1-30 Little Man AMPS 156/+2 121/+3 91/+4.5 101/+7.25 147/PMPS 210/+2 157/+3 117

Ok here we are at +3.5 i just dont understand. It's like we've lost all momentum. His numbers arent terrible I will admit but it seems we are struggling to have the lower blue preshots with green days and nights.

Should I hold this or increase? I tried the mix at +1 to stop the dive. It did stop a dive but he didnt get very far either tonight or today. It also appears that his nadir has moved to more +4. We are at the last 18 units or so of our pen so not sure if we are having a not as effective issue either. Course with just LC at +1 he dives so not likely an issue with pen.

Now I will say it is a possibility that we had a PFS this morning. I smelled faint lantus I do a smell test each shot...but it wasnt strong so I thought there might have just been a teeny bit on end of needle.

Overall he is good. Happy, playful, normal restroom behavior, grooming etc...Doesnt act in pain so I dont think we have any infection or problem brewing that could be causing our numbers to shift higher. He does still occasionally have that weird limp especially when he first wakes up from a hard sleep. I think he may be dealing with a bit of arthritis. Once he is up and moving around he pounces jumps runs so maybe just stiff at first?

Thoughts?

@tiffmaxee @FrostD @Bandit's Mom @Katherine&Ruby
 
Maybe it’s time to stop feeding 9% again. It doesn’t seem to help. Or you could increase and continue feeding 9% early. See what the others think. I dint think it’s the insulin as you would be getting all higher bg which you aren’t.
 
I would suggest you feed the 9% with LC at +1 to prevent the dives. I think you'd stopped that hoping he would earn a reduction? The diving to the 50s is triggering bouncing - sometimes it's almost a 100pt drop. With nadirs in the 50s, there isn't room for an increase. If his numbers stay higher after this, you can consider an increase.
 
Bandit's Mom said:
I would suggest you feed the 9% with LC at +1 to prevent the dives. I think you'd stopped that hoping he would earn a reduction? The diving to the 50s is triggering bouncing - sometimes it's almost a 100pt drop. With nadirs in the 50s, there isn't room for an increase. If his numbers stay higher after this, you can consider an increase.
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True. I was just thinking more carbs to offset the increase might work. I wasn’t sure though.
 
tiffmaxee said:
Maybe it’s time to stop feeding 9% again. It doesn’t seem to help. Or you could increase and continue feeding 9% early. See what the others think. I dint think it’s the insulin as you would be getting all higher bg which you aren’t.
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I agree with this and don't on the 9%. Part of me feels like he mix is a bit too much but when I just give just the LC at +1 it isnt enough to stop dive. Then the dive triggers the highs again like we are on a roller coaster and cant get off.

Bandit's Mom said:
I would suggest you feed the 9% with LC at +1 to prevent the dives. I think you'd stopped that hoping he would earn a reduction? The diving to the 50s is triggering bouncing - sometimes it's almost a 100pt drop. With nadirs in the 50s, there isn't room for an increase. If his numbers stay higher after this, you can consider an increase.
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I agree about his number diving into 50's that if I increase we could have a hypo episode. But I obviously dont want to let him get used to higher numbers and have to break through again.

I did stop giving the mix at +1 working on a reduction as we had discussed doing that and had done in past successfully.

What do you ladies think about trying a 4% at +1 instead of the mix of LC with 9%?
 
Agree! It’s trial and error and when you think you figure it out they change the rules on us sometimes. I think you mix is close to 4% isn’t it? Oh, I see you think lower. The thing is tge carb percentages are only estimates. Every batch is likely a little different.
 
tiffmaxee said:
Agree! It’s trial and error and when you think you figure it out they change the rules on us sometimes. I think you mix is close to 4% isn’t it? Oh, I see you think lower. The thing is tge carb percentages are only estimates. Every batch is likely a little different.
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I actually think the mix I'm using is a tad higher than 4%. If I use linear math it is around 6 to 7%. And yes they are only estimates and there will be variations in each batch.

I am going to try the 4% tonight. And then LC at +2 and +3 and see where we end up. I need to stop the bouncing and get more flat again.

tiffmaxee said:
Read this.

https://www.felinediabetes.com/FDMB/threads/8-10-tashie-pmps-high-questions.101989/#post-1087990
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Great read will definitely read a few more times. It definitely is what I need to be doing I think. Like I mentioned above if I need to increase to get him back down into flatter green cycles like before then I'm all for it
Bandit's Mom said:
Hmmmm....not sure it was too much. In some cycles, it helped reduce the diving. All you can do is play with the carb% and see what works.
Sorry we can't be of more help!
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No you guys are always great helps even if it's a think tank session! It helps me think around an issue if I can 'think out loud' so to speak and bounce ideas off others! <3
 
So given the +7.25 bg I'm thinking it was a definite PFS this morning. I noted it as a possibility on the ss.

He has had no snacks since +3 and that was a tsp of his regular LC. I'm not keeping food from him he just isnt hungry and I'm ok with that. Just noting that as it isnt what is affecting current higher bg.
 
Rainbow Conti said:
So given the +7.25 bg I'm thinking it was a definite PFS this morning. I noted it as a possibility on the ss.

He has had no snacks since +3 and that was a tsp of his regular LC. I'm not keeping food from him he just isnt hungry and I'm ok with that. Just noting that as it isnt what is affecting current higher bg.
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Nearly had one of those yesterday, she moved away as I hit the plunger, but I also do a smell test (and periodically smear some Lantus on my finger and smell to refresh my memory) and didn't smell any, and then her numbers were good, so sigh of relief...hate having to put fur? on the ss!
 
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