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May 28, 2010
kid127 25 posts

Topic: Questions for HCPs / Help with doses and ratios

Hi,

Can anyone offer any advice on my sugar levels at the moment? My levels seem to be rising

BG Averages
Last 7 days: 8.4 (38 entries)
Last 14 days: 8.0 (52 entries)
Last 30 days: 7.0 (131 entries)

even though i eat similar meals at similar times and have now moved my injection sites my sugar levels seem to have a mind of their own. What works as a ratio one day doesnt the next.

I was going high during the night so i increased my background by a unit but last night it sent me low. I seem to be constantly chasing my tail even though a few months ago everything was perfectly fine, i even managed to get my hba1c down to 6.5.

I use novorapid and lantus, which i inject at 1pm every day

I read a post where people said that their lantus wasn't working for 24 hours so they split the dose, do you think i should try this? The problem i have is that my problems are over night when the lantus is theoretically at its strongest so i'm not sure this would help.

I have an appointment with consultant bit earliest I could get is 5 weeks time, i dont want to spend every night in the next 5 weeks correcting my doses.

Any advice anyone can offer would be appreciated.

Thanks,

Lee
 
May 28, 2010
kid127 25 posts

Topic: General Discussion / Help or advice...please?

Hi,

Can anyone offer any advice on my sugar levels at the moment? My levels seem to be rising

BG Averages
Last 7 days: 8.4 (38 entries)
Last 14 days: 8.0 (52 entries)
Last 30 days: 7.0 (131 entries)

even though i eat similar meals at similar times and have now moved my injection sites my sugar levels seem to have a mind of their own. What works as a ratio one day doesnt the next.

I was going high during the night so i increased my background by a unit but last night it sent me low. I seem to be constantly chasing my tail even though a few months ago everything was perfectly fine, i even managed to get my hba1c down to 6.5.

I use novorapid and lantus, which i inject at 1pm every day

I read a post where people said that their lantus wasn't working for 24 hours so they split the dose, do you think i should try this? The problem i have is that my problems are over night when the lantus is theoretically at its strongest so i'm not sure this would help.

I have an appointment with consultant bit earliest I could get is 5 weeks time, i dont want to spend every night in the next 5 weeks correcting my doses.

Any advice anyone can offer would be appreciated.

Thanks,

Lee
 
May 27, 2010
Steven 18 posts

Topic: Site Development / Online BG Diaries

Please implement both Simon as I'm not sure the auto calc method would work for all of my injections, for reasons I won't bother to try and explain! :-)

Thanks
Steven
 
May 27, 2010
wasted 2 posts

Topic: General Discussion / Lantus Lasting 24 hours?

I take 1 shot of Lantus 32 units every 24 hours, and i take this around 22.00 everyday. Ive never had problems with it running out during the 24 hours, but saying that iam probably taking alot more than some of you guys are, or maybe not? this seems to work fine for me.

paul
 
May 27, 2010
wasted 2 posts

Topic: General Discussion / "Balance" letter about injecting in public

This is completely disgusting the 1st post that is. it rely makes me cross when people say to me, can you please not do that infront of me because i dont like injections/needles. now im not a rude person, but for me, i didnt choose to be diabetic or ask to have to take injections 2-6 times a day, but i dont let that ruin my day to day life. the nurse mentioned should be ashamed of themself.

but if i were someone who needed to take a tablet form of medication in a restaurant of take an inhaler for something thats fine not a single person would say a thing. i think its absolutley shameful for anyone to say something like that. when i need to take a shot out i try and do it in my stomach or arm, and do it so people cant see what iam doing, to avoid this kinda of scene.

frankley it sickens me to hear and read about these kind of things.
 
May 27, 2010
Simon 578 posts

Topic: Site Development / Online BG Diaries

Ok I'll look at how I might implement an auto calc option, would anyone rather have the current method than an auto calc one? (If so I'll implement both).

Simon
 
May 27, 2010
Simon 578 posts

Topic: Site Development / Entry type

Hi Lee,

I've added the correctional dose type for you. Your other request will take a bit of time, I'll put it in my to-do list, however I'm splitting my time between my day job, creating DAFNE Online for the iPhone and and maintaining the site. I will work on this for you too and let you know when it's done!

Cheers,

Simon
 
May 27, 2010
Lynne Greenh... 3 posts

Topic: Questions for HCPs / Pre-pregnancy preparations

Hi Kvirdi, The key things our antenatal diabetes team stress to women planning pregnancy is to: continue using reliable contraception until your Hba1c is as good as possible (6-7 %). A higher dose of folic acid than normal is recommended of 5 mg/day. We ask mums to test their blood glucose more frequently aiming for blood glucose to be less than 6 mmols/l before meals and no more than 7.8 mmols/l 1 hour after meals and before bed. It is best to discuss with your diabetes specialist in Hong Kong what targets they aim for in pregnancy there as it may differ from what we do in the UK
 
May 27, 2010
marke 686 posts

Topic: General Discussion / Ratios tryed them all

wise words wombat75, pretty much what I was trying to say ( but badly in my case).
 
May 27, 2010
kvirdi 2 posts

Topic: Questions for HCPs / Pre-pregnancy preparations

Following my recent marriage my husband and I are starting to think about having a family. I have spoken to my GP about this (in Hong Kong where I am currently living) but would value tips on readiness preparations e.g. advised HbA1c levels (my latest test result is 7.1), folic acid intake (do diabetic women need to take more) etc

I have booked a full assessment with a diabetic specialist here in HK but would value thoughts from a DAFNE perspective.

Many thanks
 
May 27, 2010
kvirdi 2 posts

Topic: Questions for HCPs / Pre-pregnancy preparations

Following my recent marriage my husband and I are starting to think about having a family. I have spoken to my GP about this (in Hong Kong where I am currently living) but would value tips on readiness preparations e.g. advised HbA1c levels (my latest test result is 7.1), folic acid intake (do diabetic women need to take more) etc

I have booked a full assessment with a diabetic specialist here in HK but would value thoughts from a DAFNE perspective.

Many thanks
 
May 27, 2010
wombat75 1 post

Topic: General Discussion / Ratios tryed them all

If you are insulin resistant, you might want to talk to your diabeties educator to see if your ratio for adjustment is enough. Normally one unit should drop your blood glucose 2-3 mmols, however it may be that one unit of insulin only lowers your blood glucose by 1.5 or even one mmol. Also give it a few days for your body to adjust berfore you increase your carb ratio. It is hard to find a pattern in one day. Remember ratios may differ during the day you may have a higher ratio in the morining, a different one at lunch and different again at dinner. The stress of feeling you are unable to get this right may also be affecting your BGL.
 
May 26, 2010
kid127 25 posts

Topic: Site Development / Entry type

Hi Steven,

Sorry if I didn't make it clear but i was hoping for an option in the entry type drop down box which says correction. I think it will help if i can figure out when i am making correctional injections and as there is an option for hypo it is a similar idea.

Cheers,

Lee
 
May 26, 2010
Steven 18 posts

Topic: Site Development / Entry type

Hi Lee,

I'm sure Simon will reply at some point but it says underneath the input boxes:

You may enter corrective adjustments to CPs, QA and BI in the format '8+1'

Also there is an entry type of 'Snack' (I asked for it) and there's a box for background insulin too!

Steven
 
May 26, 2010
Tanglyjan 3 posts

Topic: General Discussion / Ratios tryed them all

Thanks Marke for your sensitive reply. Your point about people contacting their Health care teams is a very valid one. With hindsight (aint that a wonderful thing!!!) I should have mentioned that too. Best wishes, jan.
 
May 26, 2010
john day 54 posts

Topic: Site Development / Online BG Diaries

Hello .. just to say I tend to agree with Stew B .. I gave up on the list a long time ago! As in previous posts, I still feel an auto calc option would save a little time in many entries.

Cheers, JD
 
May 25, 2010
Stew B 125 posts

Topic: Site Development / Online BG Diaries

Hi Simon
Is it possible to remove ratio(s) from the drop-down list? Each time I use a different ratio it seems to get added to the list - and I think that this includes any errors that I make (!). As a result my drop-down list has become quite long, and its now just as quick to enter ratios manually. It would be good if it was possible to manage the list by deleting ratios that are no longer used or that have been added in error.
Stew
 
May 25, 2010
kid127 25 posts

Topic: Site Development / Entry type

Hi, is it possible to have a few more options on the entry type drop down box?

There is an option for hypo but what about a correctional option?

Is it also possible to have an option for snack or when injecting background as these all have to come under 'other' at the moment

Also, is it possible to show injection sites on the diary as this may help me understand my results and look for patterns easier?

I must say though that I am extremely happy with the site, i have found it very useful and has helped me a lot. I stopped writing my results down in books as i found i forgot to take it with me and it wasn't much help with a few sporadic entries but this online version is very handy. Good work!

Thanks,

Lee
 
May 25, 2010
marke 686 posts

Topic: General Discussion / Ratios tryed them all

oops, sorry, sounds like I have upset you, poor timing on my part. I just happened upon this thread and wanted to respond thats why I handn't replied before. I apologise if it did seem as I was picking you for criticism, that wasn't the intention. What I wanted to point out was that people should contact their Diabetes team if they are having issues rather than relying on the advice of others. The advice of fellow diabetics IS good and benefical but so is medical advice that mostly we are not qualified to give.
 
May 25, 2010
Tanglyjan 3 posts

Topic: General Discussion / Ratios tryed them all

Hi marke. i was merely offering an opinion when i replied to the thread about ratios. Just for the record, I am a HCP with a qualification in Diabetes although my response was MERELY as a fellow diabetic of 30 years. i am NOT someone who believes they know everything : far from it in fact. The poster himself had already mentioned insulin resistance so I did not feel I was coming accross with a totally new theory? I did note you saying this was NOT a criticism of me personally however I noted you had not replied to any of the previous posts where others had offered suggestions so it was hard not to see it in that light. No offence meant but felt I wanted to clear this up.
 
May 22, 2010
Steven 18 posts

Topic: Site Development / Online BG Diaries

Hi Simon,

Thanks for adding the 'Snack' option! As for alcohol, I usually just record it as e.g. 3 cans, 1 pint, 1 glass of wine etc. depending on what I'm drinking!

Thanks again
Steven