? Going too low again! +4 @ 54

Status
Not open for further replies.
Panic

Panic

Member Since 2019
I meant to check Panic at +3 and got distracted, just tested at +4 .... 54!! Two nights ago she dipped down to the 70s and stayed there all night but we're in the middle of the day and she hasn't hit nadir yet.

I just gave her a can of LC Fancy Feast which she's working on, it's very very close to 50...do I break out the higher carb food yet or no? Should I consider a dose decrease or not yet?

Crossposting to PZI forum in a moment.

Tagging those who were here the other night:

@Bron and Sheba
@Red & Rover (GA)
@MrWorfMen's Mom
@AliceMeowliss&Cassandra
@Keskat
 
Thanks Tanya! Was just about to tag you since I saw you were online. Does Fancy Feast Gravy Lovers count as MC?

Just checked on Panic - she ate an ENTIRE 3oz can in 3 minutes. :eek:
 
FurBabiesMama said:
I would decrease to 1.75.

Expect higher numbers after this but give things a chance to 'calm down'. There could be some bouncing involved.
Click to expand...
That makes sense, thank you. Since I'm using U-100 syringes for her U-40 insulin, the conversion chart doesn't list 1.75, only 1.6 and 1.8 conversion. Do I stick with one of those or is there an image somewhere that can help me eyeball it better?
 
Panic said:
Since I'm using U-100 syringes for her U-40 insulin, the conversion chart doesn't list 1.75, only 1.6 and 1.8 conversion. Do I stick with one of those or is there an image somewhere that can help me eyeball it better?
Click to expand...
I didn't realize you were using U-100. You should be fine to go with 1.8.
 
FurBabiesMama said:
I would decrease to 1.75.
Click to expand...
Panic said:
That makes sense, thank you
Click to expand...
Perhaps it's best to see the entire cycle unfolding and decide then?

The 2 U dose is the first one to give good numbers repeatedly.
I think I would have been compelled to keep it to continue getting to the Greens.
If Panic still needs to gain weight you can feed her a bit more, as in larger portions, or more ofrequent to avoid going too low.

But , again, I am not ProZ user and should not advise on the dosing.
 
+5 is 74! :D Do I test again in an hour or is she alright? Her nadir is normally +6 I think. I was going to go to the store but it'd be 2 hours I'd be out of the house, don't want to leave yet if I need to stick around.

FurBabiesMama said:
I didn't realize you were using U-100. You should be fine to go with 1.8.
Click to expand...
I should probably add that in my signature now that I think about it.

Tanya and Ducia said:
If Panic still needs to gain weight you can feed her a bit more, as in larger portions, or more ofrequent to avoid going too low.
Click to expand...
My scale at home isn't the most accurate but I definitely think she's hit 7 lbs at least by now. I personally think she's at a good weight now, that's pretty much her normal. She is still eating 3-4 3oz cans a day (including night meals).

She normally eats 1 full can for breakfast, then she gets scheduled mini meals at +2, +5, and +6.5. Treats or small bites of FF in between sometimes. Then another full can for dinner.
 
Panic said:
+5 is 74! :D Do I test again in an hour or is she alright? Her nadir is normally +6 I think.
Click to expand...
I cannot tell in full confidence that she is going to be ok. I think she will be but taking another test an hour from now to check where she is better. Can you postpone your going for an hour?
If she is still in the 70s - offer a bit more like a Tablespoon of LC and I think 2 hours out is totally ok.
The current read of 74 is the food speak - the portion was rather sizable and takes a bit longer for the solids to be absorbed completely. Besides, there are hardly tests in the between +5 and until much later - the test at +6 or +6.5 would be very useful.
 
Yes that's not a problem, I don't want to leave if she still needs me nearby.
My mom will be home but of course she doesn't test.

Tanya and Ducia said:
Besides, there are hardly tests in the between +5 and until much later - the test at +6 or +6.5 would be very useful.
Click to expand...
Ugh I know!! I'm actually quite irritated with my manager right now...my work schedule has me out of the house six days a week by +5 even though I should only be schedule three days. I'm only able to get those late numbers once a week.
 
Panic said:
My scale at home isn't the most accurate but I definitely think she's hit 7 lbs at least by now. I personally think she's at a good weight now, that's pretty much her normal. She is still eating 3-4 3oz cans a day (including night meals).

She normally eats 1 full can for breakfast, then she gets scheduled mini meals at +2, +5, and +6.5. Treats or small bites of FF in between sometimes. Then another full can for dinner.
Click to expand...
:D really good to read she has gained!
About the +6.5 scheduled meal - it might have shortening effect on the dose duration, only might.
Maybe you can try replacing that last meal with a snack for a couple of days and check if the preshots get any better?
To make up for calories you can feed more in the first half of the cycle.
 
Yes we're all quite pleased with her!
Sure, I can do that. Originally it was at +7.5 I think but Linda suggested cranking it back an hour, that was a couple weeks ago at least.
 
Panic said:
my work schedule has me out of the house six days a week by +5 even though I should only be schedule three days. I'm only able to get those late numbers once a week.
Click to expand...
I see.
Then let me ask you about today - did Panic eat her regular + meal? Same carbs level, same amount?

I mean that if you'd taken the +2 test and then feed her somewhat higher LC the +4 drop would not have been so dramatic. I got it - you planned to test at +3 and it is good timing but the +2 test today would probably show you the start of the lowering and if you dispensed a little higher LC shack or mini meal the +4 would be not that low. ETA: maybe alternate the test times +1.5 one day, +2 the next, +2.5 or +3 the next and the last one "out of the door test close to +5 when you have to leave?
 
Hm, well she eats the Poultry & Beef variety so she either gets the Turkey & Giblets, the Tender Beef, or Chicken Pates. I know they're not all the exact same carb amount. I could of course write them down and give her the higher of the three in situations like that if it would help? Today she had her regular 1 can for breakfast, and at +2 she had her scheduled mini meal. Then at +4 I tested her, no snacks between +2 and +4 today.

I know I typically don't test until +4 during the day, and I test at +3 during the night. I'm all about changing for the better though, so should I change my first day test to +2 or +3 to prevent this?
 
Thank you so much for guiding us through this! :D I'm so anxious to break out the HC haha.

I'll make a post over on the PZI forum and check with other ProZinc members if they agree with @FurBabiesMama 's dosage adjustment ^-^
 
Panic said:
Today she had her regular 1 can for breakfast, and at +2 she had her scheduled mini meal. Then at +4 I tested her, no snacks between +2 and +4 today.
Click to expand...
Panic said:
I could of course write them down and give her the higher of the three in situations like that if it would help?
Click to expand...
That's exactly what would help!
I think I would try feeding the lowest LC for brekky, shot, test at +2 and then decide what to feed at +2 - the same or the highest you have as her reg LC. Same just prior to +5 scheduled meal.

It is all trial and error.
The earlier tests especially BC you have to be out by +5 would help to catch the drop at onset and put some breaks on to it to slow down.


Panic said:
should I change my first day test to +2 or +3 to prevent this?
Click to expand...
mix/alternate the times - one day at +2 another at +3.
The +1 or +1.5 will reveal the food bump that particular portion of food at brekky gave her. If not much of a bump - it is your early warning of possible drop. Again extra LC or higher LC at this instance would slow down the drop.

I think she is rising, and most likely will be bouncing.
I cannot advise on the Proz dose.
(tbh, I'd keep 2U, the numbers it produces are so very fantastic)

Make a note as to which LC you gave her at BG 54 - the same food but in slightly lesser amount is the thing to try next. It brought her up nicely and you stayed withing LC range, no worries about MC or HC interfering with the BG for long after.
 
I will absolutely do that and start adding the food choice into the notes on the SS to help keep on track! Sadly I'm not sure what she was fed this morning...I've opened up and emptied so many cans today that I'm not sure which one was the breakfast can!

I agree her numbers have been great on 2u but I hate to think of her dipping too low during the weekend when I'm not even home! :eek:

I can totally start alternating the tests as well, no problem at all. Thank you so much for the advice. :D
 
It is certainly your call on what you want to do with the dosing. Either way, you will be monitoring and can deal with whatever comes.

You could hold the 2 units a bit longer and adjust your feeding times to see if that evens things out - schedule a meal at about the point you know she drops. Or, you could try a drop to 1.8. I suggested a slight decrease because things were definitely headed too low today, and you had to intervene, but also based on the way the rest of the numbers look to me. I always look for ways to calm things down/even things out. What I don't like to see is extreme ups and downs and/or cases where you start having very different pre-shots where one is high and the other is low enough that you have to stall/decide whether it's safe to give the full dose. I have found it to be better to have a dose that can consistently be given and that levels things out more and allows the cat's system to adjust. It is better to gradually have the numbers decrease overall than to create a ping pong ball situation. (It is much easier to create volatility with ProZinc than one of the L insulins.)

I think either choice is fine at this point. Whatever you decide to do, you can probably expect some higher numbers as a result of how low she went today. So, just commit to a dose and hold it for at least a couple of days (with Mia, I found that it took 3 or 4 days to really see the impact of a dose and to allow any bouncing to fully clear) - the only exception being if you get a pre-shot that is so low you cannot safely hold the dose. Then re-evaluate the dose at that point.
 
@FurBabiesMama
very valid points, thank you for providing diverse opinion!
I am a Lantuser thru and thru - that why i suggest to talk to ProZincers.
I tried to calm things down approach in the past with Ducia - it didn't really work very well and left me worrying about Glucose Toxicity all the time. But Panic is another cat. Things ought to be working differently for her.
For now I am very happy to see her in good weight and in good numbers!
And no one knows if she won't keep at it with decrease.
 
Just seeing this now. Glad Tanya and FurBabiesMama were around to give you a hand.:joyful: I think you are bound to see a higher BG this evening or tomorrow from that major drop today. I'd tend towards lowering the dose to 1.8 and see if that lessens the drops and evens things out a bit. You can always increase again if need be but you don't want her going too low when you can't be there to monitor. :)
 
Thank you all for the advice! Since ECID it's hard to know what the best method is. Because of my work schedule right now I am leaning toward lowering it and seeing how she does...and yes I can always go back up if needed.

In case anyone was wondering, at +8 she was at 167! I hope she'll be high enough by PM o:
 
Holy cow! You really need to put Panic's trampoline away! She must have overheard you worrying about whether she'd be high enough for her PM shot! ;)
 
We were so glad to see that yellow for the AMPS .. c'mon Panic, back to the beach, play in the water, there are three of us sugarcats dabbling in and out, great little bonfire last night, we missed you -- okay if you freedive a little bit, let us know how it feels

stay away from that carnival with the neon lights and screams
 
Status
Not open for further replies.
Back
Top