No problem. Seeing the +2 tonight, lower, be vigilant with testing tonight. Get at least one before you go to bed and I would say until at least +4 if you can. He is really close to an OTJ trial.
Hmm, I tried to post this morning, but this website was down...
Bobbie: Ugh, I was so exhausted, after being sick, that the +2.5
WAS the last test before I went to bed at 8:30! Dante, my daily alarm clock (Ugh!), woke me up at 5:30, so I managed to get 9 (!) hours of sleep, and now feeling more rested!
So, to expand my earlier conversation, I had to go in a bit earlier so I did not give him a snack before leaving at 8:30am. Additionally, before shooting him last night, I checked to see any responses (I didn't know I could have shot .12 instead of the drop...) and as per your instructions, I shot the pm of .12. Question: With an OTJ trial, wouldn't I need to test more often? Unfortunately, at work, we are handling a major project, and I cannot afford the time to come home during the day, too much happening there. During the weekend, I will get more tests during midday. Yes, Dante
LOVES (!) to be tested, (huh?) in fact, he sits right on top of my textbook and stares me down, until I test him, that is because he gets fish flakes every time, and the kid LOVES his fish flakes! Every am before work, he starts staring me down when he thinks it is time for another test, so- more fish flakes for the kid it is!
Carol, can you please tell me (I'm new at this) how you get a feel for his Lantus depot? I'm really trying to understand when Luci's depot is going to come into play - so far I just haven't been able to predict much about her numbers - except at times she takes a run at the lagoon and I have a heck of a time slowing her down - and then it's down with the sharks before I know it! I'd like to get a handle on what days/nights I need to be more diligent and what days perhaps I don't need to poke her so many times. One recommendation I've gotten is to get 1+ BG, but so often it seems that she's just languishing at 1+ - nothing happening until 2+; just another poke that wasn't helpful IMHO...others see patterns perhaps? Maybe I need a lesson in reading the tea leaves??
@Bobbie And Bubba;
@Sienne and Gabby (GA)
Whew, Sue, again, sorry for the late response, tried to answer this am, but the website was down, I couldn't post anything, then the website wouldn't even load while other websites loaded instantly. Anyway, this is too complex of a question for someone like me, I only know that Lantus is stored in the body for a 'deposit' to be used for later. Dante takes several cycles before I actually see the change in his numbers. However, I am the last person to be explaining this to you, so I am tagging Bobbie and Sienne as they have helped me so much both in my learning process and - mentally as well. They are much more qualified to answer that for you; here is the definition as offered by FDMB:
Depot - One's subcutaneous "spare tank" of insulin, which has yet to be used by the body.
Hmm, for me, I have found that Dante's numbers were in the same boat as you, in that 2+ seemed to reflect more of a response to the insulin than at 1+. I feel that if I am changing a dose, yes, starting at 1+ is a good idea to see any response, otherwise, I usually start at 2+. Bobbie and Sienne may think differently, as their experience may show otherwise. I would defer to their thoughts on this as well. As much as Dante loves his fish flakes for being tested, I feel that when he starts having a response to the insulin, at 2+, if the response is more than expected, then it would warrant frequent testing, if possible. One great thing is happening though, Luci will get used to the pokes and she knows it will help her!!
I will say one major thing that helped change Dante's numbers - Consistency and timing - shoot as close as possible to the 12-hour mark if using Lantus, allowing only a 10-15-minute variance, and as you will hear many times on this forum, do NOT feed 2 hours before testing, as it will affect the BG. Since I work full time, Dante is fed 2x daily, for a total of 9-10 oz daily total for both meals. My earlier years on his SS tabs show the exact amount of each type of food. When he was first diagnosed with diabetes, I spent about 40 hours researching the best food; the best food was Hounds and Gatos, the first paleo cat food. Unfortunately, I bought 2 cases of a bad batch of chicken, and Dante got really sick, so now I am afraid to buy it. Now I make skinless chicken for him in the slow cooker using the skimmed broth for liquid every 6 weeks , certain canned Weruva, and FF classic only. so a 3-course meal 2x daily. The food is all important, and the shaved fish flakes treat doesn't raise his BG in any way.
When I first started testing him, he would run away and hide a few times. I let him hear the treat container, and when he came to me, I held him on my lap for about 30 minutes and massaged and brushed him, then took his BG. The next time he heard the treat container, he ran toward me to get tested, knowing he would get brushed and a treat, Woo Hoo! I brushed and held him for 25 minutes, then took his BG, then 20 minutes, and now, it takes less than a minute and he now waits for me in the dark bathroom to get tested! My kids see him waiting and they think it is amazing that he waits to get tested; fish flakes are a miracle! I hope this helps!