911 WHAT IS WRONG??? Jai Jai: AMPS 407; PMPS: 31

***This is the same thread I posted in the Main Forum

I am scared, really really scared. Jai Jai has quite high BGs these two days. But his PMPS is a lot of astonishment.

WHAT is wrong with him? He does not show any sign of hypo, no, nothing. He has eaten his food rapidly.

(((Normal injection time: 19:30)))
19:00 Food ate: 70g
19:20 PMPS: 31
19:30 Feed more food: 40g
19:50 BG: 61
20:30 BG:95
21:00 BG: 115
21:45 BG: 165

I need help on dose advice. I skipped the PM dose, but I do not know if what dose should I shoot tomorrow morning. Please help. Million thanks.

 

This is very quick as I am heading out the door to work...but did you retest that 31? Sometimes a test can be wonky. If you retested and confirmed that he is that low, please give him some high carb or karo - we need him up from that number. Retest in 20 minutes.

 

Yes, I have retested him and he is up. Now he is 115.

I skip the shot tonight, but I do not know what to do tomorrow's morning.

 

Is he behaving normally?

 

Yes, he received me when I was home. He jumped up and down so easily. He ate the food in a snap. What is not right was he still had some loose stool, and we had been feeding him small amount of pumpkin to help fix this problem.

 

That 31 definitely earned a .25U dose reduction.

 

I am also thinking of giving 0.75 in the tomorrow morning. Thank you for your advice. Have a nice day with Neko, Wendy.

 

Shooting 0.75u tomorrow is fine.

For the future, when you get a low pre-shot number, you have several options. One option is what you did today -- skip the shot. The downside of skipping is that there's an excellent chance that numbers will be sky high at the next shot time. (You have the double whammy of what will no doubt be a bounce due to the surprisingly low number plus not having given any insulin.)

Another option is to shoot a reduced dose -- we call this a "big chicken sh*t" (BCS) dose.

The third option is to stall. You do not feed (except if numbers are below 50 in which case you give some low or high carb food depending on where the numbers are), wait for 15 - 20 min and re-test. If numbers are rising, it's generally OK to shoot. When you get a number in the 30s, though, you do have to supplement with HC and then the stalling is a little more complicated.

You may want to read through the sticky note on Shooting & Handling Low Numbers. This will happen again and it doesn't hurt to be prepared.