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<blockquote data-quote="buckmr2" data-source="post: 2182762" data-attributes="member: 39701"><p>I've been T1 for 47 years since age 4 and thought I knew it all until I did a DAFNE course last Dec. in order to get put onto a pump waiting list.Ive also been prescribed Libre for 19 months.</p><p>Most of what is on the course has been mentioned although they go into depth about ketones, DKA, ketone testing if BG go over 15, carb counting, hypo effect over long and short terms ,injection sites and effects on insulin absorbption and much more.</p><p>Also you learn how long the specific basal and bolus insulins you take last for and how to look for trends in yoir BG so you know whether to adjust basal or bolus.Your readings from each day (insulins amounts and carbs you've had) are put on a slide and discussed in the group as to what you've done right and what you have done wrong and advise from the diabetic nurse and diabetic dietician trained in DAFNE as to what you should be adjusting and when.</p><p>It's surprising how much you learn to the point where your own GP if not DAFNE trained can get it wrong!.</p><p>When you get your Libre hack it so you can see how much fast insulin you've got left working.</p><p>On the course they'll tell you how long your insulins last as well as when they peak and when they start working which you'll the be able to hone to you.</p><p>You'll get a comprehensive kit with expert info on dosage adjustment for sick days, exercise , hypo treatment with fast acting carbs and to get BG up and a slice of toast for example to keep levels up over a longer period as the fast acting carbs wear off.</p><p>Also how hypos affect you , hypo awareness.</p><p>There was a table with lots of plastic play foods which groups arrange into fast acting carbs, fats , proteins etc etc</p><p>It's a year since I did my course (took a week off work to do it) and we had a follow up last Feb and I've a follow up next month.</p><p>One thing they do is tell you to inject only when your food is infront of you so you can accurately inject rather than inject before a meal for what you think you're going to have and then you have something else or less or more of it .That's my only issue with the course as if you're having carbs your BG will rise before the insulin kicks in and it can be a couple if hours before you're back in range.In order to keep my Libre I have to be in target >60% and below target <5% of the time. I find it easier to achieve by injecting prior to a meal and as my glucose starts to drop then have the meal.Timed right I can avoid low BG and as the insulin is already working when I eat BG don't rise as much or for as long.</p><p>No doubt I'll be told off for this next month.</p><p>You'll definitely learn a lot no matter how long you've been a diabetic or how much you think you know.</p><p>The pack with carb counting books and flowcharts for sick days and detailed info is handy to have at home to read about and learn from especially if you're ill or virtually any other issue you have with dosage and carbs.</p><p>They also gave out Aviva EXPERT meters which you can't get from pharmacies etc as it has to be set up for you and by the DAFNE nurse and advises dosage with adjustments too.</p><p>The Abbott rep attended and said next year the CGM Libre will be available in the UK as it has been in India for a while now so we don't have to (flash) scan when we want to know our readings.</p><p>Good luck with your course, you'll learn a lot and come out of it with better control and understanding.</p></blockquote><p></p>
[QUOTE="buckmr2, post: 2182762, member: 39701"] I've been T1 for 47 years since age 4 and thought I knew it all until I did a DAFNE course last Dec. in order to get put onto a pump waiting list.Ive also been prescribed Libre for 19 months. Most of what is on the course has been mentioned although they go into depth about ketones, DKA, ketone testing if BG go over 15, carb counting, hypo effect over long and short terms ,injection sites and effects on insulin absorbption and much more. Also you learn how long the specific basal and bolus insulins you take last for and how to look for trends in yoir BG so you know whether to adjust basal or bolus.Your readings from each day (insulins amounts and carbs you've had) are put on a slide and discussed in the group as to what you've done right and what you have done wrong and advise from the diabetic nurse and diabetic dietician trained in DAFNE as to what you should be adjusting and when. It's surprising how much you learn to the point where your own GP if not DAFNE trained can get it wrong!. When you get your Libre hack it so you can see how much fast insulin you've got left working. On the course they'll tell you how long your insulins last as well as when they peak and when they start working which you'll the be able to hone to you. You'll get a comprehensive kit with expert info on dosage adjustment for sick days, exercise , hypo treatment with fast acting carbs and to get BG up and a slice of toast for example to keep levels up over a longer period as the fast acting carbs wear off. Also how hypos affect you , hypo awareness. There was a table with lots of plastic play foods which groups arrange into fast acting carbs, fats , proteins etc etc It's a year since I did my course (took a week off work to do it) and we had a follow up last Feb and I've a follow up next month. One thing they do is tell you to inject only when your food is infront of you so you can accurately inject rather than inject before a meal for what you think you're going to have and then you have something else or less or more of it .That's my only issue with the course as if you're having carbs your BG will rise before the insulin kicks in and it can be a couple if hours before you're back in range.In order to keep my Libre I have to be in target >60% and below target <5% of the time. I find it easier to achieve by injecting prior to a meal and as my glucose starts to drop then have the meal.Timed right I can avoid low BG and as the insulin is already working when I eat BG don't rise as much or for as long. No doubt I'll be told off for this next month. You'll definitely learn a lot no matter how long you've been a diabetic or how much you think you know. The pack with carb counting books and flowcharts for sick days and detailed info is handy to have at home to read about and learn from especially if you're ill or virtually any other issue you have with dosage and carbs. They also gave out Aviva EXPERT meters which you can't get from pharmacies etc as it has to be set up for you and by the DAFNE nurse and advises dosage with adjustments too. The Abbott rep attended and said next year the CGM Libre will be available in the UK as it has been in India for a while now so we don't have to (flash) scan when we want to know our readings. Good luck with your course, you'll learn a lot and come out of it with better control and understanding. [/QUOTE]
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