Recent Posts - DAFNE Online

Jun 10, 2017

alturn 78 posts

Topic: General Discussion / Basal/bolus insulin proportions

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

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

For interest, my basal is currently 24 units (but has varied between 22 and 2 Cool

which is about 65% of my TDD.

Regds,
J

Jun 9, 2017

marke 643 posts

Topic: Site Development / intrusive predictions

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

Jun 9, 2017

marke 643 posts

Topic: General Discussion / Basal/bolus insulin proportions

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

Jun 8, 2017

Jos2 8 posts

Topic: General Discussion / Basal/bolus insulin proportions

Hi,

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

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

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

Jos

Jun 8, 2017

Warwick 430 posts

Topic: General Discussion / Weight Loss

My ideas are to either:

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

or

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

or

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

Hope that helps.

Jun 8, 2017

ChloeTate1993 3 posts

Topic: General Discussion / Weight Loss

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

Jun 8, 2017

Warwick 430 posts

Topic: General Discussion / Weight Loss

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

What basal are you on, and do you inject once per day or twice a day?

Jun 8, 2017

ChloeTate1993 3 posts

Topic: General Discussion / Weight Loss

Between 5pm and 6pm usually as I don't finish work until 5pm.

Jun 8, 2017

Warwick 430 posts

Topic: General Discussion / Presetting diary times

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

Thanks,
Wariwck.

Jun 8, 2017

Warwick 430 posts

Topic: General Discussion / newbie

Hello Allison,

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

Warwick.

Jun 8, 2017

Warwick 430 posts

Topic: General Discussion / Weight Loss

When are you exercising? At 5 pm?

Jun 5, 2017

torana 53 posts

Topic: General Discussion / Presetting diary times

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

Jun 4, 2017

allison_71 1 post

Topic: General Discussion / newbie

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

May 31, 2017

ChloeTate1993 3 posts

Topic: General Discussion / Weight Loss

Hi All,

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

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

-bad i know)

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

.

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

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

Thanks in advance

May 31, 2017

Pip510 4 posts

Topic: General Discussion / High blood sugar in morning

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

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

May 30, 2017

Alan 49 280 posts

Topic: General Discussion / High blood sugar in morning

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

May 30, 2017

PeterKemp 1 post

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

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

May 30, 2017

Dean123 7 posts

Topic: General Discussion / High blood sugar in morning

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

May 29, 2017

pjc21 8 posts

Topic: Site Development / intrusive predictions

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

May 24, 2017

Warwick 430 posts

Topic: General Discussion / Scattered BG

Any chance that you accidentally took your basal dose twice?

May 24, 2017

Warwick 430 posts

Topic: General Discussion / Broken Humapen

Levemir should be able to be used in the way that you suggest, but you would want to do some frequent testing to check that your BGLs didn't go too high or too low. If they get too high, get to a hospital immediately and they should be able to sort out a disposable pen of QA for you in the interim.

May 22, 2017

marke 643 posts

Topic: General Discussion / Painful Libre

I never experienced any pain at all with it. apart from financial Very Happy

. It is pretty passive so its unusual to have a reaction, unless its to the sticky stuff that hold it on. The sensor tube only goes a little into the skin . It is a good device so I would just hope it doesn't get more painful. If it does take it out and report it to them, any patient reactions should be logged. No point making yourself potentially ill if you are reacting to tit.

Jun 10, 2017 alturn 78 posts	Topic: General Discussion / Basal/bolus insulin proportions I ignore all these surveys as they are usually of a very small numbers involved, and a new one will be along next week. If her HBA1C is ok and DSNs' are ok with treatment, then I would say all is Ok. For interest, my basal is currently 24 units (but has varied between 22 and 2 which is about 65% of my TDD. Regds, J

Jun 9, 2017 marke 643 posts	Topic: Site Development / intrusive predictions Sorry but this is nothing to do with the site, its a function of the browser you are using. What browser are you using ? and is this on a PC or a mobile device. We might be able to suggest something if we understand these things.

Jun 9, 2017 marke 643 posts	Topic: General Discussion / Basal/bolus insulin proportions Your daughter is not unusual , none of us are usual. Also DAFNE advises nothing of the kind. What it teaches us is to adjust our Basal levels to what is right for US. It is probably true that often people take too much Basal before DAFNE, as part of the course is to teach you how to work out the correct level of basal for you and also to realise this is not something that will remain the same for ever more. It's hard to explain the DAFNE approach without doing the course as its a collection of things and doing parts in isolation may cause more harm than good.

Jun 8, 2017 Jos2 8 posts	Topic: General Discussion / Basal/bolus insulin proportions Hi, How do DAFNE advise basal insulin levels are set? I'm interested because of a quote in this article, http://www.diabetes.co.uk/news/2017/jun/study-provides-new-insight-into-insulin-dosing-for-adults-with-type-1-diabetes-92312051.html. It states: "The findings support the view of the DAFNE course, which also states that many people take too high levels of basal insulin. DAFNE advises that most people with type 1 diabetes will benefit from 24 units of TBD per day." Most people? Are people that similar? My daughter is average height and weight but only needs about 14 units of basal insulin (about 30% of her TDD). Hopefully they have been misquoted. Or maybe my daughter's unusual? Jos

Jun 8, 2017 Warwick 430 posts	Topic: General Discussion / Weight Loss My ideas are to either: 1) Reduce your Levemir dosage by 10% or so the night before and morning before the exercise. or 2) Change your exercise to the morning before breakfast so that QA isn't a factor, and most of your basal insulin is gone. or 3) Make lunch as low-carb as possible so you only need very small amounts of QA. Hope that helps.

Jun 8, 2017 ChloeTate1993 3 posts	Topic: General Discussion / Weight Loss Yeah mine too, and apparently I must be "sensitive to exercise" because of the amount that I drop in just half an hour's exercise 😣. I'm on levemir twice daily then novorapid when eating.

Jun 8, 2017 Warwick 430 posts	Topic: General Discussion / Weight Loss Bleck. I cycle home around that time and I usually need to have some carbs first, usually a glass of milk, to avoid going low on the trip home. For some reason my QA from lunch seems to still have potency to send me low then. What basal are you on, and do you inject once per day or twice a day?

Jun 8, 2017 ChloeTate1993 3 posts	Topic: General Discussion / Weight Loss Between 5pm and 6pm usually as I don't finish work until 5pm.

Jun 8, 2017 Warwick 430 posts	Topic: General Discussion / Presetting diary times +1 on the ratio idea. If we had a profile where we could state the periods of times where we are each ratio or even if we could select a default ratio which we would change when required, then that would be awesome. Thanks, Wariwck.

Jun 8, 2017 Warwick 430 posts	Topic: General Discussion / newbie Hello Allison, Welcome. Feel free to ask any questions that you have and we'll be happy to try and help. Warwick.

Jun 8, 2017 Warwick 430 posts	Topic: General Discussion / Weight Loss When are you exercising? At 5 pm?

Jun 5, 2017 torana 53 posts	Topic: General Discussion / Presetting diary times Is it possible to preset the diary with blood glucose testing times, ratios and before breakfast etc so it doesn't have to be such a tedious task every day. My routines are the same on most days and it would save time when completing the multiple entries.

Jun 4, 2017 allison_71 1 post	Topic: General Discussion / newbie Hey everyone, last week I just finished my dafne course, worth the wait attending it. I love it and much much to take in but I managed to get a grasp of it. So I am shopping by to say hello.

May 31, 2017 ChloeTate1993 3 posts	Topic: General Discussion / Weight Loss Hi All, I completed DAFNE July 2016 and have managed to get my HbA1c from 97 to 76. Unfortunately as a side effect from this i have gained almost a stone ! I wont lie i definitely used my higher hbA1c to my advantage to keep my weight at bay particularly as i managed to lose a stone and a half back in 2015 (more from not eating and high bloods -bad i know) The weight gain is really affecting me as i am a keen exerciser which is where my problem lies! As i work 8:30am to 5pm most weeks and have lunch at 1pm i have to do what is known as 'unplanned exercise'. Due to this i am having to snack at 4pm ish at least 3cps(usually 1 or 2 bananas) as i drop by approx 10mmols during exercise so have to go with a reading of about 16. I could lower my lunchtime QA or take none instead of eating CPs however i will then be sitting for 4-5 hours on a high blood reading - and if i exercise more i will have to eat more cps so that also wont help lose weight Any advice would be grateful. Any dietary advice also that people have found works? Thanks in advance

May 31, 2017 Pip510 4 posts	Topic: General Discussion / High blood sugar in morning Have you completed a diary of your readings and can rule out a faulty meter? As Alan suggests a control solution is a great idea but make sure it is still in date as they only have a short shelf life If its just a few days at the same reading I would not be overly worried. Consider contacting your Diabetes Nurse if you cannot see what the fault is or why your readings should be the same.

May 30, 2017 Alan 49 280 posts	Topic: General Discussion / High blood sugar in morning I don't think you should worry too much about a reading of 8.3 - I wish I was 8.3 every morning. If your reading is exactly 8.3 EVERY morning, you should check the meter out with the control solutions that came with the meter.

May 30, 2017 PeterKemp 1 post	Topic: DAFNE Online Mobile / Viewing BG Graphs using DAFNE App on Android Phone Hello Peter Many thanks for your advice to Claire. I have the 2017 version Samsung A5 and following your comments above, have successfully uploaded all my data from the phone to the DAFNE online Blood Glucose Diary. Thanks!

May 30, 2017 Dean123 7 posts	Topic: General Discussion / High blood sugar in morning Hi can you help me, what it is, I am waking up every morning with reading of 8.3, it doesn't matter how much Lantau I have, I am still every morning waking up with reading of 8.3. Any advice much appreciated, thanks Dean

May 29, 2017 pjc21 8 posts	Topic: Site Development / intrusive predictions I find it very irritating that each time I try to enter a figure or a note in the log the predictive text insists on inserting previous figures or comments, which I then have to erase before I can continue. Does anyone else have this problem? Is there a way to turn this feature off?

May 24, 2017 Warwick 430 posts	Topic: General Discussion / Scattered BG Any chance that you accidentally took your basal dose twice?

May 24, 2017 Warwick 430 posts	Topic: General Discussion / Broken Humapen Levemir should be able to be used in the way that you suggest, but you would want to do some frequent testing to check that your BGLs didn't go too high or too low. If they get too high, get to a hospital immediately and they should be able to sort out a disposable pen of QA for you in the interim.

May 22, 2017 marke 643 posts	Topic: General Discussion / Painful Libre I never experienced any pain at all with it. apart from financial . It is pretty passive so its unusual to have a reaction, unless its to the sticky stuff that hold it on. The sensor tube only goes a little into the skin . It is a good device so I would just hope it doesn't get more painful. If it does take it out and report it to them, any patient reactions should be logged. No point making yourself potentially ill if you are reacting to tit.