Holding Pattern

[Bobbie And Bubba]

I'm thinking it's time to bump up a bit. Yesterday, wasn't a lot of difference from +5 to +8, he didn't go down much at all. He started yesterday AMPS trying to hack up a hair ball which could have set the higher tone. After PMPS I got a +5 reading and another one at +10. My old trusty bladder failed to wake me at +8 . But, you can see that he didn't go into the blue at all as he had the two previous days. So, should I bump it to 1.4? I am using the U100's now, scared, but I am using them. I triple check my conversions.

 

[BJM]

I would increase; here's why.

Just looking at 2 days with different starting glucose levels, here's what I see.
340-194 = 146 drop on 1.2 units; so about 121.67 on 1 unit over 6.25 hours
185-102 = 83 drop on 1 unit over 7.5 hours
thus, he can drop anywhere from 83 to 146 mg/dL from 1 unit of insulin.

Using those estimates of how much drop per unit of insulin, we get a very rough ball park of how much drop per unit.
Using the larger drop amount of 121.67 per unit, 2 units could drop from a 340 to around 96 mg/dL.
Using the smaller drop amount of 83 per unit, 2 units could drop from a 340 to around 174 mg/dL.

Does that make sense? And it really shows how variable the insulin response can be. There can be more of a drop from a higher starting glucose than a lower starting glucose in this particular example.

 

[Merlin]

I think you are correct in your assumptions. A 0.2 increase i.e. 1.4u sounds like a good idea. It's great for you to be able to monitor like you are. Good job on the U100! I have been using them for a long time and I always, still today, double check the conversion table and again before I shoot.

 

[Bobbie And Bubba]

I would increase; here's why.

Just looking at 2 days with different starting glucose levels, here's what I see.
340-194 = 146 drop on 1.2 units; so about 121.67 on 1 unit over 6.25 hours
185-102 = 83 drop on 1 unit over 7.5 hours
thus, he can drop anywhere from 83 to 146 mg/dL from 1 unit of insulin.

Using those estimates of how much drop per unit of insulin, we get a very rough ball park of how much drop per unit.
Using the larger drop amount of 121.67 per unit, 2 units could drop from a 340 to around 96 mg/dL.
Using the smaller drop amount of 83 per unit, 2 units could drop from a 340 to around 174 mg/dL.

Does that make sense? And it really shows how variable the insulin response can be. There can be more of a drop from a higher starting glucose than a lower starting glucose in this particular example.

Thanks for taking the time to figure that out! So, should the increase still be only to 1.4? I need to go out of town on Sat for three and 1/2 days and Bubba will be under my husband's care. He will only be testing Pre-shots on him, so I am mildly nervous. He won't do any increases on him for that reason and before he shoots, he will call me to guide him. Fingers crossed.

 

[BJM]

Because the response to insulin can change over time, going cautiously (as long as you don't see ketones) is much safer. When monitoring isn't possible, being cautious is also recommended.

Other helpful tools for monitoring are in my signature link Secondary Monitoring Tools. Key observations are food and water intake and output, urine ketone/glucose checks, dehydration checks and weight checks. If you measure the food and water intake regularly, you'll see when differences happen.

 

[Bobbie And Bubba]

Because the response to insulin can change over time, going cautiously (as long as you don't see ketones) is much safer. When monitoring isn't possible, being cautious is also recommended.

Other helpful tools for monitoring are in my signature link Secondary Monitoring Tools. Key observations are food and water intake and output, urine ketone/glucose checks, dehydration checks and weight checks. If you measure the food and water intake regularly, you'll see when differences happen.

okay and thanks , slow and steady wins the race.....