Discussion in 'Lantus (Glargine) / Levemir (Detemir)' started by Bellasmom, May 17, 2018.
@Gill & George the nadir must be happening after +7, am I right? DH woke me up at +7 and said it was 167 so I told him he could go to bed if he wanted, so I messed up ugh
I don't think you've messed up at all, I would have done the same.
He might be nadiring now at amps, or he may nadir later than that, wait and see how this cycle plays out.
I think he decided to clear the bounce after that +7 last night. When you look back at the data after today you might have a better idea.
This looks more like a falling number at PS on second glance.
Be sure to get a +1 if it is lower than amps, or just the same, be ready for an active early part of the cycle.
I have to go out in the garden now, was on a break, I'll check in on you an hour or so.
You might have a better idea lol I have no clue what he is doing with this crazy numbers lol lol
Thanks Gill, I appreciate your help
We are in an active cycle!
Yes you are.
He is clearing the bounce as you shot, I would give him a couple of teaspoons of food now.
High low carb, or MC would be my gut feeling. He most likely has not onset yet so having a little extra food (carbs in his system will help ofset the drop at onset)
(with George I'd err towards MC as he wasn't very carb sensitive)
As for the next test it's up to you, but no later than +2.
He may need more food then if he is continuing to drop or flat. Carb content of food will be dependent on the numbers.
Yo Bella! hop on da surf board! show da beans how youz shred da waves!
You are very welcome.
Gave MC just now
Gonna restest 30min after last one, I leave for work in 45min DH will be here and he text me the results and I put on here
How does a nadir happen at amps?
@Gill & George more MC??
@Kris & Teasel do I give more MC
And we are still lowering, +2 54
Yes. Keep up the small (1-2 tsp) snacks, wait and retest. I think you can wait 30 minutes between tests to allow a bit more time for food to act. If he gets to lime green I’d try HC snacks. And don’t worry - lime green doesn’t mean he’ll have visible hypo symptoms. If it all gets too much to handle, you have the option of feeding a full HC meal to stop the insulin’s action. He’d be fine if you have to do that and you’ll get him back.
Gave more, DH taking over I won't give HC unless necessary
He's gonna retest in 30 7:30
The MC snacks seem to have him surfing.
I think every 30-45min for tests is OK at this stage, unless he drops below 50, then bring out the a couple of teaspoons of HC.
Sorry disappeared, it was feeding time at the zoo here.
I left hypo box out for him in case
He's doing at 30 min and then maybe wait a bit longer
Could you clarify when he's had the MC snacks,
I see @ +1 on the ss, any more?
Why would he have nadir at amps
Bella, surf time little buddy. No swimming with the sharks today!
Yes at +2 am I'm driving can't log it,I had to leave for work will do when i get to work
I can't update ss from my phone will do at work sorry I had to leave
1/2teaspoon of H and 1/2 t low
Thats OK I remembered you couldn't update from your phone, just wanted to know.
So he has only had 1 teaspoon of MC (half and half HC and LC) at +1?
+1 and +2
I updated ss I’m at work now
Sorry for confusion, I just had to leave for work, he went up to 61 is it safe now to wait longer to test so I can let DH know
What I did was put 1/2 teaspoon for the gravy from ff with his raw rabbit 1/2t
@Gill & George so he is having his nadir at amps, how is that even possible? I don’t understand sorry for being
If the only extra food he had was at +1 I think I would say to DH to give him a teaspoon of LC to keep him surfing and check again in an hour. Which will be about +4 right?
If he is still the same or up at that point another teaspoon of LC and then wait for two hours, grabbing a test at +6
The higher carb you gave at +1 should have worn off by now, but being early in the cycle there is still a potential for numbers to drop. That's why I'm suggesting a little more food, hoping the LC will help him surf.
Nadir is simply the lowest point in the cycle, it can happen at anytime.
George for example used to nadir mostly at around +5 +6, when he was changing things up he would nadir early, that was often when he was on a reduction early cycle, I suspect as the dose and depot filled he got more duration.
I don't think todays cycle was the same as the previous two nights, he continued to go down, with the momentum of clearing the bounce. The other two nights we were looking at it looked as though he might have been flat or rising at amps, so he probably nadired earlier.
When clearing a bounce they can nadir at any point, George often cleared at the end of a cycle.
So how often now should DH test him? And thank you
+4 if he is flat or rising LC snack and then check at +6 then +8/+9
Obviously if he bounces pokey break.
And if he were to drop then he may need to step up the testing again.
Looking at Bellas numbers he more often than not nadirs midcycle. Some of the numbers (the pinks) had me thinking whether he was changing things up.
It wouldn't surprise me if he tells you he is done with this dose in the not to distant future.
You are doing great, and so is DH Bella is in good hands.
You mean done with the dose I just gave him this am?
You and dh make a get team. Look at Bella go. I can't analyze the trends or patterns either. Guess it's a good thing I'm not on Wall Street.
Surf safely Bella!
Sorry what I mean is that I wouldn't be surprised if he earns a reduction in the not to distant future.
But you should hold this dose until he does drop below 50. Jumping the gun, and taking a reduction when it is not earned often back fires and sees you having to climb up the dosing ladder.
Me too, I’m clueless
So I guess I don’t understand why give the MC and not just see what he does with the number on his own, cause he may have gone to the 40s had I not intervened with the MC, does that make since, I know what I’m trying to say lol not sure if I’m saying it right
I think he has, just don’t have the documentation, especially with those pinks, don’t you, trust me I’m no expert at this I’m just guessing
Yes, I understand what you're saying. Letting him ride it out on the dose with no intervention can be an interesting experiment when you're home and want to see what a dose can do unopposed by food if you don't have enough data at that dose level. When you have a lot of data at a dose - as you do with the 1 u - and you see he's low very early in the cycle, intervening with food serves two functions: 1. you want to keep him away from the lime green cliff's edge for safety 2. you're trying to control the insulin's action and his response to keep him in a long run of nice dark green numbers.
Some people are able to take advantage of food steering all the time because they're at home to do the necessary testing and feeding. If you and DH's work schedules take you out of the house most days of the week this can be much harder to do so you might have to settle for keeping Bella a little bit further from that knife edge for safety's sake.
So with intervening how do u know when he needs a reduction
Sorry for all the questions and I’m in no way doubting you guess, I depend on you all everyday, I’m just trying to learn
When he drops below 50.
Holding onto a dose that is consistently getting him into that nice healthy range is the object of TR.
If he was really ready for it the MC would have likely not kept him from dropping below 50. If you had to fight to keep him from dropping below 50, constant MC and HC then maybe a reduction would be wise.
But just the 1tsp of gravy mixed in with his LC, is not really fighting hard, but it may have just done the trick of allowing him to surf along and get more used to be in green.
Ahhhhhhhh ok thanks for clarifying, sorry so
Ask as many questions as you need to that's what we are all here for.
I have to go out and finish off in the garden, I'll post some links to some interesting posts about food steering, reductions etc that you might find help your understanding of TR and earning reductions.
Really not need for apologies.
These 2 are BFF’s that is Andy my eldest he will be 19 in Nov. with Bella
Just Gorgeous boys, is that now?? He doesn't look 19 at all.
That was this am before I left for work, they are like eggs and ham lol I always said Bella won’t make it when Andy passes
Bella used to clean around Andy’s ears so much Andy would be bald there and I had to make something to put on Andy to stop bella from cleaning him all the time, I use Andy if Bella is scared of something cause if he sees that Andy is ok with it he is too
Andy is so handsome. As well as Bella.
And.....here we go again
Such a lovely run in nice numbers though. 17 hours+ and he cleared the bounce pretty sharpish too, it's all progress.
Surfed the early part of the cycle quite nicely with that little bit of food you gave him, good job team Bella.
Thank you Gill
Should I get some readings tonight? I will get a +4 any after that
Gorgeous boys! You'd never know Andy is 19 to look at him.
Nice run today.
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