Need PM dose advise soon: AM shot 2hrs late already 538 @+9

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alicia.1771

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Hey all,

Some of you know I have been trying to find a good dose for Beau for the past 2 weeks and nothing seems to be working.

He was doing quite well on 1.5 in the beginning when we dropped his dose down to 1.0 after a BG curve at the vet showed quite a low nadir given the stress factor. He then had a near hypo on 1.0 on the 3rd cycle so I dropped him further down to 0.8. But 0.8 did not give green nadirs (except one time when I shot into a dropping PS#) and we started getting red PS#'s. At this point I struggled with dose adjustment not knowing whether his #’s are due to not enough insulin or too much giving us rebounds and some flat #'s.

Seeing that he did well on a higher dose I increased his dose back to 1.0 for 6 cycles, still no green nadirs and PS#'s in the reds and blacks. Then up to 1.2 for 6 cycles, we got a few green nadirs but also some big swings in PS#'s (everything from blue to black). Because Beau can go low the fear of rebound came into my head again so I dropped the dose back down to 0.8 for about 7 cycles. It appears 0.8 is not giving him a good enough drop or long enough duration so I increased his dose back to 1.0 last night.

This morning the alarm didn’t go off so I overslept and he got his AM shot 2 hours late. We didn’t get much of a curve today and he’s already at 538 at +9. I want to give his shot at +10 if possible since his BG is already so high and want to know if I need to hold the 1.0 dose for a few more cycles or if I can bump up the dose to 1.2 tonight?

Looking back he seems to do well on 1.25-1.5 and I’m wondering if perhaps we decreased his dose too soon? As I study his curves to see what worked and what didn’t, it seems the few times when he dropped too fast too low is when I shot a full dose either at a dropping/flat PS# or at a lower-than-normal PS#. I am thinking maybe I should get him back on 1.25-1.5 and adjust the dose a bit if his PS# calls for a reduced dose as I don’t like how he is spending most of his days in the 300-400’s which must not be good for his body.

I would really appreciate any feedback and comment if someone has time to take a look at his recent SS. Thanks!
 
Re: Need PM dose advise soon: AM shot 2hrs late already 538

Wow, your SS is crazy like my Samwise used to be. Have you thought about an insulin change? Like maybe to Lantus? I'd ask the vet.
 
Re: Need PM dose advise soon: AM shot 2hrs late already 538

You have been on quite a journey.

With all of the swings up and down and all of the dose changes I think you need to pick a good medium dose like .8u and stick with it for 3 to 5 days and let everything settle down and re-evaluate. I say .8u because that looks like the not to much and not too low dose to me.
 
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