Puckett day after hypo

[mdelisle]

I tested Puckett this morning immediately after he'd eaten (within 3 min) and got a reading of 158. Given his hypo yesterday I didn't give insulin this morning. Wrong? I don't know. But given what happened yesterday my gut was telling me not to give the insulin.

 

[BJM]

Too low to shoot on PZI unless you know he is rising. Some folks will test 30-60 minutes before pre-shot, so that combined with pre-shot, they can determine if rising and decide about shooting.

Others will stall - wait 30 minutes without feeding and re-test. Then, if over 200, or rising well, will shoot.

Given the hypo, a reduction of 0.25 units in dose is advised.

An option is to use U-100 syringes and a conversion chart. Then you can dose as small as 0.2 unit increments. Already using U-100 syringes.

 

[Deb & Wink]

We can provide the conversion chart for the U40 to U100 insulin syringes. If you want to go that way, it would be best to get U100 insulin syringes with 1/2 unit markings on the barrel. Some insulin syringes that have these 1/2Unit markings are some B/D, Terumo, Walmart Relion line. You want the 3/10cc syringes made for human children.

 

[mdelisle]

I'm already using U100 syringes with 1/2 unit markings. Given the hypo yesterday I decided not to shoot after getting the reading of 158. Will be checking him at the 6 hr mark and again before injection time tonight. Thankfully he's letting me test him. Although he prefers one ear over the other. I keep telling him we need to swap ears so one ear doesn't get sore.

 

[BJM]

Many of us eyeball 0.25 units on the syringes. Others use calipers to measure at a fixed amount.