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Nov 1, 2009
Sam
64 posts
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Topic: General Discussion / Dawn Phenomenon Hi TraceyHow are lucky are you to have be within your targets of 7. I get those kindof readings after exercise and if I don't do any I rise to the 10s+. So in order for my control to be tight I have to exercise full stop until my body becomes used to it and the insulin! Anyway I'm not an expert on the DP but I've certainly felt more at ease with the high readings and what to do from the folk on this site. I feel a bit more relaxed knowing I don't need to panic too much. I'm at my 6 week review on Wed so I'm going to discuss my options whether another insulin to take or a pump? I'm not sure if it has to be a continuous thing to experience DP I think if you have high readings over a period of time on and off and do your checks then you can say it is. It's whether or not you feel you need to change insulins or what? And as Tracey has said she experiences it at times and now all of a sudden her readings this morning were perfect. I think its your donald duck. Being diabetic is never straight forward and it's the biggest frustration out there. I've asked my Raymond to buy me a punching bag for xmas. I'm tired of being so well behaved, following DAFNE rules, forcing myself out to excercise just to get lower readings and and that it's taking it's time but you know what I'm alive and that's the main thing. Okay moan over!! Hope it works out, keep an eye on it and feedback, Speak soon Sam x |
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Nov 1, 2009
Sam
64 posts
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Topic: General Discussion / Dawn Phenomenon Hi NickyWow! 3 differnent insulins. You know the more I think about it it doesn' t sound that bad. The pump sounds like they have their advantages I guess there are certain things like how do you go swimming can you remove it for a certain length of time, a few things are going round my head. You're right when you say a jags a jag, that's how I look at it too. I'm in bed round 10pm so I'd probably set my alarm to take it if that's what my team recommend. I need to think about it but definately can't continue with high sugars night and morning. I'll let you know what they say next week! Sam x |
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Nov 1, 2009
Katy B
8 posts
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Topic: General Discussion / Least painful lancet?? Hi Copperline, I was using the one that came with the Optimum Xceed, I found it to be quite brutal and painfull. I mentioned it to my DAFNE educators and they gave me and a fellow friend the the GlucoJect Dual. I find it much less painfull and my friend also said she found it to be better. It combines 7 depth settings with an additional 3 Force Adjustment settings.I found this info about it for you: Securject Pro Featuring unique Comfort Zone Technology, Glucoject Dual S uses eight raised points to apply pressure on nerve fibres in the finger and send a message of comfort to the brain whilst masking the message of pain. Damage or injury to the skin causes receptors to generate pain signals that are transmitted to the brain via the spinal cord. Comfort Zone Technology targets the sensation and perception of pain, providing greater comfort when taking a blood sample. This unique feature is based on the ‘gate theory’ by Melzack & Wall. When pressed against the skin, the eight raised points stimulate sensory nerve endings that are responsible for contact, touch and pressure in the fingertip. This pressure targets the comfort receptors that send a powerful message that a non-painful action is taking place on the skin. Melzack and Wall proposed this to be the ‘gate theory’ of pain, whereby, painful stimuli can be masked by counter introduction of non-painful stimuli. The activation of the larger nerve fibres by Comfort Zone Technology counters the sensation experienced by the small nerve fibres as the needle enters the skin. Once the pressure is applied by comfort zone technology, the nerves in the skins focus on the eight raised points and continually send a message of comfort to the brain. This allows the lancet needle to penetrate the skin and the pain sensation to be shut out, allowing for a comfortable and virtually pain free blood sample. Here are some photos: http://www.mediconire.com/index.php?option=com_content&view=article&id=113&Itemid=201 Hope this helps, Katy xx |
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Nov 1, 2009
marke
643 posts
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Topic: Carbohydrate Counting / Pizza I'm afraid the DAFNE book is a 'generic' list based on average values NOT a precise list of every type of food. You also need to factor in an individuals ratios as well. There is also a lot of 'fat' in Pizza that can affect the speed of absorbtion of the carbs. As ever we are all individuals and so no book will provide perfect answers for everyone. It will be interesting to hear other peoples experiences though ! |
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Nov 1, 2009
marke
643 posts
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Topic: Questions for HCPs / Type 2 & DAFNE Meg, Sorry but to me the test just proves that your immune system has attacked the insulin producing cells and that you therefore don't produce much or any insulin. You can also be insulin resistant which is what type 2's are, which is another problem entirely. I know we are just discussinig semantics here, however as I said previously insulin resistance can cause 'issues' with DAFNE because the person in question may have completely different issues than the rest of the attendees on the course.That said, I DO agree that all Diabetics benefit from diabetes education and some DAFNE Centres DO take people with insulin resistance. In addition there may be a possibility to run a DAFNE Course with a number of people who have insulin resistance so that everyone is tackling similiar issues. I also agree that its not as simple as being Type 1 or Type 2, which is what I was trying to get at originally. I wish ALL Type 1's ( and 1.5's) could do DAFNE and get its big benefits !! |
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Nov 1, 2009
john day
54 posts
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Topic: Carbohydrate Counting / Pizza Hi ..Have a look at www.myfitnesspal.com, various pizzas and sizes are listed, albeit not Dominoes. Cheers, JD |
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Nov 1, 2009
Simon
574 posts
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Topic: Site Development / Recipes If you want to share your email addresses, you could do so via the messaging facility - these are private so can only be seen by the sender/receiver when they are logged in. To send a message click a user's name on the forum then click 'Send a message to this user' |
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Nov 1, 2009
Tracey Bond
14 posts
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Topic: General Discussion / Dawn Phenomenon Hi KarenI have been struggling with 'Dawn' only recently and have found a similar thing, now this morning everything is perfect...........................I can't figure this out at all. Tracey x |
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Nov 1, 2009
Karen Westwood
38 posts
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Topic: General Discussion / Dawn Phenomenon Hi all,I have been reading the posts on this with interest. Most days I do not have a problem with high BG results in the mornings. I tend to be between 6 and the top end of the 7's (how frustrating is it when you get a 7.6 and it shows as above target!! lol!!). However, I do many once or twice a week (not in a regular pattern) get a high BG in the morning. With what I have been reading on here I have been doing some 3am BG tests this week and it would appear that on average I do stay pretty level through the night but this morning I have gone from 7.6 at 2.30am to 11.3 at 7.20. There doesn't seem to me to be any other explanations to these occasional rises in the morning (other than maybe Dawn Phenomenon) but is this usually something that happens every day or do other people experience this occasionally too. I would be interested to hear anyones thoughts on this. Many thanks. Karen x |
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Nov 1, 2009
Nicky
3 posts
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Topic: General Discussion / Dawn Phenomenon Hi Sam,Yeah you have picked me up correct! I'm on Levemir (10u) at 8am then my QA during the day (I'm on 3:1 in the morning too and 2:1 the rest of the day) and the Insulin I at midnight (14u). It sounds a bit of a pain being on three different insulins but to be honest a jag is a jag. The only think is remembering which cartridge to put in which pen! Don't want to be making a mistake like that!! I hope all goes well with you next week and that you will get something sorted, whether it is the Insulin I or the pump. From what I've heard from people who are on the pump it is great and it does give you very tight control it's just personally I don't like the idea of it. Go with whatever suits you best. Good luck! Nicky |
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Oct 31, 2009
NiVZ
82 posts
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Topic: General Discussion / Least painful lancet?? Hello,I'm using OneTouch UltraSoft lancets. Never had any problems with them being painful. NiVZ |
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Oct 31, 2009
Tracey Bond
14 posts
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Topic: General Discussion / Least painful lancet?? Hi Copperline,After having Diabetes for 29 years I have used one or two different finger prickers. I keep going back to the same one, which is an Accu-check Softclix. The lancets are very flat in shape with a circular top. I am unaware if you can still buy it (Diabetes Clinic at my local hospital doesn't have any), never thought to look on the Accu-chek website! The lancets I get on prescription month after month so maybe....... It is gentle beyond belief! Happy pricking! Tracey |
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Oct 31, 2009
megramsey
4 posts
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Topic: Carbohydrate Counting / Pizza Does anybody else find Pizza values in Dafne book way too high - I had a Domino's medium pizza last night and in the book it should be 19 - I guessed 9 which was too much. |
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Oct 31, 2009
Alann
12 posts
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Topic: General Discussion / Least painful lancet?? Hi Copperline,I've the Accu-ckeck mulitclix to be by the best i've used. Maybe it would be worth mentioning this to your HCP as it could be down to technique. I have found though that not only rotating which finger i use, I also will use my left hand week one and the right week 2 as well as alternative site. This is by no means advice, but I do find testing from my upper arm farless painless and are more convienent. Kindest regards Alan. |
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Oct 31, 2009
megramsey
4 posts
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Topic: Questions for HCPs / Type 2 & DAFNE Marke there is now a way to tell if someone is Type 1 the GAD test can prove it with antibodies being found in the blood -hence the change of diagnosis for my husband.I wanted to make the point that a type 2 diagnosis in the past is not necessarily proof someone is type 2 so if someone wants to try Dafne and it works that is good news whatever type they may have been diagnosed as which I think is in agreement with you in a way. |
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Oct 30, 2009
Sam
64 posts
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Topic: General Discussion / Dawn Phenomenon Hi NickyThanks for your in put really interesting what you're saying. I've done the numerous 3am checks over the last week and I'm definately not hypoing. I spoke to my nurse the other day and discussed pumps, she actually mentioned another BI I think it maybe the one you're on can't quite remember the name. I'll speak to her in more detail next week. When you say taking a split background are you taking a QA plus Insulin I and Levemir or have I picked you up wrong? I had changed my ratio at breakfast from 2:1 to 3:1 few weeks ago because of the high sugars in the morning. We'll see what options there are next week and thanks for sharing that. Always good to hear others experiences. Sam x |
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Oct 30, 2009
Sam
64 posts
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Topic: Site Development / Recipes mmmm didn't think of that, I've managed to removed mine by editing the post so hopefully no one or something has noticed!Cheers Marke x |
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Oct 30, 2009
john day
54 posts
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Topic: Site Development / Recipes Hi Marke ..Thanks for the reminder .. we all indeed get too much of that already. Cheers, John |
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Oct 30, 2009
marke
643 posts
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Topic: Questions for HCPs / Type 2 & DAFNE hi, as is my style I will preface what I'm about to say by making clear I am a Diabetic NOT a HCP/consultant/DAFNE Educator.I don't think you can actually prove you are Type 1/Type 2/ or any other type, because life just isn't that simple :-( DAFNE is aimed at and works best with people who are NOT insulin resistant and require multiple injections of background and quick acting insulin. Some DAFNE Educators are happy to include people with Insulin resistance and some are not. Ultimately the course is NOT aimed at people with insulin resistance and the issue is if you include such people they can skew the course because they have issues that the rest of the attendees do not. However as I say people with insulin resistance are not by default excluded and at some DAFNE Centres may be able to attend DAFNE. |
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Oct 30, 2009
megramsey
4 posts
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Topic: Questions for HCPs / Type 2 & DAFNE My husband was diagnosed as a type 2 at the age of 40. I did the Dafne course as I am a type 1 (and by the way I take metformin as well as insulin) and he did it by proxy along with me. He has now actually been tested with the GAD test which has actually proved he is in fact a type 1. |
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Oct 30, 2009
marke
643 posts
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Topic: Site Development / Recipes guys, Just a word of caution. I would advise against putting your email addresses in messages on the forums. Not because of anyone on here, but because spammers scan websites for email addresses to use to send spam to. Since these are public forums, anyone or anything can access them and get hold of your email address. As someone who works in the IT industry and has to battle to block my users receiving spam I can assure you its VERY annoying to start receiving large amounts of spam AND also to have your email address used as the apparent source of spam.You can use the site private message facility to send each other 'private' messages that contain your email addresses. That way they are NOT available publicly to be accessed by spammers. To use private messages just click on 'message inbox' in the right hand menu. |
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Oct 30, 2009
hankypanky
18 posts
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Topic: General Discussion / I would appreciate anybody's help! im sure all waiting lists aintthe samesteve |
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Oct 30, 2009
Nicky
3 posts
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Topic: General Discussion / Dawn Phenomenon Hi Guys,I have quite a marked dawn phenomenon and was almost at the end of my tether until recently. I like yourselves started of checking for night-time hypos (as to be honest this is what I thought it might be) when I discovered that from 4am-8am I'd creep up from 7 to 17!! Despite many attempts to correct this I just couldn't get it sorted and when I increased my BI to a certain amount I went lo which ment I ended up being high in the morning anyway. Nightmare! It was suggested that I get an insulin pump but to be honest I hate the idea of being attached to a machine so I thought I was going to have to just out up with it and correct every morning. However, recently I was put on Insulin I for my bedtime BI (the same as the old insulatard) which action peaks at 4 hours meaning if I time it right (ie take my bedtime jag at midnight or later) it combats the increase in BG and as a result my morning BMs have been really good. Not perfect but it is a hell of a lot better than it was (down to single figures mostly). The only draw back is you really can't take it before midnight otherwise it will peak to early and you will go lo (but if you are an owl this is perfect, or just set your alarm if you want an early bed). This also means that you would have to split your background dose too so you'd have to take another jag in the morning of one of the new, slower release ones (eg levimir, lantus). I have to say though for me it has made a huge difference and I don't feel so disheartned with my control. Its definately something to think about! Nicky PS - If you have a dawn phenomenon you are more likely to need a higher ratio at breakfast anyway to combat that no matter how fit you are as those hormones that are released to wake you up (which gives you the dawn phenomenon) are still hanging about your system. I've found that even if I wake up fine and don't eat breakfast I still have to give myself a couple of units to keep me level for lunch. |