Monitoring Hypo

[LovingErlend]

Erlend has been on 3u Lantus for the last four months. Up until now we haven't done strict testing, so we don't have a lot of data to work off of, except that her preshot range could be 225-325 and her nadir on the last curve was +5.

At PMPS +3 noticed Erlend vomited (very rare for her). Tested: 39. Administered a finger full of Caro and some dry food (when she wouldn't eat gravy wet food). +3.5 reading was 78. Allowed her to eat gravy wet at that time.

+4: 128bg. Watched her closely, tested again at +5: 223 bg. Hopefully she's in the clear, but how long should I be monitoring her to make sure she doesn't crash? Sleep at some point would be nice, but obviously ensuring she's safe is primary concern .

Also, will call vet to consult, but would also appreciate the board's input: come AMPS, what would you recommend as a reduced dose? Is it dependent on her AMPS reading?

 

[TammieW]

You are doing great. I've been there with the all nighter also. We aren't Lantus users so I can't help you with your dosing, where others may. It's best to wait until you know that number to decide what to do.

Hang in there. I would test at +6 and encourage the eating. It sounds like you are heading in the right direction.

Here's the link for handling hypo's.

viewtopic.php?f=28&t=15887

 

[LovingErlend]

Thanks Tammie :smile:

+6.5 280bg

 

[Dyana]

You'll definitely want to give Erlend a reduction. She may be higher than normal in the morning. We call that a bounce. It's the liver's job to protect the body when it senses blood sugar has gone too low, and it will spill a type of glucose that will raise the numbers for a while. Sometimes bounces will last up to 72 hours, so you could see her numbers higher for up to 3 days.
When you have a chance, I would set up a spreadsheet (others here can advise you of the link we use), and to read all the stickys at the top of the Lantus forum.
You did a good job getting her numbers back up, and I'm glad you tested when you did.