AZJenks
Member Since 2014
1/8
I had a lot to consider last night about what to do this morning. The topic at hand was how to handle Jenks' recent pattern of rebounding late in the afternoon after dipping under 50 early in the cycle after a night of constantly going down from the previous day's rebound. The goal is to stop the early cycle low which will hopefully have the effect of eliminating or moderating the later cycle numbers.
Options included:
Giving a half dose in the AM. Here, the thought is that the morning lows are not the result of too much insulin, but rather built-up depot momentum. Burn off the momentum with a depot draining cycle, and hope that Jenks gets back to business on a dose that he's shown he can perform well at just within the last week to ten days or so.
OR
Take a quarter unit reduction moving forward. Here, the thought is that repeated trips under 50 indicate he's getting too much insulin. Back off the insulin, stop the trips under 50, stop the bouncing...at least in theory.
Opinions were evenly mixed in yesterdays condo, leaving me with the executive decision. My gut feeling says we're skirting too little insulin as it is, and this post-vacation magic is on shaky ground as it is, so I'm hesitant to do anything to disturb it. Therefore, I want to play it very conservatively.
So after much though, I decided to give a half dose of 3.0U this morning with plans to resume and maintain the 6.25U dose moving forward. If these numbers are driven by momentum, hopefully this drains the depot and taps the brakes on the late night/early morning fall, which would then ideally put a stop to the late afternoon rise.
The risk is that the numbers either blow up in my face today, or he simply picks up and resumes where he left off as if we didn't do a draining cycle at all. In that case, we can move on to a dose reduction, having only lost a couple cycles and some monitoring.
I don't think there's a right and wrong decision here, so I'm taking the cautious path that ultimately lets me do both if needed.
I had a lot to consider last night about what to do this morning. The topic at hand was how to handle Jenks' recent pattern of rebounding late in the afternoon after dipping under 50 early in the cycle after a night of constantly going down from the previous day's rebound. The goal is to stop the early cycle low which will hopefully have the effect of eliminating or moderating the later cycle numbers.
Options included:
Giving a half dose in the AM. Here, the thought is that the morning lows are not the result of too much insulin, but rather built-up depot momentum. Burn off the momentum with a depot draining cycle, and hope that Jenks gets back to business on a dose that he's shown he can perform well at just within the last week to ten days or so.
OR
Take a quarter unit reduction moving forward. Here, the thought is that repeated trips under 50 indicate he's getting too much insulin. Back off the insulin, stop the trips under 50, stop the bouncing...at least in theory.
Opinions were evenly mixed in yesterdays condo, leaving me with the executive decision. My gut feeling says we're skirting too little insulin as it is, and this post-vacation magic is on shaky ground as it is, so I'm hesitant to do anything to disturb it. Therefore, I want to play it very conservatively.
So after much though, I decided to give a half dose of 3.0U this morning with plans to resume and maintain the 6.25U dose moving forward. If these numbers are driven by momentum, hopefully this drains the depot and taps the brakes on the late night/early morning fall, which would then ideally put a stop to the late afternoon rise.
The risk is that the numbers either blow up in my face today, or he simply picks up and resumes where he left off as if we didn't do a draining cycle at all. In that case, we can move on to a dose reduction, having only lost a couple cycles and some monitoring.
I don't think there's a right and wrong decision here, so I'm taking the cautious path that ultimately lets me do both if needed.
