1/28-29 AT Lolly-Need Help with AM DOSE Going down ladder FAST.NS AM, PMPS 134 +2 122

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Martha and Lolly (GA)

Martha and Lolly (GA)

Member Since 2015
Hi, Lolly is going down ladder so fast I don't know what to dose her with. I'm a newbie, only been at this for three weeks. Please look at her spread sheet -- Should I stay with .5 tonight? Can I do .25 tomorrow? Her numbers were higher today, but much lower previously.
 
Here's the link to Lolly's post yesterday:
http://www.felinediabetes.com/FDMB/...ps-126-1-103-2-81-3-88-lower-each-day.132155/

Yesterday you said that you wanted to shoot early tonight, and that's definitely possible to do so, since you didn't shoot this morning. And it'll give you more time to steer the numbers, if you need to, before going to bed.

You really have two options for tonight, either shoot .5U or .25U. She is starting to creep up a bit today and getting up towards the upper end of normal numbers. The longer that we can safely give kitties some insulin support, the stronger a remission you'll get. It would also be good to get to a point where you can shoot twice a day. She didn't go below 68 last night because of the high carb food given, so didn't technically earn a reduction. I think the depot from the .75U dose should be pretty much gone now and not influence tonight.

How are you feeling tonight? Are you up for a possible late night? Lots of strips and HC?
 
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i agree with all of the suggestions/options Wendy has given you. i think it's your choice about what to do tonight.

whatever you shoot, you still have to monitor. she's keeping you on your toes at night!
 
Thanks- since she was getting up there tonight, I went with .5u. I know I'll have to monitor tonight. She really chowed down right before getting the shot, though, so that's good. And I was also thinking that the .75 depot was wearing off. Does that mean she might get that reduction tonight?

I want to follow the protocol as much as possible. I'm concerned about getting her on two doses. My husband was able to test fairly regularly today, I'm home till 12:30, so I'll have to decide whether to go with NS, .5 or .25 tomorrow. If I don't feel comfortable shooting tomorrow, my next day to really monitor closely is Sunday.

I'll keep posting the numbers as the night goes on. How do you guys stay up? Are you in different time zones? I think I'm getting more comfortable making dosing decisions, but would really like advice on the AM shot after I know what happens tonight. I want to keep her momentum going...

Thanks Lolly's angels!:bighug:
 
If you want to sleep and maybe get to a dose you can shoot twice a day for a few days, at least until the weekend, I'd go with 0.25 units.
Yes, she may be somewhat higher; and you'll be able to sleep tonight instead of monitoring like crazy.
Didn't post fast enough!
 
There are people on both coasts and around the world posting here. You usually can find someone on line 24/7 although there were times when Max first started having pj parties that I would find myself all alone. I'd be posting mostly to myself to stay awake, LOL.
 
There's a phrase here, time to put on the pot of coffee. :coffee::coffee: Chocolate also works. :p Along with Elise I'm on the west coast and we've got a few folks from Australia and Europe posting regularly now. It's really fun when you've got a few people up late with low cats and you keeping posting to each other to keep the other company.
 
lol the :coffee: already in hand. I even brought home a high fructose corn syrup Coca-Cola, horrors!
BJM said:
If you want to sleep and maybe get to a dose you can shoot twice a day for a few days, at least until the weekend, I'd go with 0.25 units.
Yes, she may be somewhat higher; and you'll be able to sleep tonight instead of monitoring like crazy.
Didn't post fast enough!
Click to expand...

Bummer, BJ, here I was feeling all high and mighty, I'm going to save sugarcats single handedly starting with Lolly-- and you mean I could just have gone to sleep?? :woot:
 
i'm on the west coast too, and usually stay up fairly late. unless of course, i tip over and fall asleep. :woot: a few nights ago i meant to be staying up with Paula & Michael, and i passed out completely - woke up with a YIKES - it'd been an hour or so and i'd meant to get back to her. fortunately others are also usually online. he was doing fine, still.. .
 
Martha I haven't read through whole thread..just wanted to say a quick HI..
but did see you skipped again this morning.

I know it is hard and seems so fast, but wish we would keep you dosing consistently. I think you got nervous early on, and I tried to clarify how that was different from now, she is now on 1/3 of the dose, the number you shot was nowhere as low, and you know now she will eat HC and have seen how it bumps her up.
There are various ranges you want to keep in mind, but unless she is below 68 there is no need to intervene w/ HC. and even below 68 is not hypo, it is just a low number you want to stay on top of and get bumped up with some food.
The idea is you want to keep Lolly in healing numbers as much of the time as possible like wendy was saying... those numbers between 68 and say 125 or so AT as possible. (human 50-100) That is where you give her pancreas support.
You in many ways have an ideal situation like today being able to be home til +4, many are gone all day to work. Then on top your hubby is home at +10. Now that you know she likes FF gravy, you can always leave a little down if you worry before you leave.

I do think it may have been easier with human meters and not all the confusion with the conversion added in the mix. I still have to try and figure it out every time. If my kitty were in Lolly's shoes I would be thrilled. You have these gorgeous cycles that should make you gleeful.
They are not scary low..she sort of gets very green then basically surfs. I remember shooting lower and lower and how scary that was, but once on microdoses they just don't have big drops really.
ALL of it is just data, even the skipping is data. You can see what happens when you do, and when you don't. You can see what happens when you shoot smaller amounts, lower BG's, when you give food, etc.. I think I told you I had no clue really what was going on with us WHILE it was going on. It was so fast just like you..I just had to realize they could see what i could not and trust. It is only in hindsight it all became clearer and made any sense.

I am going for dinner and will pop back on later.
Forgive me if any of this is repetitious...i really did not read everything above. I just wanted to check in and say Hi.
 
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i had suggested last night that it was ok for her to skip this morning. no one was going to be able to monitor, and with her recent days patterns, it seemed like it was a reasonable option.
 
It worked out well-- DH was about to kill me, as I texted him every hour, I was so nervous leaving her. I feel a lot better about trying for an am dose now, because I think I'm getting less freaked! Especially since we discovered she adores FF gravy. Do you think we got rid of the lantus depot from the .75, and are seeing what she'll do on a .5 for real? Otherwise I can't understand her numbers today. Does that make sense?

Guess what Ms. Piggy just did-- scarfed down 1.5 oz of LC Fancy Feast. (Everyone else came running thinking it was a wonderful new feeding time:cat::cat::cat:)

Going to do a +4 in about 40 minutes.
 
i think the depot from the 0.75u is probably depleted. but no, i don't think you're seeing what 0.5u can do because of the skipped shots. the goal is to get a dose you can be ok giving twice a day. when you're giving the 0.5u twice a day (if you ever do!) THEN you'll see what it can do after about 6 shots.
 
Remember, the bean has to sleep and has to work; if monitoring and steering low numbers can't happen, adjusting the dose or skipping is a reasonable option.

I'm thinking that 0.25 units BID might stabilize so you can shoot twice a day and get a good 6 cycles in to see how that works. It may need to be fattened up later, but getting a stable shooting schedule without staying up half the night would be a good start.
 
With as quickly as she's coming down the dose ladder, I think I'd probably try for .25 tomorrow, both AM and PM and let's see what happens

If it ends up not being enough, then you'll be ready to go back up to .5 on the weekend when you're home to test
 
From Marje's steering notes:

(71-83) If before Nadir, steer with food - MC to keep from going below 50
If at nadir, implies dose reduction

So, should I mix some MC? I doubt she'll eat it after all that LC. Was I supposed to limit the LC? Also, since it looks like Im up for the long haul, why do I want to steer up if we want to see if she can earn a reduction with a 68 nadir? I mean I don't want to go to 68, but how else then do you earn the reduction?
 
If you're OK staying up, maybe let it ride and see what happens. You know how to intervene if she starts going too low.

They're predicting an ice storm in the morning, so I need to crash and get up early.
Are you confident in how to raise her up if she needs it?
 
I think your goal at this point is to see if .5U is too much juice. I wouldn't give MC at this point. For some cats who aren't spending much time in green, the goal is to try to keep them their a little longer by keeping them at a good dose by steering. That's not where Lolly is right now.
 
BJ - yes I feel fine about it -- just could everyone who'w been helping confirm that the following is a good plan:

OK, so keep testing-- see if she goes to 68AT, if yes, get her back up >100 with HC, monitor for rising numbers past the nadir (her's seems to be +5-7).

If she doesn't get down to 68, I'll still steer her up to >100 before sleeping,

Either way, though, I'm shooting .25u tomorrow, right? I don't feel comfortable with .5 without me being home all day.

Thanks! I'm doing a +4.5
 
I'm not doing a 4.5. I am running out of strips. I have to get these damn things online. I have a 2 day delivery supposed to be in tomorrow, but you never know. I've been burning through them with her. I may even have to run out to Walmart and get the human relion so I can continue to test. I can't believe this, yesterday I thought I was fine, what an idiot. I may have to skip the shoot!!

Of all things!!!!:banghead::banghead:
 
+6 0f 94. Looks like no dose reduction for Lolly tonight. But I'm going with .25u until I can do curve with .5 on Sunday. Strips low, so I may have to skip shoot this am. :(

Thanks again Lolly Angels
 
I'd get the Relion regardless.....get their Micro or Confirm (NOT the Prime- takes more blood, less reliable)

I don't think you'll regret it and likely only wished you'd switched sooner. It will make it so much cheaper and easier for you...less confusion in the mix.
Its difficult giving you exacts for the AT to human conversions...with the inherent +/- 20% allowed meter variances on top the number cannot be precise.
And on top as you see they are not easy to run get if you run out.

For questions you had about steering...
For the below 68 (50 human) think of it like a human diabetic needing a candy bar...it's not that she is in trouble at 67...whether you caught her at 67 or 61 you would want to intervene with a bit of food. At that point she'd have earned a reduction. But just falling below 68 is not a bad thing. So as far steering her up even if not 68 or dropping, I would probably NOT do that. You wouldn't want to sleep or leave on a super low (- -68) especially dropping number without carbing her up some, but can do so on a safe, normal, surfing or rising numbers. Lolly surfs pretty darn well...and has beautiful fairly flat cycles.
You may want to give her a little LC before going to bed, but no reason for MC or HC without low numbers to warrant it. She doesn't need to be close to 100...just in normal, safe numbers.

You basically have been doing curves already as much as you test. Curves are usually every 2 hours and you test more often than that already. You might try spot checks at some different times than usual if you feel like it this weekend, but don't see more than that being necessary beyond your usual.
If you are planning to drop her back to .25 for the next few days while you are out and/or short on strips, it may be a moot point anyway if the .25 sticks.

Hope you got some good sleep:cat:
 
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