Recent Posts by Garry - DAFNE Online

Dec 31, 2012

Garry 328 posts

Topic: General Discussion / Insulin not working

Can you check your injection sites. It may be that your skin is a bit lumpy in places and this is hindering your insulin absorbtion.
Keep track of your injection sites using your online diary, keeping accurate notes about position in the comments and it could help you discover a causal link.
I find that I have to carefully rotate my injection sites in order to avoid the same symptoms you describe.
Regards
Garry

Dec 31, 2012

Garry 328 posts

Topic: Site Development / Blood Glucose Graphs

Thank You.
Up and running again.
Happy New Year to us all.
Regards
Garry

Dec 28, 2012

Garry 328 posts

Topic: Site Development / Blood Glucose Graphs

Same for me. The values are in the graph because if you hover with the cursor you get Breakfast, Lunch, Dinner and Bed values but no usual line or colour backgrounds to help.
Regards
Garry

Dec 18, 2012

Garry 328 posts

Topic: Carbohydrate Counting / Xmas pudding

What a good guide. You don't half pick out some belting info novarapidboi.
An early Merry Christmas to us all.
Regards
Garry

Dec 11, 2012

Garry 328 posts

Topic: General Discussion / Diary Graphs

You can change the date range to just one or only a few days if you wish by using the date fields on your diary. It is at the top of your diary. Remember to press the update button to carry out the reselection.
The graph, when you call it up, will then only show those results.
Quit out when finished and it will have returned to the normal date spread when you come back to it.

Regards
Garry

Dec 10, 2012

Garry 328 posts

Topic: General Discussion / Pat on the back for Lilly

Returned two Humapen Memoir pens to Lilly for investigation of failures and received their written report on both.
Old pen battery was failing - which I knew about.
New pen, which I had requested from Lilly as a replacement for the unreliable old pen, had been sent out from the factory without completing it's memory reader test. This led to the screen being blank when I first tried to use it as it had been left in the wrong mode for normal use.
So a big pat on the back for Lilly who admitted a manufacturing error.
Their service provision has always been first class. I can't praise them highly enough.
What a great team Cool

Regards
Garry

Dec 4, 2012

Garry 328 posts

Topic: Carbohydrate Counting / Poppadoms - really?

Some chefs put a shine on their curry sauces by adding sugar.
It is well worth asking to speak to the chef in your favourite curry house and outline your needs to him.
From my experience, visiting a new place can have some astounding post-meal BG results and I have seen 20.6 in the past Embarassed

Regards
Garry

Nov 16, 2012

Garry 328 posts

Topic: Questions for HCPs / corrections after a hypo

Think it more likely that you have an infection coming on. Blood sugars are normally at least one day ahead of your cold, or whatever it is, showing obvious symptoms.
See what happens over today and tommorrow and it may be that you need compensate, if it is infection related insulin resistance, by applying the sick day rules from your handbook.
Life is always sending us curve balls....don't worry you'll sort it soon enough.
Regards
Garry

Nov 12, 2012

Garry 328 posts

Topic: General Discussion / Hypos and testing

Good on yer.
Regards
Garry

Nov 7, 2012

Garry 328 posts

Topic: General Discussion / Logging hb1ac

I have always entered mine as free text within the Comments field of the online diary Richard.
Regards
Garry

Nov 7, 2012

Garry 328 posts

Topic: General Discussion / Hypos and testing

I always used to over-correct following hypo.
But if you can develop the discipline to strictly control you correctional glucose intake, your BGs will come out high....for reasons explained before...but not really high.
Try some carb free testing to satisfy yourself that the BI dosage is right.
Once that is clear you should have things under better control.
Please remember that depending on which BI you use....BI dose alteration can take time to show results. For me Lantus BI changes take three days to have an effect.
Stick with it!
Regards
Garry

Nov 7, 2012

Garry 328 posts

Topic: General Discussion / Insulin Pens with insulin cartridges

With both pens you are able to sight the plunger moving the glass phial through the viewing port. So you are able to see that you are getting a dose. Humalog insulin phials have a rough scale on the side of them. Line the scale up with the window so you can check.
If you have doubts about the pen delivering the correct dose just tot up all doses delivered over the life of one phial...and it should add up to 300 u....near enough.
Regards
Garry

Oct 22, 2012

Garry 328 posts

Topic: General Discussion / Insulin Storage in the Fridge

Yes it does.
Top can be 3Â° C warmer than the bottom of the fridge.
I keep my insulin in a tray at the top of the door.
Regards
Garry

Oct 9, 2012

Garry 328 posts

Topic: Carbohydrate Counting / DAFNE Carb Portion list

The numbers are right.
Just down to carbohydrate 'density' Dave.
Boiled potato has significant water content retained.
Roast potato has much lower water content.
Regards
Garry

Oct 6, 2012

Garry 328 posts

Topic: General Discussion / Flu Jabs

Been for my flu jab this week and have had the usual tender arm and wacky blood sugars as a consequence of infection and insulin resistance.
Hoping things level out in the next week or so.
I guess we will all react in the same way to this years strain, but it might be good to compare notes and we will know what to expect.
Have you booked yours yet?

Regards
Garry

Sep 5, 2012

Garry 328 posts

Topic: General Discussion / Result.

Please do that vic.
I have filed my diary on here religiously since doing DAFNE in November 2009 and have found that it has always given me focus.
Regards
Garry

Aug 31, 2012

Garry 328 posts

Topic: General Discussion / morning highs

If you have the confidence, lift your BI another 2 u and follow progress over the next few days and along with the dreaded 03:00 BG checks see what happens.
No improvement and good 03:00s - add another 2 u.
Wait a few days and see how you go. Once you get it right you may find that BG is within 1 mmol of your before bed result. Things will change over 28 days though.
Regards
Garry

Aug 30, 2012

Garry 328 posts

Topic: General Discussion / morning highs

Many of us find that BI changes can take some days to kick in with an effect.
It may be the same for you, particularly if on Lantus BI.
For me, BI changes take 3 days to show signs of any possible improvement.

I think Confused

I eat a NORMAL diet, which when I look at my diary, averages 23 CPs a day.
We always have lots of unmeasured stuff going on in our blood which is difficult to manage the outcome of.
Take a few days to make any further changes - so you are sure of cause and effect.
Regards
Garry

Aug 30, 2012

Garry 328 posts

Topic: General Discussion / Result.

Cheer up vic. Just look back and review the good advice that you have given others through this forum.
Take heart from that. Smile

We are all in the same boat. Like you, I work hard at achieving a balance and felt like I was doing really well, with a graph largely in the green - but whilst on holiday....the wheels have come off......and 5 days on, I'm still trying to get things back in control. Goodness knows what has gone wrong but I'll keep day-by-day trying to get back on an even keel.

Regards
Garry

Jul 31, 2012

Garry 328 posts

Topic: General Discussion / Which Olympic athlete are you? -- For fun!

I match Winston Gordon who competes for Team GB in 90 kg class at Judo Laughing

Wish I was as fit as him!

Regards
Garry

Jul 31, 2012

Garry 328 posts

Topic: General Discussion / Is Hba1c related to the averages in blood glucose diaries

Welcome michdash Smile

As JWO mentions stability counts. Make slow controlled changes and you can understand where improvement comes from.
Stick with it and in 4 or 5 months you'll be at 58 mmol/mol and looking for further gains.

Regards
Garry

Jul 27, 2012

Garry 328 posts

Topic: Questions for HCPs / QA and BI preferred injection sites

Following a General thread: http://www.dafneonline.co.uk/forums/1/topics/1779
I follow the same rules as marke.
I was advised QA - stomach and arms - for quick uptake.
BI in legs - for slower absorbtion. That is what I have followed after being given this info during my DAFNE course in November 2009.
I wonder whether Carolin would express an opinion and be good enough to comment?
Regards
Garry

Jul 27, 2012

Garry 328 posts

Topic: General Discussion / Motion Sickness: Hypo cause or just symptom?

I follow the same rules as marke.
I was advised QA - stomach and arms - for quick uptake.
BI in legs - for slower absorbtion. That is what I have followed after being given this info during my DAFNE course in November 2009.
I wonder whether Carolin would express an opinion and be good enough to comment?
Regards
Garry

Jul 23, 2012

Garry 328 posts

Topic: General Discussion / Carpal Tunnel v's Neuropathy

Again give them a few more weeks HelenP to settle down and I hope you will be thanking yourself.
Wish you well.
Regards
Garry

Dec 31, 2012 Garry 328 posts	Topic: General Discussion / Insulin not working Can you check your injection sites. It may be that your skin is a bit lumpy in places and this is hindering your insulin absorbtion. Keep track of your injection sites using your online diary, keeping accurate notes about position in the comments and it could help you discover a causal link. I find that I have to carefully rotate my injection sites in order to avoid the same symptoms you describe. Regards Garry

Dec 31, 2012 Garry 328 posts	Topic: Site Development / Blood Glucose Graphs Thank You. Up and running again. Happy New Year to us all. Regards Garry

Dec 28, 2012 Garry 328 posts	Topic: Site Development / Blood Glucose Graphs Same for me. The values are in the graph because if you hover with the cursor you get Breakfast, Lunch, Dinner and Bed values but no usual line or colour backgrounds to help. Regards Garry

Dec 18, 2012 Garry 328 posts	Topic: Carbohydrate Counting / Xmas pudding What a good guide. You don't half pick out some belting info novarapidboi. An early Merry Christmas to us all. Regards Garry

Dec 11, 2012 Garry 328 posts	Topic: General Discussion / Diary Graphs You can change the date range to just one or only a few days if you wish by using the date fields on your diary. It is at the top of your diary. Remember to press the update button to carry out the reselection. The graph, when you call it up, will then only show those results. Quit out when finished and it will have returned to the normal date spread when you come back to it. Regards Garry

Dec 10, 2012 Garry 328 posts	Topic: General Discussion / Pat on the back for Lilly Returned two Humapen Memoir pens to Lilly for investigation of failures and received their written report on both. Old pen battery was failing - which I knew about. New pen, which I had requested from Lilly as a replacement for the unreliable old pen, had been sent out from the factory without completing it's memory reader test. This led to the screen being blank when I first tried to use it as it had been left in the wrong mode for normal use. So a big pat on the back for Lilly who admitted a manufacturing error. Their service provision has always been first class. I can't praise them highly enough. What a great team Regards Garry

Dec 4, 2012 Garry 328 posts	Topic: Carbohydrate Counting / Poppadoms - really? Some chefs put a shine on their curry sauces by adding sugar. It is well worth asking to speak to the chef in your favourite curry house and outline your needs to him. From my experience, visiting a new place can have some astounding post-meal BG results and I have seen 20.6 in the past Regards Garry

Nov 16, 2012 Garry 328 posts	Topic: Questions for HCPs / corrections after a hypo Think it more likely that you have an infection coming on. Blood sugars are normally at least one day ahead of your cold, or whatever it is, showing obvious symptoms. See what happens over today and tommorrow and it may be that you need compensate, if it is infection related insulin resistance, by applying the sick day rules from your handbook. Life is always sending us curve balls....don't worry you'll sort it soon enough. Regards Garry

Nov 12, 2012 Garry 328 posts	Topic: General Discussion / Hypos and testing Good on yer. Regards Garry

Nov 7, 2012 Garry 328 posts	Topic: General Discussion / Logging hb1ac I have always entered mine as free text within the Comments field of the online diary Richard. Regards Garry

Nov 7, 2012 Garry 328 posts	Topic: General Discussion / Hypos and testing I always used to over-correct following hypo. But if you can develop the discipline to strictly control you correctional glucose intake, your BGs will come out high....for reasons explained before...but not really high. Try some carb free testing to satisfy yourself that the BI dosage is right. Once that is clear you should have things under better control. Please remember that depending on which BI you use....BI dose alteration can take time to show results. For me Lantus BI changes take three days to have an effect. Stick with it! Regards Garry

Nov 7, 2012 Garry 328 posts	Topic: General Discussion / Insulin Pens with insulin cartridges With both pens you are able to sight the plunger moving the glass phial through the viewing port. So you are able to see that you are getting a dose. Humalog insulin phials have a rough scale on the side of them. Line the scale up with the window so you can check. If you have doubts about the pen delivering the correct dose just tot up all doses delivered over the life of one phial...and it should add up to 300 u....near enough. Regards Garry

Oct 22, 2012 Garry 328 posts	Topic: General Discussion / Insulin Storage in the Fridge Yes it does. Top can be 3Â° C warmer than the bottom of the fridge. I keep my insulin in a tray at the top of the door. Regards Garry

Oct 9, 2012 Garry 328 posts	Topic: Carbohydrate Counting / DAFNE Carb Portion list The numbers are right. Just down to carbohydrate 'density' Dave. Boiled potato has significant water content retained. Roast potato has much lower water content. Regards Garry

Oct 6, 2012 Garry 328 posts	Topic: General Discussion / Flu Jabs Been for my flu jab this week and have had the usual tender arm and wacky blood sugars as a consequence of infection and insulin resistance. Hoping things level out in the next week or so. I guess we will all react in the same way to this years strain, but it might be good to compare notes and we will know what to expect. Have you booked yours yet? Regards Garry

Sep 5, 2012 Garry 328 posts	Topic: General Discussion / Result. Please do that vic. I have filed my diary on here religiously since doing DAFNE in November 2009 and have found that it has always given me focus. Regards Garry

Aug 31, 2012 Garry 328 posts	Topic: General Discussion / morning highs If you have the confidence, lift your BI another 2 u and follow progress over the next few days and along with the dreaded 03:00 BG checks see what happens. No improvement and good 03:00s - add another 2 u. Wait a few days and see how you go. Once you get it right you may find that BG is within 1 mmol of your before bed result. Things will change over 28 days though. Regards Garry

Aug 30, 2012 Garry 328 posts	Topic: General Discussion / morning highs Many of us find that BI changes can take some days to kick in with an effect. It may be the same for you, particularly if on Lantus BI. For me, BI changes take 3 days to show signs of any possible improvement. I think I eat a NORMAL diet, which when I look at my diary, averages 23 CPs a day. We always have lots of unmeasured stuff going on in our blood which is difficult to manage the outcome of. Take a few days to make any further changes - so you are sure of cause and effect. Regards Garry

Aug 30, 2012 Garry 328 posts	Topic: General Discussion / Result. Cheer up vic. Just look back and review the good advice that you have given others through this forum. Take heart from that. We are all in the same boat. Like you, I work hard at achieving a balance and felt like I was doing really well, with a graph largely in the green - but whilst on holiday....the wheels have come off......and 5 days on, I'm still trying to get things back in control. Goodness knows what has gone wrong but I'll keep day-by-day trying to get back on an even keel. Regards Garry

Jul 31, 2012 Garry 328 posts	Topic: General Discussion / Which Olympic athlete are you? -- For fun! I match Winston Gordon who competes for Team GB in 90 kg class at Judo Wish I was as fit as him! Regards Garry

Jul 31, 2012 Garry 328 posts	Topic: General Discussion / Is Hba1c related to the averages in blood glucose diaries Welcome michdash As JWO mentions stability counts. Make slow controlled changes and you can understand where improvement comes from. Stick with it and in 4 or 5 months you'll be at 58 mmol/mol and looking for further gains. Regards Garry

Jul 27, 2012 Garry 328 posts	Topic: Questions for HCPs / QA and BI preferred injection sites Following a General thread: http://www.dafneonline.co.uk/forums/1/topics/1779 I follow the same rules as marke. I was advised QA - stomach and arms - for quick uptake. BI in legs - for slower absorbtion. That is what I have followed after being given this info during my DAFNE course in November 2009. I wonder whether Carolin would express an opinion and be good enough to comment? Regards Garry

Jul 27, 2012 Garry 328 posts	Topic: General Discussion / Motion Sickness: Hypo cause or just symptom? I follow the same rules as marke. I was advised QA - stomach and arms - for quick uptake. BI in legs - for slower absorbtion. That is what I have followed after being given this info during my DAFNE course in November 2009. I wonder whether Carolin would express an opinion and be good enough to comment? Regards Garry

Jul 23, 2012 Garry 328 posts	Topic: General Discussion / Carpal Tunnel v's Neuropathy Again give them a few more weeks HelenP to settle down and I hope you will be thanking yourself. Wish you well. Regards Garry