3/31 Sugar Pie AMBG 152

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Here is the link to Sugar Pie’s 3/30 condo.

Great start! I’m glad you didn’t shoot.

One important note: she is still not in normal numbers so if she stays where she is, she will likely need “some” insulin. How long do we wait? I’d say at least a few days as long as she doesn’t go up into yellow or higher and stay there.

While I know it might be tempting to not test her, we need to see what she does at night as well. I suggest that you test her both cycles about three hours after you feed her so we can see if her pancreas is working.

If it is working, you’ll see the BG drop into green numbers about three hours after she eats. :D

Would you be willing to do those tests a.m. and p.m. cycles so we can help you determine what her pancreas is actually doing?
 
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Hi Angela. Happy to see you didn't shoot this morning! I had this idea yesterday: There's a chance Sugar Pie is simply bouncing off the exogenous insulin given to her. I think she *may* be done with shots (the diet change may have been enough) because giving her any amount of insulin... even the tiniest amount... causes extreme diving followed by an expected bounce. As soon as any of us sees high numbers we naturally encourage you to shoot ... and it becomes a vicious cycle.... shoot, dive, bounce... shoot dive, bounce... and so on... even on the tiniest of doses.

However, there is always the possibility I'm wrong. The only way to test this theory is to commit to withholding insulin for at least 3 days (6 cycles). During those days we will most likely see high numbers and we'll all be tempted to yell, "Shoot!", but that's the worst thing we could do. We'll have to sit on our hands for the duration or the outcome becomes meaningless.

It will be important for you to check for ketones daily... check blood or urine... whichever is easiest for you. If Sugar Pie begins to throw ketones we'll consider the experiment a failure since the presence of ketones indicates an insufficient supply of insulin. At that point, we'd have to go back to the drawing board to come up with a new plan.

Continue testing at the normal AM and PM shot times. When you see a higher than normal number, please feed a couple teaspoons of LC and then retest 3 - 4 hours later. Sometimes that's just enough to stimulate the pancreas and her numbers will come down on her own.

One other thing, please take careful notes on your spreadsheet of feeding times since food can effect BG numbers.

What do you think? Want to try this to see if it works? We won't know unless we try.
 
Hi Angela. Happy to see you didn't shoot this morning! I had this idea yesterday: There's a chance Sugar Pie is simply bouncing off the exogenous insulin given to her. I think she *may* be done with shots (the diet change may have been enough) because giving her any amount of insulin... even the tiniest amount... causes extreme diving followed by an expected bounce. As soon as any of us sees high numbers we naturally encourage you to shoot ... and it becomes a vicious cycle.... shoot, dive, bounce... shoot dive, bounce... and so on... even on the tiniest of doses.

However, there is always the possibility I'm wrong. The only way to test this theory is to commit to withholding insulin for at least 3 days (6 cycles). During those days we will most likely see high numbers and we'll all be tempted to yell, "Shoot!", but that's the worst thing we could do. We'll have to sit on our hands for the duration or the outcome becomes meaningless.

It will be important for you to check for ketones daily... check blood or urine... whichever is easiest for you. If Sugar Pie begins to throw ketones we'll consider the experiment a failure since the presence of ketones indicates an insufficient supply of insulin. At that point, we'd have to go back to the drawing board to come up with a new plan.

Continue testing at the normal AM and PM shot times. When you see a higher than normal number, please feed a couple teaspoons of LC and then retest 3 - 4 hours later. Sometimes that's just enough to stimulate the pancreas and her numbers will come down on her own.

One other thing, please take careful notes on your spreadsheet of feeding times since food can effect BG numbers.

What do you think? Want to try this to see if it works? We won't know unless we try.
Hello Jill Thank You so much for all of your feedback it is truly appreciated!! :)

Yes I was kind of thinking that is well she's testing good numbers so I will definitely test her again when I come back in a few hours or so.

Okay the ketones thing is new to me- how do you check for those?

Yes I just added her plus to testing and the time I fed her. Once again thank you so very much for all of this valuable information and thank you enough for caring about my Sugar Pie!! :bighug:
 
Here is the link to Sugar Pie’s 3/30 condo.

Great start! I’m glad you didn’t shoot.

One important note: she is still not in normal numbers so if she stays where she is, she will likely need “some” insulin. How long do we wait? I’d say at least a few days as long as she doesn’t go up into yellow or higher and stay there.

While I know it might be tempting to not test her, we need to see what she does at night as well. I suggest that you test her both cycles about three hours after you feed her so we can see if her pancreas is working.

If it is working, you’ll see the BG drop into green numbers about three hours after she eats. :D

Would you be willing to do those tests a.m. and p.m. cycles so we can help you determine what her pancreas is actually doing?
Wow Thank You so Very much!! :)

Yes I thought so too and that's exactly why I didn't. Okay I understand I will just continue to test her. I just tested her at + 2, and then I will test her again this evening when I get back. When I get back.
 
Wow Thank You so Very much!! :)

Yes I thought so too and that's exactly why I didn't. Okay I understand I will just continue to test her. I just tested her at + 2, and then I will test her again this evening when I get back. When I get back.
It’s important to note that you won’t get the data you need on the pancreas with random tests. It does need to be 3-4 hours after she eats. So test, feed, retest in 3-4 hours.

You can buy urine ketone strips at the pharmacy. When she squats to pee, stick a spoon under her bottom, dip the stick in it, and read it exactly 15 seconds later and compared it to the chart on the container.
 
Okay the ketones thing is new to me- how do you check for those?
There are two ways that I know of to test for ketones at home:

  • using a blood ketone meter such as the Nova Max Plus or Precision Xtra Blood & Ketone meter (similar to a regular glucose meter)
  • using ketostix to test urine (available at any pharmacy). I used a long-handled soup ladle to collect urine while Alex peed. Follow the directions on the cannister to the letter.
 
It’s important to note that you won’t get the data you need on the pancreas with random tests. It does need to be 3-4 hours after she eats. So test, feed, retest in 3-4 hours.

You can buy urine ketone strips at the pharmacy. When she squats to pee, stick a spoon under her bottom, dip the stick in it, and read it exactly 15 seconds later and compared it to the chart on the container.
I understand and that's pretty much what I've been trying to do. However Pie does not eat all of her food at once she grazes or nibbles. So when I come back in a little while I will retest her.

Ohh okay I will have to buy some of those and try to test her ketones.

Thank you
 
I understand and that's pretty much what I've been trying to do. However Pie does not eat all of her food at once she grazes or nibbles. So when I come back in a little while I will retest her.

Ohh okay I will have to buy some of those and try to test her ketones.

Thank you
You’re welcome.
 
I see you fed her at what would be +9. Are you able to get a test three hours after that or what would normally be +12? Thanks!
 
You-hoooooooooooooo! Angela, where are you?
I was hoping you'd have kept Sugar Pie's spreadsheet up-to-date and continued posting.

If you still want help, please update Sugar Pie's spreadsheet with all test results/data... the times fed indicated in +hours for each cycle, BG tests at what would have been PMPS times, and when ketones were tested every day and their results. Then start a new thread to let us know it's done so we'll have everything needed to evaluate withholding insulin.
Thank you!
 
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