Recent Posts by mum2westiesGill

Dec 8, 2012

mum2westiesGill 502 posts

Topic: General Discussion / CP Diary enteries

Thank you! Smile

Dec 7, 2012

mum2westiesGill 502 posts

Topic: General Discussion / Missed meal problem

Really messed up here.
Have lunch at 2:30pm - 3:00pm then tea at 7:00pm - 7:30pm however the day has gone on and am just having lunch/tea whatever you want to call it. So I'm missing a meal & QA injection. Take BI at 10:00pm. I'm off out this evening also but not for a meal just to see a gig.
BS was 12.8 which I presume is because I've not eaten since breakfast. Had QA dose for meal and a correction.

What would you do in this situation?

Thanks for any help Smile

Dec 7, 2012

mum2westiesGill 502 posts

Topic: General Discussion / CP Diary enteries

Pilau rice (the packet type - Asda) - 51.4g CHO
Mince pie - 38.0g CHO
Total CHO - 51.4 + 38.0 = 89.4

How would you enter this as CP's in the BG diary?

Also just a quick check please, how many units on a 1:10 (one unit to every 10g CHO?)

Gill Smile

Dec 7, 2012

mum2westiesGill 502 posts

Topic: General Discussion / Lantus - decreasing rapidly

novorapidboi26 said:
I am going through similar changes to you, although I haven't had to drop as many as you, maybe 11 units dropped over the AM and PM BI dose...

It could be seasonal changes that are contributing. I thought BI would go up in winter though due to your body working harder behind the scenes to keep warm. But its not working out that way for me. I maybe thought activity levels were also contributing, but again, as the winter approached my levels decreased as I favored staying in the house to going out to exercise.....

So I am at a loss. It just has to be put down to changes that are unexplained..........

The good thing is your insulin levels are dropping, it may seem scary, but in the long term its good.......

Are you woken in the night with lows or is it just the morning when you normally wake.......?

Has your daytime levels been effected with the reduction of BI?

I've also not had any changes with food ie still eating the same things/amounts. Also no increased activity.

Daytime levels don't seem to have been effected.

Maybe like you say it could be seasonal changes.

I might decrease mine by just another 2u either tonight or tomorrow night.

Dec 7, 2012

mum2westiesGill 502 posts

Topic: General Discussion / Lantus - decreasing rapidly

Had to increase my lantus/BI in October due to lots of high (teens/20's/30's) BS levels.
During November have had to keep decreasing due to lots of hypos - how much longer can this carry on? At this rate I'll be taking no BI - frightening.com!

Oct
26u BI
8th 28u - increased
17th 30u
23rd 36u

Nov
1st 40u
2nd new BI pen?
5th 42u
12th 36u - decreased
19th 34u
20th 32u
23rd 30u
26th 26u
30th 22u

Dec
4th 18u - still waking up to hypos so guess I'll have to decrease again!

Dec 4, 2012

mum2westiesGill 502 posts

Topic: General Discussion / Diary Entries - correction help please

novorapidboi26 said:
did you have alcohol on Saturday night........?

Yes 2 pints of lager!

Dec 3, 2012

mum2westiesGill 502 posts

Topic: General Discussion / Diary Entries - correction help please

On Saturday I went out for an Indian and ate the meal about 08:10pm ish then It was 01:10am - 17.2 before bed. I didn't correct for a fear of going hypo.
On Sunday morning it was 07:56am - 13.7. I did a correction of 2u and no food (which is why I wanted to know how to enter a correction dose with no food)
then 09:24am - 2.9 - had 5 jelly babies
then 10:39am - 6.4 - bfast

Dec 2, 2012

mum2westiesGill 502 posts

Topic: General Discussion / Diary Entries - correction help please

The only time I ever do a correction dose is with a meal or if I had a high BS first thing in the morning.
I would never do a correction before bed.

This morning I had a high BS in the teens and did a correction of 2u QA. Jelly babies were at the ready Laughing

.

My question is how would I enter a 2u correction without a meal time dose in my diary?

Gill Smile

Nov 30, 2012

mum2westiesGill 502 posts

Topic: General Discussion / Ratios

Carolin said:
Hi Gill,

It must be really hard to try to do all this alone (albeit with the support and help of graduates on here)

If I were you I'd really keep on at your local diabetes team to look into funding DAFNE as that would be the best answer for you!

I'd urge everyone to log onto the website below and sign the DUAG epetition to get structured education funded for all!!!

http://epetitions.direct.gov.uk/petitions/41345

Carolin

Done!

Nov 26, 2012

mum2westiesGill 502 posts

Topic: General Discussion / Lantus

BI/lantus last reduced on Friday evening by 2u from 32u to 30u so it's been three days so I'm going to reduce it tonight by maybe 4u.

Ps - I know there are some things missing from my diary so please ask away for any further info.

Nov 26, 2012

mum2westiesGill 502 posts

Topic: General Discussion / Ratios

novorapidboi26,

Thank you very much! But I can only try & do it with help from people like yourself who have been lucky enough to do DAFNE.

I come on to the forum to ask my questions because I get more help here than I do at a 10 minute/half hour appt with my DSN. No disrespect to her because when I do see her she's very good.

I like to get involved with the forum by asking my questions and by lurking around to see what others are saying/doing about things. I wish there had been something like this 20 years ago when I was dx.

To you nrb26 and to all other DAFNE people on here thank you for all your help.

Very Happy

Nov 25, 2012

mum2westiesGill 502 posts

Topic: General Discussion / Ratios

SA2010 said:
Yes. For QA:CP ratio of 1.5:1 then you would inject 3u of QA for 2 CPs (20g carbs).
QA:CP is the ratio that DAFNE teaches.

QA:CP ratio of 1.5:1 maps to 1u QA for 6.7g CHO (Carbs).

Simon

Thank you Simon & for replying so quickly Very Happy

I just like to keep checking on here cause I doubt myself and incase I'm wrong.

Gill

Nov 25, 2012

mum2westiesGill 502 posts

Topic: General Discussion / Ratios

How many units of insulin would you have on a
1.5:10 ratio

for example 2 CPs / being 20g of carbs?

would it be 1.5 times 2 = 3
so 3u QA

Nov 25, 2012

mum2westiesGill 502 posts

Topic: General Discussion / Lantus

novorapidboi26 said:
If your having constant hypos in the middle of the night then keep reducing until you don't have them, then you can fine tune it with the 3 day rule.......

your priority at the moment is being safe and hypo free, the 3 day rule is in place so you can get accurate dose adjustment......

What is the 3 day rule?

Also would you do 1, 2 or 3?

Nov 24, 2012

mum2westiesGill 502 posts

Topic: General Discussion / Lantus

I know they say to make changes to lantus every three or four days or a week, but due to me having night hypos or waking to them I'm going to try reducing it each night. So if I have a night hypo or wake in the low 4s I'll reduce it again the next night until I'm OK.

What would you do in my situation:
1. do as I'm going to do
or
2. leave it for every three or four days or a week
or
3. do it a bit sooner than three/four days/1 week

Thanks in advance for any replies Smile

Nov 23, 2012

mum2westiesGill 502 posts

Topic: General Discussion / Hypos

Ahh I see thank you Smile

Nov 23, 2012

mum2westiesGill 502 posts

Topic: General Discussion / Hypos

novorapidboi26 said:
I also find liquid is much quicker at treating hypos....

If you could put in the carb amounts of the hypo treatment as 0+1.5 or 0+2 it will tell you and others that you had something to treat it.....

There is no doubt that timing of your BI, even when on a single dose can be experimented with, for example some folk take there dose in the morning for whatever reasons. For you however it looks like the dose it too much so I would keep your dose time the same until you get a morning BG within 1-2mmol/l of your pre bed test for more than 2 days in a row.....

Re liquid being quicker that's because your not having to chew something for ages.

Re put in the carb amounts of the hypo treatment - would this be the same way as I enter for meals? Supposing I'd had 20g or 30g carbs?

Nov 23, 2012

mum2westiesGill 502 posts

Topic: Questions for HCPs / Hypos

Hi novorapidboi26,
I've just posted some replies on my other "HYPOS" topic in the General Discussion section Smile

Nov 23, 2012

mum2westiesGill 502 posts

Topic: General Discussion / Hypos

Hi novorapidboi26,
I've just posted some replies on my other "HYPOS" topic in the Questions for HCPs section Smile

Nov 23, 2012

mum2westiesGill 502 posts

Topic: General Discussion / Hypos

novorapidboi26 said:
How do you treat your hypos, and can you put that information into the diary also please....

Thanks for your wee example from your diary Very Happy

Nov 23, 2012

mum2westiesGill 502 posts

Topic: General Discussion / Hypos

novorapidboi26 said:
It would seem you need to continue to drop your background dose.....

You seem to be having a lot of hypos though, constantly, you must feel like its never ending......

How do you treat your hypos, and can you put that information into the diary also please....

I think that the lows your are experiencing are down to dose amount as opposed to timing. With a split dose of Lantus and with Levemir you can consider changing the times of dose to earlier/later in the evening.....but with a single dose, It wont make much difference I would imagine...

Yes I'm going to continue to drop my BI dose.

Exactly!!

I usually treat hypos with 4 x jelly babies or 4 x fruit pastilles then when BS is back up again if at home 1 x round bread with a smearing of jam just to give the bread some taste.
Yesterday though what happened no jelly babies eek so I had water with 3 x tspns of sugar which seemed to work a lot quicker. I HATE dextrose tablets!

Thanks for mentioning about the "dose amount as opposed to timing".

Nov 23, 2012

mum2westiesGill 502 posts

Topic: Questions for HCPs / Hypos

"I think the timing of your injection is OK in terms of changing, its only with dose changes that only one should be done at a time, according to DAFNE..

What are your reasons for wanting to inject after the meal? Have you been getting hypos in between meals?!

Thanks for confirming re the timing of injections/dose changes.

The reasons for wanting to inject after the meal is because I thought maybe it might slow things down a bit and help to prevent hypos but then again maybe not. I've not been getting hypos in between meals. Please don't give me any more hypos to contend with lol Laughing

Nov 23, 2012

mum2westiesGill 502 posts

Topic: Questions for HCPs / Hypos

"If your Lantus dose is still in question then you shouldn't be changing your QA dose....

That's how I would look at it anyway....

DAFNE teaches to change only one thing at a time in order to keep as little variable in the equation as possible, and that your background dose should be spot on before any meaningful changes are made to QA doses......

So you have decreased your Lantus to stop the hypos coming, yet you have increased your pre dinner insulin ratio.......

One may be cancelling out the other......"

This is exactly what I thought ie one thing at a time.

I know it's my lantus/BI at fault, I'm having to much of it. But now I don't know where the ++++ I'm upto also do I keep on with the decreasing of the lantus/BI and maybe alter the teatime/dinnr dose back to 1:10 instead of 1.5:10?? very Confused

!

Nov 23, 2012

mum2westiesGill 502 posts

Topic: Questions for HCPs / Hypos

"Has your change in Lantus been confirmed as correct and working, ie....overnight tests and carb free meals during the day....."

No

Nov 23, 2012

mum2westiesGill 502 posts

Topic: General Discussion / Hypos

"How is your dose of 32 going then? What have the numbers being saying?"

Evil or Very Mad

also if you look at my comments since Tuesday/Wednesday I've been bringing my lantus/BI an hour earlier each night.

Dec 8, 2012 mum2westiesGill 502 posts	Topic: General Discussion / CP Diary enteries Thank you!

Dec 7, 2012 mum2westiesGill 502 posts	Topic: General Discussion / Missed meal problem Really messed up here. Have lunch at 2:30pm - 3:00pm then tea at 7:00pm - 7:30pm however the day has gone on and am just having lunch/tea whatever you want to call it. So I'm missing a meal & QA injection. Take BI at 10:00pm. I'm off out this evening also but not for a meal just to see a gig. BS was 12.8 which I presume is because I've not eaten since breakfast. Had QA dose for meal and a correction. What would you do in this situation? Thanks for any help

Dec 7, 2012 mum2westiesGill 502 posts	Topic: General Discussion / CP Diary enteries Pilau rice (the packet type - Asda) - 51.4g CHO Mince pie - 38.0g CHO Total CHO - 51.4 + 38.0 = 89.4 How would you enter this as CP's in the BG diary? Also just a quick check please, how many units on a 1:10 (one unit to every 10g CHO?) Gill

Dec 7, 2012 mum2westiesGill 502 posts	Topic: General Discussion / Lantus - decreasing rapidly novorapidboi26 said: I am going through similar changes to you, although I haven't had to drop as many as you, maybe 11 units dropped over the AM and PM BI dose... It could be seasonal changes that are contributing. I thought BI would go up in winter though due to your body working harder behind the scenes to keep warm. But its not working out that way for me. I maybe thought activity levels were also contributing, but again, as the winter approached my levels decreased as I favored staying in the house to going out to exercise..... So I am at a loss. It just has to be put down to changes that are unexplained.......... The good thing is your insulin levels are dropping, it may seem scary, but in the long term its good....... Are you woken in the night with lows or is it just the morning when you normally wake.......? Has your daytime levels been effected with the reduction of BI? I've also not had any changes with food ie still eating the same things/amounts. Also no increased activity. Daytime levels don't seem to have been effected. Maybe like you say it could be seasonal changes. I might decrease mine by just another 2u either tonight or tomorrow night.

Dec 7, 2012 mum2westiesGill 502 posts	Topic: General Discussion / Lantus - decreasing rapidly Had to increase my lantus/BI in October due to lots of high (teens/20's/30's) BS levels. During November have had to keep decreasing due to lots of hypos - how much longer can this carry on? At this rate I'll be taking no BI - frightening.com! Oct 26u BI 8th 28u - increased 17th 30u 23rd 36u Nov 1st 40u 2nd new BI pen? 5th 42u 12th 36u - decreased 19th 34u 20th 32u 23rd 30u 26th 26u 30th 22u Dec 4th 18u - still waking up to hypos so guess I'll have to decrease again!

Dec 4, 2012 mum2westiesGill 502 posts	Topic: General Discussion / Diary Entries - correction help please novorapidboi26 said: did you have alcohol on Saturday night........? Yes 2 pints of lager!

Dec 3, 2012 mum2westiesGill 502 posts	Topic: General Discussion / Diary Entries - correction help please On Saturday I went out for an Indian and ate the meal about 08:10pm ish then It was 01:10am - 17.2 before bed. I didn't correct for a fear of going hypo. On Sunday morning it was 07:56am - 13.7. I did a correction of 2u and no food (which is why I wanted to know how to enter a correction dose with no food) then 09:24am - 2.9 - had 5 jelly babies then 10:39am - 6.4 - bfast

Dec 2, 2012 mum2westiesGill 502 posts	Topic: General Discussion / Diary Entries - correction help please The only time I ever do a correction dose is with a meal or if I had a high BS first thing in the morning. I would never do a correction before bed. This morning I had a high BS in the teens and did a correction of 2u QA. Jelly babies were at the ready . My question is how would I enter a 2u correction without a meal time dose in my diary? Gill

Nov 30, 2012 mum2westiesGill 502 posts	Topic: General Discussion / Ratios Carolin said: Hi Gill, It must be really hard to try to do all this alone (albeit with the support and help of graduates on here) If I were you I'd really keep on at your local diabetes team to look into funding DAFNE as that would be the best answer for you! I'd urge everyone to log onto the website below and sign the DUAG epetition to get structured education funded for all!!! http://epetitions.direct.gov.uk/petitions/41345 Carolin Done!

Nov 26, 2012 mum2westiesGill 502 posts	Topic: General Discussion / Lantus BI/lantus last reduced on Friday evening by 2u from 32u to 30u so it's been three days so I'm going to reduce it tonight by maybe 4u. Ps - I know there are some things missing from my diary so please ask away for any further info.

Nov 26, 2012 mum2westiesGill 502 posts	Topic: General Discussion / Ratios novorapidboi26, Thank you very much! But I can only try & do it with help from people like yourself who have been lucky enough to do DAFNE. I come on to the forum to ask my questions because I get more help here than I do at a 10 minute/half hour appt with my DSN. No disrespect to her because when I do see her she's very good. I like to get involved with the forum by asking my questions and by lurking around to see what others are saying/doing about things. I wish there had been something like this 20 years ago when I was dx. To you nrb26 and to all other DAFNE people on here thank you for all your help.

Nov 25, 2012 mum2westiesGill 502 posts	Topic: General Discussion / Ratios SA2010 said: Yes. For QA:CP ratio of 1.5:1 then you would inject 3u of QA for 2 CPs (20g carbs). QA:CP is the ratio that DAFNE teaches. QA:CP ratio of 1.5:1 maps to 1u QA for 6.7g CHO (Carbs). Simon Thank you Simon & for replying so quickly I just like to keep checking on here cause I doubt myself and incase I'm wrong. Gill

Nov 25, 2012 mum2westiesGill 502 posts	Topic: General Discussion / Ratios How many units of insulin would you have on a 1.5:10 ratio for example 2 CPs / being 20g of carbs? would it be 1.5 times 2 = 3 so 3u QA

Nov 25, 2012 mum2westiesGill 502 posts	Topic: General Discussion / Lantus novorapidboi26 said: If your having constant hypos in the middle of the night then keep reducing until you don't have them, then you can fine tune it with the 3 day rule....... your priority at the moment is being safe and hypo free, the 3 day rule is in place so you can get accurate dose adjustment...... What is the 3 day rule? Also would you do 1, 2 or 3?

Nov 24, 2012 mum2westiesGill 502 posts	Topic: General Discussion / Lantus I know they say to make changes to lantus every three or four days or a week, but due to me having night hypos or waking to them I'm going to try reducing it each night. So if I have a night hypo or wake in the low 4s I'll reduce it again the next night until I'm OK. What would you do in my situation: 1. do as I'm going to do or 2. leave it for every three or four days or a week or 3. do it a bit sooner than three/four days/1 week Thanks in advance for any replies

Nov 23, 2012 mum2westiesGill 502 posts	Topic: General Discussion / Hypos Ahh I see thank you

Nov 23, 2012 mum2westiesGill 502 posts	Topic: General Discussion / Hypos novorapidboi26 said: I also find liquid is much quicker at treating hypos.... If you could put in the carb amounts of the hypo treatment as 0+1.5 or 0+2 it will tell you and others that you had something to treat it..... There is no doubt that timing of your BI, even when on a single dose can be experimented with, for example some folk take there dose in the morning for whatever reasons. For you however it looks like the dose it too much so I would keep your dose time the same until you get a morning BG within 1-2mmol/l of your pre bed test for more than 2 days in a row..... Re liquid being quicker that's because your not having to chew something for ages. Re put in the carb amounts of the hypo treatment - would this be the same way as I enter for meals? Supposing I'd had 20g or 30g carbs?

Nov 23, 2012 mum2westiesGill 502 posts	Topic: Questions for HCPs / Hypos Hi novorapidboi26, I've just posted some replies on my other "HYPOS" topic in the General Discussion section

Nov 23, 2012 mum2westiesGill 502 posts	Topic: General Discussion / Hypos Hi novorapidboi26, I've just posted some replies on my other "HYPOS" topic in the Questions for HCPs section

Nov 23, 2012 mum2westiesGill 502 posts	Topic: General Discussion / Hypos novorapidboi26 said: How do you treat your hypos, and can you put that information into the diary also please.... Thanks for your wee example from your diary

Nov 23, 2012 mum2westiesGill 502 posts	Topic: General Discussion / Hypos novorapidboi26 said: It would seem you need to continue to drop your background dose..... You seem to be having a lot of hypos though, constantly, you must feel like its never ending...... How do you treat your hypos, and can you put that information into the diary also please.... I think that the lows your are experiencing are down to dose amount as opposed to timing. With a split dose of Lantus and with Levemir you can consider changing the times of dose to earlier/later in the evening.....but with a single dose, It wont make much difference I would imagine... Yes I'm going to continue to drop my BI dose. Exactly!! I usually treat hypos with 4 x jelly babies or 4 x fruit pastilles then when BS is back up again if at home 1 x round bread with a smearing of jam just to give the bread some taste. Yesterday though what happened no jelly babies eek so I had water with 3 x tspns of sugar which seemed to work a lot quicker. I HATE dextrose tablets! Thanks for mentioning about the "dose amount as opposed to timing".

Nov 23, 2012 mum2westiesGill 502 posts	Topic: Questions for HCPs / Hypos "I think the timing of your injection is OK in terms of changing, its only with dose changes that only one should be done at a time, according to DAFNE.. What are your reasons for wanting to inject after the meal? Have you been getting hypos in between meals?! Thanks for confirming re the timing of injections/dose changes. The reasons for wanting to inject after the meal is because I thought maybe it might slow things down a bit and help to prevent hypos but then again maybe not. I've not been getting hypos in between meals. Please don't give me any more hypos to contend with lol

Nov 23, 2012 mum2westiesGill 502 posts	Topic: Questions for HCPs / Hypos "If your Lantus dose is still in question then you shouldn't be changing your QA dose.... That's how I would look at it anyway.... DAFNE teaches to change only one thing at a time in order to keep as little variable in the equation as possible, and that your background dose should be spot on before any meaningful changes are made to QA doses...... So you have decreased your Lantus to stop the hypos coming, yet you have increased your pre dinner insulin ratio....... One may be cancelling out the other......" This is exactly what I thought ie one thing at a time. I know it's my lantus/BI at fault, I'm having to much of it. But now I don't know where the ++++ I'm upto also do I keep on with the decreasing of the lantus/BI and maybe alter the teatime/dinnr dose back to 1:10 instead of 1.5:10?? very !

Nov 23, 2012 mum2westiesGill 502 posts	Topic: Questions for HCPs / Hypos "Has your change in Lantus been confirmed as correct and working, ie....overnight tests and carb free meals during the day....." No

Nov 23, 2012 mum2westiesGill 502 posts	Topic: General Discussion / Hypos "How is your dose of 32 going then? What have the numbers being saying?" also if you look at my comments since Tuesday/Wednesday I've been bringing my lantus/BI an hour earlier each night.