Big bounce???

[Sue484]

Hi. Was doing Frankie's curve today. I think I'm going to abandon it for today until tomorrow or Monday. I think after his low number yesterday he's bouncing all over the place. Can you look at his spreadsheet and say whether it's worth continuing today. If I send the vet this spreadsheet he will increase for sure and with his better numbers recently I don't really want this to happen yet.

 

[Larry and Kitties]

Lantus is a depot insulin so the reduced dose yesterday PM will take at least a day to works itself out.

 

[Sue484]

So Monday is a better day to take it? He will practically be on the low carb food by then anyway.

 

[Elizabeth and Bertie]

That sure looks like a bounce to me, Sue.
And because of the reduced dose yesterday pm it may have bounced higher than it otherwise would have (because of the insulin depot having drained a bit). That's not to say that you shouldn't have given the reduced dose. In the circumstances, and at the time, it seemed like the right thing to do.

I agree that it's not a good idea to raise the dose on the basis of the 'bouncing numbers' as they don't show the whole picture. In fact it may be that reducing the dose reduces the bouncing and lets Frankie's numbers level out a bit. (But that is 'general' advice; I have no experience of using Lantus so you'd be better advised on the Lantus forum about that.)

It will be interesting to see what effect the diet change has on Frankie's numbers. It may take a few days (or more) to see the full effect of transitioning to lower carb food.
Be aware though that this could have a similar effect to raising the insulin dose. I'm sure you'll keep a close eye on Frankie (your hometesting is brilliant! )
.

 

[Sue484]

Thanks Eliz. You always manage to say the right things to calm me down. I'm feeling guilty over lowering his dose last night. Wouldn't lowering the dose just have the same effect as today?