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Mar 25, 2017
marke 681 posts

Topic: General Discussion / Worth doing DAFNE?

I'm probably not the best person to answer since I help run the site so I'm evidently biased, however I would say yes. There are loads of fringe benefits to doing the course including being in a room with a group of fellow diabetics and so realising you are not alone with any issues you have and everyone has the same problems. It also joins the dots over a lot of diabetic related things including carb counting and not over compensating for highs and lows in BG's.

I'm afraid you can't view the course materials unless you have done the course. You have to sign a contract in blood and offer up your first born as security Evil or Very Mad I'm only half joking here, they are VERY protective of the materials and we had to sign legal documents to host them on the site.
 
Mar 25, 2017
Jos2 8 posts

Topic: General Discussion / High BG mid morning

My daughter found that giving her insulin 40-60 minutes before breakfast eliminates this increase, but I wouldn't recommend attempting this without a continuous BG monitor of some kind. Also, it's not often practical time wise, especially for breakfast when it's most often an issue.
 
Mar 25, 2017
Jos2 8 posts

Topic: General Discussion / Worth doing DAFNE?

Hi,

My daughter was offered a DAFNE course last year but couldn't do it because of work. However, her shifts have changed so she is wondering if it's worth asking about the course. She wants to be sure that it's worth doing though, as it would involve an hour and a quarter commute each way to clinic Monday to Friday for the course, before working 5pm-10pm on Friday and 2pm to 10pm on Saturday and Sunday as a care assistant.

She currently counts carbohydrates using a combination of packet information and weighing food, when possible, and estimating based on experience when it's not. She uses an insulin pump and has set the basal rate through testing (her BGs are level if she does nothing and eats nothing Smile ). Her meal bolus ratios have been adjusted for each meal and correction factors also vary through the day as a result of testing. However, she still has wildly fluctuating BGs and her HBA1C is around 8.5%.

As a child we managed to keep her HBA1c at around 6.5%. But that was obviously before driving and university/work.

What do people think?

Also, is it possible to see a copy of the course materials, as this might help her decide.

Thanks,
Jos
 
Mar 25, 2017
pmason 11 posts

Topic: General Discussion / High BG mid morning

Exactly the same has been happening to me lately; although I've only had diabetes for the last 35 years. I use Humalog, (1-1+2 ratio) and eat the same breakfast each day However, in the past couple of months I too have found my QA doesn't start working until about 45 minutes to an hour after injecting. HAS THIS BATCH OF HUMALOG CHANGED (use by date 03 2018 ). I too can see this happening since using the Abbots freestyle libre. I have breakfast around 6am and inject just prior; so I can't have an extra unit or two 2 hours before brekkie. (as suggested by Warwick) I also take my BI (Levermir) 12 hours apart at 6pm & 6am. If I sleep in 'til 7am, my levels are definitely on the rise. I have increased my BI from 12 at 6pm to 13 then 14 and I'm checking over the next week if this helps. I see my Endo next month to discuss the matter. My DAFNE diabetes educator has suggested I maybe should try Nova rapid instead of Humalog because it can work quicker for some. (i'll ask my Endo).
DAFNE says if levels are ok before brekkie and before lunch, all is fine. But if i'm going up to 16 or 17 two hours after brekkie I feel it is not fine. In fact one feels lousy until ones sugars come down again. Cheers............
 
Mar 22, 2017
Warwick 423 posts

Topic: General Discussion / High BG mid morning

Has the types of food you consume at breakfast changed since 8 weeks ago? If not, then as your BGLs are already rising from 3 am, perhaps take an extra unit or two of QA s per the DAFNE principles about 2 hours before breakfast. This should cover the rise until 2 hours after breakfast without adding to the drop 2 hours after breakfast.
 
Mar 21, 2017
Colin McC 15 posts

Topic: General Discussion / High BG mid morning

Been a diabetic for 50 years & still around, & for the past 10 months been taking QA (Humalog) 15-20 mins before eating. Had no problems for 8 months, but these past 8 weeks I have been getting high mid morning BG levels, approx. 2 hours after breakfast, which then quickly falls about 1-2 hours later. Found this out as I use the Abbots freestyle libre. Been increasing my BI (Lantus) at night from 10u to 15u gradually & my pre-breakfast QA, but this has not solved the problem. Maybe a case of dawn phenomenom but this seems to be a bit later than dawn! Most of the time my 3am & pre-breakfast BG is on the rise. Anyone out there had this kind of problem? I am booked in to se my Diabetic nurse next week.
 
Mar 16, 2017
marke 681 posts

Topic: Site Development / Any plans to serve pages over HTTPS?

Hi, thanks it does look as though this would work. I will try to set something up to test it on our site, I just need to ensure that all devices can connect without an issue or we might have to change the site to use https on supported devices. This looks to be a new operation and is unlike the free one we currently use ( for email) that is not in the trusted root authority store. It too needs to be updated regularly but we can live with that since its worth it if its free. I will update this thread once I have tested it and ensured it works as expected on most devices.
 
Mar 16, 2017
alistairmcmi... 5 posts

Topic: Site Development / Any plans to serve pages over HTTPS?

That's the good thing about Let's Encrypt certificates. They are signed by a root certificate that is already installed on everyone's devices. So no manual work necessary on anyone's devices. Smile

You can see one in place here ... https://www.mcmillan.cx
 
Mar 16, 2017
BrettC 1 post

Topic: Questions for HCPs / Changed from Lantus to Tresiba

I've only recently moved from lantus to tresiba. However my results have been positive. I use Freestyle libra all the time because I was always worried about night time hypos. With lantus, to get a reasonable morning time level, i tended to go low at about 3/4am. I changed to tresiba and my levels now seem to be flat throughout the night. Even the morning rise is less than before.
In terms of amount of insulin, I use exactly the same amount as i did with lantus.
I agee with becky, adjust your doses by 10-20% as guided by DAFNE until you are getting a flat response.
Now I find tresiba is flat, I have moved to taking my tresiba to about 7pm, rather than before going to bed, this has enabled me to improve my evening levels as well which always tended to rise. I suspect that was because of the lantus and tresiba were running out of steam.
 
Mar 15, 2017
marke 681 posts

Topic: Site Development / Any plans to serve pages over HTTPS?

Hi, Sorry I have already explained why we cannot get a certificate. A free certificate is not an option because free certificate providers are not in the trusted root certificates store in windows and have to be manually added. Sorry if this seems to be a bit blunt but I do work in IT and have involvement in security. I know how certificates and security work and get audited on these things every 6 months. If someone produces the cash I will be more than happy to do it. We did try to get financial help from Diabetes UK but they were not interested and the NHS don't have the ability to give us money unless we are a limited company which also means a load of financial costs. We run the site in our spare time with no money, This is not a sob story, we are happy to do it, we just have no financial resources.
 
Mar 15, 2017
alistairmcmi... 5 posts

Topic: DAFNE Online Mobile / Samsung Galaxy 6 Edge DAFNE App problem

Hi Hughesy,

Did you find a solution to this problem?

I'm running the app on another Android device (a Vodafone Smart Prime) that doesn't have a menu button either. But if I click on "Entries" and then long-press on the Recents button it seems to act as a Menu button and the menu appears from the button of the screen allowing me to Download entries from the site.

- Alistair
 
Mar 14, 2017
Darren Spark 2 posts

Topic: Site Development / Bulk upload

Thanks Muncle

What Im trying to do is to correct over 200 dane diary entries. All of the entries have my Ratio (QA:CP) incorrect and the TYPES....these are all showing as BFAST

I would like to amend all of my DAFNE records to show the correct QA:CP ratios which changed at given points in time and also my correct BI which also changed.

I had hoped that there would be a feature to change multiple records at once, not just add multiple records at once using the "Click here to add multiple entries at a time" link ?

 
Mar 14, 2017
alistairmcmi... 5 posts

Topic: Site Development / Any plans to serve pages over HTTPS?

Why not a free certificate from https://letsencrypt.org/? Linode do support them.

My thoughts were just that as companies are moving more to flag up sites without HTTPS it might cause concern to users. Also, even though it's bad practice and everyone should know by now not to reuse passwords, the reality is that people do. So sending them over plain text...
 
Mar 14, 2017
Muncle 9 posts

Topic: Site Development / Bulk upload

Hello & welcome to the forum Darren, If you mean Diary entries then if you look below where it says "Add Diary Entry" then you will see "Click here to add multiple entries at a time" which will enable you to do about 7 entries very quickly. If you mean uploading from your tester or another source then I can't help you as I always log on and do my diary entries.

Cheers

Mick
 
Mar 13, 2017
marke 681 posts

Topic: Site Development / Any plans to serve pages over HTTPS?

Hi,
A fair point but... To switch to a HTTPS login we would need to buy a public security certificate which costs in the region of £150. We run the site in our spare time on a voluntary basis so don't really have the funds to spend that much on a certificate, If we could find some sponsorship to pay for it, it would be easier to do. We both work in IT and I am also partly involved in security so its not due to a lack of understanding, more a cash verses risk scenario, There should be almost zero personal information on the site so a password being hacked will expose very little information apart from email addresses. Whilst not saying this is not a risk, its not really sufficient to justify the costs......
 
Mar 13, 2017
Darren Spark 2 posts

Topic: Site Development / Bulk upload

Is there any current feature that would allow bulk uploads or bulk changes without doing these individually.

It is very frustrating to need to each revision "one at a time"
 
Mar 12, 2017
alistairmcmi... 5 posts

Topic: Site Development / Any plans to serve pages over HTTPS?

Given that Chrome and Firefox both now flag any site that takes usernames and passwords over HTTP as insecure (in the address bar and in a popover respectively), are there plans to move the site to HTTPS?

https://security.googleblog.com/2016/09/moving-towards-more-secure-web.html
https://support.mozilla.org/t5/Protect-your-privacy/Insecure-password-warning-in-Firefox/ta-p/27861

I'm assuming you are well aware of this. I'm just wondering if there are plans in place.
 
Mar 1, 2017
Type1Bri 11 posts

Topic: General Discussion / Type 1 Meetups

Hi Everybody
My name is Brian, I am a DAFNE graduate from 2015 and as of last November an insulin pumper Smile
Myself and a friend arrange social get togethers in Central London, it would be great to get some more DAFNE graduates coming to our events.
Have a look at our website which went live last month www.t1dlondonmeetups.co.uk
If you would like to know more feel free to email me on [email protected] or via the links on the T1D London website

Look forward to hearing from some of you soon
 
Feb 23, 2017
JennyMBarnwell 7 posts

Topic: Carbohydrate Counting / GI index

Thanks Warwick. I am not a vegetarian but as I get older I am eating less meat and more vegetables and pulses. I have definitely noticed my blood sugars rising overnight if I have a carbohydrate rich evening meal as compared to a low carb evening meal. As you say, it seems the food is still being digested after my evening QA has run out. I take NovoRapid which has a duration of 3-5 hours. Jenny
 
Feb 23, 2017
Warwick 423 posts

Topic: Carbohydrate Counting / GI index

I'm vegetarian, so beans and pulses were a great source of protein prior to my T1D diagnosis, but I've cut right down on them as they affect my blood sugars horribly. They are very low GI, but I find that they are still increasing my BGLs many hours after my QA runs out. I can go to bed after a meal of beans/chick peas/lentils etc with BGLs in the target range and wake up in the morning with BGLs of 15-20.

I could probably get around it by only having them for lunch and having a correctional dose at dinner time for the anticipated spike. I could also switch to a different QA that is slower to work such as Humalin R, but I haven't really experimented with this.

Just posting in case you find the same.
 
Feb 23, 2017
Warwick 423 posts

Topic: General Discussion / forum issues

Thanks Marke for fixing it.
 
Feb 22, 2017
Hughesy 6 posts

Topic: DAFNE Online Mobile / Samsung Galaxy 6 Edge DAFNE App problem

Hi, I got a new phone today a Samsung Galaxy 6 Edge, I managed to download it no problem from the play store.

Anyway I've logged on to it ok, updated my settings however there is no option when clicking into the entries section to download entries from remote site, on my previous phones I would hit the menu button and the following options would appear
Download, Upload, Food Groups, Alphabetic, Food Groups and more.

There is no option for these on hitting what appears would be the menu button!

Been a DAFNE app user for years now,does anyone have any ideas how to fix?

Many thanks
 
Feb 22, 2017
JennyMBarnwell 7 posts

Topic: Carbohydrate Counting / GI index

Dear J
Thank you so much for that. It's really helpful. I am due an HbA1c test in a month's time and I am actually looking forward to it!!! It has been a source of dread for years. Just amazing.
Jenny
 
Feb 21, 2017
alturn 78 posts

Topic: Carbohydrate Counting / GI index

Congrats on Dafne, I found the same effect.

I found the “GI & GL counter” booklet published by Hamlyn quite useful when first diagnosed. I don't use it any more as I avoid high GI foods and know what to avoid.

I count carbs in “starchy” foods – e.g. potatoes, rice, bread, pasta, cereal, oats but not in vegetables when consumed along with starchy food and protein. I think if you don't have protein and increase the vegetable content to compensate you may have to allow for some carbs. But everyone is different, so you may need to find by trial and error what suits you. And some vegetables may affect you differently.

As for beans and pulses, if they are a main component of a meal e.g. beans-on-toast then I would count them. If they are part of a meal e.g. kidney beans in chilli or soup, then I tend to ignore or make a small adjustment based on relative ingredients, current levels, activity etc.

Hope this helps,
J