Spike 6/20, AMPS 184, +10@302, PMPS 315 .75u Given.

Also - don't hesitate to tag me if you need anything. My husband had knee surgery and is now toddler #3 - I'm not floating around quite as much as I used to, mainly focusing on tags, PMs, and a quick browse if I have time.
 
FrostD said:
Hmm. Not sure I like that AMPS. It wasn't a bounce break last night so I suspect nadir was lower and earlier. My guess is below 90 just not sure how far.

Your call as to if/how you want to adjust dosing.
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What do you suggest? As for this mornings AMPS of 407, it is mostly my fault. Today's AMPS IS ACTUALLY AT +14.0 hours, as I gave him yesterday's PM SHOT AT 5PM BEFORE I LEFT FOR SHOPPING. When I got home from Saturday nite shopping, I fed the barn kitties their kibble and then brought the dish in and sat it on the counter instead of locking it safely in the pantry. As you can imagine, it was knocked over and Spike was sitting on the counter laughing at me and bathing his smug lil face when I walked in there just now.

This thread is getting long, so I'll start a new one later today.

What were you seeing with yesterday's AMPS that tipped you off that he could have got lower than 90? I'll be home today except for church at +4, & +5.

Thank you for checking in on us and watching my ss and thread. I hope your hubby heals fast and your not overworking yourself...

I checked Walmart for Lantus pens yesterday. $507 for a box of 5 ea. Pens.
 
Tbh I'm not sure what I suggest lol The only thing I can see is when he's been relatively flat yellow like he was yesterday (301 is yellow if you squint), perhaps a 0.5U or 0.5U fat. It's interesting because that's a Lantus thing - flat yellow often means action to follow.

What tipped me off is I know his "typical" nadir on a non-bounce is about +6 (and I'd give him leeway to +8 ish)....so he had 4-6 hours of rising to do after that. The fact he only came up to 140 tells me he was very likely under 90, but he has occasionally shown he can have flat latter parts of the cycle.

More people are having luck with prices on the generics (semglee and "insulin glargine") and places like Rite Aid and Walgreens, even the locally owned pharmacies.
 
FrostD said:
*I also don't want to overcomplicate things
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Well, it's Spike, so he's a complicated cat...I gave him a fat .5u (about .6125u) this am. At +10 he was 150 and climbing to 184 at AMPS time, as u can see on the SS. Honestly, I don't have a clue what I'm doing from dose to dose with him.

My logic went like this: He might have went low during the nite but he was climbing steadily @+10 & +12. Trying to keep him out of the purple at least, I felt he needed SOME insulin but not so much to crater him while I'm gone working. A fat .5u made sense to "get him low and keep him low". And by low, I mean the blues, not the greens.

Please school me on what I am missing in my logic path...like I said, I'm totally playing this by ear and u4 last dosing guidelines. I hate the purples and reds and the greens and especially lime greens scare the crap out of me...it just socks that I'm either at work or totally passed out dead asked asleep at the nadirs....well, except when he nadirs at like +11 etc. I need help and prayers.
 
Go ahead and start a new one and tag me.

Any chance you can get one last test before bed? Tien doesn't matter, I'm just trying to see if he's beginning a bounce or not. That slow rise would say no...
 
Proposing some tweaks to the scale. Split out the larger BG range a bit, and I removed the 0.5U as an option even if you can monitor in the mid-blues. So new proposal is:

1U above 300
0.75U 250-299
0.5U 200-249
0.25U 150-199 (skip is totally fine based on comfort level/times you'll be home to check)
Skip anything under 150

My gut is just telling me he's going a little lower than I'd like sometimes when he starts in the 200s. I don't think its dangerous, I just prefer a little more wiggle room given your situation/schedule - because should he decide he wants a reduction he's always dramatic about it :rolleyes:

I am also suspecting some mild BG-lowering effects from the Benazepril at night since you give it near PMPS, but it could also just be that they tend to run lower at night anyway
 
I love this new dosing schedule. It looks like it checks all the boxes to me. I think ur right about the Benazepril doing some mild work.
 
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