? POST DKA Millie AMPS 89!! Shoot or not? Please assist

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Sylvia & Millie said:
No, the 1.75 units. I'm sure I'm nervous cause this is all new to me and I'm not totally understanding how TR works.
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Strictly speaking, that 67 you had is a lime green when using an AT meter and could earn Millie a dose reduction of 0.25 u, so a dose of 1.5 u then. She's not quite a long term diabetic yet so one lime green is enough reason to lower the dose according to TR. I'd update your SS soon so that anyone else taking a look will see that low green.

Having said all that, let's see where she is at PMPS.
 
Kris & Teasel said:
Strictly speaking, that 67 you had is a lime green when using an AT meter and could earn Millie a dose reduction of 0.25 u, so a dose of 1.5 u then. She's not quite a long term diabetic yet so one lime green is enough reason to lower the dose according to TR. I'd update your SS soon so that anyone else taking a look will see that low green.

Having said all that, let's see where she is at PMPS.
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Was updating the SS has you were answering me, lol!

Let's see if she does a usual bounce.
 
Kris & Teasel said:
Strictly speaking, that 67 you had is a lime green when using an AT meter and could earn Millie a dose reduction of 0.25 u, so a dose of 1.5 u then. She's not quite a long term diabetic yet so one lime green is enough reason to lower the dose according to TR. I'd update your SS soon so that anyone else taking a look will see that low green.
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Usually, we don't recommend taking reductions too close together, because once the depot adjusts you could end up on a dose that is too low and lose ground. We like to see you give the depot time to catch up (about 6 cycles). With the BCS this morning, Millie's depot should be a little drained, and the 1.75 should be safe to shoot tonight, depending on what the PMPS is. Of course, if you get a low PS, or if you can't monitor tonight, and are more comfortable taking the reduction, I don't think anyone would argue. Sometimes it's a "balls and strikes" call. Sylvia, you have to do what you are most comfortable with. With DKA in the picture, it makes it a little more complicated, but we do like to err on the side of safety. All that said, lets wait and see where she is closer to PMPS.

BTW, I see she came up to 95 at +7 and you gave her some HC. I would not feed anymore unless she drops again. Test after 1 hour.
 
Tricia Cinco(GA) & Harvey said:
Usually, we don't recommend taking reductions too close together, because once the depot adjusts you could end up on a dose that is too low and lose ground. We like to see you give the depot time to catch up (about 6 cycles). With the BCS this morning, Millie's depot should be a little drained, and the 1.75 should be safe to shoot tonight, depending on what the PMPS is. Of course, if you get a low PS, or if you can't monitor tonight, and are more comfortable taking the reduction, I don't think anyone would argue. Sometimes it's a "balls and strikes" call. Sylvia, you have to do what you are most comfortable with. With DKA in the picture, it makes it a little more complicated, but we do like to err on the side of safety. All that said, lets wait and see where she is closer to PMPS.

BTW, I see she came up to 95 at +7 and you gave her some HC. I would not feed anymore unless she drops again. Test after 1 hour.
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Your explanation is very helpful, just trying to understand how all this works. It's a bit daunting......

Will take her food away and retest shortly. I do have to step out so testing might be later than the +8, more like +9.5 or 10!
 
Good call this morning with the BCD (I am a chicken too). You did great with testing and food to let her surf and stay out of the shark tank (lime green BG). Those are good healing numbers for Millie.
 
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