Dose Adjustment for Normal Eating (DAFNE)
Dose Adjustment For Normal Eating (DAFNE) is a structured diabetes education programme .It is a group education programme for people living with Type 1 Diabetes (T1DM). The programme is delivered over 5 days (Monday to Friday) to a group of 6-8 people with T1DM. The course is delivered by a doctor, diabetes specialist nurse and diabetes specialist dieticians.
Aims of the course:
To help people with Type 1 diabetes eat what they want.
To adjust their insulin to their lifestyles and not the other way around
To improve blood glucose levels, potentially reducing the risk of diabetic complications without any increase in severe hypos or low blood sugars.
DAFNE course covers:
What is diabetes?
Carbohydrate counting and glycaemic index
Insulin action, injection technique and injection equipment
Blood sugar testing and meters
Hypoglycaemia (low blood sugar) treatment
Hyperglycaemia (high blood sugar) treatment :
Eating out and alcohol
Illness and sick day rules
Pregnancy, if appropriate (with doctors approval)
DAFNE insulin regimen ( 4 – 5 insulin injections per day)
Long-acting/background insulin once or twice a day (morning and evening)
Quick-acting insulin with carbohydrate containing meals and snacks
People who might benefit from attending a DAFNE course:
Type 1 diabetes for at least 6 months (or post the ‘honeymoon’ phase)
Motivated to improve diabetes control
Need for flexibility of eating / insulin regimen
Willing to inject insulin 4 - 5 times a day
Willing to test blood glucose levels 4 - 5 times per day (this excludes additional tests required when driving, hypo or unwell as part of good diabetes management)
Able to speak / understand English or bahasa malaysia
Willing/Able to attend the full 5 day course (course either over 1 week: Mon – Fri or over 5 weeks: 1 day per week) or duration can be discussed with dr in charge
Willing/Able to partake in the education in a group setting
The DAFNE programme it fulfils all the Department of Health’s guidelines on delivering high quality structured education and was mentioned in the National Institute of Clinical Excellence’s guidance on structured diabetes education.