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<blockquote data-quote="Snodger" data-source="post: 312657" data-attributes="member: 27045"><p>Phoenix - I know, I have always used basal/bolus and I find it hard to imagine how you'd make it work on the other regime, but I suppose lots of the principles still stand. Carb counting's still going to be really useful, understanding the length of action of insulin and how it works is going to be really useful, learning not to over-treat hypos, learning all the stuff about annual review, etc. You'd have to allow for the fact that you are still going to have relatively inflexible amounts of carbs once you've taken your injection and you can't tailor your jab to your carbs, but still good to know how it all works in your body, even if it's less flexible.</p><p></p><p>Anyway the big studies that gave rise to DAFNE were done with the majority of the participants on 2 jabs a day - this is one of the references, but they don't go into detail about HOW they did it, they just say that they did it:</p><p>MÜHLHAUSER, I., JÖRGENS, V., BERGER, M., GRANINGER, W., GÜRTLER, W., HORNKE, L., KUNZ, A., SCHERNTHANER, G., SCHOLZ, V. & VOSS, H. 1983. Bicentric evaluation of a teaching and treatment programme for type 1 (insulin-dependent) diabetic patients: improvement of metabolic control and other measures of diabetes care for up to 22 months. Diabetologia, 25, 470-476.</p><p></p><p>in my research I spoke to some of the people who brought it to the UK and they confirmed that they originally based DAFNE almost totally on this model, just adapted it for UK foods (interestingly, the only thing they added was the healthy eating section. The Germans didn't have that).</p></blockquote><p></p>
[QUOTE="Snodger, post: 312657, member: 27045"] Phoenix - I know, I have always used basal/bolus and I find it hard to imagine how you'd make it work on the other regime, but I suppose lots of the principles still stand. Carb counting's still going to be really useful, understanding the length of action of insulin and how it works is going to be really useful, learning not to over-treat hypos, learning all the stuff about annual review, etc. You'd have to allow for the fact that you are still going to have relatively inflexible amounts of carbs once you've taken your injection and you can't tailor your jab to your carbs, but still good to know how it all works in your body, even if it's less flexible. Anyway the big studies that gave rise to DAFNE were done with the majority of the participants on 2 jabs a day - this is one of the references, but they don't go into detail about HOW they did it, they just say that they did it: MÜHLHAUSER, I., JÖRGENS, V., BERGER, M., GRANINGER, W., GÜRTLER, W., HORNKE, L., KUNZ, A., SCHERNTHANER, G., SCHOLZ, V. & VOSS, H. 1983. Bicentric evaluation of a teaching and treatment programme for type 1 (insulin-dependent) diabetic patients: improvement of metabolic control and other measures of diabetes care for up to 22 months. Diabetologia, 25, 470-476. in my research I spoke to some of the people who brought it to the UK and they confirmed that they originally based DAFNE almost totally on this model, just adapted it for UK foods (interestingly, the only thing they added was the healthy eating section. The Germans didn't have that). [/QUOTE]
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