? Terry needs dosing advise pmps 68 !!

@Sue and Oliver (GA) @Rachel @Kris & Teasel @Ruby&Baco

Could you please help me?? Terry surprises again!! Pmps 68.
I gave him a small snack ( raw food) and I will test again in 20 minutes.

 

I don't know what to do at this point so I will leave that over to the more experienced people but I want to ask a question! Do you think those low pmps's are a sign that mr.P is visiting maybe? Because I can't imagine this is the insulin doing this.....

 

Maybe @Bobbie And Bubba @Alexi can advise because they are online right now.

 

20 min later Terry's number is 72.
She gave him the rest of his food now and is testing him again in 20 minutes.

 

Hello Green!

I think you can safely skip tonight but can you get a +1 and +2 this evening to see the effect of food on Terry's numbers. It is possible he may need a token dose later on if the numbers shoot up but missing a dose will not do him any harm. The big headache may be tomorrow morning

 

Thank you Alexi! I will test at 9 and 10 pm.
I can't believe this!! He hasn't got this kind of scores before.

 

Yep, I'd skip with that kind of pmps! He may be high in the AM, but he's nowhere NEAR the correct preshot number to give anything.

 

He was in normal numbers at +6 so I think Mr P has come to visit today. Are you able to monitor tomorrow?

 

Sorry, I am just getting this. I forgot to log off and it looked like I was online. Glad Alexi and Rachel weighed in.

 

Just tested +1 119!

Tomorrow morning I have to work @Alexi . I will be home round his +5

 

ok - we have to have a think about tomorrow but let's see what his +2 is, are you able to test any later tonight?

 

Actually I was planning to go sleep after the +2... Haven't got much sleep last night because my baby-girl decided to party

 

We just made a new plan today to lower the dose. 2.50 for the 300's and 2.25 for the 200's @Sue and Oliver (GA) adviced.
But maybe that's even to high now? We never expected ( at least I did not) his pmps to be this good.

 

It does look like his pancreas woke up and helped out. The tricky part of having Mr. P visit is that he doesn't come and stay. He drops in, affects the levels for awhile and then is gone again. It is good that the pancreas is working but it is an on/off thing, at least for awhile. So it makes dosing very difficult. If the pancreas helps out during a cycle, the dose needs to be lower. But if he is in his normal diabetic mode, our dose changes seemed reasonable. You could reduce our planned doses and see how that works for the next cycle. Or you could stick with the planned doses - IF you can monitor carefully and plan to bring up a lower number if needed. (Today he did not get into dangerous territory - the cycle was just long. ) What are you thinking is the best way to proceed?

 

Tomorrow I cannot monitor in the morning. I will be home round +5. maybe that's a little late if he needs to be brought up gently. So I'd rather proceed it the most safe way and bring the dose down a bit more. But that's just a feeling....

 

Your gut feelings are important. Maybe 2 for the yellows and 2.25 for the pinks. Probably not enough, but we can be more daring when you will be around.

 

Oke I will. Thank you. His +2 is 200 now

 

Looks like Mr. P may have left the building.

 

Do I need to give him a bit insulin to support now his bg is 200?

@Sue and Oliver (GA) @Alexi

 

Is this after a meal? If so, I wouldn't chance it. You could give insulin in 2 hours safely but that would mess your schedule all up.

 

He had his meal 1.5 hours ago . And I have to leave at 8 am tomorrow ( it's 10.18 pm here now) So I better not shoot?

 

Miss out the insulin tonight - you can start it again in the morning depending on numbers and at a time that suits you.

 

Okay. No Insulin this night. Lets see what the morning brings...

 

Wow! Amps 326 . Without any insulin last night. That's good isn't it?!

 

At +6 BG is 290. Not much lower than this morning. But maybe he will lower his score later this day and we will see good pmps. Let's hope Mr P ( nice name btw ) drops by.

 

Those numbers are looking fabulous! Well done Terry! looks good even if you got a pink am with no insulin the pm before he didn't shoot up to red or black. Excellent!

 

Wow! Great number considering no insulin was on board!