Dosing advice/Eukanubo 3/28-looking good

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hbs60

hbs60

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Good morning! ~O)

Well, what a difference a week makes. Last week I was certain Euk was on his last legs, he's definitely bounced back so I'll enjoy it while it lasts. Had to reduce his dose yesterday because he dipped under the 200s around shot time, and I had to give it an hour late when it rose enough that I felt safe giving it. This morning, he is at 263 at +11 (it's 5:00 AM and normally that would be his AMPS time if it wasn't for the 1 hour delay last night). So again I'm faced with the dilemma of how much to dose. The full 1 unit? I have to go to work around 9:00 AM and expect to be able to get away around 11ish or so but that's not always predictable, definitely by 12 (I'm planning to shoot around 6:00 AM, about 1 hour from now. Any guidelines?
 
He did great on that 1 unit yesterday HB, but you were shooting into a 300. I’d see what his amps is and maybe do a little less if he doesn’t hit 300, that is, unless you are feeling aggressive and will be around to test :shock: :-D
What do you think?
 
I'm thinking of basing my dose on the +11 reading of 263, as he's been eating so a +12 may be artificially high. In any case, I'm trying to decide between .6 and .8 units. I'll check the +12 reading and if it's well over 300 I'll go for .8 I'll be back in a bit...
 
I think that is reasonable HB. And if you can check on him mid day, all the better. If I were home all day I prob would have gone with the 1 unit again to see what happened, but I know how it is when you aren’t home, we shot less yesterday too because we had a job and who needs the worrying.

Good luck today. Awesome that Euk snapped back so well for you since last week!!!
 
Well, we are cruising along, was able to get out of work earlier than I thought for a +4 check and it's down to 230. It looks like we'll cruise along just fine.

I have to go away for the weekend in a couple of weeks, so I'm setting him up for boarding. They do give the insulin shots, but I need to come up with some guidelines, otherwise I fear they will be too aggressive. So, this is what I'm thinking: >300: 1 unit 250-300: 1/2 unit 200-250: 1/4 unit, less than 200: feed, retest and shoot if over 200 by the above guidelines. I'm writing it as 1/2 or 1/4 unit increments instead of 0.2 increments because I want to minimize the possibility of errors that could happen if they have to use U100 needles and conversion charts. I think it's easier if they stay with the U40 syringes and follow these guidelines, keeping the guidelines as simple as possible. Of course, as he progresses over the next 2 weeks, I may modify the guidelines.

Thoughts?
 
Hmm, I'm getting a bit nervous. His + 6 reading is down to 156, which by itself isn't too bad, but yesterday he kept dropping several hours after +6. I have to go back to work shortly, will be back at +10 at the earliest, so I'm making sure he eats, but I'm starting to wonder if a different type of insulin may be more predictable and easier to manage. I know nothing about these other types, any thoughts?
 
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