Another low preshot BG-182 Thoughts and guidance needed

[Danica20]

Today Pinky did an am curve. Her AMPS was 355 Her lowest point was 92. Her PMPS was 182, I waited 30 minutes w/o food and tested again and she is at 162. I'm not going to shoot her tonight. At this point I could use a little guidance. If anyone could take a look at her spreadsheet and give some advice. According to a previous thread the thought that the vet has risen her insulin too fast may be a possibility. At this point should I decrease her dose, and if so by how much? Or should we hold steady at 5 units and see how it goes? I'm going to try to do more spot checks on her to get a little better understanding on what is going on with her wonky numbers. Any help or guidance is appreciated, thanks.

- update- I checked her level 1 hr after the 162 and she's jumped up to 361. For future reference should I give her a shot? If so how much?

 

[BJM]

When she's still dropping at shot time, and you can't stay up to monitor, its safer not to shoot. And the 115 mg/dL a couple days ago suggests that a dose reduction might be in order if you're doing the Start Low Go Slow protocol.

An option for tomorrow is to shoot the 5 since she'll probably by quite high, then drop to 4.5 units in the evening and hold that for 3-5 days if you're following the Tight Regulation protocol, or 7-14 days if you're following the Start Low, Go Slow protocol, snagging mid-cycle tests whenever you can, instead of or in addition to formal curves.

Also, with bi-weekly curves showing that she doesn't drop to dangerous levels, you may gradually reduce your no shot limit. You might try using 180 mg/dL on a human glucometer as your limit for the next week or two.

 

[Danica20]

When she's still dropping at shot time, and you can't stay up to monitor, its safer not to shoot. And the 115 mg/dL a couple days ago suggests that a dose reduction might be in order if you're doing the Start Low Go Slow protocol.

An option for tomorrow is to shoot the 5 since she'll probably by quite high, then drop to 4.5 units in the evening and hold that for 3-5 days if you're following the Tight Regulation protocol, or 7-14 days if you're following the Start Low, Go Slow protocol, snagging mid-cycle tests whenever you can, instead of or in addition to formal curves.

Also, with bi-weekly curves showing that she doesn't drop to dangerous levels, you may gradually reduce your no shot limit. You might try using 180 mg/dL on a human glucometer as your limit for the next week or two.

Thanks for your help BJM, Pinky was at 489 for her amps so we'll do the 5 this morning and start the 4.5 tonight. Pinky is on the Start Low, Go Slow protocol but I believe the vet got a little ahead of themselves increasing the insulin.