Recent Posts by Garry - DAFNE Online

Apr 8, 2015

Garry 328 posts

Topic: Questions for HCPs / A Good Night's Sleep

My wife, in desperate times, swears by Night Calm tablets. Can buy over the counter at the Pharmacist.
Regards
Garry

Apr 4, 2015

Garry 328 posts

Topic: General Discussion / Thank goodness for DAFNE and sick day rules

Stick with it and you'll soon be on the mend.
Regards
Garry

Mar 4, 2015

Garry 328 posts

Topic: General Discussion / Trying to lose weight?

I'm like you Marke with a bag of peanuts...can't resist emptying the bag once started. They always have a drastic effect upon my BGs and I have seen BGs of 13+ after over-indulging. As a consequence, I try to avoid buying them.....Get thee behind me temptation Embarassed

Regards
Garry

Jan 26, 2015

Garry 328 posts

Topic: General Discussion / Got the flu, and now high

Please to hear that you have recovered.
DAFNE sickness rules work well for most of us it seems...but there will always be times and circumstances where HCP support or assistance may be needed though.
Regards
Garry

Jan 24, 2015

Garry 328 posts

Topic: General Discussion / Dextro energy tablets

Please talk directly to your local Pharmacist Lynda_2. Hopefully your discussion with them should ensure they seek secure supply.
Forgive me. I'm cynical...when Tesco took them off the shelf I figured...no margin in Dextro then!
My Pharmacy has them on the shelf at a price which, more often than not, beat Tesco. I was only buying them at Tesco out of convenience.
Regards
Garry

Jan 24, 2015

Garry 328 posts

Topic: General Discussion / Driving and blood glucose testing

Warwick is right. Meters do go awry in high temperature too. I've had strips go AWOL in France before, when on holiday. The local Pharmacist there was very helpful though.
Regards
Garry

Jan 19, 2015

Garry 328 posts

Topic: General Discussion / Nuts!!!

About 12 g CHO per 100 g.
I have always had to take care with all nuts as I tend to take too big a portion...like a bag! Embarassed

So, my experience is a small portion ..say 50 g...weigh them out to see what that physically looks like...is well below what we would normally take QA for. Limit is usually 1 CP, so that is 82 g of Brazils.
As you mention, make an adjustment if needed, at next meal time.
Regards
Garry

Jan 18, 2015

Garry 328 posts

Topic: General Discussion / Driving and blood glucose testing

Sorry meltow...didn't answer your question.
Her who must be obeyed reminds me!
Regards
Garry

Jan 18, 2015

Garry 328 posts

Topic: General Discussion / Driving and blood glucose testing

In current conditions watch out for low temperatures in the car. You may be inconvenienced by the fact that your meter has gone on strike as the battery is too cold.
If possible, keep it on you...in a nice warm pocket.
Regards
Garry

Jan 5, 2015

Garry 328 posts

Topic: General Discussion / BI

Hi John. Happy New Year.
Perhaps your exercise is strenuous enough to increase your insulin resistance, contributing to the rise. We of course release Epinephrine, or adrenaline for 'Fight-or-Flight' and this makes us insulin resistant.
You may wish to consider splitting the BI between morning and night too.
Regards
Garry

Jan 5, 2015

Garry 328 posts

Topic: Questions for HCPs / BI dose

Hi John. I am not a HCP and am a Graduate like yourself.
Perhaps your exercise is strenuous enough to increase your insulin resistance, contributing to the rise. We of course release Epinephrine, or adrenaline for 'Fight-or-Flight' and this makes us insulin resistant.
You may wish to consider splitting the BI between morning and night too.
Regards
Garry

Dec 31, 2014

Garry 328 posts

Topic: General Discussion / Happy New Year

I wish us all a healthy New Year.
Best Wishes of the Season.

Regards
Garry Laughing

Dec 15, 2014

Garry 328 posts

Topic: General Discussion / Skiing

The Optium meter only plays up when the battery gets cold. Try to keep in close to you and it should be fine. It will warm up when you stop in a nice warm restaurant for lunch! Enjoy yourself.
Regards
Garry

Dec 15, 2014

Garry 328 posts

Topic: General Discussion / qa ratio

Take whatever ratio needed john m. But make changes as part of a controlled long-term evolution based upon your findings over the weeks and months to come.
My lunch ratio is currently 2.5:1 and I report it as 2.5. On this basis, your ratios for Friday would be 2, 0.5 and 1.
Your text implies that you are using 1.5:1 for lunch which would normally be reported as 1.5 but has been reported as 0.5-1.
We need to get in as much information as possible entered correctly. The database you are creating, does lots of clever stuff in the background, which you will become familiar with. Smile

Regards
Garry

Nov 7, 2014

Garry 328 posts

Topic: Questions for HCPs / LOW INSULIN INTAKE

Keep up the exercise alanG. I love my bike rides 3 or 4 times a week. They have reduced my insulin needs significantly over the last months. Afraid I am a little more insulin resistant than you after 35 years and am jealous. My lowest ratio throughout the day is 2:1.
Helps if you record your pre-driving BG every time. You need to avoid DVLC getting involved. Please record a BG before every meal or what do you base your QA and BI on?
Very happy to see your results are so good. Reminder to myself....Keep up the exercise.
Regards
Garry

Nov 1, 2014

Garry 328 posts

Topic: Carbohydrate Counting / Packaged food without total weight

I sympathise. Some people find the necessary maths too difficult to do and make Carbohydrate intake errors as a result.
I've complained in the past about alcoholic drinks which show an alcohol unit value but no CHO value.
Now I see that there is a media supported push to get calorific values on drinks labelling.......but still no support for us. It really hacks me off. There are some 400,000 type 1s in the UK now. Surely we warrant some support.
Regards
Garry

Oct 31, 2014

Garry 328 posts

Topic: General Discussion / QA ratios on the weekend

Upping your Background Insulin for the weekend is unlikely to help and you may find that it upsets your Monday/Tuesday/Wednesday results as most of us find BI changes are notoriously slow to show an impact.
Far better to adjust your QA insulin ratios for the weekend.
Regards
Garry

Oct 24, 2014

Garry 328 posts

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

Thanks marke and Simon. I have been an Abbott fan for a number of years and will have a look at this new technology.
I'm very disappointed by your feedback on Abbott support. Whenever I have had a problem with my current conventional Optium Xceed meters...their support, via helpful ladies on phone has been great.
Sounds like a bit of a rushed out set up for this.
Support would have to be first class for me to consider investing in the technology. I would not pay >Â£1300 pa without significant support. They need supply to pharmacists directly very quickly as I would not pay for delivery of sensors on an ongoing basis.
Regards
Garry

Oct 24, 2014

Garry 328 posts

Topic: General Discussion / QA ratios on the weekend

We are all the same Mike_p.
And we all appear to get round it in different ways!
Used to be for me that I had less exercise at a weekend. Not now though as I try to keep active all week.
Regards
Garry

Sep 5, 2014

Garry 328 posts

Topic: General Discussion / metformin

My consultant prescribed it for me some 3 years ago in an effort to reduce my insulin resistance. He told me to take anything between 500 to 3000 mg per day determined by experimentation. He told me that Metformin is probably the most widely used drug of its type with some 40 years of use by the NHS and only well known side effects.
No problems for me with it...once my bowels! and body got used to it.
Has generally reduced my QA ratios by 0.5 across the board resulting in an average TDD of QA down by 8u.
Regards
Garry

Aug 1, 2014

Garry 328 posts

Topic: Questions for HCPs / High BG after evening meals

Welcome to the forum Rob0611 Smile

Try 1.5 and with knowledge and experience of several days of results 1,5 may suit you. As you are relatively insulin sensitive though, there is no reason that you can't use some in-between value for your ratio at this time of day..say 1.3. Experience will tell you.
Regards
Garry

Jun 20, 2014

Garry 328 posts

Topic: General Discussion / Burning Palm

I wondered if that might be the case.
Sorry to be a bit negative but I'm afraid that as long term type 1s we are prone to carpel tunnel syndrome and to developing nerve pinching of the finger nerves within the palms of our hands.
This is caused by the thickening of the sheaths which carry the sinews and nerves to each finger.
It is a quite common outcome of diabetes.
You may find over time that it develops into a trigger finger for which you may need surgery.
I have been type 1 for 35 years and over the years have had to have both carpel tunnels and three fingers fixed so far.
Afraid I am now making an appointment to see my friendly upper limb surgeon again for another finger.
Regards
Garry

Jun 20, 2014

Garry 328 posts

Topic: General Discussion / Burning Palm

How long have you been diabetic?
Regards
Garry

May 30, 2014

Garry 328 posts

Topic: Questions for HCPs / Help with BG levels

May I ask do you cycle and move your injection sites about?
We all need discipline to spread the injections about in order to best control our insulin absorbtion rate.
Please review your injection sites and avoid any that show bumps or tenderness.
You can use your online diary to help you acheive the spread needed.
Regards
Garry

Apr 8, 2015 Garry 328 posts	Topic: Questions for HCPs / A Good Night's Sleep My wife, in desperate times, swears by Night Calm tablets. Can buy over the counter at the Pharmacist. Regards Garry

Apr 4, 2015 Garry 328 posts	Topic: General Discussion / Thank goodness for DAFNE and sick day rules Stick with it and you'll soon be on the mend. Regards Garry

Mar 4, 2015 Garry 328 posts	Topic: General Discussion / Trying to lose weight? I'm like you Marke with a bag of peanuts...can't resist emptying the bag once started. They always have a drastic effect upon my BGs and I have seen BGs of 13+ after over-indulging. As a consequence, I try to avoid buying them.....Get thee behind me temptation Regards Garry

Jan 26, 2015 Garry 328 posts	Topic: General Discussion / Got the flu, and now high Please to hear that you have recovered. DAFNE sickness rules work well for most of us it seems...but there will always be times and circumstances where HCP support or assistance may be needed though. Regards Garry

Jan 24, 2015 Garry 328 posts	Topic: General Discussion / Dextro energy tablets Please talk directly to your local Pharmacist Lynda_2. Hopefully your discussion with them should ensure they seek secure supply. Forgive me. I'm cynical...when Tesco took them off the shelf I figured...no margin in Dextro then! My Pharmacy has them on the shelf at a price which, more often than not, beat Tesco. I was only buying them at Tesco out of convenience. Regards Garry

Jan 24, 2015 Garry 328 posts	Topic: General Discussion / Driving and blood glucose testing Warwick is right. Meters do go awry in high temperature too. I've had strips go AWOL in France before, when on holiday. The local Pharmacist there was very helpful though. Regards Garry

Jan 19, 2015 Garry 328 posts	Topic: General Discussion / Nuts!!! About 12 g CHO per 100 g. I have always had to take care with all nuts as I tend to take too big a portion...like a bag! So, my experience is a small portion ..say 50 g...weigh them out to see what that physically looks like...is well below what we would normally take QA for. Limit is usually 1 CP, so that is 82 g of Brazils. As you mention, make an adjustment if needed, at next meal time. Regards Garry

Jan 18, 2015 Garry 328 posts	Topic: General Discussion / Driving and blood glucose testing Sorry meltow...didn't answer your question. Her who must be obeyed reminds me! Regards Garry

Jan 18, 2015 Garry 328 posts	Topic: General Discussion / Driving and blood glucose testing In current conditions watch out for low temperatures in the car. You may be inconvenienced by the fact that your meter has gone on strike as the battery is too cold. If possible, keep it on you...in a nice warm pocket. Regards Garry

Jan 5, 2015 Garry 328 posts	Topic: General Discussion / BI Hi John. Happy New Year. Perhaps your exercise is strenuous enough to increase your insulin resistance, contributing to the rise. We of course release Epinephrine, or adrenaline for 'Fight-or-Flight' and this makes us insulin resistant. You may wish to consider splitting the BI between morning and night too. Regards Garry

Jan 5, 2015 Garry 328 posts	Topic: Questions for HCPs / BI dose Hi John. I am not a HCP and am a Graduate like yourself. Perhaps your exercise is strenuous enough to increase your insulin resistance, contributing to the rise. We of course release Epinephrine, or adrenaline for 'Fight-or-Flight' and this makes us insulin resistant. You may wish to consider splitting the BI between morning and night too. Regards Garry

Dec 31, 2014 Garry 328 posts	Topic: General Discussion / Happy New Year I wish us all a healthy New Year. Best Wishes of the Season. Regards Garry

Dec 15, 2014 Garry 328 posts	Topic: General Discussion / Skiing The Optium meter only plays up when the battery gets cold. Try to keep in close to you and it should be fine. It will warm up when you stop in a nice warm restaurant for lunch! Enjoy yourself. Regards Garry

Dec 15, 2014 Garry 328 posts	Topic: General Discussion / qa ratio Take whatever ratio needed john m. But make changes as part of a controlled long-term evolution based upon your findings over the weeks and months to come. My lunch ratio is currently 2.5:1 and I report it as 2.5. On this basis, your ratios for Friday would be 2, 0.5 and 1. Your text implies that you are using 1.5:1 for lunch which would normally be reported as 1.5 but has been reported as 0.5-1. We need to get in as much information as possible entered correctly. The database you are creating, does lots of clever stuff in the background, which you will become familiar with. Regards Garry

Nov 7, 2014 Garry 328 posts	Topic: Questions for HCPs / LOW INSULIN INTAKE Keep up the exercise alanG. I love my bike rides 3 or 4 times a week. They have reduced my insulin needs significantly over the last months. Afraid I am a little more insulin resistant than you after 35 years and am jealous. My lowest ratio throughout the day is 2:1. Helps if you record your pre-driving BG every time. You need to avoid DVLC getting involved. Please record a BG before every meal or what do you base your QA and BI on? Very happy to see your results are so good. Reminder to myself....Keep up the exercise. Regards Garry

Nov 1, 2014 Garry 328 posts	Topic: Carbohydrate Counting / Packaged food without total weight I sympathise. Some people find the necessary maths too difficult to do and make Carbohydrate intake errors as a result. I've complained in the past about alcoholic drinks which show an alcohol unit value but no CHO value. Now I see that there is a media supported push to get calorific values on drinks labelling.......but still no support for us. It really hacks me off. There are some 400,000 type 1s in the UK now. Surely we warrant some support. Regards Garry

Oct 31, 2014 Garry 328 posts	Topic: General Discussion / QA ratios on the weekend Upping your Background Insulin for the weekend is unlikely to help and you may find that it upsets your Monday/Tuesday/Wednesday results as most of us find BI changes are notoriously slow to show an impact. Far better to adjust your QA insulin ratios for the weekend. Regards Garry

Oct 24, 2014 Garry 328 posts	Topic: General Discussion / Cyborg Times (new BG meter) Thanks marke and Simon. I have been an Abbott fan for a number of years and will have a look at this new technology. I'm very disappointed by your feedback on Abbott support. Whenever I have had a problem with my current conventional Optium Xceed meters...their support, via helpful ladies on phone has been great. Sounds like a bit of a rushed out set up for this. Support would have to be first class for me to consider investing in the technology. I would not pay >Â£1300 pa without significant support. They need supply to pharmacists directly very quickly as I would not pay for delivery of sensors on an ongoing basis. Regards Garry

Oct 24, 2014 Garry 328 posts	Topic: General Discussion / QA ratios on the weekend We are all the same Mike_p. And we all appear to get round it in different ways! Used to be for me that I had less exercise at a weekend. Not now though as I try to keep active all week. Regards Garry

Sep 5, 2014 Garry 328 posts	Topic: General Discussion / metformin My consultant prescribed it for me some 3 years ago in an effort to reduce my insulin resistance. He told me to take anything between 500 to 3000 mg per day determined by experimentation. He told me that Metformin is probably the most widely used drug of its type with some 40 years of use by the NHS and only well known side effects. No problems for me with it...once my bowels! and body got used to it. Has generally reduced my QA ratios by 0.5 across the board resulting in an average TDD of QA down by 8u. Regards Garry

Aug 1, 2014 Garry 328 posts	Topic: Questions for HCPs / High BG after evening meals Welcome to the forum Rob0611 Try 1.5 and with knowledge and experience of several days of results 1,5 may suit you. As you are relatively insulin sensitive though, there is no reason that you can't use some in-between value for your ratio at this time of day..say 1.3. Experience will tell you. Regards Garry

Jun 20, 2014 Garry 328 posts	Topic: General Discussion / Burning Palm I wondered if that might be the case. Sorry to be a bit negative but I'm afraid that as long term type 1s we are prone to carpel tunnel syndrome and to developing nerve pinching of the finger nerves within the palms of our hands. This is caused by the thickening of the sheaths which carry the sinews and nerves to each finger. It is a quite common outcome of diabetes. You may find over time that it develops into a trigger finger for which you may need surgery. I have been type 1 for 35 years and over the years have had to have both carpel tunnels and three fingers fixed so far. Afraid I am now making an appointment to see my friendly upper limb surgeon again for another finger. Regards Garry

Jun 20, 2014 Garry 328 posts	Topic: General Discussion / Burning Palm How long have you been diabetic? Regards Garry

May 30, 2014 Garry 328 posts	Topic: Questions for HCPs / Help with BG levels May I ask do you cycle and move your injection sites about? We all need discipline to spread the injections about in order to best control our insulin absorbtion rate. Please review your injection sites and avoid any that show bumps or tenderness. You can use your online diary to help you acheive the spread needed. Regards Garry