Recent Posts - DAFNE Online

Aug 24, 2009

ruishton 1 post

Topic: Carbohydrate Counting / Glucotabs: Where they can be found?

The first time I saw Glucotabs on sale they were on the counter in Boots, but not all branches sell them so I also enquired at a small local pharmacy where they didn't previously stock them and they looked them up in their catalogue and since then there are always some on the shelf. Most small pharmacies are very obliging!

Aug 20, 2009

LizB 23 posts

Topic: General Discussion / Carb Counter discriptions

Hi

On our DAFNE course our Dietician had plastic sample portion sizes marked with their CP value and I remember the banana was quite small (about the size of one that you'd get in a "junior" pack in Sainsbury's and it was 1 1/2 CP. When I had a banana that lunchtime we peeled and weighed what I would consider to be a "normal" (not too big, not too small) banana and it was 2CP. Having seen these samples I've never forgotten it!

Hopefully this might help a bit, if not maybe your local Diabetes Specialist Dietician or DAFNE Educators could help out?

Aug 20, 2009

LizB 23 posts

Topic: Questions for HCPs / Can anyone put numbers (%) on ideal split between above target, on target and below target BGs?

Marke thanks for coming back on this. I have to admit I'm a bit bemused by your response though becasue my question was in earnest as I thought it would be interesting to see what the HCPs thought about this or if they were even aware of what great tools we've got on this website and the potential they have for providing various different types of target so that more people can find something that works for them. Graphs have certainly made a world of difference to my enthusiasm and as a marker of actual progress that previously I couldn't see and therefore often gave up on. The HCPs do after all give out target ranges for BGs and HBA1Cs already, that we all aim for with varying degrees of success and base our achievable targets in and around those suggested ranges. That's all I'm seeking for the graphs - a target range.

I've done a quick calculation for myself of what the target could be ("as a starter for ten") and based it on what I've picked up from DAFNE information / principles and to be honest, from where my results are at the moment my calculations would give a VERY exacting target so thought I'd seek a professional view.

As you say, we are all different and perfection may not be achievable BUT in order to move closer to the perceived "perfection" it helps to have a target or targets and so that individuals can use the targets that work them.

The calculation I did is shown below and is very much a first and basic calculation and not necessarily recommended or achievable...

DAFNE Recommended number of tests per week is 4 per day x 7 = 28
Number of hypos to expect/acceptable per week is 2 to 3 round up to = 3
After each hypo anticipate a rebound higher reading at the next
scheduled test (before meal/bed), therefore anticipated No. high BGs = 3 , plus
Expect to have 1 to 2 other / unexplained high BGs per week (?), round to = 2

This means:
3 of 28 results might be Below target range = 3/28*100= 10.7%
5 of 28 results might be Above target range = 5/28*100= 17.9%
20 of 28 results might be Within target range = 20/28*100= 71.4%

In theory that is perfection but I'm not sure if that's what DAFNE had in mind when they gave out the advice about number of hypos and unexplained highs. To me that looks VERY exacting so my question I suppose to the HCPs is: Is this a sensible, achievable, good target or would you recommend a range of percentages such as 8-15% Below target, 15-25% Above target and 65% or more Within target.

If there simply isn't an answer at present or they feel it's best not to have one then that's fine, I'm just curious and searching for greater understanding of diabetes (which I consider to have been a particularly annoying "sibling" throughout my life).

Thanks again for all the useful things on this site.

All the best
Liz :0)

Aug 20, 2009

LizB 23 posts

Topic: Site Development / Online BG Diaries

Another vote of thanks for the recent changes to the on-line diary. These are proving really helpful. Claire, I'm sure you're not lazy, just busy :-)

Aug 20, 2009

Jane White 1 post

Topic: Carbohydrate Counting / Glucotabs: Where they can be found?

I buy my Glucotabs from my local Asda - they stock them behind the pharmacy counter where the other controlled drugs are. They do large tubs so you can fill up your smaller tube rady for handbag or pocket. I think they are great as because they are in a tube they dont go powdery or grubby when not in use!

Aug 20, 2009

JayBee 587 posts

Topic: Questions for HCPs / Hypo - rebound

I'm not a HCP, just another diabetic patient.

When you've had a hypo, I was told your body is more prone to having another one for the next 24 hours so corrections for hypos are generally not recommended.

I was a diabetic very prone to quick correcting before DAFNE (it has been a hard habit to break) but I have found waiting does work as long as you have a correct for you arrangement with your insulin.

To put it bluntly - your background insulin should be what corrects it - not your quick acting.

Since doing DAFNE and trying to break my habit, I have come to learn that the 'another hypo' really does occur - even if you aim to only put yourself down to 12 BG from say, 21 BG, by injecting 3 units (saying that 1 unit takes you down by 3), it is likely you'll make yourself hypo still.

This is also why DAFNE teaches us to pick how we treat our hypos as well (2 fast CP and 2 slow CP as you may require) - so we don't shoot up our BG a drastic amount. Smile

Take care - and don't be embarrassed about asking - DAFNE is a change of regime so unsureness will happen sometimes. Even I question it sometimes! ^_^

Aug 20, 2009

JayBee 587 posts

Topic: General Discussion / Carb Counter discriptions

I know this might make some members laugh, but I have a similar problem with banana sizes.... is there some kind of "by banana" length guideline? I've been told that some large bananas are 2.5 units... so how do you know what's what when you're just looking at them?

Aug 20, 2009

MaryMary 1 post

Topic: General Discussion / Carb Counter discriptions

Alongside the weight for melon, the Dafne Carb counter also gives '1 small slice'. Does anyone know whether this is peeled or unpeeled? On most fruits this wouldn't make much difference, but most of the weight of the melon is in the skin. Also can we please have the count for fresh, not tinned pineapple in there please?

Aug 19, 2009

Irenemc 1 post

Topic: Questions for HCPs / Giving birth without an insulin/glucose drip

Hi

I gave birth to a beautiful daughter 3 years ago. Diabetes was very well controlled during pregancy and was only induced 2 days prior to due date. She was born the following day and in the end she came so quickly that there was no time for drip etc. just checked blood immediately after birth as i felt little low however all was fine with glucose levels. Baby was fine and i breast feed in delivery unit.

Best of luck with your little bundle

Irene

Aug 19, 2009

Alzibiff 21 posts

Topic: Questions for HCPs / Hypo - rebound

Hope this is in the right part of the forum as I guess that this is one of those questions which DAFNE graduates with a better memory than I could/should be able to answer!

After a hypo and the taking of rapid acting CPs - jelly babies being my preferred option - we don't correct for a high BG reading at the next meal. Why is that exactly? Is is something to do with a rebound effect where the BG rises because of the liver firing out stored glucose? If so, wouldn't we need insulin to get it back again? (Ooooo - feeling embarrassed now it is in writing as I think I should know the answers).

Alan

Aug 19, 2009

Jess 13 posts

Topic: Site Development / Online BG Diaries

An observation about the diary - I am testing 2 hours post meal (or trying to) as I'm in pre-pregnancy mode. Would it be possible to be able to add more tests per day (I often do 10) and the ability to put "after" rather than "before" a meal? I appreciate its not a DAFNE thing per se, but it would be useful!

Also, are we able to set our own targets?

Aug 19, 2009

Jess 13 posts

Topic: General Discussion / Needle Bins

I've never had one! I use a needle clipper, or put the cap back on the pen needles and fill up a can and seal it.

Aug 19, 2009

Jess 13 posts

Topic: General Discussion / Changes to HbA1c reporting

Yep, read that. There was no clear justification there!

they say:

Laboratories in the UK are about to change the
way in which the HbA1c results are reported.
The International Federation of Clinical
Chemistry (IFCC) has put forward a new
reference measurement method after discussion
with diabetes groups worldwide. This will make
comparing HbA1c results from different
laboratories and from research trials throughout
the world much easier.

But the americans also use %, so we can already compare?

I guess I'm a scientist, and want to know WHY. There is clearly something about the current method that is variable between labs (which is what I remember being told) but it doesn't say why this method is better.

I fear I am wanting to know too much!

Aug 19, 2009

marke 686 posts

Topic: General Discussion / Changes to HbA1c reporting

jess, see this post for links to further details and the rationale for why it is being done.

Aug 19, 2009

marke 686 posts

Topic: General Discussion / Meeting up after the course

interesting points, at the DAFNE Collaborative a few months ago, one of the presentations was about research on post course experiences and its was clear that some people need further support/training and some need something less formal but still need support to help them stay focused on DAFNE Principles. I think this is one of the areas the DAFNE User Action Group
should address (there will be a section on the website for the group, when I work out how to format it) and I will raise it as a discussion point at the next meeting. One of the current DUAG objectives is to find the 'missing' 12,000 DAFNE Graduates who did the course before permission was asked to hold their details centrally. Once we 'find' the missing 12,000 we will need a plan to keep them involved/updated. Since not everyone has, or will have, access to this website having localised meetings for those interested would be a sensible option.

Aug 19, 2009

Jess 13 posts

Topic: Site Development / Online BG Diaries

I will have to look into using this! Sounds great. The ability to download to excel will be especially valuable.

Re: paper diaries, I was able to purchase some from DAFNE central a while back, but I have no idea who the contact was, how much they were ext. Could we perhaps have a section on this site detailing how we can get hold of further paper diaries?

Aug 19, 2009

Jess 13 posts

Topic: General Discussion / Meeting up after the course

Well I did DAFNE 5 years ago now! We met up after 6 or 12 months for a day refresher, which was great, but after a further 4 years I'm definitely struggling with the finer points. I have moved twice since then so have no contact with T1 diabetics. I use a couple of other forums, but most members are american and are pump orientated. I've only just been referred back to a hospital as we are trying for a baby, so for the last few years I've essentially been on my own.

It would be great if we could have some type of meet ups in future from this forum, based on location rather than where you did DAFNE! Maybe not a formal refresher (thoguh I would love one of those) as I appreciate the costs and logistics involved, but just a chance to meet other local (ish) DAFNEites and T1 diabetics.

Aug 19, 2009

Jess 13 posts

Topic: General Discussion / Changes to HbA1c reporting

I do think the new way of reporting will confuse many people. At the moment having the HbA1c as a percentage means that most people know not to relate it directly to finger prick measurements, in mmol/l. However, the new version is in mmol/mol - which is a very different metric to mmol/l, but sounds similar. I would really like to know WHY they have decided to do this, and what they think the benefits are, there must be some surely?

Its a long time since was converting mols to litres (or whatever) but I'd like to find out how we can convert mols of blood to litres of blood (not something I can look up on the periodic table!). Then we can easily convert the new HbA1c to mmol/l which would give us a rouhg idea of what our average BG is in terms we understand.

I have seen tables that roughly corellate the % to mmol/l so they will still stand.

So, unless someone can tell me WHY they are doing this, I'm unconvinced at the moment!

Oh, one thing that you don't see advertised much is the variation between labs. IIRC it is quite high, and I was told (once, in the dark ages) that when you move labs you shouldn't directly compare HbA1cs as their ranges on the test will be slightly different. Anyone know if this is still true.
Or would it??

Aug 19, 2009

Jess 13 posts

Topic: General Discussion / Hypos

That would of course be a good idea, don't know why I didn't think of that, thanks!

There really should be a 5-year refresher course, you do slip into bad habits after that long!

Aug 19, 2009

mandyrobertson9 10 posts

Topic: General Discussion / Hypos

How about reducing your night time background insulin if you've been exercising.

Aug 18, 2009

Jess 13 posts

Topic: General Discussion / Hypos

Its 00:30 and I', 2.8 mmol. Woke up in a sweat (thankfully I guess!). I exercised at 6. with a BG of 7 and a milky way (though they only have the carbs per 100g so I have no idea how many CPs). I was 6.0 before dinner, did 1:1 instead of my usual 1:1.5, and 8.2 before bed. Hooray! I thought.

But no. I really want to go to bed, but I'm desperately trying to wait for my OJ to take effect before I eat a long acting snack as per the handbook I re-read recently. I know if I don't eat a snack I'll be up again in a few hours from experience though.

As I was 8.2 before bed I can't reduce my after exercise insulin further. What should I do in future?

Aug 18, 2009

Jess 13 posts

Topic: General Discussion / Do you have access to the Online Handbook?

Cheers.

Aug 18, 2009

Karen Westwood 38 posts

Topic: General Discussion / Diabetic Birth Stories

Katy,

So pleased you have managed to speak to your diabetic nurse and hopefully things will settle down for you soon. Enjoy you bedtime snack! and most of all the rest of your pregnancy.

All the best

Karen
x

Aug 18, 2009

marke 686 posts

Topic: General Discussion / Do you have access to the Online Handbook?

Jess,
I have contacted DAFNE Central about 'verifying' you as a graduate, as soon as I have a result I will let you know.

Aug 18, 2009

Polly 2 posts

Topic: General Discussion / Caravan towing?

Thanks for all that info, very helpful

Aug 24, 2009 ruishton 1 post	Topic: Carbohydrate Counting / Glucotabs: Where they can be found? The first time I saw Glucotabs on sale they were on the counter in Boots, but not all branches sell them so I also enquired at a small local pharmacy where they didn't previously stock them and they looked them up in their catalogue and since then there are always some on the shelf. Most small pharmacies are very obliging!

Aug 20, 2009 LizB 23 posts	Topic: General Discussion / Carb Counter discriptions Hi On our DAFNE course our Dietician had plastic sample portion sizes marked with their CP value and I remember the banana was quite small (about the size of one that you'd get in a "junior" pack in Sainsbury's and it was 1 1/2 CP. When I had a banana that lunchtime we peeled and weighed what I would consider to be a "normal" (not too big, not too small) banana and it was 2CP. Having seen these samples I've never forgotten it! Hopefully this might help a bit, if not maybe your local Diabetes Specialist Dietician or DAFNE Educators could help out?

Aug 20, 2009 LizB 23 posts	Topic: Questions for HCPs / Can anyone put numbers (%) on ideal split between above target, on target and below target BGs? Marke thanks for coming back on this. I have to admit I'm a bit bemused by your response though becasue my question was in earnest as I thought it would be interesting to see what the HCPs thought about this or if they were even aware of what great tools we've got on this website and the potential they have for providing various different types of target so that more people can find something that works for them. Graphs have certainly made a world of difference to my enthusiasm and as a marker of actual progress that previously I couldn't see and therefore often gave up on. The HCPs do after all give out target ranges for BGs and HBA1Cs already, that we all aim for with varying degrees of success and base our achievable targets in and around those suggested ranges. That's all I'm seeking for the graphs - a target range. I've done a quick calculation for myself of what the target could be ("as a starter for ten") and based it on what I've picked up from DAFNE information / principles and to be honest, from where my results are at the moment my calculations would give a VERY exacting target so thought I'd seek a professional view. As you say, we are all different and perfection may not be achievable BUT in order to move closer to the perceived "perfection" it helps to have a target or targets and so that individuals can use the targets that work them. The calculation I did is shown below and is very much a first and basic calculation and not necessarily recommended or achievable... DAFNE Recommended number of tests per week is 4 per day x 7 = 28 Number of hypos to expect/acceptable per week is 2 to 3 round up to = 3 After each hypo anticipate a rebound higher reading at the next scheduled test (before meal/bed), therefore anticipated No. high BGs = 3 , plus Expect to have 1 to 2 other / unexplained high BGs per week (?), round to = 2 This means: 3 of 28 results might be Below target range = 3/28100= 10.7% 5 of 28 results might be Above target range = 5/28100= 17.9% 20 of 28 results might be Within target range = 20/28*100= 71.4% In theory that is perfection but I'm not sure if that's what DAFNE had in mind when they gave out the advice about number of hypos and unexplained highs. To me that looks VERY exacting so my question I suppose to the HCPs is: Is this a sensible, achievable, good target or would you recommend a range of percentages such as 8-15% Below target, 15-25% Above target and 65% or more Within target. If there simply isn't an answer at present or they feel it's best not to have one then that's fine, I'm just curious and searching for greater understanding of diabetes (which I consider to have been a particularly annoying "sibling" throughout my life). Thanks again for all the useful things on this site. All the best Liz :0)

Aug 20, 2009 LizB 23 posts	Topic: Site Development / Online BG Diaries Another vote of thanks for the recent changes to the on-line diary. These are proving really helpful. Claire, I'm sure you're not lazy, just busy :-)

Aug 20, 2009 Jane White 1 post	Topic: Carbohydrate Counting / Glucotabs: Where they can be found? I buy my Glucotabs from my local Asda - they stock them behind the pharmacy counter where the other controlled drugs are. They do large tubs so you can fill up your smaller tube rady for handbag or pocket. I think they are great as because they are in a tube they dont go powdery or grubby when not in use!

Aug 20, 2009 JayBee 587 posts	Topic: Questions for HCPs / Hypo - rebound I'm not a HCP, just another diabetic patient. When you've had a hypo, I was told your body is more prone to having another one for the next 24 hours so corrections for hypos are generally not recommended. I was a diabetic very prone to quick correcting before DAFNE (it has been a hard habit to break) but I have found waiting does work as long as you have a correct for you arrangement with your insulin. To put it bluntly - your background insulin should be what corrects it - not your quick acting. Since doing DAFNE and trying to break my habit, I have come to learn that the 'another hypo' really does occur - even if you aim to only put yourself down to 12 BG from say, 21 BG, by injecting 3 units (saying that 1 unit takes you down by 3), it is likely you'll make yourself hypo still. This is also why DAFNE teaches us to pick how we treat our hypos as well (2 fast CP and 2 slow CP as you may require) - so we don't shoot up our BG a drastic amount. Take care - and don't be embarrassed about asking - DAFNE is a change of regime so unsureness will happen sometimes. Even I question it sometimes! ^_^

Aug 20, 2009 JayBee 587 posts	Topic: General Discussion / Carb Counter discriptions I know this might make some members laugh, but I have a similar problem with banana sizes.... is there some kind of "by banana" length guideline? I've been told that some large bananas are 2.5 units... so how do you know what's what when you're just looking at them?

Aug 20, 2009 MaryMary 1 post	Topic: General Discussion / Carb Counter discriptions Alongside the weight for melon, the Dafne Carb counter also gives '1 small slice'. Does anyone know whether this is peeled or unpeeled? On most fruits this wouldn't make much difference, but most of the weight of the melon is in the skin. Also can we please have the count for fresh, not tinned pineapple in there please?

Aug 19, 2009 Irenemc 1 post	Topic: Questions for HCPs / Giving birth without an insulin/glucose drip Hi I gave birth to a beautiful daughter 3 years ago. Diabetes was very well controlled during pregancy and was only induced 2 days prior to due date. She was born the following day and in the end she came so quickly that there was no time for drip etc. just checked blood immediately after birth as i felt little low however all was fine with glucose levels. Baby was fine and i breast feed in delivery unit. Best of luck with your little bundle Irene

Aug 19, 2009 Alzibiff 21 posts	Topic: Questions for HCPs / Hypo - rebound Hope this is in the right part of the forum as I guess that this is one of those questions which DAFNE graduates with a better memory than I could/should be able to answer! After a hypo and the taking of rapid acting CPs - jelly babies being my preferred option - we don't correct for a high BG reading at the next meal. Why is that exactly? Is is something to do with a rebound effect where the BG rises because of the liver firing out stored glucose? If so, wouldn't we need insulin to get it back again? (Ooooo - feeling embarrassed now it is in writing as I think I should know the answers). Alan

Aug 19, 2009 Jess 13 posts	Topic: Site Development / Online BG Diaries An observation about the diary - I am testing 2 hours post meal (or trying to) as I'm in pre-pregnancy mode. Would it be possible to be able to add more tests per day (I often do 10) and the ability to put "after" rather than "before" a meal? I appreciate its not a DAFNE thing per se, but it would be useful! Also, are we able to set our own targets?

Aug 19, 2009 Jess 13 posts	Topic: General Discussion / Needle Bins I've never had one! I use a needle clipper, or put the cap back on the pen needles and fill up a can and seal it.

Aug 19, 2009 Jess 13 posts	Topic: General Discussion / Changes to HbA1c reporting Yep, read that. There was no clear justification there! they say: Laboratories in the UK are about to change the way in which the HbA1c results are reported. The International Federation of Clinical Chemistry (IFCC) has put forward a new reference measurement method after discussion with diabetes groups worldwide. This will make comparing HbA1c results from different laboratories and from research trials throughout the world much easier. But the americans also use %, so we can already compare? I guess I'm a scientist, and want to know WHY. There is clearly something about the current method that is variable between labs (which is what I remember being told) but it doesn't say why this method is better. I fear I am wanting to know too much!

Aug 19, 2009 marke 686 posts	Topic: General Discussion / Changes to HbA1c reporting jess, see this post for links to further details and the rationale for why it is being done.

Aug 19, 2009 marke 686 posts	Topic: General Discussion / Meeting up after the course interesting points, at the DAFNE Collaborative a few months ago, one of the presentations was about research on post course experiences and its was clear that some people need further support/training and some need something less formal but still need support to help them stay focused on DAFNE Principles. I think this is one of the areas the DAFNE User Action Group should address (there will be a section on the website for the group, when I work out how to format it) and I will raise it as a discussion point at the next meeting. One of the current DUAG objectives is to find the 'missing' 12,000 DAFNE Graduates who did the course before permission was asked to hold their details centrally. Once we 'find' the missing 12,000 we will need a plan to keep them involved/updated. Since not everyone has, or will have, access to this website having localised meetings for those interested would be a sensible option.

Aug 19, 2009 Jess 13 posts	Topic: Site Development / Online BG Diaries I will have to look into using this! Sounds great. The ability to download to excel will be especially valuable. Re: paper diaries, I was able to purchase some from DAFNE central a while back, but I have no idea who the contact was, how much they were ext. Could we perhaps have a section on this site detailing how we can get hold of further paper diaries?

Aug 19, 2009 Jess 13 posts	Topic: General Discussion / Meeting up after the course Well I did DAFNE 5 years ago now! We met up after 6 or 12 months for a day refresher, which was great, but after a further 4 years I'm definitely struggling with the finer points. I have moved twice since then so have no contact with T1 diabetics. I use a couple of other forums, but most members are american and are pump orientated. I've only just been referred back to a hospital as we are trying for a baby, so for the last few years I've essentially been on my own. It would be great if we could have some type of meet ups in future from this forum, based on location rather than where you did DAFNE! Maybe not a formal refresher (thoguh I would love one of those) as I appreciate the costs and logistics involved, but just a chance to meet other local (ish) DAFNEites and T1 diabetics.

Aug 19, 2009 Jess 13 posts	Topic: General Discussion / Changes to HbA1c reporting I do think the new way of reporting will confuse many people. At the moment having the HbA1c as a percentage means that most people know not to relate it directly to finger prick measurements, in mmol/l. However, the new version is in mmol/mol - which is a very different metric to mmol/l, but sounds similar. I would really like to know WHY they have decided to do this, and what they think the benefits are, there must be some surely? Its a long time since was converting mols to litres (or whatever) but I'd like to find out how we can convert mols of blood to litres of blood (not something I can look up on the periodic table!). Then we can easily convert the new HbA1c to mmol/l which would give us a rouhg idea of what our average BG is in terms we understand. I have seen tables that roughly corellate the % to mmol/l so they will still stand. So, unless someone can tell me WHY they are doing this, I'm unconvinced at the moment! Oh, one thing that you don't see advertised much is the variation between labs. IIRC it is quite high, and I was told (once, in the dark ages) that when you move labs you shouldn't directly compare HbA1cs as their ranges on the test will be slightly different. Anyone know if this is still true. Or would it??

Aug 19, 2009 Jess 13 posts	Topic: General Discussion / Hypos That would of course be a good idea, don't know why I didn't think of that, thanks! There really should be a 5-year refresher course, you do slip into bad habits after that long!

Aug 19, 2009 mandyrobertson9 10 posts	Topic: General Discussion / Hypos How about reducing your night time background insulin if you've been exercising.

Aug 18, 2009 Jess 13 posts	Topic: General Discussion / Hypos Its 00:30 and I', 2.8 mmol. Woke up in a sweat (thankfully I guess!). I exercised at 6. with a BG of 7 and a milky way (though they only have the carbs per 100g so I have no idea how many CPs). I was 6.0 before dinner, did 1:1 instead of my usual 1:1.5, and 8.2 before bed. Hooray! I thought. But no. I really want to go to bed, but I'm desperately trying to wait for my OJ to take effect before I eat a long acting snack as per the handbook I re-read recently. I know if I don't eat a snack I'll be up again in a few hours from experience though. As I was 8.2 before bed I can't reduce my after exercise insulin further. What should I do in future?

Aug 18, 2009 Jess 13 posts	Topic: General Discussion / Do you have access to the Online Handbook? Cheers.

Aug 18, 2009 Karen Westwood 38 posts	Topic: General Discussion / Diabetic Birth Stories Katy, So pleased you have managed to speak to your diabetic nurse and hopefully things will settle down for you soon. Enjoy you bedtime snack! and most of all the rest of your pregnancy. All the best Karen x

Aug 18, 2009 marke 686 posts	Topic: General Discussion / Do you have access to the Online Handbook? Jess, I have contacted DAFNE Central about 'verifying' you as a graduate, as soon as I have a result I will let you know.

Aug 18, 2009 Polly 2 posts	Topic: General Discussion / Caravan towing? Thanks for all that info, very helpful