7/11 Philly AM 159, 106 at 1.5 (NS), 200, 421, PMPS 413, +3 375

[Beck and Philly]

Recent

After yesterday's scare, we don't know what to do this morning.

Philly was in the 300s yesterday evening and at bedtime last night. We shot 1u at PMPS time. I tested him this morning at +10 and he was 324.

Now, two hours later he is 159 at AM shot time. When we shot falling numbers yesterday, he hit 28. He's already dropped 170 points this morning without insulin.

Stalling now, but any advice? Skip this morning?

 

[Sienne and Gabby (GA)]

Shooting a dropping number is not for the faint of heart -- been there, done that!

I would retest in about 20 - 30 min to see which direction the numbers are going. The big question when it comes to stalling is whether you can afford to get off schedule. As a rule of thumb, you can test and stall for roughly 2 hours if you have the flexibility to ge off schedule. The alternatives are to shoot a one time reduced dose or to skip.

 

[Beck and Philly]

Shooting a dropping number is not for the faint of heart -- been there, done that!

I would retest in about 20 - 30 min to see which direction the numbers are going. The big question when it comes to stalling is whether you can afford to get off schedule. As a rule of thumb, you can test and stall for roughly 2 hours if you have the flexibility to ge off schedule. The alternatives are to shoot a one time reduced dose or to skip.

I work from home, so schedule isn't a problem. I can do whatever he needs.

I just tested again, and in 20 minutes he dropped a couple more from 154 to 151. I know meters are probably not exact, but he seems to still be going down.

Should we continue to not feed and test for a little while?

We normally feed him Dr. Elsey's since he won't eat much wet. We do have a bag of Young Again so I left out a bit of that overnight since I wasn't setting my alarm for a mid cycle snack. He seems to get lower numbers and bigger drops with Young Again. Not sure about that and maybe that's a good thing, but it makes dosing tricky.

 

[Sienne and Gabby (GA)]

There really isn't a difference between 151 and 154. There's a 20% error variance due to the meter so they are essentially the same number.

One other possibility is that Philly is snacking later in the cycle and the food may be causing his pancreas to produce some insulin which is lowering his numbers at pre-shot. I'm pretty sure the Young Again is about 5% carb. I don't know what the carb count is for the Dr. Elsey's.

I'd stall a bit longer. If the numbers stay pretty flat, if you're going to be home to monitor and still have a supply of strips and high carb food after the adventure yesterday, you could consider shooting. It depends on your comfort level with shooting a lower number than you're used to. Ideally, you want to get comfortable with shooting lower numbers. Keep in mind that if you've stalled for about an hour or so, you're very much at the end of the the cycle and you'll be feeding Philly. That should help to raise the numbers. It also takes about 2 hours for the shot to kick in.

 

[Beck and Philly]

There really isn't a difference between 151 and 154. There's a 20% error variance due to the meter so they are essentially the same number.

One other possibility is that Philly is snacking later in the cycle and the food may be causing his pancreas to produce some insulin which is lowering his numbers at pre-shot. I'm pretty sure the Young Again is about 5% carb. I don't know what the carb count is for the Dr. Elsey's.

I'd stall a bit longer. If the numbers stay pretty flat, if you're going to be home to monitor and still have a supply of strips and high carb food after the adventure yesterday, you could consider shooting. It depends on your comfort level with shooting a lower number than you're used to. Ideally, you want to get comfortable with shooting lower numbers. Keep in mind that if you've stalled for about an hour or so, you're very much at the end of the the cycle and you'll be feeding Philly. That should help to raise the numbers. It also takes about 2 hours for the shot to kick in.

He's dropped 30 more to 128.

Normally we test and feed him a snack around 2 or 3 AM. Last night I left some Young Again Zero out until 6 AM. We have the zero carb version of YA. So he could've snacked later in the cycle, but it would've been on zero carb food. I removed the food two hours before AMPS.

 

[Sienne and Gabby (GA)]

At this point, I think it's your call about whether to skip.

FYI - the Zero Carb is about 5% carb. It's not really zero.

 

[Beck and Philly]

At this point, I think it's your call about whether to skip.

FYI - the Zero Carb is about 5% carb. It's not really zero.

Ok. Thanks. Good to know about YA.

 

[Beck and Philly]

He is at 106 1.5 hours after his normal shot time. We are going to skip. He's had a 50 point drop.

 

[Beck and Philly]

Not a good numbers day. Didn't shoot AM. Back to the reds. Darn! Shot 1u tonight. Every time he clears a bounce and has a good day or two he takes a dive.

Could he not be able to handle the depot well? Maybe it releases too much? Maybe my vet is right and he would do better on a non-depot insulin like Vetsulin? I'm confused.