I'd like to post a reply to all of you at the same time. (I need more experience with message boards so if I've messed this up, I'm sorry.) Thank you so much for reaching out. I need the moral support right now since obviously I can't turn to a vet for answers. I'm sorry that I did not read your replies until this morning. I give Riley his evening insulin around 8:30 pm. At that time I did test and when I saw the glucometer reading of HI! I panicked and reduced his dose. In the past whenever his readings have been high, reducing the dose seemed to help. Whenever Riley's readings are high over several cycles, I think about the first vet he saw for his diabetes, plying him with insulin trying to bring the glucose down while it kept rising in response to the insulin increases. The "cure" at that time was to get him back home with no insulin and zero carb food. I realize that was then and this is now, but I keep thinking Riley is a low dose guy. Unfortunately I don't test enough. There are too many days that DH and I leave the house after the morning injection and don't get back home until shortly before the evening injection. I have got to test more on those days I am home and try to talk DH into getting up at night to test during that time frame. If I had tested more when trying to bring him up from 1.5 to 3 I would probably have seen where he should be. All that being said and my feeling like an idiot, what if I keep his dose at 1.5 and test more before the next increase? Can I check back in a week? What's the best way to reach out to you?
Thank you for your information. We appreciate it.
The reason why neither of us wanted to see you reduce the dose is because I’m seeing him have normal cycles which I can’t attribute to a bounce. For example, on curve days of 11/25 and 12/16, both cycles look very normal.....he onset, was fairly flat, and then came up at the end of the cycle (more than we like but he did come up). The same thing happened that night. He onset, came down and had a nadir, and then went back up. If he was bouncing from low numbers, you’d see a different pattern.
Unless it is very obvious to us that the high numbers are solely from bouncing, we don’t recommend doing a rebound check which means you lower the dose, as you have done, to see if you missed a good one. The reason we don’t recommend that is because that has the potential to leave them very high and flat all of the time and it takes longer to get to a good dose.
I’d hate to see your husband get up to test and that’s why I suggested a +2 and a before bed test so that you don’t have to get up when he’s still so high. Even that info gives us more to go on. Any time at all you are able to sneak in extra tests, it’s helpful.
n the past whenever his readings have been high, reducing the dose seemed to help.
Keep in mind that the depot from a higher dose can affect up to six cycles after you reduce. So it doesn’t surprise me that you might see better numbers at first. For example, on 11/12, you shot a reduced dose because he had a lower PS than you felt comfortable shooting (and that’s fine). But instead of going back up in dose to 3u, you went down. His BG went up and you had to increase the dose. What I see is every time you reduced the dose as you indicated, he did better for a couple of cycles (which is the depot), and then he did worse.
If he were mine, I’d hold the dose, now that you’ve decreased it, and get as many tests in as you are able. If, within a few cycles of possibly having some extra tests, we can see he’s high and flat (which is what looks to me is happening), we can fast track him even under SLGS until he starts looking better. Please take a look at
Chloe’s SS (click on the dark blue for the link). You can see she was high and flat and Pennie was doing SLGS. We started fast tracking her on the p.m. cycle of 9/8. This gives you an example of what this looks like. You can also see how similar her SS looks to Riley’s.
The best way to reach out to us is tag us by typing “@“ in front of our names such as
@Marje and Gracie or
@Wendy&Neko. As you start typing the user name, you’ll get a list to select from. The more often you can post, the more we can see what is happening with him and make suggestions sooner to you than a week. Most of our members post daily. I know you are busy so the more you can post, the better. There are times that we see something in the numbers that you might not think is important. If you are posting and have a thread (condo) going, it’s easy for us to reach out to you.
My vet also knew nothing about high dose conditions, until Neko and I taught her. One of the reasons I like her is that she was willing to learn. 
I really like her idea of fast tracking if he stays high. My suspicion is like hers, that he needs more not less insulin.