3/5 Sebastian +11 51 PMPS 52 +1 54 +2 76 +4 47 +4.5 50 +5 48 +5.5 54 +6 50 +6.5 56 +7 56

That's below 50, so you need to give a teaspoon of HC gravy (just the gravy will be fine) and test again in 20 to 30 min.
 
Sorry I couldn't hang with you I was just heading out when I saw that 48, only had time for a quick post. Looks like he came up and surfed the rest of the cycle for you with just one TSP of gravy. Nice numbers today.

Solo, strictly speaking he hasn't earned a reduction, because as a lot nger term diabetic we look for a drop below 40, that said with the recent food change, cutting out the gravy food, bounces ate clearing quickly, and because we don't know if we are dealing with IAA or Acro, and with the sizeable depot from the 5u dose, I'm thinking it might be worth trying a reduction to 4.75, as long as ketones are still not a concern. You may need to watch his numbers and if it looks like the reduction has failed you may need to come back up again.

Just a thought.

It's almost midnight here so I'm off to bed TFS in 5hrs.

Grab a +11 change thread title, use the drop down list with ? Prefix and ask for some guidance with dose or just company if you are having to shoot low.

He's looking pretty flat as the cycle progresses he may even start to rise by pmps, remember if you are shooting s low number, be prepared to start with a + 1 and +2, feed strategically, and you may need to follow up with more tests, there's a good chance he will bounce, but we can't count on that.

Liking all the green blue action, hope he is feeling good.
 
+11 is 51

Gill & George said:
Solo, strictly speaking he hasn't earned a reduction, because as a lot nger term diabetic we look for a drop below 40, that said with the recent food change, cutting out the gravy food, bounces ate clearing quickly, and because we don't know if we are dealing with IAA or Acro, and with the sizeable depot from the 5u dose, I'm thinking it might be worth trying a reduction to 4.75, as long as ketones are still not a concern.
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Yes, that's what I'm thinking too. He's getting pretty low. Even right now at +11 he's on the borderline. I'd be much more comfortable if his lows were a little higher.
 
The problem with a reduction is that even if you reduce, the first part of the cycle will play out pretty much the same.

As low Ng as he is above 50, in theory he should be ok to shoot, but you should ready yourself for a long night.
Get a +1, and +2, the food you give him at 0pmps should bump his numbers up before he onsets, and you have a 2-3hrs before onset to feed so he has some car s on board. If you stay ahead of the curve with testing and feeding strategically then you should be able to keep him safe.

What makes me a little nervous is the impact of the food change and the unknowns in his General health.

I can't stay, but I'll put out a call see if anyone is about.
 
Gill & George said:
What makes me a little nervous is the impact of the food change and the unknowns in his General health
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His health has been much improved. No vomit in days and he's been more active lately. No longer just sleeping all day and is having periods of walking around and getting into trouble. I also think I have figured out the feeding schedule. He's fine with the food now, I haven't had to do any coaxing and he eats it no problem, and 4 meals a day seems to be working. I noticed last night when he had 3 meals, one every 2h20min, the 2nd meal was untouched but the 1st and 3rd were gone. So I just took the same volume and split it between 2 today and it worked great. He ate the first meal within the first hour or so, was ready to eat again when second meal came, and was done with just about all of it by mid-cycle.
 
Very nice cycle. I like Gill's advice to reduce because of all the recent changes. And like Gill said, the first part of the next cycle could still be active due to the depot, so get your +2 to get an idea of how this cycle could play out. He is likely to bounce, but he's a cat and they are sneaky.....

I will try and peek in on you after my dinner.
 
+2 76. Still not as high as I'd like to leave him for the rest of the night, and I can't sleep for only 2-3 hours, so I'll just stick around and do a +4
 
Justin & Sebastian said:
+2 76. Still not as high as I'd like to leave him for the rest of the night, and I can't sleep for only 2-3 hours, so I'll just stick around and do a +4
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Good plan, glad to see that it was not lower. Did you feed a little food at the +1?

I probably won't be on at +4. You know what to do to keep him safe. If he starts dropping again, you could always bring out some MC food so you can get some much needed sleep.
 
Did you feed a little more gravy at that 50?
Not much margin with that number,
In the earlier part of the cycle they sometimes need more carbs to bump them up because there's more insulin about.
You should be about to get a +5
 
Yes, 2tsp of gravy, I would see if that bumps him up before giving his full LC meal. You don't want him too full on LC and then not have the numbers come up and him be not hungry.
 
Have you done a ketone check today?
If not could you get one.

I'm thinking about what to do at amps if he's still green and hasn't bounced.
 
I ran out of strips for my Contour (more coming tomorrow) and had to use my Keto Mojo. It gives a bit more info, 26% HCT, 8.8 Hb. Not sure what those values mean but I see on the labs sheet that they're a little below normal range.
 
Also, I was planning on trying to adjust his schedule a little earlier so it's easier for me to get the evening +2s and was going to drop it by 15 minutes tomorrow morning. However now I'm thinking that's not the best idea right now since we just adjusted the dose and he's riding so low.
 
It still hasn't bumped him up much. I'm wondering if you've just been giving gravy with no food if he could do with something a little more substantial. Maybe half of his regular meal?
 
56@+7
Gill & George said:
It still hasn't bumped him up much. I'm wondering if you've just been giving gravy with no food if he could do with something a little more substantial. Maybe half of his regular meal?
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Oh he's been eating. I didn't hold back his meal at all so he's had about 1/2 his normal meal over the past two hours, plus I couldn't get only gravy out of the little can so he had some of that food too with each serving.
 
I'm sort of thinking that with the 5u depot and the food change and if we have a situation of IAA breaking then it might make sense to drain the depot by shooting a one off depot reducing dose at amps if he hasn't bounced by then. 2.5 or 3u.
The decision to do that is made harder by the DKA, but equally with some of the variables you are dealing with if the insulin needs have dropped and we've got an overfull depot it could really see you struggle to keep his head above the water.

Dropping the dose like this is not without risk. But I'm thinking if he's still green at amps then the depot will keep him low for the first part of the cycle, and if he comes up high enough you could shoot up to an hour earlier at pmps to try to get you on a better shooting schedule.
 
Gill & George said:
I'm sort of thinking that with the 5u depot and the food change and if we have a situation of IAA breaking then it might make sense to drain the depot by shooting a one off depot reducing dose at amps if he hasn't bounced by then. 2.5 or 3u.
The decision to do that is made harder by the DKA, but equally with some of the variables you are dealing with if the insulin needs have dropped and we've got an overfull depot it could really see you struggle to keep his head above the water.

Dropping the dose like this is not without risk. But I'm thinking if he's still green at amps then the depot will keep him low for the first part of the cycle, and if he comes up high enough you could shoot up to an hour earlier at pmps to try to get you on a better shooting schedule.
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Okay I like that idea. Just based on his past history with DKA and ketones, I know I've got a little wiggle room there. He doesn't seem to build them up super fast and worst case scenario if things do jump up real high I've got the R on hand to bring him back down.
 
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