Re: 2/7 Lucian AMPS HI, +4.5/310,+9/HI,PMPS HI
Can you get a mini curve on him tomorrow...get amps (of course), +3, +6, +9, &pmps? I'd like to see if I can figure out exactly where his onset and nadir are, since the nadirs will tells more than the preshots with Lantus. But general rule of thumb is if nadirs are less than 100 you increase by .25, if the nadirs are greater than 200 but less than 300 increase by .25, and if nadirs are greater than 300 raise by .5. But right now we don't know what his true nadir is on this dose. Is it yesterday where he surfed the red? Or is it today where he can drop into the pinks? Or will he show us something completely different tomorrow? Right now it looks like he fits both critria for raising him by .5u. Since yesterday was definitely greater than 300.. ohmygod_smile and so was today's maybe because he could have continued to drop depending on how close to +6 his is, so he could have dipped into the 200s but we don't know.
If he shows us something completely different tomorrow I think if he was mine and I was still figuring out his pattern, I would hold until he reasonably repeats something. Example if tomorrow he starts out without the meter saying Good Morning and has any real tangible number and then drops into the blues or <gasp> the greens even if he goes sky high again by pmps. I think I would be inclined to just sit tight and let him settle some more.As long as he keeps testing negative for ketones. Now the flipside of that is if tomorrow you get up and test him and the meter greets you again and he stays anywhere above 300 then raise by .5 if he dips to the 200s at +6 then go up by .25. But that is just kinda how I figured out which way to go with Autumn, until I figured out her pattern. Like right now she looks really scary, she's up with Lucian on the red floor. :shock: But if she continues to repeat her previous patterns, I'm glad her test strips for her main meter got here today, because she is about to take a dive and earn herself a dose reduction. <anti-jinx>. I seriously expect her either tomorrow or the next day to head for the 40s and earn herself another dose reduction, and she is already on .25u...lol. But that is her pattern, she gets beautiful numbers for awhile on a dose, loves to surf the low blues and greens, then suddenly for no reason she starts creeping up until she soars up to the reds. Then within the next few cycles she'll start coming back down, and keep going down until she gives me a near heart-attack when I test her...lol So with her when I see her keep rising through a cycle and those reds pop up I know to really keep an eye on her with the meter because she is about to take a dive on me, and I want to catch her when she starts and feed her extra small meals once it starts to keep her steady, and then reduce on the next cycle.
You'll eventually be able to see Lucian's pattern and to use a poker term learn his tells...lol Then it becomes easier to distingish if he just isn't getting enough insulin and you need to go up, or he is getting too much and you need to go down. That's the worst part I found in the beginning with testing any of my diabetics, that at first too much insulin and too little insulin can look exactly alike.
Mel, Maxwell, Autumn & The Fur Gang
Maybe he'll surf pink today and get off that HI in the morning. Keeping fingers crossed!