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<blockquote data-quote="phoenix" data-source="post: 401978" data-attributes="member: 12578"><p>You are happy with your method. I would hate to use it, I'm not quite sure how I would get on nibbling rye bread throughout a 10 mile run and can think of lots of places where that would prove very difficult. (incidently, not all varieties of rye bread are low GI)</p><p></p><p>I don't live in the UK and haven't done DAFNE, I do dose adjust according to my food intake, exercise etc. There are a number of testimonies to DAFNE on this thread.</p><p><a href="http://www.diabetes.co.uk/diabetes-forum/viewtopic.php?f=19&t=26523" target="_blank">viewtopic.php?f=19&t=26523</a></p><p></p><p> Your practice of not taking any insulin overnight works for you fine. However, for many people this practice would be foolhardy and for some dangerous. Most people need some insulin overnight. One of the potential problems with an insulin pump (fortunately very rare) is a malfunction causing no insulin to be delivered over night. Some particularly young people but also people whose livers produce pronounce large amounts of glucose overnight can start to develop DKA after as little as 5 hours without insulin (there were several accounts of this happening in the early days of insulin pumps)</p><p></p><p>People who are not on pumps use basal insulins (normally levemir or lantus, less frequently NPH) which they learn to adjust according to their own needs.</p><p>Ideally this should result in a fairly flat profile overnight with no more than a 2mmol/l difference.</p><p> Using a pump I can go to bed with a level and wake up at very much the same level.Last night I went to bed at 5.4 and woke up at 5,6. I can do this through a mixture of my own metabolism (that's the luck bit and important) but also because of knowledge about what my levels do overnight . I know this through testing and the occasional use of a cgms . I have also learnt how to use insulin effectively. </p><p>This book was extremely useful: <a href="http://www.amazon.co.uk/Think-Like-Pancreas-Gary-Scheiner/dp/0738215147" target="_blank">http://www.amazon.co.uk/Think-Like-Panc ... 0738215147</a></p><p>Have you read it?</p><p></p><p>Lastly, you may have found that Novo lasts in your body for 8 hours, I think that's unusual. I've uploaded a graph of the normally accepted times for insulin action.</p></blockquote><p></p>
[QUOTE="phoenix, post: 401978, member: 12578"] You are happy with your method. I would hate to use it, I'm not quite sure how I would get on nibbling rye bread throughout a 10 mile run and can think of lots of places where that would prove very difficult. (incidently, not all varieties of rye bread are low GI) I don't live in the UK and haven't done DAFNE, I do dose adjust according to my food intake, exercise etc. There are a number of testimonies to DAFNE on this thread. [url=http://www.diabetes.co.uk/diabetes-forum/viewtopic.php?f=19&t=26523]viewtopic.php?f=19&t=26523[/url] Your practice of not taking any insulin overnight works for you fine. However, for many people this practice would be foolhardy and for some dangerous. Most people need some insulin overnight. One of the potential problems with an insulin pump (fortunately very rare) is a malfunction causing no insulin to be delivered over night. Some particularly young people but also people whose livers produce pronounce large amounts of glucose overnight can start to develop DKA after as little as 5 hours without insulin (there were several accounts of this happening in the early days of insulin pumps) People who are not on pumps use basal insulins (normally levemir or lantus, less frequently NPH) which they learn to adjust according to their own needs. Ideally this should result in a fairly flat profile overnight with no more than a 2mmol/l difference. Using a pump I can go to bed with a level and wake up at very much the same level.Last night I went to bed at 5.4 and woke up at 5,6. I can do this through a mixture of my own metabolism (that's the luck bit and important) but also because of knowledge about what my levels do overnight . I know this through testing and the occasional use of a cgms . I have also learnt how to use insulin effectively. This book was extremely useful: [url=http://www.amazon.co.uk/Think-Like-Pancreas-Gary-Scheiner/dp/0738215147]http://www.amazon.co.uk/Think-Like-Panc ... 0738215147[/url] Have you read it? Lastly, you may have found that Novo lasts in your body for 8 hours, I think that's unusual. I've uploaded a graph of the normally accepted times for insulin action. [/QUOTE]
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