+4 is 80. Help steer before another hypo.

Timmy is at 80 right now at +4. How do I steer this. I am freaking out a bit. Please, not another hypo!

 

Feed a small snack of regular low carb food and retest in 20 minutes. Post here.

 

Okay. He is eating now. I will test in 20 minutes.

 

It's a big drop, but since we're already at +4 and you've started steering, hopefully the insulin will wear off before it takes him too low.

 

Yes, Vetsulin usually has its peak action around +4 to +6. He might not drop much more and the snacks should help. Keep them small in case you need to give several.. You don't want to fill him up.

 

Vetsulin's action usually peaks at +4 to +6. He should be OK with a bit of food. Keep these snacks small in case you need to give several. You don't want to fill him up. Looking ahead - I think I'd try 1 u tonight.

Timmy is such a cute kitty!

 

He's at 61!

 

Give another little snack of the same food and retest in 20 min. You're using a human meter and the "intervene with high carbs" number is 50. If he's near 50 at the next test, give some high carb food that has gravy and retest in 20 min.

 

He's at 61 right now. He is quite upset that I took his food away. I just need to breathe!!!

 

Breathing is good! Give another small snack of this same food.

 

Feeding small snack now and will test in 20 minutes. Got it.

 

Glad he is so interested in the food! That will make this much easier to manage.

 

That is definitely good. If it was the Sheba he was on before, it would be impossible. I'm so confused. What is happening with his numbers all of a sudden?

 

It really does seem like somehow the Sheba were boosting his numbers for some reason. It's weird. Wonder if maybe he is sensitive to an ingredient in the Shebas?

 

That hypo of the day before yesterday has left him more insulin sensitive. He used up his liver stores to prop himself up after the lime green and stay high in bounce numbers yesterday. His stores are depleted so today he's giving you green again.

 

He is at 60 now.

 

He might be starting to surf at this level. Give another snack of the regular food and retest in 20 minutes. If he's still at/near this BG level then, you'll withhold food and wait another 20 min before testing. That's to see if he can stay stable without the food prop. You'll also be passing his nadir soon.

 

Okay. Giving small snack now and retest in 20...

 

When you have a minute it would be useful to record all these test results in your SS, along with notes on what you fed, how much and how many snacks it took to level him out. Good for future reference.

 

He is at 59. So I'm holding the food and will test again in 20 minutes.

 

OK. If he drops then you can continue with the small snacks of regular food. He's still in safe numbers and there's no point jacking up his BG with extra carbs if they're not needed. Where is he time wise relative to his AM dose?

 

Rapidly approaching +6.

 

He is at 72 now. Yay!! I held the food for 20 minutes before the test.

 

Hurray! I think he's good. Now you can leave the testing to hourly maybe up to +8 and then give his ears a break until PMPS.

 

Thank you, thank you, thank you for helping me through this today.

 

Wow. Nicely done, everyone!

And a big hug to (((Susan))). Great job!
.

 

Dose decrease tonight I think.

 

I am definitely going to need advice with that tonight. I'm trying to make sense of his spreadsheet now. I am also thinking that I need to test him at +4/+5 after the pm dose, just so I don't miss something. When he has those yellow numbers on his amps, maybe he is going lower during the night. I have to get a handle back on his dosing.

 

In the end, a really nice run of green, healing numbers! Great job!

 

Are you going to try 1 u tonight?

 

So tonight's PMPS was 299. Do you still think 1 unit tonight.

 

You know me, I am very reluctant to give dose advice, especially with Vetsulin. Since no one else has answered, though, I'll say that I think 1.0U is still reasonable. I'd still monitor for a while tonight, given his recent history!

 

Thank you for your reply. We gave him 0.75 units tonight, just to be safe...I hope. There doesn't seem to be any pattern in his numbers over the last few days, at least none that I can follow with any confidence. This may not be enough of a dose tonight, but I'll be up monitoring him anyway. It's worrisome in that his +2 this morning wasn't a huge drop at all, so I thought we would just be in blues today. There is just no pattern.

We are ready to switch to Lantus, but are stalling a bit to see where these numbers are taking Timmy. Remission? After today though, DH wants the switch now. Changes are coming. I just want to make the right change at the right time, if that is even a thing. Thank you once again for the support today. It is so appreciated.

 

The dose you gave should be safe. You have to do what's comfortable for you.

 

I'd do 1 unit when the preshot is around 250-275. Those nice greens you got are great, esp when you are around to test and steer. Any time the numbers are under 120 (provided not TOO low) it lets the body heal.