- Messages
- 98
- Type of diabetes
- Type 1
- Treatment type
- Insulin
An elderly relative is a T1 diabetic and will soon be going into a care home. Their diabetes is controlled by a basal dose plus rapid acting for carbohydrates (DAFNE) and corrections, administered by the family as they're no longer able to manage themselves. Since the consultant instigated this, there have been far fewer hypos and dosage has been adjusted to meals and appetite rather than the other way round. So we're all pleased with how this is working.
The local care homes rely on a diabetic nurse, who after some discussion with us has provided a stock protocol which says dose a flat 4iu rapid acting before breakfast, lunch and dinner; if BG at these three times is over 18mmol/L, add 1iu; if over 20mmol/L add 2iu.
This is obviously nothing like his care team intended, or what's been happening.
Has anybody else had any experience of similar situations, and how was it handled?
The local care homes rely on a diabetic nurse, who after some discussion with us has provided a stock protocol which says dose a flat 4iu rapid acting before breakfast, lunch and dinner; if BG at these three times is over 18mmol/L, add 1iu; if over 20mmol/L add 2iu.
This is obviously nothing like his care team intended, or what's been happening.
Has anybody else had any experience of similar situations, and how was it handled?