9/17 Dweezil AMPS in the blues but then...

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monty_dweezil (GA)

Member Since 2014
Well...huge enormous bounce I guess? No real lowering all day or tonight, same as yesterday when he was high all day.

Except yesterday his PM dose dropped him like a sack of low carb potatoes, whereas tonight...nothing much is budging at all.
 
Yesterday
From yesterday's thread:
Is there any logic to the question of whether if a full dose of 1.5 units can drop a pre-shot BG from red numbers to green in 3 hours, what on earth would it do to a a pre-shot BG in the low blues? Send the BG into minus numbers!?
If you have a cycle that starts as a bounce is clearing you could very well see a drop from red to green in 3 hours. Remember, Lantus is slow acting. The highs of a bounce are the result of the counter regulatory system dumping hormones that raise BG. How much will be dumped and how long their effects will continue is unknown. At the same time, underneath all that, your Lantus dose is doing its usual slow and steady thing although it does not appear that way due to the bounce. When the counter regulatory system has raised the BG back up to a level it feels is safe it simmers down and stops (until the next time) We can't know how high a bounce will go, or how long it may last or for that matter even if there will be another in the future. These are unknown variables. Should the end of a bounce coincide with Lantus onset the effect can be a dramatic drop in BG. The moral of this story is you must consider the role the end of a bounce may have played in any steep drop in BG. Fast and steep is simply not the Lantus method of operating. Basing dose decisions on the nadir values is what keeps you safely steady on the path to regulation.
Oh, and when I say a dose of 1.2 units, it may as well be 1.25 as right now my syringes only have 1 unit markings. Anywhere between 1 and 2 looks like 1.5 so we just do our best. A tiny bit over 1, we call 1.2 and a tiny bit under 2 we call 1.8 or so, but really...it is certainly not able to be so exact as to say 1.25.
Draw some coffee or tea or water with food coloring into a syringe to your 1.25 and keep it to use as a guide to compare against when you draw your shot and call it 1.25. Consistency is key.
(the 1.2s and 1.8s will make us crazy being that we operate in .25u increments)

Usually his AM nadir is late, at 7pm or +14 hours. Usually his PM nadir is earlier, at 11pm-1am or +6-8 hours. Why, we don't know.
please point out the dates from your spreadsheet that you see this pattern.
Except yesterday his PM dose dropped him like a sack of low carb potatoes, whereas tonight...nothing much is budging at all.
Always consider the role clearing a bounce plays is a dramatic drop and remember that dosing with Lantus is based on nadir values
 
Thank you.

In terms of the late AM nadir, September 12-15 were 4 days where his lowest numbers were after 12 hours. The days after 12 hours when he kept dropping I hadn't given his PM insulin yet.

The PM nadirs are simply earlier / more normal most of the time as far as I can tell.
 
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