? 8/9 - GIDEON BLUE -PMPS = 238. Decreased to 1.5 units. At +6 BG = 537!

Discussion in 'Lantus / Basaglar (glargine) and Levemir (detemir)' started by Shiloh567, Aug 9, 2020.

  1. Shiloh567

    Shiloh567 Member

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    https://www.felinediabetes.com/FDMB/threads/8-8-gideon-blue-amps-423.233370/

    My Gideon was a bit lower than what he has been in the morning....he is bouncing around. I fed his m=normal food, and he was pretty animated this morning. Since I am concerned with him plummeting, I tested again at 1+ and he was 127, which is strange that the food did not bring him up. So, I just gave him 1 tablespoon of some 13% carb food to try to prevent a sharp decrease in his BG with the Lantus 1.75 units that he received this morning. I will retest at +2. My husband will retest at +3 and +4, just to be safe.
    Thank you all.
     
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  2. tiffmaxee

    tiffmaxee Well-Known Member

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    This is going to be an active cycle. I’m glad he’s testing and will feed him if necessary.
     
  3. Briere Fur Mom

    Briere Fur Mom Well-Known Member

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    Beautiful AMPS. It sounds like you have a very solid plan in place to keep Gideon safe.
    Be good Gideon!:cat:
    Have a great day Shiloh
     
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  4. Bron and Sheba (GA)

    Bron and Sheba (GA) Well-Known Member

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    Gideon Blue is a gorgeous boy. Why did he have to have his leg amputated...and how is he managing now?
     
  5. Shiloh567

    Shiloh567 Member

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    Thank you. Gideon had cancer, and the only way to for sure know we were able to get it all, was to amputate his left front leg. He is doing well as a tripod.
     
  6. Bron and Sheba (GA)

    Bron and Sheba (GA) Well-Known Member

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    Poor boy. I’m so glad he is doing well.
     
  7. Shiloh567

    Shiloh567 Member

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    Just took his +2 BG and he is down to 108. I opened 20% carb food, but he isn't interested in eating. He is alert. I am very concerned at this point. We stayed home from church, so thankfully can monitor. I should be in bed soon, I am working tonight. I am very concerned at the moment. He will continue to decrease if he doesn't eat.
     
  8. Bron and Sheba (GA)

    Bron and Sheba (GA) Well-Known Member

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    Will he eat some normal low carb food for you? he may be still full from his breakfast.
     
  9. Shiloh567

    Shiloh567 Member

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    He had a good breakfast. He is not interested in even eating his treats.
    I have some AD which is 12 % carbs. Should I add a small amount of Karo and syringe it to him?
    I am VERY concerned at +2 he is only 108.
     
  10. Bron and Sheba (GA)

    Bron and Sheba (GA) Well-Known Member

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    He doesn’t need karo or high carb food at the moment as he is quite safe. I understand what you are saying about being concerned he is dropping. I would get a +3 or if you are really concerned a + 2.5 to see if he’s still dropping .......oh I see you just got a +2.5 and he’s much the same as +2.
     
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  11. Shiloh567

    Shiloh567 Member

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    OK. Not going to bed. Will retest at +3. I know he is safe at the moment, but the Lantus probably hasn't even kicked in yet. He still is not interested in eating, which is highly unusual.
     
  12. Bron and Sheba (GA)

    Bron and Sheba (GA) Well-Known Member

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    Is that 106 the +3?
     
  13. tiffmaxee

    tiffmaxee Well-Known Member

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    Since he’s carb sensitive I wouldn’t go to karo or hc. Reserve that for if he should drop under 50.
     
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  14. Shiloh567

    Shiloh567 Member

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    Yes. I took the +2.5 (107) away to make room for the +3. Will retest at +3.5. He just nibbled on a 13% carb food. Ate 1 tsp.
     
  15. Bron and Sheba (GA)

    Bron and Sheba (GA) Well-Known Member

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    @tiffmaxee. Hi Elise I need to head to bed. Are you going to be around? Can you check on Gideon Blue please?
     
  16. Shiloh567

    Shiloh567 Member

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    Well, he is carb sensitive except for today.
     
  17. Bron and Sheba (GA)

    Bron and Sheba (GA) Well-Known Member

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    I would stick with low carb unless he drops under 50 ( edited to correct this... should read unless drops under 68 as using alphatrak meter) or drops quickly. I have to head to bed but hopefully Elise can check on how things are going.
     
    Last edited: Aug 9, 2020
    Reason for edit: Corrected info
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  18. Shiloh567

    Shiloh567 Member

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    Thank you!
     
  19. Bron and Sheba (GA)

    Bron and Sheba (GA) Well-Known Member

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    I hope you have a good day. I will look in tomorrow.
     
  20. Shiloh567

    Shiloh567 Member

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    Very concerned. He dropped to 60 in just 30 mins. He is not even close to nadir. Help!
     
  21. tiffmaxee

    tiffmaxee Well-Known Member

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    I’m around. Just a teaspoon or two is all he needs. You want to keep him hungry. Sleep well Bron.
     
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  22. tiffmaxee

    tiffmaxee Well-Known Member

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    It’s okay. Feed a teaspoon of hc.
     
  23. Shiloh567

    Shiloh567 Member

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    He is not eating now. I am feeling frantic already!
     
  24. Shiloh567

    Shiloh567 Member

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    Can I entice him with higher carb?
     
  25. tiffmaxee

    tiffmaxee Well-Known Member

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    Test again in 20 minutes after he finishes eating. Okay. Rub some karo on his gums.
     
  26. tiffmaxee

    tiffmaxee Well-Known Member

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    Yes. Don’t give too much though because we need him to want to eat.
     
  27. Shiloh567

    Shiloh567 Member

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    2 1/2 hrs left until +6! I am sorry, I feel like I can't breath.
     
  28. tiffmaxee

    tiffmaxee Well-Known Member

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    Deep breaths. This is scary the first times. I’ll stick with you.
     
  29. tiffmaxee

    tiffmaxee Well-Known Member

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    Did he eat?
     
  30. Shiloh567

    Shiloh567 Member

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    No, he did not eat even the higher carb food. Just put a small any of Karo on his gums.
     
  31. Shiloh567

    Shiloh567 Member

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    Thinking about what to do for Lantus tonight. I know we will cross that bridge when we come to it.
     
  32. tiffmaxee

    tiffmaxee Well-Known Member

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    Do you have any tuna or shrimp? Anything special he might eat?
     
  33. tiffmaxee

    tiffmaxee Well-Known Member

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    Let’s get through this cycle first. We will then see if we need to drain the depot or just reduce. He might bounce big time.
     
  34. Sienne and Gabby (GA)

    Sienne and Gabby (GA) Senior Member Moderator

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    One thing to factor in is that there is a 20% meter variance with the numbers. If you add/subtract the 20% from. your APS, what. you're really seeing is numbers that are pretty close together. This is a lovely blue surf. My general rule of thumb is to start to steer the numbers with LC food if the numbers are in the lower ranges but the curve is flat. If the numbers start to dip significantly by +2, you want to intervene with higher carb food. You can look at Gabby's SS to see what I mean.
     
  35. tiffmaxee

    tiffmaxee Well-Known Member

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    Test 20 minutes after karo. Keep trying to entice him to eat. Do you have any Gerbers baby food?
     
  36. Shiloh567

    Shiloh567 Member

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    He is eating some deli ham!
     
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  37. tiffmaxee

    tiffmaxee Well-Known Member

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    She’s using an AT.
     
  38. Shiloh567

    Shiloh567 Member

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    I have some Gerber's, but he did just a little ham.
     
  39. Red & Rover (GA)

    Red & Rover (GA) Well-Known Member

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    Lurking but one eye still closed.

    The longer he stays in green and low blue numbers, the sooner his body will get used to them. Looking at his spreadsheet, he's been quite the bouncer.

    Going downstairs to make a cuppa.
     
  40. tiffmaxee

    tiffmaxee Well-Known Member

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    Yes. He dropped to 60 on the AT which is why she was concerned when he wouldn’t eat and it’s early in the cycle. He’s eating now.
    You need to update your subject. They think he’s blue rather than lime green.
     
  41. tiffmaxee

    tiffmaxee Well-Known Member

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    Have you tested again? You didn’t post the 60 on your ss.
     
  42. Shiloh567

    Shiloh567 Member

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    Just to summarise:
    He hit hit a BG of 60 at +3.5. It was a drop of 40 in 30 mins, which is a significant change. Offered higher carb food, but no interest.
    Put a small amt of Karo on his gums. He then ate a small amt of deli ham. I have opened 5 diff foods.
    His +4 BG=86. Should I retest at 5+?
     
  43. tiffmaxee

    tiffmaxee Well-Known Member

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    Yes because karo can stop working quickly. If he’s still up you can sleep. Know you will be up all night. Now that you have calmed down please fix your ss and subject.
     
  44. Shiloh567

    Shiloh567 Member

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    I will be up all night because I am working tonight. Is the title ok? Is the spreadsheet ok?
     
  45. tiffmaxee

    tiffmaxee Well-Known Member

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    The ss is not right. I see a 86 but no 60. You don’t show the drop to 60. It’s all blue.
     
  46. Shiloh567

    Shiloh567 Member

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    Is it ok now?
     
  47. Sienne and Gabby (GA)

    Sienne and Gabby (GA) Senior Member Moderator

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    I apologize if I added to any confusion. When I looked at your spreadsheet, all I saw were your numbers up to +3. There were no additional tests.

    As an FYI, you can stack numbers in a cell. (Look at Gabby's spreadsheet.) You will need to manually include the color coding, though.)
     
  48. tiffmaxee

    tiffmaxee Well-Known Member

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    Yes.
     
  49. Red & Rover (GA)

    Red & Rover (GA) Well-Known Member

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    Thanks, Elise.
     
  50. Shiloh567

    Shiloh567 Member

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    At +5=78. He is also eating a tablespoon of MC 12% food. Will snooze for 1 hr and retest at +6. Thank you so much for guiding us.
     
    Last edited: Aug 9, 2020
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  51. tiffmaxee

    tiffmaxee Well-Known Member

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    That should keep him surfing.
     
  52. Sue and Luci

    Sue and Luci Well-Known Member

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    I'm glad to see things have improved....I'm just catching up here with your lovely boy...would you mind updating your title? I was concerned about the 'getting concerned' comments...looks like you've gotten lots of support and responses... :)

    Glad to see he's coming up!
     
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  53. Red & Rover (GA)

    Red & Rover (GA) Well-Known Member

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    Glad Shiloh is eating. See you at +6.
     
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  54. Shiloh567

    Shiloh567 Member

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    Can't get to the spreadsheet at the moment, +7 =118. Going to sleep another hr. Do you think it is safe to stop testing until PM, or should I get some more tests just to see how quickly he increases? I will be asking for dose recommendations tonight. Husband said he will get up at 1am or 2am to test, if needed.
     
  55. tiffmaxee

    tiffmaxee Well-Known Member

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    You are good to sleep.
     
  56. Red & Rover (GA)

    Red & Rover (GA) Well-Known Member

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    I think you should be okay. Trying feed him some LC. A +10 will tell you more.

    You saw what a fast drop can do today. If your husband sees drops like this at night, he will need to get more tests in. I'm concerned that Shiloh may have gone too low a few nights.
     
  57. Shiloh567

    Shiloh567 Member

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    Yes, I believe Gideon probably did drop too low during the night. If my husband saw GREEN or even low BLUE numbers, he would feed and retest during the night. Fortunately with all that is going on in the world, he is working from home.
     
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  58. Shiloh567

    Shiloh567 Member

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    At +10 Gideon is 125. He is eating 9% carb food which is a real treat for him, since he gets 6% or below.
     
  59. tiffmaxee

    tiffmaxee Well-Known Member

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    He’s surfing nicely.
     
  60. Shiloh567

    Shiloh567 Member

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    Yes. Should I have fed him lower carb food? I thought under 10% was ok. He doesn't seem as carb sensitive today. I am so reluctant to give him Lantus tonight, but let's see what he is at PM. Thank you!
     
  61. tiffmaxee

    tiffmaxee Well-Known Member

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    Under 10% is fine. He’s earned a reduction so his dose will be 1.5. Since you are going away in less than a week I think I would reduce even though the 1.75 may still be in play. If anyone disagrees please chime in. Stop feeding until pmps to see if there’s a bug bounce which you might shoot threw the bounce and reduce in the morning.
     
  62. Shiloh567

    Shiloh567 Member

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    I am not home tonight, just my husband. I can't ask him to test every 1/2 hr. Like I did at times today. He also has to work tomorrow, though from home.
     
  63. tiffmaxee

    tiffmaxee Well-Known Member

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    Take the reduction. If Gideon is too low for comfort then feed him 10%. If he’s not eating feed whatever he will eat. I suspect a bounce given his track record. I hate to say that because since he’s a cat he will take pleasure in proving me wrong.
     
  64. tiffmaxee

    tiffmaxee Well-Known Member

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    You can also drain the depot and not shoot tonight. He’s adjusting better now so he will get back on track. Definitely don’t shoot 1.75. Any reduced dose will still have the depot in play so I would not give a BCS dose.
     
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  65. Shiloh567

    Shiloh567 Member

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    Thank you much. Will retest in 45 mins for the PM BG. Sorry, what is BCS?
     
  66. tiffmaxee

    tiffmaxee Well-Known Member

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    Big chicken sh—. Greatly reduced dose. It won’t prevent a dip.
     
  67. Shiloh567

    Shiloh567 Member

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  68. Shiloh567

    Shiloh567 Member

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    PMPS= 238.
    Should I give Lantus 1.5 units or hold shot?
     
  69. Sue and Luci

    Sue and Luci Well-Known Member

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    It looks like Gideon Blue has started the bounce in response to those lower numbers today. I'd shoot myself. Please be sure to get a couple of tests before going to bed. Is he eating ok usually?
     
  70. Red & Rover (GA)

    Red & Rover (GA) Well-Known Member

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    Can you stall a bit?
     
  71. Shiloh567

    Shiloh567 Member

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    I can stall. He is eating his normal amt.
    Stall for how long?
     
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  72. Red & Rover (GA)

    Red & Rover (GA) Well-Known Member

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  73. Red & Rover (GA)

    Red & Rover (GA) Well-Known Member

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    Can you take another test? See which way the wind is blowing. I doubt the regular food has impacted the numbers yet.
     
  74. Shiloh567

    Shiloh567 Member

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    He is 509! Should I give the 1.5 units now?
     
  75. Red & Rover (GA)

    Red & Rover (GA) Well-Known Member

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    Boing!
    Yes, shoot 1.5 units.
    Your husband will still need to get a test in at some point tonight.
     
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  76. Sue and Luci

    Sue and Luci Well-Known Member

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    Yep...as I mentioned earlier he's bouncing nicely now...but now you know for sure... :)

    Have a good evening :)
     
  77. Red & Rover (GA)

    Red & Rover (GA) Well-Known Member

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    I want to make sure that after today's escapades, the little minx was not going to pull a fast one.
     
  78. Shiloh567

    Shiloh567 Member

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    Ok. Gave 1.5 units. Will retest at +2 and +3 and +6, unless you think a +5, instead of +6 should be done. I am leaving in 1 1/4 hrs. My husband will be with him after that.
     
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  79. tiffmaxee

    tiffmaxee Well-Known Member

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    I was out. I would have said shoot 1.5 so glad that you did. Let’s see the +3 and then we can decide whether to get a +5 or 6. Will you be able to post results or will he?
     
  80. Shiloh567

    Shiloh567 Member

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    So don't test until +3, right? I will leave the spreadsheet open for him to post. At +4, I might be able to get to my emails, but depends on where I am and what I am doing.
     
  81. tiffmaxee

    tiffmaxee Well-Known Member

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    Doesn’t matter who posts. I would get a +3 and then decide on the next test.
     
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  82. Bron and Sheba (GA)

    Bron and Sheba (GA) Well-Known Member

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    Wow, things hotted up when I went to bed. You managed great! Looks like a big bounce now.
    I corrected an earlier post of mine where I said to give low carb if he drops under 50 ...it should have read drops under 68 as you are using an alphatrak meter. Sorry for any confusion.
     
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  83. Bron and Sheba (GA)

    Bron and Sheba (GA) Well-Known Member

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    Thanks Elise for stepping in. I’m glad you were there to help. It’s scary the first few times
     
  84. Shiloh567

    Shiloh567 Member

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    At +3=499. When to retest?
     
  85. tiffmaxee

    tiffmaxee Well-Known Member

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    I think a +5 and if still high it’s time for some sleep.

    @Bron and Sheba (GA) What do you think? I would almost say he’s good now but don’t know.
     
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  86. Bron and Sheba (GA)

    Bron and Sheba (GA) Well-Known Member

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    I agree with you. He hasn’t really moved since +1 but I’d get one more test in and if it’s still high he should be good to leave.
     
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  87. tiffmaxee

    tiffmaxee Well-Known Member

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  88. Shiloh567

    Shiloh567 Member

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    I just reread all the messages that were sent yesterday for my Gideon. There were so many. Thank you so much.
    Now his BG is VERY high at 537 at +6. Now from being so high, do you think he will plunge low again?
    This is very scary to bounce so severely,.
    After work this morning, I will create a new thread with his AMPS, and 8/10 date. I sure hope it isn't any higher.
    Thank you again.
     
  89. Bron and Sheba (GA)

    Bron and Sheba (GA) Well-Known Member

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    He will come off the bounce at some point in the next 6 cycles. Whether he drops low when he comes off the bounce remains to be seen. They don’t always drop low. Just be aware that when he is coming off the bounce to monitor closely.
    Yes a new thread would be a good idea.
     

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