Spreadsheet Help, and how to get back on schedule?
- Thread starter 123joan
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Squeaky and KT (GA)
Very Active Member
Can't answer schedule question for PZI as we're Lantus users but I can assure you we do 'pains' well....someone will answer, I just had to send a smile and a hug...
Sue and Oliver (GA)
Very Active Member
You are not being a pain. Everyone who replies to you was once new, with lots of questions/concerns/panics and the reason they reply is that they want to pay it forward for the help and handholding they received in the beginning. You can do the same handholding some day.
With ProZinc, you can usually shoot a half hour early with no problem - as long as you are sure the number is rising, not falling. If the numbers allow for that tonight, you could shoot at 11.5 instead of 12. Then tomorrow, you will already be .5 hours closer to your desired time and can shoot another .5 hours ahead. Just test twice to be sure the number is rising. Does that make sense?
Re the food. Yes, give them a small treat if you are going to stall for 20 minutes and then go in another room and shut the door (to avoid the ankle biting), maybe turn up the music.....Treats shouldn't impact the number in that short amount of time.
With ProZinc, you can usually shoot a half hour early with no problem - as long as you are sure the number is rising, not falling. If the numbers allow for that tonight, you could shoot at 11.5 instead of 12. Then tomorrow, you will already be .5 hours closer to your desired time and can shoot another .5 hours ahead. Just test twice to be sure the number is rising. Does that make sense?
Re the food. Yes, give them a small treat if you are going to stall for 20 minutes and then go in another room and shut the door (to avoid the ankle biting), maybe turn up the music.....Treats shouldn't impact the number in that short amount of time.
C
Carl & Polly & Bob (GA)
Guest
Not a pain at all. That's why we're here, why we stay.
I would base how much you move up the schedule on the numbers themselves. I'd go beyond the half-hour Sue suggests, providing the numbers show that it is safe to do that. If you know for sure that you are past nadir, and you get rising numbers for a couple of hours in a row by +9 or +10 that are not boosted just from eating, an option is to shoot even that early, and just reduce the dose a bit.
If you have 2 shots that are going to be less than 12 hours apart, you can reduce the dose, which should cause either the numbers to not drop so much, or cause the cycle to run shorter than normal.
One thing you could have done this morning when you had to wait to shoot. You could have chosen to shoot a lower dose then, and that would most likely have given you a number you could have shot at the normal time tonight.
Your other option is to shoot on time tonight, but a reduced dose, and only if you are sure you have a rising number.
What you're after when you shoot twice in less than 12 hours is for the total intake of insulin to be less than normal. You can do that by reducing one shot, or the other, or both.
I hope I haven't confused things even more...
Carl
I would base how much you move up the schedule on the numbers themselves. I'd go beyond the half-hour Sue suggests, providing the numbers show that it is safe to do that. If you know for sure that you are past nadir, and you get rising numbers for a couple of hours in a row by +9 or +10 that are not boosted just from eating, an option is to shoot even that early, and just reduce the dose a bit.
If you have 2 shots that are going to be less than 12 hours apart, you can reduce the dose, which should cause either the numbers to not drop so much, or cause the cycle to run shorter than normal.
One thing you could have done this morning when you had to wait to shoot. You could have chosen to shoot a lower dose then, and that would most likely have given you a number you could have shot at the normal time tonight.
Your other option is to shoot on time tonight, but a reduced dose, and only if you are sure you have a rising number.
What you're after when you shoot twice in less than 12 hours is for the total intake of insulin to be less than normal. You can do that by reducing one shot, or the other, or both.
I hope I haven't confused things even more...
Carl
123joan
Active Member
This is not confusing me more, on the contrary, this helps a lot and I think I'm beginning to be able to see the big picture.
I wasn't able to read this until +11, at which time I plopped her right into testing mode.She was 299 , I gave her a reduced dose of .4, and plenty of FF and brushing.
I hope to push the schedule back again tomorrow by a half hour.
Feeling more self confident now, but who knows what tomorrow will throw at us!
I don't understand what a shorter cycle means.
I wasn't able to read this until +11, at which time I plopped her right into testing mode.She was 299 , I gave her a reduced dose of .4, and plenty of FF and brushing.
I hope to push the schedule back again tomorrow by a half hour.
Feeling more self confident now, but who knows what tomorrow will throw at us!
I don't understand what a shorter cycle means.
C
Carl & Polly & Bob (GA)
Guest
OK, in theory...
A cycle should last 12 hours. Hopefully, the AMPS and the PMPS would be roughly the same number, with a nadir right in the middle at +6. As his condition improves, you'd get lower and lower numbers across the cycle, but you'd still have that nice smiley shaped curve with the ends about equal, and the nadir the low point in the middle of the curve.
A long cycle would be one where you see a later than normal nadir (by a couple hours or more) and a number at PMPS that was significantly lower than the AMPS was, like the cycle wants to run for 14 or more hours long instead of just 12. This can sometimes be an indication of a dose that is too high, or sometimes it's "just cuz" and you shrug your shoulders and move on.
A short cycle would be one where the nadir happens much earlier, and by say +8 or +9, the BG has already come up to where you started the cycle. So it looks like it only lasted 8 or 9 hours, with a nadir around +4 or so. This can happen if the dose is too low, or again, "just cuz". It is also sometimes called "BIPO" (big insulin poop out).
so in theory, you might be able to cause a "short cycle" by reducing the dose, and if you can do that, it works well when your shot times are going to be less than 12 hours apart.
Carl
A cycle should last 12 hours. Hopefully, the AMPS and the PMPS would be roughly the same number, with a nadir right in the middle at +6. As his condition improves, you'd get lower and lower numbers across the cycle, but you'd still have that nice smiley shaped curve with the ends about equal, and the nadir the low point in the middle of the curve.
A long cycle would be one where you see a later than normal nadir (by a couple hours or more) and a number at PMPS that was significantly lower than the AMPS was, like the cycle wants to run for 14 or more hours long instead of just 12. This can sometimes be an indication of a dose that is too high, or sometimes it's "just cuz" and you shrug your shoulders and move on.
A short cycle would be one where the nadir happens much earlier, and by say +8 or +9, the BG has already come up to where you started the cycle. So it looks like it only lasted 8 or 9 hours, with a nadir around +4 or so. This can happen if the dose is too low, or again, "just cuz". It is also sometimes called "BIPO" (big insulin poop out).
so in theory, you might be able to cause a "short cycle" by reducing the dose, and if you can do that, it works well when your shot times are going to be less than 12 hours apart.
Carl
123joan
Active Member
This morning at +9 she was 309, at +11 441. I gave reduced dose of .6 an hour early at +11 (8:00 am) as I'm trying to get back on schedule and everything is screwed up. I will check her at +6 as I have to be away. I might not even be able to check till +7. Was this a good choice?
Teresa and Poopy
Very Active Member
Sounds reasonable to me, and what I would have done. :smile:
123joan
Active Member
I've worked us back to a doable schedule. The spreadsheet is a mess. When we were off the 12/12 schedule I tried entering data into the cells, and I don't know if it makes sense. The spreadsheet was easy to use when we were on a schedule.
For tonight should I continue at the .6 dose (of course if she's above 200 PMPS).
If I don't get advice tonight, that will be my plan. I was away today, so couldn't test earlier than +8.5, when she was 257.
Oh Lucy!
For tonight should I continue at the .6 dose (of course if she's above 200 PMPS).
If I don't get advice tonight, that will be my plan. I was away today, so couldn't test earlier than +8.5, when she was 257.
Oh Lucy!
Sue and Oliver (GA)
Very Active Member
That sounds good, Joan. I think, once you are a few cycles into the old schedule, we should look at the numbers and see if an increase to .8 makes sense.
Sue and Oliver (GA)
Very Active Member
Most people start a new thread every day. You can always link your old thread to a new one.
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