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mum2westiesGill 502 posts

Hi,
Thanks for your reply. It does explain things a bit better for me.

daveyboy DAFNE Graduate
Northampton General Hospitals
4 posts

grandma carol said:

whiskysmum said:
Hi there Daveyboy,
Thank you for your reply. You're very lucky being able to go on a DAFNE course & like you say you've learnt all about the ratios, hypos, tablets etc, maybe you could teach me about this ratio thing and the way it's all written down ie 1:1, 0.5:1, 3:1 etc when i see it all on here on the forums. The book i bought looks excellent if i could maybe learn how to use it and maybe alongside my diabetic specialist nurse who i go to see at my gp surgery. They don't do a dafne course in Warrington & i don't have the time to be travelling miles away to one or to be staying away from home due to family ie hubby, daughter & son. I guess i'll just have to carry on trying to learn from the forums on here.


The 1-1 and 2-1 etc on hear is 1 unit of insulin to what is cauled 1 carb on all the packets of food there is a carbohydrate value like on the bread it will say per 100g and then per slice on the Burgen bread it is 38.5g per 100g and 15.4g per slice divided by 10 so 15.4 is 1.54 so on a 1-1 ratio that would be 1.5 units of Humalog or to the nerast unit so 1 unit or 2 units of insulin.
Ilike you was on a fixed dose for years but now chance depending on what I am eating.I wason 26 units of Lantus at night and with what I was told on DAFNE I am now on 10 units I did not know that I was hypoing through night but now things are a lot better.
I am on a ratio of 2.5-1 1.5-1 and 1-1 and then the Lantus 10 units. Hope that helps a bit but it would be better if you went on DAFNE Rolling Eyes

Hi unfortunatly i am on novarapid and levermir but as i said if you go to the diabetic unit at the hospital near to you and ask about the dahne course they should help or give you the information you require but to go on the course is invalueable

daveyboy DAFNE Graduate
Northampton General Hospitals
4 posts

whiskysmum said:
Hi,
Thanks for your reply. It does explain things a bit better for me.

Hi dave here again do you have a web cam or built in one as it would be easy for me to to explain on skype its free and you can get more done i will try and work out how to send you my charts or email them to you when i can work that out too on amazon there is a book called CARBS & CALS FOR PEOPLE WITH DIBETES BY CHRIS CHEYETTE & YELLO BALOLIA
1 unit of qa can lower bg by 2-3 mmols
1cp can increase bg by 2-3 mmols
10 cps is equal to 1 cp
2 thick sausages is 10 carbs so you need 1 unit of qa

10 carbs is equal to i unit of qa insulin every thing is worked out by carbs but before i done the course i was told to take 14 units at meals no matter what i ate and 24 units of bi at night if you check the carbs on packets you will not be far off

mum2westiesGill 502 posts

Hi Dave,
Yes i have got a built in web cam and i do use skype, Could you not copy and paste your charts then either put them into a word pad or just copy and paste straight into an email. I think we can exchange email adds using the message inboox on the left hand side of here. I ordered the book "CARBS AND CALS FOR PEOPLE WITH DIABETES BY CHRIS CHEYETTE AND YELLO BALOLIA," and it arrived on Friday Very Happy. I am becoming familiar with the fact a 1: 1 ratio means it's 1 unit of QA insulin to every 10 carbs eaten. I had porridge and 1 round of roberts thick sliced bread this morning for breakfast which looking at the photos in the carbs and cals book would be about 37cp (porridge) and 20cp bread = 57cp & i did 6u of QA humalog insulin. I saw my diabetic specialist nurse ( a new one at the gp surgery) on Thursday, she said to alter my insulin to 5-6u QA humalog from 10u, stick to 10u at lunch ( usually a sandwich / crisps / soup but not all three), 12 - 14u at dinner (spag bol, chilli, casserole...) & stick to 34u at bedtime (sometimes have supper sometimes not). Hope me dribbling on makes some sense to you, lol Laughing

novorapidboi26 DAFNE Graduate
NHS Lanarkshire
1,800 posts

Hey............

your carb counting seems to be really good so far with your porridge example..............the next step would be to consider your insulin/carb ratio...............

this is basically how many units of insulin you need to process the DAFNE standard of 1 carb portion (10grams).......

all new DAFNE students start at 1 unit for every 10 grams (1:1)..........then its test, test, test, adjust............

as i mentioned earlier, the best place to go is the Bournemouth website, its pretty much the same, all done at your own pace....then any questions you have can be asked here............have you told your team about your interest in carb counting and your intentions to delve deeper................?

Carolin DAFNE HCP
Sheffield Teaching Hospitals
83 posts

whiskysmum said:
.... You're very lucky being able to go on a DAFNE course & like you say you've learnt all about the ratios, hypos, tablets etc, maybe you could teach me about this ratio thing and the way it's all written down ie 1:1, 0.5:1, 3:1 etc when i see it all on here on the forums. The book i bought looks excellent if i could maybe learn how to use it and maybe alongside my diabetic specialist nurse who i go to see at my gp surgery. They don't do a dafne course in Warrington & i don't have the time to be travelling miles away to one or to be staying away from home due to family ie hubby, daughter & son. I guess i'll just have to carry on trying to learn from the forums on here.



This is another sad example of a service which had trained and set up to deliver DAFNE, but I believe the funding was pulled.
Anyone who feels very strongly that they should be able to access DAFNE locally should if possible try to lobby their PCT; put pressure on the 'commissioners'.
Whiskysmum, I don't know if the nurse you see at your GP practice is actually a Diabetes Specialist Nurse or just a Practice Nurse who's interested in diabetes? There is a big difference in skills. There are nurses and dietitians at the hospital who have been trained in DAFNE and although they are not currently offering courses, they will have the skills required to give you better guidance.
Good luck,
Carolin