Recent Posts - DAFNE Online

Jan 7, 2016

JayBee 587 posts

Topic: Questions for HCPs / Accidently given double dose of tresiba

You will probably find your QA insulin will respond stronger than usual when you take your usual meal ratios or correctional doses. You may also find that you slowly drop as the day goes by, so monitoring your BGs every hour or two should be about right for preventing a hypo; maybe more often depending on how aggressive the drop is. See how you go?

I've done stuff like this before but it was with Levemir. Easily done and thank gawd the dose runs out eventually. Take care, and stay safe.

Jan 7, 2016

franklin123 5 posts

Topic: Questions for HCPs / Accidently given double dose of tresiba

Hi

I am pretty certainn I have given 2 doses of tresiba. Thought I hadn't had my 18 unit dose so gave it again. It was only after I'd done it that I felt I had actually given my dose earlier.
Please can u advise.
Many thanks.

Jan 7, 2016

Bob Hinge 1 post

Topic: General Discussion / Online

I expect this has been asked before but I can't find it. I am new to smartphone but not to dafne. I downloaded the 'Dafne online' app which is storing my results on the phone. Have now logged on to this site; how do I get the results on my phone online?

Jan 6, 2016

Yelekreb 11 posts

Topic: General Discussion / RESIDUAL INSULIN GENAREATION?

Thanks for that, I've been diagnosed just over 13 months (aged 47!) as a T1, guess I still have residual function, thats is probably preserved by insulin jabs. I have a (very modest) dawn phenomena impact, but as you say most T1s have higher ratios in the morning - guess I'm just obtuse!

T1 Diabetes is endlessly fascinating and challenging at the same time. DAFNE was a great help, however good BS control is both an art and a science I find!

Jan 6, 2016

Garry 328 posts

Topic: General Discussion / RESIDUAL INSULIN GENAREATION?

alanG
You may have significant natural insulin production remaining at this time. Have you been diagnosed as Type 1 long?

Yelekreb
We are all different. Our physiologies are all very different.
Personally, I need to use ratios of 2:1 at breakfast, 2.5:1 at lunch and back to 2:1 at dinner. If I ever eat more than 10 CPs at dinner I need 2.2:1.
In the morning, many type 1s need higher ratios than during the day as their insulin uptake is hindered by Adrenaline and other hormones released naturally into the bloodstream used to wake us up, thus
you could think of it as Adrenaline causes insulin resistance. It's hard to understand. You'll get a handle on it with experience. I've got over 36 years...and still haven't cracked it! Embarassed

Regards
Garry

Jan 6, 2016

Garry 328 posts

Topic: DAFNE Online Mobile / HBA1c recording etc

I have a windows phone and no app available unfortunately. Hence, I can't check what I'm suggesting for your phone, but I have always typed in and used the comments field within My Blood Glucose Diary to record the type of info you wish to store.
Regards
Garry

Jan 6, 2016

ptw 2 posts

Topic: General Discussion / Update for Lindsey and Debbie...

These are my last 10 day's records. I can post others between 21st November and today if required. Average BG level for last 7 days is 6.0. For the last 14 days it is 6.1. For the last 30 days it is 6.5 and for the last 90 dyas it is 6.7.

ptw

Jan 5, 2016

Yelekreb 11 posts

Topic: DAFNE Online Mobile / HBA1c recording etc

Is there a way of recording HBA1c & other info in the app? Eg blood pressure, weight etc.

Would all help!

Jan 5, 2016

Yelekreb 11 posts

Topic: General Discussion / RESIDUAL INSULIN GENAREATION?

I've had something similar, except it seems I've become much more insulin sensitive, so have had to reduce my ratios - kinda weird as I end up using 1U to 6 CP at breakfast and then about 4u to 6cp by the evening. What causes the changes during the day? I asked at my last appointment and was told - it's hard to understand. Any ideas?

Jan 3, 2016

Shafiq 6 posts

Topic: DAFNE Online Mobile / DAFNE Excel Spreedsheat

grumpydunn said:
Shafiq said:
Could I get a copy of that too please?
send me your email address and I will attach to it.

messaged you Smile

Jan 3, 2016

grumpydunn 11 posts

Topic: DAFNE Online Mobile / DAFNE Excel Spreedsheat

Shafiq said:
Could I get a copy of that too please?

send me your email address and I will attach to it.

Jan 3, 2016

Shafiq 6 posts

Topic: DAFNE Online Mobile / DAFNE Excel Spreedsheat

Could I get a copy of that too please?

Jan 2, 2016

Peter 109 posts

Topic: Carbohydrate Counting / Maths Test

Alan,

It's frustrating isn't it? The typical answer is lack of space on the packaging and the rules state that per 100g values must be displayed to allow comparison with other products. However, that ignores the fact that if the contents are different sizes (e.g. 4 pies in one packet against 6 in another) then a comparison per 100g is meaningless. If anyone has suggestions on how to get this approach changed I'd be glad to hear them.

Jan 2, 2016

Justinjroberts 9 posts

Topic: General Discussion / Stress

Hi Felix,

As I understand it from my DAFNE clinics. The dawn phenomena is when diabetics experience a strong insulin resistance, but only at certain times of the day.

From my last DAFNE clinic as I understand it, it is due to hormones etc and is usually experienced early morning. I would imagine it will not necessarily be experienced by all diabetics and again those that do experience it may do so at different times.

One way to check would be to test your BG early morning say around 5pm or even earlier, but I would imagine you would have to test for 5 consecutive days to rule out any anomalies. However if your BG are ok then no need to check, but it is one of the things that could be responsible for a high BG in the morning.

Jan 1, 2016

marke 681 posts

Topic: General Discussion / DAFNE Principles

sorry just found this thread, xmas holiday and all that Very Happy

IF you email us which centre you attended, it sounds like a london one then we can get it sorted. If any centre is having issues in accessing the site they just need to contact us and we will sort it. I don't want to be rude, but many seem to struggle with the concepts behind IT, but hey they are supposed to fix people not machines, right Laughing

Dec 30, 2015

Felix Glenn 26 posts

Topic: General Discussion / Stress

Hi Justin, really interesting to hear about your Insulin sensitivity, or rather INSENSITIVITY AM and PM.

The perceived DAFNE wisdom, that I was reminded of just the other week, is that the BG scale become almost exponentially inaccurate the higher you get. So even above 12 the accuracy of BG reading is less reliable. Which is why the advice is not to correct more than +5 to avoid risk of hypo. Hard to apply, if you are experiencing persistent highs, but worth baring in mind.

What happens to your sensitivity if you increase your BI?

Also, could you say more about your experience of Dawn Phenomenon?
Its been mentioned to me by HCPs but I'm not sure if I experience it or not.

Cheers

FG

Dec 30, 2015

Justinjroberts 9 posts

Topic: General Discussion / Stress

Stress can drive BG up and down. For me it always drives it up.

I also find that I need a lot more insulin to currect a high BG early in the morning and also before bed. If I had a 15 or 16 before bed I would need at least a +5 or 6 to get my levels back to normal and in some cases more. I also find that to correct a high BG early morning between 5 and 6am 1 unit of insulin only lowers my BG by 1, due to the dawn phenomena.

Also Christmas can be a difficult time due to all the festive food and rest which can disrupt a normal routine and distort BG.

Justin

Dec 29, 2015

Alan 49 284 posts

Topic: Carbohydrate Counting / Maths Test

Thanks Simon - I'll have to remember how to do that. I suppose the real point is that I shouldn't have to - why couldn't Walkers have put the 'per pie' values on the box?

Dec 29, 2015

Simon 578 posts

Topic: Carbohydrate Counting / Maths Test

Hi Alan,

If the box is 372g for 6 pies then each pie is 62g (372 divided by 6)
62g can also be expressed at 0.62 of 100g
So multiply your 60.9g of carbs per 100g by 0.62 to get 37.758g of carbs per 62g pie
If you round that up it is 4 CPs

So... You were right, enjoy the mince pie Very Happy

Dec 29, 2015

Felix Glenn 26 posts

Topic: General Discussion / Stress

Hi Brian,
I could be wrong but I think STRESS generally drives BG DOWN, although not everyone has this experience. I think prolonged stress creates a glucose demand; metal and emotional pressures, which require both intense THOUGHT and EMOTION, will inevitably use sugar, right?

I'm a teacher on holiday and right now I'm struggling to keep my BG down because of the absense of teaching stress (which I love, by the way) so I have dramatically increased my BI AND my QA ratio, and I'm STILL high!

I've included 25th Christmas Day (really proud of my BGs that day :-) 'till 28th.

This cold is not helping! Confused

DOES HAVING A COLD INCREASE YOUR BG?

Felix

Dec 29, 2015

billyb 1 post

Topic: General Discussion / Stress

I have been Type 1 since 1999. As a chartered accountant I teach at HND level and am stressed when mentoring students to write assignments. This seems to drive my bg levels DOWN, which may be against accepted wisdom. I take Dextrose and recover ok.

Exercise usually and normally makes my numbers go down also.

I would welcome similar observations.
Brian in Oxford
Question

Dec 29, 2015

Alan 49 284 posts

Topic: Carbohydrate Counting / Maths Test

My wife bought some Walkers Mince Pies for Christmas. When they were served up, I consulted the Nutrition Information on the box. It only showed values per 100g and the carbs were 60.9g per 100g. It didn't show values per pie. The net weight of the box was 372g (I assume this means just the pies - not all the packaging) and there were 6 pies in the box.

I'm not very good at maths, so I struggled to calculate the CPs per pie - I came up with 4 CPs - was I close?

Dec 23, 2015

Felix Glenn 26 posts

Topic: General Discussion / Stress

Man after my own heart.
Meditation works for me.
When things go crazy at work, a bit of stillness before I leave in the morning changes my attitude to the whole day.
Deepak Chopra and Oprah Winfey do a great series of 20 min sessions, some free, some paying. I think you get what you pay for (Â£25?) - and I have to look past some of the new-age, north American language.
I find if I just sit and try to meditate alone, I loose focus or even fall asleep. So this works for me at the moment.

Focused or yoga breathing is also something I try (and generally don't manage) to do every day. I find this even more effective than medication in terms of slowing down my mind: Number 4, when I haven't got 2 blocked nostrils is wonderful - I recommend it.
http://greatist.com/happiness/breathing-exercises-relax

Felix

Dec 23, 2015

Justinjroberts 9 posts

Topic: General Discussion / Stress

Thanks for your comments, it really helps to hear how it affects others and it's not just me. I do get over obsessive when I get a high BG level, although stress and work etc does not help. Stress makes my BG go up and then that makes me more stressed and it goes up even more. Has anyone tried meditation to help alleviate stress?

Jan 7, 2016 JayBee 587 posts	Topic: Questions for HCPs / Accidently given double dose of tresiba You will probably find your QA insulin will respond stronger than usual when you take your usual meal ratios or correctional doses. You may also find that you slowly drop as the day goes by, so monitoring your BGs every hour or two should be about right for preventing a hypo; maybe more often depending on how aggressive the drop is. See how you go? I've done stuff like this before but it was with Levemir. Easily done and thank gawd the dose runs out eventually. Take care, and stay safe.

Jan 7, 2016 franklin123 5 posts	Topic: Questions for HCPs / Accidently given double dose of tresiba Hi I am pretty certainn I have given 2 doses of tresiba. Thought I hadn't had my 18 unit dose so gave it again. It was only after I'd done it that I felt I had actually given my dose earlier. Please can u advise. Many thanks.

Jan 7, 2016 Bob Hinge 1 post	Topic: General Discussion / Online I expect this has been asked before but I can't find it. I am new to smartphone but not to dafne. I downloaded the 'Dafne online' app which is storing my results on the phone. Have now logged on to this site; how do I get the results on my phone online?

Jan 6, 2016 Yelekreb 11 posts	Topic: General Discussion / RESIDUAL INSULIN GENAREATION? Thanks for that, I've been diagnosed just over 13 months (aged 47!) as a T1, guess I still have residual function, thats is probably preserved by insulin jabs. I have a (very modest) dawn phenomena impact, but as you say most T1s have higher ratios in the morning - guess I'm just obtuse! T1 Diabetes is endlessly fascinating and challenging at the same time. DAFNE was a great help, however good BS control is both an art and a science I find!

Jan 6, 2016 Garry 328 posts	Topic: General Discussion / RESIDUAL INSULIN GENAREATION? alanG You may have significant natural insulin production remaining at this time. Have you been diagnosed as Type 1 long? Yelekreb We are all different. Our physiologies are all very different. Personally, I need to use ratios of 2:1 at breakfast, 2.5:1 at lunch and back to 2:1 at dinner. If I ever eat more than 10 CPs at dinner I need 2.2:1. In the morning, many type 1s need higher ratios than during the day as their insulin uptake is hindered by Adrenaline and other hormones released naturally into the bloodstream used to wake us up, thus you could think of it as Adrenaline causes insulin resistance. It's hard to understand. You'll get a handle on it with experience. I've got over 36 years...and still haven't cracked it! Regards Garry

Jan 6, 2016 Garry 328 posts	Topic: DAFNE Online Mobile / HBA1c recording etc I have a windows phone and no app available unfortunately. Hence, I can't check what I'm suggesting for your phone, but I have always typed in and used the comments field within My Blood Glucose Diary to record the type of info you wish to store. Regards Garry

Jan 6, 2016 ptw 2 posts	Topic: General Discussion / Update for Lindsey and Debbie... These are my last 10 day's records. I can post others between 21st November and today if required. Average BG level for last 7 days is 6.0. For the last 14 days it is 6.1. For the last 30 days it is 6.5 and for the last 90 dyas it is 6.7. ptw

Jan 5, 2016 Yelekreb 11 posts	Topic: DAFNE Online Mobile / HBA1c recording etc Is there a way of recording HBA1c & other info in the app? Eg blood pressure, weight etc. Would all help!

Jan 5, 2016 Yelekreb 11 posts	Topic: General Discussion / RESIDUAL INSULIN GENAREATION? I've had something similar, except it seems I've become much more insulin sensitive, so have had to reduce my ratios - kinda weird as I end up using 1U to 6 CP at breakfast and then about 4u to 6cp by the evening. What causes the changes during the day? I asked at my last appointment and was told - it's hard to understand. Any ideas?

Jan 3, 2016 Shafiq 6 posts	Topic: DAFNE Online Mobile / DAFNE Excel Spreedsheat grumpydunn said: Shafiq said: Could I get a copy of that too please? send me your email address and I will attach to it. messaged you

Jan 3, 2016 grumpydunn 11 posts	Topic: DAFNE Online Mobile / DAFNE Excel Spreedsheat Shafiq said: Could I get a copy of that too please? send me your email address and I will attach to it.

Jan 3, 2016 Shafiq 6 posts	Topic: DAFNE Online Mobile / DAFNE Excel Spreedsheat Could I get a copy of that too please?

Jan 2, 2016 Peter 109 posts	Topic: Carbohydrate Counting / Maths Test Alan, It's frustrating isn't it? The typical answer is lack of space on the packaging and the rules state that per 100g values must be displayed to allow comparison with other products. However, that ignores the fact that if the contents are different sizes (e.g. 4 pies in one packet against 6 in another) then a comparison per 100g is meaningless. If anyone has suggestions on how to get this approach changed I'd be glad to hear them.

Jan 2, 2016 Justinjroberts 9 posts	Topic: General Discussion / Stress Hi Felix, As I understand it from my DAFNE clinics. The dawn phenomena is when diabetics experience a strong insulin resistance, but only at certain times of the day. From my last DAFNE clinic as I understand it, it is due to hormones etc and is usually experienced early morning. I would imagine it will not necessarily be experienced by all diabetics and again those that do experience it may do so at different times. One way to check would be to test your BG early morning say around 5pm or even earlier, but I would imagine you would have to test for 5 consecutive days to rule out any anomalies. However if your BG are ok then no need to check, but it is one of the things that could be responsible for a high BG in the morning.

Jan 1, 2016 marke 681 posts	Topic: General Discussion / DAFNE Principles sorry just found this thread, xmas holiday and all that IF you email us which centre you attended, it sounds like a london one then we can get it sorted. If any centre is having issues in accessing the site they just need to contact us and we will sort it. I don't want to be rude, but many seem to struggle with the concepts behind IT, but hey they are supposed to fix people not machines, right

Dec 30, 2015 Felix Glenn 26 posts	Topic: General Discussion / Stress Hi Justin, really interesting to hear about your Insulin sensitivity, or rather INSENSITIVITY AM and PM. The perceived DAFNE wisdom, that I was reminded of just the other week, is that the BG scale become almost exponentially inaccurate the higher you get. So even above 12 the accuracy of BG reading is less reliable. Which is why the advice is not to correct more than +5 to avoid risk of hypo. Hard to apply, if you are experiencing persistent highs, but worth baring in mind. What happens to your sensitivity if you increase your BI? Also, could you say more about your experience of Dawn Phenomenon? Its been mentioned to me by HCPs but I'm not sure if I experience it or not. Cheers FG

Dec 30, 2015 Justinjroberts 9 posts	Topic: General Discussion / Stress Stress can drive BG up and down. For me it always drives it up. I also find that I need a lot more insulin to currect a high BG early in the morning and also before bed. If I had a 15 or 16 before bed I would need at least a +5 or 6 to get my levels back to normal and in some cases more. I also find that to correct a high BG early morning between 5 and 6am 1 unit of insulin only lowers my BG by 1, due to the dawn phenomena. Also Christmas can be a difficult time due to all the festive food and rest which can disrupt a normal routine and distort BG. Justin

Dec 29, 2015 Alan 49 284 posts	Topic: Carbohydrate Counting / Maths Test Thanks Simon - I'll have to remember how to do that. I suppose the real point is that I shouldn't have to - why couldn't Walkers have put the 'per pie' values on the box?

Dec 29, 2015 Simon 578 posts	Topic: Carbohydrate Counting / Maths Test Hi Alan, If the box is 372g for 6 pies then each pie is 62g (372 divided by 6) 62g can also be expressed at 0.62 of 100g So multiply your 60.9g of carbs per 100g by 0.62 to get 37.758g of carbs per 62g pie If you round that up it is 4 CPs So... You were right, enjoy the mince pie

Dec 29, 2015 Felix Glenn 26 posts	Topic: General Discussion / Stress Hi Brian, I could be wrong but I think STRESS generally drives BG DOWN, although not everyone has this experience. I think prolonged stress creates a glucose demand; metal and emotional pressures, which require both intense THOUGHT and EMOTION, will inevitably use sugar, right? I'm a teacher on holiday and right now I'm struggling to keep my BG down because of the absense of teaching stress (which I love, by the way) so I have dramatically increased my BI AND my QA ratio, and I'm STILL high! I've included 25th Christmas Day (really proud of my BGs that day :-) 'till 28th. This cold is not helping! DOES HAVING A COLD INCREASE YOUR BG? Felix

Dec 29, 2015 billyb 1 post	Topic: General Discussion / Stress I have been Type 1 since 1999. As a chartered accountant I teach at HND level and am stressed when mentoring students to write assignments. This seems to drive my bg levels DOWN, which may be against accepted wisdom. I take Dextrose and recover ok. Exercise usually and normally makes my numbers go down also. I would welcome similar observations. Brian in Oxford

Dec 29, 2015 Alan 49 284 posts	Topic: Carbohydrate Counting / Maths Test My wife bought some Walkers Mince Pies for Christmas. When they were served up, I consulted the Nutrition Information on the box. It only showed values per 100g and the carbs were 60.9g per 100g. It didn't show values per pie. The net weight of the box was 372g (I assume this means just the pies - not all the packaging) and there were 6 pies in the box. I'm not very good at maths, so I struggled to calculate the CPs per pie - I came up with 4 CPs - was I close?

Dec 23, 2015 Felix Glenn 26 posts	Topic: General Discussion / Stress Man after my own heart. Meditation works for me. When things go crazy at work, a bit of stillness before I leave in the morning changes my attitude to the whole day. Deepak Chopra and Oprah Winfey do a great series of 20 min sessions, some free, some paying. I think you get what you pay for (Â£25?) - and I have to look past some of the new-age, north American language. I find if I just sit and try to meditate alone, I loose focus or even fall asleep. So this works for me at the moment. Focused or yoga breathing is also something I try (and generally don't manage) to do every day. I find this even more effective than medication in terms of slowing down my mind: Number 4, when I haven't got 2 blocked nostrils is wonderful - I recommend it. http://greatist.com/happiness/breathing-exercises-relax Felix

Dec 23, 2015 Justinjroberts 9 posts	Topic: General Discussion / Stress Thanks for your comments, it really helps to hear how it affects others and it's not just me. I do get over obsessive when I get a high BG level, although stress and work etc does not help. Stress makes my BG go up and then that makes me more stressed and it goes up even more. Has anyone tried meditation to help alleviate stress?