k, went back and read this whole thread as well as wrote out what i got out of what numbers you mention
while yes, some of the problem i believe is your schedule, sometimes we can't do anything about our schedules. i too work odd hours and very rarely get to shoot a 12/12 schedule. mostly on the weekends i can and occasionally a time or two thru the week but for the most part we're more on a 10/14 schedule moreso than not. and in all honesty, i think it works just fine. for us. Mousie's a bit of an oddball though in the sense that she's not much of a candidate for remission so i take an occasional 200 BG with a grain of salt, give her her regular shot and carry on with life because i know the next one will be back to low 100's. as long as she stays low enough to not develop complications i'm happy
the catch is there's a bit more learning to do than most i think, and patience. first, you have to learn how lantus works. for instance, it builds up in their system so 1 shot is not so important as a chain of shots. thus, the reason she surfs along in these 300's for a few days then poof, down into the hundreds or lower. in other words, 4 units for 3 or 4 shots in a row, builds up and ta-da, you get great action or too much action and then you either skip a shot or you only shoot 2. that empties out the build up and you go back up to the 300's, and repeat repeat repeat. make sense?
one of the problem is the 4 units in my opinion. it's too much. we went thru a period where the same thing was happening, although we've never gotten that high in doses, so i would reduce her dose every time it happened and ta-da, it doesn't happen near as much any more because we found a dose that works for her, maybe once every few months i have to decide to skip or reduce. we were dealing with 1 unit, then a skinny 1 unit, then a fat 1/2 unit and ultimately we have settled on 1/2 unit twice a day and i can shoot that as long as she is near or over 100. even when she high carbed herself last week and i got a higher than normal number for her, (somewhere in the 200's, i can't remember exactly what it was), i stuck with the 1/2 unit and 2 shots later she was back to herself. the key is to not have such a high dose that it becomes deadly with every 3 or 4 shots.
when we have to shoot on a schedule other than 12/12 we have to factor in that any shot done in less than 12 hours is like increasing the dose, and any shot done in more than 12 hours is like a decrease in dose. thus, what we're shooting has to be truly thought out because you're back and forth every day you work a long shift. too much is always worse than too little so it's critical to stay the course & be patient.
it may not be what one wants to hear if remission is the goal because i do believe it makes remission harder to obtain but i don't think it's unobtainable.
being beckoned to the other side of the shop so gotta go for now
