jul 24 - Tibbs 355 +7 insulin increase ??

Status
Not open for further replies.
tibbs5

tibbs5

Member Since 2014
good morning
so i finally got a +7 reading !!! as you can see from spreadsheet he went from 472 last night to 355 this morning. he has been eating alot more normally this week so i suspect that is why his numbers have been high? since his overall numbers are still in the 300 to 400 range i am thinking he needs an increase of insulin? he is on .5 right now . should i increase to maybe .75 or 1 unit? thanks for your help.
nadine
 
Yep time to go up just a smidge. Let's see how he does at 1u bid since he's still so high.

Mel and The Fur Gang
 
Probably not going to change much today it takes a couple days for his shed to adjust when you change dose. But by this weekend you should see some changes.

Mel and The Fur Gang
 
ok great. can you explain the "shed" I sort of understand but not exactly.
thanks
nadine
 
Okay I'll try. Because its probably the hardest concept to understand.

Think of a funnel...now without corking the little end you are trying to fill up that funnel so the water stays even with the top while its still running out of the bottom. If you pour too much or too fast it overflows (hypo) if you don't pour fast enough or enough the level at the top sinks. (High BGs). The water only remains level if the right amount at the right rate goes in the top at the same rate it goes out the bottom. The top of the funnel is Tibbs BGs, the water in the funnel is the insulin and the funnel itself is the shed. So when you increase the dose you've have raised the top of the funnel to make a bigger funnel but it's still running out of the bottom at the same rate it was. However this funnel magically adjusts the hole at the bottom to match the top hole. But while it remolds itself his BGs either stay high or go even a little higher. A phenomena we affectionately call New Dose Wonkiness. Once the top and bottom of the funnel magically adjusts then the BGs stabilize again.

Regardless the insulin you just shot into Tibbs' funnel isn't what is running out the bottom. That is what was already in the funnel. Each shot builds on the previous until the rate going in the top matches the rate out the bottom.

Because of the type of insulin Lantus is when you inject it, very little is in a useable form for Tibbs to use right away. Lantus forms little crystals under the skin that has to melt before they become effective.

Does that help or have I confused you further?

Mel and The Fur Gang
 
that's actually a great explanation. i do understand!!!
thanks very much. i love the "new dose wonkiness" :-D :-D
 
Status
Not open for further replies.
Back
Top