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Jun 13, 2017
Peter 109 posts

Topic: General Discussion / Wanted: DAFNE Graduate to participate in professional DAFNE conference

As part of the annual healthcare professional DAFNE conference Dr Helen Hopkinson is looking for a DAFNE graduate local to Manchester who would be willing to address the conference for 5 minutes maximum on the topic of the DAFNE insulin regimen and the benefits it has brought for them. In particular she is looking for someone who has switched from once daily to twice daily background insulin either for the start or after the DAFNE course and has some thoughts and experiences to express on the benefits of this. This will be a small slot on the podium as part of a plenary presentation that Dr Hopkinson will be delivering to over 120 attendees entitled "is the DAFNE insulin regimen fit for the future?”

The date is Tuesday June 20th 2017. You would be asked to attend the University of Manchester at 9am. Dr Hopkinson's talk begins at 09.40 for 30 minutes, of which part would be your contribution. There are then 10 minutes for questions. You would be free to leave after that, or we would be delighted to host you for the rest of the day if you are interested in staying for the rest of the meeting which will include a number of other presentations and workshops on a variety of topics e.g. the use of Libre in DAFNE.

If you are interested, please respond by e-mail to helen.hopkinson@nhs.net including your name, when and where you completed your DAFNE course and a daytime contact phone number to allow Dr Hopkinson to have a telephone chat with you before confirming your participation.

Many thanks.
 
Jun 12, 2017
Jos2 8 posts

Topic: General Discussion / Basal/bolus insulin proportions

Hi Marke,

Glad to hear that DAFNE were misquoted in the article (may be worth a comment from someone who's done the course), but I've not heard of anything taught in DAFNE that my daughter isn't already doing. She tests basal rates periodically by fasting and sets carb and BG correction ratios through the day in a similar way and matches her insulin to carbs, taking BG, exercise, insulin on board, timing of insulin/food, and insulin resistance into account as necessary.

I can see that DAFNE is valuable for someone who stuck with what we were originally taught (mixed insulin with set meal sizes, snacks and times), and also if someone is burnt out and needs a boost through meeting others in a similar situation (been there and benefited from a clinic course), but we've not heard anything yet that convinces my daughter of the need to take a DAFNE course. Thanks though for all the feedback to our previous question Smile

kind regards,
Jos
 
Jun 10, 2017
alturn 78 posts

Topic: General Discussion / Basal/bolus insulin proportions

I ignore all these surveys as they are usually of a very small numbers involved, and a new one will be along next week.

If her HBA1C is ok and DSNs' are ok with treatment, then I would say all is Ok.

For interest, my basal is currently 24 units (but has varied between 22 and 2Cool which is about 65% of my TDD.

Regds,
J
 
Jun 9, 2017
marke 686 posts

Topic: Site Development / intrusive predictions

Sorry but this is nothing to do with the site, its a function of the browser you are using. What browser are you using ? and is this on a PC or a mobile device. We might be able to suggest something if we understand these things.
 
Jun 9, 2017
marke 686 posts

Topic: General Discussion / Basal/bolus insulin proportions

Your daughter is not unusual , none of us are usual. Also DAFNE advises nothing of the kind. What it teaches us is to adjust our Basal levels to what is right for US. It is probably true that often people take too much Basal before DAFNE, as part of the course is to teach you how to work out the correct level of basal for you and also to realise this is not something that will remain the same for ever more. It's hard to explain the DAFNE approach without doing the course as its a collection of things and doing parts in isolation may cause more harm than good.
 
Jun 8, 2017
Jos2 8 posts

Topic: General Discussion / Basal/bolus insulin proportions

Hi,

How do DAFNE advise basal insulin levels are set? I'm interested because of a quote in this article, http://www.diabetes.co.uk/news/2017/jun/study-provides-new-insight-into-insulin-dosing-for-adults-with-type-1-diabetes-92312051.html. It states:

"The findings support the view of the DAFNE course, which also states that many people take too high levels of basal insulin. DAFNE advises that most people with type 1 diabetes will benefit from 24 units of TBD per day."

Most people? Are people that similar? My daughter is average height and weight but only needs about 14 units of basal insulin (about 30% of her TDD). Hopefully they have been misquoted. Or maybe my daughter's unusual?

Jos
 
Jun 8, 2017
Warwick 426 posts

Topic: General Discussion / Weight Loss

My ideas are to either:

1) Reduce your Levemir dosage by 10% or so the night before and morning before the exercise.

or

2) Change your exercise to the morning before breakfast so that QA isn't a factor, and most of your basal insulin is gone.

or

3) Make lunch as low-carb as possible so you only need very small amounts of QA.

Hope that helps.
 
Jun 8, 2017
ChloeTate1993 3 posts

Topic: General Discussion / Weight Loss

Yeah mine too, and apparently I must be "sensitive to exercise" because of the amount that I drop in just half an hour's exercise 😣. I'm on levemir twice daily then novorapid when eating.
 
Jun 8, 2017
Warwick 426 posts

Topic: General Discussion / Weight Loss

Bleck. I cycle home around that time and I usually need to have some carbs first, usually a glass of milk, to avoid going low on the trip home. For some reason my QA from lunch seems to still have potency to send me low then.

What basal are you on, and do you inject once per day or twice a day?
 
Jun 8, 2017
ChloeTate1993 3 posts

Topic: General Discussion / Weight Loss

Between 5pm and 6pm usually as I don't finish work until 5pm.
 
Jun 8, 2017
Warwick 426 posts

Topic: General Discussion / Presetting diary times

+1 on the ratio idea. If we had a profile where we could state the periods of times where we are each ratio or even if we could select a default ratio which we would change when required, then that would be awesome.

Thanks,
Wariwck.
 
Jun 8, 2017
Warwick 426 posts

Topic: General Discussion / newbie

Hello Allison,

Welcome. Feel free to ask any questions that you have and we'll be happy to try and help.

Warwick.
 
Jun 8, 2017
Warwick 426 posts

Topic: General Discussion / Weight Loss

When are you exercising? At 5 pm?
 
Jun 5, 2017
torana 53 posts

Topic: General Discussion / Presetting diary times

Is it possible to preset the diary with blood glucose testing times, ratios and before breakfast etc so it doesn't have to be such a tedious task every day. My routines are the same on most days and it would save time when completing the multiple entries.
 
Jun 4, 2017
allison_71 1 post

Topic: General Discussion / newbie

Hey everyone, last week I just finished my dafne course, worth the wait attending it. I love it and much much to take in but I managed to get a grasp of it.
So I am shopping by to say hello.
 
May 31, 2017
ChloeTate1993 3 posts

Topic: General Discussion / Weight Loss

Hi All,

I completed DAFNE July 2016 and have managed to get my HbA1c from 97 to 76. Unfortunately as a side effect from this i have gained almost a stone !

I wont lie i definitely used my higher hbA1c to my advantage to keep my weight at bay particularly as i managed to lose a stone and a half back in 2015 (more from not eating and high bloods Sad-bad i know)

The weight gain is really affecting me as i am a keen exerciser which is where my problem lies! As i work 8:30am to 5pm most weeks and have lunch at 1pm i have to do what is known as 'unplanned exercise'. Due to this i am having to snack at 4pm ish at least 3cps(usually 1 or 2 bananas) as i drop by approx 10mmols during exercise so have to go with a reading of about 16Sad.

I could lower my lunchtime QA or take none instead of eating CPs however i will then be sitting for 4-5 hours on a high blood reading - and if i exercise more i will have to eat more cps so that also wont help lose weightSad

Any advice would be grateful. Any dietary advice also that people have found works?

Thanks in advance
 
May 31, 2017
Pip510 4 posts

Topic: General Discussion / High blood sugar in morning

Have you completed a diary of your readings and can rule out a faulty meter?
As Alan suggests a control solution is a great idea but make sure it is still in date as they only have a short shelf life

If its just a few days at the same reading I would not be overly worried.
Consider contacting your Diabetes Nurse if you cannot see what the fault is or why your readings should be the same.
 
May 30, 2017
Alan 49 284 posts

Topic: General Discussion / High blood sugar in morning

I don't think you should worry too much about a reading of 8.3 - I wish I was 8.3 every morning.
If your reading is exactly 8.3 EVERY morning, you should check the meter out with the control solutions that came with the meter.
 
May 30, 2017
PeterKemp 1 post

Topic: DAFNE Online Mobile / Viewing BG Graphs using DAFNE App on Android Phone

Hello Peter
Many thanks for your advice to Claire. I have the 2017 version Samsung A5 and following your comments above, have successfully uploaded all my data from the phone to the DAFNE online Blood Glucose Diary. Thanks! Very Happy
 
May 30, 2017
Dean123 7 posts

Topic: General Discussion / High blood sugar in morning

Hi can you help me, what it is, I am waking up every morning with reading of 8.3, it doesn't matter how much Lantau I have, I am still every morning waking up with reading of 8.3. Any advice much appreciated, thanks Dean
 
May 29, 2017
pjc21 8 posts

Topic: Site Development / intrusive predictions

I find it very irritating that each time I try to enter a figure or a note in the log the predictive text insists on inserting previous figures or comments, which I then have to erase before I can continue. Does anyone else have this problem? Is there a way to turn this feature off?
 
May 24, 2017
Warwick 426 posts

Topic: General Discussion / Scattered BG

Any chance that you accidentally took your basal dose twice?