? 12/16 Sherlock AMPS 266, +8 163, PMBG 46, +13 95, DOSE ADVICE PLZ

[LexaJoy]

Okay, I have no idea what's going on here and could use some advice. This is our third time in a week that his PM number is too low to shoot, so we're having to skip a shot. The first time, we reduced from 1.5 to 1.25. The second time, I initially thought that maybe it was because my wife mistakenly shot again at 1.5. But here we are again, and I confirmed with her that his last 3 shots were definitely at 1.25, and we're still low again this afternoon.

I don't know what to do. Reduce to 1? Are we doing something wrong? We haven't changed anything else. His diet is the same, his meal times the same. He's not sick. He seems fine. Good appetite, same bathroom habits, still purring and playing with his brother, so. I'm at a loss.

Anyone have thoughts?

ETA: Trying to sort the dose advice for tomorrow. Reduce to 1, stay at 1.25? The wifey will be home all day tomorrow, so there's minimal risk since Sherlock won't be alone.

 

[Barbara & Uncle (GA)]

Hi there, I'm probably not the best person here to answer your question as I am not experienced enough to give dosing advice.
Hopefully someone else will check in soon.
I was looking at Sherlock's spreadsheet and I think because on the 14th he got that 1.5 dose at AMPS, not 1.25. he went very low and then he probably bounced from that.
I'm guessing he cleared the bounce and you ended up getting that 46/38 at PMPS tonight.
Again, no dosing advice here, but hopefully someone can help you figure out what to do before tomorrow morning

 

[LexaJoy]

Hi there, I'm probably not the best person here to answer your question as I am not experienced enough to give dosing advice.
Hopefully someone else will check in soon.
I was looking at Sherlock's spreadsheet and I think because on the 14th he got that 1.5 dose at AMPS, not 1.25. he went very low and then he probably bounced from that.
I'm guessing he cleared the bounce and you ended up getting that 46/38 at PMPS tonight.
Again, no dosing advice here, but hopefully someone can help you figure out what to do before tomorrow morning

Thank you for weighing in anyway! I appreciate any perspective, really. It's all still a learning curve for us and Sherlock's got me all kinds of anxious right now.

 

[Barbara & Uncle (GA)]

Oh, also you could put "need dosing advise" in your post title after your test numbers

 

[Barbara & Uncle (GA)]

Thank you for weighing in anyway! I appreciate any perspective, really. It's all still a learning curve for us and Sherlock's got me all kinds of anxious right now.

Yeah, I remember the stress well. It's a big learning curve too. All the experienced people here really helped me keep it together!
I was using the TR protocol with Uncle. The SLGS method is more conservative, so I'm guessing you may be decreasing the dose tomorrow, but let's see...
Glad to hear Sherlock is feeling good

 

[majandra]

When you draw your syringes, do you have a guide so that it's a consistent dose?
I have either an old syringe with plunger set to compare to, or use a printed "insulin ruler".
There can be variances in the syringe markings.

Eta- do you both use the same injection technique? If the plunger isn't fully depressed when removing needle after injection, 1 drop gets sucked back into needle.

I apologize if these are things you have long since known- just trying to help!

 

[LexaJoy]

When you draw your syringes, do you have a guide so that it's a consistent dose?
I have either an old syringe with plunger set to compare to, or use a printed "insulin ruler".
There can be variances in the syringe markings.

Eta- do you both use the same injection technique? If the plunger isn't fully depressed when removing needle after injection, 1 drop gets sucked back into needle.

I apologize if these are things you have long since known- just trying to help!

We use a little printed guide to compare to when measuring doses. So it's sort of like a ruler, I guess?

I can double check with the wifey about her injection technique. That's something I hadn't considered. It's a good question!

 

[Wendy&Neko]

I would reduce to 1.0 units tomorrow morning. 36 is way too low not to. Looks like you’ve got some pancreatic healing going on.

 

[LexaJoy]

I would reduce to 1.0 units tomorrow morning. 36 is way too low not to. Looks like you’ve got some pancreatic healing going on.

Thank you so much! I was worried that we were doing something wrong and I couldn't make sense of the numbers, and that was just freaking me right out. We'll take the dose down a wee bit again and see where we land.

 

[Sienne and Gabby (GA)]

Wendy is on target! With SLGS, any time Sherlock's numbers drop below 90, you need to consider reducing the dose. You would want to check with us if it looks like there's a back-to-back reduction possible but if numbers are below the threshold for a dose reduction, then drop the dose by 0.25u.