Starting the curve

We are doing Cosmo's curve today. I got his morning number, he's eating now. Do I start the 2 hours from when he starts eating or when he finishes?

 

Two hours from when you give his insulin. Oops! You're not giving insulin yet are you? Then I'd start 2 hours from when he started eating. Probably not critical. Might I ask why the curve if he's not on insulin?

 

I thought I had to do that before insulin. If not we will start insulin today.

 

His number before breakfast was 212. Should I give him 0.50u?

 

No curve needed before insulin. Yes, I’d err on the side of a lower dose so go with 0.5 u. He’s not that high. Get a +2 test to see where he’s heading. Post for help if you need it. I’m going out for several hours.

 

Okay, gave him breakfast at 7:30 ish. 0.5u at 9:00 am. 11:00 am he is at 196.

 

The next few days your goal is to gather baseline data and allow his body to adjust to getting insulin. The 0.5 u dose might be too low but it's early days so I'd stay at that dose for 4-5 days minimum.

 

Kris,

Thank you. He just had some food in between his last 2 checks. His BG went up a bit. That's to be expected. He has his next insulin at 9:00 along with his next BG check.

 

I was following a few of your posts yesterday. You may or may not know but, no food for 2 hours before the amps and pmps (when he gets his shot).

 

Stay the course. It's important to remove all food at least 2 hours before the pre shot BG test so you know that the planned dose is safe. It's not as big a factor at a low dose like this but you might as well get into the habit.

 

O

Okay, so he ate at 6:30 pm. His next insulin is at 9:00 pm so we are okay right?

 

Normally I get up at 6:30, check his BG and feed him. I work normally all day. Now that we started insulin I need to give it to him at 9:00 am.

Can I stay on my normal routine as far as feeding? 6:30 check BG, breakfast, insulin at 9:00 am?

 

Yes, you are.

 

Great!

Thank you!

 

It's probably better to have the pre shot test/breakfast/injection a little closer together. So, something like: 6:30 - test BG (no food 2 hours before this)/feed breakfast/wait 30+ minutes so food is into bloodstream (because Novolin can hit fast)/ give insulin at, say, 7:30. The reason is you want to capture BG as close to dosing time as possible because it can change over a period of 2.5 hours (6:30 to 9:00). Dosing depends on knowing that BG level close to shot time as well as how low the dose takes him mid cycle.