Recent Posts - DAFNE Online

Feb 27, 2010

Simon 578 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 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

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 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

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

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

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 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

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

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 686 posts

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 686 posts

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 686 posts

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

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

Topic: DAFNE Online Mobile / Rationale - Please read

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

Topic: Site Development / Glycaemic Index

Marke

Any response on this yet?

Alan

Feb 26, 2010

luisafontana 9 posts

Topic: Questions for HCPs / Correcting high blood glucose levels

Hello, could it be something to do with glucose toxicity?

Feb 26, 2010

sj61angel 9 posts

Topic: General Discussion / post meal peaks

Hi Rachel, I think I'll give the exercise thing ago it can't be that bad for my health lol.
Congratulations on the baby I'm glad that it's going well.
It's uplifting to hear news as good as that.

Kind regards

Sarah

Feb 26, 2010

RachelA 10 posts

Topic: Site Development / exporting diary entries

Nivz thanks for that, I had not thought of right clicking on it. I have got it working now.

Rachel

Feb 26, 2010

Karl 83 posts

Topic: Site Development / exporting diary entries

What browser are you using - have had this with Firefox downloading XML before - but it wasn't from here.

Feb 25, 2010

Mike Dagley 12 posts

Topic: General Discussion / Is life expectancy limited for diabetics?

Thanks Jen,
I am a good bit older than you and yet you have 20 years experience already. I am a real L-plate diabetic! I like the idea of working 'with your body'. Good idea. I like the fact that we all should have a much better understanding of how our bodies work. DAFNE is great for that. I am lucky so far and the denial thingy hasn't hit me. I occasionally get those reality checks where I feel a little demoralised when I realise that this is a bit more than a game. The hospital were clear but gentle about my diagnosis last March. They just got me moving very quickly through the learning curve - so I have felt blessed by their great care rather than been left to feel morose and self-pitying. I have surprised myself really. It is a chance to make a fresh start and to deal with my condition properly from the start. A rare experience as you get older. So far so good.
Best of Luck Mike

Feb 25, 2010

NiVZ 82 posts

Topic: Site Development / exporting diary entries

Hi Rachel,

Just right click on the 'XML Export of currently displayed results' link and choose 'Save target as' and you should be able to save it as a .xml file.

NiVZ

Feb 25, 2010

vic demain 87 posts

Topic: Questions for HCPs / Hypo recognition.

Interesting points, thanks everyone. For the past week or so I have experienced a lot higher results, until today when I have had two hypos, but both have resulted in good warnings.
Peter, good to hear that others have had a similar experience and Cmac, you could well be right about the contamination.
Thanks again.
Vic.

Feb 27, 2010 Simon 578 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 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	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 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	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	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	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 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	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	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 686 posts	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 686 posts	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 686 posts	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	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	Topic: DAFNE Online Mobile / Rationale - Please read 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	Topic: Site Development / Glycaemic Index Marke Any response on this yet? Alan

Feb 26, 2010 luisafontana 9 posts	Topic: Questions for HCPs / Correcting high blood glucose levels Hello, could it be something to do with glucose toxicity?

Feb 26, 2010 sj61angel 9 posts	Topic: General Discussion / post meal peaks Hi Rachel, I think I'll give the exercise thing ago it can't be that bad for my health lol. Congratulations on the baby I'm glad that it's going well. It's uplifting to hear news as good as that. Kind regards Sarah

Feb 26, 2010 RachelA 10 posts	Topic: Site Development / exporting diary entries Nivz thanks for that, I had not thought of right clicking on it. I have got it working now. Rachel

Feb 26, 2010 Karl 83 posts	Topic: Site Development / exporting diary entries What browser are you using - have had this with Firefox downloading XML before - but it wasn't from here.

Feb 25, 2010 Mike Dagley 12 posts	Topic: General Discussion / Is life expectancy limited for diabetics? Thanks Jen, I am a good bit older than you and yet you have 20 years experience already. I am a real L-plate diabetic! I like the idea of working 'with your body'. Good idea. I like the fact that we all should have a much better understanding of how our bodies work. DAFNE is great for that. I am lucky so far and the denial thingy hasn't hit me. I occasionally get those reality checks where I feel a little demoralised when I realise that this is a bit more than a game. The hospital were clear but gentle about my diagnosis last March. They just got me moving very quickly through the learning curve - so I have felt blessed by their great care rather than been left to feel morose and self-pitying. I have surprised myself really. It is a chance to make a fresh start and to deal with my condition properly from the start. A rare experience as you get older. So far so good. Best of Luck Mike

Feb 25, 2010 NiVZ 82 posts	Topic: Site Development / exporting diary entries Hi Rachel, Just right click on the 'XML Export of currently displayed results' link and choose 'Save target as' and you should be able to save it as a .xml file. NiVZ

Feb 25, 2010 vic demain 87 posts	Topic: Questions for HCPs / Hypo recognition. Interesting points, thanks everyone. For the past week or so I have experienced a lot higher results, until today when I have had two hypos, but both have resulted in good warnings. Peter, good to hear that others have had a similar experience and Cmac, you could well be right about the contamination. Thanks again. Vic.