Re: 5/5 Merlin AMPS 381
Thanks for all the "good lucks" this morning.
I dropped off the spreadsheet and list of foods with all the %'s (protein, carb, phos dm, etc.). He said the list that I had highlighted is good (I highlighted about ten of them that had low carb, somewhat medium protein i.e. 30's-40's, and low phos dm). He told me to aim for 25% (give or take) in protein, low carbs (of course) and no more than 2% in phosphorous. So basically what I have been feeding Merlin has been just fine.
Regarding the insulin dose, I suggested a .2U increase and he suggested a .5U increase. I then suggested a compromise of .4U since the conversion table for the U40 to U100 syringes only was good in increments of .2. He agreed. Regardless, he would like for the doses to be consistent all week again and for me to do another BG curve next Monday. I asked if I should change the dose to 1U if I should get mid 200's for pre-shot and he said that I should continue to give 1.4U. He said that he wants to see consistency so Merlin isn't bouncing and felt that we accomplished it this week with the 1U but should increase so we can try to get the numbers lower and no bounce.
Depending how this next week of test goes, he then would like to test his kidneys again to see if there are any improvements so he can get in there to clean his teeth. Also he would like to see a fructosamine test done possibly after a couple more weeks.
I really like the fact that I can send him the information, he then calls me with his input; hence no office visit for Merlin. So that is the update.