05/10 Kitty PMPS 149 +2 108 +3 71 +4 74

How is Kitty feeling today?

I was curious about the MC at preshot and +1.5. Why didn't you stick with LC?
 
How is Kitty feeling today?

I was curious about the MC at preshot and +1.5. Why didn't you stick with LC?
Hi Wendy,

Thanks for checking in. Kitty seems to be feeling well today.

About the MC, I don’t really know what I’m doing. It seems the MC was unnecessary today, but if you look at her SS, on 5/8 the PM cycle she had 171 PMPS, I gave her MC at +3 and +4 because she had dropped into the 70s. So I figured today, being a similar pre shot BG she would need MC but it looks like she didn’t so now I don’t really know how to determine when she needs MC. It scared me the day I didn’t give her any MC (5/7 AM) and she dropped into the 60s while I was at work, so now I think I’m overdoing it with the MC.
 
I would tend to avoid MC for a preshot meal if she's in a range where you are comfy shooting. The 5/4 or yesterday AM shot made sense for MC, at least until you have more data on shooting green. The Lantus doesn't onset for a couple hours after the shot, and numbers will keep going up until then. Feeding higher carb at PS will make the BG go even higher up to onset. Use the +2 (or thereabouts) and whether it's a sizeable drop from preshot to decide if you want to give MC then. Or if you aren't certain and are away at work, MC in the feeder might be appropriate. As Kitty becomes more regulated, you may find that what you need to feed when may need to be adjusted.
 
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