? 8/08 -8/09 Tommy_AMPS 158, +2.5@227, +PMPS@172; 8/9 AMPS 437

Like Elise and I have said before, you are not seeing the full picture without tests at night. It's possible he is dropping low at night and bouncing in the day. You don't know how low he went last night with a PMPS of 172. The 437 could have been a bounce from dropping low. Without enough tests, too much insulin can look like too little insulin.

Lantus dosing is based on nadirs and not on preshots or how high they go. Is there a reason you can't get a test before bed every night?
 
Bandit's Mom said:
Like Elise and I have said before, you are not seeing the full picture without tests at night. It's possible he is dropping low at night and bouncing in the day. You don't know how low he went last night with a PMPS of 172. The 437 could have been a bounce from dropping low. Without enough tests, too much insulin can look like too little insulin.

Lantus dosing is based on nadirs and not on preshots or how high they go. Is there a reason you can't get a test before bed every night?
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Hello Bhooma. I appreciate your comment. We're doing PM shot at 10-15 pm (23:15). From the past midcycle tests, nadir appears to be at +7 to +9, but in some cases, e.g. 8/7 and 8/9 cycles -- BG values were a straight line from high value to low (see spreadsheet). Onset is not happening till past +3 to +4 marks in general so far as we see it. We can try to test in the morning (likely to what you've referred as overnight tests) prior to AMPS, e.g PMPS +8 or +9. Could that be just the way Levemir acts (we are using Levemir, not Lantus) that pushes nadir past typical +6 to +8 or making it just a straight run down? Bouncing mostly appears to be overnight after the PM 1.25u shot which seems to be not a sufficient dose unless we are off on this. Please see this morning AMPS which was at 195 after last night's 1.5u
 
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