Recent Posts - DAFNE Online

Nov 10, 2009

vashcroft 1 post

I am going into hospital for an investigation under general anaesthetic at 1230 on Friday 13th November 2009. I have been told not to eat after 7am. What do I do about my insulin. I usually eat 6 cp's and have 12 units lispro and 11 units levemir at breakfast time. I have 23 levemir before bed.

Nov 10, 2009

NiVZ 82 posts

Topic: General Discussion / Testers required for Meter upload

Hello,

Can anyone with a OneTouch UltraEasy who fancies testing meter uploading please reply here or send me a private message.

I've got the program working where it will read the date and BG from the UltraEasy and display them on screen. I want to check this works on other peoples meters before I try the actual upload part to the website.

If it's successful I'll try and extend it to other meters.

(Thought I'd post in here to as it would get more coverage)

NiVZ

Nov 9, 2009

Simon 578 posts

Topic: Site Development / Recipes

So what are everyone's thoughts on the recipes? Here at the DAFNE Online office (currently on a train from Glasgow to Liverpool) we are keen to implement what our users want/need. Is a 'sticky' thread on the forums enough to track recipes, or would you like something more sophisticated that allowed you to enter the info to your database, in a similar fashion to John's form?

Either way works for us - we'd just like to know what information you'd like to track/add with your recipes.

Simon

Nov 7, 2009

retzy11 1 post

Topic: General Discussion / Dawn Phenomenon

Hi Sam,

Yes i was told that I suffer with the dawn phenominum. When I am working i usually get up at 6.30 and find that my BG levels are not to bad. However at the weekend when i enjoy having a lay in- everything seems to spin totally out of control and I spend the best part of the day struggling to bring my BG down to an acceptable level. I am usually very ratty and have zero tolerence for other people whilst this is going on. I also skip meals because I feel to unwell to eat. I have been seen by my diabetes specialist nurse who made suggestions on what I could do. So having listened and taken there advice but it has had little impact, leaving with the choice of resting and suffering or getting up at 6.30am everyday!!! Great choice! Lol

Nov 5, 2009

NiVZ 82 posts

Topic: Site Development / Meter Upload Development

Hello,

Any Lifescan OneTouch UltraEasy users fancy doing some 'beta' testing?

If so, please reply here or drop me a private message.

At the moment it won't upload, but it will read all the BG data from your meter and display it on the PC screen, but if the reading part works then the uploading should be fairly straight forward (famous last words)

Thanks,

NiVZ

Nov 5, 2009

NiVZ 82 posts

Topic: Carbohydrate Counting / How do you caluculate...

Hi Gill,

DAFNE covers a wide range of topics, including illness, alcohol, as well as food.

For the food part of things it's just a case of applying a ratio of insulin to carbohydrate. In DAFNE 1CP (Carbohydrate Portion) is 10g of carbs. Therefore a 1:1 ration means 1 unit of insulin to 10g of carbs. Some people will be on 2:1, so thats 2 units to 10g or even 0.5:1 so thats half a unit for 10g.

There are already Carboydrate counting scales, such as the Salter Nuri-weigh range which can help with these calculations but I suppose this could be extended by allowing you to enter your ratio and the device could tell you how much insulin to take although the maths is usually quite easy. Just divide food label carbohydrate by 10 to turn g into CP (and divide or multiply by the portion size if necessary, especially if they've used 'nutrition onfo per 100g' for example) and then multiply by ratio.

Hope that helps and good luck with your device.

NiVZ

Nov 5, 2009

Gill28 1 post

Topic: Carbohydrate Counting / How do you caluculate...

Hello,

I'm a final year Design student, trying to design a device which make it alot easier for diabetics to manage their food.
I'm trying to understand how DAFNE actually works.
I'd be very grateful if someone could please take the time just to quickly explain what DAFNE involves and what calculations you have to make in order to work out how much insulin you need to take?

Cheers,

Gill

Nov 4, 2009

DavidJ 23 posts

Topic: General Discussion / post meal peaks

Hi Rachel. I have a couple of ideas, although they are speculation reallly because one day is not enough to draw a pattern. I don't know the profile of Humalog, but the hypo is 6.5 hours after the meal and I think your QA insulin should be gone by then, which would leave your BI. The other idea is insulin resistance and/ or lipos, which can reduce the effectiveness of the insulin and produce unpredictable results. Your Diabetic Specialist Nurse should be able to help with the second point. It's very frustrating when you try to do things correctly and your body just will not behave itself.

Nov 4, 2009

RachelA 10 posts

Topic: General Discussion / post meal peaks

I am looking for help in avoiding post meal peaks. I am on 10u levemir at 8am and 5u at 8pm and a 1:1 ratio. Today at lunch time (12:30) my blood glucose was 4.5. I ate 1 wholemeal granary roll (ham & salad) small packet of crisps and an apple = 55g CHO, so had 5.5u of humalog. I thought this was relatively low GI meal - was this wrong? I had my insulin 10 mins before eating. At 3pm I was at 15.0, at 5pm it was 9.4, at 6pm at 6.2 and then I went hypo (2. Cool

at 7pm.

After a far amount of experimenting I think I am on right amount of background insulin as I have tried having carb free lunches and now my blood sugar goes up slowly if I have no carb or humalog at lunch

I am trying to conceive at the moment and the guidance for pre-preganancy is that blood glucose 2hrs after meals should be only 2 higher than before meals.

Any ideas would be really welcomed.

Nov 4, 2009

John Roscoe 14 posts

Topic: Carbohydrate Counting / Pizza

Hi,
The only way to sum up Pizza is it is a nightmare. I spend alot of time in Italy and eat a lot of Pizza while I am over there but it is incredibily difficult to get the right balance. However I do find the DAFNE book a reasonable "guide" and use it as a basis to work from.
The only advice I can give as starting point, is pick a pizza you like (ASDA in house pizza's are a good starting point) and carefully note the CHO value how much you eat,record your BS afterwards etc. etc. Do this a couple of times and you will get to know how you react, then with the info you have use it as a basis to move forward. Unfortunately in my experience you are likely to get it wrong 40 - 50% of the time.
Best of luck!

Nov 2, 2009

L McPhillips 1 post

Topic: General Discussion / New Job

Hi, I've just started a physical job too, 10 hours night shift so my BGs have been all over the place too. To fix the hypo problem out I've started having extra snacks (1 or 2 CPs) before work and then at break times. I'm still trying to get to grips with days off though, my BG is high every morning after sleeping although it's perfect when I'm working?? Linz

Nov 1, 2009

Sam 64 posts

Topic: General Discussion / Dawn Phenomenon

Hi Tracey

How 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

Nov 1, 2009

Sam 64 posts

Topic: General Discussion / Dawn Phenomenon

Hi Nicky

Wow! 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

Nov 1, 2009

Katy B 8 posts

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 â€˜gate theoryâ€™ 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 â€˜gate theoryâ€™ 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

Nov 1, 2009

marke 681 posts

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 !

Nov 1, 2009

marke 681 posts

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 !!

Nov 1, 2009

john day 54 posts

Topic: Carbohydrate Counting / Pizza

Hi ..

Have a look at www.myfitnesspal.com, various pizzas and sizes are listed, albeit not Dominoes.

Cheers, JD

Nov 1, 2009

Simon 578 posts

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'

Nov 1, 2009

Tracey Bond 14 posts

Topic: General Discussion / Dawn Phenomenon

Hi Karen

I 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

Nov 1, 2009

Karen Westwood 38 posts

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

Nov 1, 2009

Nicky 3 posts

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 Smile

Oct 31, 2009

NiVZ 82 posts

Topic: General Discussion / Least painful lancet??

Hello,

I'm using OneTouch UltraSoft lancets. Never had any problems with them being painful.

NiVZ

Oct 31, 2009

Tracey Bond 14 posts

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

Nov 10, 2009 vashcroft 1 post	Topic: Questions for HCPs / Day Surgery I am going into hospital for an investigation under general anaesthetic at 1230 on Friday 13th November 2009. I have been told not to eat after 7am. What do I do about my insulin. I usually eat 6 cp's and have 12 units lispro and 11 units levemir at breakfast time. I have 23 levemir before bed.

Nov 10, 2009 NiVZ 82 posts	Topic: General Discussion / Testers required for Meter upload Hello, Can anyone with a OneTouch UltraEasy who fancies testing meter uploading please reply here or send me a private message. I've got the program working where it will read the date and BG from the UltraEasy and display them on screen. I want to check this works on other peoples meters before I try the actual upload part to the website. If it's successful I'll try and extend it to other meters. (Thought I'd post in here to as it would get more coverage) NiVZ

Nov 9, 2009 Simon 578 posts	Topic: Site Development / Recipes So what are everyone's thoughts on the recipes? Here at the DAFNE Online office (currently on a train from Glasgow to Liverpool) we are keen to implement what our users want/need. Is a 'sticky' thread on the forums enough to track recipes, or would you like something more sophisticated that allowed you to enter the info to your database, in a similar fashion to John's form? Either way works for us - we'd just like to know what information you'd like to track/add with your recipes. Simon

Nov 7, 2009 retzy11 1 post	Topic: General Discussion / Dawn Phenomenon Hi Sam, Yes i was told that I suffer with the dawn phenominum. When I am working i usually get up at 6.30 and find that my BG levels are not to bad. However at the weekend when i enjoy having a lay in- everything seems to spin totally out of control and I spend the best part of the day struggling to bring my BG down to an acceptable level. I am usually very ratty and have zero tolerence for other people whilst this is going on. I also skip meals because I feel to unwell to eat. I have been seen by my diabetes specialist nurse who made suggestions on what I could do. So having listened and taken there advice but it has had little impact, leaving with the choice of resting and suffering or getting up at 6.30am everyday!!! Great choice! Lol

Nov 5, 2009 NiVZ 82 posts	Topic: Site Development / Meter Upload Development Hello, Any Lifescan OneTouch UltraEasy users fancy doing some 'beta' testing? If so, please reply here or drop me a private message. At the moment it won't upload, but it will read all the BG data from your meter and display it on the PC screen, but if the reading part works then the uploading should be fairly straight forward (famous last words) Thanks, NiVZ

Nov 5, 2009 NiVZ 82 posts	Topic: Carbohydrate Counting / How do you caluculate... Hi Gill, DAFNE covers a wide range of topics, including illness, alcohol, as well as food. For the food part of things it's just a case of applying a ratio of insulin to carbohydrate. In DAFNE 1CP (Carbohydrate Portion) is 10g of carbs. Therefore a 1:1 ration means 1 unit of insulin to 10g of carbs. Some people will be on 2:1, so thats 2 units to 10g or even 0.5:1 so thats half a unit for 10g. There are already Carboydrate counting scales, such as the Salter Nuri-weigh range which can help with these calculations but I suppose this could be extended by allowing you to enter your ratio and the device could tell you how much insulin to take although the maths is usually quite easy. Just divide food label carbohydrate by 10 to turn g into CP (and divide or multiply by the portion size if necessary, especially if they've used 'nutrition onfo per 100g' for example) and then multiply by ratio. Hope that helps and good luck with your device. NiVZ

Nov 5, 2009 Gill28 1 post	Topic: Carbohydrate Counting / How do you caluculate... Hello, I'm a final year Design student, trying to design a device which make it alot easier for diabetics to manage their food. I'm trying to understand how DAFNE actually works. I'd be very grateful if someone could please take the time just to quickly explain what DAFNE involves and what calculations you have to make in order to work out how much insulin you need to take? Cheers, Gill

Nov 4, 2009 DavidJ 23 posts	Topic: General Discussion / post meal peaks Hi Rachel. I have a couple of ideas, although they are speculation reallly because one day is not enough to draw a pattern. I don't know the profile of Humalog, but the hypo is 6.5 hours after the meal and I think your QA insulin should be gone by then, which would leave your BI. The other idea is insulin resistance and/ or lipos, which can reduce the effectiveness of the insulin and produce unpredictable results. Your Diabetic Specialist Nurse should be able to help with the second point. It's very frustrating when you try to do things correctly and your body just will not behave itself.

Nov 4, 2009 RachelA 10 posts	Topic: General Discussion / post meal peaks I am looking for help in avoiding post meal peaks. I am on 10u levemir at 8am and 5u at 8pm and a 1:1 ratio. Today at lunch time (12:30) my blood glucose was 4.5. I ate 1 wholemeal granary roll (ham & salad) small packet of crisps and an apple = 55g CHO, so had 5.5u of humalog. I thought this was relatively low GI meal - was this wrong? I had my insulin 10 mins before eating. At 3pm I was at 15.0, at 5pm it was 9.4, at 6pm at 6.2 and then I went hypo (2. at 7pm. After a far amount of experimenting I think I am on right amount of background insulin as I have tried having carb free lunches and now my blood sugar goes up slowly if I have no carb or humalog at lunch I am trying to conceive at the moment and the guidance for pre-preganancy is that blood glucose 2hrs after meals should be only 2 higher than before meals. Any ideas would be really welcomed.

Nov 4, 2009 John Roscoe 14 posts	Topic: Carbohydrate Counting / Pizza Hi, The only way to sum up Pizza is it is a nightmare. I spend alot of time in Italy and eat a lot of Pizza while I am over there but it is incredibily difficult to get the right balance. However I do find the DAFNE book a reasonable "guide" and use it as a basis to work from. The only advice I can give as starting point, is pick a pizza you like (ASDA in house pizza's are a good starting point) and carefully note the CHO value how much you eat,record your BS afterwards etc. etc. Do this a couple of times and you will get to know how you react, then with the info you have use it as a basis to move forward. Unfortunately in my experience you are likely to get it wrong 40 - 50% of the time. Best of luck!

Nov 2, 2009 L McPhillips 1 post	Topic: General Discussion / New Job Hi, I've just started a physical job too, 10 hours night shift so my BGs have been all over the place too. To fix the hypo problem out I've started having extra snacks (1 or 2 CPs) before work and then at break times. I'm still trying to get to grips with days off though, my BG is high every morning after sleeping although it's perfect when I'm working?? Linz

Nov 1, 2009 Sam 64 posts	Topic: General Discussion / Dawn Phenomenon Hi Tracey How 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

Nov 1, 2009 Sam 64 posts	Topic: General Discussion / Dawn Phenomenon Hi Nicky Wow! 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

Nov 1, 2009 Katy B 8 posts	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 â€˜gate theoryâ€™ 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 â€˜gate theoryâ€™ 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

Nov 1, 2009 marke 681 posts	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 !

Nov 1, 2009 marke 681 posts	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 !!

Nov 1, 2009 john day 54 posts	Topic: Carbohydrate Counting / Pizza Hi .. Have a look at www.myfitnesspal.com, various pizzas and sizes are listed, albeit not Dominoes. Cheers, JD

Nov 1, 2009 Simon 578 posts	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'

Nov 1, 2009 Tracey Bond 14 posts	Topic: General Discussion / Dawn Phenomenon Hi Karen I 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

Nov 1, 2009 Karen Westwood 38 posts	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

Nov 1, 2009 Nicky 3 posts	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

Oct 31, 2009 NiVZ 82 posts	Topic: General Discussion / Least painful lancet?? Hello, I'm using OneTouch UltraSoft lancets. Never had any problems with them being painful. NiVZ

Oct 31, 2009 Tracey Bond 14 posts	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