4/13 Neo (AT)AMPS 480, +2 514, +4 312, +6 261, +8 197, +10 186, PMPS 210, waited/gave less (update)

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D Marchus

D Marchus

Member Since 2017
Yesterday

Finally, after non-stop high BGs and a necessary dose change because of that on the 8th, saw much better numbers today!! As wonky as he's been with his #s I'm not throwing a party yet but it's nice to see anything under 400! Doing a curve a little early because we have our follow-up with the Vet tomorrow. Note: Not sure if it's a factor but we started a fresh pen today as well.
 
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Awesome - love the direction numbers are going today.:) Looks like Neo might still need a little m0re juice, up to 3.75 units, depending on whether or not he throws a surprise later today.

Thank you for making it easy to spot the start of the new pen today. When did you start the previous one? Just wondering if that's a factor.
 
Wendy&Neko said:
Awesome - love the direction numbers are going today.:) Looks like Neo might still need a little m0re juice, up to 3.75 units, depending on whether or not he throws a surprise later today.

Thank you for making it easy to spot the start of the new pen today. When did you start the previous one? Just wondering if that's a factor.
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Down into blue for the +8 @ 197! Now I'm starting to sweat the evening shot with these much lower numbers. Any advice on dosing if he goes lower? Not sure how far down is safe to give full dose. I have so little experience with numbers in the lower range that I think I tend to make bad choices and throw things off again.

As for when I started the previous pen, I had to go looking through my notes. Started in the morning on 22 Feb. I went ahead and formatted that info like I did for today. Still figuring it out and refining as I go. ;)
 
Love that blue. :cool: Let's see what he does the rest of the cycle before getting worried. You might want to go ahead and modify the subject title of your first post to include today's numbers. Something like 4/13 Neo (AT) AMPS 480, +2 514, +4 312, +6 261, +8 197 - going down. That way people can see at a glance on the title that he's dropping, instead of having to open up the thread to see what's happening. By the way, you picked an great time to do that curve!

Thanks for updating the SS showing the change of pens. I used to highlight the cell too.
 
Kako & Tux said:
Hi! :bighug: Maybe you'll have an exciting night.
Do you have honey and high carb can food?
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I have corn syrup and high carb dry...he's still showing no love for all varieties and combinations that involve the wet stuff.

I notice you also use the Alphatrak meter. Admit I'm not totally clear on what numbers are possible hypo low with the AT. I've read so much that it's all sort of become a blur.
 
Our "take action" number on the AT is 68. We don't want them going lower than that. Below 90 is a reduction on SLGS.
 
Wendy&Neko said:
Our "take action" number on the AT is 68. We don't want them going lower than that. Below 90 is a reduction on SLGS.
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Thanks! So, if he is above 90 at PMPS your advice is full dose? Even if today's numbers are so far below what has been his norm? If yes, how often do you think I should test overnight?

By the way, he dropped a smidge more to 186 at the +10. :)
 
There is a section on the SLGS sticky note on how to handle lower numbers than you are used to. It's hard to say now what to do, without knowing what he'll do between now and preshot.
 
Wendy&Neko said:
There is a section on the SLGS sticky note on how to handle lower numbers than you are used to. It's hard to say now what to do, without knowing what he'll do between now and preshot.
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Yes, I've read that section many times. Guess I'm still not trusting myself. For example, he's back up a little at his PMPS to 210 (Alphatrak). Because it's so much lower than usual (has been high 400's) waiting and retesting in an hour seems to be an option or shooting a partial dose...say 2.5 on schedule. Though, every time I short his dose it seems to start another whole rollercoaster ride. Any thoughts?
 
You have shot a 243 before, this isn't a lot lower. How about waiting 1/2 hour, without feeding, and test again.
 
Wendy&Neko said:
You have shot a 243 before, this isn't a lot lower. How about waiting 1/2 hour, without feeding, and test again.
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I did shoot 243 but it was a reduced dose. Every time it's been lower than usual I've done the reduction so far & then things go screwy. Yes, I think I'll wait and retest.

I know I'm being super timid about all this but the lower numbers aren't common territory for us and, regardless of what all the docs say, I guess I just need some added confirmation still. I ask for a little patience with me on that...I'll get better as I get more comfortable. Just really want to do the best I can for Neo. :)
 
You shot full dose 252, not much different. Shooter lower is a matter of getting comfortable with it. And the time to do it and gather data is on a cycle when you can monitor and see what he does when you shoot lower. I expect he's on his way up now which should make it in your comfort zone at the next test. Are you home tonight to monitor him?
 
Wendy&Neko - Yes, up a little more to 223. With Neo's #s in mind and your experience, do you think it's safe to hit him with the full 3.5? I can monitor tonight.
 
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Ok, at an hour and a half after our usual time he was at 227. Gave a slightly reduced dose. Will monitor. Thanks so much for all the help & wish us luck tonight!
 
Did Neo vomit up all his food, or was it clear liquid? Have you tested again since that 192 (please add it to your SS in the +1 cell as 192@.5)? Has he eaten again since then?
 
Tricia Cinco(GA) & Harvey said:
Did Neo vomit up all his food, or was it clear liquid? Have you tested again since that 192 (please add it to your SS in the +1 cell as 192@.5)? Has he eaten again since then?
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Sorry, set alarm & fell asleep without updating. Also, have run out of room in my thread title for the added info. How do you properly update your thread in that case?

The vomit was just a little bile and he hadn't eaten yet. Went for food shortly after.

His overnight numbers have just kept going up: PMPS +.5 192, +1 275, +3 392, +6 592. Looks like I was safe to shoot his full dose at the regular time and I may have again messed up a good thing. However, based on the SLGS (which references human meter recommended #s, not Alphatrak), the reduced dose seemed warranted because Neo's PMPS was so much lower than usual. I've had this situation at AMPS or PMPS 3 times now and each time gave a reduced dose. And, each time his BG shot up. Seems I now have a clear track record for how Neo responds to reduced doses when in that gray shoot/don't shoot/shoot less zone for future reference. Another lesson learned.

I hope I'm making sense as I write this in the wee hours.
 
D Marchus said:
Seems I now have a clear track record for how Neo responds to reduced doses when in that gray shoot/don't shoot/shoot less zone for future reference. Another lesson learned.
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This is the way we learn to do the FD dance. Each dose and its outcome is a lesson and some are harder than others. Don't be too hard on yourself. This isn't easy.
 
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