Recent Posts - DAFNE Online

Apr 30, 2010

kid127 25 posts

Topic: Questions for HCPs / Alternative injection sites

Thanks for the tip though jpotter!

Apr 30, 2010

kid127 25 posts

Topic: Questions for HCPs / Alternative injection sites

Hi, sorry i forgot to mention but I'm already on the 6mm ones. I couldn't even use the 8mm ones on my stomach.

Apr 30, 2010

JPOTTER 2 posts

Topic: Questions for HCPs / Alternative injection sites

I had this problem a few years back as I'm also very slim and found my injections sites were getting very sore.

I found a simple solution which was to use a smaller sized needle (I wasn't aware that they came in different lengths until someone else told me). I'm now on the smallest size needle (6mm) and that really helps (I think I was on a 12mm before).
You may have already tried this, but if not I hope it helps.

Apr 30, 2010

MARIER 42 posts

Topic: Carbohydrate Counting / Ruskoline (Crumb Dressing)

Hi Had 3 fishcakes last night for Dinner but think iv miscalculated CP,S I had 2 units of Insulin to cover 3 fishcakes but forgot about Ruskoline Dresisng does anyone know what cps are in Ruskoline or how many CP,S should i of had resulting in BG 20.4 at 10.30 pm last night
Marie

Apr 30, 2010

MARIER 42 posts

Topic: General Discussion / Online Diarys

Thank you Simon now it wont accept +2 for a correction when not had any CP ,S
Marie

Apr 30, 2010

Simon 578 posts

Topic: General Discussion / Online Diarys

Hi Marie,

Try entering the correction without spaces, e.g. '8+4' rather than '8 + 4'.

Thanks,

Simon

Apr 29, 2010

MARIER 42 posts

Topic: General Discussion / Online Diarys

Hi does anyone know when your filling in online diary it wont accept + 4 and your having a correction and had 4 units of insulin Help
Marie

Apr 29, 2010

kid127 25 posts

Topic: Questions for HCPs / Alternative injection sites

Hi, I have been using my stomach as my sole injection site for the 3 years i've been diabetic because I don't have any fat anywhere else that I can inject in to. My doctor has told me to change so I have been using my arms, legs and buttocks but when I inject I get a dull throbbing pain afterwards. I literally struggle to pinch 1cm of skin and I wasn't sure if I was injecting in to something I shouldn't. Has anyone else experienced this? Or does anyone have any tips?

I have seen a dietician to try to put weight on but I really struggle. I eat more than most people and a lot of what I eat is carby. I also run and play squash but don't want to stop excercise just to give myself something to inject in to.

I asked my doctor about the possibilty of a pump but he said that the trust won't pay for them. Does anybody have any info about this as well? I thought nice guidelines meant it was patient choice

Apr 28, 2010

fran 2 posts

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

I am appalled that people ( a nurse especially) would be so narrow minded to think that injecting in public is a "no no". People eat in public and diabetics inject in public - dealt with it - it keeps us alive.

Apr 27, 2010

andyt 1 post

Topic: General Discussion / Lantus Lasting 24 hours?

Hi Mark

After DAFNE I struggled to get my Lantus dose right for me, I seemed to try everything - the time, spiliting it, the dose (2years!) I changed to Levmir a spilt am/pm last September and so far its seems to be a lot betters. Im counting down to my next appointment at the clinic to see if my Hba1c has come down!

Thanks

Andrea

Apr 26, 2010

DavidJ 23 posts

Topic: General Discussion / Help how to loose weight

Hi,
Most of my hypos occurred during the evening after a physical day at work (not during the extra activity when I sometimes took extra CP's, but 6-8 hours later). I experimented with a 25% reduction in my QA for my dinner and a 40% reduction in my BI at bedtime. This gives me a fairly flat blood glucose over night and is more likely to keep me within target at bedtime. When I don't work that hard physically I leave the ratios and the background alone. Before DAFNE I used to hypo a lot during the evening and as a result I ate lots of sugary snacks. Since I've reduced the frequency of the hypos I've lost about 5Kg, which is quite a lot because I was only 65Kg to begin with. As we all know, ratios and background are an individual thing and what works for one person may be entirely different for someone else. I think it's in the DAFNE handbook about reducing QA and BI following prolonged exercise.

Apr 26, 2010

Harry 4 posts

Topic: Carbohydrate Counting / Iphone Apps

Thanks marke!

I am a new DAFNE graduate and I would rather keep records on my WM device (instead of the printed DAFNE diaries...). Plus, I would love to have the carb calculation available in my WM device as well.

I had a bit of search around and I think that for now I'll opt for the DiabetesPilot <http://www.diabetespilot.com> which offers solutions for a variety of platforms. Does anyone have any impression on that?

I've also downloaded a pdf file of the carb lists in my device, so that would probably keep me going for now (until I find a DAFNE WM programme or decide to go to iPhone myself!).

Cheers,
Harry

Apr 26, 2010

Gat 1 post

Topic: Carbohydrate Counting / taka way

hi i was wondering if any knows how many cps a portion of king prawn fried rice is i normally have the full tray

Apr 25, 2010

marke 686 posts

Topic: Carbohydrate Counting / Iphone Apps

given the time, we would like to develop something however I suspect its not going to happen in the near future unless someone volunteers to do it. I do have a windows mobile phone ( although I'm afraid windows mobile 6.1 drove me to the iphone which I am now in love with) and I thing the visual studio 2010 beta will let me do something for that platform. If I get time, othwerwise I can't afford a full copy of visual studio, the software needed to develop for windows mobile.
I will let you know if we do develop anything.

Apr 25, 2010

marke 686 posts

Topic: General Discussion / Help how to loose weight

bad news Chris, the answer I believe is yes. You do need different BI and ratio on days you exercise and days you don't. As JWo points out your fitness levels effect your insulin requirements as the fitter you are the better your body uses insulin to assist the conversion of sugar to energy. You also need to understand that when you exercise it causes your muscles to increase their energy requirements for much longer than the exercise actually lasts. It can cause your BG to be lower for upto 24 hours. I used to have this problem on the mornings following a gym visit. I am not suprised that you hypo-ed in the night after your 28 mile ride. Your 'high' reading at 10pm was most likely due to all the sugar pumping around your body to feed your muscles during the exercise. As I said because the requirement lasts 'after' the exercise , your
BI probably assisted your body in keeping the flow of BG out of your blood into your muscles while you slept hence the hypo.
It is a tricky balance and there have been a number of posts on these forums about exercise and BG's. I don't think there is an easy answer unfortunately, although there should be a number of people that can help with advice.
The problems you have with weight could be due to the fact that exercise helps to convert 'fat' to muscle and of course muscle has weight so the net result may not be weightloss. Again I don't think there is an easy answer to this, I personally wish there was but thats life I guess.

Apr 25, 2010

Harry 4 posts

Topic: Carbohydrate Counting / Iphone Apps

Hi All,

I know that this is a thread for an iPhone app, but it would be great if the same also existed for Windows Mobile...

Any ideas suggestions for any software that incorporate (i) DAFNE calculation of Carb portion list and/or (ii) DAFNE diary (ideally by downloading readings from the meter)?

Best wishes,
Harry

Apr 25, 2010

Anil 39 posts

Topic: General Discussion / What is the most accurate meter?

I agree, i guess the aim is just to bring your glucose to as normal and consistent as possible.
I was just thinking this because of the price of test strips, I mean for Â£25 ppk/50, or so, Id have thought it would be much more accurate and consistent across different test strips and meters,
Great response!
Thanks!
Anil

Apr 25, 2010

JayBee 587 posts

Topic: General Discussion / What is the most accurate meter?

Considering 10-20% is likely to be such a minut amount to be out by, are we sure it's worth bothering with changing to a machine that apparently gives more accurate readings?

It says on most manuals that results can be inaccurate, especially at higher readings, but that's because the higher the amount, the higher the 10-20% total will be. Even the machine testing stuff they send you to test your machine is reliable is set between two points and not an exact result...

With this, I don't think it's worth the change personally. Only when it's a case of seriously effecting your control, I'd check the monitor to see if it is functioning properly and then maybe consider the machine change if it wasn't.

Apr 24, 2010

MarkM 2 posts

Topic: General Discussion / What is the most accurate meter?

I think you're both right. Just before my post, my BG was 11.2 and then 12.2 using the same blood on my UltraEasy meter. I recently read on the following website:

http://www.mendosa.com/precision.htm

that precision, i.e. consistently getting similar readings on successive tests of the same blood sample, is more important than accuracy. I am generally very happy with the UltraEasy but would change to a different meter if I knew it had greater precision. I wonder if the Which consumer group or similar compares meters on that basis.

Mark

Apr 24, 2010

Barney 1 post

Topic: Carbohydrate Counting / Am i counting carbs right

Hey I just graduated and during the course took 22 units for a meal I would have guessed less than 10, just stick to rules and test if unsure, know Im new but seems to work, Kev

Apr 24, 2010

JayBee 587 posts

Topic: General Discussion / Help how to loose weight

I'm not sure what else to suggest considering it says in the DAFNE handbook that if you want to aim to lose weight, aim to reduce your insulin. Considering my DAFNE nurse told my group that insulin is a growth hormone, I am not surprised by this being in the book.

When you do exercise, your body uses the insulin a lot more effectively resulting in you needing less of it to prevent a hypo. However, sometimes it's just as effective to eat more CPs before the exercise, but with the weigh loss plan, I would assume that this would not be as effective as simply reducing your insulin by the recommended amount in your DAFNE book for the exercise you take.

I am not sure how well it works if you don't take any insulin for a small meal before exercise... but you'd think that the BI would be enough for that...

If you have any doubt about your ratios or background, I would concentrate on that first because exercise can confuse things - but if you're finding that your results are good most of the time, especially considering you have a exercise heavy regime, I then think you're doing a marvelous job.

I do a lot of exercise most days of the week from just walking to work and doing my job generally. I've found that despite getting my blood sugar levels right most of the time to cater for this exercise, my weight hasn't shifted much... it hovers up and down half a stone... but I am at a weight that I'm happy with so I don't worry about it too much.
With this, I do wonder if you just need to give it a bit more time - or perhaps on a more positive thought, perhaps most of your weight is muscle?

Hope I've been of some help... best wishes!

Apr 30, 2010 kid127 25 posts	Topic: Questions for HCPs / Alternative injection sites Thanks for the tip though jpotter!

Apr 30, 2010 kid127 25 posts	Topic: Questions for HCPs / Alternative injection sites Hi, sorry i forgot to mention but I'm already on the 6mm ones. I couldn't even use the 8mm ones on my stomach.

Apr 30, 2010 JPOTTER 2 posts	Topic: Questions for HCPs / Alternative injection sites I had this problem a few years back as I'm also very slim and found my injections sites were getting very sore. I found a simple solution which was to use a smaller sized needle (I wasn't aware that they came in different lengths until someone else told me). I'm now on the smallest size needle (6mm) and that really helps (I think I was on a 12mm before). You may have already tried this, but if not I hope it helps.

Apr 30, 2010 MARIER 42 posts	Topic: Carbohydrate Counting / Ruskoline (Crumb Dressing) Hi Had 3 fishcakes last night for Dinner but think iv miscalculated CP,S I had 2 units of Insulin to cover 3 fishcakes but forgot about Ruskoline Dresisng does anyone know what cps are in Ruskoline or how many CP,S should i of had resulting in BG 20.4 at 10.30 pm last night Marie

Apr 30, 2010 MARIER 42 posts	Topic: General Discussion / Online Diarys Thank you Simon now it wont accept +2 for a correction when not had any CP ,S Marie

Apr 30, 2010 Simon 578 posts	Topic: General Discussion / Online Diarys Hi Marie, Try entering the correction without spaces, e.g. '8+4' rather than '8 + 4'. Thanks, Simon

Apr 29, 2010 MARIER 42 posts	Topic: General Discussion / Online Diarys Hi does anyone know when your filling in online diary it wont accept + 4 and your having a correction and had 4 units of insulin Help Marie

Apr 29, 2010 kid127 25 posts	Topic: Questions for HCPs / Alternative injection sites Hi, I have been using my stomach as my sole injection site for the 3 years i've been diabetic because I don't have any fat anywhere else that I can inject in to. My doctor has told me to change so I have been using my arms, legs and buttocks but when I inject I get a dull throbbing pain afterwards. I literally struggle to pinch 1cm of skin and I wasn't sure if I was injecting in to something I shouldn't. Has anyone else experienced this? Or does anyone have any tips? I have seen a dietician to try to put weight on but I really struggle. I eat more than most people and a lot of what I eat is carby. I also run and play squash but don't want to stop excercise just to give myself something to inject in to. I asked my doctor about the possibilty of a pump but he said that the trust won't pay for them. Does anybody have any info about this as well? I thought nice guidelines meant it was patient choice

Apr 28, 2010 fran 2 posts	Topic: General Discussion / "Balance" letter about injecting in public I am appalled that people ( a nurse especially) would be so narrow minded to think that injecting in public is a "no no". People eat in public and diabetics inject in public - dealt with it - it keeps us alive.

Apr 27, 2010 andyt 1 post	Topic: General Discussion / Lantus Lasting 24 hours? Hi Mark After DAFNE I struggled to get my Lantus dose right for me, I seemed to try everything - the time, spiliting it, the dose (2years!) I changed to Levmir a spilt am/pm last September and so far its seems to be a lot betters. Im counting down to my next appointment at the clinic to see if my Hba1c has come down! Thanks Andrea

Apr 26, 2010 DavidJ 23 posts	Topic: General Discussion / Help how to loose weight Hi, Most of my hypos occurred during the evening after a physical day at work (not during the extra activity when I sometimes took extra CP's, but 6-8 hours later). I experimented with a 25% reduction in my QA for my dinner and a 40% reduction in my BI at bedtime. This gives me a fairly flat blood glucose over night and is more likely to keep me within target at bedtime. When I don't work that hard physically I leave the ratios and the background alone. Before DAFNE I used to hypo a lot during the evening and as a result I ate lots of sugary snacks. Since I've reduced the frequency of the hypos I've lost about 5Kg, which is quite a lot because I was only 65Kg to begin with. As we all know, ratios and background are an individual thing and what works for one person may be entirely different for someone else. I think it's in the DAFNE handbook about reducing QA and BI following prolonged exercise.

Apr 26, 2010 Harry 4 posts	Topic: Carbohydrate Counting / Iphone Apps Thanks marke! I am a new DAFNE graduate and I would rather keep records on my WM device (instead of the printed DAFNE diaries...). Plus, I would love to have the carb calculation available in my WM device as well. I had a bit of search around and I think that for now I'll opt for the DiabetesPilot <http://www.diabetespilot.com> which offers solutions for a variety of platforms. Does anyone have any impression on that? I've also downloaded a pdf file of the carb lists in my device, so that would probably keep me going for now (until I find a DAFNE WM programme or decide to go to iPhone myself!). Cheers, Harry

Apr 26, 2010 Gat 1 post	Topic: Carbohydrate Counting / taka way hi i was wondering if any knows how many cps a portion of king prawn fried rice is i normally have the full tray

Apr 25, 2010 marke 686 posts	Topic: Carbohydrate Counting / Iphone Apps given the time, we would like to develop something however I suspect its not going to happen in the near future unless someone volunteers to do it. I do have a windows mobile phone ( although I'm afraid windows mobile 6.1 drove me to the iphone which I am now in love with) and I thing the visual studio 2010 beta will let me do something for that platform. If I get time, othwerwise I can't afford a full copy of visual studio, the software needed to develop for windows mobile. I will let you know if we do develop anything.

Apr 25, 2010 marke 686 posts	Topic: General Discussion / Help how to loose weight bad news Chris, the answer I believe is yes. You do need different BI and ratio on days you exercise and days you don't. As JWo points out your fitness levels effect your insulin requirements as the fitter you are the better your body uses insulin to assist the conversion of sugar to energy. You also need to understand that when you exercise it causes your muscles to increase their energy requirements for much longer than the exercise actually lasts. It can cause your BG to be lower for upto 24 hours. I used to have this problem on the mornings following a gym visit. I am not suprised that you hypo-ed in the night after your 28 mile ride. Your 'high' reading at 10pm was most likely due to all the sugar pumping around your body to feed your muscles during the exercise. As I said because the requirement lasts 'after' the exercise , your BI probably assisted your body in keeping the flow of BG out of your blood into your muscles while you slept hence the hypo. It is a tricky balance and there have been a number of posts on these forums about exercise and BG's. I don't think there is an easy answer unfortunately, although there should be a number of people that can help with advice. The problems you have with weight could be due to the fact that exercise helps to convert 'fat' to muscle and of course muscle has weight so the net result may not be weightloss. Again I don't think there is an easy answer to this, I personally wish there was but thats life I guess.

Apr 25, 2010 Harry 4 posts	Topic: Carbohydrate Counting / Iphone Apps Hi All, I know that this is a thread for an iPhone app, but it would be great if the same also existed for Windows Mobile... Any ideas suggestions for any software that incorporate (i) DAFNE calculation of Carb portion list and/or (ii) DAFNE diary (ideally by downloading readings from the meter)? Best wishes, Harry

Apr 25, 2010 Anil 39 posts	Topic: General Discussion / What is the most accurate meter? I agree, i guess the aim is just to bring your glucose to as normal and consistent as possible. I was just thinking this because of the price of test strips, I mean for Â£25 ppk/50, or so, Id have thought it would be much more accurate and consistent across different test strips and meters, Great response! Thanks! Anil

Apr 25, 2010 JayBee 587 posts	Topic: General Discussion / What is the most accurate meter? Considering 10-20% is likely to be such a minut amount to be out by, are we sure it's worth bothering with changing to a machine that apparently gives more accurate readings? It says on most manuals that results can be inaccurate, especially at higher readings, but that's because the higher the amount, the higher the 10-20% total will be. Even the machine testing stuff they send you to test your machine is reliable is set between two points and not an exact result... With this, I don't think it's worth the change personally. Only when it's a case of seriously effecting your control, I'd check the monitor to see if it is functioning properly and then maybe consider the machine change if it wasn't.

Apr 24, 2010 MarkM 2 posts	Topic: General Discussion / What is the most accurate meter? I think you're both right. Just before my post, my BG was 11.2 and then 12.2 using the same blood on my UltraEasy meter. I recently read on the following website: http://www.mendosa.com/precision.htm that precision, i.e. consistently getting similar readings on successive tests of the same blood sample, is more important than accuracy. I am generally very happy with the UltraEasy but would change to a different meter if I knew it had greater precision. I wonder if the Which consumer group or similar compares meters on that basis. Mark

Apr 24, 2010 Barney 1 post	Topic: Carbohydrate Counting / Am i counting carbs right Hey I just graduated and during the course took 22 units for a meal I would have guessed less than 10, just stick to rules and test if unsure, know Im new but seems to work, Kev

Apr 24, 2010 JayBee 587 posts	Topic: General Discussion / Help how to loose weight I'm not sure what else to suggest considering it says in the DAFNE handbook that if you want to aim to lose weight, aim to reduce your insulin. Considering my DAFNE nurse told my group that insulin is a growth hormone, I am not surprised by this being in the book. When you do exercise, your body uses the insulin a lot more effectively resulting in you needing less of it to prevent a hypo. However, sometimes it's just as effective to eat more CPs before the exercise, but with the weigh loss plan, I would assume that this would not be as effective as simply reducing your insulin by the recommended amount in your DAFNE book for the exercise you take. I am not sure how well it works if you don't take any insulin for a small meal before exercise... but you'd think that the BI would be enough for that... If you have any doubt about your ratios or background, I would concentrate on that first because exercise can confuse things - but if you're finding that your results are good most of the time, especially considering you have a exercise heavy regime, I then think you're doing a marvelous job. I do a lot of exercise most days of the week from just walking to work and doing my job generally. I've found that despite getting my blood sugar levels right most of the time to cater for this exercise, my weight hasn't shifted much... it hovers up and down half a stone... but I am at a weight that I'm happy with so I don't worry about it too much. With this, I do wonder if you just need to give it a bit more time - or perhaps on a more positive thought, perhaps most of your weight is muscle? Hope I've been of some help... best wishes!