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can some one help ??

Discussion in 'Ask A Question' started by lauren_gee_x, Aug 11, 2011.

  1. lauren_gee_x

    lauren_gee_x · Well-Known Member

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    Hi everyone been a member for ages bt dont post very often.

    I have an appointment next week to see about changing over to 4 injections a day. Im looking for other peoples experiences with this also does anyone use natritional scales for counting the calories and is it really hard ??

    If anyone hs any advice it will be greatfully appreciated :Dxx
     
  2. jones_48

    jones_48 Type 1 · Well-Known Member

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    Hi Lauren, how many injections are you currently on? i have been on 4 injections a day now for about 7 years and think it's really good as you can control the amount of insulin you require for each individual meal :) I started off on 2 injections a day but didnt have very good control! I'm afraid i don't use nutritional scales, though i probably should! :) xx
     
  3. lauren_gee_x

    lauren_gee_x · Well-Known Member

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    hi jones im on 2 injections a day been like this for about 15 years. Ive been on the same dosage for 3 years now so its going to be a big change. How do you know how many units to use ?xx
     
  4. Riri

    Riri Type 1 · Well-Known Member

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    Hia,
    I switched to 4 injections from 2 some 10 years ago and to me personally it has offered much more flexibility. I use the carb and cals book to count my carbs, or the nutrional advice on the back of packets, and I just weigh things then on a small digital scale. I didn't get on with the nutriscales myself as the brand I bought wasn't accurate enough. When I'm out and about I've got Carbs and Cals as an app on my I-phone and then I just use the pictures to gauge the carbs I'm eating. I was given a smart new meter recently and once you've worked out your carb/food ratios during the day it works out your insulin from the carbs you enter at each meal.
    My diabetes has mis-behaved over the last 6-8 months however (a lot of stress last year I believe has played a big part in this) so I'm having a pump fitted in October. Don't be scared of the 4 injections and all the best.
     
  5. lauren_gee_x

    lauren_gee_x · Well-Known Member

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    hi riri thanks for answering. are those books available from amazon etc? what meter is it you know use ??
    brill to kow about the iphone app new ohone next months myte swinging towards an iphone now lol. Its quite a daunting things as we very rarely eat packet foods or the same thing twice as my dads an adventurous cook lol and is always making recipes up xx
     
  6. Riri

    Riri Type 1 · Well-Known Member

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    Hello again - the meter is an accu-check aviva expert. I bought the book from amazon but got another free copy from my nurse, via Roche, when I had my new meter so I keep a copy in work now. I tend to do a lot of cooking too but if I've made a curry or chilli and just want a pitta bread as my carbs that's when I refer to the packaging. I tend to have my carbs as an addition to the meal, rather than in things, as it's easier to measure then. For me, pasta is the most difficult thing to handle as my blood sugars go a bit haywire with it. I'm better with rice, potatoes and brown bread. Cheers riri
     
  7. jones_48

    jones_48 Type 1 · Well-Known Member

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    Hi again, i mainly look at what i'm going to eat and am able to estimate the number of units i need. My doctor tried to get me to count carbs and use a carb:insulin ratio but my Hba1C was better when just kind of 'guessing'. This might not work for everyone so i'm not going to recommend it! and thanks Riri, i did not realise there are such apps out there :) Though it may be more effort to inject 4 times a day, you should gain much better control :D x
     
  8. noblehead

    noblehead Type 1 · Guru
    Retired Moderator

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    Lauren,

    Changing from the 2 injections to the basal/bolus regime was a big step forward in my diabetes control, although back then I was still estimating the carb content in my food it still helped to improve things and result in more pleasing Hba1c results.

    Once you make the change over you'll be eligible to enroll on a carb counting course such as DAFNE, here you'll learn about matching your insulin to the carbs in your food which gives you a greater flexibility rather than before on fixed doses, the course also covers other issues to do with living everyday with type 1 diabetes..... so if you get the chance to go on one then take it!

    The only draw back on a basal/bolus regime is of course the increase in injections, you'll also find you may have to test more than you did on the 2 injections.

    Nigel
     
  9. Margi

    Margi · Well-Known Member

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    As Noblehead says, a DAFNE course will help you sort it all out. Ask your doctor/nurse for some education right at the beginning so you know how to sort it out. It is so much easier to use carb counting to work out how much insulin to have for each meal. You really only need to count the carbs: calories etc are not relevant to insulin, only to general health.

    Some of the advantages of your new regime are: you can eat whenever you like; you can miss meals (but be careful and test just to make sure you are safe); you can eat more sweet things if you feel like it and inject for them, just as your body would produce its own insulin for them if it still could. (not, of course, that I'm recommending that, but... :wink: )

    The drawbacks: it's a bit more of a nuisance with a couple more injections and some extra testing, especially while you are learning what does what to your blood sugars.

    I went onto a basal/bolus regime about 27 years ago when I was first pregnant, so I don't know what my control was like in the 8 years before that as there was no blood testing available before then. I got some test strips with that pregnancy and never looked back. The system is so much more flexible than a fixed dose twice a day that restricts your mealtimes and amounts. I'd say, go for it. It's worth getting through the unknown bit at the beginning for the advantages of flexibility once you have learnt more about it.
     
  10. lauren_gee_x

    lauren_gee_x · Well-Known Member

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    Hi everyone thanks so much for answering. I've looked at the dafne courses and my health board isn't on the list of places that do it :( does any one think I'l be able to contact my health board about getting on it as I feel that I will need it. Im pretty sure I wont be able to cope on this with out as much help as I can and feel the course would do me a lot of good :)

    Thanks for all the advice I hope I get there in the end xx
     
  11. RussG

    RussG · Well-Known Member

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    Hi Lauren,

    The health board may run their own version of DAFNE, so you may be able to ask for that. I'm not sure how it works where you are, but you should be able to ask to be referred to your nearest DAFNE, wherever that is. I would have a word with your diabetes specialist nurse and see if they can help.
     
  12. lauren_gee_x

    lauren_gee_x · Well-Known Member

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    hi russ,

    I hope they do offer a similar course as the nearest place is quite far away and I wouldnt be able to get there.
     
  13. catherinecherub

    catherinecherub · Guest

  14. Ricey

    Ricey · Active Member

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    I do a multiple injections a day as well and I can't say enough good things about the book "Carbs and cals". You can also get a carbs and cals app for your phone so you don't have to carry the book around everywhere
     
  15. lauren_gee_x

    lauren_gee_x · Well-Known Member

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    hi ricey can you tell me the name of the app ? im getting a new fone soon so would like to know if its on android aswell as iphone. thanks in advance
     
  16. Spearmint

    Spearmint · Well-Known Member

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    My daughter was changed from the twice daily to five daily injections back in June.
    I did the online course that Catherine has posted a link for and it was a huge help in understanding it more and working out what to change.
    I have also had a lot of help from people on here with adjusting the doses and ratios so please ask for help on here if you need it as there are so many experienced, helpful, friendly people here.
    I also bought the 'cals and carbs' book mentioned above to help make guesswork more accurate when eating out. I 'think' i comes as an app for phones but only iphone and android, mine is symbian :(
     
  17. Ricey

    Ricey · Active Member

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    I'm on my reassessment week so I haven't had very long to look into it but the only phone I've seen with this app has been the iphone :/ If it's available on any other android I'll post in here as I know.
     
  18. lauren_gee_x

    lauren_gee_x · Well-Known Member

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    hi thnks even if u give me the name il search for it myself
     
  19. RussG

    RussG · Well-Known Member

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    It's called 'carbs and cals'. £3.99 on the iPhone but if you have a Bayer meter I think you can get it free if you have enough meter packet tops.
     
  20. Ricey

    Ricey · Active Member

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    Sorry I didn't reply sooner but it's as RussG says. You can't get in on android unfortunately. I didn't see any about the Bayer meter though. Sorry again
     
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