Bunny 166 then 172 after 30 min--what to do?

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Hello again... Bunny is all over the map these days. His PMPS last night was 191 after an AMPS of 470. I gave 0.6u last night because I wasn't sure I'd be home to monitor and I wasn't sure how low he'd drop. This morning he was at 546. I gave 2u. He's at 203 at +3.5. I' will monitor later this afternoon but wonder if the 2u is too high. Would it make sense to give him 1.75 instead? Also, what is a good dose for preshots around 200? 0.8u? 1? I was really cautious last night, but based on his +4 last night and his high preshot this morning, it was probably too low. Thanks in advance!
 
It looks to me like the 0.6 was too little for that 190/200 range. But if you can't be around, it is the safest choice. The 2 units for the pinks and blacks looked okay. The pmps last night was high enough to shoot and even if he drops a little lower than that, you can always stall. Today looks like it might be a faster drop and maybe lower numbers. If so, then yes, 1.75 might be a better choice for those higher ranges. Maybe next time you get a pre shot in the 200s, try 1.25/1.5 if you can monitor.

My thinking is this: the 2.2 on the 383 gave you a nice green, but the nadir could have lower earlier. 2 on 470 gave you a nice pmps, just a smidge low, but shootable. It is good that he is dropping in dose/range in general.
 
Thanks, Sue. I was so worried that he'd drop too low last night but knew 0.6 was a really low dose. It will be interesting to see where he's at tonight. I'll be home tonight to monitor. If he is in the 190/200 range, I will give 1.25 or 1.5 (still not sure which).
 
93 @ +5.5. I encouraged him to eat some of his food which he's doing. I have to leave shortly for a couple hours. Should I be worried? Anything else I should do? If he stays around 90, I'd be very happy but I don't want him to go much lower--especially while I'm away.
 
Can you do another test now and before you go so you can see if he's rising? That would give you some idea of where it's going. :)
 
AJHJ said:
Yes, absolutely can test before I go out. I'm not moving very fast today so may be able to get a couple more tests in.
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Lol not moving too fast myself today either :)

I think if he's on the rise on the next 2 tests he should be ok, but you could leave some mc or hc food out if you are really worried. He's not really low though and he's reached nadir pretty much @5.5 so technically should be rising at this stage.
 
Looks like our messages crossed. He just went to eat some of his regular food. What do you think?
 
AJHJ said:
71 @ +6.5. Gave him a tablespoon of his 22% carb food...
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still doing ok, would like to see him rise a bit though, so yes giving that tiny bit of hc should hopefully get things going in the right direction. :)
 
69 @ +7. Gave him another tablespoon of 22% carb food. Generally, he tends to drop through +8, so I think the hc food is keeping him at bay. Thoughts??
 
AJHJ said:
69 @ +7. Gave him another tablespoon of 22% carb food. Generally, he tends to drop through +8, so I think the hc food is keeping him at bay. Thoughts??
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Those numbers are all pretty much the same allowing for variants on the meter so he's staying the same. Would really like to see him moving up if it were me. But good that he's not dropping :)
 
AJHJ said:
I'd like to see him moving up, too. Would you give a bit of honey at this point?
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What meter do you use?
If you feel more comfortable with increasing his numbers now then you could, he did ping from a 61 to a nice blue 101 two days ago though. So it looks like today might be going the same way?
 
I use the Relion micro. That's true, he did go from 61 to 101 and that was just with a tablespoon of his 22% carb food. I'll test again in 12 min (+7.5). If he's still low, I might give a drop of honey in some of the HC food.
 
AJHJ said:
I use the Relion micro. That's true, he did go from 61 to 101 and that was just with a tablespoon of his 22% carb food. I'll test again in 12 min (+7.5). If he's still low, I might give a drop of honey in some of the HC food.
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That sounds like a good plan to me. :) I will be here so please update me.

I'm more familiar with an Alphatrak which is pet specific but i believe that the lower numbers work the same.
 
Those numbers are ok but a little lower than we want to see at this stage of his cycle, be aware that honey gives a boost but wears off quickly so can give false reassurance, try to stick with steering with food if you can.
 
81 at +7.5! Should I give any food or just let it ride? I can encourage him to eat some of his regular food or give him a tiny bit of HC. I think he's on the way up.
 
AJHJ said:
81 at +7.5! Should I give any food or just let it ride? I can encourage him to eat some of his regular food or give him a tiny bit of HC. I think he's on the way up.
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I'd steer it with regular food if it were me but it's your call. That's great news :)
 
I'll encourage him to eat some of his regular food. I'm assuming all of this means 2u is a bit high for his morning dose. I'll be curious to see where he's at PMPS.
 
AJHJ said:
I'll encourage him to eat some of his regular food. I'm assuming all of this means 2u is a bit high for his morning dose. I'll be curious to see where he's at PMPS.
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:) should be interesting! I'm not able to advise on dosing as it's not something I'm comfortable with but I'm sure others will be able to make suggestions.
 
Thanks, Tara. I completely understand... I'm really surprised he dropped so fast and low when he was at 546 this morning. He's only been higher than that once before. He got the same dose that cycle and only dropped to 330 at +4. This time he dropped to 2-3 at +3.5 and was down to 93 @ +5.5. He's really keeping me guessing. Is this a good sign??
 
AJHJ said:
Thanks, Tara. I completely understand... I'm really surprised he dropped so fast and low when he was at 546 this morning. He's only been higher than that once before. He got the same dose that cycle and only dropped to 330 at +4. This time he dropped to 2-3 at +3.5 and was down to 93 @ +5.5. He's really keeping me guessing. Is this a good sign??
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Looking at his SS he got a low dose last night which explains the high number this am (in my way of thinking). So he might do better with a more even but lower dose am and pm? But I'd run that past the experts :) could be some signs 'Mr P' could be kicking in a bit but I'm not an expert. (Sorry @Sue and Oliver (GA) i love that 'MrP' thingy so had to steal it lol)
To me I think it's a good sign;
I had to steer a few times when Tempest dropped much like Bunny so that bit I'm more comfortable with. I did go from 0-panic the first few times, but if it's steerable with food I think it's better all round, and noticed (in hindsight) that MrP seemed (probably) to kick in more and more after we had a few of those scary low numbers until we went otj. So here's hoping Bunny will head that way too! :cat:
 
I really hope it's MrP making an appearance! I went with a very low dose last night because I didn't think I'd be home to monitor. I think you're right that a more stable dose AM and PM would probably help. We'll see where he lands at PMPS... As long as I'm home to monitor, I'm comfortable frequently testing and steering with food. Unfortunately, I have to work during the week which makes it difficult so I will be conservative.
 
Well, he did decide to drop lower. With a human meter, 50 is really the time to intervene so the cycle wasn't bad. (He probably would have made it to 50 if you hadn't given food.). So it may be that the lower of our choices is better- 1.75 for the higher ranges. Or 1.5 if you can't monitor.

Sue and Oliver (GA) said:
It looks to me like the 0.6 was too little for that 190/200 range. But if you can't be around, it is the safest choice. The 2 units for the pinks and blacks looked okay. The pmps last night was high enough to shoot and even if he drops a little lower than that, you can always stall. Today looks like it might be a faster drop and maybe lower numbers. If so, then yes, 1.75 might be a better choice for those higher ranges. Maybe next time you get a pre shot in the 200s, try 1.25/1.5 if you can monitor.

My thinking is this: the 2.2 on the 383 gave you a nice green, but the nadir could have lower earlier. 2 on 470 gave you a nice pmps, just a smidge low, but shootable. It is good that he is dropping in dose/range in general.
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Thanks, Sue. Yes, I think he would have kept dropping if I hadn't given a bit of the hc food. He only got a very little bit--probably 1.5 tablespoons in all. The rest was jus regular lc food.
 
177 @ +11.75... going to stall for 15-20 min and retest. I know this is essentially 180 which is shootable, but want to see how fast he's rising. Struggling with how much to give. Is 1u too conservative? I can monitor, but honestly, don't want to be up all night as I have an early and long day at work tomorrow.
 
Looks like you gave one unit. I think that's a good choice.

You're getting into a tricky part of the sugar dance. He is gradually going down in levels and doses. It is really hard to guess how much less insulin will work - much more difficult than figuring out how much to raise the dose. But it is nice problem to have.

You have a life, so pick the best dose that reflects how you can/can't monitor. He will get there, but it has to work with your life.
 
It was a tough decision but I didn't want to overdo it. I'll check him at +2 and +4 and see how he's doing. I will, of course, stay up if I have to but I really hope I can get some sleep tonight! I was honestly very surprised with how fast and low he dropped today after such a high AMPS.
 
Can we say "Bounce!" Looks like a reaction to those numbers today. It could last through the cycle and just be higher and flatter. Or it could just be a few numbers. But remember, it's just one number; it's just one cycle.
 
Hahaha... Yes, bounce, indeed! Will be interesting to see the +4. He's definitely feeling good--chased his brother around a couple times and snuggled up on my lap right now.
 
122 at AMPS!!! I didn't even stall and retest because I don't think he could rise enough in 20 min or so. I have to go to work today so won't be able to monitor. I'm going to be hoping all day that he stays low...
 
He is making things difficult. Adjusting downward is such guesswork. So it looks like one unit is too much for anything near 200. Maybe try 0.5 next time. He'll likely be high tonight after the skipped shot, but I wouldn't give more than 2 and then if you are willing to monitor. If you want to sleep, maybe 1.5?
 
Honestly, I'm a little nervous about even giving 2 on a high number considering how fast and low he dropped yesterday on 2 after a 546 reading.
 
Bunny was 422 at +11 and 480 at PMPS... Sue, you were right about a high level tonight. I gave 1.5u and will monitor at least through +4. I'm hoping the lower dose evens him out a bit more across cycles. Thanks, as always, for the guidance and support, everyone!
 
Wow! He might be high again this morning since he dropped pretty far again! You're doing great!
 
Yep...321 at AMPS. Going to give 0.8u-- a bit nervous about it because I won't be home, but should be low enough based on his other numbers.
 
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