? 4/12/20 Hugo AMPS 483, +3 = 330, +6 = 63 - New dose

[Elle D & Hugo]

Hugo went pretty far down suddenly and we don't want to shoot him far back up. Fed him a couple teaspoons of his food but it might have no carbs? We're testing again in 15.

 

[Elle D & Hugo]

15 minutes later - 64. 2 tsps low carb food and gravy.

 

[Elle D & Hugo]

Acting normally, maybe a little sleepy?

 

[Elle D & Hugo]

He ate all his food this morning, and we got a neg blood ketone test, just as an FYI.

 

[Nan & Amber (GA)]

Guess Hugo decided it was time to dip back into the green part of the rainbow!

 

[Nan & Amber (GA)]

Scratching my head looking at his spreadsheet, dunno what is up with this action today. I guess he could be breaking a bounce from the blues a couple days ago, but so sudden... Maybe just timing with insulin onset today, I don't know.

 

[Elle D & Hugo]

72 now. Should I give him more food?

Can he like, stay somewhere in the middle though? Sheesh.

 

[Wendy&Neko]

With the AT, this means going back to 2.25 units.

Yes on a tsp or two of LC food,

 

[Sienne and Gabby (GA)]

It looks like Hugo's bounce broke. Could you also get a retest after 30 min? (My rule of thumb is to retest if you get a number that seems out of sync. It's possible the 63 is due to a bad test or bad strip -- or the bounce broke.) Oops... Looks like you re-tested.

I agree with Wendy.

 

[Wendy&Neko]

The link to yesterday’s post, for continuity: http://www.felinediabetes.com/FDMB/threads/4-11-hugo-amps-471-3-543-6-462.228183/

FYI, with blue nadirs, you can hold the dose a couple cycles longer.

 

[Elle D & Hugo]

If I got back down, that won't trigger another bounce, will it?

 

[Wendy&Neko]

Actually, that 63 will trigger a bounce.

 

[Wendy&Neko]

You do have the option of what we call shooting through the bounce. If Hugo is skyrocketing by PMPS, you can shoot the old 2.5 units one more time tonight, then reduce to 2.25 units tomorrow morning. That technique can help then get over the bounce a little faster.

One more thing, could you take down the 911? We use that for medical emergencies. Now that you have eyes on you, you don’t need it

 

[Elle D & Hugo]

You do have the option of what we call shooting through the bounce. If Hugo is skyrocketing by PMPS, you can shoot the old 2.5 units one more time tonight, then reduce to 2.25 units tomorrow morning. That technique can help then get over the bounce a little faster.

One more thing, could you take down the 911? We use that for medical emergencies. Now that you have eyes on you, you don’t need it

Yes, I will change that. Thank you.

I think I'll shoot through the bounce. The bounces are just so rough on him. I can tell that he feels really bad when his numbers are high.

Thank you everyone for responding so quickly. I'm gonna test him again in about 15 to make sure he's out of the woods.

 

[Elle D & Hugo]

Now 76. I gave him some more food too. Do I test him in an hour now?

 

[Elle D & Hugo]

Last test was 89. I hope he doesn't skyrocket.

 

[Elle D & Hugo]

He didn't look like he was going up at an alarming rate earlier, but what number would justify staying at 2.5 tonight and going down to 2.25 on the morning? I want to keep with shooting low to stay low.

Even breaking this bounce scares me. It makes me think something else is wrong.

 

[Nan & Amber (GA)]

How long until you shoot?

 

[Elle D & Hugo]

2 hours.

 

[Nan & Amber (GA)]

OK, I probably won't be around then, but hopefully some other folks will. You should be fine to shoot tonight, the only question is whether you want to shoot through the bounce or take the reduction tonight. That will be a judgement call on what you are comfortable with. Right now, at 89 on an AT, I'd probably take the reduction, but he's got two more hours to go before shot time, and he could climb quite a bit between now and then so I'm guessing you'll be able to shoot 2.5 if you decide you want to do that. I think you are correct to want to try to take advantage of these low numbers as much as possible.

 

[Elle D & Hugo]

What's an AT?

 

[Nan & Amber (GA)]

Short for AlphaTrak.

 

[Elle D & Hugo]

Oh gotcha. Thanks.

 

[Elle D & Hugo]

PMPS is 107. I think we'll go back and do 2.25 units tonight.

 

[Nan & Amber (GA)]

Wow, he's having fun hanging out in the nice numbers tonight!!!! I think the 2.25 is a good move-- he'll surely be moving up soon, but he's taking his time!

 

[Elle D & Hugo]

It seemed like his shot was painful tonight. I think the insulin was still cold from the fridge. He's always angry about the shot, but it always makes me feel awful, like I did something wrong, like hit a muscle. Guess I won't know for an hour or so.

Sorry I use this board so much as just a sounding board. I should probably just get a therapist. I'm glad I found a community of people who have gone through or are going through the same thing as I am.

 

[Bron and Sheba (GA)]

That’s what we are here for. @Nan & Amber (GA) has been giving you good advice. I would get a +1 and+2 to start with just to see what he’s going to do

 

[Elle D & Hugo]

That’s what we are here for. @Nan & Amber (GA) has been giving you good advice. I would get a +1 and+2 to start with just to see what he’s going to do

Yup, I'm planning on it.

 

[Elle D & Hugo]

+1 is 143. Blood ketone 0.3.

 

[Elle D & Hugo]

+3 is 75. Getting nervous now.

 

[Elle D & Hugo]

Fed him some food. He's looking a bit rough around the edges. I dont want to give him any higher carb yet. Hopefully he's gonna sit nicely in this green area, but green so early make me nervous.

 

[Elle D & Hugo]

+4 was 85. Gonna a be a long night tonight.

 

[Bron and Sheba (GA)]

+4 was 85. Gonna a be a long night tonight.

Looks like he's surfing nicely.
I'd test again +5
If you give him a small snack like a teaspoon or 2 low carb when he's in greens it helps him surf.

 

[Elle D & Hugo]

+5.5 is 106

I had given him some more food about 30 mins ago.

 

[Elle D & Hugo]

I want to go to bed, but I don't want him to fall off while I'm asleep.

 

[Bron and Sheba (GA)]

+5.5 is 106

I want to go to bed, but I don't want him to fall off while I'm asleep.

I had given him some more food about 30 mins ago.

Because you fed 30 mins ago and that might have bumped up the BG a bit..can you get a +6.5 test in before you go to sleep?
Don't give any more food at the moment and if he's still not dropping back you could go to bed. Then you could give him a good feed. How about that?

 

[Elle D & Hugo]

I can try.

 

[Bron and Sheba (GA)]

I can try.

If you don't think you can stay awake, I would give him s good feed now.
You must be very pleased with the cycles today!

 

[Elle D & Hugo]

+6.5 is 131

 

[Bron and Sheba (GA)]

+6.5 is 131

Well done!
I'd leave a good snack for him to eat overnight and go to bed.
I think he likes this dose!

 

[Elle D & Hugo]

I'm still worried about him. He seems exhausted. We'll see how we're all feeling tomorrow, I guess.

 

[Bron and Sheba (GA)]

I'm sure you will feel better after a good sleep.

 

[Nan & Amber (GA)]

Wow! What a lovely surf Hugo had! Now he just has to get used to these kinds of numbers and you'll be in business!

He seems exhausted.

The rapid ups and downs in BG can be hard on them. Hopefully that's just it and he'll feel better in the morning after some sleep uninterrupted by pokes.

Great job last night!