Hello thank you
@Antje77
I did DAFNE last year November 2018, the course consisted of a week. It goes into very detailed ways in managing your diabetes from exercise to insulin profiles and diabetes complications/DKA/hypos/emergency and self care.
First day would be introducing yourself to the group and your team will talk about “what is diabetes?” Differences between type 1 and 2 and different diabetes- mody, late onset type 1, type 3 etc. As the days go on, you’ll be given ratios to work with your carbs, you’ll also do activities for exercise like a 45 min walk with your group to see how insulin affects you. You will also learn how to carb count, weighing it or visualise it with utensils like eat teaspoon of mashed potato is 10g of carbs and using carbs and cals book. You’ll do a group lunch without labels so you’ll need to use the tools you were given to carb count correctly for that meal. You also learn about the 3 main macros - carbs, fat and protein and you will go into detail about how fats affect the absorption of carbs and doing a split bolus. However with DAFNE they won’t let you do a correction until your next meal and they would urge you not to test inbetween meals unless it is needed. So I don’t know how this will respond to getting a libre. With a libre it’ll be interesting to see how your glucose levels are during DAFNE.
I did DAFNE because I was facing hypos and I have had accidents so I asked about a pump. My consultant said in order to be considered was to do DAFNE because it is essential that I must carb count effectively and correctly. A year on, I have been considered for a pump and as for the libre, my consultant prescribed it to me as well. I know a few folks in different CCGs need to be educated to learn how to use the libre correctly and understand the additional data.
, I was apprehensive about going cos I thought 'well what the heck can they tell me that I don't already know' however it was actually really useful and whilst I had the carb counting thing already sorted it was the other bits that helped - namely they helped me sort out my doses, which helped immensely when I changed my fast-acting not long after as I knew how to work it out now.
