Hi there !
Congrats on shooting that (195) ! Good call.
One thing that helped me was getting some test before my next test was due and an hour after I gave a shot. With the +10 and/or the +1 information, I was able to see that my cat typically was on his way up towards shot time and even continued to rise after his PMPS time. This made it earlier to shoot numbers that were above ( 150) , but were new and a bit unexpected for me.
Becoming Data Ready:
Are you data ready to handle a lower preshot number?
Everyone focuses on the +6 spot check to find the cat’s nadir, but there is a reason to collect data in the very early and very late part of the cycle. The +10s and +11s and +1s and +2s are often the “neglected spot checks,” but they can be almost as important as the nadir.
Why the +1s and +2s? Let’s say you have a lower than usual preshot. If you have collected the data to know what usually happens after you shoot and how long it usually takes for the insulin to start having an effect (onset), you may see that shooting low is actually very safe for your cat. If your cat typically rises through +1 and +2 before the insulin starts to work between +2 and +3, then you can feel comfortable knowing that your cat will actually be much higher before the insulin starts to work. If your cat typically has little to no food spike or an early onset, then you may need to be more conservative with low preshots.
You are not shooting the number your cat is at now – you are shooting the number your cat will be at when the insulin kicks in. You need to know what that number will be. You are then using the lag time (aka
overlap and
carryover) to your advantage. It is important to note that while Levemir may typically have a later onset than Lantus or Basaglar, that is not true for every cat. Know thy cat.
Why the +10s and +11s? These spot checks will help keep you out of trouble. Again, let’s say that you have a lower than usual preshot. If your preshot is higher than +10 or +11, you know the insulin from that cycle is waning, the cat is on his way up, and the number is probably shootable. If you have a preshot that is much lower than your +10 or +11, knowing why will help you decide whether or not to shoot. Some Lantus, Basaglar, and Levemir users notice a dip at the end of the cycle, meaning that the preshot is always a bit lower than +10 or +11 (but usually still higher than the nadir – the cat dips to a nadir at mid-cycle, then rises, then dips again). If this is your cat’s pattern, then this type of dip is not a reason to delay a shot. On the other hand, if your cat has a bounce clearing and is still careening downhill at shot time (usually characterized by numbers that drop for the whole cycle, without a clear nadir), then you will want to take that into consideration as you make a decision about shooting. Know thy cat.
You'll learn how to read the data trends and see where Hendrix looks like he is headed. Keep asking questions.