Bailey got his wings... June 26, 2014

[Patty]

Geoff,
I've been traveling and have just now gotten caught up on your thread. Glad Tara was able to encourage and post what she saw. Ali used Humalog at times as Natalie described. The Humalog would temper a rise and allow the NPH to work more effeciently, so I would find she was lower later in the day at times.

How's Bailey doing now?
Patty

[Geoff]

Hello, sorry I have been so busy with things! Finally had time to post latest curves I did last weekend: Also been 12 months today since diagnosis! What a year it's been, for everyone I'm sure!!

Dosage: 13.5 Units of Protaphane and 1.5 units of Humlaog

Date Time Reading Comments
Sat 1-Dec-12 8:55am 24.1 Fed at 8am
1-Dec-12 1:15pm 22.4
1-Dec-12 3:03pm 15.1
1-Dec-12 5:03pm 13.7
1-Dec-12 7:03pm 17.6
1-Dec-12 7:59pm 20.8 Fasting then fed at 8
1-Dec-12 10:05pm 26.8

Dosage: 14 Units of Protaphane and 1.5 units of Humlaog

Sun 2-Dec-12 8:05am 22.7 Fasting
2-Dec-12 09:00am 25.9
2-Dec-12 11:32am 21.1
2-Dec-12 1:13pm 21.6
2-Dec-12 3:13pm 15.4
2-Dec-12 5:16pm 10.4
2-Dec-12 7:04pm 9
2-Dec-12 8:10pm 10.9 Fasting then fed after
2-Dec-12 10:05pm 16.1
2-Dec-12 11:04pm 17.8

3-Dec-12 7:56am 17.3 Spot Check

4-Dec-12 10:54pm 21.3 Spot Check

Not bad curves overall. I have increased his Basal to 14 units as I don't really see the humalog effecting his basal later on. I am thinking of going to 2 units of Humlaog to try and drop his spike further. Of note, he is on a lot of insulin for a small dog which makes me think he has cushings (as mentioned previous his test was borderline back in March) but.... maybe it's just the way he is! :-) Thanks

Geoff

[momofdecker]

Happy one year anniversary to you and Bailey! Wishing you many more years of celebration!

[Geoff]

Thank you. Yes let's hope so!! Same for everyone.

[Rubytuesday]

Happy anniversary Geoff and Bailey.

I have to run to work, but it was nice to hear an update. If you go up on the humalog you probably want to keep an eye on the nadir. If you run into problems there the other approach would be to drop back on the protophane while increasing the humalog. Keep an eye on what is happening to the numbers after the nadir up to the fasting. If he is jumping then it may be the liver panicking and shooting out glucose in response to the big spread in numbers from fasting to nadir. This will help you figure out if the rise after food is truly a food rise or if the body was already on it's way up when food was fed.

Tara

[jim maceri]

Yea!!!! you made it to the one year club. Congrats and keep up the good work (both of you)

[Linda1]

Hope your second and all future years become easier resulting in great bg for Bailey.

[jesse girl]

great progress

that year hump is a milestone especially when it is a bit challenging congrats

[Judi]

congratulations on making it a year! you guys are doing great

[Patty]

Originally Posted by Geoff

Dosage: 13.5 Units of Protaphane and 1.5 units of Humlaog

Date Time Reading Comments
Sat
1-Dec-12 8:55am 24.1/385 Fed at 8am
1-Dec-12 1:15pm 22.4/403
1-Dec-12 3:03pm 15.1/272
1-Dec-12 5:03pm 13.7/247
1-Dec-12 7:03pm 17.6/317
1-Dec-12 7:59pm 20.8/374 Fasting then fed at 8
1-Dec-12 10:05pm 26.8/482

Dosage: 14 Units of Protaphane and 1.5 units of Humlaog

Sun
2-Dec-12 08:05am 22.7/409 Fasting
2-Dec-12 09:00am 25.9/466 Not an awful rise
2-Dec-12 11:32am 21.1/380 coming back down here
2-Dec-12 1:13pm 21.6/389
2-Dec-12 3:13pm 15.4/277
2-Dec-12 5:16pm 10.4/187
2-Dec-12 7:04pm 9/162
2-Dec-12 8:10pm 10.9/196 Fasting then fed after
2-Dec-12 10:05pm 16.1/290 about 100 pt rise
2-Dec-12 11:04pm 17.8/320 still rising a bit

3-Dec-12 7:56am 17.3/311 Spot Check

4-Dec-12 10:54pm 21.3/383 Spot Check

I am thinking of going to 2 units of Humlaog to try and drop his spike further.

Hi Geoff,
I wouldn't really worry so much about the amount of insulin he's on. If his dose is influenced by a possible borderline Cushings diagnosis, I still wouldn't treat unless there were outward symptoms.

Looks like he's coming down quite a ways into the PM fasting. You might just try increasing the PM Humalog and not the AM for now if this pattern is a repeating trend (looks like Sunday was the 1st day of 14u Protaphane).

Congrats on 1 year into your diabetes journey!!
Patty