8/20 Philly +11 88 AT2, +12 88 AT2/78 human, +14 106 - shot reduced, +1 150,+4 114

Discussion in 'Lantus / Basaglar (glargine) and Levemir (detemir)' started by Beck and Philly, Aug 20, 2020.

  1. Beck and Philly

    Beck and Philly Well-Known Member

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    Jun 4, 2018
    Recent

    Falling numbers again this morning. I don't want to skip after a great night of numbers. What should I do?
     
  2. Olive & Paula

    Olive & Paula Well-Known Member

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    Sep 6, 2015
    Did you stall and retest?
     
  3. Olive & Paula

    Olive & Paula Well-Known Member

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    Sep 6, 2015
  4. Beck and Philly

    Beck and Philly Well-Known Member

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    Jun 4, 2018
    We didn't feed between +11 and normal shot time and the number stayed the same. He ate at his normal shot time. Probably shouldn't have let him eat.
     
  5. Beck and Philly

    Beck and Philly Well-Known Member

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    Jun 4, 2018
    I didn't shoot yet. Thirty minutes after normal shot time he's 85 on the AT2 despite eating breakfast.
     
  6. Sue and Luci

    Sue and Luci Well-Known Member

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    Nov 3, 2017
    Can you delay a bit longer to see if Philly comes up..it'll delay your shot time tonight though. I hate to see you skip...he's just getting into some better numbers...
     
  7. Beck and Philly

    Beck and Philly Well-Known Member

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    Jun 4, 2018
    I'm here all day so I can shoot anytime. I am also working from home, so I work for a little while and then track him down to test.

    He ate a bit more 30 minutes ago.
     
  8. Olive & Paula

    Olive & Paula Well-Known Member

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    Sep 6, 2015
    Looks like he is getting longer duration than most. On dogs you don't shoot under 90. I see your reduction is at 70 and using AT meter.

    I would hate to see you skip but still......here is another option - 18 hr cycle.

    Give normal dose if numbers permit 18 hrs after last shot, skip normal PMPS shot and then resume your regular time in the morning. This is something rarely done. He gets his insulin later same dose and keeps somewhat normal schedule.
     
    Last edited: Aug 20, 2020
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  9. Beck and Philly

    Beck and Philly Well-Known Member

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    Jun 4, 2018
    That's a new concept. Hmm. Might be a good option. He started having these falling numbers late in the cycle a few weeks ago. I am starting to wonder if a depot insulin isn't a good choice for him as much as I like the idea of Lantus. He was 123 for two of his overnight tests and was given snacks at each, but still dropped to 88 by morning when I would've expected a rise.

    My vet wants me to use 60 on a pet meter as Philly's reduction number. On the 13th he had a 68 and I chose not to reduce. He had a 44 since then, and we did reduce.
     
  10. Olive & Paula

    Olive & Paula Well-Known Member

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    Sep 6, 2015
    It's not something you do routinely and certainly doesn't work for high numbers. However, based on Philly's ss last couple days, he seems to be having great duration, add the low ps it's better than skipping altogether. A one time modification might be good choice. Otherwise I say shoot late and reduce dose as he went under 90 on the AT.

    For any lurkers THIS IS FOR PHILLY ONLY.
     
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  11. Olive & Paula

    Olive & Paula Well-Known Member

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    Sep 6, 2015
    For future reference, do you have calipers? If not you might think about getting one. Have a feeling you will be needing them.
     
  12. Beck and Philly

    Beck and Philly Well-Known Member

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    Jun 4, 2018
    He is up to 106. I like your thought about taking a reduction since he was below 90. Normally I wouldn't reduce at this number, but it would allow me to shoot this morning. I shot .5 at two hours past normal time. Not ideal by any means. I'll monitor and have the SOS gel handy.

    Thanks for being here today!
     
  13. Beck and Philly

    Beck and Philly Well-Known Member

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    Jun 4, 2018
    I don't, but I will get some.
     
  14. Olive & Paula

    Olive & Paula Well-Known Member

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  15. Beck and Philly

    Beck and Philly Well-Known Member

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    Jun 4, 2018
  16. tiffmaxee

    tiffmaxee Well-Known Member

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    Nov 15, 2013
    I’m glad you shot a reduced dose instead of doing an18 hour.it will have a lot less impact moving forward.
     
    Last edited: Aug 20, 2020
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