At what point do we do an OTJ trial!???

Discussion in 'Lantus / Levemir / Biosimilars' started by flyingduster, Mar 18, 2020.

  1. flyingduster

    flyingduster Member

    Joined:
    Jan 21, 2019
    So Jasmine has been well regulated on 0.25U dose for a while now. Hubby missed a shot when I was away a few weeks ago and she stayed blue easily, so I thought I’d trial a reduction to what I called 0.1U (needle juice and a slight twist of the syringe!) and held that for 12 days and she stayed under 150 easily (I’m ignoring the one pink that was from leftover cereal bowls!) so I have reduced her to needle juice, which feels like nothing at all, but I did check and it is a tiny droplet that’s it sucks in! Haha.

    So when do I consider doing a trial of going off the juice entirely? Do I even bother when she’s doing well with insulin?? I’m really curious if she can hold herself though! And I’m happy if she does still need insulin support.

    Just curious what others think???
     
  2. Bron and Sheba (GA)

    Bron and Sheba (GA) Well-Known Member

    Joined:
    Feb 21, 2015
    Hi Amy! Good to see you!
    Jasmine is doing well.

    When looking at remission we want the remisson to be strong, because when /if they fall out of remission it is much harder to get them back into it.
    Looking at her SS I think she still needs a drop of insulin because there are a few numbers that are above the 50-120 (2.8-6.6) and ideally we want them to be in green numbers. So I would keep giving a drop a bit longer.

    Do you feed her overnight? If you gave a small snack at around +9 of the pm cycle it might help bring down the AMPS.
     
    Gill & George likes this.
  3. flyingduster

    flyingduster Member

    Joined:
    Jan 21, 2019
    She gets given a pile of food at bed time to free feed overnight. It’s usually gone by morning but sometimes just a wee bit left that I pick up when I get up.
    The worst problem overnight is the kids leftovers on the bench! I will try to tackle that more as I’m inclined to just walk away from the kitchen to deal with it tomorrow, but if I try to keep everything cleared up it might help.

    I’m fine continuing her drop if she’s doing well on it! It’s been an interesting ride getting here.
     
  4. Sienne and Gabby (GA)

    Sienne and Gabby (GA) Senior Member Moderator

    Joined:
    Dec 28, 2009
    I agree with Bron. There's still too much blue vs green on Jasmine's SS.

    I'm also tagging @Marje and Gracie. We really need the US tab for 2020 on your spreadsheet.
     
    flyingduster likes this.
  5. flyingduster

    flyingduster Member

    Joined:
    Jan 21, 2019
    That’s cool, I shall carry on then.
     
  6. Marje and Gracie

    Marje and Gracie Senior Member Moderator

    Joined:
    May 30, 2010
    Please send me a private message so I can fix the SS.
     

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