Recent Posts - DAFNE Online

Mar 21, 2016

HelenP 218 posts

Topic: General Discussion / Freestyle Libre/ Australia

Thanks Phil,
A decent coffee is about $AUD 4 so it looks like the cost of two coffees a day! That's a perspective!

I will keep you informed but I am assuming we will buy it under NDSS (National Diabetes Subsidy Scheme). These supplies are heavily subsidised to encourage us to use them.

Will keep you informed. Helen

Mar 21, 2016

cumberland 3 posts

Topic: General Discussion / Hello

Warwick said:
Welcome Cumberland. Take a look around and feel free to ask any questions that you have. We're always happy to try and help.

Thanks for the welcome Warwick Very Happy

Mar 21, 2016

Dave H 3 posts

Topic: Carbohydrate Counting / CP free lunch

Hi
Maybe your BI isn't enough. Splitting it, but using same total amount, may no be correct approach.
I went to my DAFNE course 2 weeks ago and was convinced my BI was correct, as I'd had to fast for a minor procedure last year. At that time I was on a no carb (actually no solid food) 24 hours. I was able to drink bovril, tea or coffee with no milk and eat sugar free jelly as it contains next to nothing. I wouldn't suggest you do this for a whole day as I had to, but maybe trying it for half a day or part of a day might clarify your BI.
As it happenend I had to adjust mine down by a couple of units during DAFNE week.
Good luck!

Mar 21, 2016

Phil Maskell 194 posts

Topic: General Discussion / Freestyle Libre/ Australia

Helen,

In the UK its Â£50 + VAT (but we don't pay for that on medical items) for a single 14 day sensor.

Current conversion is 1 to 1.90 so I'm guessing Abbot will round it off about $100?

Let us know how much it is. If you guys get it considerably cheaper, might be worth the extra carriage.

Phil

Mar 21, 2016

Warwick 430 posts

Topic: General Discussion / Levemir

Not tried. Apparently it is called Novo Nordiskâ€™s Tresiba (insulin degludec). I'm more looking for something similar to Levemir that doesn't cause me an allergy and I would never remember to take it every second day. I just know I would inject it on consecutive days or forget for three days and get really friendly with the ambulance officers :-)

Mar 21, 2016

novorapidboi26 1,816 posts

Topic: General Discussion / Levemir

There is another all day, super long lasting basal out there............cant recall its name...........

anyone tried?

Mar 21, 2016

Warwick 430 posts

Topic: General Discussion / Hello

Welcome Cumberland. Take a look around and feel free to ask any questions that you have. We're always happy to try and help.

Mar 19, 2016

cumberland 3 posts

Topic: General Discussion / Hello

Just completed the DAFNE course in Cumbria, dropping in to say hello Very Happy

I found DAFNE to be a really informative course and have learned useful information all week long

Currently I inject 150u Humulin I, every morning and night, and my carb ratio is 5u Novorapid to each 10g carbs.

Going to have a look around the site

Tek care

Mar 19, 2016

Alan 49 280 posts

Topic: General Discussion / BGs before exercise

Thanks Warwick. I think I'll keep things as they are for the time being, but there are a lot of useful tips here - thanks everyone.

Mar 18, 2016

Warwick 430 posts

Topic: General Discussion / BGs before exercise

Hmmm, options as I see it are:

1) Keep the status quo.
2) Increase the time period between lunch and exercise so there is less QA around.
3) Eat some quick-acting carbs just before the exercise.
4) Have a low-carb lunch so that you don't need much QA which may assist the BGs to stay steady during the exercise.

Mar 18, 2016

Alan 49 280 posts

Topic: General Discussion / BGs before exercise

Hello Warwick, I usually exercise about two and a half hours after lunch.

My BGs go down by 5 or 6, so if I'm about 11 before I start I usually have some jelly-babies and a cereal bar afterwards to keep my BG from going down too far as my body recovers - that's about 2 or 3 CPs.

Mar 18, 2016

Warwick 430 posts

Topic: General Discussion / Levemir

I'm currently on Lantus, but was on Levemir for 15 months. It is my favourite basal insulin because as has been noted by other members, it clears the body after about 12 hours so is really useful for exercising. Making changes with Lantus can take 3 days before they really show up, whereas changes to my Levemir showed up almost immediately.

Unfortunately I developed an allergic reaction to Levemir with painful welts that lasted for about a week, so I've switched back to Lantus. f I hadn't had the allergic reaction, I'd still be on Levemir though.

Mar 18, 2016

Warwick 430 posts

Topic: Carbohydrate Counting / Trying to carbohydrate count

I agree that the Accuchek Aviva Expert really does help with this stuff.

Mar 18, 2016

Warwick 430 posts

Topic: DAFNE Online Mobile / Insulin dose

Where in the diary are you trying to enter 4 units?

Mar 18, 2016

Warwick 430 posts

Topic: General Discussion / BGs before exercise

How soon after lunch are you exercising Alan? If it is within a couple of hours, then your current regime is probably fine. If it is 4 hours or so, then perhaps take lunch a bit earlier, or exercise a bit later and take the correct insulin, or one unit less than what you would take if you weren't doing the exercise.

How far do your BGs drop during the 20 minutes of exercise?

Mar 17, 2016

Alan 49 280 posts

Topic: General Discussion / BGs before exercise

Wow, Phil - I'm not anywhere near your league! I limit myself to 20 minute sessions, but I do get out of breath and get the old heart pumping.

I'm probably 50 years older than you - so that's my excuse and I'm sticking to it!
Have you done any racing? Cycling is a great sport, you should try it.

Mar 17, 2016

Phil Maskell 194 posts

Topic: General Discussion / BGs before exercise

Alan, just my 2p, trial and error is needed as we're all different.

For me it would depend on exercise intensity, if I knew I was doing an aerobic pootle / fat burner ride I wouldn't do much different with insulin unless it was going to be over an hour when I would lower QA, over 4 hours I would lower background and take sugar just in case (at lower intensity, very rarely needed).

For intense anaerobic sessions I wouldn't lower QA as I find cortisol and liver/ muscle glycogen spike my BG so having that QA on board is good.

This all works fine in theory until you go out and do a new route and find it has more hills than you expected or there is a massive headwind! On long rides for this reason I will take NovoRapid pen with me too as I feel lousy if BG spike is too much.

Hope this helps a bit? Trial and error though? Regardless if I go out on my bike I have pockets full of energy gels just in case Very Happy

Phil

Mar 16, 2016

Alan 49 280 posts

Topic: General Discussion / BGs before exercise

Thanks very much for the responses - very re-assuring.

Mar 16, 2016

sjohno 37 posts

Topic: General Discussion / BGs before exercise

Hi Alan

As every diabetic is different I think that only you after experimenting can find a 'happy' situation with your BG's. I do agree with what Andrew has said and from experience using the 'rulebook' etc I found that eating extra CP's before exercise/reducing insulin before exercise just resulted in very high BG's after as there was not enough insulin left in my body!
I have found that matching CP's with the QA is good (but I do have jelly babies with me), I do reduce my BI on an exercise day and find that I can eat 1 CP before bed without having to take any QA.

Good luck Very Happy

Mar 15, 2016

AMcD 38 posts

Topic: General Discussion / BGs before exercise

Hi alan. Whatever the rulebook says I would agree with your current regime as personally I feel that the alternative option of taking the correct QA and then taking on additional carbs to make up BG levels in some way defeats some of the benefits of doing the exercise. Andy

Mar 15, 2016

Alan 49 280 posts

Topic: General Discussion / BGs before exercise

I spend 20 minutes on my exercise bike most afternoons in an attempt to keep myself reasonably fit. I usually reduce my lunchtime QA so that my BG before this is around 10 or 11. Would it be better to inject the correct QA and then take extra Carbs if necessary before the exercise? Or doesn't it matter?

Mar 14, 2016

Loonydriver 1 post

Topic: DAFNE Online Mobile / Insulin dose

When I put in 4 units of insulin it says this is an invalid value why can't you out in a dose less than 8 units

Mar 14, 2016

Cliff Thompson 1 post

Topic: General Discussion / NEW APP

Paul Patterson said:

In our news recently

http://www.nzherald.co.nz/technology/news/article.cfm?c_id=5&objectid=11604883

Just what I need; since retiring I no longer have the system i used when working. I am all over the place with BG readings, I forget to take the insulin and forget to record my results; I am feeling quite useless with my diabetes management. My Diabetic nurse is helping as best she can but in the end it is down to me to get a grip. I reckon this pump would certainly help me now I am getting older, when can we get these I wonder?

Mar 14, 2016

novorapidboi26 1,816 posts

Topic: Carbohydrate Counting / Trying to carbohydrate count

1CP in DAFNE is equal to 10g of carbohydrate...........

to be honest, the CP was only really useful for me when following DAFNE strictly on paper........its useful on paper that's for sure......

Mar 21, 2016 HelenP 218 posts	Topic: General Discussion / Freestyle Libre/ Australia Thanks Phil, A decent coffee is about $AUD 4 so it looks like the cost of two coffees a day! That's a perspective! I will keep you informed but I am assuming we will buy it under NDSS (National Diabetes Subsidy Scheme). These supplies are heavily subsidised to encourage us to use them. Will keep you informed. Helen

Mar 21, 2016 cumberland 3 posts	Topic: General Discussion / Hello Warwick said: Welcome Cumberland. Take a look around and feel free to ask any questions that you have. We're always happy to try and help. Thanks for the welcome Warwick

Mar 21, 2016 Dave H 3 posts	Topic: Carbohydrate Counting / CP free lunch Hi Maybe your BI isn't enough. Splitting it, but using same total amount, may no be correct approach. I went to my DAFNE course 2 weeks ago and was convinced my BI was correct, as I'd had to fast for a minor procedure last year. At that time I was on a no carb (actually no solid food) 24 hours. I was able to drink bovril, tea or coffee with no milk and eat sugar free jelly as it contains next to nothing. I wouldn't suggest you do this for a whole day as I had to, but maybe trying it for half a day or part of a day might clarify your BI. As it happenend I had to adjust mine down by a couple of units during DAFNE week. Good luck!

Mar 21, 2016 Phil Maskell 194 posts	Topic: General Discussion / Freestyle Libre/ Australia Helen, In the UK its Â£50 + VAT (but we don't pay for that on medical items) for a single 14 day sensor. Current conversion is 1 to 1.90 so I'm guessing Abbot will round it off about $100? Let us know how much it is. If you guys get it considerably cheaper, might be worth the extra carriage. Phil

Mar 21, 2016 Warwick 430 posts	Topic: General Discussion / Levemir Not tried. Apparently it is called Novo Nordiskâ€™s Tresiba (insulin degludec). I'm more looking for something similar to Levemir that doesn't cause me an allergy and I would never remember to take it every second day. I just know I would inject it on consecutive days or forget for three days and get really friendly with the ambulance officers :-)

Mar 21, 2016 novorapidboi26 1,816 posts	Topic: General Discussion / Levemir There is another all day, super long lasting basal out there............cant recall its name........... anyone tried?

Mar 21, 2016 Warwick 430 posts	Topic: General Discussion / Hello Welcome Cumberland. Take a look around and feel free to ask any questions that you have. We're always happy to try and help.

Mar 19, 2016 cumberland 3 posts	Topic: General Discussion / Hello Just completed the DAFNE course in Cumbria, dropping in to say hello I found DAFNE to be a really informative course and have learned useful information all week long Currently I inject 150u Humulin I, every morning and night, and my carb ratio is 5u Novorapid to each 10g carbs. Going to have a look around the site Tek care

Mar 19, 2016 Alan 49 280 posts	Topic: General Discussion / BGs before exercise Thanks Warwick. I think I'll keep things as they are for the time being, but there are a lot of useful tips here - thanks everyone.

Mar 18, 2016 Warwick 430 posts	Topic: General Discussion / BGs before exercise Hmmm, options as I see it are: 1) Keep the status quo. 2) Increase the time period between lunch and exercise so there is less QA around. 3) Eat some quick-acting carbs just before the exercise. 4) Have a low-carb lunch so that you don't need much QA which may assist the BGs to stay steady during the exercise.

Mar 18, 2016 Alan 49 280 posts	Topic: General Discussion / BGs before exercise Hello Warwick, I usually exercise about two and a half hours after lunch. My BGs go down by 5 or 6, so if I'm about 11 before I start I usually have some jelly-babies and a cereal bar afterwards to keep my BG from going down too far as my body recovers - that's about 2 or 3 CPs.

Mar 18, 2016 Warwick 430 posts	Topic: General Discussion / Levemir I'm currently on Lantus, but was on Levemir for 15 months. It is my favourite basal insulin because as has been noted by other members, it clears the body after about 12 hours so is really useful for exercising. Making changes with Lantus can take 3 days before they really show up, whereas changes to my Levemir showed up almost immediately. Unfortunately I developed an allergic reaction to Levemir with painful welts that lasted for about a week, so I've switched back to Lantus. f I hadn't had the allergic reaction, I'd still be on Levemir though.

Mar 18, 2016 Warwick 430 posts	Topic: Carbohydrate Counting / Trying to carbohydrate count I agree that the Accuchek Aviva Expert really does help with this stuff.

Mar 18, 2016 Warwick 430 posts	Topic: DAFNE Online Mobile / Insulin dose Where in the diary are you trying to enter 4 units?

Mar 18, 2016 Warwick 430 posts	Topic: General Discussion / BGs before exercise How soon after lunch are you exercising Alan? If it is within a couple of hours, then your current regime is probably fine. If it is 4 hours or so, then perhaps take lunch a bit earlier, or exercise a bit later and take the correct insulin, or one unit less than what you would take if you weren't doing the exercise. How far do your BGs drop during the 20 minutes of exercise?

Mar 17, 2016 Alan 49 280 posts	Topic: General Discussion / BGs before exercise Wow, Phil - I'm not anywhere near your league! I limit myself to 20 minute sessions, but I do get out of breath and get the old heart pumping. I'm probably 50 years older than you - so that's my excuse and I'm sticking to it! Have you done any racing? Cycling is a great sport, you should try it.

Mar 17, 2016 Phil Maskell 194 posts	Topic: General Discussion / BGs before exercise Alan, just my 2p, trial and error is needed as we're all different. For me it would depend on exercise intensity, if I knew I was doing an aerobic pootle / fat burner ride I wouldn't do much different with insulin unless it was going to be over an hour when I would lower QA, over 4 hours I would lower background and take sugar just in case (at lower intensity, very rarely needed). For intense anaerobic sessions I wouldn't lower QA as I find cortisol and liver/ muscle glycogen spike my BG so having that QA on board is good. This all works fine in theory until you go out and do a new route and find it has more hills than you expected or there is a massive headwind! On long rides for this reason I will take NovoRapid pen with me too as I feel lousy if BG spike is too much. Hope this helps a bit? Trial and error though? Regardless if I go out on my bike I have pockets full of energy gels just in case Phil

Mar 16, 2016 Alan 49 280 posts	Topic: General Discussion / BGs before exercise Thanks very much for the responses - very re-assuring.

Mar 16, 2016 sjohno 37 posts	Topic: General Discussion / BGs before exercise Hi Alan As every diabetic is different I think that only you after experimenting can find a 'happy' situation with your BG's. I do agree with what Andrew has said and from experience using the 'rulebook' etc I found that eating extra CP's before exercise/reducing insulin before exercise just resulted in very high BG's after as there was not enough insulin left in my body! I have found that matching CP's with the QA is good (but I do have jelly babies with me), I do reduce my BI on an exercise day and find that I can eat 1 CP before bed without having to take any QA. Good luck

Mar 15, 2016 AMcD 38 posts	Topic: General Discussion / BGs before exercise Hi alan. Whatever the rulebook says I would agree with your current regime as personally I feel that the alternative option of taking the correct QA and then taking on additional carbs to make up BG levels in some way defeats some of the benefits of doing the exercise. Andy

Mar 15, 2016 Alan 49 280 posts	Topic: General Discussion / BGs before exercise I spend 20 minutes on my exercise bike most afternoons in an attempt to keep myself reasonably fit. I usually reduce my lunchtime QA so that my BG before this is around 10 or 11. Would it be better to inject the correct QA and then take extra Carbs if necessary before the exercise? Or doesn't it matter?

Mar 14, 2016 Loonydriver 1 post	Topic: DAFNE Online Mobile / Insulin dose When I put in 4 units of insulin it says this is an invalid value why can't you out in a dose less than 8 units

Mar 14, 2016 Cliff Thompson 1 post	Topic: General Discussion / NEW APP Paul Patterson said: In our news recently http://www.nzherald.co.nz/technology/news/article.cfm?c_id=5&objectid=11604883 Just what I need; since retiring I no longer have the system i used when working. I am all over the place with BG readings, I forget to take the insulin and forget to record my results; I am feeling quite useless with my diabetes management. My Diabetic nurse is helping as best she can but in the end it is down to me to get a grip. I reckon this pump would certainly help me now I am getting older, when can we get these I wonder?

Mar 14, 2016 novorapidboi26 1,816 posts	Topic: Carbohydrate Counting / Trying to carbohydrate count 1CP in DAFNE is equal to 10g of carbohydrate........... to be honest, the CP was only really useful for me when following DAFNE strictly on paper........its useful on paper that's for sure......