Recent Posts - DAFNE Online

Jun 29, 2010

cupcake 3 posts

Topic: General Discussion / I want an insulin pump

I have been Diabetic for 7 years and finished DAFNE course 2 months ago. I am getting a pump next week and am very apprehensive about it. I have had no hypo awarness now for 18 months despite efforts to get these symptoms back. I have about 3 hypos a day at various times and many result in hospital treatment and fits. I would love to manage with my pen alone and the thought of excercise would be a dream but just not possible at the moment. However on my dafne course the consultant said that anybody who met the NICE criteria could request a pump and would be given one. I know two graduates who were on my course for that reason alone, even with relativly stable BG's. Good luck , hope you get what you want.

Jun 29, 2010

cupcake 3 posts

Topic: General Discussion / Corrections

If you are unsure you could do a 3am BG test for a couple of nights then you will know if it is the CP or correction or not if it rises after about 4.30am
It might help you to identify cause

Jun 28, 2010

Nat 30 posts

Topic: General Discussion / Target range?

Hi Jo - I was feeling exactly the same until Saturday morning woke up in range spent the whole day in range even went to the pub and out for dinner. Sunday came and when I went to bed I was 19.1 (where did that come from). I corrected and woke up this morning back in range but just cannot explain it. Are you taking your background at the right times i.e. early enough before the previous dose runs out? Perhaps you could try eating a certain set diet for a day or two and then introduce other foods to see if it changes at all!

Jun 28, 2010

novorapidboi26 1,819 posts

Topic: General Discussion / Target range?

If your sugars stay steady overnight, without any carbs, then your background is right, assuming its lantus and sometimes levemir...

The next step is purely look for a pattern in your sugars. I have been doing it for a year and I am out of target everyday. But my haemaglobin is down.

Try not to get to addicted to getting it perfect....

Post a few days up here by putting it in the diary that you can access on the right hand side, and we can all comment...........

Jun 28, 2010

Jo Penn 24 posts

Topic: General Discussion / Target range?

Well - DAFNE going well, and seem to be maintaining the status quo with my background. However I am still not in DAFNE target... any tips/ideas?

Jo

Jun 26, 2010

novorapidboi26 1,819 posts

Topic: General Discussion / Corrections

My question is, when you have 1 CP at bed, what is your reading in the morning, it cant be that high unless you suffer from the dawn phenomonon, as I do. If you are in double figures in the morning it wont be the 10 gram of carbohydrate for sure. And if it is dawn phenomonon, you cant really do anything.

And if following the DAFNE principles you dont take for 10 grams.....................

If you are hypoing during the night, you must be correcting to much, unless its a background dose issue, but you would be experiencing lows all the time if that was the case.

If it was me before bed, I wouldnt take cp for a blood reading of 5 as my background is correct. Even though the target is around the 7 mark.

I recommend publishing you results for one of the nights in question, could get a better idea and maybe get some feedback from a HCP....

Jun 26, 2010

novorapidboi26 1,819 posts

Topic: Carbohydrate Counting / Risotto "what CP Rating is it?

I think rice, fried or boiled is pretty much the same per 100g cooked, and therefore rissoto is the same..................

If anyone get the exact carbs add it in the carb section here................

Jun 26, 2010

novorapidboi26 1,819 posts

Topic: Carbohydrate Counting / taka way

I agree, its basically a tub of rice, with prawns mixed in.....................

The rice portion is in the dafne carb book...................

good choice of take away, scrumptious...............

Jun 26, 2010

Nat 30 posts

Topic: Carbohydrate Counting / Risotto "what CP Rating is it?

Personally I wouldn't count it as steamed as it is cooked in stock like boiled rice and steamed is as it says cooked in the steam only. Let me know how you get on as I too like risotto and have only completed the course a few days ago.

Jun 26, 2010

Nat 30 posts

Topic: General Discussion / New to DAFNE

Jo

Chinese went extremely well and actually had the best morning BG test yet. The Levemir seems to be working well too and actually may not have to need my new 1.5:1 ratio after all but will need to check tomorrow.

It is lovely to be out of that room (it was so hot without any windows or air) and the dog has enjoyed being back to his normal walks. Have you made any adjustments since you got home?

Jun 26, 2010

Jo Penn 24 posts

Topic: General Discussion / New to DAFNE

Hi there Nat x

I thought it was great, and am feeling very positive... how was the takeaway??

Nice to back to normality; missed my dog immensely and we have already had our first walk.. x

Jun 26, 2010

Possum 7 posts

Topic: Carbohydrate Counting / Risotto "what CP Rating is it?

Can someone advise me please if they have tried risotto (entre size restaurant meal) and what CP rating it is? Do I treat it as steamed rice?

Jun 25, 2010

Nat 30 posts

Topic: Carbohydrate Counting / taka way

Hi, you probably have already eaten your takeaway and figured out the carbs but I generally think that one tray is rougly 300g give or take a few grains! Hope your meal was worth all the counting?

Jun 25, 2010

Nat 30 posts

Topic: General Discussion / New to DAFNE

Hi Jo

Wasn't the course fantastic? I feel the same as you shattered with information overload but ready to tackle the future in a completely new light.

Tackling a takeaway tonight (wish me luck). I will let you know the outcome soon.

Hope you got home safely.

Natalie

Jun 25, 2010

Jo Penn 24 posts

Topic: General Discussion / New to DAFNE

Wow just finished DAFNE at Cambridge, and it has been the hardest, most enjoyable yet life enhancing week of my life to date.. but OMG I feel so confident and like I said in my evaluation:
They have helped me save myself from high set doses and overinsulisation (sp)

My name is Jo and I have had the condition for 8 years, and now am realising that I am normal and my experiences of highs and lows and unpredictable sugars seem the trend.

25 years old last December and today (despite being mentally fatigued) feel younger than that..

I am glad I took the plunge, and hope that this site can help me get to my personal goal of HbA1c of 7%

Thanks DAFNE

Jun 25, 2010

meltow 78 posts

Topic: General Discussion / Corrections

Before bed, if my BG is 8 or above I will use a correction dose. I reckon on 1 unit bringing me down about 3.
Similarly, if my BG is 5 or below I will have 1 CP before bed - usually a hand full or two of sultanas.
I very rarely suffer from hypos, and if I do they tend to happen in the night, and this is likely due to agressive exercising during the day, rather than over or under compensating before bed.

HTH!

Jun 25, 2010

EmmaAngelone 1 post

Topic: General Discussion / Corrections

Hello everyone,

Just wondering if we should be correcting at bed time if out of target with insulin or food? or have i got this wrong
I find that if i am 5 at bed time and have one CP my BG will elevate beyond target. Also if i correct for high BG with insulin pre bed i often hypo during the night.

any suggestions would be great

thanks

Jun 25, 2010

novorapidboi26 1,819 posts

Topic: DAFNE Online Mobile / loving the mobile site......

Tried to come here on my mobile a few months back and it wasn't the easiest experience.....

But I have all good comments to give Now......its so good.....all set up nicely for mobile devices....I am on my blackberry now....

There is no excuses now ppl........get into the forums....

Jun 25, 2010

novorapidboi26 1,819 posts

Topic: Carbohydrate Counting / Pizza

its hard one, I would stick with the background increasing ,or try splitting it.

Not everyone is keen but the time it lasts differs from everyone.

Splitting ensures you are covered all 24 hours of the day.

Another option is to inject when you are eating. sugars are going to rise anyway, and it means you can correct before bed as your QA will be running out.

Jun 25, 2010

Alan 49 284 posts

Topic: General Discussion / Insulin Pens

I have been using a HumaPen Memoir for a couple of years and can recommend them wholeheartedly. At my age 'senior moments' occur several times a day, but the Memoir solves those as far as injections are concerned - it shows the date, time and units of previous injections. Of course it also records the 'priming' of the pen before the actual injection, but you get used to ignoring these if you are scrolling back - they are always within a minute of the real injection. If you are eating out, there's no need to take your diary with you, because you can check the units injected when you get home. A good product.

The only downside to them is that when the battery goes, there's no dial (and no display, obviously), but there are still audible clicks as you dial up the dose. There are no facilities to insert a new battery - it means getting a replacement pen.

Jun 25, 2010

kid127 25 posts

Topic: Carbohydrate Counting / Pizza

I love eating pizza but always have blood sugar problems afterwards so I decided to try Deborahs example and inject an hour later.
Last night I ate a shop bought pizza (14CPs) and waited an hour before injecting but my sugar levels kept rising through the night.
Does anybody else have this and has anyone else found a technique I can try??
I have tried having an extra unit of background before I eat the pizza but I still rise through the night.
Takeaway or restaurant pizzas are always a gamble so shop bought gives a reliable CP reading to work from
If anyone is wondering about my insulin doses being low i'm still honeymooning i think. Although why it is called honeymooning baffles me, my experiences with it suggest it should be called long and painful divorce instead.....

Jun 25, 2010

novorapidboi26 1,819 posts

Topic: General Discussion / I want an insulin pump

I am one of thise posts who was slightly negative towards pumps, or not the actual pumps but the motivation behind them.

I have not heard any stories yet on here that to me warrant the use of a pump.

Wanting one purely to make life easier is not an option I beleive, eveyone else has to test and inject and if that is hard for some people, thats unfortunate, but they will get used to it.

I am all for pumps if control is difficult, not purely so you dont need to jag up infront of friends and family etc.

And rememeber, money makes the world go round, pumps must surely be more expensive to maintain and to make the insulin delivery cartridges.

The cost to the NHS is also very relevant, do you know ho many people are diabetic in the UK. (and world)

If you have one enjoy it..........................

Jun 25, 2010

meltow 78 posts

Topic: General Discussion / Insulin Pens

If its any reassurance to you, Kestle, I think lots of us can forget on the odd occasion, if we have actually injected. I follow the same routine at every meal, injecting 5 minutes before serving. So, occasionally I put the food in front of me and think "did I inject, or didn't I". No, I'm not suffering from senior moments either!
I tend not to risk giving myself a double dose, but just take a BG count in a couple of hours and see what is happening. Then use a correction dose if needed. It works for me : )


Jun 29, 2010 cupcake 3 posts	Topic: General Discussion / I want an insulin pump I have been Diabetic for 7 years and finished DAFNE course 2 months ago. I am getting a pump next week and am very apprehensive about it. I have had no hypo awarness now for 18 months despite efforts to get these symptoms back. I have about 3 hypos a day at various times and many result in hospital treatment and fits. I would love to manage with my pen alone and the thought of excercise would be a dream but just not possible at the moment. However on my dafne course the consultant said that anybody who met the NICE criteria could request a pump and would be given one. I know two graduates who were on my course for that reason alone, even with relativly stable BG's. Good luck , hope you get what you want.

Jun 29, 2010 cupcake 3 posts	Topic: General Discussion / Corrections If you are unsure you could do a 3am BG test for a couple of nights then you will know if it is the CP or correction or not if it rises after about 4.30am It might help you to identify cause

Jun 28, 2010 Nat 30 posts	Topic: General Discussion / Target range? Hi Jo - I was feeling exactly the same until Saturday morning woke up in range spent the whole day in range even went to the pub and out for dinner. Sunday came and when I went to bed I was 19.1 (where did that come from). I corrected and woke up this morning back in range but just cannot explain it. Are you taking your background at the right times i.e. early enough before the previous dose runs out? Perhaps you could try eating a certain set diet for a day or two and then introduce other foods to see if it changes at all!

Jun 28, 2010 novorapidboi26 1,819 posts	Topic: General Discussion / Target range? If your sugars stay steady overnight, without any carbs, then your background is right, assuming its lantus and sometimes levemir... The next step is purely look for a pattern in your sugars. I have been doing it for a year and I am out of target everyday. But my haemaglobin is down. Try not to get to addicted to getting it perfect.... Post a few days up here by putting it in the diary that you can access on the right hand side, and we can all comment...........

Jun 28, 2010 Jo Penn 24 posts	Topic: General Discussion / Target range? Well - DAFNE going well, and seem to be maintaining the status quo with my background. However I am still not in DAFNE target... any tips/ideas? Jo

Jun 26, 2010 novorapidboi26 1,819 posts	Topic: General Discussion / Corrections My question is, when you have 1 CP at bed, what is your reading in the morning, it cant be that high unless you suffer from the dawn phenomonon, as I do. If you are in double figures in the morning it wont be the 10 gram of carbohydrate for sure. And if it is dawn phenomonon, you cant really do anything. And if following the DAFNE principles you dont take for 10 grams..................... If you are hypoing during the night, you must be correcting to much, unless its a background dose issue, but you would be experiencing lows all the time if that was the case. If it was me before bed, I wouldnt take cp for a blood reading of 5 as my background is correct. Even though the target is around the 7 mark. I recommend publishing you results for one of the nights in question, could get a better idea and maybe get some feedback from a HCP....

Jun 26, 2010 novorapidboi26 1,819 posts	Topic: Carbohydrate Counting / Risotto "what CP Rating is it? I think rice, fried or boiled is pretty much the same per 100g cooked, and therefore rissoto is the same.................. If anyone get the exact carbs add it in the carb section here................

Jun 26, 2010 novorapidboi26 1,819 posts	Topic: Carbohydrate Counting / taka way I agree, its basically a tub of rice, with prawns mixed in..................... The rice portion is in the dafne carb book................... good choice of take away, scrumptious...............

Jun 26, 2010 Nat 30 posts	Topic: Carbohydrate Counting / Risotto "what CP Rating is it? Personally I wouldn't count it as steamed as it is cooked in stock like boiled rice and steamed is as it says cooked in the steam only. Let me know how you get on as I too like risotto and have only completed the course a few days ago.

Jun 26, 2010 Nat 30 posts	Topic: General Discussion / New to DAFNE Jo Chinese went extremely well and actually had the best morning BG test yet. The Levemir seems to be working well too and actually may not have to need my new 1.5:1 ratio after all but will need to check tomorrow. It is lovely to be out of that room (it was so hot without any windows or air) and the dog has enjoyed being back to his normal walks. Have you made any adjustments since you got home?

Jun 26, 2010 Jo Penn 24 posts	Topic: General Discussion / New to DAFNE Hi there Nat x I thought it was great, and am feeling very positive... how was the takeaway?? Nice to back to normality; missed my dog immensely and we have already had our first walk.. x

Jun 26, 2010 Possum 7 posts	Topic: Carbohydrate Counting / Risotto "what CP Rating is it? Can someone advise me please if they have tried risotto (entre size restaurant meal) and what CP rating it is? Do I treat it as steamed rice?

Jun 25, 2010 Nat 30 posts	Topic: Carbohydrate Counting / taka way Hi, you probably have already eaten your takeaway and figured out the carbs but I generally think that one tray is rougly 300g give or take a few grains! Hope your meal was worth all the counting?

Jun 25, 2010 Nat 30 posts	Topic: General Discussion / New to DAFNE Hi Jo Wasn't the course fantastic? I feel the same as you shattered with information overload but ready to tackle the future in a completely new light. Tackling a takeaway tonight (wish me luck). I will let you know the outcome soon. Hope you got home safely. Natalie

Jun 25, 2010 Jo Penn 24 posts	Topic: General Discussion / New to DAFNE Wow just finished DAFNE at Cambridge, and it has been the hardest, most enjoyable yet life enhancing week of my life to date.. but OMG I feel so confident and like I said in my evaluation: They have helped me save myself from high set doses and overinsulisation (sp) My name is Jo and I have had the condition for 8 years, and now am realising that I am normal and my experiences of highs and lows and unpredictable sugars seem the trend. 25 years old last December and today (despite being mentally fatigued) feel younger than that.. I am glad I took the plunge, and hope that this site can help me get to my personal goal of HbA1c of 7% Thanks DAFNE

Jun 25, 2010 meltow 78 posts	Topic: General Discussion / Corrections Before bed, if my BG is 8 or above I will use a correction dose. I reckon on 1 unit bringing me down about 3. Similarly, if my BG is 5 or below I will have 1 CP before bed - usually a hand full or two of sultanas. I very rarely suffer from hypos, and if I do they tend to happen in the night, and this is likely due to agressive exercising during the day, rather than over or under compensating before bed. HTH!

Jun 25, 2010 EmmaAngelone 1 post	Topic: General Discussion / Corrections Hello everyone, Just wondering if we should be correcting at bed time if out of target with insulin or food? or have i got this wrong I find that if i am 5 at bed time and have one CP my BG will elevate beyond target. Also if i correct for high BG with insulin pre bed i often hypo during the night. any suggestions would be great thanks

Jun 25, 2010 novorapidboi26 1,819 posts	Topic: DAFNE Online Mobile / loving the mobile site...... Tried to come here on my mobile a few months back and it wasn't the easiest experience..... But I have all good comments to give Now......its so good.....all set up nicely for mobile devices....I am on my blackberry now.... There is no excuses now ppl........get into the forums....

Jun 25, 2010 novorapidboi26 1,819 posts	Topic: Carbohydrate Counting / Pizza its hard one, I would stick with the background increasing ,or try splitting it. Not everyone is keen but the time it lasts differs from everyone. Splitting ensures you are covered all 24 hours of the day. Another option is to inject when you are eating. sugars are going to rise anyway, and it means you can correct before bed as your QA will be running out.

Jun 25, 2010 Alan 49 284 posts	Topic: General Discussion / Insulin Pens I have been using a HumaPen Memoir for a couple of years and can recommend them wholeheartedly. At my age 'senior moments' occur several times a day, but the Memoir solves those as far as injections are concerned - it shows the date, time and units of previous injections. Of course it also records the 'priming' of the pen before the actual injection, but you get used to ignoring these if you are scrolling back - they are always within a minute of the real injection. If you are eating out, there's no need to take your diary with you, because you can check the units injected when you get home. A good product. The only downside to them is that when the battery goes, there's no dial (and no display, obviously), but there are still audible clicks as you dial up the dose. There are no facilities to insert a new battery - it means getting a replacement pen.

Jun 25, 2010 kid127 25 posts	Topic: Carbohydrate Counting / Pizza I love eating pizza but always have blood sugar problems afterwards so I decided to try Deborahs example and inject an hour later. Last night I ate a shop bought pizza (14CPs) and waited an hour before injecting but my sugar levels kept rising through the night. Does anybody else have this and has anyone else found a technique I can try?? I have tried having an extra unit of background before I eat the pizza but I still rise through the night. Takeaway or restaurant pizzas are always a gamble so shop bought gives a reliable CP reading to work from If anyone is wondering about my insulin doses being low i'm still honeymooning i think. Although why it is called honeymooning baffles me, my experiences with it suggest it should be called long and painful divorce instead.....

Jun 25, 2010 novorapidboi26 1,819 posts	Topic: General Discussion / I want an insulin pump I am one of thise posts who was slightly negative towards pumps, or not the actual pumps but the motivation behind them. I have not heard any stories yet on here that to me warrant the use of a pump. Wanting one purely to make life easier is not an option I beleive, eveyone else has to test and inject and if that is hard for some people, thats unfortunate, but they will get used to it. I am all for pumps if control is difficult, not purely so you dont need to jag up infront of friends and family etc. And rememeber, money makes the world go round, pumps must surely be more expensive to maintain and to make the insulin delivery cartridges. The cost to the NHS is also very relevant, do you know ho many people are diabetic in the UK. (and world) If you have one enjoy it..........................

Jun 25, 2010 meltow 78 posts	Topic: General Discussion / Insulin Pens If its any reassurance to you, Kestle, I think lots of us can forget on the odd occasion, if we have actually injected. I follow the same routine at every meal, injecting 5 minutes before serving. So, occasionally I put the food in front of me and think "did I inject, or didn't I". No, I'm not suffering from senior moments either! I tend not to risk giving myself a double dose, but just take a BG count in a couple of hours and see what is happening. Then use a correction dose if needed. It works for me : )