11/14 Cleo AMPS=285 +4=287 +7=130 +9=110+11=47+11.3=69+12=79 +12.75=80 +13=82 PMPS=96 +1=215 +2=277

Discussion in 'Lantus / Levemir / Biosimilars' started by Delia, Nov 14, 2015.

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  1. Delia

    Delia Member

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    Last condo

    Hi everyone,
    the last three days Cleo had very bad numbers and now an hour befor pm shot she has 46.
    So I gave her a drop of honey and a meal of low carbs food. What should I do next? What about pm shot? If she is over 50 in two hours can I shot?

    What do you think about her numbers? Today I gave a fat dose. Possible that this is the reason why she went low?

    Thank you very much!
     
  2. Wendy&Neko

    Wendy&Neko Senior Member Moderator

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    Feb 28, 2012
    She could be reacting this quickly to the fat dose. And she could be breaking a bounce which will also provide some downward momentum. I'd go back to the even 3.0 unit dose.

    I'd want her to be quite a bit above 50 in two hours after those carbs, before giving her a shot. Try getting a +11.5 test and post again.
     
  3. Delia

    Delia Member

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    Dec 14, 2014
    She was 69 twenty minutes after +11. I'll take another test in a minute.
     
  4. Delia

    Delia Member

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    Dec 14, 2014
    79 at nearly +12
     
  5. Jen&Eddie

    Jen&Eddie Well-Known Member

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    Hi Delia,

    Was the 79 at +12 about 45 minutes ago? That's not a huge climb and could very well be influenced by the drop of honey. Are you still stalling? Have you tested again?
     
  6. Delia

    Delia Member

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    Dec 14, 2014
    Hi Jen, I've just tested and she is 80. +13 is in 15 minutes.

    ETA: I'm still stalling.
     
  7. Jen&Eddie

    Jen&Eddie Well-Known Member

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    Still not really climbing super fast. That 80 could still be influenced by the honey.

    I think you have a few options, Delia.

    One would be to continue to stall and see if she does start to rise. I'd say roughly 2 to 2.5 hours after honey, the effects of the honey should have worn off and you can see what her "true" number is.

    You could skip or shoot a BCS dose.

    Or, you could shoot the 3 and monitor very closely early in the cycle. If you do that, I'd suggest definitely getting +1, +2, and depending on the numbers, you may need to carb-load at the beginning of the cycle. I will be around to help if you decide to do that.
     
  8. Jen&Eddie

    Jen&Eddie Well-Known Member

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    To add, scrolling back through her SS, it looks like she's a big fan of dipping below 50 right before shot time. That's fun, huh? :eek:

    If you skip or do BCS, she may very well still go lower after shot time because of the depot.
     
  9. Delia

    Delia Member

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    Dec 14, 2014
    Thank you Jen, I can stall until +14, but not more. How can I be sure that the effect of the honey has worn off? Now two hours after honey have passed.
     
  10. Jen&Eddie

    Jen&Eddie Well-Known Member

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    I don't think there's a 100% way to be sure; however the simple sugars like honey tend to kick in and wear off faster than food. From what I've seen in Eddie and other cats, "usually" it seems that karo or honey wears off within 1.5 to 2 hours.
     
  11. Delia

    Delia Member

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    So I could shoot, right?
     
  12. Jen&Eddie

    Jen&Eddie Well-Known Member

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    I'd like to see Cleo higher, just to be certain that the honey's worn off...but how about a +13 and see where she's at. The 2 hours post honey *should* tell you if she's going to come back down.
     
    Last edited: Nov 14, 2015
  13. Delia

    Delia Member

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    Ok. +13 is 82.
     
  14. Jen&Eddie

    Jen&Eddie Well-Known Member

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    Well, she's not coming back down, so that's good.

    Whether to shoot the 3 or a BCS is going to be up to you and your comfort level. Either way, she very well could come back down because of the depot.

    When I've had this issue with Eddie - low numbers right before shot time without a big rise - what I've done is to feed a higher carb food (like a higher low carb in the 8% range or medium carb in the 10% range) at PS and at +1 so there's a little extra carbs on board by the time the next shot onsets. *This is a tip meant for Delia only*

    What are you thinking?
     
  15. Delia

    Delia Member

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    I think is ok, I have a 8.6% carbs food. I give it at ps and +1 and shoot a 3u dose. I think she will go up after shot like she always do.
    Do you think it's ok?
     
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  16. Jen&Eddie

    Jen&Eddie Well-Known Member

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    I think that sounds like a good plan. Hopefully she will give you a beautiful green surf! I'll keep an eye out for your numbers.
     
  17. Delia

    Delia Member

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    Thanks Jen. Preshot is 96.
     
  18. Jen&Eddie

    Jen&Eddie Well-Known Member

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    Good! Looks like she may be surfing or rising on her own now. I'll keep an eye out for your +1. Surf safely Cleo! :D:D:D

    Nice shooting Delia!
     
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  19. Delia

    Delia Member

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    +1 is 215. Maybe the higher low carb worked too much :(
    Hope that she will go back in green.

    Thank you very much for your help Jen.
     
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  20. Wendy&Neko

    Wendy&Neko Senior Member Moderator

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    Good thing you shot and good that Jen was there for you. No bouncing Cleo!
     
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  21. Jen&Eddie

    Jen&Eddie Well-Known Member

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    You're welcome Delia! Now Cleo, no need to panic! Come back down gently.
     
  22. Marilyn and Polly

    Marilyn and Polly Well-Known Member

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    Excellent work from everybody! Now, Cleo, do your part. Bounce low and quick. No more shenanigans.

    Marilyn and Polly
     
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  23. carfurby (GA)

    carfurby (GA) Well-Known Member

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    Feb 19, 2012
    Nice shooting. I hope Cleo comes back down soon.
     
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