3/24 Sabian's 112 PMPS & - Vet appointment discussion.

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patrick_777

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Hi there. Thought I'd ramble on a bit about what her vet and I talked about yesterday.

We discussed treat options and he thinks the treats I'm giving (dehydrated duck breast and occasionally nuggets of Purina DM when she's really finicky) are keeping her BG levels high by using the insulin in her system that's left after combating the food intake. He wants to keep at the 0.8u PZI for at least another week to see if we get anymore of those low PS numbers. Then I should shoot with food unless it's below 150. Letting her go so high so fast is bad for her and the food is affecting her BG so fast that shooting that low of a number could counteract the food-spike and keep her insulin levels more normalized throughout the day, possibly giving longer duration.

We talked about a switch to Lantus, and we both agreed that I'm doing some very minor things that could affect her sugar levels, and changing those variables (like the treats) could be enough to extend her surftime. Also, after looking at the numbers, she might be having a very slight somogyi rebound when she dives hard into the greens, and that could be why she's pushing higher up on the PMPS those days. Also, to add to that, I'm testing her a lot more often when she dives like that, so she's getting a tiny amount of food intake, which could be driving that food-spike again.

It's a big rollercoaster, but I'm not really worried too much anymore about her ups and downs. I have to just relax and keep myself from obsessing over it too much I think and over-testing her. It's hard when she's so eager to be tested tho...

He drew blood for a test and will have the results probably the middle of next week. He also examined her mouth and we scheduled a dental on April 8th to clean up some of her teeth, in hopes that it will also help keep her BG in check.
 
Re: 3/24 Sabian's vet appointment discussion.

Didn't know she was getting tiny snacks after each poke and DM dry is high carbs compared to her canned. Also, thought you were shooting her while she ate? Is this the same vet who told you to start her on 6 units of Prozinc? Has he learned anything from Sabian?
 
Re: 3/24 Sabian's vet appointment discussion.

what is the duck treat? 100% duck or does it have other stuff in it? if it's 100% duck should be ok,

it's the dm that is the culprit - cut that out completely and you'll probably see improvement.
 
Re: 3/24 Sabian's vet appointment discussion.

There are 3 ingredients to the duck tenders: duck breast, vegetable glycerine, natural flavor.
 
Re: 3/24 Sabian's vet appointment discussion.

Look at that little girl go :shock: wonder what she would do on a .60 dose which you never tried. Much better as far as nose dives and maybe longer duration......be interesting to see what her pmps will be.
 
Re: 3/24 Sabian's vet appointment discussion.

She's on her way back up without any intervention. I wonder what her PMPS will be.
 
Re: 3/24 Sabian's vet appointment discussion.

I looked at your SS and honest to God, I thought you shot her .80 on that 112. She did great today and I might be leery of another .80 unless she really jumps up there. What about going down to .60 for a few days and see what you get? She's doing better on a lesser dose now.
 
Re: 3/24 Sabian's vet appointment discussion.

Her 30 minute post meal is 139, but she really only finished about 15 minutes ago. Will check again in 30m.
 
I see the 265, not bad but then again I wouldn't trust her not to go down into double digits. At least she didn't start at 265 before food.
 
She's leveling off on the upswing it looks like. I'm going to retest in about 20 minutes at the +2 shot mark.

Hopefully the missing .2u won't actually make her dive that hard tonight and she surfs a while in the 100s before morning.
 
Maybe she's trying to go into remission and maybe, depending on amps, you might want to consider just .40 if she's doing this on .60. I wouldn't go to sleep for a while nailbite_smile
 
You mean the hypo procedures? Yes, but I'm hoping she levels off shortly. Her normal +3 to +4 nadir is coming up.
 
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