2/2 Chip AMPS 319 +9 233 no bolus PMPS 196 +3 182 +9 127

[Dale 'n' Chip]

Looks like Chips Levemir curve may be on the downswing so I skipped the bolus of N this cycle.

I believe I will limit the NPH to cycles pink and rising, or pink/above and flat.

Chip's 2/1

 

[Wendy&Tiggy(GA)]

Re: 2/2 Chip AMPS 319 +6 321 +9 233 no bolus

So how does this bolus thingy work? Aren't you waiting to see the impact of the clavamox first?

 

[Dale 'n' Chip]

Re: 2/2 Chip AMPS 319 +6 321 +9 233 no bolus

The bolus is kind of a temporary quick fix of shorter acting insulin to nudge down high flat numbers while you get the depot insulin up to speed.

Really more of a Levemir trick. For Chip the NPH bolus was apparently able to bump half of a nasty 48 hour pink/red bounce down to yellow. Not too shabby for a few extra syringes and test strips. I already had the Humulin N on hand.

The clavamox was more like a shotgun in the dark, since a culture and sensitivity wasn't in the budget. No outward signs of infection, just the unusual high numbers.

 

[Marje and Gracie]

Re: 2/2 Chip AMPS 319 +6 321 +9 233 no bolus PMPS 196

With the duration of it, it takes skill to know when to give N. you don't want the nadir from N overlapping with the nadir from R. It is a good use to give it as the bounce starts if you see a very rapid rise. It can keep it from getting out of control.

Very nice Chip!

 

[Dale 'n' Chip]

Re: 2/2 Chip AMPS 319 +6 321 +9 233 no bolus PMPS 196

I wouldn't have had the nerve to bolus NPH without supervision from Libby.

I'd been watching Jill bolus R with Levemir for Alex so I knew what to expect. Libby mapped the possible NPH shot times for Chip.

I'm pleased with the results and will continue to bolus when the situation warrants. :smile: