01/11 Bubba - dosing advice, hold or increase?

bubbasmom (GA)

Member Since 2022
Hello

Bubba re-started lantus 1.5U on Jan 5. Today Jan 11 is day 7.

I'm doing a curve today; unfortunately he's running high today for some reason - no change to diet or any external factor that would cause it to go high and the dose this morning went in.

Please have a look at his spreadsheet.

I would like advice on:
  • should I increase his dose by 0.25U to 1.75U lantus tomorrow/day 8; or
  • whether I should hold the current 1.5U lantus dose for 3 more days (since it takes 5-10 days anyways for the lantus depot to build), and then increase by 0.25U
  • or....? whatever anyone else may suggest

Thank you!

https://docs.google.com/spreadsheets/d/1lqTm8ESOUq93x2dFowG7w0WzXaJyPElWAqgnr8B9Tys/edit?usp=sharing
 
Hello

Bubba re-started lantus 1.5U on Jan 5. Today Jan 11 is day 7.

I'm doing a curve today; unfortunately he's running high today for some reason - no change to diet or any external factor that would cause it to go high and the dose this morning went in.

Please have a look at his spreadsheet.

I would like advice on:
  • should I increase his dose by 0.25U to 1.75U lantus tomorrow/day 8; or
  • whether I should hold the current 1.5U lantus dose for 3 more days (since it takes 5-10 days anyways for the lantus depot to build), and then increase by 0.25U
  • or....? whatever anyone else may suggest

Thank you!

https://docs.google.com/spreadsheets/d/1lqTm8ESOUq93x2dFowG7w0WzXaJyPElWAqgnr8B9Tys/edit?usp=sharing

Tagging some members for you

@tiffmaxee

@Bron and Sheba (GA)

@Suzanne & Darcy
 
It takes a week for the initial Lantus depot to build. He looks good for an increase to 1.75U tomorrow. Do you think you can follow TR till you get him to a good dose? You can increase faster. I think he is not eating any dry food, right?

Thanks for your response. I will have to review the TR regime again to see if I can follow it; I'm a shift worker so will see how the TR protocol fits in with my schedule.

He does not eat any dry food; raw only, and freeze dried/dehydrated salmon treats and steamed salmon occasionally as a treat.
 
I will have to review the TR regime again to see if I can follow it; I'm a shift worker so will see how the TR protocol fits in with my schedule.
With TR, you need to get one test mid-cycle in addition to preshot tests. You might want to follow it only till you get to a good dose. You can always to switch back to SLGS if you find TR is too much with your schedule. The benefit of TR is that you can increase the dose faster and not wait a week.
 
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