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Sep 14, 2015
derekh1965 90 posts

Topic: Site Development / Problems with Mozilla Firefox

Hi Simon,

Thanks for your reply. I am using Firefox version 39.0.3 on a windows Home PC..

Thanks

Derek
 
Sep 13, 2015
Nidge 4 posts

Topic: General Discussion / Low Carb

I don't think there is a 'normal', Phil. We each react in different ways. Now, thanks to LCHF and DAFNE, I rarely need insulin at all, but have the knowledge and pens to hand in case I have a meal in excess of 3 CPs, then can calculate what 'my' body requires by way of additional insulin.

When I think of how ill I was 10 months ago, I count myself very lucky to still be typing this.
 
Sep 13, 2015
Simon 578 posts

Topic: Site Development / Updated Forum Items

Yep, it appears you're right, I'll take a look at it.
 
Sep 13, 2015
Simon 578 posts

Topic: Site Development / Problems with Mozilla Firefox

Hi Derek,

Which version of Firefox are you using? On Windows or Mac, and finally is this at work or home?

Thanks,

Simon
 
Sep 13, 2015
Peter 109 posts

Topic: General Discussion / New NICE Guidelines for Type 1 diabetes in adults: diagnosis and management

On August 28th NICE published the updates guidelines for the diagnosis and management of Type 1 in Adults. The key priorities are identified as:

Education and information

Offer all adults with type 1 diabetes a structured education programme of proven benefit, for example the DAFNE (dose-adjustment for normal eating) programme. Offer this programme 6–12 months after diagnosis. [new 2015]

Blood glucose management

Support adults with type 1 diabetes to aim for a target HbA1c level of 48 mmol/mol (6.5%) or lower, to minimise the risk of long‑term vascular complications. [new 2015]

Agree an individualised HbA1c target with each adult with type 1 diabetes, taking into account factors such as the person's daily activities, aspirations, likelihood of complications, comorbidities, occupation and history of hypoglycaemia. [new 2015]

Support adults with type 1 diabetes to test at least 4 times a day, and up to 10 times a day if any of the following apply:
    the desired target for blood glucose control, measured by HbA1c level (see recommendation 1.6.6), is not achieved
    the frequency of hypoglycaemic episodes increases
    there is a legal requirement to do so (such as before driving, in line with the Driver and Vehicle Licensing Agency [DVLA] At a glance guide to the current medical standards of fitness to drive)
    during periods of illness
    before, during and after sport
    when planning pregnancy, during pregnancy and while breastfeeding (see the NICE guideline on diabetes in pregnancy)
    if there is a need to know blood glucose levels more than 4 times a day for other reasons (for example, impaired awareness of hypoglycaemia, high‑risk activities). [new 2015]

Advise adults with type 1 diabetes to aim for:
    a fasting plasma glucose level of 5–7 mmol/litre on waking and
    a plasma glucose level of 4–7 mmol/litre before meals at other times of the day. [new 2015]

Insulin therapy

Offer multiple daily injection basal–bolus insulin regimens, rather than twice-daily mixed insulin regimens, as the insulin injection regimen of choice for all adults with type 1 diabetes.Provide the person with guidance on using multiple daily injection basal–bolus insulin regimens. [new 2015]

Awareness and management of hypoglycaemia

Assess awareness of hypoglycaemia in adults with type 1 diabetes at each annual review. [new 2015]

Care of adults with type 1 diabetes in hospital

Enable adults with type 1 diabetes who are hospital inpatients to self‑administer subcutaneous insulin if they are willing and able and it is safe to do so. [new 2015]

Full details can be found here: NICE Guidelines

A few topics for discussing with the team at my DAFNE centre on the next visit I think.
 
Sep 13, 2015
Peter 109 posts

Topic: General Discussion / Uploading DANE data

The entries are automatically uploaded to the server (as long as there is a 3D connection) or (on Android at least) you can request that any missing items are uploaded. If I remember what Simon said correctly, I think the iPhone app automatically loads any missing (or updated?) entries.

With the data on the server you can then access it through the DAFNE Tools option above (providing you're signed in). This option allows you to download the data in a number of formats to the device on which you make the request. You can also choose the period to be downloaded. If you're only using it to view then pdf will probably be best. If you want to do any further analysis then use .csv and load into Excel.
 
Sep 12, 2015
alturn 78 posts

Topic: General Discussion / Bruising on injection sites

I was put onto 4mm needles (down from 8 then 6) because at that time I had almost no fat, BMI was about 16, 4mm reduced bruising (which wasn't bad at the time). Don't know if that's the smallest needle.

Would a pump be suitable for you? Might be worth discussing/review the needles/pumps/injection technique issue with your DSN Question
 
Sep 12, 2015
Emma79 6 posts

Topic: General Discussion / Trail and error..

Is it just me or is anybody else sick of hearing this phase?

It would be so much more human to be told straight ... "really sorry we are not sure if this will work for everyone but how about you be a guinue pig and we will see how it goes"
 
Sep 12, 2015
Emma79 6 posts

Topic: Questions for HCPs / Slimming tablets

cellulose will give you the trots. anything ending in lose ain't worth the trouble. try going for walks, even short ones will help. get a pedometer on your phone as this will encourage you to do more steps.... good luck
 
Sep 12, 2015
Emma79 6 posts

Topic: General Discussion / Bruising on injection sites

I also bruise especially on my stomach and thighs. I have been type 1 for 22 years and more than not I am bruising thinking "what am I doing wrong" I have reduced needle size, inject at 90 degree angle, pinched fat,rotate sites..... still am left bruised. Am thinking maybe I need a smaller needle now I have lost a stone and half in weight?
 
Sep 12, 2015
Emma79 6 posts

Topic: General Discussion / Diabetic jokes

These are all quite lame or am I just a bit disturbed....

My favourite that I ever heard was..

Taking a diabetic into a sweetshop is like taking an alcoholic into an off licence, so much to choose so much regret.....
 
Sep 12, 2015
Emma79 6 posts

Topic: General Discussion / Uploading DANE data

I tried to upload earlier as an excel doc but when I downloaded it, it came through as a load of goobledegook (as wordpad does) I to am unsure.... any suggestions would be appreciated.
 
Sep 11, 2015
Nicolejoy 2 posts

Topic: General Discussion / Uploading DANE data

Hi there,

I am currently trialling entering my BG readings into the iPhone DAFNE app rather than in my paper diary. I just wondered if I continue to do this will I be able to show my dietician/nurse/specialist at some point in the future? Is there a way to upload these readings so I can then email them or even print them out?

Thanks
 
Sep 11, 2015
sarahg 29 posts

Topic: General Discussion / Cyborg Times (new BG meter)

Hi yes I think it is a pain I have taken to having a few days off when my sensor ends and try a order straight away when I can . I really miss the swimming so it nice to have a swim sensor free as I have no success with keeping them fully attached after swimming and also after a heavy gym workout. I have found that if I use tac wipe before applying the señor they are no likely to stay on the 14days. Hope you get your order soon as I really miss not having mine on now .
 
Sep 10, 2015
Nicolejoy 2 posts

Topic: Questions for HCPs / Pregnancy advice

Hi there,

I'm after any advice from Type 1's who have been or are currently pregnant. Are there any things you think I should keep in mind or be aware of? I am working really hard to keep my sugars within target and to get my next HBA1C lower. I'm starting now, so if all goes well, my partner and I will be able to start trying early 2016. My HBA1C is currently 58 and I have heard that an HBA!C of 49-52 is ideal. I've had diabetes for 21 years and am on Novorapid and Levemir injections. Although I have put off going on a pump for sometime I would consider it for the benefit of myself through pregnancy and of course a baby.

Also are there relevant books out there published in the UK? I've found a few online but they are either American or aimed at medical professionals.

Any advice would be greatly appreciated!
 
Sep 10, 2015
Muncle 9 posts

Topic: General Discussion / Helpful info for when you run out of insulin On a Sunday!

Hi BeccyB/Alturn, I agree always going to the same Chemist is best and I always use the same one Wink

I've changed the heading now as this was on a Saturday Night/Sunday Morning and unfortunately my normal Chemist wasn't open so I went for the nearest one which I thought may have the best chance of having my insulin plus I had to do some shopping at Tesco's anyway Laughing
 
Sep 10, 2015
Phil Maskell 194 posts

Topic: General Discussion / Cyborg Times (new BG meter)

BeccyB, similar my delay was before holiday when I would have liked it the most, at least it swimming less of a worry Very Happy
 
Sep 9, 2015
Garry 328 posts

Topic: Site Development / Updated Forum Items

Whenever a new entry was made within a forum item, a green flag would appear in the PC list and it helped me to quickly catch up.
Once reviewed the marker disappeared.
It now seems that each time I open up the forums after a disconnect, the flags reappear even though I have reviewed the item.
I realise that I can review by time posted but I did find the previous marking method very helpful.
Would you have a look please Simon/Marke.
Regards
Garry
 
Sep 9, 2015
Emma79 6 posts

Topic: Questions for HCPs / No QA Insulin with me....

I have forgotten my pen before and not noticed until I got to work.

I have a chemist near by who has helped me out on more than one occasion. They give you a pen at the charge of £20. Then when you have a prescription take it to the same chemist who will give you your £20 back and remove a pen from the 5 pack you get on prescription.
 
Sep 9, 2015
alturn 78 posts

Topic: Carbohydrate Counting / Fruit juice V fruit

I got the impression that fruit (unjuiced) was better than juice, due to tendency to drink more juice (so probably contains more CPs), and it lacks fibre in whole fruit which might contribute to feeling sated. But probably still better than commercial juices. But I like unsweetened stewed rhubarb so my tastes may be a bit odd Question

 
Sep 9, 2015
alturn 78 posts

Topic: General Discussion / Helpful info for when you run out of insulin On a Sunday!

Would it help to carry a copy of your prescription along with all the other stuff when you are away from normal chemist?

 
Sep 9, 2015
Brumfoodie 10 posts

Topic: Carbohydrate Counting / Eating in Japan - any tips?

I'm off to Japan in a few weeks and have not found many Japanese foods with carb values listed .I know that the standard Japanese rice is low GI and that sushi contains added sugars so I would allow 1CP for each piece. Noodles would be my "safe "option as I think the portions equate to pasta and they are serve with clear soup and vegetables. Is there anyone out there who has any information or links to suitable sites?
Cheers
 
Sep 9, 2015
Brumfoodie 10 posts

Topic: Carbohydrate Counting / Fruit juice V fruit

I would add up all the carbs in the fruit you are juicing -weigh rather than estimate - and make a note of the total for later reference. Juice everything and measure the weight of the juice. It will be far less than you'd expect. The weight in grammes will be the volume in millilitres .
To work out the CP: Divide total carbs by the weight/volume and multiply by 100.The figure you have is the carbs per 100ml/g. Divide by 10 for CP
Most juices are about 1CP per 100ml but smoothies with bananas and mango will be higher.
 
Sep 9, 2015
Brumfoodie 10 posts

Topic: Carbohydrate Counting / Corn on the cob

I eat loads of corn on the cob straight off the plants at this time of year. They are so sweet tasting that it is counterintuitive to ignore their theoretical carb content but that's what I do .I've not noticed a rise in BG later - but will monitor this and post any observations.
 
Sep 9, 2015
BeccyB 50 posts

Topic: General Discussion / Helpful info for when you run out of insulin On a Sunday!

I always use the same pharmacy so the staff know me and will trust me to get a prescription to them in the next day or so if I need supplies in an emergency. It's handy if the pharmacist knows you're diabetic if you go for over the counter remedies too as he'll point out anything I need to be aware of. I think it's well worth the trip to the local chemist rather than using the supermarket pharmacy (although obviously Ashby Tesco's were fab!)