Recent Posts by marke - DAFNE Online

Jul 15, 2010

marke 657 posts

Topic: General Discussion / Adjusting Dosages

all, sorry she can't read the DAFNE manual without going on the course and the hospital should NOT tell her to 'try the DAFNE way' without sending her on the course !
Caroline did they say they were going to put you on the waiting list for the course ? There is so much to take in and understand you really do need to attend the course. Everyone is welcome to advise and help you thats what the site is for, but ultimately you need the support of a DAFNE team and that means going on the course.

Unfortunately 'users' do not get access to the DAFNE Online manual only 'graduates', this is to protect them as well as DAFNE Central.

Jul 14, 2010

marke 657 posts

Topic: Questions ? / Night hypo and Morning BG

Karl, thanks for the link. I had never noticed this statement before on the diagram and it is NOT mentioned in the section on Hypo's. i have therefore raised it with DAFNE Central and they will come back to me ( and I will pass it on here) with a clarification on this subject. The handbook is due to be revised soon as it happens so its an ideal time to clarify this. If the statement is considered correct then it should be included in the Hypo section as well to ensure consistency and ensure that people ( like me) don't miss it.
I will let you know as soon as I get feedback.

Jul 14, 2010

marke 657 posts

Topic: General Discussion / fiona walkers bg diary

I'm with Mark2 it looks like your BI in the evening is not enough. Given your sensitivity to insulin I would only change it by 1 max (you probably don't have a pen that can do 0.5, but it might be worth looking for one if you are that sensitve). After the change give it a few days to fully see if it has had the desired effect. You may also need to do a 3am test ( sorry) to see how your BG changes over night, sometimes higher BG's in the morning is dawn phenomenom but not always. Probably the BI at night change will do the job, if you start lower you will probably tend to stay lower during the day and if you don't need to constantly correct it will be easier to see if your CP estimates are good or not so good. ( indian food is full of CP's, well it always seems that way to my body anyway ;-) )

Jul 13, 2010

marke 657 posts

Topic: General Discussion / Clikstar Pens

that doesn't make sense, from a chemist point of view. If they had them on their system then they should have a PIP code. All medicines have a PIP code, either by the manufacturer or 'internal' if its a 'repackaged'.
If the chemist orders it from a supplier they might not have the correct PIP code but the supplier should be able to look up the correct one...
( I work in the IT dept of a pharmaceutical company, so deal with this kind of thing). The PIP codes you give should be enough for any chemist to obtain them, presuming they are correct.

Jul 13, 2010

marke 657 posts

Topic: General Discussion / Diabetes.............

no sooner do I post than I think of heart 'disease' which is also referred to as a condition. Anyway I still go with condition myself....

Jul 13, 2010

marke 657 posts

Topic: General Discussion / Diabetes.............

for me a disease is an outside 'agent' that you 'catch'. As far as I understand Type 1 is caused by your own body attacking itself and so is a 'condition'. We won't go into causes as this is potential contentious and not completely clear cut. It could be triggered by a 'disease' and then again maybe not....

Jul 13, 2010

marke 657 posts

Topic: Questions ? / Night hypo and Morning BG

Karl, where did you get that quote from the handbook i.e. what section/page ? I can't find it in the online handbook and so am slightly concerned that there is a 'newer' version being given to graduates that is not online. ( Of course I could just be missing it in the handbook :-) )

Jul 13, 2010

marke 657 posts

Topic: Questions ? / Night hypo and Morning BG

bravo, someone else apart from me reads the handbook :-) A very good point. However personally I would still not change my BI without a pattern, my personal experience is I can occasionally get variations in my insulin requirements that go 'back to normal' after a day or so and thus I prefer to be 100% sure I need to change it before I do. Its a personnal choice and I take the point that I am NOT following the official handbook.

Jul 12, 2010

marke 657 posts

Topic: Questions ? / Night hypo and Morning BG

I'm with novarapidboi26, to a degree. I suspect you over did the CP's to recover from the hypo. One of the key things they teach on DAFNE is we generally over do Hypo treatment which causes a see-saw effect in blood sugars. I would not change any insulin doses immediately though, if this was a one off then treat it as such. Especially if there were mitigating circumstances. Its fine to adjust doses to treat a pattern but look back and try to find a pattern otherwise its change for change sake rather than being backed up by logic.
Also remember if you are over 'about' 12 then doses and correction doses may have less of an effect than normal. This will vary from person to person so unfortunately the only way to find out is trial and error. If it helps I have the same issue in that if I start the day high I tend to struggle all day, whereas if I start in range I tend to stay in range.

Jul 8, 2010

marke 657 posts

Topic: Carbohydrate Counting / Paninis

just a reminder, there is a page on the site for recording websites that provide information on their foods i.e. carb values. I have added the link in the previous post to it, you can get to our page either by clicking 'Carb Counter' in the right-hand menu followed by 'carb links' near the top of the page OR you can following the link to it here .

Jul 2, 2010

marke 657 posts

Topic: Carbohydrate Counting / Picnics (grr)

Norman, you need to remember the DAFNE rules are guidelines NOT rules of iron. As you say yourself everyone is different and so if they did try to change the handbook what would be the correct correction ;-). I think everyone has to learn their own requirement and apply that. In addition we all sometimes get strange results so its a requirement that has to be 'refined' over time so you can discount those days when things just don't make sense.

Jul 1, 2010

marke 657 posts

Topic: Carbohydrate Counting / Vegetables

If you want more information on this you should google 'glycemic index' which is an indication of the rate carbs are converted to sugar. It is not covered on the DAFNE Course,
when I checked why ( people had been asking) it was because it was felt it was too much information to take on board when you are being bombarded with ratios and rules etc.
The feeling is that those interested will look into it themselves. If you disagree with this approach I would recommend posting in the DUAG forum, since they are the interface between graduates and the DAFNE Programme management.

May 27, 2010

marke 657 posts

Topic: General Discussion / Ratios tryed them all

wise words wombat75, pretty much what I was trying to say ( but badly in my case).

May 25, 2010

marke 657 posts

Topic: General Discussion / Ratios tryed them all

oops, sorry, sounds like I have upset you, poor timing on my part. I just happened upon this thread and wanted to respond thats why I handn't replied before. I apologise if it did seem as I was picking you for criticism, that wasn't the intention. What I wanted to point out was that people should contact their Diabetes team if they are having issues rather than relying on the advice of others. The advice of fellow diabetics IS good and benefical but so is medical advice that mostly we are not qualified to give.

May 21, 2010

marke 657 posts

Topic: General Discussion / Ratios tryed them all

Hi, generally I guess 3:1 is true but everyone is different and there are exceptions to every rule. It 'could' be insulin resistance but that doesn't necessarily mean Type 2, there are a number of diabetes variations such as MODY that are also possible. That said its really an issue to discuss with a diabetes support team. If you google you will find a million 'lay' experts that appear to know everything there is to know about diabetes and will give you endless medical advice, however none of them are medically trained.
This is NOT a criticism of Tanglyjan just a general observation, its good that people ARE making suggestions to help each other. Just bear in mind that advice you recieve is generally from other diabetics that are often as unsure as everyone else about Diabetes. That is especially true for any advice I give, I'm a computer geek not a doctor ;-)

May 21, 2010

marke 657 posts

Topic: General Discussion / level of bi

to echo Karl's comment, Dawn Phenomenon is where your body releases hormones to prepare your body for waking up in the morning. This causes a rise in BG that is more pronounced in some people and can often be mistaken for the 'rebound' effect from a hypo.
With regard to the amount of Levimir required, I would not worry about 'recommended amounts'. Every person is different and can even vary their requirements over a period of time, any kind of 'recommended amount' is based on generalised statistics NOT individual requirements. The best option is to keep following DAFNE rules and find the correct level for you, if you are worried about this talk to your DAFNE educator. I'm sure they will be more than happy to advise you.
I'm struggling with a similiar problem at the moment and I'm not sure if its BI or Dawn Phenomenon, the only sure way to find out is adjustment and testing.

May 18, 2010

marke 657 posts

Topic: General Discussion / Diabetes Appeal

I have just added a news item about a Utube video featuring a 9 year old diabetic trying to get a constant-monitorinh pump from her PCT, you can read it here

May 17, 2010

marke 657 posts

Topic: Carbohydrate Counting / Mini Cheddars

Steve,
Hopefully, the user entries will be validated in the not too distant future and any discrepencies ironed out. I know there is to be a new revision of the Carb Counting Book ( I'm really looking forward to the manual process of updating the entries on the site :-( ) and as part of this process they are supposed to be verifying the user submitted entries on the site. I'm waiting for news of this process and the entries that have been verified.

Apr 25, 2010

marke 657 posts

Topic: Carbohydrate Counting / Iphone Apps

given the time, we would like to develop something however I suspect its not going to happen in the near future unless someone volunteers to do it. I do have a windows mobile phone ( although I'm afraid windows mobile 6.1 drove me to the iphone which I am now in love with) and I thing the visual studio 2010 beta will let me do something for that platform. If I get time, othwerwise I can't afford a full copy of visual studio, the software needed to develop for windows mobile.
I will let you know if we do develop anything.

Apr 25, 2010

marke 657 posts

Topic: General Discussion / Help how to loose weight

bad news Chris, the answer I believe is yes. You do need different BI and ratio on days you exercise and days you don't. As JWo points out your fitness levels effect your insulin requirements as the fitter you are the better your body uses insulin to assist the conversion of sugar to energy. You also need to understand that when you exercise it causes your muscles to increase their energy requirements for much longer than the exercise actually lasts. It can cause your BG to be lower for upto 24 hours. I used to have this problem on the mornings following a gym visit. I am not suprised that you hypo-ed in the night after your 28 mile ride. Your 'high' reading at 10pm was most likely due to all the sugar pumping around your body to feed your muscles during the exercise. As I said because the requirement lasts 'after' the exercise , your
BI probably assisted your body in keeping the flow of BG out of your blood into your muscles while you slept hence the hypo.
It is a tricky balance and there have been a number of posts on these forums about exercise and BG's. I don't think there is an easy answer unfortunately, although there should be a number of people that can help with advice.
The problems you have with weight could be due to the fact that exercise helps to convert 'fat' to muscle and of course muscle has weight so the net result may not be weightloss. Again I don't think there is an easy answer to this, I personally wish there was but thats life I guess.

Apr 19, 2010

marke 657 posts

Topic: Carbohydrate Counting / Carb Links section added

Alan,
You are welcome to add one. When the subject of Glycaemic indexes was raised with DAFNE Central they said the issue was firstly there are a number of them and they don't all agree and secondly they thought it was an added complication to DAFNE when some people struggled with carb counting. However if people want to look at GI tables as well and can cope with the additional complications then why not.

Apr 15, 2010

marke 657 posts

Topic: Carbohydrate Counting / Am i counting carbs right

Steve, unfortunately no one can tell you the answer to this question since it depends on you. If when you next test your BG its in the correct
range then you have got it right, if its not you got it wrong. There is no golden answer, yes you are following the right basic principle of carb counting but everyone is different and the combination of foods can affect the rate at which you absorb the carbs in food. To be honest I wouldn't see 14 as a large amount of insulin but then my insulin requirements would not be the same as yours.
For me the most important bit of carb counting is making a note of what I eat and what I inject. I use this as the basis for future carb estimating, i.e I learn from my mistakes and yes I DO make mistakes, I'm sure we all do.

Apr 8, 2010

marke 657 posts

Topic: General Discussion / Where you inject matters

much as I hate to be a swat the handbook says this . Which is not exactly the same as you seem to have been told regarding hypos. That said I totally agree with everything else you say ;-)

My take Alan is maybe your nighttime BI is too high, you seem to be low most mornings and a fair bit higher the night before. If you don't have any CP's before bed then the BI should keep you roughly the same and you seem to be dropping a lot, especially as most people tend to be higher in the mornings due to the dawn phennomeon. This of course is the view of a fellow DAFNE Grad and not a HCP. I would check with your DAFNE Educators what they think about your readings.

Mar 31, 2010

marke 657 posts

Topic: DAFNE Online Mobile / DAFNE On Line Mobile

Kate, perhaps you could encourage your educators to sign up as well ! I was asked to add Bromley PCT in a hurry so they could generated centre codes for their graduates and as usual no Educator has signed up just graduate(s). YOU need a centre code to access the online handbook, which is why we need an educator to sign up to generate one.

I'm glad you like the mobile site, any improvements you can suggest please feel free to let us know.

Mar 29, 2010

marke 657 posts

Topic: General Discussion / DAFNE and Employers

Marc, the letter is a good idea which is why DAFNE DO have a letter that people wanting to go on the course can use. I split the time for the course between my employer and myself. They paid me two days and I took three as holiday.
So anyone wanting to do a DAFNE Course ask your DAFNE Educator for a letter yo give to your employer. Others I'm afraid you will just have to ask your hospital. One of the advantages of DAFNE is that there IS evidence to back up the claims of reduced complications and better management and so less time off. With PCT invented courses this is harder to prove, although any education/training is definately better than none ! I guess at the end of the day it depends on yuor employer more than anything else.

Jul 15, 2010 marke 657 posts	Topic: General Discussion / Adjusting Dosages all, sorry she can't read the DAFNE manual without going on the course and the hospital should NOT tell her to 'try the DAFNE way' without sending her on the course ! Caroline did they say they were going to put you on the waiting list for the course ? There is so much to take in and understand you really do need to attend the course. Everyone is welcome to advise and help you thats what the site is for, but ultimately you need the support of a DAFNE team and that means going on the course. Unfortunately 'users' do not get access to the DAFNE Online manual only 'graduates', this is to protect them as well as DAFNE Central.

Jul 14, 2010 marke 657 posts	Topic: Questions ? / Night hypo and Morning BG Karl, thanks for the link. I had never noticed this statement before on the diagram and it is NOT mentioned in the section on Hypo's. i have therefore raised it with DAFNE Central and they will come back to me ( and I will pass it on here) with a clarification on this subject. The handbook is due to be revised soon as it happens so its an ideal time to clarify this. If the statement is considered correct then it should be included in the Hypo section as well to ensure consistency and ensure that people ( like me) don't miss it. I will let you know as soon as I get feedback.

Jul 14, 2010 marke 657 posts	Topic: General Discussion / fiona walkers bg diary I'm with Mark2 it looks like your BI in the evening is not enough. Given your sensitivity to insulin I would only change it by 1 max (you probably don't have a pen that can do 0.5, but it might be worth looking for one if you are that sensitve). After the change give it a few days to fully see if it has had the desired effect. You may also need to do a 3am test ( sorry) to see how your BG changes over night, sometimes higher BG's in the morning is dawn phenomenom but not always. Probably the BI at night change will do the job, if you start lower you will probably tend to stay lower during the day and if you don't need to constantly correct it will be easier to see if your CP estimates are good or not so good. ( indian food is full of CP's, well it always seems that way to my body anyway ;-) )

Jul 13, 2010 marke 657 posts	Topic: General Discussion / Clikstar Pens that doesn't make sense, from a chemist point of view. If they had them on their system then they should have a PIP code. All medicines have a PIP code, either by the manufacturer or 'internal' if its a 'repackaged'. If the chemist orders it from a supplier they might not have the correct PIP code but the supplier should be able to look up the correct one... ( I work in the IT dept of a pharmaceutical company, so deal with this kind of thing). The PIP codes you give should be enough for any chemist to obtain them, presuming they are correct.

Jul 13, 2010 marke 657 posts	Topic: General Discussion / Diabetes............. no sooner do I post than I think of heart 'disease' which is also referred to as a condition. Anyway I still go with condition myself....

Jul 13, 2010 marke 657 posts	Topic: General Discussion / Diabetes............. for me a disease is an outside 'agent' that you 'catch'. As far as I understand Type 1 is caused by your own body attacking itself and so is a 'condition'. We won't go into causes as this is potential contentious and not completely clear cut. It could be triggered by a 'disease' and then again maybe not....

Jul 13, 2010 marke 657 posts	Topic: Questions ? / Night hypo and Morning BG Karl, where did you get that quote from the handbook i.e. what section/page ? I can't find it in the online handbook and so am slightly concerned that there is a 'newer' version being given to graduates that is not online. ( Of course I could just be missing it in the handbook :-) )

Jul 13, 2010 marke 657 posts	Topic: Questions ? / Night hypo and Morning BG bravo, someone else apart from me reads the handbook :-) A very good point. However personally I would still not change my BI without a pattern, my personal experience is I can occasionally get variations in my insulin requirements that go 'back to normal' after a day or so and thus I prefer to be 100% sure I need to change it before I do. Its a personnal choice and I take the point that I am NOT following the official handbook.

Jul 12, 2010 marke 657 posts	Topic: Questions ? / Night hypo and Morning BG I'm with novarapidboi26, to a degree. I suspect you over did the CP's to recover from the hypo. One of the key things they teach on DAFNE is we generally over do Hypo treatment which causes a see-saw effect in blood sugars. I would not change any insulin doses immediately though, if this was a one off then treat it as such. Especially if there were mitigating circumstances. Its fine to adjust doses to treat a pattern but look back and try to find a pattern otherwise its change for change sake rather than being backed up by logic. Also remember if you are over 'about' 12 then doses and correction doses may have less of an effect than normal. This will vary from person to person so unfortunately the only way to find out is trial and error. If it helps I have the same issue in that if I start the day high I tend to struggle all day, whereas if I start in range I tend to stay in range.

Jul 8, 2010 marke 657 posts	Topic: Carbohydrate Counting / Paninis just a reminder, there is a page on the site for recording websites that provide information on their foods i.e. carb values. I have added the link in the previous post to it, you can get to our page either by clicking 'Carb Counter' in the right-hand menu followed by 'carb links' near the top of the page OR you can following the link to it here .

Jul 2, 2010 marke 657 posts	Topic: Carbohydrate Counting / Picnics (grr) Norman, you need to remember the DAFNE rules are guidelines NOT rules of iron. As you say yourself everyone is different and so if they did try to change the handbook what would be the correct correction ;-). I think everyone has to learn their own requirement and apply that. In addition we all sometimes get strange results so its a requirement that has to be 'refined' over time so you can discount those days when things just don't make sense.

Jul 1, 2010 marke 657 posts	Topic: Carbohydrate Counting / Vegetables If you want more information on this you should google 'glycemic index' which is an indication of the rate carbs are converted to sugar. It is not covered on the DAFNE Course, when I checked why ( people had been asking) it was because it was felt it was too much information to take on board when you are being bombarded with ratios and rules etc. The feeling is that those interested will look into it themselves. If you disagree with this approach I would recommend posting in the DUAG forum, since they are the interface between graduates and the DAFNE Programme management.

May 27, 2010 marke 657 posts	Topic: General Discussion / Ratios tryed them all wise words wombat75, pretty much what I was trying to say ( but badly in my case).

May 25, 2010 marke 657 posts	Topic: General Discussion / Ratios tryed them all oops, sorry, sounds like I have upset you, poor timing on my part. I just happened upon this thread and wanted to respond thats why I handn't replied before. I apologise if it did seem as I was picking you for criticism, that wasn't the intention. What I wanted to point out was that people should contact their Diabetes team if they are having issues rather than relying on the advice of others. The advice of fellow diabetics IS good and benefical but so is medical advice that mostly we are not qualified to give.

May 21, 2010 marke 657 posts	Topic: General Discussion / Ratios tryed them all Hi, generally I guess 3:1 is true but everyone is different and there are exceptions to every rule. It 'could' be insulin resistance but that doesn't necessarily mean Type 2, there are a number of diabetes variations such as MODY that are also possible. That said its really an issue to discuss with a diabetes support team. If you google you will find a million 'lay' experts that appear to know everything there is to know about diabetes and will give you endless medical advice, however none of them are medically trained. This is NOT a criticism of Tanglyjan just a general observation, its good that people ARE making suggestions to help each other. Just bear in mind that advice you recieve is generally from other diabetics that are often as unsure as everyone else about Diabetes. That is especially true for any advice I give, I'm a computer geek not a doctor ;-)

May 21, 2010 marke 657 posts	Topic: General Discussion / level of bi to echo Karl's comment, Dawn Phenomenon is where your body releases hormones to prepare your body for waking up in the morning. This causes a rise in BG that is more pronounced in some people and can often be mistaken for the 'rebound' effect from a hypo. With regard to the amount of Levimir required, I would not worry about 'recommended amounts'. Every person is different and can even vary their requirements over a period of time, any kind of 'recommended amount' is based on generalised statistics NOT individual requirements. The best option is to keep following DAFNE rules and find the correct level for you, if you are worried about this talk to your DAFNE educator. I'm sure they will be more than happy to advise you. I'm struggling with a similiar problem at the moment and I'm not sure if its BI or Dawn Phenomenon, the only sure way to find out is adjustment and testing.

May 18, 2010 marke 657 posts	Topic: General Discussion / Diabetes Appeal I have just added a news item about a Utube video featuring a 9 year old diabetic trying to get a constant-monitorinh pump from her PCT, you can read it here

May 17, 2010 marke 657 posts	Topic: Carbohydrate Counting / Mini Cheddars Steve, Hopefully, the user entries will be validated in the not too distant future and any discrepencies ironed out. I know there is to be a new revision of the Carb Counting Book ( I'm really looking forward to the manual process of updating the entries on the site :-( ) and as part of this process they are supposed to be verifying the user submitted entries on the site. I'm waiting for news of this process and the entries that have been verified.

Apr 25, 2010 marke 657 posts	Topic: Carbohydrate Counting / Iphone Apps given the time, we would like to develop something however I suspect its not going to happen in the near future unless someone volunteers to do it. I do have a windows mobile phone ( although I'm afraid windows mobile 6.1 drove me to the iphone which I am now in love with) and I thing the visual studio 2010 beta will let me do something for that platform. If I get time, othwerwise I can't afford a full copy of visual studio, the software needed to develop for windows mobile. I will let you know if we do develop anything.

Apr 25, 2010 marke 657 posts	Topic: General Discussion / Help how to loose weight bad news Chris, the answer I believe is yes. You do need different BI and ratio on days you exercise and days you don't. As JWo points out your fitness levels effect your insulin requirements as the fitter you are the better your body uses insulin to assist the conversion of sugar to energy. You also need to understand that when you exercise it causes your muscles to increase their energy requirements for much longer than the exercise actually lasts. It can cause your BG to be lower for upto 24 hours. I used to have this problem on the mornings following a gym visit. I am not suprised that you hypo-ed in the night after your 28 mile ride. Your 'high' reading at 10pm was most likely due to all the sugar pumping around your body to feed your muscles during the exercise. As I said because the requirement lasts 'after' the exercise , your BI probably assisted your body in keeping the flow of BG out of your blood into your muscles while you slept hence the hypo. It is a tricky balance and there have been a number of posts on these forums about exercise and BG's. I don't think there is an easy answer unfortunately, although there should be a number of people that can help with advice. The problems you have with weight could be due to the fact that exercise helps to convert 'fat' to muscle and of course muscle has weight so the net result may not be weightloss. Again I don't think there is an easy answer to this, I personally wish there was but thats life I guess.

Apr 19, 2010 marke 657 posts	Topic: Carbohydrate Counting / Carb Links section added Alan, You are welcome to add one. When the subject of Glycaemic indexes was raised with DAFNE Central they said the issue was firstly there are a number of them and they don't all agree and secondly they thought it was an added complication to DAFNE when some people struggled with carb counting. However if people want to look at GI tables as well and can cope with the additional complications then why not.

Apr 15, 2010 marke 657 posts	Topic: Carbohydrate Counting / Am i counting carbs right Steve, unfortunately no one can tell you the answer to this question since it depends on you. If when you next test your BG its in the correct range then you have got it right, if its not you got it wrong. There is no golden answer, yes you are following the right basic principle of carb counting but everyone is different and the combination of foods can affect the rate at which you absorb the carbs in food. To be honest I wouldn't see 14 as a large amount of insulin but then my insulin requirements would not be the same as yours. For me the most important bit of carb counting is making a note of what I eat and what I inject. I use this as the basis for future carb estimating, i.e I learn from my mistakes and yes I DO make mistakes, I'm sure we all do.

Apr 8, 2010 marke 657 posts	Topic: General Discussion / Where you inject matters much as I hate to be a swat the handbook says this . Which is not exactly the same as you seem to have been told regarding hypos. That said I totally agree with everything else you say ;-) My take Alan is maybe your nighttime BI is too high, you seem to be low most mornings and a fair bit higher the night before. If you don't have any CP's before bed then the BI should keep you roughly the same and you seem to be dropping a lot, especially as most people tend to be higher in the mornings due to the dawn phennomeon. This of course is the view of a fellow DAFNE Grad and not a HCP. I would check with your DAFNE Educators what they think about your readings.

Mar 31, 2010 marke 657 posts	Topic: DAFNE Online Mobile / DAFNE On Line Mobile Kate, perhaps you could encourage your educators to sign up as well ! I was asked to add Bromley PCT in a hurry so they could generated centre codes for their graduates and as usual no Educator has signed up just graduate(s). YOU need a centre code to access the online handbook, which is why we need an educator to sign up to generate one. I'm glad you like the mobile site, any improvements you can suggest please feel free to let us know.

Mar 29, 2010 marke 657 posts	Topic: General Discussion / DAFNE and Employers Marc, the letter is a good idea which is why DAFNE DO have a letter that people wanting to go on the course can use. I split the time for the course between my employer and myself. They paid me two days and I took three as holiday. So anyone wanting to do a DAFNE Course ask your DAFNE Educator for a letter yo give to your employer. Others I'm afraid you will just have to ask your hospital. One of the advantages of DAFNE is that there IS evidence to back up the claims of reduced complications and better management and so less time off. With PCT invented courses this is harder to prove, although any education/training is definately better than none ! I guess at the end of the day it depends on yuor employer more than anything else.