Recent Posts - DAFNE Online

Dec 7, 2015

Simon 578 posts

Topic: Site Development / Formatting url BBcode is broken

Dec 6, 2015

JayBee 587 posts

Topic: General Discussion / Levemir doses

Update! Thank you all for your replies. Sorry I did not look back at this sooner! D'oh!

I'm currently now taking these levels of Levemir...

Morning BI 4, aiming for between 7am and 9am
Evening BI 7, aiming for between 09.30pm and 11pm

After a lot of work and disrupted sleep, I discovered I would hypo overnight if I took anything above 11BI in the evening; during the day is still a bit of a puzzle to me but I'm glad of the numbers I'm getting currently from lowering it too. It's amazing how your body copes to keep you okay when your doses are not right yet. I did also try 3x daily BI for about 6months before getting to the point I am now; I definitely agree with the advice to stick to 2x BI daily. I did not seem to see any definite improvement from an extra dose of BI.

My meal ratios are also very different now since 2012. I used to try and aim for 1:1 for every meal when I first did the course, but now I take 2:1 breakfast, 1:1 or 1.5:1 lunch and 1:1 dinner which is providing a lot better support overall. If you stay stable when you have a carb free meal with no QA to mess the picture up (I tend to avoid even meats in these meals), definitely look at your meal ratio instead.

Low carb can be just as good if you trust your correctional needs requirements (I did not for a long time because when I was taking high doses of BI, my corrections would take me down by 4-5BG for 1QA Sad

which was scary).

Things are so very different now, even if the work is never done because of sodding hormones messing up the BG patterns (stress, period, exercise..etc)! I still have loads of work to do for doses in relation to exercise... So much rubbish to think about! -_-;;

Stay well all! Smile

Dec 6, 2015

JayBee 587 posts

Topic: Site Development / Formatting url BBcode is broken

TEST

Edit: Oh okay. It does work now, lol. I do understand how to use BB from other forums, but maybe I had a brain toot. Laughing

Thanks for the help! Smile

Dec 3, 2015

Susanf 29 posts

Topic: Carbohydrate Counting / Nutritional Values on package food

Dec 2, 2015

alturn 78 posts

Topic: General Discussion / Strange Basal Insulin Question

I've had similar changes, but in reverse. Reduced BI from 14/14 to 10/10 from July to September, and dinner ratio from 3:1 to 2:1. But recently had to increase BI to 11/11. I had often wondered if weather affected sensitivity. The only other thing I could think of was changing BI sites from thighs to buttocks and using larger injection areas.

So your not alone.
J

Dec 2, 2015

Alan 49 284 posts

Topic: Carbohydrate Counting / Nutritional Values on package food

I'm afraid that's not possible for me, Susan - I'm one of the few people without a smart-phone.

Dec 2, 2015

Phil Maskell 194 posts

Topic: General Discussion / Strange Basal Insulin Question

Hi,

I have been trying low carb for the last 6 months, I have been having 8 units Levemir morning and night, with a trickle of Novorapid for the protein and carbs in fruit/veg.

I have noticed over the last month or so that I have needed to increase my basal insulin to 12/12 from 8/8 with no significant change in exercise (only dif is I no longer go outside on the bike, but use trainer indoors as weather is naff) or eating habits.

I am wondering if this is a hormonal thing, my body doing something expecting winter or something? Has anyone else noticed a need to increase basal in winter? Or is my insulin sensitivity going down? I still drop like a brick from too much Novorapid so I don't think so, unless its Levemir I am no longer sensitive to?

Any ideas? Increasing basal is not an issue, just got me wondering.

Phil

Dec 1, 2015

Susanf 29 posts

Topic: Questions for HCPs / INSULIN SENSITIVITY

Your HbA1c results show that your overall control is perfect so if you only need a small amount to keep it at that then happy days Very Happy

Not sure why they feel you are in denial - if thats all the insulin it takes there is not a huge amount you can do to change it. Have you heard of LADA (latent autoimmune diabetes in adults)

Dec 1, 2015

alanG 11 posts

Topic: Questions for HCPs / INSULIN SENSITIVITY

Hi Susanf, Thanks for your reply and encouragement. I am actually TYPE1, and it clearly is late in life to get that!!!
When I raise this scenario with the professionals, they accuse me of being in denial. Cool.

Dec 1, 2015

Susanf 29 posts

Topic: Carbohydrate Counting / Nutritional Values on package food

You could also take a pic of it with your phone and then enlarge the picture on your phone :-)

Dec 1, 2015

Susanf 29 posts

Topic: Questions for HCPs / INSULIN SENSITIVITY

Hi AlanG, Great results Very Happy

Are you type 2? My guess is your body is still producing some insulin and that is acting as your background insulin. You are also doing exercise pretty much after each meal which is probably burning up what you are eating. As you are getting such great results I would keep going the way you are :-)

Nov 30, 2015

Stew B 125 posts

Topic: Carbohydrate Counting / Nutritional Values on package food

Hi Mark, my better half got it for me - from EBay I think!

Stew

Nov 30, 2015

alanG 11 posts

Topic: General Discussion / RESIDUAL INSULIN GENAREATION?

I am taking very little insulin. I have 2 units of BG in the am, and 10 units of BG in the evening. I am only taking QA insulin if I have a meal of greater than 5 carb units, and then at a ratio of 0.5 to 1.
I only use the insulin I do use since the health professionals put the fear of god into me. My short-term blood glucose is always in single figures, and never more than 8.0. My long -term level is 42, and has been at that level since I was first tested after diagnosis some 4 years ago.
I now have a detailed example, which is not untypical of my experience.
My morning level was 6.3, and I had a cracker and low fat cottage cheese for breakfast (about 0.5 carbs). I took 2 units of BI. We then walked to the shops, about 2.5 miles, and I could not resist a SUBWAY and coffee (about 4 carb units). I did not take any QA, as experience says I will be ok. We then walked home in 45 mins. (steady). In the afternoon, I had 20 mins. on the exercise bike, and I tested my blood sugar at 4.8. I had a snack oif tortillas to keep me going (1 carb unit)
For our evening meal we had roast duck with roast potatoes and mixed veg., and as a treat we tried my wife's home made Christmas cake, which is soaked in booze, with a lump of Wensleydale cheese. Again. I did not take any QA insulin.
About 8.30pm I had another 20 mins. on the exercise bike, and when I tested after my blood sugar was 5.4.
I find it difficult to believe that 2 units of BG and modest exercise can be responsible for dissipating over 7 units of carb.
Anyone got any thoughts.

Nov 30, 2015

alanG 11 posts

Topic: Questions for HCPs / INSULIN SENSITIVITY

I am taking very little insulin. I have 2 units of BG in the am, and 10 units of BG in the evening. I am only taking QA insulin if I have a meal of greater than 5 carb units, and then at a ratio of 0.5 to 1.
I only use the insulin I do use since the health professionals put the fear of god into me. My short-term blood glucose is always in single figures, and never more than 8.0. My long -term level is 42, and has been at that level since I was first tested after diagnosis some 4 years ago.
I now have a detailed example, which is not untypical of my experience.
My morning level was 6.3, and I had a cracker and low fat cottage cheese for breakfast (about 0.5 carbs). I took 2 units of BI. We then walked to the shops, about 2.5 miles, and I could not resist a SUBWAY and coffee (about 4 carb units). I did not take any QA, as experience says I will be ok. We then walked home in 45 mins. (steady). In the afternoon, I had 20 mins. on the exercise bike, and I tested my blood sugar at 4.8. I had a snack oif tortillas to keep me going (1 carb unit)
For our evening meal we had roast duck with roast potatoes and mixed veg., and as a treat we tried my wife's home made Christmas cake, which is soaked in booze, with a lump of Wensleydale cheese. Again. I did not take any QA insulin.
About 8.30pm I had another 20 mins. on the exercise bike, and when I tested after my blood sugar was 5.4.
I find it difficult to believe that 2 units of BG and modest exercise can be responsible for dissipating over 7 units of carb.
Anyone got any thoughts.

Nov 29, 2015

Mark2 23 posts

Topic: Carbohydrate Counting / Nutritional Values on package food

Where did you buy your credit card size magnifier Stew? Sounds useful .. Razz

Nov 27, 2015

AMcD 38 posts

Topic: Questions for HCPs / concern about effect of hypos

Gus. My hunch is your GP is right.. when having hypos I really can't think straight at all. .. even simple stuff gets complicated. Having hypos is bad all around, they can be utterly exhausting and can be dangerous if driving or similar.. The science is simple... Our brains require glucose to function correctly, when our brains are starved of glucose they don't work as they should... there's a fine balance between good control and going too low to often. My advice is to keep your levels up a bit and avoid the hypos. ... hope things improve for you. Andy

Nov 26, 2015

Paul Keenan 3 posts

Topic: General Discussion / Diagnosed just over a year ago

Susanf said:
Hi Paul,

Welcome to the forum. I have Diabetes for 21 years now and use an insulin pump. Feel free to ask any questions.

K Rgds,

Thanks Susan its reassuring to be able to chat with other diabetics and pick their brain on issues that may arise.
S

Nov 26, 2015

Paul Keenan 3 posts

Topic: General Discussion / Diagnosed just over a year ago

Garry said:
Meant to ask Paul.
Were you advised on your DAFNE course about this forum or was it your own research?
Regards
Garry

Hi Garry I was invited to the DAFNE course in October. I found out about the forum when I registered for DAFNE online. I thought the course really helped and I have just attended my 6 week review. I'm still struggling at night. I seem to be going through the honeymoon period at the moment. Its reassuring to be able to chat with other diabetics. So thanks for the reply to my original message.

Nov 25, 2015

Simon 578 posts

Topic: General Discussion / ESMiD - Evaluating Self-Management in Diabetes

From Martin Fox:

If you have type 1 or type 2 diabetes and are aged 18 or over please help with our research by completing an online survey, taking around 15 minutes. You may then enter a prize draw for 50GBP shopping vouchers.

This study explores how important it is to people that they can manage their diabetes. For more information, and to take part, please go to this link:

https://healthsurvey.shef.ac.uk/esmid

You may withdraw at any time by leaving the survey.

This study has been approved by the National Research Ethics Service. All data is collected anonymously and in strict confidence.

Many thanks for your help.

Nov 24, 2015

marke 681 posts

Topic: General Discussion / I know this is the Express but ....

Hi, Sorry but six people is not a study, they can't make any judgements or state side effects if the study was only 6 people !!
Interesting, yes, a cure, not really......

Nov 24, 2015

Alan 49 284 posts

Topic: General Discussion / I know this is the Express but ....

We live in hope, Phil.

Dec 7, 2015 Simon 578 posts	Topic: Site Development / Formatting url BBcode is broken

Dec 6, 2015 JayBee 587 posts	Topic: General Discussion / Levemir doses Update! Thank you all for your replies. Sorry I did not look back at this sooner! D'oh! I'm currently now taking these levels of Levemir... Morning BI 4, aiming for between 7am and 9am Evening BI 7, aiming for between 09.30pm and 11pm After a lot of work and disrupted sleep, I discovered I would hypo overnight if I took anything above 11BI in the evening; during the day is still a bit of a puzzle to me but I'm glad of the numbers I'm getting currently from lowering it too. It's amazing how your body copes to keep you okay when your doses are not right yet. I did also try 3x daily BI for about 6months before getting to the point I am now; I definitely agree with the advice to stick to 2x BI daily. I did not seem to see any definite improvement from an extra dose of BI. My meal ratios are also very different now since 2012. I used to try and aim for 1:1 for every meal when I first did the course, but now I take 2:1 breakfast, 1:1 or 1.5:1 lunch and 1:1 dinner which is providing a lot better support overall. If you stay stable when you have a carb free meal with no QA to mess the picture up (I tend to avoid even meats in these meals), definitely look at your meal ratio instead. Low carb can be just as good if you trust your correctional needs requirements (I did not for a long time because when I was taking high doses of BI, my corrections would take me down by 4-5BG for 1QA which was scary). Things are so very different now, even if the work is never done because of sodding hormones messing up the BG patterns (stress, period, exercise..etc)! I still have loads of work to do for doses in relation to exercise... So much rubbish to think about! -_-;; Stay well all!

Dec 6, 2015 JayBee 587 posts	Topic: Site Development / Formatting url BBcode is broken TEST Edit: Oh okay. It does work now, lol. I do understand how to use BB from other forums, but maybe I had a brain toot. Thanks for the help!

Dec 3, 2015 Susanf 29 posts	Topic: Carbohydrate Counting / Nutritional Values on package food

Dec 2, 2015 alturn 78 posts	Topic: General Discussion / Strange Basal Insulin Question I've had similar changes, but in reverse. Reduced BI from 14/14 to 10/10 from July to September, and dinner ratio from 3:1 to 2:1. But recently had to increase BI to 11/11. I had often wondered if weather affected sensitivity. The only other thing I could think of was changing BI sites from thighs to buttocks and using larger injection areas. So your not alone. J

Dec 2, 2015 Alan 49 284 posts	Topic: Carbohydrate Counting / Nutritional Values on package food I'm afraid that's not possible for me, Susan - I'm one of the few people without a smart-phone.

Dec 2, 2015 Phil Maskell 194 posts	Topic: General Discussion / Strange Basal Insulin Question Hi, I have been trying low carb for the last 6 months, I have been having 8 units Levemir morning and night, with a trickle of Novorapid for the protein and carbs in fruit/veg. I have noticed over the last month or so that I have needed to increase my basal insulin to 12/12 from 8/8 with no significant change in exercise (only dif is I no longer go outside on the bike, but use trainer indoors as weather is naff) or eating habits. I am wondering if this is a hormonal thing, my body doing something expecting winter or something? Has anyone else noticed a need to increase basal in winter? Or is my insulin sensitivity going down? I still drop like a brick from too much Novorapid so I don't think so, unless its Levemir I am no longer sensitive to? Any ideas? Increasing basal is not an issue, just got me wondering. Phil

Dec 1, 2015 Susanf 29 posts	Topic: Questions for HCPs / INSULIN SENSITIVITY Your HbA1c results show that your overall control is perfect so if you only need a small amount to keep it at that then happy days Not sure why they feel you are in denial - if thats all the insulin it takes there is not a huge amount you can do to change it. Have you heard of LADA (latent autoimmune diabetes in adults)

Dec 1, 2015 alanG 11 posts	Topic: Questions for HCPs / INSULIN SENSITIVITY Hi Susanf, Thanks for your reply and encouragement. I am actually TYPE1, and it clearly is late in life to get that!!! When I raise this scenario with the professionals, they accuse me of being in denial. Cool.

Dec 1, 2015 Susanf 29 posts	Topic: Carbohydrate Counting / Nutritional Values on package food You could also take a pic of it with your phone and then enlarge the picture on your phone :-)

Dec 1, 2015 Susanf 29 posts	Topic: Questions for HCPs / INSULIN SENSITIVITY Hi AlanG, Great results Are you type 2? My guess is your body is still producing some insulin and that is acting as your background insulin. You are also doing exercise pretty much after each meal which is probably burning up what you are eating. As you are getting such great results I would keep going the way you are :-)

Nov 30, 2015 Stew B 125 posts	Topic: Carbohydrate Counting / Nutritional Values on package food Hi Mark, my better half got it for me - from EBay I think! Stew

Nov 30, 2015 alanG 11 posts	Topic: General Discussion / RESIDUAL INSULIN GENAREATION? I am taking very little insulin. I have 2 units of BG in the am, and 10 units of BG in the evening. I am only taking QA insulin if I have a meal of greater than 5 carb units, and then at a ratio of 0.5 to 1. I only use the insulin I do use since the health professionals put the fear of god into me. My short-term blood glucose is always in single figures, and never more than 8.0. My long -term level is 42, and has been at that level since I was first tested after diagnosis some 4 years ago. I now have a detailed example, which is not untypical of my experience. My morning level was 6.3, and I had a cracker and low fat cottage cheese for breakfast (about 0.5 carbs). I took 2 units of BI. We then walked to the shops, about 2.5 miles, and I could not resist a SUBWAY and coffee (about 4 carb units). I did not take any QA, as experience says I will be ok. We then walked home in 45 mins. (steady). In the afternoon, I had 20 mins. on the exercise bike, and I tested my blood sugar at 4.8. I had a snack oif tortillas to keep me going (1 carb unit) For our evening meal we had roast duck with roast potatoes and mixed veg., and as a treat we tried my wife's home made Christmas cake, which is soaked in booze, with a lump of Wensleydale cheese. Again. I did not take any QA insulin. About 8.30pm I had another 20 mins. on the exercise bike, and when I tested after my blood sugar was 5.4. I find it difficult to believe that 2 units of BG and modest exercise can be responsible for dissipating over 7 units of carb. Anyone got any thoughts.

Nov 30, 2015 alanG 11 posts	Topic: Questions for HCPs / INSULIN SENSITIVITY I am taking very little insulin. I have 2 units of BG in the am, and 10 units of BG in the evening. I am only taking QA insulin if I have a meal of greater than 5 carb units, and then at a ratio of 0.5 to 1. I only use the insulin I do use since the health professionals put the fear of god into me. My short-term blood glucose is always in single figures, and never more than 8.0. My long -term level is 42, and has been at that level since I was first tested after diagnosis some 4 years ago. I now have a detailed example, which is not untypical of my experience. My morning level was 6.3, and I had a cracker and low fat cottage cheese for breakfast (about 0.5 carbs). I took 2 units of BI. We then walked to the shops, about 2.5 miles, and I could not resist a SUBWAY and coffee (about 4 carb units). I did not take any QA, as experience says I will be ok. We then walked home in 45 mins. (steady). In the afternoon, I had 20 mins. on the exercise bike, and I tested my blood sugar at 4.8. I had a snack oif tortillas to keep me going (1 carb unit) For our evening meal we had roast duck with roast potatoes and mixed veg., and as a treat we tried my wife's home made Christmas cake, which is soaked in booze, with a lump of Wensleydale cheese. Again. I did not take any QA insulin. About 8.30pm I had another 20 mins. on the exercise bike, and when I tested after my blood sugar was 5.4. I find it difficult to believe that 2 units of BG and modest exercise can be responsible for dissipating over 7 units of carb. Anyone got any thoughts.

Nov 29, 2015 Mark2 23 posts	Topic: Carbohydrate Counting / Nutritional Values on package food Where did you buy your credit card size magnifier Stew? Sounds useful ..

Nov 27, 2015 AMcD 38 posts	Topic: Questions for HCPs / concern about effect of hypos Gus. My hunch is your GP is right.. when having hypos I really can't think straight at all. .. even simple stuff gets complicated. Having hypos is bad all around, they can be utterly exhausting and can be dangerous if driving or similar.. The science is simple... Our brains require glucose to function correctly, when our brains are starved of glucose they don't work as they should... there's a fine balance between good control and going too low to often. My advice is to keep your levels up a bit and avoid the hypos. ... hope things improve for you. Andy

Nov 26, 2015 Paul Keenan 3 posts	Topic: General Discussion / Diagnosed just over a year ago Susanf said: Hi Paul, Welcome to the forum. I have Diabetes for 21 years now and use an insulin pump. Feel free to ask any questions. K Rgds, Thanks Susan its reassuring to be able to chat with other diabetics and pick their brain on issues that may arise. S

Nov 26, 2015 Paul Keenan 3 posts	Topic: General Discussion / Diagnosed just over a year ago Garry said: Meant to ask Paul. Were you advised on your DAFNE course about this forum or was it your own research? Regards Garry Hi Garry I was invited to the DAFNE course in October. I found out about the forum when I registered for DAFNE online. I thought the course really helped and I have just attended my 6 week review. I'm still struggling at night. I seem to be going through the honeymoon period at the moment. Its reassuring to be able to chat with other diabetics. So thanks for the reply to my original message.

Nov 25, 2015 Simon 578 posts	Topic: General Discussion / ESMiD - Evaluating Self-Management in Diabetes From Martin Fox: If you have type 1 or type 2 diabetes and are aged 18 or over please help with our research by completing an online survey, taking around 15 minutes. You may then enter a prize draw for 50GBP shopping vouchers. This study explores how important it is to people that they can manage their diabetes. For more information, and to take part, please go to this link: https://healthsurvey.shef.ac.uk/esmid You may withdraw at any time by leaving the survey. This study has been approved by the National Research Ethics Service. All data is collected anonymously and in strict confidence. Many thanks for your help.

Nov 24, 2015 marke 681 posts	Topic: General Discussion / I know this is the Express but .... Hi, Sorry but six people is not a study, they can't make any judgements or state side effects if the study was only 6 people !! Interesting, yes, a cure, not really......

Nov 24, 2015 Alan 49 284 posts	Topic: General Discussion / I know this is the Express but .... We live in hope, Phil.