Thanks Joe! We were told that one should be around +50 from where you started at mealtime at around 2 hours post meal. I just thought of that as a type of rule and didn’t equate that with meaning the mealtime bolus was accurate.
Yes, my understanding is that if high/out of range at the two to three post-meal hour mark, a correction might be a way to go, but better to wait to the 3 hour-ish mark as to not stack. The thing is he usually comes down a good bit in the fourth hour so I guess it’s a guessing game in the early going.
We fear that giving that half unit of insulin to bring the level down a bit will cause a low. That is weighed against staying at a bit of an elevated rate for a while instead. So sometimes it gets worrisome or frustrating watching the CGM and wondering is this too high, too low. Has he been elevated too long, etc.
I may have said this before as well, but the CGM pulled the curtains back on what happens between meals. Right now his alerts are set based on a 80-200 target range. I think the last Clarity report I generated showed he was 96 or 97% in range for the time period. I guess its just difficult to know where he should be most of the time. The current endo says she usually gives a fairly aggressive target of 100. She indicated at the time that most use 120 or 130, I guess.