Re: [IPk] DAFNE training
As you are assessing carbohydrate at the moment: what do you eat for
each meal? And what do you inject? That gives you your carb-insulin
ratio: how much carbohydrate gets covered by one unit of insulin (don't
worry if this is a different figure at different times of the day - it
varies in some people).
You may (very laudibly) want to eat the same carb at each meal so as to
keep everything as steady as possible, but you may also wish to know how
much to inject if you HAVE for some reason to change the amount.
You do learn other things on DAFNE apart from this (and seeing as you've
just learned it, you may wonder why you need DAFNE!). Amazingly, 100s of
diabetics have never been taught to count carbohydrate, so they've got
all that catching up to do. Some need their confidence-as-
mathemeticians building, and others their confidence-as-diabetics. Then
also (and this is the bit which will be good for you, probably - unlike
the rest), you will learn about the effects of exercise on the body,
sickness, adjusting basal insulins and so on.
The situation isn't catch 22, it's just that you have an ignorant DSN
who thinks that DAFNE is some kind of reward for "good diabetics" and
not a management tool for all diabetics. If the consultant said he
thinks you should consider a pump, and first you should go on DAFNE,
then the next thing to do is go on DAFNE. Go back to him (or rather,
ring up his secretary) and ask 'how do I go on DAFNE?'
dm 30+, pumper 4+, carb counter 30+, wondering why E-DAFNE hasn't been
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