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15,847 posts found
Apr 7, 2009
digth
19 posts
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Topic: Questions for HCPs / Liver Function Tests - Related to Insulin? Please see reposnse form Prof. Stephanie Amiel, from King's College Hospital, London:We do know that insulin resistance, common in Type 2 diabetes and not unknown in non-diabetes or Type 1, can be associated with abnormalities of liver function. Also note that the “normal range†is calculated statistically and 5-10% of people will always be outside it! I don’t think the type of insulin or the length of insulin treatment is likely to be relevant. The patient may have a degree of insulin resistance – or another cause of the change. The change is not huge. It would be best to see if it changes over time. It may just go away with repeat testing and would only be of concern I think if it steadily increases. In which case, I would advise assessment for other causes of abnormal liver function! |
Apr 5, 2009
marke
681 posts
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At the moment its planned to be a WAP/cut down version of the site. An app would not be suitable because to update it you would still need to connect to the site. So a better solution is to just provide a mobile version of the site. However I take on board your comments re carb counting and the handbook, should we get time to do it. |
Apr 2, 2009
Lizzie
87 posts
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Topic: DAFNE Online Mobile / Mobile Feature Requests The CP list would be helpful for me so I could find out how many carbs in stuff without dragging a book around. I know the books are small but still, it's another thing to carry and it has got a bit dogeared so I am wary of carrying it too much now.I don't know if its asking too much but please could we have some key points from the handbook too? For example recently I was ill with ketones and would really have appreciated being able to check the sick day rules since I don't have internet access at home. But I know there may be some argument as to which are the important bits and it is too much to have the whole thing. Will this be in the form of an application or will it be a mobile internet/wap site? |
Apr 2, 2009
Lizzie
87 posts
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I have a Sony Ericsson K850i. |
Apr 2, 2009
marke
681 posts
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Topic: General Discussion / DAFNE in peril at the Wirral I have received word today from DAFNE central that the PCT for Arrowe Park, Wirral are withdrawing all funding for DAFNE andforcing the HCP's/Trainers to cancel the courses they have already arranged. This PCT is obviosuly VERY short-sighted and lacking in common sense ! Do any registered users know of anyone who is actually in this PCT's area. We would like to get complaints sent to the PCT about this policy, but they really need to come from people who are actually in the PCT's area. With new government policies on choice and openness in the NHS, the PCT should listen to all complaints and act upon them. Its important for both DAFNE and us, as people who have benefitted from it, to give as many people as possible to also benefit from it. To do this we need to pressure any PCT that wants to make short-term decisions based on presumably short term cash flows, to reconsider. Please post here if you know of anyone in this PCT's area who could help. |
Apr 2, 2009
digth
19 posts
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Topic: Questions for HCPs / Liver Function Tests - Related to Insulin? Hi See below response from Prof Simon Heller from Sheffield below.I am unaware of any evidence that slightly raised lever enzymes are due to Humalog therapy. It is absolutely untrue that AST is a bi-product of insulin. There are a number of important causes of raised liver enzymes including excess alcohol consumption, viral infections causing liver inflammation (hepatitis), some type of medication (but not insulin) and excess fatty deposits in the liver. If liver enzymes don't settle, further tests may be necessary and possible referral to a specialist |
Apr 2, 2009
digth
19 posts
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Topic: Questions for HCPs / BG Parameters Please see response below from Carolin Taylor, DSN and DAFNE Educator from Sheffield and Chair of the DAFNE Educator Group.In Sheffield we recommend BG targets before & during pregnancy of: Less than 6mmol/l before meals (but no lower than 4mmol/l) Less than 8mmol/l 1hour after meals / at bedtime This obviously does mean introducing BG tests after meals (not normally recommended for routine DAFNE); in practice we find that ladies frequently need higher QA:CP ratios in order to hit the target 1hr after meals and in many cases they also need to take their QA up to 1/2hr prior to eating to get the peak effect of the QA at the appropriate time. Consequently, BI may need to be reduced to prevent hypos between meals, or possibly low-GI snacks could be required. I hope this helps. |
Apr 2, 2009
digth
19 posts
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Topic: Questions for HCPs / Dieting Hithe national DAFNE programme does not produce diet sheets; additional dietary advice beyond the DAFNE course are dealt with on a local level. I would recommend that you speak with your local dietitian about your needs. |
Apr 2, 2009
digth
19 posts
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Topic: Questions for HCPs / Type 2 & DAFNE Hithis is a question that we get asked alot via the dafne.uk.com website; and marke's response pretty much covers it, however below is the standard response from the DAFNE Drs and Educators on the DAFNE Executive Group that we use: The evidence base for DAFNE relates entirely to Type 1 diabetes; we do not know of any evidence that supports the use of intensive insulin therapy in Type 2 diabetes. Having said that, several of my colleagues have either knowingly or unknowingly included a few Type 2 / Type ? patients on their DAFNE courses. Those knowingly placed on courses have been insulin deficient / sensitive. Some of these patients did appear to do quite well on DAFNE although some reported weight gain, however these are only observational comments. However my colleagues also reported that it is a very different situation when the patient is insulin resistant these patients have very different needs which disrupted the learning of the other group members with Type 1 diabetes during the DAFNE week. One of my colleagues commented that their service tends to offer 1 to 1 education for such patients where they obtain carb counting skills from a specialist Dietitian DAFNE Educator, with emphasis on portion size reduction, lifestyle choices and weight loss as well as improving glycaemic control. My colleagues agree that whilst we do not have any evidence to support beneficial outcomes for Type 2 insulin sensitive/ deficient patients following a DAFNE course, individuals should discuss the appropriateness of participating in DAFNE training with their local team. Although it is not a situation where an absolute dictum can be applied but in general the approach of matching insulin to food works best if pure insulin deficiency is the underlying cause of the diabetes although generally the different disorders require different approaches to management. |
Apr 1, 2009
Damo
7 posts
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Topic: General Discussion / More forums ? Hi SimonThanks for implementing that feedback. I notice that you have also put an average for the last 7/14/30 days up there as well. Think thats a really good idea. Im really finding this site useful, thanks again!! D. |
Mar 30, 2009
Keith Shaw
3 posts
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Topic: Site Development / Site attendance Simon, i am well impressed. I hope everyone finds it as useful as i do. Can't see what else you have in store for the site.Keith |
Mar 30, 2009
Simon
578 posts
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Topic: Site Development / Site attendance Update: The 7,14,30 day averages and counts are now shown to the right of the BG Diary View, and the total number of stored entries is shown under the date picker fields near the top of the view.Your feedback as always is much appreciated. Simon |
Mar 30, 2009
Simon
578 posts
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Topic: Site Development / Site attendance Hi Keith,You raise some great points here: 7,14,30 day averages - Yes i agree that these would be valuable. I'll get started on this and update this post when it's done. Counts - As above, will update you when this is done. HbA1c - This will involve adding another module to the site; whilst possible it will take a little longer. Export functions - These have been requested a few times - again they are a little more complicated than the first two, however they are on the radar and will appear eventually - when they do we'll announce via the forums. Thanks, Simon |
Mar 29, 2009
Keith Shaw
3 posts
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Topic: Site Development / Site attendance Hi Simon, iv'e taken a look at the time stamps and like what i see. I also like the new graphs you have added.I don't know if the following would a good idea or not but i use an Accu-Chec Compact Plus monitor and it has the ability to display the last 7, 14 & 30 days average test readings along with the total number of tests done over the period (i don't know if other testers do the same or not, i just know my previous testers didn't). I was just woundering if something like this could be added and if it would be usefull to other members. I know it's in noway accurate but the 30 day average seems to give me a ball park figure as to what my HbA1c is running at (may not be the same for everyone). Oh sorry about this but speaking of the HbA1c readings do you have any plans to add the ability to record these on the existing diary (or creating it's own diary & graphs). I know they are not done as often as the daily readings but if everyone else is similar i seem to only remember the last few readings and i, for 1, plan to be using this site for some time to come (solong as my life span permits :-) ). Do you also plan for any kind of export function to be added to the diary, say to csv or xls file? Sorry if i'm a pain for enquiring on all the above but i too work in IT and do quite a bit of testing on our software. Regards, Keith |
Mar 29, 2009
Carl
5 posts
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Topic: Site Development / Online BG Diaries Like Louisa I too was running out of space in my physical DAFNE diary and was planning on first creating a PDF version so I could print some new sheets when I needed to and then at some later stage, being a web developer myself, creating an online DAFNE diary.Luckily you chaps have saved me some work and have done a great job! One feature which would be useful (and I think easy to implement) would be an option to download entered diary data as an Excel spreadsheet, CSV or XML file? This would prove useful for allowing users to create personal backups of their valuable test results as well as allowing them to use Excel's powerful graphing functions to produce any ad-hoc charts they might need? Anyway, the current online diary gets a big thumbs up from me although to be fair, I've only just started using it. |
Mar 29, 2009
Carl
5 posts
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I have a Nokia E51 which has web access and a screen resolution of 240x320 and would be happy to trial any mobile version of the website and report my findings. |
Mar 29, 2009
Simon
578 posts
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Topic: General Discussion / More forums ? Hi Damo,We've now added trending charts to the online BG diary - these plot BG readings over time as well as your average BG reading at different times of the day. If there are other charts you'd like to see then let us know and we'll get started on them ASAP. Thanks, Simon |
Mar 29, 2009
Simon
578 posts
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Topic: Site Development / Online BG Diaries Update to the online BG diary charts - we now have trending charts available which show your BG Readings over time, as well as your average readings at different times of the day. Find the links to these underneath the display of your BG diary online.If anyone has feedback/suggestions of other charts/BG Functions then post here and we'll get started on them ASAP. Thanks, Simon |
Mar 29, 2009
Simon
578 posts
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Topic: Site Development / Site attendance Keith - Thanks for your feedback, there's now a time stamp next to each comment in the BG Diary view. Check it out and let me know what you think.Thanks, Simon |
Mar 27, 2009
marke
681 posts
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Topic: Site Development / Site attendance Rebecca,Goggle analytics is aimed at marketing and advertising not really increasing ranking which works a different way. Also we are not trying to get top of google, the site is primarily for DAFNE graduates NOT general web users. A high ranking will let graduates find us but their course organisers should be telling them anyway (hopefully). Keith, No plans to add links to the evil empires I don't think ;-) My personal view is social network sites are just a marketing tool to part people with personal information, but then I work in IT and have to fight the spam generated by them everyday :-( Anyway this is a site for DAFNE Graduates, if people want to communicate with each other great but its down to them how to do it, we don't need to endorse or advertise these sites which are already popular enough. We do take on board comments for site improvements and will try time permitting to implement suggestions. |
Mar 27, 2009
Keith Shaw
3 posts
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Topic: Site Development / Site attendance Hi,Joined the site a couple of days ago, after attending the 1 year Dafne review in Sheffield, and think it's great. I do have 1 question. In the BG diary, is there no way to add the time against the comments so you can see which of that days entries they relate to. Apart from that site looks GOOD. Oh sorry 1 other thing, are you intending to add any links to social network sites such as facebook, twitter or MSN to mention a few? Simon, thanks for the web site. I can see it only getting better and better as more people sign up. Regards Keith |
Mar 25, 2009
Simon
578 posts
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Topic: DAFNE Online Mobile / Mobile Feature Requests Hi,We've had requests from a number of users for support for the site on their mobile devices - which I think would be a great thing to have. One thing I'd like to know is which exact features you'd like to access on your mobile - the Diary, CP List, Forums? - What's most important for you? Please post below. Also, see mark's 'Sticky' topic in this forum to specify which device you use so we include it in our plans for development. Thanks, Simon |
Mar 25, 2009
Stew B
125 posts
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OK... I have an HTC S620 with Windows Mobile. I get the phone as part of my broadband deal, and can't say that I'm exactly a whizz when it comes to getting the best out of it, but I'd like to give it a try! |
Mar 23, 2009
marke
681 posts
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Topic: DAFNE Online Mobile / Rationale - Please read We have received a requests for versions of DAFNE Tools that could be used on a mobile phone running a web browser. Many mobile phones these days are capable of doing this since they all have internet connectivity built in and are being used more and more for 'mobile' applications.The problem is each type of phone has its own web browser which tends to be something produced by the phone maker and not a standard web browser like Internet Explorer, Firefox, Chrome, Opera or Safari. If we are going to produce a mobile version of the site then we are going to need people to help us test it on their mobiles. We don't have the resources to be able to test on a number of mobile devices ourselves. Thats where you all come in. If you are interested in a mobile version of the site, please respond to this topic. Please also indicate if you are prepared to test the beta versions as we produce them. If you are prepared to help test the site on your phone then in your post tell us the make and model of your phone. For example , I have a HTC TYTN II ( o2 call it an XDA stellar, T-Mobile call it MDA Vario III) that runs windows mobile 6. Simon I believe has an iphone, so we have two potential platforms covered but there are lots and lots of others. So all you nokia, sony ericsson etc people get posting. |
Mar 23, 2009
Damo
7 posts
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Topic: General Discussion / More forums ? Have you ever had one of those constant monitoring systems fitted which plots your levels 24/7?It plots a line graph and allows you to program in when you ate, done exercise etc. As you have nearly all of this information (and its easy to put comments in as well) you could show a similar line graph plotting points over time. These could then be used to plot trends which would be really helpful in spotting what dosage you should be adjusting. i.e if you are always high before lunch it points at adjusting your breakfast levels. It would also be a "reward" as such to try and get some consistent data in to the graph that you could actually help with adjustments. Because Im not a great testing fan, maybe its just that I would like to be able to do more with the data when i do enter it....! Thanks, D |