Recent Posts - DAFNE Online

Feb 9, 2010

EeeBee 4 posts

Topic: General Discussion / Exercise and high BG

Hi

I've experienced the same after exercise and was informed that its because there isn't enough insulin in your bloodstream to carry the glucose to the muscles hence it remains in the bloodstream = high BG.

Therefore I've been advised by my HCPs that if your BG is high before exercise or you do exercise first thing in the morning before breakfast, then have QA 'correction units' that you would have to bring your BG into target BEFORE exercising. That way you will have enough insulin in your body to not give you a high BG after exercise. However, be careful to check BG after exercise too as depending on how strenuous your exercise is you could risk a hypo.

Also you may want to check this with your HCPs too but hope it helps!

Feb 9, 2010

EeeBee 4 posts

Topic: General Discussion / Insulin Pump :)

Hi Steve & Barry

How easy was it to be put on a pump? I asked my Diabetic HCPs and they said I couldn't have one because my HBA1c is not terrible and its usually only for people who've had problems controlling their BGs over a long period of time.

However, I've had T1D for 27yrs now and even though my HBA1c is fine I still find my BGs fluctuating daily out of target too often for my liking. I also have snacks and am getting sick of injecting more than 5 times per day, I think I'm having insulin absorption problems if I do my injection anywhere other than my stomach, and hence I am gradually developing lypodystrophy and fat build up round my stomach!

How can I convince them to even consider me for it?? It wouldnt be a PCT budget thing would it?

Thanks

Feb 9, 2010

EeeBee 4 posts

Topic: Site Development / Online BG Diaries

Hi Simon,

I think your suggestion of : 'have a drop-down box which has all of the ratios that you personally have already used, with the option to enter text manually thus adding a new ratio' would be a good option.

the injection site function would be much appreciated especially as i've found last week that by doing my injections in other places rather than my stomach has had a profound effect on my BGs. My calculations have been correct to my CPs (like the previous week and had good BGs) but I've suffered high BGs last week after meals since doing my injections in say my arm or leg.

I'm sure there's an absorbtion problem but since we're all advised not to keep doing injections in one place ie. stomach I'm a bit stuck for solutions. I can't increase my ratios at meal times because I suffer hypos so my ratio of 1:1 must be correct. So, it would be good to visually monitor injection sites and BGs!

Thanks so much

Feb 9, 2010

tsavage1990 11 posts

Topic: General Discussion / First illness since dafne

i'm currently getting really poorly - probably just a bad cold but we'll see - this will be my first spell of illness since doing the course in september (think it was september anyway). fingers crossed i can keep better control of my bloods using dafne, wish me luck
Smile

Feb 9, 2010

Sam 64 posts

Topic: General Discussion / Lantus Lasting 24 hours?

Hi Mark

I had similar experiences and I changed to Levemir which is split between morning and dinner, maybe consider speaking to your diabetic team. I'm now on Humulin I split at 12 midnight and morning I was climbing BGs before bed and through the night, so far so good though. It's good your noticing a pattern.

Sam

Feb 9, 2010

Lena 1 post

Topic: General Discussion / Pregnancy

Hi I am 37 and have been diabetic for 30 years. I have three kids aged 13, 10 and 7. I had no problems getting pregnant at all. My control was very poor before pregnancy but with help from diabetes team it was well controlled during. I did not go to the pre-conception classes but think its a really good idea! Keep practising!

Feb 9, 2010

qprfcmark 3 posts

Topic: General Discussion / Lantus Lasting 24 hours?

Hi, just started on DAFNE after being type 1 for 30 years. Has anyone else found that their BG is going above target at around 18:00 & 22:00? I had a zero CP meal at 18:00 and my BG went from 6.9 to 9.8 at 22:00. This to me indicates the BI Lantus is running out by 15:00 and I'm relying purely on QA Novorapid. My ratio for Novorapid is already 2.5:1 at 12:00 & 18:00. Anyone else experienced this and what is the solution? Regards Mark

Feb 8, 2010

Simon 578 posts

Topic: Site Development / Online BG Diaries

Done - 15 it is! Good luck with the pregnancy Smile

Feb 8, 2010

vic demain 87 posts

Topic: Questions for HCPs / Hypo recognition.

Hi Carolin,
Thanks for making contact, it is much appreciated.

Last two days have been much better, only one hypo, results are hovering around 8-10. Aim is to keep things as they are for a couple more days and see where we are.

Keep up the good work.

Vic.

Feb 8, 2010

Carolin 83 posts

Topic: Questions for HCPs / Hypo recognition.

Hi,
Just a quick update to the info that's currently in the Handbook (which is due to be re-issued later this year). We now recommend:

1. Keeping your BG within DAFNE targets, i.e. do not allow it to drop below 4.5mmol/l at any time and try to avoid hypos at all costs (be more cautious with corrective QA doses, particularly if you have had a hypo already that day)

2. Aiming to be at the upper end of the target range before meals, i.e. BG around 7.5mmol/l (8mmol/l at bedtime). You should not need to run your BG above DAFNE targets in order to regain hypo warnings.

Hope this helps

Feb 7, 2010

Davidherd 1 post

Topic: General Discussion / BG targets

I have only just completed the DAFNE course and have been on my own for a week so its early days. There seems to be a few red BG`s but on some I am only just over target.

Feb 7, 2010

RachelA 10 posts

Topic: Site Development / Online BG Diaries

Hi SImon - would it be possible to get 15 entries. That would definitely be enough, for all my injections and snacks. Thanks alot - Rachel

Feb 7, 2010

Simon 578 posts

Topic: Site Development / Online BG Diaries

Hi Guys, thanks for your requests. With regard to the ratios, it seems people want more automation there, whether it's a drop-down box or using the last entered ratio. Whilst we're happy and willing to add functionality, we want it to be of use to everyone, so we need to get this right. Some things to think about:

If it's using a drop-down box we need to cater for everyone, as whereas I might input my ratios as 1:2 say, john may input them as 0.5 instead so that could prove difficult. One possibility may be to have a drop-down box which has all of the ratios that you personally have already used, with the option to enter text manually thus adding a new ratio. How does this sound?

I'd also be happy to add a calculation that automatically populated the ratio field based on the contents of the QA and CP fields. Not all people would want this though so we'd have to make it optional I guess. Would people want this?

A final option is to use the last used ratio. The problem here is if it's based on the last ratio for a specific type - what happens when you change the type in the dropdown box, will it automatically update the ratio based on this?

Just some things to think about on the ratios - this is your site though so let me know what you want and we'll make it so! Smile

With regard to the injection sites - sure thing, shouldn't be too hard to put on the entry form, may be trickier to ad a 'graph' but we'll do what we can there.

RachelA - how many entries per day are you in need of? The limitation is there because if there's too many entries in a day this might make the diary display look a bit dodgy, but if you can live with that then so can we!

Thanks for reading,

Simon

Feb 7, 2010

Peter 109 posts

Topic: General Discussion / What meter are you using?

Onetouch ultra 2

Feb 7, 2010

Simon 578 posts

Topic: General Discussion / DAFNE strapline poll

Yep sure thing, if you vote again you'll just overwrite your previous vote!

Feb 7, 2010

Stew B 125 posts

Topic: General Discussion / DAFNE strapline poll

Can those of us who have already voted go back to vote for keeping the current strapline?

Stew

Feb 6, 2010

novorapidboi26 1,819 posts

Topic: Carbohydrate Counting / Red Wine/Tonic Wine

been googling caffiene and BG and its a very grey topic............ppl say that caffiene impares the effectiveness of the insulin and the transfer of glucose from the blood to the bodies cells, hence higher blood sugar.

But it mostly refers to type 2 diabetics.....

The amount of caffiene I would be consuming in one sitting would be 300mg (I know thats alot)

Feb 6, 2010

novorapidboi26 1,819 posts

Topic: Carbohydrate Counting / Red Wine/Tonic Wine

seems to be during...then through the night it comes down......as expected

what about cafiene.....does anyone know the effects that could have on sugars

Feb 6, 2010

Simon 578 posts

Topic: General Discussion / DAFNE strapline poll

We've just modified the poll to allow you to vote for the original one being kept. Also, you don't have to use all four ranks now, so if you only had 2 favourites you could use ranks 1 and 2 (you can't have duplicates though).

Hope this helps!

Feb 6, 2010

Simon 578 posts

Topic: General Discussion / poll

We've just modified the poll to allow you to vote for the original one being kept. Also, you don't have to use all four ranks now, so if you only had 2 favourites you could use ranks 1 and 2 (you can't have duplicates though).

Hope this helps!

Feb 6, 2010

kajobren 4 posts

Topic: General Discussion / poll

I prefer the original strapline but it seems impossible to vote for this as you have to give your number preference for the other suggestions thereby voting for something you don't want

Feb 6, 2010

vic demain 87 posts

Topic: Questions for HCPs / Hypo recognition.

Thanks Marke, so much to take in. Cant remember what I did yesterday, let alone three months ago. guess we all need a bit of help occasionally.

Feb 6, 2010

gillian 2 posts

Topic: Carbohydrate Counting / Simple Form to assist Meal CP Calculation

hi marke
thanks, have done as you suggested.

Feb 5, 2010

sanderaburns 5 posts

Topic: General Discussion / Coeliac as well as Diabetic?

Hi Andrea, and welcome, i also have an underactive thyroid, which i think i am on the right dose of thyroxin now! Like you and Janys my BG's are all over the place as well good days and bad days! Recently at work my BG has been quite low but i haven't felt that they were, i usually can feel hypo-ish at about 6, one day i went down to 3 and felt fine! Got clinic in April i am going to mention it.
speak toy you all soon
Sandra

Feb 9, 2010 EeeBee 4 posts	Topic: General Discussion / Exercise and high BG Hi I've experienced the same after exercise and was informed that its because there isn't enough insulin in your bloodstream to carry the glucose to the muscles hence it remains in the bloodstream = high BG. Therefore I've been advised by my HCPs that if your BG is high before exercise or you do exercise first thing in the morning before breakfast, then have QA 'correction units' that you would have to bring your BG into target BEFORE exercising. That way you will have enough insulin in your body to not give you a high BG after exercise. However, be careful to check BG after exercise too as depending on how strenuous your exercise is you could risk a hypo. Also you may want to check this with your HCPs too but hope it helps!

Feb 9, 2010 EeeBee 4 posts	Topic: General Discussion / Insulin Pump :) Hi Steve & Barry How easy was it to be put on a pump? I asked my Diabetic HCPs and they said I couldn't have one because my HBA1c is not terrible and its usually only for people who've had problems controlling their BGs over a long period of time. However, I've had T1D for 27yrs now and even though my HBA1c is fine I still find my BGs fluctuating daily out of target too often for my liking. I also have snacks and am getting sick of injecting more than 5 times per day, I think I'm having insulin absorption problems if I do my injection anywhere other than my stomach, and hence I am gradually developing lypodystrophy and fat build up round my stomach! How can I convince them to even consider me for it?? It wouldnt be a PCT budget thing would it? Thanks

Feb 9, 2010 EeeBee 4 posts	Topic: Site Development / Online BG Diaries Hi Simon, I think your suggestion of : 'have a drop-down box which has all of the ratios that you personally have already used, with the option to enter text manually thus adding a new ratio' would be a good option. the injection site function would be much appreciated especially as i've found last week that by doing my injections in other places rather than my stomach has had a profound effect on my BGs. My calculations have been correct to my CPs (like the previous week and had good BGs) but I've suffered high BGs last week after meals since doing my injections in say my arm or leg. I'm sure there's an absorbtion problem but since we're all advised not to keep doing injections in one place ie. stomach I'm a bit stuck for solutions. I can't increase my ratios at meal times because I suffer hypos so my ratio of 1:1 must be correct. So, it would be good to visually monitor injection sites and BGs! Thanks so much

Feb 9, 2010 tsavage1990 11 posts	Topic: General Discussion / First illness since dafne i'm currently getting really poorly - probably just a bad cold but we'll see - this will be my first spell of illness since doing the course in september (think it was september anyway). fingers crossed i can keep better control of my bloods using dafne, wish me luck

Feb 9, 2010 Sam 64 posts	Topic: General Discussion / Lantus Lasting 24 hours? Hi Mark I had similar experiences and I changed to Levemir which is split between morning and dinner, maybe consider speaking to your diabetic team. I'm now on Humulin I split at 12 midnight and morning I was climbing BGs before bed and through the night, so far so good though. It's good your noticing a pattern. Sam

Feb 9, 2010 Lena 1 post	Topic: General Discussion / Pregnancy Hi I am 37 and have been diabetic for 30 years. I have three kids aged 13, 10 and 7. I had no problems getting pregnant at all. My control was very poor before pregnancy but with help from diabetes team it was well controlled during. I did not go to the pre-conception classes but think its a really good idea! Keep practising!

Feb 9, 2010 qprfcmark 3 posts	Topic: General Discussion / Lantus Lasting 24 hours? Hi, just started on DAFNE after being type 1 for 30 years. Has anyone else found that their BG is going above target at around 18:00 & 22:00? I had a zero CP meal at 18:00 and my BG went from 6.9 to 9.8 at 22:00. This to me indicates the BI Lantus is running out by 15:00 and I'm relying purely on QA Novorapid. My ratio for Novorapid is already 2.5:1 at 12:00 & 18:00. Anyone else experienced this and what is the solution? Regards Mark

Feb 8, 2010 Simon 578 posts	Topic: Site Development / Online BG Diaries Done - 15 it is! Good luck with the pregnancy

Feb 8, 2010 vic demain 87 posts	Topic: Questions for HCPs / Hypo recognition. Hi Carolin, Thanks for making contact, it is much appreciated. Last two days have been much better, only one hypo, results are hovering around 8-10. Aim is to keep things as they are for a couple more days and see where we are. Keep up the good work. Vic.

Feb 8, 2010 Carolin 83 posts	Topic: Questions for HCPs / Hypo recognition. Hi, Just a quick update to the info that's currently in the Handbook (which is due to be re-issued later this year). We now recommend: 1. Keeping your BG within DAFNE targets, i.e. do not allow it to drop below 4.5mmol/l at any time and try to avoid hypos at all costs (be more cautious with corrective QA doses, particularly if you have had a hypo already that day) 2. Aiming to be at the upper end of the target range before meals, i.e. BG around 7.5mmol/l (8mmol/l at bedtime). You should not need to run your BG above DAFNE targets in order to regain hypo warnings. Hope this helps

Feb 7, 2010 Davidherd 1 post	Topic: General Discussion / BG targets I have only just completed the DAFNE course and have been on my own for a week so its early days. There seems to be a few red BG`s but on some I am only just over target.

Feb 7, 2010 RachelA 10 posts	Topic: Site Development / Online BG Diaries Hi SImon - would it be possible to get 15 entries. That would definitely be enough, for all my injections and snacks. Thanks alot - Rachel

Feb 7, 2010 Simon 578 posts	Topic: Site Development / Online BG Diaries Hi Guys, thanks for your requests. With regard to the ratios, it seems people want more automation there, whether it's a drop-down box or using the last entered ratio. Whilst we're happy and willing to add functionality, we want it to be of use to everyone, so we need to get this right. Some things to think about: If it's using a drop-down box we need to cater for everyone, as whereas I might input my ratios as 1:2 say, john may input them as 0.5 instead so that could prove difficult. One possibility may be to have a drop-down box which has all of the ratios that you personally have already used, with the option to enter text manually thus adding a new ratio. How does this sound? I'd also be happy to add a calculation that automatically populated the ratio field based on the contents of the QA and CP fields. Not all people would want this though so we'd have to make it optional I guess. Would people want this? A final option is to use the last used ratio. The problem here is if it's based on the last ratio for a specific type - what happens when you change the type in the dropdown box, will it automatically update the ratio based on this? Just some things to think about on the ratios - this is your site though so let me know what you want and we'll make it so! With regard to the injection sites - sure thing, shouldn't be too hard to put on the entry form, may be trickier to ad a 'graph' but we'll do what we can there. RachelA - how many entries per day are you in need of? The limitation is there because if there's too many entries in a day this might make the diary display look a bit dodgy, but if you can live with that then so can we! Thanks for reading, Simon

Feb 7, 2010 Peter 109 posts	Topic: General Discussion / What meter are you using? Onetouch ultra 2

Feb 7, 2010 Simon 578 posts	Topic: General Discussion / DAFNE strapline poll Yep sure thing, if you vote again you'll just overwrite your previous vote!

Feb 7, 2010 Stew B 125 posts	Topic: General Discussion / DAFNE strapline poll Can those of us who have already voted go back to vote for keeping the current strapline? Stew

Feb 6, 2010 novorapidboi26 1,819 posts	Topic: Carbohydrate Counting / Red Wine/Tonic Wine been googling caffiene and BG and its a very grey topic............ppl say that caffiene impares the effectiveness of the insulin and the transfer of glucose from the blood to the bodies cells, hence higher blood sugar. But it mostly refers to type 2 diabetics..... The amount of caffiene I would be consuming in one sitting would be 300mg (I know thats alot)

Feb 6, 2010 novorapidboi26 1,819 posts	Topic: Carbohydrate Counting / Red Wine/Tonic Wine seems to be during...then through the night it comes down......as expected what about cafiene.....does anyone know the effects that could have on sugars

Feb 6, 2010 Simon 578 posts	Topic: General Discussion / DAFNE strapline poll We've just modified the poll to allow you to vote for the original one being kept. Also, you don't have to use all four ranks now, so if you only had 2 favourites you could use ranks 1 and 2 (you can't have duplicates though). Hope this helps!

Feb 6, 2010 Simon 578 posts	Topic: General Discussion / poll We've just modified the poll to allow you to vote for the original one being kept. Also, you don't have to use all four ranks now, so if you only had 2 favourites you could use ranks 1 and 2 (you can't have duplicates though). Hope this helps!

Feb 6, 2010 kajobren 4 posts	Topic: General Discussion / poll I prefer the original strapline but it seems impossible to vote for this as you have to give your number preference for the other suggestions thereby voting for something you don't want

Feb 6, 2010 vic demain 87 posts	Topic: Questions for HCPs / Hypo recognition. Thanks Marke, so much to take in. Cant remember what I did yesterday, let alone three months ago. guess we all need a bit of help occasionally.

Feb 6, 2010 gillian 2 posts	Topic: Carbohydrate Counting / Simple Form to assist Meal CP Calculation hi marke thanks, have done as you suggested.

Feb 5, 2010 sanderaburns 5 posts	Topic: General Discussion / Coeliac as well as Diabetic? Hi Andrea, and welcome, i also have an underactive thyroid, which i think i am on the right dose of thyroxin now! Like you and Janys my BG's are all over the place as well good days and bad days! Recently at work my BG has been quite low but i haven't felt that they were, i usually can feel hypo-ish at about 6, one day i went down to 3 and felt fine! Got clinic in April i am going to mention it. speak toy you all soon Sandra