Recent Posts - DAFNE Online

Oct 8, 2015

Warwick 434 posts

Topic: Carbohydrate Counting / Fruit juice V fruit

I think that the main problem from a juicer is that it is very easy to drink the juice from say 8 apples, while the odds of you wanting to eat an entire 8 apples in one sitting is extremely low. Therefore, you are more likely to have a large amount of carb in one sitting than you are from their un-juiced form.

I don't think that juiced fruits are higher in CPs than un-juiced ones - it would defy physics for carbs to be added just by using a juicer, but the sugar in them will be more quickly absorbed than from eating fruit in an un-juiced form, so you are likely to see a steeper rise in BGs than you would otherwise.

Oct 6, 2015

AMcD 38 posts

Topic: Questions ? / Insulin out of the fridge

Agreed. In fact I often have my insulin in the car for a few hours before I get home to the fridge and never had a problem. As far as I know the effectiveness of the insulin drops off gradually rather than suddenly once outside the recommended time limits on being out of the fridge. I must do further research..... hope all is well. Andy

Oct 6, 2015

Alan 49 280 posts

Topic: Questions ? / Insulin out of the fridge

I spoke with the pharmacist today and she told me that if they dispense the prescription in advance of collection, then the insulin is packaged separately and put back in the fridge. If the prescription is for home-delivery, they wait unril the delivery-driver is there then dispense it with the tablets in one bag and it arrives within 45 minutes.

That seems OK to me.

Oct 6, 2015

keith bohanna 5 posts

Topic: Questions ? / Morning Bloods climb steadily

Thanks Lucy.

The overview since 7am is started with 8.5, ate 2 carbohydrate exchanges, took 27 units of quick acting insulin across 4 injections and 15 minutes ago came in at 9.7.
That should be enough insulin to kill me!

Oct 6, 2015

lucytaylor_ 2 posts

Topic: Questions ? / Morning Bloods climb steadily

My problem seems like it is exactly the same as yours. I was thinking of emailing my specialist nurse who took my DAFNE course this afternoon.

It may be the case that i need to increase to a 3:1 ratio as well, but seeing as I have gone from a 1.5 to 2.5 ratio and nothing has really changed I am not too sure if it will help. If she replies with anything useful then I will let you know!

Oct 6, 2015

keith bohanna 5 posts

Topic: Questions ? / Morning Bloods climb steadily

Thanks Lucy and Gerry. Time for me to start logging properly.

It is kicking in again (the steady climb of morning sugars) and my ratio is 3:1 so I'm at the top of the normal ratio range. I took 6:1 this morning with an 8.5 blood sugar reading and eating measured amount of porridge (very low GI) and it still climbed to 14.1

Took 9 Homolog, went for 45 minute stroll and it dropped to 13.3 only.

The maths just doesn't make any sense

Oct 6, 2015

lucytaylor_ 2 posts

Topic: Questions ? / Morning Bloods climb steadily

i have exactly the same problem for the past 2 weeks as well. For example this morning i woke up at 7 and did not eat anything. i got to work at about 9 and did another test and i was 10...i injected for my breakfast and 1 additional unit to bring myself down and i did another test at 11am and i am 13.8!! i dont understand why this is happening and why all of a sudden it has changed.

when i left dafne i was on a 1.5 units to 1CP ratio, but i also decreased my background lantus from 24 units to 20 as this was too high, so thought maybe this would explain the higher readings after breakfast. I increased my ratio to 1CP:2.5units this morning and still this has not helped.

keith- what is your CP to unit ratio? have you thought about increasing this?

p.s i have attached my blood glucose diary for the last 10 days, but i sometimes forget to make a note, so not sure this will be very helpful...

Oct 5, 2015

Simon 574 posts

Topic: General Discussion / Dosage auto-calculation in apps

Thanks Richard, it's good to hear a bit of positivity after all the negative reviews/comments we have had. I'm glad it's managed to help you maintain better control of your diabetes.

Oct 5, 2015

Jrichards92 1 post

Topic: General Discussion / Freestyle Libre

I have one, When it works its amazing. I have been able to find the patterns in my glucose patterns which would not be picked up in 4-5 times a day finger prick testing.
However I have been plagued with unreliable sensors and I have had it since April this year and I am on my 3rd reader.

Oct 5, 2015

Jude 4 posts

Topic: General Discussion / Freestyle Libre

Still not heard anything. Still watching them on Ebay and wondering if it is worth paying some opportunist...just to help get my bloods on track! Here's hoping a rival company come up with a better one soon, to give Abbott a kick up the bum! Confused

HypoHeb said:
Hi

I have been waiting for Abbot to inform me when they have more stock of the Libre glucose monitor. I went on a waiting list in April and I still haven't heard anything. Does anyone have any up to date information regarding purchasing one in the UK please?

I ordered my Freestyle Libre on Tuesday this week and wondered if there are any other users on here??

Hopefully chat soon

Oct 5, 2015

HypoHeb 1 post

Topic: General Discussion / Freestyle Libre

Hi

I have been waiting for Abbot to inform me when they have more stock of the Libre glucose monitor. I went on a waiting list in April and I still haven't heard anything. Does anyone have any up to date information regarding purchasing one in the UK please?

I ordered my Freestyle Libre on Tuesday this week and wondered if there are any other users on here??

Hopefully chat soon

Oct 5, 2015

Susanf 29 posts

Topic: Carbohydrate Counting / Fruit juice V fruit

It really depends on the juicer you use. If you use the likes of the Nutribullet which juices the whole fruit then the CP should be the same. If the machine leaves a pulp behind after juicing then you are left with just a sugary drink.

Oct 5, 2015

richardlogan 1 post

Topic: General Discussion / Dosage auto-calculation in apps

Hi Simon & Marke,

As someone who has had diabetes for over 30 years and has literally just completed the DAFNE program, I wanted to say thanks!
The DAFNE program has totally changed my approach to managing my diabetes and your app has helped make it something that I think I might actually be able to maintain. No doubt the dose calculation element of the app would have been extremely useful, but as I never knew it existed (until I read this thread) I can't say I miss it. Not saying I wouldn't want it added back in, but just really wanted to let you both know that what you do is very much appreciated!

Keep it up, you're doing something really worthwhile!!!

Many thanks,
Richard

Oct 4, 2015

Peter 103 posts

Topic: General Discussion / Dosage auto-calculation in apps

RichFreed said:
Also what are the DAFNE program/administration saying about this development?

This is the site we are directed to for the App & online access to the manual during the official DAFNE training course we do (certainly was the case in AUS). Surely the DAFNE programs from the various jurisdictions around the world should get together & jointly fund the certification. (Make it the official DAFNE app)

Hi Rich,

I raised the situation with the DAFNE team at the Executive Meeting this week. The chairman was aware of the situation following the correspondence that Simon refers to above. The approach is to contact the pharmaceutical companies who sponsor some of the DAFNE activities (e.g. Abbott) to see if they would be willing to help resolve the situation. I'll keep you posted when I hear any more, but doubt that this is likely to give a quick resolution. Having said that, and as Simon has said before, the more complaints that are received, the more likely it will be that a sponsor would be willing to support a way forward. So for anyone who is impacted by the change, and hasn't posted to this thread yet, please do so making it clear that your complaint is not aimed at the site administrators who are powerless in this. Alternatively please e-mail me through the site and I will forward all correspondence to the DAFNE Executive. Thanks.

Peter

Oct 3, 2015

AMcD 38 posts

Topic: Questions ? / Insulin out of the fridge

Since yesterdays comment I have looked up the shelf life of novorapid from the pharmaceutical particulars data which gives a maximum 4 weeks storage when stored below 30 degree's. C. I would be more than suprised if your pharmacy had this stored on their premises out of the fridge......if so change pharmacy! ! Hope this

Oct 3, 2015

Stew B 123 posts

Topic: General Discussion / Diary's....

Yep, I get mine from the official DAFNE website. They are 75p each at the moment (plus a bit of postage), just ordered 10 this week - service is always excellent. Ordered over the phone for the first time, they couldn't have been more helpful.

Stew

Oct 2, 2015

AMcD 38 posts

Topic: Questions ? / Insulin out of the fridge

The official line is that insulin will remain effective for 2 weeks once out of the fridge. Andy

Oct 2, 2015

sjohno 37 posts

Topic: General Discussion / Diary's....

Hi Enlli

Just paste the below link in to your web browser it will take you straight to how to order the diaries. Good luck.

http://www.dafne.uk.com/374.html

Oct 2, 2015

Alan 49 280 posts

Topic: Questions ? / Insulin out of the fridge

Thanks Mstarosta, but had to go to ny GP (my doctor) on another matter and I told her about this. She was of the opinion 'better safe than sorry' and told me to ditch the insulin and she prescribed a replacement. I did feel rather guilty scrapping 3 boxes of Humalog -
I've no idea how much that cost the NHS. When I used to go to the pharmacy myself to collect a prescription, the insulin was always packaged separately and kept in the fridge and there was a sticker on the bag containing pills etc to indicate that part of the prescription was in the fridge. I will speak to the pharmacy as you suggest, to make sure they know that insulin should be kept in the fridge.I would have thought that any pharmacist should have already known this.

I want to know if it would be within my rights to reject any insulin which had not been refridgerated.

Oct 2, 2015

Enlli 1 post

Topic: General Discussion / Diary's....

Hi there.. I was wondering if did anybody know where I could get the DAFNE Glucose Monitoring Diary from... when on the course theh said I could buy them off the DAFNE website but when I try and get on there, I can't.... is it the same username and password?????

Oct 1, 2015

mstarosta 5 posts

Topic: Questions ? / Insulin out of the fridge

Hi Alan, I would think that your insulin should be ok to use, I am not sure where you live but generally if it has been <25Â°c, if it has been at the ambient temp for a short time, it should be fine. You can contact the manufacturers to check, there should be a contact number on the packaging. Assuming that you are a DAFNE graduate, you are probably using QA & BI? If your BI is cloudy, make sure that it "mixes" evenly, no "flakes" or residue should be visible. Check your BGLs regularly of course, & if you note any unexplained above target BGLS, or they are higher generally without any other possible causes, change your insulin. Regarding the pharmacy, I am not sure whether they should ensure refrigeration for home delivery - but it is not dispensed in "cold packs" in Australia. Of course you don't know how long it has been out of the fridge if they were doing other deliveries though. I would still talk to your Pharmacist. Good luck.

Sep 30, 2015

Alan 49 280 posts

Topic: Questions ? / Insulin out of the fridge

I always get my prescriptions dispensed at the local Lloyd's Pharmacy. Because of my mobility problems, they now deliver the prescriptions to me at home. The last time I had insulin prescribed it came in a large paper bag along with all my other tablets. I had forgotten that I had requested insulin (memory problems as well!) and I left the bag unopened for a couple of days. When I opened the bag I immediately put the insulin in the fridge.

My first question is - will that insulin be OK to use?

Secondly, would I have been able to refuse that Insulin, on the grounds that it should have been refridgerated?

Sep 28, 2015

Brumfoodie 10 posts

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

QQ - Thanks for the help and advice. I've laminated the kanji for carbs so I can keep it to hand.
The convenience stores are brilliant and I suspect I'll end up using their carbs as a guide for typical quantities. Estimating the carb content of dishes I eat in restaurants will be helped by the plastic versions of the food they sell in restaurant windows . They are so accurate that it will reduce the chance of having an unexpectedly large or small bowl put in front of me.
I agree about the deserts - they seem 90% sugar - but I'm going to treat myself to a traditional "cake" with matcha tea. Last week I found that they are about 3CP each so when we visit a tea room in Kyoto I'll nibble one of the beautiful creations along with everyone else. Very Happy

Sep 27, 2015

QQ 2 posts

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

Thks for the information!

Sep 27, 2015

Nat-Sav 14 posts

Topic: Site Development / Add Multiple Diary Entries

Aha! Great. I thought it must be something simple like that! Couldn't see the wood for the trees. Thanks Very Happy

Oct 8, 2015 Warwick 434 posts	Topic: Carbohydrate Counting / Fruit juice V fruit I think that the main problem from a juicer is that it is very easy to drink the juice from say 8 apples, while the odds of you wanting to eat an entire 8 apples in one sitting is extremely low. Therefore, you are more likely to have a large amount of carb in one sitting than you are from their un-juiced form. I don't think that juiced fruits are higher in CPs than un-juiced ones - it would defy physics for carbs to be added just by using a juicer, but the sugar in them will be more quickly absorbed than from eating fruit in an un-juiced form, so you are likely to see a steeper rise in BGs than you would otherwise.

Oct 6, 2015 AMcD 38 posts	Topic: Questions ? / Insulin out of the fridge Agreed. In fact I often have my insulin in the car for a few hours before I get home to the fridge and never had a problem. As far as I know the effectiveness of the insulin drops off gradually rather than suddenly once outside the recommended time limits on being out of the fridge. I must do further research..... hope all is well. Andy

Oct 6, 2015 Alan 49 280 posts	Topic: Questions ? / Insulin out of the fridge I spoke with the pharmacist today and she told me that if they dispense the prescription in advance of collection, then the insulin is packaged separately and put back in the fridge. If the prescription is for home-delivery, they wait unril the delivery-driver is there then dispense it with the tablets in one bag and it arrives within 45 minutes. That seems OK to me.

Oct 6, 2015 keith bohanna 5 posts	Topic: Questions ? / Morning Bloods climb steadily Thanks Lucy. The overview since 7am is started with 8.5, ate 2 carbohydrate exchanges, took 27 units of quick acting insulin across 4 injections and 15 minutes ago came in at 9.7. That should be enough insulin to kill me!

Oct 6, 2015 lucytaylor_ 2 posts	Topic: Questions ? / Morning Bloods climb steadily My problem seems like it is exactly the same as yours. I was thinking of emailing my specialist nurse who took my DAFNE course this afternoon. It may be the case that i need to increase to a 3:1 ratio as well, but seeing as I have gone from a 1.5 to 2.5 ratio and nothing has really changed I am not too sure if it will help. If she replies with anything useful then I will let you know!

Oct 6, 2015 keith bohanna 5 posts	Topic: Questions ? / Morning Bloods climb steadily Thanks Lucy and Gerry. Time for me to start logging properly. It is kicking in again (the steady climb of morning sugars) and my ratio is 3:1 so I'm at the top of the normal ratio range. I took 6:1 this morning with an 8.5 blood sugar reading and eating measured amount of porridge (very low GI) and it still climbed to 14.1 Took 9 Homolog, went for 45 minute stroll and it dropped to 13.3 only. The maths just doesn't make any sense

Oct 6, 2015 lucytaylor_ 2 posts	Topic: Questions ? / Morning Bloods climb steadily i have exactly the same problem for the past 2 weeks as well. For example this morning i woke up at 7 and did not eat anything. i got to work at about 9 and did another test and i was 10...i injected for my breakfast and 1 additional unit to bring myself down and i did another test at 11am and i am 13.8!! i dont understand why this is happening and why all of a sudden it has changed. when i left dafne i was on a 1.5 units to 1CP ratio, but i also decreased my background lantus from 24 units to 20 as this was too high, so thought maybe this would explain the higher readings after breakfast. I increased my ratio to 1CP:2.5units this morning and still this has not helped. keith- what is your CP to unit ratio? have you thought about increasing this? p.s i have attached my blood glucose diary for the last 10 days, but i sometimes forget to make a note, so not sure this will be very helpful...

Oct 5, 2015 Simon 574 posts	Topic: General Discussion / Dosage auto-calculation in apps Thanks Richard, it's good to hear a bit of positivity after all the negative reviews/comments we have had. I'm glad it's managed to help you maintain better control of your diabetes.

Oct 5, 2015 Jrichards92 1 post	Topic: General Discussion / Freestyle Libre I have one, When it works its amazing. I have been able to find the patterns in my glucose patterns which would not be picked up in 4-5 times a day finger prick testing. However I have been plagued with unreliable sensors and I have had it since April this year and I am on my 3rd reader.

Oct 5, 2015 Jude 4 posts	Topic: General Discussion / Freestyle Libre Still not heard anything. Still watching them on Ebay and wondering if it is worth paying some opportunist...just to help get my bloods on track! Here's hoping a rival company come up with a better one soon, to give Abbott a kick up the bum! HypoHeb said: Hi I have been waiting for Abbot to inform me when they have more stock of the Libre glucose monitor. I went on a waiting list in April and I still haven't heard anything. Does anyone have any up to date information regarding purchasing one in the UK please? I ordered my Freestyle Libre on Tuesday this week and wondered if there are any other users on here?? Hopefully chat soon

Oct 5, 2015 HypoHeb 1 post	Topic: General Discussion / Freestyle Libre Hi I have been waiting for Abbot to inform me when they have more stock of the Libre glucose monitor. I went on a waiting list in April and I still haven't heard anything. Does anyone have any up to date information regarding purchasing one in the UK please? I ordered my Freestyle Libre on Tuesday this week and wondered if there are any other users on here?? Hopefully chat soon

Oct 5, 2015 Susanf 29 posts	Topic: Carbohydrate Counting / Fruit juice V fruit It really depends on the juicer you use. If you use the likes of the Nutribullet which juices the whole fruit then the CP should be the same. If the machine leaves a pulp behind after juicing then you are left with just a sugary drink.

Oct 5, 2015 richardlogan 1 post	Topic: General Discussion / Dosage auto-calculation in apps Hi Simon & Marke, As someone who has had diabetes for over 30 years and has literally just completed the DAFNE program, I wanted to say thanks! The DAFNE program has totally changed my approach to managing my diabetes and your app has helped make it something that I think I might actually be able to maintain. No doubt the dose calculation element of the app would have been extremely useful, but as I never knew it existed (until I read this thread) I can't say I miss it. Not saying I wouldn't want it added back in, but just really wanted to let you both know that what you do is very much appreciated! Keep it up, you're doing something really worthwhile!!! Many thanks, Richard

Oct 4, 2015 Peter 103 posts	Topic: General Discussion / Dosage auto-calculation in apps RichFreed said: Also what are the DAFNE program/administration saying about this development? This is the site we are directed to for the App & online access to the manual during the official DAFNE training course we do (certainly was the case in AUS). Surely the DAFNE programs from the various jurisdictions around the world should get together & jointly fund the certification. (Make it the official DAFNE app) Hi Rich, I raised the situation with the DAFNE team at the Executive Meeting this week. The chairman was aware of the situation following the correspondence that Simon refers to above. The approach is to contact the pharmaceutical companies who sponsor some of the DAFNE activities (e.g. Abbott) to see if they would be willing to help resolve the situation. I'll keep you posted when I hear any more, but doubt that this is likely to give a quick resolution. Having said that, and as Simon has said before, the more complaints that are received, the more likely it will be that a sponsor would be willing to support a way forward. So for anyone who is impacted by the change, and hasn't posted to this thread yet, please do so making it clear that your complaint is not aimed at the site administrators who are powerless in this. Alternatively please e-mail me through the site and I will forward all correspondence to the DAFNE Executive. Thanks. Peter

Oct 3, 2015 AMcD 38 posts	Topic: Questions ? / Insulin out of the fridge Since yesterdays comment I have looked up the shelf life of novorapid from the pharmaceutical particulars data which gives a maximum 4 weeks storage when stored below 30 degree's. C. I would be more than suprised if your pharmacy had this stored on their premises out of the fridge......if so change pharmacy! ! Hope this

Oct 3, 2015 Stew B 123 posts	Topic: General Discussion / Diary's.... Yep, I get mine from the official DAFNE website. They are 75p each at the moment (plus a bit of postage), just ordered 10 this week - service is always excellent. Ordered over the phone for the first time, they couldn't have been more helpful. Stew

Oct 2, 2015 AMcD 38 posts	Topic: Questions ? / Insulin out of the fridge The official line is that insulin will remain effective for 2 weeks once out of the fridge. Andy

Oct 2, 2015 sjohno 37 posts	Topic: General Discussion / Diary's.... Hi Enlli Just paste the below link in to your web browser it will take you straight to how to order the diaries. Good luck. http://www.dafne.uk.com/374.html

Oct 2, 2015 Alan 49 280 posts	Topic: Questions ? / Insulin out of the fridge Thanks Mstarosta, but had to go to ny GP (my doctor) on another matter and I told her about this. She was of the opinion 'better safe than sorry' and told me to ditch the insulin and she prescribed a replacement. I did feel rather guilty scrapping 3 boxes of Humalog - I've no idea how much that cost the NHS. When I used to go to the pharmacy myself to collect a prescription, the insulin was always packaged separately and kept in the fridge and there was a sticker on the bag containing pills etc to indicate that part of the prescription was in the fridge. I will speak to the pharmacy as you suggest, to make sure they know that insulin should be kept in the fridge.I would have thought that any pharmacist should have already known this. I want to know if it would be within my rights to reject any insulin which had not been refridgerated.

Oct 2, 2015 Enlli 1 post	Topic: General Discussion / Diary's.... Hi there.. I was wondering if did anybody know where I could get the DAFNE Glucose Monitoring Diary from... when on the course theh said I could buy them off the DAFNE website but when I try and get on there, I can't.... is it the same username and password?????

Oct 1, 2015 mstarosta 5 posts	Topic: Questions ? / Insulin out of the fridge Hi Alan, I would think that your insulin should be ok to use, I am not sure where you live but generally if it has been <25Â°c, if it has been at the ambient temp for a short time, it should be fine. You can contact the manufacturers to check, there should be a contact number on the packaging. Assuming that you are a DAFNE graduate, you are probably using QA & BI? If your BI is cloudy, make sure that it "mixes" evenly, no "flakes" or residue should be visible. Check your BGLs regularly of course, & if you note any unexplained above target BGLS, or they are higher generally without any other possible causes, change your insulin. Regarding the pharmacy, I am not sure whether they should ensure refrigeration for home delivery - but it is not dispensed in "cold packs" in Australia. Of course you don't know how long it has been out of the fridge if they were doing other deliveries though. I would still talk to your Pharmacist. Good luck.

Sep 30, 2015 Alan 49 280 posts	Topic: Questions ? / Insulin out of the fridge I always get my prescriptions dispensed at the local Lloyd's Pharmacy. Because of my mobility problems, they now deliver the prescriptions to me at home. The last time I had insulin prescribed it came in a large paper bag along with all my other tablets. I had forgotten that I had requested insulin (memory problems as well!) and I left the bag unopened for a couple of days. When I opened the bag I immediately put the insulin in the fridge. My first question is - will that insulin be OK to use? Secondly, would I have been able to refuse that Insulin, on the grounds that it should have been refridgerated?

Sep 28, 2015 Brumfoodie 10 posts	Topic: Carbohydrate Counting / Eating in Japan - any tips? QQ - Thanks for the help and advice. I've laminated the kanji for carbs so I can keep it to hand. The convenience stores are brilliant and I suspect I'll end up using their carbs as a guide for typical quantities. Estimating the carb content of dishes I eat in restaurants will be helped by the plastic versions of the food they sell in restaurant windows . They are so accurate that it will reduce the chance of having an unexpectedly large or small bowl put in front of me. I agree about the deserts - they seem 90% sugar - but I'm going to treat myself to a traditional "cake" with matcha tea. Last week I found that they are about 3CP each so when we visit a tea room in Kyoto I'll nibble one of the beautiful creations along with everyone else.

Sep 27, 2015 QQ 2 posts	Topic: General Discussion / New NICE Guidelines for Type 1 diabetes in adults: diagnosis and management Thks for the information!

Sep 27, 2015 Nat-Sav 14 posts	Topic: Site Development / Add Multiple Diary Entries Aha! Great. I thought it must be something simple like that! Couldn't see the wood for the trees. Thanks