New job! Schedule questions

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Kris & Teasel said:
I mean do the PS test and if it's low wait without giving food for about 20 minutes then retest. It's to see if the BG is on the rise on its own. You can repeat up to an hour total of stalling without food. If the BG is rising it's safer to give a larger dose.
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Thanks! That's what I thought, but wanted to clarify.
 
PMPS was just at a nice 258. To maybe see if I get a higher AMPS, should I decrease tonight's dose or stay at the 2? Thanks in advance!
 
Kris & Teasel said:
Very nice! He survived. ;)
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Lol, I won't lie, almost every day that I walk in and see him waiting for me, I say a little 'thank god!'. :p I'm going to get ready for a low AMPS again, but will have an extra 2 hours to stall/retest if necessary. If that keeps happening, I'll take it as the sign to look into modifying doses for the 11/13. He seems to be doing really well with the change though!
 
AMPS was 171. Anyone awake with advice for dosing?! Was going to do 2 units and test in 2 hours/friend put out food midday again.....
 
Considering I gave 1.8 yesterday on a 123 amps, I'm going to stick with 2 units. I'll test in 2 hours before I leave and my friend will give food later!
 
Sorry Caitlin. I wish I was awake your time! (Honestly, I might have been...dang weather radio kept going off, but I kept turning it off and going back to bed).

I think 2 was fine! You've given 2 on a 188 recently and he seemed fine that night. Glad you were able to get a test in a few hours after. That will help us as you continue to get these lovely preshots!

We didn't mean to take your confidence yesterday...we were just worried as that's a lower number than most of us would shoot at. You're doing fine! :bighug:
 
Rachel said:
Sorry Caitlin. I wish I was awake your time! (Honestly, I might have been...dang weather radio kept going off, but I kept turning it off and going back to bed).

I think 2 was fine! You've given 2 on a 188 recently and he seemed fine that night. Glad you were able to get a test in a few hours after. That will help us as you continue to get these lovely preshots!

We didn't mean to take your confidence yesterday...we were just worried as that's a lower number than most of us would shoot at. You're doing fine! :bighug:
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I don't wish being up that early on anyone! Thanks! I'm glad I'm starting to be able to look back and see comparable numbers with the dose I did. I'm okay, just being a bit cautious now as I wasn't quite sure of a no shoot number! Thanks for looking out ☺️
 
Caitlin - just saw your 111 at +2. Have you left for work already? Are you going to be able to get any more tests? With that number at +2, I'm really curious where Pita is going at nadir...
 
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Djamila said:
Caitlin - just saw your 111 at +2. Have you left for work already? Are you going to be able to get any more tests? With that number at +2, I'm really curious where Pita is going at nadir...
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Gave him food before I left and my friend will be giving food at 1:30 again.
Djamila said:
Do you think Pita might be ready for a dose reduction? Or not yet?
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I was wondering that as well but i think his pm needs to be reduced so that his amps is slightly higher because he'll be 13 hours without insulin. So lower pm dose, higher am dose. Just not sure how to proceed.
 
Ok all, I still have about an hour and a half until all the pm stuff, but wanted to check in now. If his PMPS is in the 200's as it has been the last few days, should I decrease tonight's dose to see what his AMPS brings tomorrow?
 
That's a good question...I'm just going to think out loud here for a minute...

He has 11 hours from PM dose to AM dose which would mean reducing a little would make sense so that his AMPS is a safer number, and more balanced with the PMPS numbers.

He has 13 hours from the AM dose to the PM dose, which might mean he needs a little extra at that point to last longer...except today he was dropping fast and didn't really have any extra room to deal with a larger dose....which means if you increased his daytime dose for the extra hour, he would be risking a hypo at a time when you can't monitor. So I would say his response to the insulin is a bigger factor than the number of hours because of the monitoring issue.

So maybe you need to reduce both doses a little bit: the PM dose so he's a little more balanced in the morning, and the AM dose so he's in safer numbers while you're away.

But all of that is purely guessing since it looks like his nadir is around +6, and there aren't a ton of data points for that time (wouldn't it be nice if none of us had to work?).

So really, that wasn't helpful at all. Hopefully someone wiser than I am comes along before you need to shoot.

If you do go with your thought to decrease this evening, what dose are you thinking?
 
Djamila said:
That's a good question...I'm just going to think out loud here for a minute...

He has 11 hours from PM dose to AM dose which would mean reducing a little would make sense so that his AMPS is a safer number, and more balanced with the PMPS numbers.

He has 13 hours from the AM dose to the PM dose, which might mean he needs a little extra at that point to last longer...except today he was dropping fast and didn't really have any extra room to deal with a larger dose....which means if you increased his daytime dose for the extra hour, he would be risking a hypo at a time when you can't monitor. So I would say his response to the insulin is a bigger factor than the number of hours because of the monitoring issue.

So maybe you need to reduce both doses a little bit: the PM dose so he's a little more balanced in the morning, and the AM dose so he's in safer numbers while you're away.

But all of that is purely guessing since it looks like his nadir is around +6, and there aren't a ton of data points for that time (wouldn't it be nice if none of us had to work?).

So really, that wasn't helpful at all. Hopefully someone wiser than I am comes along before you need to shoot.

If you do go with your thought to decrease this evening, what dose are you thinking?
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I agree that his insulin response trumps number of hours between doses. Why not lower both doses: 1.8 u tomorrow AM because he dropped fairly low by +2 while you were away and maybe 1.6 tonight to compensate for the 11 hour cycle and maybe leave him a tad higher tomorrow AM.
 
Djamila said:
wouldn't it be nice if none of us had to work
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And still make money :D. I really don't know what I'm going to do when I start working again, besides the obvious: worry about Maury :nailbiting: and thank the heavens every day I come home and he's OK :bighug:

On topic. I think the double reduction might work out well. Curious to see!
 
Kris & Teasel said:
I agree that his insulin response trumps number of hours between doses. Why not lower both doses: 1.8 u tomorrow AM because he dropped fairly low by +2 while you were away and maybe 1.6 tonight to compensate for the 11 hour cycle and maybe leave him a tad higher tomorrow AM.
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I can do that! I agree about his responses. My thought was that his amps has been lower due to his 2 units pm dose, so if I reduced it, theoretically his amps would be a bit higher and safer. Then I could give the 2 units in the am when he has longer to drop. Sooo yah, I'll see what his PMPS is and post it before I shoot tonight to see if the 1.6 is still good!
 
Yong said:
And still make money :D. I really don't know what I'm going to do when I start working again, besides the obvious: worry about Maury :nailbiting: and thank the heavens every day I come home and he's OK :bighug:

On topic. I think the
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Although I don't think you finished....
 
Yep, his reaction to the insulin is quite different! I'm with everyone else...a reduction for both seems like a good plan.
 
You might think about doing 1.6 for the AM dose as well, unless his AM is super high or something. It looks like he's responding really well to the insulin right now.
 
AMPS was 210. I'd'like to give 1.8 since it's an extra 2 hours until his next dose, BUT that's exactly what his PMPS # was last night and he got down to that 64. I'll do the 1.6 again and see what his PMPS brings and go from there. :)
 
Sheesh, I just had such a scare! I put their wet food down and then opened a new bag of dry treats to put into the container. Well, Pita decided to stop eating and hang out, thinking he was getting more treats! I put his brother in a different room and waited a few minutes (treats gone) but he didn't even look at the wet. I finally put a few pieces of his treat food into the wet and then he ate normally. Gah, figured it was the perfect time to refill since they'd be eating, but nooo! Almost had a heart attack.
 
Ha, Pita thought it was treat time! Yeah, I've learned not to get anywhere near the treats at dinner time or they won't eat anything!
 
Lol...same thing here! It took forever to get Sam back to his dinner bowl the other day when I just touched the treat bag while he was eating! The only ingredient they list is rabbit, but there must be something magical in those things!
 
Caitlin M said:
AMPS was 210. I'd'like to give 1.8 since it's an extra 2 hours until his next dose, BUT that's exactly what his PMPS # was last night and he got down to that 64. I'll do the 1.6 again and see what his PMPS brings and go from there. :)
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I understand the conflict between doses. When they're being super responsive like this, it's so hard to guess which cycles need which dose. There really isn't any way to know without staying home from work for the next month, which obviously isn't realistic. You just have to make the best educated guess you can.
 
PMPS of 223, giving 1.6 again tonight and will see about tomorrow am! I also got my feeder, so I'm testing it tonight and will be using it for them tomorrow! My random question though - my friend had been giving food at about 1:30pm/ 8.5 hours after his am shot. I had planned on feeding at 11:30/ 6.5 hours after shot. I know I can play around, but if his PMPS seems to be good after the 8.5 hours feeding, which time frame should I do?! Hope that makes sense.
 
Yeah for the feeder! Does it just have one compartment for food? Or does it have more slots?

If it's a one-slot feeder, I would think the most important time for the extra meal would be just before nadir so that if Pita is dropping too low, he can eat and bring himself back up.
 
Djamila said:
Yeah for the feeder! Does it just have one compartment for food? Or does it have more slots?

If it's a one-slot feeder, I would think the most important time for the extra meal would be just before nadir so that if Pita is dropping too low, he can eat and bring himself back up.
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It's just one which is why I'm thinking the 6.5
 
I think it's safer for your sanity and him if he has food available at +6.5. I know the +8.5 wouldn't work for Maury that's why he gets lunch earlier. He doesn't seem to eat much after nadir (course after this post he will start, of course) just finish his lunch or a few bites of YA. :)

Which feeder did you decide on?
 
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