I’m back. Let me say you e all done a great job of testing! Super teamwork!!!
First, I’m going to recommend you drop the dose back to 0.25u if you haven’t already done so based on that 40. While I’m pretty sure it’s not going to hold, it’s the safest thing to do. Normally, I would not suggest a reduction so soon after the one he earned on 9/8 because it’s very likely the 40 is due to (1) bounce clearing and (2) depot from the 0.75u. But we have so little data on him and he likely went lower again last night as he was headed down. I would have liked to see his BGs today but the SS isn’t updated.
Second, we need to get this boy stabilized. One thing I’m going to strongly urge you to do is to start dosing with calipers and
HERE is a post that tells you how to do it. Normally, I tell members they can try it or not but with three people dosing him added on to how inconsistent insulin syringes are from syringe to syringe in the same box, I really believe this is a must for you all.
Third, if you want to get him more stabilized and flattened out, it’s going to take a little work on your team’s part. Here are the things that will help:
- As suggested, start splitting his food allotment each cycle into 3-4 portions; feed a little more at preshot (PS) and +1 to frontload him for onset at +2. You will have to do this for a bit and see what changes will need to be made because, invariably, you will need to make changes as you get data.
- To the greatest extent possible, always get a +2 test. This test will tell you how potentially active the cycle will be. If it’s the same as or a little else than the PS, it’s going to be an active cycle. If it’s a lot less than the PS, you need to be prepared for a very active cycle (we see this kind of cycle when they are clearing a bounce).
- Since there are three of you, if you see a cycle last night where his +2 is that much lower than PS, one of you should be testing. Generally speaking, going to bed on that much of a dropping number with no other tests is a recipe for really low numbers.
- Keep his SS up-to-date and post every day; that’s the best way to give him the best help.
I know you indicated you wanted to do SLGS but, as long as the dry is completely out of the picture, you are testing enough for TR and that gives him the best chance of remission. Once we get a good dose for him, it will allow him to stay there longer.
He’s in dive/bounce cycles right now which is why he looks like he does and it’s important we get that stopped as they lead to those low numbers. Once we get him a little flatter, we will likely need to raise the dose back up but I’d like to see what he does when he’s more stable.
Please let me know if you have questions.
