? HELP - hypoglycemia Wednesday need guidance for Friday AM

Discussion in 'Lantus / Levemir / Biosimilars' started by Jill & Pansy Panini, Aug 15, 2019.

  1. Jill & Pansy Panini

    Jill & Pansy Panini Member

    Joined:
    Aug 9, 2019
    Hello,

    Yesterday evening when I did the BG, Pansy was at 53. I have her karo syrup and high carb food and her numbers improved.

    Another forum member advised no AM shot if under 200. The cutoff would usually be 100 but this person felt that 200 was safer because of my lack of data.

    Additionally, a reduction of .25 was recommended. She was on .5 units Lantus 8/11 and now she'll be on .25.

    This AM her BG was 172 so I didn't give her a shot.

    Her PM BG is 264. If I follow instructions given yesterday, it's ok to give her .25 insulin.

    Does this seem OK?

    Thanks!

    Jill
     
    Krystina & Nelli likes this.
  2. Jill & Pansy Panini

    Jill & Pansy Panini Member

    Joined:
    Aug 9, 2019
    Also, I am taking tomorrow off from work to do a glucose curve. It's a good idea to do that, right?
     
    Krystina & Nelli likes this.
  3. Krystina & Nelli

    Krystina & Nelli Well-Known Member

    Joined:
    Jul 4, 2018
    YES :bighug:... following yesterday advise is purrfect :)
     
  4. Krystina & Nelli

    Krystina & Nelli Well-Known Member

    Joined:
    Jul 4, 2018
    O.k.a.y- my advise would be to see what her AMPS is- if ok, test again at +2.
    I will keep an eye on you in morning ;)
     
  5. Jill & Pansy Panini

    Jill & Pansy Panini Member

    Joined:
    Aug 9, 2019
    Hi Krystina,

    So I shouldn't do a glucose curve tomorrow? Is it too soon with the new .25 dose? Thanks for your help..greatly appreciated!
     
    Krystina & Nelli likes this.
  6. Bobbie And Bubba

    Bobbie And Bubba Well-Known Member

    Joined:
    Jun 15, 2015
    Hey there! Pansy, ( love the name!) earned a reduction fair and square with that 54 and you are using the AT2 meter. I would give .25 tonight as long as you can monitor. If she is still in bounce mode from that 54 number, I would wait for the bounce to clear which can take 3 days or 6 cycles . If you try to do a curve during a bounce, you are not getting a true reading of what dose can do. And you are wasting very expensive AT2 test strips.
     
  7. Jill & Pansy Panini

    Jill & Pansy Panini Member

    Joined:
    Aug 9, 2019
    Hi Bobbie,

    I felt safe with the BG of 264 but I will watch her and test again before bed.

    No curve tomorrow eh? I think I will relax a bit then and forage at Wal-Mart for 31 gauge syringes and a magnifying glass.

    Maybe work on collecting items to donate to the Kitten Rescue of Mason County garage sale!
     
    Krystina & Nelli likes this.
  8. Red & Rover (GA)

    Red & Rover (GA) Well-Known Member

    Joined:
    May 18, 2016
    You could also try magnifying reading glasses from the dollar store if they don't give you a headache.
    Practice using coloured water until you get what you feel is 0.25. Put the cap on the needle and use it as a comparison.
    Get a +1 and +2 tonight. The +1 may be higher because of a food spike. The +2 will be more telling of what tonight's cycle will hold.

    0.25unit.jpeg
     
    Krystina & Nelli likes this.
  9. Jill & Pansy Panini

    Jill & Pansy Panini Member

    Joined:
    Aug 9, 2019
    If I wait fo
    I missed the +1 but will do the +2. Good idea about the colored water! TY!
     
  10. Jill & Pansy Panini

    Jill & Pansy Panini Member

    Joined:
    Aug 9, 2019
    +2 BG is 165.
    Is this worrisome?
     
  11. Krystina & Nelli

    Krystina & Nelli Well-Known Member

    Joined:
    Jul 4, 2018
    No.
     
  12. Krystina & Nelli

    Krystina & Nelli Well-Known Member

    Joined:
    Jul 4, 2018
  13. Krystina & Nelli

    Krystina & Nelli Well-Known Member

    Joined:
    Jul 4, 2018
  14. Krystina & Nelli

    Krystina & Nelli Well-Known Member

    Joined:
    Jul 4, 2018
    It’s gonna be a wait and see... AMPS.
    Take a chill pill, darlin’.
    Breathe. :bighug:
     
  15. Jill & Pansy Panini

    Jill & Pansy Panini Member

    Joined:
    Aug 9, 2019
    I gave P a little FF as a reward for enduring another BG test. Should I leave a little food out at night?
     
    Krystina & Nelli likes this.
  16. Krystina & Nelli

    Krystina & Nelli Well-Known Member

    Joined:
    Jul 4, 2018
    Sure. If it makes you feel calm... it won’t hurt :bighug:
     
  17. Krystina & Nelli

    Krystina & Nelli Well-Known Member

    Joined:
    Jul 4, 2018
    Try to get some rest... you and PP are dependent on this!!! :cat: :)
     
  18. Jill & Pansy Panini

    Jill & Pansy Panini Member

    Joined:
    Aug 9, 2019
    She was 264 at 5:00 PM
    Insulin at 6 PM
    BG at 8:00 (+2 right?) Was 165
    That's quite a drop. Still not scary? Just want to be sure...quite anxious about this.
    We've experienced 2 hypoglycemia events - last week and yestery.
     
  19. Jill & Pansy Panini

    Jill & Pansy Panini Member

    Joined:
    Aug 9, 2019
    I don't think there's a chill pill powerful enough. I try to make due with a bendryl and audio book at bedtime.
     
  20. Bron and Sheba (GA)

    Bron and Sheba (GA) Well-Known Member

    Joined:
    Feb 21, 2015
    I would keep monitoring the BG if the preshot was 264 and +2 was 165. Yes that is a big drop and it will be an active cycle. I would feed a teaspoon of low carb food now and test at +3 to see how she's going.
    If you can keep the SS up to date that would be helpful
     
    Red & Rover (GA) likes this.
  21. Krystina & Nelli

    Krystina & Nelli Well-Known Member

    Joined:
    Jul 4, 2018
    Breathe, seriously, it helps to lay quiet... breathe deep. Concentrate on your eyes- consciously try to let all little eye muscles rest. Easier said than done, trust me :rolleyes:.
    Yoga trick :)
     
  22. Krystina & Nelli

    Krystina & Nelli Well-Known Member

    Joined:
    Jul 4, 2018
    ;)
     
  23. Jill & Pansy Panini

    Jill & Pansy Panini Member

    Joined:
    Aug 9, 2019
    I just updated SS. I think auto correct messed up your message. "a t sapping" of low carb food?
     
  24. Bron and Sheba (GA)

    Bron and Sheba (GA) Well-Known Member

    Joined:
    Feb 21, 2015
    Thanks.
    Yes I have just corrected. Sorry. My iPad is playing up and the autocorrect doesn't help.
     
  25. Jill & Pansy Panini

    Jill & Pansy Panini Member

    Joined:
    Aug 9, 2019
    Thanks Bron for the clarification!
     
  26. Bron and Sheba (GA)

    Bron and Sheba (GA) Well-Known Member

    Joined:
    Feb 21, 2015
    When is the +3 due?
     
  27. Jill & Pansy Panini

    Jill & Pansy Panini Member

    Joined:
    Aug 9, 2019
    9:00...so I'm 8 minutes late. Was watering the garden. She ate the teaspoon of food.
     
  28. Bron and Sheba (GA)

    Bron and Sheba (GA) Well-Known Member

    Joined:
    Feb 21, 2015
    That's ok. I'll watch for result
     
  29. Bron and Sheba (GA)

    Bron and Sheba (GA) Well-Known Member

    Joined:
    Feb 21, 2015
    Any result yet Jill?
     
  30. Jill & Pansy Panini

    Jill & Pansy Panini Member

    Joined:
    Aug 9, 2019
    BG 136 @9:37 PM...or 3.5 hours after insulin
     
  31. Bron and Sheba (GA)

    Bron and Sheba (GA) Well-Known Member

    Joined:
    Feb 21, 2015
    Ok so still dropping.
    I would give a tablespoon of low carb food now and test in 1 hour again.
    Try not to leave it longer than an hour. I'll be watching.
    She is quite safe, but we don't want her to drop too fast or too much, so that is why we are giving her some food to try and control the drop a bit.. Is that ok with you?
     
    Last edited: Aug 15, 2019
  32. Jill & Pansy Panini

    Jill & Pansy Panini Member

    Joined:
    Aug 9, 2019
    Yes! I'm so grateful for your assistance, Bron! Will test again around 10:30.
     
    Bron and Sheba (GA) likes this.
  33. Jill & Pansy Panini

    Jill & Pansy Panini Member

    Joined:
    Aug 9, 2019
    She only ate a little bit of food. I sprinkled with freeze dried salmon..just took a few bites. Her full name is Pansy Panini Pooper because she does poopery things from time to time.
     
  34. Bron and Sheba (GA)

    Bron and Sheba (GA) Well-Known Member

    Joined:
    Feb 21, 2015
    Haha! Good name!
    Is she normally a good eater?
     
  35. Jill & Pansy Panini

    Jill & Pansy Panini Member

    Joined:
    Aug 9, 2019
    BG is 133 @10:37. (+4 or really +4.5)

    I offered her LC food and she ate a few bites.
    Is it time for a forkful of high carb food?
     
  36. Jill & Pansy Panini

    Jill & Pansy Panini Member

    Joined:
    Aug 9, 2019
    Yeah but she had dinner at 5:30...shot at 6...then seconds later...then a teaspoon at least once...
     
  37. Bron and Sheba (GA)

    Bron and Sheba (GA) Well-Known Member

    Joined:
    Feb 21, 2015
    No need to give any high carb food. She has stayed the same as last time.
    Are you able to test again in an hour?
     
  38. Jill & Pansy Panini

    Jill & Pansy Panini Member

    Joined:
    Aug 9, 2019
    I can set the alarm for 1 hour...I am sleepy! She just ate a few more bites of food. Also drinking water.
     
  39. Bron and Sheba (GA)

    Bron and Sheba (GA) Well-Known Member

    Joined:
    Feb 21, 2015
    Ok. If she’s still about the same at next test, then she should be ok. It will be +5.5 by then.
     
  40. Jill & Pansy Panini

    Jill & Pansy Panini Member

    Joined:
    Aug 9, 2019
    Tried and failed.
     
  41. Bron and Sheba (GA)

    Bron and Sheba (GA) Well-Known Member

    Joined:
    Feb 21, 2015
    Can you try again?
     
  42. Jill & Pansy Panini

    Jill & Pansy Panini Member

    Joined:
    Aug 9, 2019
    Well, I fed her some FF and she ate it. She's kind of annoyed!
     
  43. Bron and Sheba (GA)

    Bron and Sheba (GA) Well-Known Member

    Joined:
    Feb 21, 2015
    One more test would be good if you could. Otherwise leave some food out for her.
     
  44. Jill & Pansy Panini

    Jill & Pansy Panini Member

    Joined:
    Aug 9, 2019
    Tried again, no luck. Food is out for her. I'm off to bed. Have to do this again less than 5 hours. Thanks for your help!
     
    Bron and Sheba (GA) likes this.
  45. Jill & Pansy Panini

    Jill & Pansy Panini Member

    Joined:
    Aug 9, 2019
    This AM her BG is 129 - this is 2nd day after hypoglycemia. Her insulin was reduced.
    I understand this may be a bounce.
    I was told not to shoot if under 200.
    Following this rule I will skip the shot.
    Does this seem correct?

    Thanks!
    Jill
     
  46. Bron and Sheba (GA)

    Bron and Sheba (GA) Well-Known Member

    Joined:
    Feb 21, 2015
    I would skip.
    Especially as you have to go to work don’t you?
    No, 129 is not a bounce.
     
  47. Jill & Pansy Panini

    Jill & Pansy Panini Member

    Joined:
    Aug 9, 2019
    I am staying home today but after all the testing yesterday, Pansy is pissed. It was a real struggle getting the BG this morning. I don't want to do that again.
    Thanks for responding!
     
  48. Bron and Sheba (GA)

    Bron and Sheba (GA) Well-Known Member

    Joined:
    Feb 21, 2015
    129 on the alphatrak 2 is too low for you to shoot without more data.
    If you can, try and get some more tests in during the cycles. I don’t mean today when you haven’t given insulin, but cycles when insulin has been given
     

Share This Page