded to a computer and graphed for trend analysis.

*Neuropathy is a troublesome complication of diabetes resistant to usual treatment. There are reports of alleviation or even total disappearance of resistant neuropathic pain with the use of insulin pumps.

*Recent studies of use of insulin pumps in Type 2 diabetes have shown profound improvements in HbA1c, sexual performance, and neuropathy pain.

If you did some research or were allowed to try one over a week Novorapidboi26 you would relise they do more than just deliver insulin, You can have a standard bolus, extended bolus, combination bolus and a superbolus. You can increase and reduce the basal rate hourly (Novorapidboi26 this would help you and your dawn phenomenon), You can have a tempory basal rate for exercise, illness, stress etc. I not wasting my time arguing with you, and im not here to make anyone even want one. Im here to make it clear to anyone that DOES want one that they are infact a brilliant step forward and not a negative, scary or in anyway difficult to live with. Maybe if you tried one you would realise, but you just keep worrying about the NHS why dont you....
 
Jun 30, 2010
Tony.P 16 posts

Topic: General Discussion / I want an insulin pump

the amount of insulin used is very well controlled on a pump it has to be said, you don't have to round up or down on your carb's and it does take into account your active inuslin although I found that a bit of a pain at night if I was a bit high it would not give suggested dose so I had to override it, but that is a minor issue. I liked the fact that whilst out and a bout I could just dial up the amount of insulin i needed push button and away you go, very discrete but I also found the canulars would irritate me at times and I did not like inserting them every 2 or three days the little needles in the pens are in my oppinion less uncomfortable.
 
Jun 30, 2010
novorapidboi26 1,819 posts

Topic: Carbohydrate Counting / Vegetables

Exactly right.......they are absorbed too slowly for any quick acting insulin to deal with....

Background should deal with it.....

On some occasions if I have had baked beans or sweetcorn I have taken one unit....
 
Jun 30, 2010
novorapidboi26 1,819 posts

Topic: General Discussion / I want an insulin pump

The downsides of the pump described in the last post surely outweigh the positives......the only positive I an see is the ability to deliver over a longer gradual period......
 
Jun 30, 2010
Emma OToole 4 posts

Topic: General Discussion / chocoholic!!!!!!!!!!!!!!!!!

but isn't that the tagline for DAFNE "Eat what you like, like what you eat"?....In moderation of course Smile
 
Jun 30, 2010
novorapidboi26 1,819 posts

Topic: Carbohydrate Counting / Picnics (grr)

Thats an interesting twist on corrections norman, one that I might try tonight if I am high...........

I usually work out my correction, according to the 1 unit - 3mmol/l rule then add 1 unit on to that if I am 13 or above.

Jo, I think your CARB math is good, just the correction when ure running that bit higher........give it a try
 
Jun 30, 2010
Tony.P 16 posts

Topic: General Discussion / I want an insulin pump

Having had a pump and had to give it back I can relate to this subject, they are very convinent and my levels have gone up since comming off it, but I think the DAFNE course is the key NOT the pump. I have to say there are some down sides to the pump, sleeping with it certanly is not great, they are expensive to the
NHS not that that should be an issue if you really need one.
there is a lot of stuff you need to carry around with you too, canulars, resovoirs,insulin (obviously), Batteries.
So do some research, would I go back on? not sure at the moment.
 
Jun 30, 2010
Tony.P 16 posts

Topic: General Discussion / chocoholic!!!!!!!!!!!!!!!!!

glad it's not just me! love Chocolate and cakes for that matter much to my wife's dissmay...."you should not be eating that!"
 
Jun 30, 2010
Tony.P 16 posts

Topic: General Discussion / How good is dafne

I did DAFNE/pump pilot course in January, have since had to give the pump back as it was part of the trial. I was 8.7 down to 8.5 so not a big drop. I am still going with the DAFNE as my levels have jumped up since coming off the pump so am trying to get them back down, I recomend the course it really does help.
 
Jun 30, 2010
Rachie Wilson 9 posts

Topic: General Discussion / DAFNE and Employers

I did my course back in January and I had the full week off with pay. I did come in after we had finished each days to bits and bobs but work have been great about it all and all the follow meetings as well.
 
Jun 30, 2010
Tony.P 16 posts

Topic: General Discussion / DAFNE and Employers

My boss said I could take a week off as paid sick leave, mind you I take less sick leave than everybody else anyway! I do take the odd days leave for eye clincs ect though, don't like to take advantage.
 
Jun 29, 2010
Simon 578 posts

Topic: Carbohydrate Counting / Picnics (grr)

Hi Jo, from reading other threads on the forums (and my own experiences) it seems that if your BG is above 10mmol/l then the normal DAFNE Rules of 1 unit of QA to drop it down by 2-3 mmol/l doesn't apply - you need a bit more insulin. I'd say try giving 1 extra unit, and add as necessary and see how you go.
 
Jun 29, 2010
Nat 30 posts

Topic: Carbohydrate Counting / Picnics (grr)

What a great boyfriend doing that for you. I think you were right with your CP counting but I would have given +3 units as +2 would only drop you by about 6 and you really needed to be down to about 5.5 ideally. Perhaps try correcting slightly more.

 
Jun 29, 2010
Jo Penn 24 posts

Topic: Carbohydrate Counting / Vegetables

My understanding is that DAFNE does not count Veggies because they are absorbed differently than startchy foods...
Q for the HCPs I thinks
 
Jun 29, 2010
EMS 15 posts

Topic: Carbohydrate Counting / Vegetables

Hi there,
just wondering why there are no vegetables in the carb counter list, as far as i know, peas and carrots for example have plenty of carbs.
Thanks
Elli
 
Jun 29, 2010
Jo Penn 24 posts

Topic: Carbohydrate Counting / Picnics (grr)

Blimey, my lovely boyfriend made me a lovely picnic and had 2 1/2 sandwiches and crisps and calculated to 9.5CP then 15CP (+2 Correction as was at 14.9mmol) but after that and a late meal was 16.1 before dinner...

I am sure I calculated correctly... 5 slices bread (med) 7 1/2 CP and the crisps on a 1:1/2 ratio

Any tips for next time?

Thanks
 
Jun 29, 2010
novorapidboi26 1,819 posts

Topic: General Discussion / I want an insulin pump

Now thats the kinda control where a pump would benefit in order to regulate delivery over longer periods.................

Its strange that though.....

I have one or two a week, and thats me got good control now........

I would love to learn about why people like yourself cupcake have so many hypos..................

Do you know why it is????

What units of insulin are you on??