kxk34
Member Since 2022
At both PMPS and throughout the night so far Fuzzy's BG levels have been very high relative to what we've seen from her before and from what we saw today the few times we checked in the morning. Seeing how much higher her values are tonight relative to what we've seen before is making me really scared this is rebound and that she might have dipped too low today and we didn't realize...
Unfortunately, we did not test her at home very much at all today so it is hard to judge the possibility. We had decided not to test her much in the afternoon unless we felt the need to (e.g., became concerned, thought she wasn't eating as much as usual, etc.) because we did not want to put her through too much testing since we knew it would be important to check her levels tonight since she'd be getting insulin and sometimes she can get difficult to sit still for a prick later in the day. She also went to the vet today to recheck blood work, etc. and was particularly unhappy to be there today so we were trying to bother her less than usual. We thought that this would be fine since she has not had a reading below 200 after receiving 1 unit of insulin in the morning cycle any time that we've checked and throughout the day she was eating frequently and seemed to be doing well. Unfortunately, part of this plan was to test her around +5 to +6 hours for peace of mind, but due to miscommunication she was not tested again after returning home from the vet.
This morning her AMPS BG value was 336, it was 438 at +2 and on the blood work at the vet it was 273 (around +3). (We noticed in the past that the glucose levels on blood work taken at the vet differed a good bit from the Alpha TRAK meter readings (based on a previous visit where both were taken) so this drop from +2 to +3 might not be as big as it looks when comparing the meter with blood work as opposed to comparing two readings on the meter). Unfortunately, there was a miscommunication with my partner so I thought that he was going to check her BG around +5 while I was on a work call and didn't realize that he hadn't until just now when I looked at her spreadsheet and saw that the last test results we had for the first cycle was at +3.
Her PMPS BG value was 621. We were immediately concerned to see such a high value, but she'd eaten about an hour beforehand so we hoped it would go down later in the night. It has gone down relative to PMPS, but has remained higher than anything we've seen from her previously while home testing. At +2 it was 560, at +4.5 it was 515, at +6.5 it was 535, and at 10 minutes past +8 it was 556. The highest BG reading we've ever gotten was 487 at AMPS (on 1/21) (highest while on 1u insulin was 486 at +2.5 on 1/18). My partner mentioned that the only other unusual thing about the readings tonight is that her ears bled a lot during the first two checks of this cycle when usually we have a lot of difficulty getting her to bleed.
After realizing how high her values had remained, at around +7 during the PM cycle we checked her urine for ketones with a strip and it came back normal.
Tonight was the first time Fuzzy received insulin (ProZinc) twice as opposed to just in the morning (the vet we're seeing had us hold off on giving her insulin 2x a day for the first week for some reason) so it is also the first night that we have tested her blood glucose at home during the PM cycle so I am afraid we do not have any reference points for her during these times.
She ate about an hour before each of the PM cycle readings so we're not sure how that may factor into the value, but she eats pretty frequently throughout the day as well and we've never seen her values this high. (She is allowed to eat whenever she wants despite her diabetes diagnosis because she is very underweight due to IBD so restricting food too much is not an option. We only restrict during the 2 hours pre-shot in the morning).
In Fuzzy's spreadsheet linked in my signature, I added a tab with links to a pdf where you can view the cell notes we've added to her spreadsheet in case that would be helpful to have (I don't think those are viewable on the shared spreadsheet for some reason so I generated a pdf with the notes using the print function). Note: I removed the tab from the spreadsheet since I can't automatically update it with the most recent notes, but am adding this link to the pdf so that it is still accessible for documentation purposes.
Is there any chance that she could just get really high BG levels at night and we haven't been realizing it since this is our first night testing? Is there anything we need to do or check to make sure she is okay?
More general question: Can getting blood work drawn affect her blood glucose levels? That is, could she have dipped lower than we've been seeing despite not changing the dose and eating all day because she had blood taken for blood work early in the AM cycle?
Unfortunately, we did not test her at home very much at all today so it is hard to judge the possibility. We had decided not to test her much in the afternoon unless we felt the need to (e.g., became concerned, thought she wasn't eating as much as usual, etc.) because we did not want to put her through too much testing since we knew it would be important to check her levels tonight since she'd be getting insulin and sometimes she can get difficult to sit still for a prick later in the day. She also went to the vet today to recheck blood work, etc. and was particularly unhappy to be there today so we were trying to bother her less than usual. We thought that this would be fine since she has not had a reading below 200 after receiving 1 unit of insulin in the morning cycle any time that we've checked and throughout the day she was eating frequently and seemed to be doing well. Unfortunately, part of this plan was to test her around +5 to +6 hours for peace of mind, but due to miscommunication she was not tested again after returning home from the vet.
This morning her AMPS BG value was 336, it was 438 at +2 and on the blood work at the vet it was 273 (around +3). (We noticed in the past that the glucose levels on blood work taken at the vet differed a good bit from the Alpha TRAK meter readings (based on a previous visit where both were taken) so this drop from +2 to +3 might not be as big as it looks when comparing the meter with blood work as opposed to comparing two readings on the meter). Unfortunately, there was a miscommunication with my partner so I thought that he was going to check her BG around +5 while I was on a work call and didn't realize that he hadn't until just now when I looked at her spreadsheet and saw that the last test results we had for the first cycle was at +3.
Her PMPS BG value was 621. We were immediately concerned to see such a high value, but she'd eaten about an hour beforehand so we hoped it would go down later in the night. It has gone down relative to PMPS, but has remained higher than anything we've seen from her previously while home testing. At +2 it was 560, at +4.5 it was 515, at +6.5 it was 535, and at 10 minutes past +8 it was 556. The highest BG reading we've ever gotten was 487 at AMPS (on 1/21) (highest while on 1u insulin was 486 at +2.5 on 1/18). My partner mentioned that the only other unusual thing about the readings tonight is that her ears bled a lot during the first two checks of this cycle when usually we have a lot of difficulty getting her to bleed.
After realizing how high her values had remained, at around +7 during the PM cycle we checked her urine for ketones with a strip and it came back normal.
Tonight was the first time Fuzzy received insulin (ProZinc) twice as opposed to just in the morning (the vet we're seeing had us hold off on giving her insulin 2x a day for the first week for some reason) so it is also the first night that we have tested her blood glucose at home during the PM cycle so I am afraid we do not have any reference points for her during these times.
She ate about an hour before each of the PM cycle readings so we're not sure how that may factor into the value, but she eats pretty frequently throughout the day as well and we've never seen her values this high. (She is allowed to eat whenever she wants despite her diabetes diagnosis because she is very underweight due to IBD so restricting food too much is not an option. We only restrict during the 2 hours pre-shot in the morning).
In Fuzzy's spreadsheet linked in my signature, I added a tab with links to a pdf where you can view the cell notes we've added to her spreadsheet in case that would be helpful to have (I don't think those are viewable on the shared spreadsheet for some reason so I generated a pdf with the notes using the print function). Note: I removed the tab from the spreadsheet since I can't automatically update it with the most recent notes, but am adding this link to the pdf so that it is still accessible for documentation purposes.
Is there any chance that she could just get really high BG levels at night and we haven't been realizing it since this is our first night testing? Is there anything we need to do or check to make sure she is okay?
More general question: Can getting blood work drawn affect her blood glucose levels? That is, could she have dipped lower than we've been seeing despite not changing the dose and eating all day because she had blood taken for blood work early in the AM cycle?
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