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Darlene & Jack
Member Since 2011
Re: !!!!!!!BUD went to 47 +10.25!!!!!!!!
Way to go Bud!! :mrgreen:
Way to go Bud!! :mrgreen:
Sheila & Beau GA & Jeddie GA
Member Since 2009
Re: !!!!!!!BUD went to 47 +10.25!!!!!!!!
To me that is a pretty good indicator that when she was "sitting in the 400s all day" she was getting too much insulin.
What are your plans for tomorrow's am shot? you will have to shoot late and/or reduced. Just six months ago she was getting fabulous numbers on very small doses (.1u - .25u). How about letting her settle on .5u and see if there is an improvement in her numbers?
To me that is a pretty good indicator that when she was "sitting in the 400s all day" she was getting too much insulin.
http://petdiabetes.wikia.com/wiki/Somogyi_rebound
What are your plans for tomorrow's am shot? you will have to shoot late and/or reduced. Just six months ago she was getting fabulous numbers on very small doses (.1u - .25u). How about letting her settle on .5u and see if there is an improvement in her numbers?
Sheila & Beau GA & Jeddie GA
Member Since 2009
Re: !!!!!!!BUD went to 47 +10.25!!!!!!!!
Certainly, just do it in steps remembering that shooting early = a dose increase (and shooting late = a dose decrease). I worry less about late shots then early ones in terms of the safety of BG numbers.
Certainly, just do it in steps remembering that shooting early = a dose increase (and shooting late = a dose decrease). I worry less about late shots then early ones in terms of the safety of BG numbers.
Vicky & Gandalf (GA) & Murrlin
Member Since 2009
Re: !!!!!!!BUD went to 47 +10.25!!!!!!!!
How much did he give her? That's not too bad for a +4, especially if he gave her more than .5U. She'll probably be fine.
eeraby said:
How much did he give her? That's not too bad for a +4, especially if he gave her more than .5U. She'll probably be fine.
Vicky & Gandalf (GA) & Murrlin
Member Since 2009
Re: !!!!!!!BUD went to 47 +10.25!!!!!!!!
Oh I understand now, he didn't give her insulin when he should have. that would explain why she was 200 at +4 then.
Oh I understand now, he didn't give her insulin when he should have. that would explain why she was 200 at +4 then.
Sheila & Beau GA & Jeddie GA
Member Since 2009
Re: !!!!!!!BUD went to 47 +10.25!!!!!!!!
She was having some rebound bounce from the lows last night (and the late shot, etc) , so most likely shooting early won't be a huge issue. She needed to come down from those 400s. But note that a drop of 200 points in 4 hours is pretty significant, so that .5u is doing its job and still might be too much insulin. But let it settle for 3-5 days.
When I get a low, followed by a rebound bounce to high numbers, I usually shoot the same dose that caused the low and then reduce at the NEXT shot - because the high/bounce BG needs insulin to bring it down. Not everyone uses this method of dealing with high/bounce numbers because you can just end up keeping things swinging. I do it this way because in all the SS's I have looked at the swings are usually in about 24 hrs cycles: they start with a normal mid range PS (about 225), drop to below 50 at +6 to +8, then zoom up to 300 or 400 or higher by +12. If the dose is reduced at that second PS they can continue to climb and the 3rd PS, now 24 hrs after that beginning shot, is still high. But if you shoot the same dose (no reduction at the 2nd PS) it can help bring down the bounce so that 3rd PS is back in mid range again and THEN you reduce so you don't start the whole process over again.
If the 2nd shot and shots thereafter are reduced, the bounce will clear and the numbers will still come down eventually, but it will take longer - usually.
The caveat to this is that if the low after that first shot was REALLY low, like in the 30s, you do want to reduce right away to be on the safe side.
Hope that didn't confuse you.
With your dh, maybe leave him a note? Write in big, red letters, "DON'T SHOOT UNTIL 6:30 AM!" or something. :roll:
She was having some rebound bounce from the lows last night (and the late shot, etc) , so most likely shooting early won't be a huge issue. She needed to come down from those 400s. But note that a drop of 200 points in 4 hours is pretty significant, so that .5u is doing its job and still might be too much insulin. But let it settle for 3-5 days.
When I get a low, followed by a rebound bounce to high numbers, I usually shoot the same dose that caused the low and then reduce at the NEXT shot - because the high/bounce BG needs insulin to bring it down. Not everyone uses this method of dealing with high/bounce numbers because you can just end up keeping things swinging. I do it this way because in all the SS's I have looked at the swings are usually in about 24 hrs cycles: they start with a normal mid range PS (about 225), drop to below 50 at +6 to +8, then zoom up to 300 or 400 or higher by +12. If the dose is reduced at that second PS they can continue to climb and the 3rd PS, now 24 hrs after that beginning shot, is still high. But if you shoot the same dose (no reduction at the 2nd PS) it can help bring down the bounce so that 3rd PS is back in mid range again and THEN you reduce so you don't start the whole process over again.
If the 2nd shot and shots thereafter are reduced, the bounce will clear and the numbers will still come down eventually, but it will take longer - usually.
The caveat to this is that if the low after that first shot was REALLY low, like in the 30s, you do want to reduce right away to be on the safe side.
Hope that didn't confuse you.
With your dh, maybe leave him a note? Write in big, red letters, "DON'T SHOOT UNTIL 6:30 AM!" or something. :roll:
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