Unusually low PMPS

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megmonger

megmonger

Member Since 2017
Abby had an unusually low PMPS tonight (179). We're on the SLGS method. And as bad luck would have it this morning was one of the rare days we were not able to get an AMPS so I'm rather in the dark on this one.

I did not give her PM insulin shot and instead fed her and waited a half hour to retest. Got a 195. Slightly better but still quite low for her.

I hesitate to skip her dose entirely. Any suggestions from someone with more experience? Our primary spreadsheet is the ReliOn one in my signature.

Thank you!

And just for reference, my most recent post linked here: http://www.felinediabetes.com/FDMB/threads/12-20-abby-is-it-even-making-a-difference.188338/
 
Good for you for shooting something tonight. This will be a great opportunity for you to gather data on what happens with a blue preshot. Getting this data will help with your next blue preshot, and help you gradually shoot lower and lower.

Next time, delay half an hour without feeding and test again, to see if she is going up on her own without influence of food.
 
I see you went down to shooting 4.0 units from 5.75. You haven't shot blues much at all, but as long as you can test tonight, I think you should be ok with 4.

I see you got a 241, so is that when you actually did the injection, right after testing and getting the 241, an hour later usual?

For next time, when you "stall", the idea is to wait and retest without feeding. Because then you can see if their blood sugar is naturally on the upswing, or if it is still falling. If you feed, then you almost always force it up, but if it was still naturally falling, then you could get into trouble later when the FOOD wears off AND the insulin is kicking in. Does that make sense?

But for this time, I would be sure to test three hours after the injection was actually given. Your insulin should be taking effect then, and if we are less than...I'll say 200 to split the difference between the 179 at your normal shot time and the food influenced 241 number, then I'd try to get another test a little after that before your bed time.

Does that help?

Sandi.
 
Yes, good job shooting something. I understand being hesitant shooting a blue when you aren't use to doing so. Usually, when shooting something lower than usual, they will start trending upwards again so, getting insulin into them is a good thing.

Looks like the 5.75 dose is doing it. Again , congrats for shooting something lower than you are used to and this data is good data. I would get a +1 and +2 since this is the lowest you've shot.
 
Thank you everyone!

To confirm, yes the 241 was her reading after I stalled for an hour, before I went ahead and gave her the reduced shot of insulin.

I had not realized about wanting to hold off on her food as well. Thank you I'll know better for next time now.

I just checked her again and she went up some more, to 292 at 2 hours post-insulin (shows up as "+3" on her sheet). To make my night that much more of a wild ride, Abby also managed to bust into the pantry shortly after her insulin shot and we didn't realize for a few minutes until we heard her rustling around. So it's possible she now stole some contraband snacks as well. This cat, I tell ya!! :facepalm:

I sincerely hope this is the start of us getting more blues. I am a bit confused though - when I reread the SLGS protocol tonight when it happened, it seems to read to me as if we want AMPS and PMPS shots no lower than 200. Is that correct? Or will we eventually want that in addition to wanting the nadir in the 90-150 range?

Thanks again for the help tonight folks. Really appreciate it. <3
 
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Eventually, as you gather experience and data, you will be able to shoot numbers above 90. When you are new, the suggestion is not below 200. You should be able to start lowering your "no shoot" number with as much experience as you have now.

For the SS, could you modify the PMPS cell and put the 241 in there. Put it as "179; 241@+13". That tells us you delayed an hour and shot the 241.
 
Wendy&Neko said:
Eventually, as you gather experience and data, you will be able to shoot numbers above 90. When you are new, the suggestion is not below 200. You should be able to start lowering your "no shoot" number with as much experience as you have now.

For the SS, could you modify the PMPS cell and put the 241 in there. Put it as "179; 241@+13". That tells us you delayed an hour and shot the 241.
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OK, the way the SLGS protocol reads was confusing me. I thought it was indicating that our goal was nadirs 90-149 and pre-shot values between 200-300. So if I'm understanding correctly now, our goal is flat curves with nadirs in the 90-149 range, with pre-shots no lower than 90. Is that right?
 
megmonger said:
So if I'm understanding correctly now, our goal is flat curves with nadirs in the 90-149 range, with pre-shots no lower than 90. Is that right?
Click to expand...
It would be nice to see that, but it's hard to get that idea range of numbers. You will probably see some higher preshots in there too.
 
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