Recent Posts - DAFNE Online

Feb 12, 2016

novorapidboi26 1,819 posts

Topic: Questions for HCPs / Bendroflumethiazide effect

Your HCP advice should always be used however I believe if your unsure about whether the issue is with BI or QA you should always get the BI right first, then the QA, your evening QA won't sort out the morning reading as its out your system in 4/5 hours...

Feb 12, 2016

john day 54 posts

Topic: Questions for HCPs / Bendroflumethiazide effect

Thanks for your comment, novo. I see where you are coming from and see the logic.

After posting here I contacted my diabetes nurse who suggested the 'standard' upping my evening ratio from 1.5 to 2 to get the bedtime and possibly breakfast rdgs reasonable again and then look at the levemir as you suggest.

She did/could not comment specifically re the medication though.

We will see ... Thanks again

Feb 12, 2016

novorapidboi26 1,819 posts

Topic: Questions for HCPs / ratio calculator

You have just described a basal test where you go meal free to establish of you BI insulin is holding you steady...

Those results suggest not, so its time to up your background.... What are you on and when?

Feb 12, 2016

Kordula B 6 posts

Topic: Questions for HCPs / ratio calculator

yes - even without food!
example - had a test requiring no food for 7 hours -
so no breakfast - just BI - BG 6.8 mmol - 0 QA
at 11 o'clock BG 11.5 mmol !! ( needed correcting QAI)

Feb 12, 2016

novorapidboi26 1,819 posts

Topic: Questions for HCPs / ratio calculator

Well, everyone is different and that's what the DAFNE approach allows you to do, work it out, once you know it, then you can remember it....I was on 3:1 in the morning when injecting....are you high at lunch then...?...

Feb 12, 2016

Kordula B 6 posts

Topic: Questions for HCPs / ratio calculator

novorapidboi26 said:
ratio calcualtor?

never heard of it, are you looking for something to calculate your dose by simply adding a carb value..?

CALCULATE
if your ratio is 1 : 2 - you take 2 IU insulin for each CP

if your ratio is 1.5 : 1 you take 1.5 IU insulin for each CP

Seems I need to make my own - I take more insulin a.m. ( dawn phenomenon ) and trying out ratios - so a little card would help ( I AM LAZY / busy )
rest of the day 1 : 1 - so that is easier

Feb 12, 2016

novorapidboi26 1,819 posts

Topic: Questions for HCPs / Travel to Sri Lanka

i have no experience with such long journeys but I would be looking to try and keep your timings the same, at least until you get to your destination..........at least with the basal....

if you wont be getting your meals at the normal times then that's OK, that's the beauty of novoarapid/humalog....

you just need to make sure you are still getting the full coverage of Lantus.....

once you get there you can decide how to adjust the Lantus timing so it fits in with the new time zone......this will likely mean you either going without the Lantus for a short period or giving yourself a dose earlier and therefore doubling up on the dose............so you would need to either compensate with a little extra novorapid if you are taking your Lantus later or take less mealtime insulin if your taking your Lantus early....

i hope that makes sense, im getting confused myself reading back....ha ha....

Feb 12, 2016

novorapidboi26 1,819 posts

Topic: Questions for HCPs / Bendroflumethiazide effect

it sounds like the tablet may be effecting your BG throughout the whole day, which could be expected as any oral medication is designed to last over a given time period, as opposed to one that releases its ingredients quickly and is out your system quickly, like carbs in a way....

i would experiment with an increase to your basal/BI, that means you don't need to complicate your carb count and insulin/carb ratios...

Feb 12, 2016

novorapidboi26 1,819 posts

Topic: Questions for HCPs / ratio calculator

ratio calcualtor?

never heard of it, are you looking for something to calculate your dose by simply adding a carb value..?

Feb 12, 2016

novorapidboi26 1,819 posts

Topic: General Discussion / Pump death?

what pump are you on?

is the clip removable?

i ask because my medtronic veo has a belt clip but it comes off, and it breaks at least once every 6 - 9 months.....they happily send a new one, but you could buy one too......

is our situation different...?

Feb 12, 2016

Kordula B 6 posts

Topic: Questions for HCPs / ratio calculator

please where can I find the ratio calculator sheet - thought it was in the hand book but isn't?

Feb 10, 2016

Geoff55 2 posts

Topic: General Discussion / Newby and not sure if I'm getting it right

Thanks
Not really feeling ill
It's a dental thing
Had a spot on day to day though
Just makes it more confusing

Feb 10, 2016

lucy1gus2 13 posts

Topic: Questions for HCPs / Travel to Sri Lanka

Am on a night flight with no doubt a late evening meal and arriving at destination at lunchtime.Time difference is about 5 hours and flight time is 10 hours.
What adjustments do I need to make? Normally Lantus am & pm and quick acting for mealtimes.
I am leaning towards no Lantus at night but what about morning ? Do I run high until I reach destination and back to normal ?
Any assistance appreciated
Thanks

Feb 10, 2016

Phil Maskell 194 posts

Topic: General Discussion / Newby and not sure if I'm getting it right

If you're ill and needing Antibiotics I would expect erratic BG, illness mess me up, normally run high with infection, but then over compensate and hypo.

Hope after the Antibiotics things level out.

Phil

Feb 10, 2016

Geoff55 2 posts

Topic: General Discussion / Newby and not sure if I'm getting it right

I'll be honest struggled at times with the course and since been having erratic levels
Been on Antibiotics twice could this be the reason?
Diagnosed December 2014 LADA
Course attended January 2016 Rolling Eyes

Feb 9, 2016

Victoria Kee... 1 post

Topic: General Discussion / Glucose results

My diary during DAFNE course Very Happy

Pleased with my results during DAFNE. Starting to pay off, glucose dropping into target.

Feb 8, 2016

Peter 109 posts

Topic: Questions for HCPs / freestyle libra

Trish, The other possibility is to ask the DSN at your next appointment whether they have any which can be borrowed. Some DAFNE centres are now offering this.That would at least give you some visibility of your 24x7 data and help you decide if you wanted to invest in one.

Feb 8, 2016

john day 54 posts

Topic: Questions for HCPs / Bendroflumethiazide effect

I have just been put on one 2.5 g tablet per day, taken at breakfast, of this diuretic and advised that one of the effects could be increased BG levels. These have indeed seemed to increase especially at bedtime and morning so that I am thinking of allocating a notional CP value to the tab to better adjust novorapid at meal time or maybe levemir twice a day.

Anybody else got any experience/quantitative info as a guide. My best guess at present is 2 CP per tab but why does effect appear in the evening after morning tab?

Feb 7, 2016

marke 681 posts

Topic: General Discussion / DAFNE Course Handbook

Hi,
Good question, who knows. The blunt answer is we have been asking for over 2 years for updated versions and despite repeated promises we have not received them. I suggest you all email [email protected] and ask them when they are going to release updated versions to DAFNEOnline.

Feb 7, 2016

omnision 1 post

Topic: General Discussion / DAFNE Course Handbook

I have recently completed a DAFNE course and notice that the online version of the Course Handbook is very out of date. Can we expect the online version to be updated in the near future?

Feb 5, 2016

Cduffy 2 posts

Topic: General Discussion / Newly pregnant - hypos

Hi Lynn,
Hope you are well.
I wondered if you could have one of the nurses take a look at my reading. I'm not sure whether to reduce my ratio or background.
I a, 7 weeks pregnant and having daily hypos after breakfast and lunch.

Thanks,

Feb 3, 2016

derekh1965 90 posts

Topic: General Discussion / Injections and prescriptions

Hi
Thanks for all your replies. Further to my not receiving a prescription I ordered Icontacted my GP through askmygp and explained the amounmt of daily injections I use and why. i received a phone call from my GP to tell me that due to my eplanation she was going to order me my needls and add extra.
Received my needles yesterday, 5 boxes!!
They should last a while.
Derek

Feb 3, 2016

Phil Maskell 194 posts

Topic: Questions for HCPs / freestyle libra

I'm not an HCP, but I can answer that, No. Abbott are trying to get it, but don't hold your breath Sad

That aside I do pay for it and find it really useful.

EDIT: NHS need to way up the cost of long term issues, my HbA1c has gone from 8ish to 5.9 since using it.

Feb 12, 2016 novorapidboi26 1,819 posts	Topic: Questions for HCPs / Bendroflumethiazide effect Your HCP advice should always be used however I believe if your unsure about whether the issue is with BI or QA you should always get the BI right first, then the QA, your evening QA won't sort out the morning reading as its out your system in 4/5 hours...

Feb 12, 2016 john day 54 posts	Topic: Questions for HCPs / Bendroflumethiazide effect Thanks for your comment, novo. I see where you are coming from and see the logic. After posting here I contacted my diabetes nurse who suggested the 'standard' upping my evening ratio from 1.5 to 2 to get the bedtime and possibly breakfast rdgs reasonable again and then look at the levemir as you suggest. She did/could not comment specifically re the medication though. We will see ... Thanks again

Feb 12, 2016 novorapidboi26 1,819 posts	Topic: Questions for HCPs / ratio calculator You have just described a basal test where you go meal free to establish of you BI insulin is holding you steady... Those results suggest not, so its time to up your background.... What are you on and when?

Feb 12, 2016 Kordula B 6 posts	Topic: Questions for HCPs / ratio calculator yes - even without food! example - had a test requiring no food for 7 hours - so no breakfast - just BI - BG 6.8 mmol - 0 QA at 11 o'clock BG 11.5 mmol !! ( needed correcting QAI)

Feb 12, 2016 novorapidboi26 1,819 posts	Topic: Questions for HCPs / ratio calculator Well, everyone is different and that's what the DAFNE approach allows you to do, work it out, once you know it, then you can remember it....I was on 3:1 in the morning when injecting....are you high at lunch then...?...

Feb 12, 2016 Kordula B 6 posts	Topic: Questions for HCPs / ratio calculator novorapidboi26 said: ratio calcualtor? never heard of it, are you looking for something to calculate your dose by simply adding a carb value..? CALCULATE if your ratio is 1 : 2 - you take 2 IU insulin for each CP if your ratio is 1.5 : 1 you take 1.5 IU insulin for each CP Seems I need to make my own - I take more insulin a.m. ( dawn phenomenon ) and trying out ratios - so a little card would help ( I AM LAZY / busy ) rest of the day 1 : 1 - so that is easier

Feb 12, 2016 novorapidboi26 1,819 posts	Topic: Questions for HCPs / Travel to Sri Lanka i have no experience with such long journeys but I would be looking to try and keep your timings the same, at least until you get to your destination..........at least with the basal.... if you wont be getting your meals at the normal times then that's OK, that's the beauty of novoarapid/humalog.... you just need to make sure you are still getting the full coverage of Lantus..... once you get there you can decide how to adjust the Lantus timing so it fits in with the new time zone......this will likely mean you either going without the Lantus for a short period or giving yourself a dose earlier and therefore doubling up on the dose............so you would need to either compensate with a little extra novorapid if you are taking your Lantus later or take less mealtime insulin if your taking your Lantus early.... i hope that makes sense, im getting confused myself reading back....ha ha....

Feb 12, 2016 novorapidboi26 1,819 posts	Topic: Questions for HCPs / Bendroflumethiazide effect it sounds like the tablet may be effecting your BG throughout the whole day, which could be expected as any oral medication is designed to last over a given time period, as opposed to one that releases its ingredients quickly and is out your system quickly, like carbs in a way.... i would experiment with an increase to your basal/BI, that means you don't need to complicate your carb count and insulin/carb ratios...

Feb 12, 2016 novorapidboi26 1,819 posts	Topic: Questions for HCPs / ratio calculator ratio calcualtor? never heard of it, are you looking for something to calculate your dose by simply adding a carb value..?

Feb 12, 2016 novorapidboi26 1,819 posts	Topic: General Discussion / Pump death? what pump are you on? is the clip removable? i ask because my medtronic veo has a belt clip but it comes off, and it breaks at least once every 6 - 9 months.....they happily send a new one, but you could buy one too...... is our situation different...?

Feb 12, 2016 Kordula B 6 posts	Topic: Questions for HCPs / ratio calculator please where can I find the ratio calculator sheet - thought it was in the hand book but isn't?

Feb 10, 2016 Geoff55 2 posts	Topic: General Discussion / Newby and not sure if I'm getting it right Thanks Not really feeling ill It's a dental thing Had a spot on day to day though Just makes it more confusing

Feb 10, 2016 lucy1gus2 13 posts	Topic: Questions for HCPs / Travel to Sri Lanka Am on a night flight with no doubt a late evening meal and arriving at destination at lunchtime.Time difference is about 5 hours and flight time is 10 hours. What adjustments do I need to make? Normally Lantus am & pm and quick acting for mealtimes. I am leaning towards no Lantus at night but what about morning ? Do I run high until I reach destination and back to normal ? Any assistance appreciated Thanks

Feb 10, 2016 Phil Maskell 194 posts	Topic: General Discussion / Newby and not sure if I'm getting it right If you're ill and needing Antibiotics I would expect erratic BG, illness mess me up, normally run high with infection, but then over compensate and hypo. Hope after the Antibiotics things level out. Phil

Feb 10, 2016 Geoff55 2 posts	Topic: General Discussion / Newby and not sure if I'm getting it right I'll be honest struggled at times with the course and since been having erratic levels Been on Antibiotics twice could this be the reason? Diagnosed December 2014 LADA Course attended January 2016

Feb 9, 2016 Victoria Kee... 1 post	Topic: General Discussion / Glucose results My diary during DAFNE course Pleased with my results during DAFNE. Starting to pay off, glucose dropping into target.

Feb 8, 2016 Peter 109 posts	Topic: Questions for HCPs / freestyle libra Trish, The other possibility is to ask the DSN at your next appointment whether they have any which can be borrowed. Some DAFNE centres are now offering this.That would at least give you some visibility of your 24x7 data and help you decide if you wanted to invest in one.

Feb 8, 2016 john day 54 posts	Topic: Questions for HCPs / Bendroflumethiazide effect I have just been put on one 2.5 g tablet per day, taken at breakfast, of this diuretic and advised that one of the effects could be increased BG levels. These have indeed seemed to increase especially at bedtime and morning so that I am thinking of allocating a notional CP value to the tab to better adjust novorapid at meal time or maybe levemir twice a day. Anybody else got any experience/quantitative info as a guide. My best guess at present is 2 CP per tab but why does effect appear in the evening after morning tab?

Feb 7, 2016 marke 681 posts	Topic: General Discussion / DAFNE Course Handbook Hi, Good question, who knows. The blunt answer is we have been asking for over 2 years for updated versions and despite repeated promises we have not received them. I suggest you all email [email protected] and ask them when they are going to release updated versions to DAFNEOnline.

Feb 7, 2016 omnision 1 post	Topic: General Discussion / DAFNE Course Handbook I have recently completed a DAFNE course and notice that the online version of the Course Handbook is very out of date. Can we expect the online version to be updated in the near future?

Feb 5, 2016 Cduffy 2 posts	Topic: General Discussion / Newly pregnant - hypos Hi Lynn, Hope you are well. I wondered if you could have one of the nurses take a look at my reading. I'm not sure whether to reduce my ratio or background. I a, 7 weeks pregnant and having daily hypos after breakfast and lunch. Thanks,

Feb 3, 2016 derekh1965 90 posts	Topic: General Discussion / Injections and prescriptions Hi Thanks for all your replies. Further to my not receiving a prescription I ordered Icontacted my GP through askmygp and explained the amounmt of daily injections I use and why. i received a phone call from my GP to tell me that due to my eplanation she was going to order me my needls and add extra. Received my needles yesterday, 5 boxes!! They should last a while. Derek

Feb 3, 2016 Phil Maskell 194 posts	Topic: Questions for HCPs / freestyle libra I'm not an HCP, but I can answer that, No. Abbott are trying to get it, but don't hold your breath That aside I do pay for it and find it really useful. EDIT: NHS need to way up the cost of long term issues, my HbA1c has gone from 8ish to 5.9 since using it.