Hi Emma
Terri asked me to pop in from lantus land and give you some thoughts on Boo's numbers.
I looked back through your previous threads and didn't find that anyone gave you the following information but I did go quickly so please forgive me if it is repetitive. Also, I know you are a diabetic and I believe you use either lantus or levemir? At any rate, the info below might help you with Boo.
Lantus and Levemir are long-acting depot insulins. Through different mechanisms, the insulin is slowly released over time. Each shot you give builds upon the previous one. For this reason, it is important to try and maintain as much consistency as possible. I know this is a very hectic time for you and you have to keep Boo safe. Smart choice because keeping him safe, even though his BG might go up for a few cycles, is most important. Now that just about all the graduation excitement (congrats to your daughter) is finished, then we can see what consistency will do for Boo.
One of the things that helps us determine what is a good dose for Boo is spot checks. You don't have to test every two hours and do a curve. Besides the pre shots (PS) which you get every single time, one cycle try to do a +2 and +6 and the next do a +3 and +7, etc. Of course, if he's running lower, you'll need to test more often. Try to get the spot checks for a few daytime cycles. At night, please try to get at least a +2 test and then a before bed test. If he's dropping, I would encourage you to set an alarm and get up to test later depending on how fast he's dropping. I know this is difficult; most of us deal with being tired from having to occasionally do nightime testing but we just won't know on the dose without a few tests. Do the best you can.
The 1u dose looks like it might have the potential to be a good dose for him but we'll need more tests to determine if it's good for him (he got down to 80 which is a great number) or if it's a tad too much.
His numbers went up so high last night because you started draining the depot with the 0.5u shot on the evening of 5/23 and then the skipped shot on the a.m. of 5/24 (wise decision to skip given your need to leave). There could also be some bounce in there because we don't know how low he went the evening of 5/23. Something to keep in mind is that because of the depot, if you reduce a dose temporarily as you did the evening of 5/23, the cycle might play out the same way as if you had shot a full dose. He definitely came down that night into lower numbers because he was at 80 the next morning. Did he go lower? We don't know.
Now you have to refill that depot with the 1u dose. And if he's bouncing, too, we have to let the bounce clear. AND, when you increase a dose back up, you can also get some
New Dose Wonkiness. This is where we put on some patience pants and see what the dose will do. If he goes below 50, you need to reduce the dose down to 0.75u.
If you are not able to do the extra tests, it might be wise to consider dropping the dose to keep him safe since we have no idea how low he gets. Bouncing can be triggered by fast drops or lower numbers than his liver is used to; they don't have to be dangerously low but just lower.
Does that help and do you have other questions? I'll be around today and can check in to see how it's going.
