Buddy has been well, and his remission is still going.
His current recheck with a CGM shows that his blood sugar levels are creeping up. He pulled his first CGM off after a day and a half, so there is some missing data.
I installed a new one yesterday, and it shows him hovering in high “normal” range …
I have considered putting him on insulin for a bit, and been weighing the pros and cons of different strategies.
- Omnipod + APS. Seems overkill, but would be the safest in terms of blood sugar control with insulin. Automated insulin delivery is great at tight Blood sugar control and minimal hypoglycemia risk.
- Insulin glargine in tiny doses. ah, but Buddy uses his insulin glargine much too fast … high hypoglycemia risk, with little DIA (duration of insulin activity) benefits. It is positively NOT dilutable.
- A different insulin? Next candidates are insulin detemir, and insulin degludec – they might work better as a long-acting insulin. But I don’t believe they can be diluted, and I estimate that he only needs maybe 1 IU per day at this point. 1 IU is difficult to draw to accurately with u typical insulin syringe …
- Small injections of highly diluted fast-acting insulin. It can be diluted to any concentration … I have both insulin and diluent on hand. DIA is unclear, but it might help bring his BG down, and give his own insulin factory a but of a vacation. Suboptimal, but I think it is the best approach for now. Especially with the CGM to guide us.
I just mixed a bottle of U1 insulin by diluting 10 units in 10 ml.
Buddy received a 0.05 IU injection at 12:32. Let’s see how it goes. ironically his blood glucose was down to 116 mg/dl when he got the injection …
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