Katie's curve

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It just seems like her BG has started going back up really fast. If she continues this pattern, she'll be in the 500s by the time I give her insulin tonight! Is that normal?
 
Jennifer,
It looks like she got a pretty steep drop by +4, and it could be that her liver went into "panic mode" and dumped glucose into her system. See where she is at +10, but I think she's doing fine.
The 448 last night was probably due to two things. 1, the no-shot the night before, and 2 ,the reduced dose in the morning yesterday. The 448 would be expected, so that's not a problem either.

Carl
 
Alright, thanks so much for all the help you give me. Based on what I'm seeing on her curve, do you think I should keep giving her the 2U insulin?
 
Hmmm.....
Well, I would have probably done things a little bit differently over the past few cycles. If Katie were Bob. Because I knew how Bob would react, so it would have been easier, plus I would have had to deal with whatever happened.

I would have probably have given him .5 two nights ago, and sweated out a possible hypo overnight. Then next morning, I would have gone with 1.5 like you did. Then I would have stuck with 1.5 last night, and this morning, and probably for 3 or 4 more days so that I could see how he reacted to that dose. But again, I had a good feel for what Bob would do with that.

You still have time before dosing her tonight to see what her numbers do until then. If you test at +10 and then at +12, you will have a better picture. I would probably go with 1.5 tonight, and keep it there for at least 4 days. Of course, that assumes you don't see really wonky high or low numbers during that span. But, the wonky numbers would actually serve a purpose if you did see any. Really high highs, or low lows would tell you a lot about what 1.5 (or whatever dose you decide on) does to Katie.

I will be online for a while tonight, and I'll be happy to keep an eye on anything you post. I'm hoping others will see this and also let you know what they think in the meantime.

Carl
 
Did the test just now, and the glucose reader said "hi." I checked the manual for the monitor, and it said the glucose level is above 600 when "hi" is shown!! Do I give her 1.5 U or 2?! I'm really worried that she's going to get really sick from being too high. T.T Please help!!
 
Jennifer,
Please test again. Before doing anything with her dose.

Carl
 
hi jenn, i'm gonna look at your ss ok.
and don't freak out too bad, tom used to run HI quite a bit before he went otj
 
jenn, don't shoot just yet. can you tell me which insulin you are using and also if you've ever tested for ketones?
and please don't panic or anything k?
 
Okay, I just retested, and the meter gave me 475. I don't understand; was the meter just wigging out when it gave me the "hi" reading? And no, I don't have anything to test for ketones.
So, any ideas on whether I should continue 2U or drop down to 1.5U?
 
jenn, it's hard not to have a knee jerk reaction to a number. doubling the dose however is never a good idea. you may have set in motion a series of bounces.
why don't you go back to 1 unit and get a curve in....and when ready to raise dose...go by tiny increments. like .2
yep it's hard to find but it's under the half unit mark.
such a small increase can make all the difference.
 
Jennifer,
Your meter can occasionally give you a wonky number. I think you use a Relion Micro? Me too. Several reasons for a wonk...
Battery might be getting low (but you should get a low battery warning on the screen)
Test strip was defective or got something besides blood on it.
Too much or not enough blood on the strip. But if not enough, the meter would tell you that.
Whenever I get a number that makes no sense to me, I retest. All else fails i jab myself and see if I'm diabetic or going hypo. So far, always right around 100!
CArl
 
She's eating Merrick wet food, as well as Wellness Core dry food. She likes the wet, but doesn't want to switch completely to it. So I leave the dry down for her to graze and give her the wet after testing her, but before giving insulin. Carl, I think I'm going to take your advice and do the 1.5 U for a few days, to see what happens. I'll probably do another curve on Thursday, so that we can all see what the 1.5 is doing to her.
 
If you can wean her away from the dry food your spread sheet might start making more sense.
I think there is like 36 carbs in there. ya know? as opposed to 7.
It makes all the difference.
Have you introduced yourself on the pzi insulin support group yet? All pz users and they are really experienced.
Lori
 
Just a side clarification...when discussing carbohydrates, we are referring to the percentage of calories from carbs...not actual 'carbs'.
 
So, it looks like the 1.5 U is slowly lowering Katie's BG, which makes me happy. However, her BG tonight was lower than her mid-day test. Is that normal?
 
Not "normal", but the better word might be "common". Did Katie eat between the +6 and the PMPS? Her numbers were just sort of "flat" today, but that's common too. Are you going to be awake for a couple more hours? If so, test her before going to bed and she if the 1.5 drops her sugar some by that time.

Carl
 
Well, I've been leaving the Wellness Core dry down for her, so it wouldn't surprise me if she nibbled on that. I'll probably be heading to bed in an hour or so, but I can re-test before I do.
 
I was actually thinking that maybe she didn't snack much between the +6 and the PMPS, so she wouldn't have gotten any BG boost from food. But maybe ate some in betwen the yellow and the +6. Not sure, but yes, if you can test her before bed time, it'll be interesting to see if there's a drop.
I'd keep with the 1.5 for a couple more days unless you see something really wonky over the weekend.

Carl
 
Hmmmm....
I am going to cross post this in the PZI forum. There are many experienced PZI users who post there daily. Let's see what they think.
Katie will be fine, so no worries. I'm just wondering if the dose is maybe too high still.

Carl
 
After a hypo event kitty is often very insulin sensitive for days. So dose has to go lower or you keep getting "wierd" bounces that make you think you need to go higher, when you really need to go lower. Maziey hypoed twice and both times took days to level out. Needed to go really low.
 
I would probably try 1.75. I don't think it's a bounce, and she's fighting dry food. There isn't a lot of data to really know what was going on at 1u, but 2u is the only dose where's she's gotten some nice numbers, only it gave her an unshootable PS and possibly overly steep drop one cycle, so I'd want to back off from that dose a hair, but not a lot.

My biggest concern is the note in the SS that Katie is too weak to stand for very long. I don't know if that is from the diabetes or from other things? If it's from the diabetes, I would be hesitant to drop the dose very much and risk the symptoms getting worse. If it's from other things though, I don't know. There's vomiting too and possibly not eating great, so that is of concern.

Are you testing for ketones?

Sorry you guys are having a tough time :YMHUG:
 
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