13.4 before dinner again last night (and he wouldn't have eaten whilst on a 4 hour shift at work) so I told him to add 2 more units of Novorapid with his dinner, he has then woken at 9.3 this morning. It is a school day so of course he got up significantly earlier so I guess that will have made a bit of a difference over yesterday's reading.
The sensible side of me says contact the DSN now and get some guidance on upping the levels (I suspect she will say to up the Lantus first) but he has an AS level exam on Friday, so I am inclined to leave things be for the rest of this week. I may give it a couple of days when we have more figures then contact her and explain the exam situation, maybe then she will suggest altering doses Friday night. Then though, I will worry if it will affect him at work on Saturday.....! I would rather him have a hypo at school than at work if that is going to start happening again. He hasn't had one for 6 months, so it will come as a bit of a shock to him I suspect.
I guess this goes to show the honeymoon period is well and truly over, because looking back in his diaries, it only took a week or two at the very beginning to get almost every reading under 10, in fact most in the target range 4-8. Looking through them, ours have a 2 page spread, there would only be one or two over 10 readings every two weeks. Quite the opposite to now. The Lantus has been at 25u since about week 8, and that did hold him steady for months.
I'm hoping that as his levels come back down to normal range he will start to feel physically so much better, and therefore realise the benefits. My only worry with all this is that he is testing/injecting at the moment as he has this appointment next week. I do wonder what will happen after that. I suspect though his DSN will keep in regular touch for a while and he does have another clinic appointment on 23rd Feb, so I guess he knows they will be looking for a drastic improvement by then. I guess with levels like he has at the moment his HbA1c isn't going to improve from 12, it will probably get worse before it gets better. Still, at least I feel he is making improvements with testing and injecting more regularly, it's just the doses that need altering now.