Recent Posts by Phil Maskell
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194 posts found
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Sep 5, 2012
Phil Maskell
194 posts
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Topic: DAFNE Online Mobile / Andriod App - Diary Upload Hi,This seems strange, in the iPhone app I'm sure it downloads from the web because you can say hold a given number of days say 14, then make it 30 and it downloads the rest. If the Android app doesn't have it and the iPhone does I'm sure its in the pipeline. I know they are different dev streams and done in spare time though so be patient.  Phil |
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Aug 31, 2012
Phil Maskell
194 posts
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Topic: Questions for HCPs / new to this! Hi,Just thought of another thing, knowledge is power with DAFNE, if you don't know your current BG how can you react, how often do you test a day? With DAFNE its every mealtime, bedtime and any other time you eat or exercise, this might be something you need to get used to if you don't test this often. Check your GP doesn't mind you using this many test strips? You can then record your BG and try to see patterns etc... Phil |
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Aug 31, 2012
Phil Maskell
194 posts
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Topic: General Discussion / morning highs
Do you not fancy option 1 ? 4am injection sounds sooo appealing Phil |
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Aug 31, 2012
Phil Maskell
194 posts
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Topic: Questions for HCPs / new to this! Hi,I did a 5 day course and I think this could have been compressed into 2 or 3 days, but there are quite few things that you need to get sorted such as Background and mealtime ratios, sickness rules, exercise etc... The first hour of the day was going through everyones BG diary and working out the best course of action for everyone, by doing this as a group you could see the changes you needed to make in different situations, you might not have a hypo that week, but someone else in the group would so you could discuss how to react to these things. I would guess not really, support after the course online is perfect, but I think the basics need time. If you're having control issues now there are a couple of important things from DAFNE that might help. It all becomes alot easier if your Background insulin is holding you at a steady BG, I had to do a weekend carb free to prove this to myself. Don't overcorrect hypos as you go sky high after and are chasing your tail all day (do you correct high BGs, if so don't between meals as this can cause yo-yoing too) then, 20 carbs or 2CP in DAFNE parlance (little carton of Orange Juice is exactly 2CP Chocolate is not a good hypo cure as the fat in it slows the sugar absorbtion  ) is usually enough to bring you up and if more than an hour before the next meal 2CP of starchy carbs to keep up.Do you currently carb count? You could look this up online and just get used to estimating carbs per meal as this will be useful. Hope this helps. These are just hints for now, but I feel you will have to wait for the course though. Phil |
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Aug 30, 2012
Phil Maskell
194 posts
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Topic: General Discussion / morning highs
Nice, even with DAFNE I am more 7 than 6 
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Aug 30, 2012
Phil Maskell
194 posts
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Topic: General Discussion / morning highs
For 3CP to 6QA isn't that a ratio of 2:1? 1:1.5 on 3CP would be 2QA? Just don't want to confuse things (any more than sorting this lot out) 
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Aug 30, 2012
Phil Maskell
194 posts
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Topic: General Discussion / morning highs Hi,Whats your 3am test like, has it risen by then? When I was getting 10+ in the mornings my Consultant said if it was DP there were 3 options... 1. wake about 4/5am and test/inject (he said he had one person do this, very keen) 2. if morning BG was at most 12 then live with it and correct at breakfast (even with higher morning BG my HBA1c was around 7.5) 3. consider pump to get the increased insulin needed gradually. I went with option 2 What do your Diabetic people think? Was this an issue before DAFNE? I don't know what your BGs are like, but when I'm not dieting 10.7 is actually a reasonable level for me. Are you beating yourself up too much? How are these higher morning BG effecting your HBA1c? Relax and go with option 2 Phil |
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Aug 30, 2012
Phil Maskell
194 posts
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Topic: General Discussion / morning highs
With low carbs and increased exercise often a bit low now, not too bad about 4.5 to 5.5, used to be a bit on the high side 8 to 10 when dinner was carb loaded. For me I'm not sure its the bedtime BG as in the old days I often went to bed with BG 6 or 7 and woke with 14+. I think for me its the no carbs in the system floating around overnight. |
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Aug 30, 2012
Phil Maskell
194 posts
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Topic: General Discussion / morning highs Hi,I am on a bit of a fitness/diet at the moment and used to get this problem, I now have next to no carbs after lunch so my bedtime BG is around 4 or 5 (often need a few carbs to keep me up). Going to bed with this lower BG and no pasta/pizza floating around seems to have done the trick, I am now having to lower my background as I am low in the morning. In the 25 years of Type 1 I have never had low morning BG until now. I know this isn't a life long fix as I am going to want to eat in the evening again at some point, but it proves its the carbs over night that are causing my issue and probably yours. If you find a solution without starving yourself let me know Phil |
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Aug 23, 2012
Phil Maskell
194 posts
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Topic: General Discussion / 7-day waking average Hi,I was 3.4 this AM, had no carb dinner last night as trying to loose a few pounds. Phil |
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Aug 22, 2012
Phil Maskell
194 posts
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Topic: General Discussion / New Graduate, questions Hi,There is a thing called 'Dawn Phenomenon' where the body kicks out hormones in the early hours ready to wake you up as a side effect this can raise you BG. Need to do a 3am test to see whats happening. I used to get up with BG about 9+, 14 to 17 wasn't uncommon. The last month I have been on a low carb diet to loose a few pounds . I have found little or no carbs for dinner leaves my BG perfect in the mornings.Have a look into dawn and also evaluate how many carbs and what type you're having in the evening? I used to have dinner about 8 or 9 then go to bed around 11 or 12 with loads of pizza/pasta carbs still floating around. I know this is for me and bit vague, but thats the joys of T1 Hope this gives you some ideas to look into. Phil |
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Aug 22, 2012
Phil Maskell
194 posts
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Topic: DAFNE Online Mobile / Mobile Feature Requests Hi,Just replied to this on another post, I think they're working on this for Android, but being in their spare time we have to be patient Phil |
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Aug 22, 2012
Phil Maskell
194 posts
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Topic: Site Development / DAFNE Online iPhone application - help with content/design needed
I take it you're not on the iPhone version? This is available for the iPhone and is looking to be added to the Android version soon. Phil |
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Aug 21, 2012
Phil Maskell
194 posts
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Topic: General Discussion / 7-day waking average Hi,If you use the iPhone/Android app or fill in your BG on the site it can tell you the 7/14/30 day averages for all results or just the Before Breakfast reading. Real handy feature cos it shows I am usually a bit high on average before bed (high carb meal about 9pm). My 7 day average morning BG was 6.3, but this mornings was 10.4, not sure what this post is looking for though? Phil |
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Aug 21, 2012
Phil Maskell
194 posts
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Topic: General Discussion / New Graduate, questions From: http://www.diabetes.co.uk/features/diabetes-and-hot-weather.html"What are the hypo risks from hot weather? Hot weather can increase the risk of hypoglycemia for those on blood glucose lowering medication. The Joslin Diabetes Centre notes that the body’s metabolism is higher in hot and humid weather which can lead to an increased chance of hypoglycemia. Hypos may be slightly harder to spot in hot weather." This higher metabolism means insulin will be used quicker and therefore with (or even without) exercise could cause hypos. Hope this helps. Phil |
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Aug 21, 2012
Phil Maskell
194 posts
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Topic: General Discussion / Testing - then needing to retest I would say about 10 to 15 mins and I would retest, not normally an issue for me though as I usually test at the table while meal is in front of me, no delay then I would only test in advance id I felt high/low, if high and needed a correction I may have already done this and a new test might be misleading as already dropping. Phil |
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Aug 20, 2012
Phil Maskell
194 posts
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Topic: General Discussion / What did you have to eat yesterday? Breakfast: Fruit n FibreLunch: Grilled bacon, poached egg with Salad Dinner: Mexican Bean Burger x 2 with Salad Making a concerted effort to loose gut before I get the speedos out, diet not normally this healthy I normally have a bad case of dawn phen, but since on a diet and having little or no carbs for dinner this seems to have gone away, don't know if this might help others struggling with high morning BG. Normal diet might be: Breafast: Doorstep Toast and marmalade Lunch: Baguette with proper butter and pate or Bacon sandwhich Dinner: BBQ, loads meat and fish (bread rolls for burgers or potatoes) with salad Which do people prefer the sound of? |
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Aug 16, 2012
Phil Maskell
194 posts
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Topic: General Discussion / Dose mistake. Hi,Which pen/lantus are you on? I'm on Levemir so no idea about it, but just looked on the Timesulin site and they do a lid for the Lantus Solostar pen (http://timesulin.com/how-it-works/pens). Phil |
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Aug 16, 2012
Phil Maskell
194 posts
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Topic: General Discussion / Dose mistake. How did it go?Not the only one. I messed up once before, I gave 20 unit of QA instead of Background, plenty of snacks that day If you often forget (I often have to think hard) there is a lid called Timesulin (http://timesulin.com) that remembers the time you last injected so you can check. Novo have also done the same with the new NovoPen 5 which even tells you how much. Hope this helps and not too many hypos. Phil |
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Aug 15, 2012
Phil Maskell
194 posts
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Topic: Site Development / Data Analysis Guy,I've looked at Splunk, looks cool from a techy point of view to analyse website traffic from log files or live data from a car engine or something. I don't see how putting your DAFNE results into it will give you much more than the graph section of the website? Not sure unless you blood test loads there will be enough data unless you had CGM data, this might help then Fun to play with though, let us know how it goes and if you find it useful, possibly some screen shots? Phil |
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Aug 14, 2012
Phil Maskell
194 posts
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Topic: Site Development / Auto calculate QA from BG - let's get it right
Nice idea, never thought of that 
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Aug 14, 2012
Phil Maskell
194 posts
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Topic: Carbohydrate Counting / Pasta! Thanks for feedback, like the idea of testing (eating more )Shame pasta also needs a nice glass of white which would scupper testing
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Aug 14, 2012
Phil Maskell
194 posts
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Topic: Carbohydrate Counting / Pasta! Hi,Apologies if this has already been asked before, what do people do about QA with low GI, but high carb foods like pasta? I normally guestimate my carbs in pasta and then run high all evening, but last night I used the carbs app on iphone and calc'd based on 30g of pasta (cooked) for 1CP, I had 150g of pasta so should have injected for 5CP, this seemed too much on previous knowledge so injected for 4CP. Had a hypo that lasted all night, ended up having about a litre of juice and snacks, kept testing, I would go up for a bit while eating snacks then plummet again, way overdid QA with pasta. I know I probably need this much QA as pasta is high carb, but being low GI I hypo before the pasta kicks in, the alternative is to underestimate and run high later. Neither solution is nice! How do other people cope with low GI/ high Carb? Thanks in advance. Phil |
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Aug 14, 2012
Phil Maskell
194 posts
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Topic: Site Development / Auto calculate QA from BG - let's get it right Hi,With the new calculations, everything works fine, but an enhancement for me would be to have settings such as Hypo or Background with no ratio set, if it sees this it doesn't try to correct. DAFNE states between meals we shouldn't keep correcting so if I do a Before driving BG and am 10ish is suggests to correct, but I then have to clear this. Just an idea, hopes its an easy win, just allow null in ratios and check not null before calc, pseudo coding is soo easy Phil |
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Aug 7, 2012
Phil Maskell
194 posts
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Topic: General Discussion / NHS Medication Changes: Are you affected? Hi,Not heard or seen it before, I hope they don't force me to change, I like the AccuChek Mobile as there are no strips, just a single cassette with a long test strip inside that winds on, means you don't have to faff with strips... I cam now setup and check my blood one handed while on the computer at work Phil |
