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From the fact that you are hypoing- you certainly need some carbs of some description prior to excercise. If you decide to start excercsing for longer periods you may need to snack more or reduce insulin in the hours following excercise also. Interesting that you had to split glargine. Most...

I notice that you are on fixed doses of novorapid- do you eat set amounts of carbohydrate at each meal ?. Your high evening readings may be due to levemir running out, but could also be related to variable carb intake - if this is the case - you need to work out ratios and adjust novorapid...

Some people find that once daily works fine for them. Interestingly I was advised to take it twice daily from the very beginning- I tend to often eat quite late and levemir can fade well before 24 hours is up- so it was felt that twice daily would be better as there would be no gap when both...

Toby this website is well worth having a look at- the content is very similar to DAFNE: http://www.bdec-e-learning.com Teaches you to carb count and adjust insulin.Also teaches about adjusting insulin for excercise You have to register and get a password to access the site then clickn on a...

I can only re inforce what others have said- you shouldn't have to sit at 15 to 16 mmol/L half of the afternoon. Levemir may be a better option for you as a basal insulin- you see the effects of dose adjustment more quickly- also many people take it twice daily as it often runs out before 24...

"he doctors won't really care one way or the other if we don't help ourselves. Its not their life, its not their body" There are some very committed caring doctors in both General Practice and Diabetes- who actually delight in helping patients to achieve better control, or at least seeing the...

"Blood glucose doesn't just manufacture itself - it is a direct reflection of what you eat and it sounds like you are eating food that will drive your sugar levels far too high. Just what did you have to eat that can have resulted in such a high level?" Remeber that blood glucose can reach...

why can I not type l.o.c.u.m. ?

lospam should read lospam- not sure where that came from- must still be recovering from the hypo I had 3o mins ago. Oh well - just goes to show the 45 min advice is probably right- can;t even be trusted with a keyboard

It's difficult this diabetes business. Working in a single handed practice (although only one day per week on a lospam basis) I worry about going hypo and having to do an emergency visit. The clinic that I work in are actually advising patients to refrain from driving for 45 minutes after a mild...

I saw osteomyelitis as an approved condition for treatment with hyperbaric oxygen- can it actually help neuropathy as well? I am attending the annual professional DUK conference next month- will be interesting to see developments in footcare Wishing you all the best. Also wondering why you...

If you are looking for low carb- some people substitute ground almonds or soya flour. I have reservations about very low carb but it might be worth putting "bernstein" and "diabetes" into a search engine to find the "diabetes solutions" website. Bernstein is an American diabetes physician who...

if the colour is really black and tar like rather than just a very dark brown, please see your GP as it could be indicative of a bleed from your stomach or small intestine

I would contest that weight gain after DAFNE is amost universal. It would be interesting to see statistics, but I have heard plenty of anecdotes of people gaining the confidence to adjust doses so they can eat less and also reduce doses for excercise rather than dealing with excercise by eating...

The carb debate is an interesting one. I can see the logic behind eating lower carb if you are struggling with control or even very low carb if weight is a problem- but very low carb may result in less glycogen and increased possibility of a very serious hypo. Also there have been cases of...

You need to be aware that starchy as well as sweet foods raise blood glucose. But a child certainly needs a reasonable quantity of carbs for energy. As already mentioned you need to ensure tha carbs and the insulin balance. Severely restricting carbs would be more appropriate for adults but only...

I agree with you Sarah- absolute negligence to expect patients to take insulin without being at least offered instruction in carb counting, and its benefits. And now- with the availability of glucose monitoring- negligence to refuse to allow people a reasonable number of strips- to monitor pre...

Try looking at how diabetes is managed in hospitals and whether patients who are capable of doing so are positively encouraged to self manage rather than having to fight to do so

DAFNE is great. But it is the sort of information that should be dripfed from diagnosis rather than sometihng that people have to wait for, for an incredibly long time. It is not as revolutionary as many people make out- A similar approach was available in Dusseldorf in the early 1980s, whereas...

Are you on a basal bolus regimen ie longacting insulin once ( or occasionally twice daily) and Rapid acting insulin before meals. If your basal insulin is properly titrated ie keeps you reasonabley level between meals and at night, then the amount of rapid acting insulin should be in proportion...