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Feb 28, 2010
john day
54 posts
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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
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Topic: Questions for HCPs / 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
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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
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Topic: Questions for HCPs / 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
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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
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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
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Topic: Questions for HCPs / 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
578 posts
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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
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Topic: Questions for HCPs / 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
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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
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Topic: Questions for HCPs / 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
1,819 posts
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Topic: Questions for HCPs / 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
1,819 posts
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Topic: Questions for HCPs / 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
1,819 posts
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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
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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
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Topic: Questions for HCPs / 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! |
Feb 27, 2010
luisafontana
9 posts
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Topic: Questions for HCPs / Correcting high blood glucose levels From my understanding, glucose toxicity means there is so much glucose stuck to the outside of the cells that it makes it tougher to shift it and normal rules no longer apply; it hits some kind of threshold where things go a bit woolly around the edges. So you need more insulin than you would imagine to get it all absorbed. This is, I understand, the reason for the need for so much insulin to be injected when you've got high sugars and ketones, which we learned about on the "sickness" part of the DAFNE course. I believe glucose toxicity can also mean your sugars can go up when exercising (if you don't have much insulin in your system already). So I might be wrong, but that may be the science behind the 11 mmol/l thing, it sounds logical to me. |
Feb 26, 2010
sj61angel
9 posts
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Topic: Questions for HCPs / Symptoms when high Help!Has anybody else found that when their blood sugars go above 15 that they go dizzy, loose concentration, get really light headed start seeing spots, get a strange numbness and throbbing in their head along with losing feeling in the lips and tongue. Or is it just me and should really go and see my doctor. Any thoughts, experiences or opinions would be greatly appreciated. Kind regards Diabetic in distress |
Feb 26, 2010
marke
681 posts
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Topic: Questions for HCPs / Correcting high blood glucose levels Hi, there are doctors/HCPs on the forum/site however you have to remember they are all very busy people so sometimes a response can take a while. The answer is there WILL be some clear science behind it since DAFNE is based on research both from the original in Germany and here, the research is still continuing. The question is can it be explained in simple terms ? |
Feb 26, 2010
marke
681 posts
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Topic: Site Development / Glycaemic Index Alan,This is the only response I have had so far, now you have reminded me I will chase it up again. "will run past some educators and get back to you; I know they are not keen to give more information in the DAFNE course (hence we have not developed any GI resource) as GI is a difficult area." |
Feb 26, 2010
marke
681 posts
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Topic: General Discussion / Acquiring a Glucoject Dual S system I would speak to your Diabetes team see if they can get you one. I would never pay for any diabetes equipment, the manufacturers want you to use their meter because of the money they make from test strips which is substantial. If your diabetes team can't help it wouldn't hurt to try the manufacturer see if they will send you one.As for it being pain free, I'm afraid I don't believe it. It has to break the skin to draw blood and in doing so there must be a risk of some pain. Its just the way life is, but if you want to try this stabber why not it can't be any worse than the others and it might be better. |
Feb 26, 2010
fonteyn
4 posts
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Topic: Questions for HCPs / Correcting high blood glucose levels not heard of this.are there not any doctors on this forum who could answer the question for us?!? |
Feb 26, 2010
Simon
578 posts
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I'm currently learning how to make iPhone apps - requires a different programming language which I've not used before. I'm getting more familiar though so hopefully you'll be seeing a DAFNE iPhone app in the coming months. |
Feb 26, 2010
Alan 49
284 posts
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Topic: Site Development / Glycaemic Index MarkeAny response on this yet? Alan |