Chip 7/15 - 7/21

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Dale 'n' Chip

Dale 'n' Chip

Member Since 2012
Finally got the SS properly formatted for the transition. It seems to highlight a dramatic lack of response to Levemir. :-Q

Are we not even close to a workable dose? I noticed Boo Radley was up to 3.5U before getting the traction that followed him back down to just over a unit, but he was also likely getting more response from the starting doses. But it may be hard to tell with the R in there.

Chip isn't really getting drops or bounce just plain flat. Maybe a little too flat in places, so that may be some kind of clue that *something* may be smoothing over the natural swell of low carb food?

No fur shots or dog food here, really just looks closer to nothing. That would be great if it was 150 points lower, or even near the renal threshold. ;-)
 
Re: Chip 7/15 - 7/16

The first step is, in fact, getting flat numbers. Better to start with no bounces and slowly move up the dose to bring the entire curve down.

I would suggest going to 1u today or tomorrow.
 
Re: Chip 7/15 - 7/16

In hindsight, I probably could (and should) have held that 1.6\1.5 dose much longer than I did. I think the only reason I ended up at 3.5 was my impatience, which lead to more bouncing etc.

I think the difference that I see is that Boo was seeing some lower numbers splattered in there when I increased, where Chip is still flat right now. Retrospectively, going up makes much more sense in your situation and really, Chip is still only on half of the dose that Boo was on when we started to see some better colors!
 
Re: Chip 7/15 - 7/16

Hey, PapaDale. I sense your frustration. Shelia says the first step is getting flat numbers. So, you are getting there, huh? Hope you are!
 
Re: Chip 7/15 - 7/16

Your results so far on Lev are not all for naught. Levemir is working for him or you wouldn't have seen that 200 pt drop on Friday. Since he's on low carb food, I wouldn't worry about the food effects. With levemir it can be difficult to tell if rises you see after the shot are from a food spike or just form the insulin not getting up to speed yet. I think the latter was the case on the 13th.

That also speaks to needing a higher dose. As you get closer to the good dose, the cycles will get lower. You want an overall lowering, not huge dips. That is why we feel it's important to get stable cycles, without rebounds, which warrants slow increases so their body gets used to that amount of insulin and doesn't panic over lower numbers.

You're doing fine. Remember to look at whole cycle and even weekly trends, instead of just one cycle. The 400s have disappeared since you started with .75U. :-D
 
Re: Chip 7/15 - 7/16

Vicky & Gandalf (GA) & Murrlin said:
...That also speaks to needing a higher dose. As you get closer to the good dose, the cycles will get lower. You want an overall lowering, not huge dips. That is why we feel it's important to get stable cycles, without rebounds, which warrants slow increases so their body gets used to that amount of insulin and doesn't panic over lower numbers.
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Ballpark, how high would you envision this going from what we are seeing so far?

In spite of the numbers, he seems to still be in good spirits most days. Did that big fat pink toad really last for a whole week more or less? And he's still ketone negative after all that. :o

Certainly flat in range which tells me the insulin has to be doing something. I appreciate all comments and analysis since I wasn't really expecting it to start like this. But as long as we get there in the end, I'm not missing the wild swings and bouncing. :smile:
 
Re: Chip 7/15 - 7/16

Dale 'n' Chip said:
how high would you envision this going from what we are seeing so far?
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That is so hard to answer as ECID, of course. But look at that lovely PS you got this morning! And a blue just before that for the first time on lev. You may, in fact, be in the ballpark now, lol.

I might be tempted to let 1u settle for 5-7 days. As long as you are still seeing numbers drop, like they did this morning, I would hold it. There could still be fluctuations on this dose and you will get a 300 again for a PS, but I would not increase again unless you get them several days in a row.

You will get there.
 
Re: Chip 7/15 - 7/16

So glad to see that Chip hit a blue, and didn't bounce up into pink or red afterwards!

I'm really praying that your switching to Levemir is going to even out his bounces. Fingers crossed for you!

Suze
 
Re: Chip 7/15 - 7/16

Oh, I remember Sneakers first blue... So did Mr. P :lol: . Rocked her for days before she settled :roll: .

Give Chip some time. he's doing great.
 
Re: Chip 7/15 - 7/16

Sheila & Beau & Jeddie (GA) said:
...I might be tempted to let 1u settle for 5-7 days. As long as you are still seeing numbers drop, like they did this morning, I would hold it. There could still be fluctuations on this dose and you will get a 300 again for a PS, but I would not increase again unless you get them several days in a row.

You will get there.
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I agree. I'd been counting down the hours to raise another 0.25 until I saw that blue out of nowhere. :o

Seems like he needs 7 days to settle on anything, including totally new insulin.

Almost looks like we might be where we left off with Lantus. Which would fit the 1.0U (D)=1.5U (G) equivalency. Still strange there wasn't much clue ahead of time. Guess the two types of shed don't overlap well, but it shouldn't have been a cold turkey cutover, as it looks with the numbers.

I'll likely hold the 1.0U for 5-7 days total, and the next increase might be to a fat 1.0. As long as he's not hanging endlessly in flat pink there's less urgency. :thumbup
 
Re: Chip 7/15 - 7/16

Sheila & Beau & Jeddie (GA) said:
...There could still be fluctuations on this dose and you will get a 300 again for a PS, but I would not increase again unless you get them several days in a row.

You will get there.
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I hope we make some progress. :-|

But these numbers are just dreadful. Back to flat pink or worse for days, after the brief brush with yellow.

Seems like we must be kind of (way?) low so I guess I'll just do the 0.25 protocol raises until something happens.
 
Well, they aren't any worse than they were before the yellows - yeah, probably time to increase to 1.25u. You may have to raise up until you get a break through and then you might be able tor educe a little.
 
I'm just sitting here laughing because both Chip and Pumbaa started the morning in yellow, and we both did dose increases.

I hesitated for a minute before the injection this morning, wondering if I should increase or hold, but then thought about Pumbaa's lack of green since 7/12 and went ahead with the increase.

On a positive note, I think we also broke the pattern of his diving on Friday night!

Go, Chip. Give your dad some blue today!

Suze
 
At least Pumbaa got the blue. What did Chip get? Another pink toad.

And we even started out yellow, what's wrong with that picture?

But it takes longer for a new dose to kick in.
 
Chip could have dropped back to yellow last night after the +6. But, you can't stay up 24 hours a day every day and test him. Do I ever understand that!

Come on down, Chip. Your daddy is working really hard on your behalf, so help him out a bit. Give him some blues and make him smile!

Suze
 
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