STALLING, need advice. New to low numbers.

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hellolucy

hellolucy

Member Since 2017
Just took Lucy's AM pre-shot and it was 76. She had her other first ever low number (under 100) the night before last. She's on 11U 2x per day. She ate a tiny bit of her food before I took the shot and I picked the food up as soon as I saw that low number which is something I learned to do from my previous thread, link below, and the sticky. Assuming at this point, I wait, test her again in about 30 minutes, and then report back? I am teleworking today so will be able to keep an eye on her and test.

Update: 30 minutes later, number came back at 76 (again). Still not feeding or shooting. Will test again in 30 minutes.
Update 2: 60 minutes later, number is 104. Shot BCS at 7.5U.
Update 3: 1 hour after late shot, number is 164.

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Hi--

it seems pretty quiet on the board this morning, unfortunately. I'm not a high-dose-experienced person, so I hesitated to give advice here, but if no one else is around, here goes based on things I've heard here!

1) I don't know if stalling longer without feeding is going to help in this case-- she's holding steady, and after a while with no food she might drop lower anyway. Even though you haven't shot this morning, she still has a substantial depot on 11U, so she might continue to drop for that reason as well.

2) 76 on an AT2 is, to me, too low to shoot for you right now. It's very close to the "take action" number at 68, and while you may be able to work your way down to shooting this number eventually (it's Lantus, "shoot low to stay low!" really does work!), Lucy is very new to these numbers so I'd hold off for now.

3) If you were to shoot more than an hour late, would you be able to re-shift the shot times gradually back over the next few days? If you have that flexibility, you may be able to shoot later (either a full dose or, more likely, a "big chicken shot") if she starts rising quickly, but otherwise it might be best to skip the shot today and call it a fur shot.

If you really want to shoot, it is an option since you can monitor all day today, but only if you have lots of strips and HC food available. High dose conditions are tricky-- insulin needs can change suddenly, so I hope that a high dose expert will weigh in on this first.

Hope someone else can chime in on this, but that's my take on the situation!
 
Nan & Amber said:
Hi--

it seems pretty quiet on the board this morning, unfortunately. I'm not a high-dose-experienced person, so I hesitated to give advice here, but if no one else is around, here goes based on things I've heard here!

1) I don't know if stalling longer without feeding is going to help in this case-- she's holding steady, and after a while with no food she might drop lower anyway. Even though you haven't shot this morning, she still has a substantial depot on 11U, so she might continue to drop for that reason as well.

2) 76 on an AT2 is, to me, too low to shoot for you right now. It's very close to the "take action" number at 68, and while you may be able to work your way down to shooting this number eventually (it's Lantus, "shoot low to stay low!" really does work!), Lucy is very new to these numbers so I'd hold off for now.

3) If you were to shoot more than an hour late, would you be able to re-shift the shot times gradually back over the next few days? If you have that flexibility, you may be able to shoot later (either a full dose or, more likely, a "big chicken shot") if she starts rising quickly, but otherwise it might be best to skip the shot today and call it a fur shot.

If you really want to shoot, it is an option since you can monitor all day today, but only if you have lots of strips and HC food available. High dose conditions are tricky-- insulin needs can change suddenly, so I hope that a high dose expert will weigh in on this first.

Hope someone else can chime in on this, but that's my take on the situation!
Click to expand...

Thanks so much for the reply. I just took another reading at 60 minutes and it's 104. I set her food down and am going to go with a BCS (7.5 - versus her current 11) since she's so new to these green numbers and they usually tend to rise.
 
Nan & Amber said:
Sounds good! Glad she's coming up, and, since she is, I think it's good to shoot. Good luck!
Click to expand...

Question for you :) So I gave Lucy her shot an hour late due to stalling. Her +1 I just took post shot came back at 164. How do I accurately record this in the spreadsheet? I am confused as to how to record late shots, etc. and have it match with the +1,+2,.... headings in the spreadsheet.
 
The main thing is that you want to keep the +1, +2 etc. reflecting the actual shot time (the number of hours since the shot). There are a variety of ways to note the change in shot time, probably the easiest is just to add a line in the "dose" cell saying the shot was an hour late, but just do whatever makes sense to you.
 
Nan & Amber said:
The main thing is that you want to keep the +1, +2 etc. reflecting the actual shot time (the number of hours since the shot). There are a variety of ways to note the change in shot time, probably the easiest is just to add a line in the "dose" cell saying the shot was an hour late, but just do whatever makes sense to you.
Click to expand...

Ack - sounds like I have some revising to do! Thanks again :cat:
 
Good job handling that green surprise this morning. :) Once you've gathered more data, you may find you don't need to stall. Once I saw that Neko was flat or slightly rising, I knew I was OK to shoot low numbers. But it does take time, data, and experience before you get there. Getting some +1 tests after you shoot lower numbers will give you an idea what sort of number bump she gets from food.

Next time you see a +3 at night is down from preshot and almost at 100, you might want to set an alarm for a couple hours later, just to check on her. If nothing else, make sure you leave lots of food out for her to snack on should her numbers go lower.

For the spreadsheet, another format for letting people know you stalled would be "76@+12; 76@+12.5; 104@+13".
 
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