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15,864 posts found
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Jan 5, 2016
Yelekreb
11 posts
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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? |
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Jan 3, 2016
Shafiq
6 posts
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Topic: DAFNE Online Mobile / DAFNE Excel Spreedsheat
messaged you 
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Jan 3, 2016
grumpydunn
11 posts
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Topic: DAFNE Online Mobile / DAFNE Excel Spreedsheat send me your email address and I will attach to it. |
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Jan 3, 2016
Shafiq
6 posts
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Could I get a copy of that too please? |
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Jan 2, 2016
Peter
109 posts
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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. |
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Jan 2, 2016
Justinjroberts
9 posts
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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. |
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Jan 1, 2016
marke
686 posts
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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 
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Dec 30, 2015
Felix Glenn
26 posts
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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 |
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Dec 30, 2015
Justinjroberts
9 posts
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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 |
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Dec 29, 2015
Alan 49
284 posts
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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? |
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Dec 29, 2015
Simon
578 posts
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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
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Dec 29, 2015
Felix Glenn
26 posts
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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 |
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Dec 29, 2015
billyb
1 post
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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  |
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Dec 29, 2015
Alan 49
284 posts
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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? |
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Dec 23, 2015
Felix Glenn
26 posts
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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 (£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 |
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Dec 23, 2015
Justinjroberts
9 posts
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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? |
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Dec 22, 2015
Felix Glenn
26 posts
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Topic: Site Development / Formatting url BBcode is broken Hi Simon,My DSN, Kathrin Meyer, says that the Lewisham Hospital IT system is making DAFNE login very problematic. Do you think that you could make contact with her ([email protected]) and see if there is a way forward for her and her team? It maybe that their system is simply blocking or not supporting DAFNE Online, but solution might be very simple? Best Regards Felix Glenn |
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Dec 22, 2015
Felix Glenn
26 posts
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Topic: General Discussion / Stress Hi Justin,I get increasingly aggressive as I get higher. My wife says I am increasingly prone to road-rage when my BG is above target. She's right! I drive in a more confrontational manner when high. Conversely, if I'm below target, I feel vunerable and over-emotional, and I have been known to cry at adverts :-) Stress definately affects BG and I suggest keeping good records as it seems different for diferent people: For me, high levels of stress seems to burn carbs and I go low quite suddenly. I know other type ones who say it can raise BG, perhaps through adrenaline effects, stress eating etc. We are a hormonal soup and insulin is a hormone. It must influence mood. When you said you were becoming obsessive when high, did you mean obessive about BEING high or simply obesssing about WORK? Hang in there, Justin and try not to give yourself a hard time about fluctuating BG levels. No one gets it right all the time. Keep using the stepwise approach to home in on the true cause of the fluctuations. As you know it's often a conbination of factors, in this case stress being a player. Maybe think about sharing a section of your diary for discussion here? I think an emotional response to BG levels is entirely normal - anyone else? |
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Dec 22, 2015
Felix Glenn
26 posts
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Topic: General Discussion / DAFNE Principles Magic, many thanks, Peter.I will email this to my DSN. I have got so much from this forum already, just reading other peoples stories and queries is very affirming, and being able to dialog with a HCP is invaluable. In the short time I've been looking at and contributing ot the forum, I have only found one instance where someone has shared a Diary. Could you direct me to other threads where people are discussing examples of BG control? FG |
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Dec 22, 2015
Peter
109 posts
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Topic: General Discussion / Can DAFNE consider changing from the use of CP’s to g of carbohydrate? I'd agree that a switch to carbohydrate grammes rather than CPs is probably a good idea given that in the real world that's how all foods are labelled. However I'd also prefer to stick with units to CPs rather than the reverse. I am lucky enough to be a pumper and have to do the conversion from time to time when changing insulin ratios, but on a daily basis I still think in terms of units to CPs. Secondly, unless there is some radical change in NHS policies, in the short term pumpers will be the minority in the UK and, in my opinion, the current ratio is much simpler to use for everyone else unless they have access to a device that does the conversion automatically and, unfortunately as we've seen with the the DAFNE app, calculators can't be made widely available as they have to be linked to an approved medical device rather than being readily available e.g. on a phone. |
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Dec 22, 2015
Peter
109 posts
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Topic: General Discussion / DAFNE Principles Your DSN (Diabetes Specialist Nurse) should contact the DAFNE On-line the site administrators for help with the access codes for the site. Part of the measurement of every DAFNE clinic's performance now includes a check that an introduction and access to DAFNE On-line is included in each course delivered, so it's surprising to hear that they are having problems with site access. Mark or Simon, as part of they great service they provide, will be able to sort this out.PS. You could also suggest to the DSN that the team member(s) who went to the annual DAFNE Collaborative in June this year or last, will have had been able to attend a session on DAFNE On-line during which Mark and Simon included a refresher on site access. Therefore the Lewisham team should have knowledge on what to do. PPS. Yes an HCP is a Health Care Professional. |
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Dec 22, 2015
Justinjroberts
9 posts
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Topic: General Discussion / Stress I have currently been experiencing a lot of work related stress. I am also having problems controlling my BG levels and am becoming very obsessive when they go high. I am also experiencing more erratic moon swings and wondered if this is a side effect of fluctuating BG levels. I think both the stress and high BG feed off each other creating a catch 22 situation. Any suggestions would be welcome. |
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Dec 21, 2015
Felix Glenn
26 posts
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Topic: Questions for HCPs / Struggling with emotions
That is soooo helpful. Thanks BeccyB FX |
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Dec 21, 2015
Felix Glenn
26 posts
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Topic: General Discussion / Basal check Thanks. You really know your onions! :-)I agree. Endless qustions and appointments is not independence. I agree, I need to able to be able to make informed basal changes independently if the pump is be a useful change. Otherwise it is just a layer of technology. The BEYOND THE BASAL article/site that you linked earlier is very useful. Thanks FG |