Elliot's Higher Numbers

I don't like how Elliot's numbers are looking. He seemed to be doing better 3 weeks ago, but his numbers keep rising as I do a dose increase. Yesterday I curved him at 2.50U and his nadir was at +4 of 250. But he's got high numbers even on no carb food. I have spread out feedings 6x a day over 24 hours thanks to the timed feeder and there is no change in behavior, drinking, litter use.

My Lantus pen was at the end of the dose and suspected it was cooked so I started a new pen last night: he has had 3 shots from that pen and I am dosing 3U and got a pmps of 502 tonight +3 he is at 374

I don't know what to do...

https://docs.google.com/spreadsheet...AA_IyFkXKpA5S6q4aiZUuraHqQ8/edit?usp=drivesdk

 

Are you following TR or SLGS?

 

SLGS.. He started at 1 Unit at initial dx back in February-- my spreadsheet is linked and viewable to all

 

A couple observations:
Holding a dose for too long invites glucose toxicity.
I'm not seeing why the 2.25u and 2.5u doses were held so long.
I'm also not seeing why you went from 2.50u to 3.0u - the appropriate increase would be to go from 2.5u to 2.75u and then to 3.0u.
When you hop over a dose on the way up, you risk missing a good dose.

So going forward I recommend you more closely follow the dosing guidelines found in the SLGS sticky
Or, consider TR -You do test enough.

 

I went right to 3U because I saw no change between 2U, 2.25U and 2.50U and when I drew the insulin that 2.5U was probably closer to a 2.75 dose.

So now what do I do? Hold for 3 days?

 

That depends on which method you decide to follow.