? What to do about PM dose?! Coco AMPS 210 +4 217 +6 179 +8 77 +8.5 107

I was doing a mini curve today with Coco & she was at 210 AMPS. (She gets 3 3/4 units of Lantus) Her numbers were decreasing throughout the day & she hit 77 at +8. I kind of freaked, cause she really never gets that low. I gave her Fancy Feast w/ gravy & tested 45 minutes later, where she is a 107. Do I skip the evening shot..even if she returns to higher preshot numbers?? I have gotten some nighttime tests too, so hopefully you all will get a good picture of her dosing/numbers situation.

 

Since you are following the SLGS method, Coco earned a dose reduction down to 3.5 units of Lantus. Congratulations!

 

wow! Really?? She's never earned a dose reduction! Do I skip a dose altogether tonight or do her new 3.5 dose? I'm predicting she gets pretty high by pmps~ she's almost always in the 300's ..

 

If she's really high, you are probably fine just going with the new 3.5 unit dose. Going down dose the first time is rather exciting. Anytime she goes below 90, she earns a reduction according to SLGS. And next time you see a lower number in the 70's, you are probably OK with giving her a lower carb meal instead of high carbs. Below 50 is when we go to the gravy.

 

yeah, I probably freaked out prematurely. lol. I actually didn't even plan on doing a curve today at all..it just kind of happened because of her low numbers..

 

Coco's PMPS # is 275. I'm surprised she didn't shoot up high! Do I give the reduced 3.5 dose?

 

Yes

 

thank you

 

Congratulations on the reduction!!thats exciting!!

 

Thank you!! I AM excited!! I wonder though, what causes the change in the numbers & her need for a reduction...could her pancreas be "kickin in"?

 

Yeah! On the reduction! Good work with the curve. It could just very well be that her pancreas is kickin in a bit especially if you didn't change her food to a lower carb one recently. Or it could be that that the 3.75 was the dose to start things going in a downward direction. Whatever it is, is a good thing, (said in my best Martha Stewart voice)

 

lol~ it IS a good thing (and we haven't changed her diet at all). We are very excited~ YAY!!

 

Congrats on the reduction

 

Coco & I say thank you!!