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What is the secret about Dafne..?

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This thread is now closed. Please contact Anna DUK, Ieva DUK or everydayupsanddowns if you would like it re-opened.
Deus,

Do you use the same dose for an IM and a sub-cue correction just the action happens over a shorter time for the IM (e.g. if 1u brings you down by 3mmols for a sub-cue injection is it the same IM it just happens in an hour versus 3 for the same dose sub-cue)? It's an interesting approach and I think I'd agree that getting back from that high quicker must be a good thing!

Not necessarily Dan, there is a theory that you can cause more damage by coming down too quickly, which makes some sense to me as it is a bigger variation for your body to deal with in a shorter space of time - no 'warm-down', as it were.
 
Not necessarily Dan, there is a theory that you can cause more damage by coming down too quickly, which makes some sense to me as it is a bigger variation for your body to deal with in a shorter space of time - no 'warm-down', as it were.

Fair point, hadn't thought of that angle! So bleeding complicated!!
 
The flipside of the theory is that in a non-D, the insulin is released directly into your vein and so would cause blood sugar to drop quickly anyway. Another question that hasn't been satisfactorily determined is how fast is 'too fast'? We know that IM jabs are quicker than sub-cue ones but what is not clear is if the speed difference is significant enough to cause problems.

Another interesting point to consider is that some experts do recommend IM injections precisely for these situations - including one in particular who is probably the reason you have a blood glucose meter.

So the jury is still very much out on whether IM jabs cause damage. What is certain is that high blood sugar definitely does.

Do you use the same dose for an IM and a sub-cue correction just the action happens over a shorter time for the IM

The short answer is 'sometimes'. The maths suggests this would be the right approach but given that IM jabs seem to be more effective, I tend to err a little on the side of caution and take less than I would for a sub-cue. I work on the principle that it's better to take not quite enough and bring a high blood sugar to an ok one quickly, rather than get it to a good one with a risk of pushing it into hypo territory.
 
All stuff that I had no idea about, lots coming out the wood work ! Maybe my "tyre" Is a reason I sometimes spike higher than others, but always end up back in the OK zone pre next meal. I wonder if there is a happy medium, ie avoiding the fattier fatty bits on my belly?
 
The flipside of the theory is that in a non-D, the insulin is released directly into your vein and so would cause blood sugar to drop quickly anyway. Another question that hasn't been satisfactorily determined is how fast is 'too fast'? We know that IM jabs are quicker than sub-cue ones but what is not clear is if the speed difference is significant enough to cause problems...

But a non-D releases teeny-tiny amounts like a super-efficient pump, not one or more units at a time, plus it rarely (if ever) has to put out enough to bring a person's level down from double figures. It's certainly not something I'd consider as a matter of course, but then I am fortunate in that the situation hardly ever presents itself where it would be worth doing it.
 
Just nipping in to say that 'leavened' anything has yeast in it.

(Hence pita is unleavened)
 
Interestingly, the DAFNE course I went on involved a LOT of looking at tables similar to this (they tended to do: columns for each hour of the day, a row for CPs eaten and and a row for insulin taken, a row for BGs) and spotting patterns, just like you're doing here. Then a lot of discussion about what you've spotted and what you'd do to improve things, pro-s and con-s of each suggested course of action.

From what people are saying, no-one NEEDS Dafne because there are other ways of getting similar info (this is definitely one of them) but don't rule out a concentrated week of diabetic information being potentially useful for you.

I always assumed, being young and educated and interested in diabetes, that I'd be streaks ahead of other diabetics in my understanding. Certainly some people had arrived with more experience and less ability to digest the info than me. But I learned loads.

The only other point to make is, do chat to your DSN because most local hospitals have a preferred course to send you on: some prefer Dafne and some do their own. All are useful and you may find that choice is limited by your hospital.
If you were desperate for a particular format I'm sure you might be able to get it, but check what's easily available and what your people recommend before deciding.
 
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Id love a half unit pen, I cry out for one, and if I go back to nova rapid, ill be getting one. But im told that there isnt one available for apidra..

Benny, sorry only just catching up with this thread and haven't time to read it all through right now, but I use Apidra in a Humapen Luxura half dose. Works fine. What you have to do when changing cartridge is to screw on a needle before inserting the new cartridge then proceed as normal. After use you can take the needle off as normal and screw a new one on when next you want to inject. Works perfectly! DSN knows I am doing it.
 
Excuse I Mrs E, you need to change your sig - still got Novorapid and that was ages ago! LOL
 
Cyber Trophy for the person who offers me the most revolutionary peice of DAFNE based advice!



The first words on the dafne course (after the introductions) were "eat what you like when you like" It's been hard but I have tried to follow that advice now for 12 months, I will continue to try my best to adhere to that but I'm just not sure I am up to it lol:D




Edited to add: Where do I collect the trophy from?
 
Err me probably but as it isn't registered to me, Trophychap may object.
 
Excuse I Mrs E, you need to change your sig - still got Novorapid and that was ages ago! LOL
Sig duly amended Mrs Wench!
 
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This thread is now closed. Please contact Anna DUK, Ieva DUK or everydayupsanddowns if you would like it re-opened.
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