Recent Posts - DAFNE Online

Feb 11, 2010

Karl 83 posts

Topic: General Discussion / Ratios tryed them all

Can you share with me also

Feb 11, 2010

Paul G Wales 8 posts

Topic: General Discussion / Ratios tryed them all

thanks John ive shared my diary with you , thanks for your reply ,before i went on the Dafne i had my own Dafne ideas that id been living on i thought i was on 3 0r 3.5 ration and my background was 52 units lanctus my hba1c was 8 .5 but that was after great summer working away in Ibiza , so im guessing it would have been lower , HCP at Dafne asked me to cut my BI and started me at 1:1 and worked up but nothing touched the BG
im now trying 3.5 :1 ive split my back ground now as well , i realised after dafne i am insulin resistant for sure LOL . ill stick with it anfd keep trying , thansk again P

Feb 11, 2010

John Roscoe 14 posts

Topic: General Discussion / Ratios tryed them all

Hi Paul,
It is difficult to actually work out what's going on looking at the figures because the CP values BG, and times don't seem to relate maybe it is just the way I am reading them. However have you thought about increasing your BI?
Cheers
John

Feb 11, 2010

john day 54 posts

Topic: Site Development / Online BG Diaries

Hello All.. a bit slow to resp.sond on this one as pc is dead so here today courtesy of the locla library!

After some thought, my choice has changed to be for the auto calculation using he CP and QA values (excluding correction doses!) . This would enable a quick visual check that the mental calculation at mealtime had been correct & consistent. Any entry values could also be amended subsequently if entered incorrectly. This approach would also be a little quicker then drop down method.

Having said that, the 'last used' approach was my next selection so let's see how it goes... certainly better than entering oneself!

Thanks for the mods, john

Feb 11, 2010

tsavage1990 11 posts

Topic: General Discussion / First illness since dafne

what's really strange is ive only had two hi levels and most of the time my body's decided it doesnt want to follow the rules and keep going hypo. still though, DAFNE's helping. thanks for your support Smile

x

Feb 11, 2010

AmandaWalker 1 post

Topic: General Discussion / Restaurants with carbohydrate info

Hello, I am new to DAFNE a recent graduate and during the course I did a bit of investigation in to this subject. Cafe rouge has loads of info inc carb values so do McD's and KFC if you like that sort of thing. Zizzi is good too for info.
We had a discussion and someone suggested that if you were going out you could look up the restaurant website and have a few ideas of what you might want to eat to get the carb values. Good in essence but not an exact science as individual restaurants, even chains can't give exactly the same size portions.
All info like this is a great help but if you can judge by eye roughly what you are eating it is probably a good habit to get in to.
Also I was in Pret the other day and managed to get in to thier website on my blackberry to look up the carb value of my sandwich.

Feb 11, 2010

Paul G Wales 8 posts

Topic: General Discussion / Ratios tryed them all

05/02 Time 23:03 [23:03] first time on 2.5 teatime
CP 10
BG 14.9
QA 22+4
BI 40
Ratio (QA:CP) 2.5
Type DINNR
Sat
06/02 Time 11:42 18:22 23:19 [11:42] first time on 2.5 -AM
CP 5.5 9 -
BG 8.6 13.7 15.7
QA 14+1 22+2 -
BI - 40 -
Ratio (QA:CP) 2.5 2.5 -
Type BFAST DINNR BED
Sun
07/02 Time 10:30 18:41 23:05 [10:30] firstime on x3
CP 5 5 -
BG 13.1 12.0 14.8
QA 15+2 15+2 -
BI 0 40 -
Ratio (QA:CP) 3 3 -
Type BFAST DINNR OTHER
Mon
08/02 Time 10:30 19:05 23:13 [23:13] had enough of this LOL
CP 5 4 -
BG 10.0 11.0 16.1
QA 15+1 12+2 8
BI 0 40 -
Ratio (QA:CP) 3 3 -
Type BFAST DINNR BED
Tue
09/02 Time 01:03 09:37 12:42 13:33 18:44 23:59 [09:37] yippee but still not a pattern
[18:44] split lanctus to see if any different
CP - 5 0 4 4 -
BG 14.6 5.4 14.6 12.9 12.6 15.4
QA - 15 0 12+2 10+2 6
BI - - 0 0 20 -
Ratio (QA:CP) - 3 - 3 3 -
Type OTHER BFAST OTHER LUNCH DINNR OTHER
Wed
10/02 Time 10:05 12:20 17:22 19:19 23:59 [23:59] maybe i need an insulin Tanker??
CP 5 4 0 7 -
BG 9.7 14.6 12.6 14.0 12.0
QA 15+1 12+3 - 24+2 -
BI 20 0 - 20 -
Ratio (QA:CP) 3 3 3 3.5 -
Type BFAST DINNR OTHER DINNR BED

Feb 10, 2010

laurals11 11 posts

Topic: General Discussion / Diaries

I print inside pages from here

http://www.diabetes-support.org.uk/info/?page_id=122

not exactly DAFNE terms CHO not CP, Basal & Bolus not QA & BI
made my own cover using Dafne logo
Laura

Feb 10, 2010

marke 686 posts

Topic: Questions for HCPs / Hypo recognition.

Clare,
Thanks from me too for clarifying the issue. Its good to have input from HCP's as well as us 'diabetics'. Hopefully all our users appreciate that HCP's are all very busy people and its a great help when we get their input.

Feb 10, 2010

marke 686 posts

Topic: Carbohydrate Counting / Carb Links section added

Just wanted to let you know that we have added a new section to the 'Carb Counter' area called Carb Links. It is a list of websites that contain carbohydrate information. Users can add their own entries as and when they find sites that provide good information. Over time hopefully we we build up a comprehensive list of sites that will be a useful reference for carb info on the net.

Feb 10, 2010

marke 686 posts

Topic: General Discussion / Restaurants with carbohydrate info

Hi,
I have now added a new section to the carb counting area called carb links. The idea is we can all add entries for sites we find that provide carb info. Over time hopefully we will buiild up a comprehensive list of sites that provide this information so that we can all benefit.

Feb 10, 2010

Debs Ledger 9 posts

Topic: General Discussion / Exercise and high BG

Hi,

I had this problem on Sunday! I have started to excercise for the first time since I was diagnosed (almost 5yrs ago). I woke up on a 9.9, a bit high I know, then went swimming & did 20 lengths, I started to feel a little unwell so got out & tested & I was 20.0, when I got home I tested for keytones & was ++......not good! I hadn't eaten before the swim so didn't have any insulin. I had my breakfast & had extra to bring my levels down! I am now worried about how I am going to manage this as I am very sensitive to insulin & if I inject before I know I will have a hypo but I don't want to end up that high again.

Debs x

Feb 10, 2010

qprfcmark 3 posts

Topic: General Discussion / Lantus Lasting 24 hours?

Thanks Sam & Karen for your experiences/advice. I'm talking to the Diabetic Nurse who ran DAFNE in Bedford so will keep you informed of outcome. Anyone with any other experiences regarding this please leave a message. Regards Mark.

Feb 10, 2010

Karen Westwood 38 posts

Topic: General Discussion / First illness since dafne

Poor you! Don't forget to use your sick day rules and hopefully you will be feeling much better soon.

Take care

Karen
x

Feb 10, 2010

Karen Westwood 38 posts

Topic: General Discussion / Lantus Lasting 24 hours?

Hi Mark,

Pre DAFNE I was taking one injection of lantus in the evening and due to similar problems that you are having I decided to split my lantus to morning and evening and this seems to have done the trick.

Good luck in getting yourself sorted out.

Karen
x

Feb 10, 2010

vic demain 87 posts

Topic: Questions for HCPs / Hypo recognition.

Clare,

Thanks for the information and help. Results have been better - not so many low's - but the occasional double figure reading which is a worry. Difficult to run at the top end of guideline as I always seem to fall within the blue or red zones. Happy to share my diary if it will help. Possibly the more worrying matter for me, was the signals of hypo when 8-9 only for a hypo to come on an hour later.

Great to get help from the HCP's, keep up the good work.

Regards, Vic.

Feb 10, 2010

Cmac 3 posts

Topic: Questions for HCPs / Hypo recognition.

Hi everyone,
This is a really important topic! From recent research and experience, (I am a diabetes nurse) most people need to run at the top end of the DAFNE targets if trying to regain symptoms, for at least 2-3 weeks, and that also means during that time having no hypos whatsoever. This is easy to say but not necessarily easy to achieve, particularly if you're prone to lows overnight.
The theory is that if you've had a lot of hypos, the body 'resets' what it thinks is a hypo, so you may only get symptoms wghen extremely low indeed. This makes you more likely to have a severe hypo, where you need help from another person. It is linked to how long you've had diabetes too, which you can't do much about, and is one of the reasons why not everyone aims for lower HbA1c results immediately after DAFNE courses; you have to take it steady! Ask your health professional direct for advice as sometimes two heads are better than one - and congrats Vic on steadier results, I'm sure that will help you sort things out.
Cheers, Clare

Feb 9, 2010

hankypanky 18 posts

Topic: General Discussion / Insulin Pump :)

Hi Barry
just thinking to myself about you wearing your pump on leg at night Smile

i always use the clip of the night and hook it over my boxers at the front, like the way th echildren think your wearing a pager, of the day at work i thread the tube under my belt then keep it in my buttoned pocket at the front but hey all of us are different one way or the other lol, likewise to having 25000 - 30000 injections wow we like pin cushions but the pump i mlove and will never ever go back to injections hope your keeping good control and are well Smile

take care
speak soon
Steve H :0

Feb 9, 2010

hankypanky 18 posts

Topic: General Discussion / Insulin Pump :)

hi EeeBee

well i was having really bad absorbtion with insulin not matter where i injected it , so therefore i woundnt work with hardly any meals so i had another jab to compensate for the one that didnt absorb and with me doing this the one that didnt absorb i thiink it kicked in later on and was havibng hypos regulary, so instead of 4 injections daily i was having about 7-8 daily and my a1c was always high too, i went on a "DAFNE" course and with me having type1 for 14 yrs i was overwhelmed by what i found out and still am to this day (excellent course) would say tha to loads of other type 1's (have you been on this course?) i know that you have to fit a certain criteria though, i was missing food and going hungry alot to avoid the injections, but im still getting used to the pump ( medtronic ) but wow the changing of the pump every 3 -4 days what a relief, see your diabetes nurse if you havent been on a DAFNE course,

Feb 9, 2010

davewybrow 2 posts

Topic: General Discussion / Insulin Pump :)

Going on to it required a four session training course which was well done, we had the involvement of the Animas rep (Paul) who was useful. The pump is quite complicated i.e. it does a great deal and takes the haphazard guesswork out of calculating how quickly the isulin is used up, how much you have left, what time of the day it is and many other things. It also makes it very easy to correct blood glucose levels that are out of target.

The prime points that PCT's need is either high HbA1c levels (11+) or a history of hypos which cause worry in either their frequency or their timinhg or their unpredictability.

I started on insulin in 1962 at King's College and have lead a very active life, the pump will allow me to continue that - it is waterproof so I can even swim in it if I wish, After approx 54,000 injections since 1962 it has made life VERY much more pleasant and means I can boost quickly and easily if we decide to stop for a snack irrespective of what it is provided I can work out the CHO level (DAPHNE works very well for that!).

My clinic says that currently they have 20% of their patients on pumps and that figure is increasing as courses are run several times a year for small groups.

It is comfortable to wear - like having a pager with me 24/7 and the kids in my school believe it is a pager! It has alarms for anything which you need to be aware of (low level of insulin remaining,blood glucose too high or too low, reminder to test for ketones, reminder about low glucose levels, blockage, too much delivered, low battery etc) and does instant adjustments for sick days with a % adjustment that you decide for as long as you decide.

A great piece of kit and I wish I had sought it a long while ago......... I was reluctant to consider it and am really glad that I did. I would not go back and do feel very supported by the professionals and the company with a 24h helpline if needed. They have also lent me a spare pump "just in case" for holidays but of course I still need to monitor glucose levels and carry both short and long acting insulin pens in case I have to take it off for any reason lenger than 1 hour.

Feb 9, 2010

marke 686 posts

Topic: Questions for HCPs / Hypo recognition.

Carolin,
Can you clarify what you are saying, are we talking about Hypo recognition or DAFNE generally. I would have thought all diabetics try to avoid hypos, believe me its not something we particularly enjoy ;^) . We also try to keep within DAFNE targets which is the point of DAFNE. However if we are talking hypo awareness and lack of it then of course avoiding hypo's is a priority.

When you talk about aiming at the upper end of the range, is this connected with trying to restore hypo warnings ? Is there any guidance over how long it might take to regain warning signs. Obviously individuals will vary in both their warning signs and the time it takes to regain them, however a rough indicator on how long the aim of top end DAFNE BG's should be maintained would be useful.

Feb 9, 2010

marke 686 posts

Topic: General Discussion / Exercise and high BG

Hi,
Not sure I like the sound of QA before exercise, especially if it involves the 'area' of injection since exercise speeds up the absorbtion of insulin. This would mean a bigger 'hit' of insulin to take the sugar out of the blood, increasing the risk of Hypo I would have thought.

I would take advice before injecting pre-exercise. I occasionally had high BG's after exercise, however it always went back down on its own
and I would rather be a bit high than having to be picked up off the floor....

Feb 9, 2010

Simon 578 posts

Topic: Site Development / Online BG Diaries

Good news - you now have a drop down next to the ratio selection box with your previously used ratios - hope this makes things easier for you.

Also, you can now specify an injection site - if i've missed any then let me know. You can't currently see any graphs for this or it represented on the diary display (would you want to), however in time these will come too!

Let us know if we can do anything else/differently.

Simon

Feb 9, 2010

Paul G Wales 8 posts

Topic: General Discussion / Ratios tryed them all

Hi ive been trying unsuccessfully to find a ratio that will work for me I started at 1:1and moved up gradaully to 3:1 and im sure it will end up at 3.5 : 1 ,has anyone got any advice, on this a most of the dafne advice i got doesent really help with this ! i have just been prescribed Metformin but wanted to get my ratio sorted before i went ahead with it ! should i start it now and deal with it all in one go ? im just aware of the change one thing at a time thanks paul

Feb 11, 2010 Karl 83 posts	Topic: General Discussion / Ratios tryed them all Can you share with me also

Feb 11, 2010 Paul G Wales 8 posts	Topic: General Discussion / Ratios tryed them all thanks John ive shared my diary with you , thanks for your reply ,before i went on the Dafne i had my own Dafne ideas that id been living on i thought i was on 3 0r 3.5 ration and my background was 52 units lanctus my hba1c was 8 .5 but that was after great summer working away in Ibiza , so im guessing it would have been lower , HCP at Dafne asked me to cut my BI and started me at 1:1 and worked up but nothing touched the BG im now trying 3.5 :1 ive split my back ground now as well , i realised after dafne i am insulin resistant for sure LOL . ill stick with it anfd keep trying , thansk again P

Feb 11, 2010 John Roscoe 14 posts	Topic: General Discussion / Ratios tryed them all Hi Paul, It is difficult to actually work out what's going on looking at the figures because the CP values BG, and times don't seem to relate maybe it is just the way I am reading them. However have you thought about increasing your BI? Cheers John

Feb 11, 2010 john day 54 posts	Topic: Site Development / Online BG Diaries Hello All.. a bit slow to resp.sond on this one as pc is dead so here today courtesy of the locla library! After some thought, my choice has changed to be for the auto calculation using he CP and QA values (excluding correction doses!) . This would enable a quick visual check that the mental calculation at mealtime had been correct & consistent. Any entry values could also be amended subsequently if entered incorrectly. This approach would also be a little quicker then drop down method. Having said that, the 'last used' approach was my next selection so let's see how it goes... certainly better than entering oneself! Thanks for the mods, john

Feb 11, 2010 tsavage1990 11 posts	Topic: General Discussion / First illness since dafne what's really strange is ive only had two hi levels and most of the time my body's decided it doesnt want to follow the rules and keep going hypo. still though, DAFNE's helping. thanks for your support x

Feb 11, 2010 AmandaWalker 1 post	Topic: General Discussion / Restaurants with carbohydrate info Hello, I am new to DAFNE a recent graduate and during the course I did a bit of investigation in to this subject. Cafe rouge has loads of info inc carb values so do McD's and KFC if you like that sort of thing. Zizzi is good too for info. We had a discussion and someone suggested that if you were going out you could look up the restaurant website and have a few ideas of what you might want to eat to get the carb values. Good in essence but not an exact science as individual restaurants, even chains can't give exactly the same size portions. All info like this is a great help but if you can judge by eye roughly what you are eating it is probably a good habit to get in to. Also I was in Pret the other day and managed to get in to thier website on my blackberry to look up the carb value of my sandwich.

Feb 11, 2010 Paul G Wales 8 posts	Topic: General Discussion / Ratios tryed them all 05/02 Time 23:03 [23:03] first time on 2.5 teatime CP 10 BG 14.9 QA 22+4 BI 40 Ratio (QA:CP) 2.5 Type DINNR Sat 06/02 Time 11:42 18:22 23:19 [11:42] first time on 2.5 -AM CP 5.5 9 - BG 8.6 13.7 15.7 QA 14+1 22+2 - BI - 40 - Ratio (QA:CP) 2.5 2.5 - Type BFAST DINNR BED Sun 07/02 Time 10:30 18:41 23:05 [10:30] firstime on x3 CP 5 5 - BG 13.1 12.0 14.8 QA 15+2 15+2 - BI 0 40 - Ratio (QA:CP) 3 3 - Type BFAST DINNR OTHER Mon 08/02 Time 10:30 19:05 23:13 [23:13] had enough of this LOL CP 5 4 - BG 10.0 11.0 16.1 QA 15+1 12+2 8 BI 0 40 - Ratio (QA:CP) 3 3 - Type BFAST DINNR BED Tue 09/02 Time 01:03 09:37 12:42 13:33 18:44 23:59 [09:37] yippee but still not a pattern [18:44] split lanctus to see if any different CP - 5 0 4 4 - BG 14.6 5.4 14.6 12.9 12.6 15.4 QA - 15 0 12+2 10+2 6 BI - - 0 0 20 - Ratio (QA:CP) - 3 - 3 3 - Type OTHER BFAST OTHER LUNCH DINNR OTHER Wed 10/02 Time 10:05 12:20 17:22 19:19 23:59 [23:59] maybe i need an insulin Tanker?? CP 5 4 0 7 - BG 9.7 14.6 12.6 14.0 12.0 QA 15+1 12+3 - 24+2 - BI 20 0 - 20 - Ratio (QA:CP) 3 3 3 3.5 - Type BFAST DINNR OTHER DINNR BED

Feb 10, 2010 laurals11 11 posts	Topic: General Discussion / Diaries I print inside pages from here http://www.diabetes-support.org.uk/info/?page_id=122 not exactly DAFNE terms CHO not CP, Basal & Bolus not QA & BI made my own cover using Dafne logo Laura

Feb 10, 2010 marke 686 posts	Topic: Questions for HCPs / Hypo recognition. Clare, Thanks from me too for clarifying the issue. Its good to have input from HCP's as well as us 'diabetics'. Hopefully all our users appreciate that HCP's are all very busy people and its a great help when we get their input.

Feb 10, 2010 marke 686 posts	Topic: Carbohydrate Counting / Carb Links section added Just wanted to let you know that we have added a new section to the 'Carb Counter' area called Carb Links. It is a list of websites that contain carbohydrate information. Users can add their own entries as and when they find sites that provide good information. Over time hopefully we we build up a comprehensive list of sites that will be a useful reference for carb info on the net.

Feb 10, 2010 marke 686 posts	Topic: General Discussion / Restaurants with carbohydrate info Hi, I have now added a new section to the carb counting area called carb links. The idea is we can all add entries for sites we find that provide carb info. Over time hopefully we will buiild up a comprehensive list of sites that provide this information so that we can all benefit.

Feb 10, 2010 Debs Ledger 9 posts	Topic: General Discussion / Exercise and high BG Hi, I had this problem on Sunday! I have started to excercise for the first time since I was diagnosed (almost 5yrs ago). I woke up on a 9.9, a bit high I know, then went swimming & did 20 lengths, I started to feel a little unwell so got out & tested & I was 20.0, when I got home I tested for keytones & was ++......not good! I hadn't eaten before the swim so didn't have any insulin. I had my breakfast & had extra to bring my levels down! I am now worried about how I am going to manage this as I am very sensitive to insulin & if I inject before I know I will have a hypo but I don't want to end up that high again. Debs x

Feb 10, 2010 qprfcmark 3 posts	Topic: General Discussion / Lantus Lasting 24 hours? Thanks Sam & Karen for your experiences/advice. I'm talking to the Diabetic Nurse who ran DAFNE in Bedford so will keep you informed of outcome. Anyone with any other experiences regarding this please leave a message. Regards Mark.

Feb 10, 2010 Karen Westwood 38 posts	Topic: General Discussion / First illness since dafne Poor you! Don't forget to use your sick day rules and hopefully you will be feeling much better soon. Take care Karen x

Feb 10, 2010 Karen Westwood 38 posts	Topic: General Discussion / Lantus Lasting 24 hours? Hi Mark, Pre DAFNE I was taking one injection of lantus in the evening and due to similar problems that you are having I decided to split my lantus to morning and evening and this seems to have done the trick. Good luck in getting yourself sorted out. Karen x

Feb 10, 2010 vic demain 87 posts	Topic: Questions for HCPs / Hypo recognition. Clare, Thanks for the information and help. Results have been better - not so many low's - but the occasional double figure reading which is a worry. Difficult to run at the top end of guideline as I always seem to fall within the blue or red zones. Happy to share my diary if it will help. Possibly the more worrying matter for me, was the signals of hypo when 8-9 only for a hypo to come on an hour later. Great to get help from the HCP's, keep up the good work. Regards, Vic.

Feb 10, 2010 Cmac 3 posts	Topic: Questions for HCPs / Hypo recognition. Hi everyone, This is a really important topic! From recent research and experience, (I am a diabetes nurse) most people need to run at the top end of the DAFNE targets if trying to regain symptoms, for at least 2-3 weeks, and that also means during that time having no hypos whatsoever. This is easy to say but not necessarily easy to achieve, particularly if you're prone to lows overnight. The theory is that if you've had a lot of hypos, the body 'resets' what it thinks is a hypo, so you may only get symptoms wghen extremely low indeed. This makes you more likely to have a severe hypo, where you need help from another person. It is linked to how long you've had diabetes too, which you can't do much about, and is one of the reasons why not everyone aims for lower HbA1c results immediately after DAFNE courses; you have to take it steady! Ask your health professional direct for advice as sometimes two heads are better than one - and congrats Vic on steadier results, I'm sure that will help you sort things out. Cheers, Clare

Feb 9, 2010 hankypanky 18 posts	Topic: General Discussion / Insulin Pump :) Hi Barry just thinking to myself about you wearing your pump on leg at night i always use the clip of the night and hook it over my boxers at the front, like the way th echildren think your wearing a pager, of the day at work i thread the tube under my belt then keep it in my buttoned pocket at the front but hey all of us are different one way or the other lol, likewise to having 25000 - 30000 injections wow we like pin cushions but the pump i mlove and will never ever go back to injections hope your keeping good control and are well take care speak soon Steve H :0

Feb 9, 2010 hankypanky 18 posts	Topic: General Discussion / Insulin Pump :) hi EeeBee well i was having really bad absorbtion with insulin not matter where i injected it , so therefore i woundnt work with hardly any meals so i had another jab to compensate for the one that didnt absorb and with me doing this the one that didnt absorb i thiink it kicked in later on and was havibng hypos regulary, so instead of 4 injections daily i was having about 7-8 daily and my a1c was always high too, i went on a "DAFNE" course and with me having type1 for 14 yrs i was overwhelmed by what i found out and still am to this day (excellent course) would say tha to loads of other type 1's (have you been on this course?) i know that you have to fit a certain criteria though, i was missing food and going hungry alot to avoid the injections, but im still getting used to the pump ( medtronic ) but wow the changing of the pump every 3 -4 days what a relief, see your diabetes nurse if you havent been on a DAFNE course,

Feb 9, 2010 davewybrow 2 posts	Topic: General Discussion / Insulin Pump :) Going on to it required a four session training course which was well done, we had the involvement of the Animas rep (Paul) who was useful. The pump is quite complicated i.e. it does a great deal and takes the haphazard guesswork out of calculating how quickly the isulin is used up, how much you have left, what time of the day it is and many other things. It also makes it very easy to correct blood glucose levels that are out of target. The prime points that PCT's need is either high HbA1c levels (11+) or a history of hypos which cause worry in either their frequency or their timinhg or their unpredictability. I started on insulin in 1962 at King's College and have lead a very active life, the pump will allow me to continue that - it is waterproof so I can even swim in it if I wish, After approx 54,000 injections since 1962 it has made life VERY much more pleasant and means I can boost quickly and easily if we decide to stop for a snack irrespective of what it is provided I can work out the CHO level (DAPHNE works very well for that!). My clinic says that currently they have 20% of their patients on pumps and that figure is increasing as courses are run several times a year for small groups. It is comfortable to wear - like having a pager with me 24/7 and the kids in my school believe it is a pager! It has alarms for anything which you need to be aware of (low level of insulin remaining,blood glucose too high or too low, reminder to test for ketones, reminder about low glucose levels, blockage, too much delivered, low battery etc) and does instant adjustments for sick days with a % adjustment that you decide for as long as you decide. A great piece of kit and I wish I had sought it a long while ago......... I was reluctant to consider it and am really glad that I did. I would not go back and do feel very supported by the professionals and the company with a 24h helpline if needed. They have also lent me a spare pump "just in case" for holidays but of course I still need to monitor glucose levels and carry both short and long acting insulin pens in case I have to take it off for any reason lenger than 1 hour.

Feb 9, 2010 marke 686 posts	Topic: Questions for HCPs / Hypo recognition. Carolin, Can you clarify what you are saying, are we talking about Hypo recognition or DAFNE generally. I would have thought all diabetics try to avoid hypos, believe me its not something we particularly enjoy ;^) . We also try to keep within DAFNE targets which is the point of DAFNE. However if we are talking hypo awareness and lack of it then of course avoiding hypo's is a priority. When you talk about aiming at the upper end of the range, is this connected with trying to restore hypo warnings ? Is there any guidance over how long it might take to regain warning signs. Obviously individuals will vary in both their warning signs and the time it takes to regain them, however a rough indicator on how long the aim of top end DAFNE BG's should be maintained would be useful.

Feb 9, 2010 marke 686 posts	Topic: General Discussion / Exercise and high BG Hi, Not sure I like the sound of QA before exercise, especially if it involves the 'area' of injection since exercise speeds up the absorbtion of insulin. This would mean a bigger 'hit' of insulin to take the sugar out of the blood, increasing the risk of Hypo I would have thought. I would take advice before injecting pre-exercise. I occasionally had high BG's after exercise, however it always went back down on its own and I would rather be a bit high than having to be picked up off the floor....

Feb 9, 2010 Simon 578 posts	Topic: Site Development / Online BG Diaries Good news - you now have a drop down next to the ratio selection box with your previously used ratios - hope this makes things easier for you. Also, you can now specify an injection site - if i've missed any then let me know. You can't currently see any graphs for this or it represented on the diary display (would you want to), however in time these will come too! Let us know if we can do anything else/differently. Simon

Feb 9, 2010 Paul G Wales 8 posts	Topic: General Discussion / Ratios tryed them all Hi ive been trying unsuccessfully to find a ratio that will work for me I started at 1:1and moved up gradaully to 3:1 and im sure it will end up at 3.5 : 1 ,has anyone got any advice, on this a most of the dafne advice i got doesent really help with this ! i have just been prescribed Metformin but wanted to get my ratio sorted before i went ahead with it ! should i start it now and deal with it all in one go ? im just aware of the change one thing at a time thanks paul