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DAFNE experience - the good and the bad!
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<blockquote data-quote="noblehead" data-source="post: 470976" data-attributes="member: 11028"><p>No I do agree Smidge that DAFNE isn't perfect by any means but you've highlighted quite clearly how your fellow attendees have gained a greater understanding of their diabetes and what effect food has on their bg and how to adjust to prevent this,if this was the only outcome from your course last week than I would have to say it was an overwhelming success for those (with the exception of you) who attended the course, why they didn't know this in the first place could be down to lack of information from their HCP's amongst other things.</p><p></p><p>The 'normal eating' aspect of DAFNE to me implies that no food is out of the question, however does this imply that you should eat cakes and sweets everyday as part of a healthy balanced diet........ no it doesn't and I think page 3 or 5 of the handbook clearly states that healthy eating is an individual choice, however bringing in sweets and cakes sets a bad example and I wholeheartedly agree with you on this point.</p><p></p><p>The not testing bg between meals is a contentious issue and I did bring this up myself when I did my course, we can only know what effect food has on our postprandial bg by testing. The not counting vegetables and such is also wrong too and it all needs to be calculated into the injection dose as do the carbs on the plate, for a 10g snack between meals I would need to inject otherwise my pre-prandial bg would be higher than I'd want it to be. Also not accounting for protein is a mistake, most people will know who have tried to low-carb or occasionally have a no-carb meal will testify that protein and fat raise bg and insulin needs to be taken, this is why when anyone asks on the forum about eating during a basal fasting test I always say to go without food.</p><p></p><p>As for the others eating those pesky potatoes and Chinese food, well I can't say too much as I eat carbs with every meal and eat potatoes, rice, pasta, bread and breakfast cereal (porridge) as part of a healthy diet and wouldn't have it any other way tbh, I really love carbs in my diet and enjoy the fact that I can still eat these foods in moderation and dose adjust and still have good bg control, over the Christmas period I had 2 Chinese takeaways but probably not have one again for a couple of months.</p><p></p><p>Overall I think the DAFNE course is very worthwhile, the 100's of positive posts we have had on the forum over the years from people who have enrolled on it and come away with a new wealth of knowledge speaks volumes. I like you Smidge had been a member on this forum for around 2 years before enrolling but learnt a great deal on the course, especially to do with Basal insulin, exercise and sick-day rules.</p><p></p><p>I don't think this course was ever going to be for you Smidge as a very low-carber and your mind was probably made-up before you attended, but I'm sure it was good to meet and chat with other diabetics.</p></blockquote><p></p>
[QUOTE="noblehead, post: 470976, member: 11028"] No I do agree Smidge that DAFNE isn't perfect by any means but you've highlighted quite clearly how your fellow attendees have gained a greater understanding of their diabetes and what effect food has on their bg and how to adjust to prevent this,if this was the only outcome from your course last week than I would have to say it was an overwhelming success for those (with the exception of you) who attended the course, why they didn't know this in the first place could be down to lack of information from their HCP's amongst other things. The 'normal eating' aspect of DAFNE to me implies that no food is out of the question, however does this imply that you should eat cakes and sweets everyday as part of a healthy balanced diet........ no it doesn't and I think page 3 or 5 of the handbook clearly states that healthy eating is an individual choice, however bringing in sweets and cakes sets a bad example and I wholeheartedly agree with you on this point. The not testing bg between meals is a contentious issue and I did bring this up myself when I did my course, we can only know what effect food has on our postprandial bg by testing. The not counting vegetables and such is also wrong too and it all needs to be calculated into the injection dose as do the carbs on the plate, for a 10g snack between meals I would need to inject otherwise my pre-prandial bg would be higher than I'd want it to be. Also not accounting for protein is a mistake, most people will know who have tried to low-carb or occasionally have a no-carb meal will testify that protein and fat raise bg and insulin needs to be taken, this is why when anyone asks on the forum about eating during a basal fasting test I always say to go without food. As for the others eating those pesky potatoes and Chinese food, well I can't say too much as I eat carbs with every meal and eat potatoes, rice, pasta, bread and breakfast cereal (porridge) as part of a healthy diet and wouldn't have it any other way tbh, I really love carbs in my diet and enjoy the fact that I can still eat these foods in moderation and dose adjust and still have good bg control, over the Christmas period I had 2 Chinese takeaways but probably not have one again for a couple of months. Overall I think the DAFNE course is very worthwhile, the 100's of positive posts we have had on the forum over the years from people who have enrolled on it and come away with a new wealth of knowledge speaks volumes. I like you Smidge had been a member on this forum for around 2 years before enrolling but learnt a great deal on the course, especially to do with Basal insulin, exercise and sick-day rules. I don't think this course was ever going to be for you Smidge as a very low-carber and your mind was probably made-up before you attended, but I'm sure it was good to meet and chat with other diabetics. [/QUOTE]
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