6/8 Max AMPS 197+1=282+6=153+11=189 PMPS 204+2=234+4=114

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tiffmaxee

tiffmaxee

Member Since 2013
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I'll give a link to my 4:30 post as well. In brief Max woke me at 4:30. I tested and got LO. I fed HC and tested in 20 and he was 145. Next two tests 182 and 187. I think it was a strip or meter error and need to no how to dose today. I tested at 11.5 and still 187. Someone on the health forum got a lo and immediately retested and got 83.


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I shaved down the dose a tad. He is bouncing now. I can still take the full reduction tonight.
 
Re: 6/8 Max DOSING ADVICE for this morning AMPS 197

My gut tells me I should not reduce. I need to be sure I am not making a bad call here. He has been steady since that freaky LO.
 
Re: 6/8 Max DOSING ADVICE for this morning AMPS 197

Then go with your gut. You hold the syringe. Just be cautious and test a lot.
 
Re: 6/8 Max DOSING ADVICE for this morning AMPS 197

I think, as I said on the Health thread (I think it was that one), that Max's liver code have poured out glucagen sp? with that LO and combined with the 22% carb food, that he could have had a LO. The other cat on Health tested immediately and got an 83. I myself have never had a LO reading on my meter. I have used OneTouchs and ReliOns and Arkray Vitals. If I got a test in the 20s I would retest immediately. I believe a LO is below 20. Everytime I have had to retest, the next test was within the meter variance of the last low test. Yes, if it were me, I would err on the side of safety. But, like I said (probably in one of your other threads), I work all day and miss a whole cycle sometimes 6 days a week. If you can test super often night and day, then you can catch the next one. I just wouldn't risk it with my cat.
 
Re: 6/8 Max DOSING ADVICE for this morning AMPS 197

Thank you Dyana. I did shave down the dose. I'm sorry that I kept asking but it just seemed so odd to me, especially so long after insulin. You are right if course that I should err in the side if caution. I am not working right now and will do extra checks and take the full reduction tonight.
 
Re: 6/8 Max AMPS 197+1=282+2=248+3=247

So far flat yellow. I got perhaps three hours sleep last night and my mind has been racing. As a newbie with lots of data, I think I am not so good at predictions or thinking clearly when in a new frightening situation. I also think perhaps I might be trying to rush the process when I see good numbers. Every time I think I get it I don't. These times that it happens are usually when I am most tressed. I need a list of when this happens do that. How do you know if a test strip is bad or ameter is funky? I guess you assume they are correct and not hope they are wrong.
 
Re: 6/8 Max AMPS 197+1=282+2=248+3=247

it's not that uncommon to have a wonky test strip, elise. if you have too much blood or too little blood it can effect the results. If your meter battery is dying you can have weird results that just seem out of context.

as the day goes on, one thing that will help you know if it may have really been a LO or just a wonky test is if Max bounces. If he really got to LO, that's less than 20 on most meters. With Max, I can't think he wouldn't super bounce from it. As the day goes on, i now have the benefit of more tests to look at and i'm not seeing a big bounce starting. it looks like his normal day-after-greens cycle, in fact lower than day before yesterday was.

At the time, I think you did the right thing giving him HC. Next time i'd retest first to double check. If I'd been dyana looking at the test result this morning, i'd have thought you probably should reduce tonight too. Now that you have subsequent tests, i don't think he really got to LO. I would probably go back to a full 2.75 tonight, unless you see a significant rise making you think he really is bouncing.

I don't know how quickly Max responds to carbs - have you observed that? When you give him carbs to bring him up, do you see it in 15 minutes or does it take longer? i noticed punkin didn't really show the full effect of giving him carbs for 30 minutes. i'm not sure how long you waited this morning between giving the carbs and retesting, but if you can think back on it, that might help you determine if he rose from carbs from L0 (i'd assume 20) to 145 in however long you waited, or if that might say that he was higher than LO when you gave him the extra HC.

I only got a LO once, i think, and it was when my meter battery was dying. I didn't realize they wouldn't just go off - i just got weird test results. I took the meter to the jewelry dept of our local Fred Meyer (Kroger's) and they replaced the battery for me, then it was fine.

There is also the possibility of a delayed reaction, but i'd think you'd see something unusual before shot time tonight.

does any of that make sense?
 
Re: 6/8 Max AMPS 197+1=282+2=248+3=247

Hi Elise,
It must have been scary to see "LO".
It happened to me only once, I retested immediately and got something like 22, so she really must have been low.
It's ALWAYS better safe than sorry!

I have 2 meters, the same model, Once Touch Ultra Mini.
Once in a while, I test using both meters at the same time.
I use one of them mainly, and use the other one to check if the main one is working fine.
If the numbers are almost the same, then I assume it's working. :smile:
I usually do get very similar numbers, sometimes exactly the same.

I like "slowly and gently" for Lucy even if it takes longer to get to where I want, because she is a senior.
I hope he slides down soon.
And I hope you are getting some good nap today.
 
Re: 6/8 Max AMPS 197+1=282+2=248+3=247+4=220

Hi Julie. That you wrote does make sense. When Max dropped to 66 yesterday, I gave him HC and when I tested again he was only at 83 I think. To go Lo to 145 in about 20 minutes seems so unlike him. When he's been in green for long times and heading toward too low, I have given HC and karo and never seen a jump like that. I guess the 83 at +6 made me wonder if he dropped lower after that which might have happened but he didn't ask for food until +9.5 and that would be really late for Max to drop. Every time I have tested when that happens he is higher than the last test.

How long do the meter batteries generally last? I've only been using this meter since January. It has been getting a bit more work lately to say the least, but at the beginning I didn't test much. I know watch batteries last at least a year or two. I do have a back-up Arkray but haven't taken it out of the box. If I used it now without knowing how it tests, it wouldn't tell me much. When I am sure that all is normal (as normal as normal can be), I'll try it out so I know that I have a good back-up or not.

I was afraid to sleep and have been testing every hour. I cancelled my spin class and have been reading the paper and thinking too much. I sat with the syringe in my hands for about 15 minutes going back and forth. I ended up just shaving down a few drops so if all is normal it will be easy to go back up. I didn't even change the calipers until after I shot so they will be readjusted after we see how the day goes. If he is still good at +7 do you think it will be okay to leave him until it's time to decide about tonight?

Thanks for stopping by, Mariko.
 
Re: 6/8 Max AMPS 197+1=282+2=248+3=247+4=220

he's been essentially flat all day. i don't think you have to stay home and test him every hour.

when i worried that punkin might go below 50, i'd look at how many points per hour he was changing, then compare it to what i knew about his normal cycles. punkin usually nadired about +5.5.

Max's cycle today looks to be a typical mini-bounce after his good day yesterday. if he were mine, i'd be seeing flat bounce hovering in the 200's. until the bounce clears, i don't think he's in danger of going under 50. So if he were mine, I'd go out and not worry about him, and check him around +11 so i had a comparison for pmps.

:YMHUG: you sound so stressed. it's a hard thing and then when you add on lack of sleep it's even worse. do something for yourself this afternoon - i think max is safe. leave him some LC food if you're worried.
 
Re: 6/8 Max AMPS 197+1=282+2=248+3=247+4=220

Thank you so much Julie. I really am stressed to the max, no pun intended!!
 
Re: 6/8 Max AMPS 197+1=282+2=248+3=247+4=220

(((Elise)))

Any time at all that I get a low number like that, I retest. I have two Relion Micros and two OT minis and I'll use a different type of meter just so I can be sure it has nothing at all to do with the strips. But I have gotten bad strips and bad tests and I was glad I retested. I do the same if I get a high number that just doesn't fit in. I've found with the Relion test strips, sometimes they start to draw, stop, and then draw again. This always results in an inaccurate test.

I know Julie knew Punkin's cycles really, really well and Punkin was a lot more stable with his cycles than Gracie can be. But I have found with Gracie that if she's 150 at AMPS and 90 at +2, I cannot assume she dropped a set number of mg/dL in those two hours. When I see her drop that much, I often will test her one hour later to see how fast the drop actually is. For example, if the difference in two hours is 60, I don't assume she dropped 30/hour. I test because she could just as likely have dropped 15 in one hour and 45 the second. I didn't realize that early on and I got surprised by a lot of low numbers by thinking she was dropping a specific amount each hour. ECID.

I think it's safe for you to have some Elise time :-D
 
Re: 6/8 Max AMPS 197+1=282+2=248+3=247+4=220

i don't mean looking at one test and assuming subsequent hours are going to be all the same - i mean i'm looking at Max's whole day that is essentially flat - a little up, a little down, but not going anywhere significant at this point until the bounce starts to clear.
 
Re: 6/8 Max AMPS 197+1=282+2=248+3=247+4=220

I knew what you meant Julie and also know that the average doesn't mean the same number of points dropped per hour. I this case it is easy because he is flat. The compulsive side of me will do a +6 and then come back to get a +11.

Thank you Marje for making sure I understand and both of you for checking in on us. I will post my +6 and be back in 6 hours or so.
 
Re: 6/8 Max AMPS 197+1=282+2=248+3=247+4=220

Getting your first LO is scary. The first time I did Neko got some HC right away. Then I took a deep breath, thought about it for a bit, calmed down and retested her 15 minutes later. I think it was somewhere in the 90's. It takes Neko at least 20 minutes to show the HC so I knew it was a wonky test. The other times I've gotten a LO I retested and got green, but always above 50. I think they've been a weird blood draw like Marje describes with Relion/Arkray strips.

I've found my batteries last almost a year, but I try to make sure both my main and backup meters have good batteries. I've also gone to my backup (and a different package of strips) if I don't trust a test I get.

It does look like Max is going to let you get out today. I hope you spend the time doing something fun and relaxing just for you. :YMHUG:
 
Re: 6/8 Max AMPS 197+1=282+2=248+3=247+4=220+6=153

Thank you Wendy for letting me know this. I got the Arkary because it uses the same strips so I'm glad that is not a problem. He dropped to 153 but I should be able to leave, right, since it's +6 and likely his Nadir or close to it?
 
Re: 6/8 Max AMPS 197+1=282+2=248+3=247+4=220+6=153

I have the Relion Confirm and have used both the Relion and Arkray strips but only had Lo problems a few times. And I continued using the rest of the strips in the package after that with no problem.

I think you should be good to go today. He'd have to fall over 100 points in what should be after nadir when the effect of the insulin is easing off. If you are worried, you can always leave him some LC to snack on.
 
Re: 6/8 Max AMPS 197+1=282+2=248+3=247+4=220+6=153 ok to le

Thanks. Last night made me gun shy. I would have left until then without giving it a second thought.
 
Re: 6/8 Max AMPS 197+1=282+3=247+ 4=220+6=153+11=189PMPS 20

Hi. Max has been pretty flat all day. Do I shoot the 2.75 again?
 
Re: 6/8 Max AMPS 197+1=282+3=247+ 4=220+6=153+11=189PMPS 20

i think i would assume it had been a bad strip.

i really think if he'd gotten to less than 20, he'd be 450 or more by now, not 204 and having had a nadir of 153. this just looks like a fairly regular day for him, not his body responding to a LO.

but it's up to you. that's just my thought.
 
Re: 6/8 Max AMPS 197+1=282+3=247+ 4=220+6=153+11=189PMPS 20

I agree with you,, Julie. That is what I thought this morning. He is acting totally normal. I will keep a close eye on him and hopefully he won't slide too quickly. I left food out while I was gone but he didn't touch it. He did eat a little right now. He seems just fine.
 
Re: 6/8 Max AMPS 197+1=282+3=247+ 4=220+6=153+11=189PMPS 20

Oh boy, Tiffany. Seeing Lo on the meter I am sure was scary. It sounds like a bad strip or not enough blood. I hope you got some time to relax today. I want to get a back up meter.
 
Re: 6/8 Max AMPS 197+1=282+6=153+11=189PMPS 204+2=234

I was freaked to say the least. So you think that not enough blood would do that? Interesting. I did get an extra meter but haven't taken it out of the box. Catherine, actually my screen name is a combo of my two cats,Tiffany who left us and Max, my sugar baby. I'm Elise.
 
Re: 6/8 Max AMPS 197+1=282+6=153+11=189 PMPS 204+2=234+4=11

That is interesting about too much or too little blood causing a wrong reading. There have been a few times that I felt too much blood got on the strips. Would that read high or low or can it be either one? I thought either would generate an error message.
 
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