Recent Posts - DAFNE Online

Mar 1, 2010

NiVZ 82 posts

Topic: Site Development / Meter Upload Development

Hi Simon,

For problem 1, I thought it was overwriting - I'll re-test this.

Problem 2 I need to think some more about.

Also, just wondered (might be me being very thick as I've had a long day!) but is there anyway online to EDIT an entry. I did look but couldn't see it anywhere. This would definitely be needed for all meters that don't store insulin and carb data (ie everything except OneTouch UltraSmart)

Thanks,

NiVZ

Mar 1, 2010

Simon 574 posts

Topic: Site Development / Meter Upload Development

NiVZ,

Re problem 1 - the diary should merge the data, so that shouldn't be an issue.

Problem 2 - it may be worth adding an 'updated at' field to each diary entry so that we can record when it was last updated - will this help?

Simon

Mar 1, 2010

NiVZ 82 posts

Topic: Site Development / Meter Upload Development

Hello,

I've not had as much time to work on this lately (apologies) and I'm starting to struggle to think about the best way to make this work and also I'm the first to admit I'm not great at making a pretty user interface.

The bit I'm struggling with the most is how people will use this, which can cause some problems with the data. Don't want to get too technical, but at the moment the program works as follows:

1. If it's the first time the program has run, it asks for your Dafne username & password, meter type, com port (auto detected where possible) and proxy settings (for if you are using it at work) Otherwise it reads the saved settings

2. It then waits for you to press the 'Get Meter Data' button

3. When you press the button it checks the latest BG date it has in my programs LOCAL database and then reads all the data from the meter, only adding new data to the database (this makes it quicker)

4. Once it has finished it asks you if you want to upload the data to DAFNE online.

5. If you click OK it goes and gets the latest BG date from DAFNE online

6. It then uploads all the data from the LOCAL database to DAFNE online that is newer than the date it got in step 5.

After the program has uploaded your BG data you can then go and add your insulin and carb data manually via the website.

The problems I'm thinking of are:

1. If you add a snack entry which is later than the last date you uploaded, there is a chance it could get overwritten if your meter has a BG reading for the same date and time

2. If you uploaded all of your data 2 days ago, and continue to test in the next 2 days, but then manually enter a reading for today the program will NOT add the data for the two days in between.

I'm not sure how much of aproblem this would be but better to be safe than sorry. I don't want people to lose data by mistake.

Any suggestions, or ideas about this please feel free to get in touch. I could even make a demo version available for people to let me know what they think.

I'm also waiting for Lifescan to get back to me on some of the questions I have asked them.

Thanks,

NiVZ

Mar 1, 2010

Simon 574 posts

Topic: Site Development / exporting diary entries

Thanks for the info Karl - it may be worth us adding a CSV export function onto the diary too to make things easier, rather than requiring a download of something else.

John - not sure about this, I'd assumed as it was an HTML table excel would handle it nicely, obviously not so my apologies. I'll work on the above to make it simpler.

Simon

Feb 28, 2010

Karl 83 posts

Topic: DAFNE Online Mobile / Rationale - Please read

Yokel
i have a app called dropbox on my iphone - its prime use is to sync files between computers but i have set the pdf of the CPs as a favorite which saves it locally for off line reading. Has coming in handy.

Simon - work mate has a couple of Iphone Apps under his belt - if you need help with anything I sure I could twist his arm :-)

Feb 28, 2010

Karl 83 posts

Topic: Site Development / exporting diary entries

Hi John
Done some web reading and testing - if you download
http://www.brothersoft.com/a7soft-xml2csv-download-69269.html and unzip to a folder on your c: drive say c:\diary put your downloaded diary in here also . go to a command prompt - start - run - type cmd - enter - select the folder as earlier by cd c:\diary enter then paste (right mouse paste) xml2csv diary.xml diary.csv "entry_time,blood_glucose,carbohydrate_portions,quick_insulin,background_insulin,ratio,entry_type,target_min_bg,target_max_bg,comments" and press enter. This will make (hopefully) a csv comma-separated values file with the name diary.cvs in your diary folder on your c drive - any version of excel will open this file :-) hope this helps. if you have a problem either email me at karl at addrison dot co dot uk are reply / message here

Feb 28, 2010

Diana 7 posts

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

Hi Richard

I usually inject anywhere when travelling, including on planes. I think it should be fine as long as you make a point of being upfront about it when checking in. It also depends where you're flying. A couple of years ago I had my insulin confiscated for the duration of a 4 hour flight in Asia with Tiger Airways - they wouldn't close the plane doors until I had given it to them.

I also tried injecting on a crowded tube a couple of times recently as I only had time to grab a cereal bar in the morning on the way out the door and was v surprised to see that nobody seemed to notice/care! Smile

Diana

Feb 28, 2010

richard_g 14 posts

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

As i'm about to do some international travel I wonder what people think about injecting in your seat on an aeroplane. I used to do this without thinking but in the light of recent events are you likely to get jumped on by half the passengers and an air mashall if you get your insulin pen out? Or is it a question of retreating to the loo again.

Feb 28, 2010

john day 54 posts

Topic: Site Development / exporting diary entries

Thanks very much Karl & Simon for your suggestions ...

Had a peer at the excel files types available to me (Excel 9.0.2720 w98!) and .xml is indeed there with description MS Excel 4 macros .. is that the correct type?

Tried cut & paste of selected area of summary print page and got all the data but all in a single cell in the target sheet.. do iI need to use a 'special' excel copy function? .. seem to remember there are a few.

Thanks, John

Feb 28, 2010

luisafontana 9 posts

Topic: Questions ? / Correcting high blood glucose levels

Thank you, Professor Heller I believe! That has definitely made me understand the difference. I shall mention this at our next follow-up, as it's better to have the right information.

Feb 28, 2010

charlotte77 11 posts

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

For a long time I used to do injections etc in the toilets until one day I dropped my insulin pen with the needle exposed down the loo.

Feb 28, 2010

Simon Heller 46 posts

Topic: Questions ? / Correcting high blood glucose levels

Actually I think you have been misled about glucose toxicity. This refers as I mentioned to the 'poisoning' of the remaining cells which are still making insulin such that they stop working and produce this rapid onset of symptoms. What you are talking about is resistance to the glucose lowering effect of insulin due to the effect of your stress hormones which go up in illness and push your glucose up further. Ketones are a sign that these stress hormones are high and that there is not enough insulin in the body to overcome this. Under these conditions much more insulin is needed to bring glucose down. So not really glucose toxicity, it is more a high glucose due to the response to illness and stress hormones. Again I hope I have explained this clearly.

Feb 28, 2010

jovifreak 4 posts

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

OMG is she really a nurse !!

I for one will inject and test my blood sugar anywhere and everywhere that I need to - Definately not in a toilet, that to me is just wrong - If I went to the doctors for a vaccination and they wanted to do it in a toilet I'd be disgusted, so why the heck should we do our insulin in the toilet!

I inject in McDonalds, KFC, anywhere and everywhere I go, I'll sit at the table, count the carbs and inject, if somebody doesn't like it then they don't need to look ! At work I have my monitor on my desk, spare needles in my drawer, insulin pens in the fridge and a carton of fruit juice in the fridge marked DIANES HYPO TREATMENT DO NOT TOUCH. It works, I've never had a problem at work.

We are human beings and should be treated like one, if you have a head ache you wouldn't not take a tablet incase somebody saw you doing it so why hide away whilst having your "Insulin fix" !

Feb 28, 2010

luisafontana 9 posts

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

When I was diagnosed I had to inject in the disabled loo at work for several months as I could only face injecting in my thighs. I was so upset about it, it was often dirty and there were often people in it when I wanted to use it (and they all use it to go for smelly numbers twos, which would leave me gagging). I complained about it a lot to my manager, even threatening to lock myself in a meeting room to do it, which she said I couldn't do. In the end I stood outside the occupied disabled loo one day and told off the person who was using it when they came out. A complaint must have been made, for as if by magic I was given access to an empty floor which has a shower room and a sink, and it's cleaned daily. The same manager took us out for a meal one day, a few months after I was diagnosed. I had a skirt on and whipped out my needle to inject in my thigh. She shouted in front of everyone OH MY GOD YOU CAN'T DO THAT HERE!!!! GO TO THE TOILET!!! I assertively refused, because at that point she was still making me use the disabled loo at work and I was already annoyed enough about that, plus this meal was on my private time and it was the company paying, not her.

She also used to tell me that in a hypo I should pick up all my stuff and go off somewhere 'less prominent' - even though in some hypos all I can do is guzzle lucozade and sit in shock until my sugars start coming up, let alone even think about picking up my testing kit, sugar etc. In fact she used to tell me to try and go somewhere else before even testing, which I think is appalling - if my sugars are dropping like a stone it's dangerous to waste time and energy going anywhere at all, plus sometimes my brain isn't working properly at the time so coordinating moving me and the relevant items is a no-no, but she'd still 'remind' me later that I should have moved from my desk even when I was obviously off the planet. She has now left, and my new manager is a longstanding type 1 diabetic.... needless to say I can now do what I like, where I like!!

Feb 28, 2010

luisafontana 9 posts

Topic: Questions ? / Correcting high blood glucose levels

Thanks for clarifying this Simon. I've only ever heard about glucose toxicity from the DAFNE course at KCH, it was brought up because someone - possibly me because I'm terrified of hypos - queried why we had to inject such large doses of QA, and so often, when sick with high sugars and ketones present (our educators even drew a diagram of the cell with all the glucose stuck to it!). Would this be because the conditions when you're sick, with high sugars and ketones, kind of mimic the conditions at diagnosis?

Feb 27, 2010

Simon 574 posts

Topic: Site Development / exporting diary entries

John - you should be able to copy and paste the results from the summary view into an Excel spreadsheet, rather than typing them in. I'll put an XML export for the summary on our to do list as well. It's quite difficult to do an Excel (.xls) export as the way Microsoft structures its data in Excel is hard to create without using Excel, if that makes sense.

Feb 27, 2010

fonteyn 4 posts

Topic: Questions ? / Correcting high blood glucose levels

Many thanks for these thoughts Simon. For the last 25 years I have always been bothered about responding to any one off bloods as you never know whether you are on the way up or on the way down. I frequently do repeated tests hourly when in doubt about what is going on. This is how I picked up the problem in the first place of 'getting stuck' in the teens and not being able to bring it down.
The German results make a lot of sense but in relation to my quoted observations, for the German info to explain them, I would have to assume that whevener I have a teens result, then I must be on the way up.

Feb 27, 2010

Karl 83 posts

Topic: Site Development / exporting diary entries

excel can open xml - just change the file type in the open screen

Feb 27, 2010

Simon Heller 46 posts

Topic: Questions ? / Correcting high blood glucose levels

Actually, the correction factor for a high glucose is based on some experiments that the Germans did many years ago and depend upon whether the glucose level is stable, going up or down. If your glucose is on the rise the 1 unit may be insufficient where as if it is already falling then giving more than 2 units might be a problem and lead to hypoglycaemia. So 1 -2 units is a reasonably safe dose. However, these instructions are a guide and should give people confidence to experiment a bit more with their diabetes as they gain more experience and confidence. If you can face it then testing an hour or two later will tell you how this is going. The trouble is that a single glucose measurement can't give you this important information about whether glucose levels are stable, only repeated measurements can do this.
As for glucose toxicity, it really refers to the effect of a high glucose on the function of the pancreas and the fact that a high glucose an stop insulin being secreted by the pancreas. This is really only relevant to Type 1 diabetes at diagnosis and it explains why diabetes comes on so suddenly (the high glucose stops the insulin working which leads to a vicious spiral) and why when glucose is controlled, the pancreas had stopped working suddenly starts releasing insulin at least for a few days or months. Hope this makes sense.
Simon

Feb 27, 2010

novorapidboi26 1,818 posts

Topic: Questions ? / Symptoms when high

Im no proffesional but I would reccommend the doctor..

Its possible this could happen...my experience with those symptoms are with low sugars......although not the numbness..

High blood sugars just make me fatigued....dry mouthed....need to pee....sometimes pins and needles..

Wont hurt to got to the doctor as my described symptoms are reffering to high twenties..

Good Luck

Feb 27, 2010

novorapidboi26 1,818 posts

Topic: Questions ? / Symptoms when high

Im no proffesional but I would reccommend the doctor..

Its possible this could happen...my experience with those symptoms are with low sugars......although not the numbness..

High blood sugars just make me fatigued....dry mouthed....need to pee....sometimes pins and needles..

Wont hurt to got to the doctor as my described symptoms are reffering to high twenties..

Good Luck

Feb 27, 2010

novorapidboi26 1,818 posts

Topic: Carbohydrate Counting / Red Wine/Tonic Wine

So I had a cold bottle of "buckfast" last night.....and got some interesting results with my insulin test.

At 5.10pm I had my dinner, and my blood was at 10.4. One hour and ten minutes later at 6.20pm I decided to open my bottle.

I took my blood sugar anticipating higher results as my food was still releasing its goodness and there was still fast acting swimming about, my result was 11.8.

As I previously discovered there was 92 grams of sugar / 92 grams of carbohydrate in one bottle which would indicate 9 units of QA to accomodate it.

As there is alot of alcohol in a bottle (15%), and as tonyd explained everyone is different when dealing with alcohol, I decided to take 6 units to be safe.

Nearly four hours later (10pm) , bottle finished, I tested again.....my reslut was 11.3.....so that me pretty much staying the same, which was a good and interesting result. There are a few factors to consider though....my dinner time dose would have influenced that result aswell as the 6 units I took for the wine.

I then went to bed at 12.40am , a half hour previously I had 3 uncovered carbs , anticipating a drop. My blood was at 13.7 before bed, done my usual BI......woke up 13.4.

So my blood must have dropped and then climbed again, as opposed to holding steady....this is due to the dawn phenomonon, I always wake up with double fugures..

I rabbled on a bit there but my conclusion would be to up the 6 units to 7 or 8 the next time I have a bottle and review the results..

Any opinions are very very welcome

Feb 27, 2010

john day 54 posts

Topic: Site Development / exporting diary entries

Hello all..

Not quite the same subject, but relating the the Diary Summary. (which I find invaluable to spot trends and plan corrective action), could this be made available as a download for excel (.xls) as I currently need to retype the data, so I can highlight problem results and than add comments and the rationale for treatment change.

This system works well for me and should provide an interesting discussion at the next clinic!

Cheers, John

Feb 27, 2010

luisafontana 9 posts

Topic: Questions ? / Correcting high blood glucose levels

Sorry, finally realised this is the Questions for HCPs thread. D'oh! You never know though - I could be right!

Mar 1, 2010 NiVZ 82 posts	Topic: Site Development / Meter Upload Development Hi Simon, For problem 1, I thought it was overwriting - I'll re-test this. Problem 2 I need to think some more about. Also, just wondered (might be me being very thick as I've had a long day!) but is there anyway online to EDIT an entry. I did look but couldn't see it anywhere. This would definitely be needed for all meters that don't store insulin and carb data (ie everything except OneTouch UltraSmart) Thanks, NiVZ

Mar 1, 2010 Simon 574 posts	Topic: Site Development / Meter Upload Development NiVZ, Re problem 1 - the diary should merge the data, so that shouldn't be an issue. Problem 2 - it may be worth adding an 'updated at' field to each diary entry so that we can record when it was last updated - will this help? Simon

Mar 1, 2010 NiVZ 82 posts	Topic: Site Development / Meter Upload Development Hello, I've not had as much time to work on this lately (apologies) and I'm starting to struggle to think about the best way to make this work and also I'm the first to admit I'm not great at making a pretty user interface. The bit I'm struggling with the most is how people will use this, which can cause some problems with the data. Don't want to get too technical, but at the moment the program works as follows: 1. If it's the first time the program has run, it asks for your Dafne username & password, meter type, com port (auto detected where possible) and proxy settings (for if you are using it at work) Otherwise it reads the saved settings 2. It then waits for you to press the 'Get Meter Data' button 3. When you press the button it checks the latest BG date it has in my programs LOCAL database and then reads all the data from the meter, only adding new data to the database (this makes it quicker) 4. Once it has finished it asks you if you want to upload the data to DAFNE online. 5. If you click OK it goes and gets the latest BG date from DAFNE online 6. It then uploads all the data from the LOCAL database to DAFNE online that is newer than the date it got in step 5. After the program has uploaded your BG data you can then go and add your insulin and carb data manually via the website. The problems I'm thinking of are: 1. If you add a snack entry which is later than the last date you uploaded, there is a chance it could get overwritten if your meter has a BG reading for the same date and time 2. If you uploaded all of your data 2 days ago, and continue to test in the next 2 days, but then manually enter a reading for today the program will NOT add the data for the two days in between. I'm not sure how much of aproblem this would be but better to be safe than sorry. I don't want people to lose data by mistake. Any suggestions, or ideas about this please feel free to get in touch. I could even make a demo version available for people to let me know what they think. I'm also waiting for Lifescan to get back to me on some of the questions I have asked them. Thanks, NiVZ

Mar 1, 2010 Simon 574 posts	Topic: Site Development / exporting diary entries Thanks for the info Karl - it may be worth us adding a CSV export function onto the diary too to make things easier, rather than requiring a download of something else. John - not sure about this, I'd assumed as it was an HTML table excel would handle it nicely, obviously not so my apologies. I'll work on the above to make it simpler. Simon

Feb 28, 2010 Karl 83 posts	Topic: DAFNE Online Mobile / Rationale - Please read Yokel i have a app called dropbox on my iphone - its prime use is to sync files between computers but i have set the pdf of the CPs as a favorite which saves it locally for off line reading. Has coming in handy. Simon - work mate has a couple of Iphone Apps under his belt - if you need help with anything I sure I could twist his arm :-)

Feb 28, 2010 Karl 83 posts	Topic: Site Development / exporting diary entries Hi John Done some web reading and testing - if you download http://www.brothersoft.com/a7soft-xml2csv-download-69269.html and unzip to a folder on your c: drive say c:\diary put your downloaded diary in here also . go to a command prompt - start - run - type cmd - enter - select the folder as earlier by cd c:\diary enter then paste (right mouse paste) xml2csv diary.xml diary.csv "entry_time,blood_glucose,carbohydrate_portions,quick_insulin,background_insulin,ratio,entry_type,target_min_bg,target_max_bg,comments" and press enter. This will make (hopefully) a csv comma-separated values file with the name diary.cvs in your diary folder on your c drive - any version of excel will open this file :-) hope this helps. if you have a problem either email me at karl at addrison dot co dot uk are reply / message here

Feb 28, 2010 Diana 7 posts	Topic: General Discussion / "Balance" letter about injecting in public Hi Richard I usually inject anywhere when travelling, including on planes. I think it should be fine as long as you make a point of being upfront about it when checking in. It also depends where you're flying. A couple of years ago I had my insulin confiscated for the duration of a 4 hour flight in Asia with Tiger Airways - they wouldn't close the plane doors until I had given it to them. I also tried injecting on a crowded tube a couple of times recently as I only had time to grab a cereal bar in the morning on the way out the door and was v surprised to see that nobody seemed to notice/care! Diana

Feb 28, 2010 richard_g 14 posts	Topic: General Discussion / "Balance" letter about injecting in public As i'm about to do some international travel I wonder what people think about injecting in your seat on an aeroplane. I used to do this without thinking but in the light of recent events are you likely to get jumped on by half the passengers and an air mashall if you get your insulin pen out? Or is it a question of retreating to the loo again.

Feb 28, 2010 john day 54 posts	Topic: Site Development / exporting diary entries Thanks very much Karl & Simon for your suggestions ... Had a peer at the excel files types available to me (Excel 9.0.2720 w98!) and .xml is indeed there with description MS Excel 4 macros .. is that the correct type? Tried cut & paste of selected area of summary print page and got all the data but all in a single cell in the target sheet.. do iI need to use a 'special' excel copy function? .. seem to remember there are a few. Thanks, John

Feb 28, 2010 luisafontana 9 posts	Topic: Questions ? / Correcting high blood glucose levels Thank you, Professor Heller I believe! That has definitely made me understand the difference. I shall mention this at our next follow-up, as it's better to have the right information.

Feb 28, 2010 charlotte77 11 posts	Topic: General Discussion / "Balance" letter about injecting in public For a long time I used to do injections etc in the toilets until one day I dropped my insulin pen with the needle exposed down the loo.

Feb 28, 2010 Simon Heller 46 posts	Topic: Questions ? / Correcting high blood glucose levels Actually I think you have been misled about glucose toxicity. This refers as I mentioned to the 'poisoning' of the remaining cells which are still making insulin such that they stop working and produce this rapid onset of symptoms. What you are talking about is resistance to the glucose lowering effect of insulin due to the effect of your stress hormones which go up in illness and push your glucose up further. Ketones are a sign that these stress hormones are high and that there is not enough insulin in the body to overcome this. Under these conditions much more insulin is needed to bring glucose down. So not really glucose toxicity, it is more a high glucose due to the response to illness and stress hormones. Again I hope I have explained this clearly.

Feb 28, 2010 jovifreak 4 posts	Topic: General Discussion / "Balance" letter about injecting in public OMG is she really a nurse !! I for one will inject and test my blood sugar anywhere and everywhere that I need to - Definately not in a toilet, that to me is just wrong - If I went to the doctors for a vaccination and they wanted to do it in a toilet I'd be disgusted, so why the heck should we do our insulin in the toilet! I inject in McDonalds, KFC, anywhere and everywhere I go, I'll sit at the table, count the carbs and inject, if somebody doesn't like it then they don't need to look ! At work I have my monitor on my desk, spare needles in my drawer, insulin pens in the fridge and a carton of fruit juice in the fridge marked DIANES HYPO TREATMENT DO NOT TOUCH. It works, I've never had a problem at work. We are human beings and should be treated like one, if you have a head ache you wouldn't not take a tablet incase somebody saw you doing it so why hide away whilst having your "Insulin fix" !

Feb 28, 2010 luisafontana 9 posts	Topic: General Discussion / "Balance" letter about injecting in public When I was diagnosed I had to inject in the disabled loo at work for several months as I could only face injecting in my thighs. I was so upset about it, it was often dirty and there were often people in it when I wanted to use it (and they all use it to go for smelly numbers twos, which would leave me gagging). I complained about it a lot to my manager, even threatening to lock myself in a meeting room to do it, which she said I couldn't do. In the end I stood outside the occupied disabled loo one day and told off the person who was using it when they came out. A complaint must have been made, for as if by magic I was given access to an empty floor which has a shower room and a sink, and it's cleaned daily. The same manager took us out for a meal one day, a few months after I was diagnosed. I had a skirt on and whipped out my needle to inject in my thigh. She shouted in front of everyone OH MY GOD YOU CAN'T DO THAT HERE!!!! GO TO THE TOILET!!! I assertively refused, because at that point she was still making me use the disabled loo at work and I was already annoyed enough about that, plus this meal was on my private time and it was the company paying, not her. She also used to tell me that in a hypo I should pick up all my stuff and go off somewhere 'less prominent' - even though in some hypos all I can do is guzzle lucozade and sit in shock until my sugars start coming up, let alone even think about picking up my testing kit, sugar etc. In fact she used to tell me to try and go somewhere else before even testing, which I think is appalling - if my sugars are dropping like a stone it's dangerous to waste time and energy going anywhere at all, plus sometimes my brain isn't working properly at the time so coordinating moving me and the relevant items is a no-no, but she'd still 'remind' me later that I should have moved from my desk even when I was obviously off the planet. She has now left, and my new manager is a longstanding type 1 diabetic.... needless to say I can now do what I like, where I like!!

Feb 28, 2010 luisafontana 9 posts	Topic: Questions ? / Correcting high blood glucose levels Thanks for clarifying this Simon. I've only ever heard about glucose toxicity from the DAFNE course at KCH, it was brought up because someone - possibly me because I'm terrified of hypos - queried why we had to inject such large doses of QA, and so often, when sick with high sugars and ketones present (our educators even drew a diagram of the cell with all the glucose stuck to it!). Would this be because the conditions when you're sick, with high sugars and ketones, kind of mimic the conditions at diagnosis?

Feb 27, 2010 Simon 574 posts	Topic: Site Development / exporting diary entries John - you should be able to copy and paste the results from the summary view into an Excel spreadsheet, rather than typing them in. I'll put an XML export for the summary on our to do list as well. It's quite difficult to do an Excel (.xls) export as the way Microsoft structures its data in Excel is hard to create without using Excel, if that makes sense.

Feb 27, 2010 fonteyn 4 posts	Topic: Questions ? / Correcting high blood glucose levels Many thanks for these thoughts Simon. For the last 25 years I have always been bothered about responding to any one off bloods as you never know whether you are on the way up or on the way down. I frequently do repeated tests hourly when in doubt about what is going on. This is how I picked up the problem in the first place of 'getting stuck' in the teens and not being able to bring it down. The German results make a lot of sense but in relation to my quoted observations, for the German info to explain them, I would have to assume that whevener I have a teens result, then I must be on the way up.

Feb 27, 2010 Karl 83 posts	Topic: Site Development / exporting diary entries excel can open xml - just change the file type in the open screen

Feb 27, 2010 Simon Heller 46 posts	Topic: Questions ? / Correcting high blood glucose levels Actually, the correction factor for a high glucose is based on some experiments that the Germans did many years ago and depend upon whether the glucose level is stable, going up or down. If your glucose is on the rise the 1 unit may be insufficient where as if it is already falling then giving more than 2 units might be a problem and lead to hypoglycaemia. So 1 -2 units is a reasonably safe dose. However, these instructions are a guide and should give people confidence to experiment a bit more with their diabetes as they gain more experience and confidence. If you can face it then testing an hour or two later will tell you how this is going. The trouble is that a single glucose measurement can't give you this important information about whether glucose levels are stable, only repeated measurements can do this. As for glucose toxicity, it really refers to the effect of a high glucose on the function of the pancreas and the fact that a high glucose an stop insulin being secreted by the pancreas. This is really only relevant to Type 1 diabetes at diagnosis and it explains why diabetes comes on so suddenly (the high glucose stops the insulin working which leads to a vicious spiral) and why when glucose is controlled, the pancreas had stopped working suddenly starts releasing insulin at least for a few days or months. Hope this makes sense. Simon

Feb 27, 2010 novorapidboi26 1,818 posts	Topic: Questions ? / Symptoms when high Im no proffesional but I would reccommend the doctor.. Its possible this could happen...my experience with those symptoms are with low sugars......although not the numbness.. High blood sugars just make me fatigued....dry mouthed....need to pee....sometimes pins and needles.. Wont hurt to got to the doctor as my described symptoms are reffering to high twenties.. Good Luck

Feb 27, 2010 novorapidboi26 1,818 posts	Topic: Questions ? / Symptoms when high Im no proffesional but I would reccommend the doctor.. Its possible this could happen...my experience with those symptoms are with low sugars......although not the numbness.. High blood sugars just make me fatigued....dry mouthed....need to pee....sometimes pins and needles.. Wont hurt to got to the doctor as my described symptoms are reffering to high twenties.. Good Luck

Feb 27, 2010 novorapidboi26 1,818 posts	Topic: Carbohydrate Counting / Red Wine/Tonic Wine So I had a cold bottle of "buckfast" last night.....and got some interesting results with my insulin test. At 5.10pm I had my dinner, and my blood was at 10.4. One hour and ten minutes later at 6.20pm I decided to open my bottle. I took my blood sugar anticipating higher results as my food was still releasing its goodness and there was still fast acting swimming about, my result was 11.8. As I previously discovered there was 92 grams of sugar / 92 grams of carbohydrate in one bottle which would indicate 9 units of QA to accomodate it. As there is alot of alcohol in a bottle (15%), and as tonyd explained everyone is different when dealing with alcohol, I decided to take 6 units to be safe. Nearly four hours later (10pm) , bottle finished, I tested again.....my reslut was 11.3.....so that me pretty much staying the same, which was a good and interesting result. There are a few factors to consider though....my dinner time dose would have influenced that result aswell as the 6 units I took for the wine. I then went to bed at 12.40am , a half hour previously I had 3 uncovered carbs , anticipating a drop. My blood was at 13.7 before bed, done my usual BI......woke up 13.4. So my blood must have dropped and then climbed again, as opposed to holding steady....this is due to the dawn phenomonon, I always wake up with double fugures.. I rabbled on a bit there but my conclusion would be to up the 6 units to 7 or 8 the next time I have a bottle and review the results.. Any opinions are very very welcome

Feb 27, 2010 john day 54 posts	Topic: Site Development / exporting diary entries Hello all.. Not quite the same subject, but relating the the Diary Summary. (which I find invaluable to spot trends and plan corrective action), could this be made available as a download for excel (.xls) as I currently need to retype the data, so I can highlight problem results and than add comments and the rationale for treatment change. This system works well for me and should provide an interesting discussion at the next clinic! Cheers, John

Feb 27, 2010 luisafontana 9 posts	Topic: Questions ? / Correcting high blood glucose levels Sorry, finally realised this is the Questions for HCPs thread. D'oh! You never know though - I could be right!