3/6 Gato +11 221, AMPS 306, +3 288, +6 280, PMPS 236 +3 72, +3.5 58, +4 70 +5 80

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just wondering if anyone out there thinks this is good for now a safe number at +3 ? I am new to this and don't want her to drop to low to fast, I am scared

going to do a +6 half way test and feed her,
 
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quote from Marje and Gracie:
But also remember there are exceptions to this. When cats clear bounces, the BG is often higher at preshot and slowly decreases with the lowest number being at or near the next preshot. Also, some cats have early nadirs (Sienne's Gabby was one) and some (not many but a few here and there) have later nadirs....even as late as +12.

One of the things I like to encourage new members to do is study their cat's SS and see if you can determine their onset, nadir, and duration. It's very important in managing your cat's FD to be able to do this at some point after you collect data. It makes the dance easier and also allows you to better schedule your own time.

Lisa: Their ss? I gave her the shot at 7 it has been 2 hrs should I test her? Just to see before the bed, going to be tough on me at work if I have to stay up to 1 am tonight

Lisa and Gato said:
leave for work at 730, been getting up at 630 to test and then test again at 7 before I give her a shot, I do 7 /7, I go to bed around 10-11 every night depends how tired I am, I did a +3 this morning
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I'm copying the above from comments in another thread, just to put your concerns about Gato here.

The last test I see tonight for Gato is the pmps of 236. Do you have anything after that? I'm not clear on what time it is for you.
 
julie & punkin (ga) said:
quote from Marje and Gracie:
But also remember there are exceptions to this. When cats clear bounces, the BG is often higher at preshot and slowly decreases with the lowest number being at or near the next preshot. Also, some cats have early nadirs (Sienne's Gabby was one) and some (not many but a few here and there) have later nadirs....even as late as +12.

One of the things I like to encourage new members to do is study their cat's SS and see if you can determine their onset, nadir, and duration. It's very important in managing your cat's FD to be able to do this at some point after you collect data. It makes the dance easier and also allows you to better schedule your own time.

Lisa: Their ss? I gave her the shot at 7 it has been 2 hrs should I test her? Just to see before the bed, going to be tough on me at work if I have to stay up to 1 am tonight



I'm copying the above from comments in another thread, just to put your concerns about Gato here.

The last test I see tonight for Gato is the pmps of 236. Do you have anything after that? I'm not clear on what time it is for you.
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I am on the east coast USA, it is almost 10 pm here, that was my last test so far was going to do one at +3 which will be in about 5 min
 
72 is a good, safe number, but she has come down pretty quickly

Go ahead and get another test now (at +3.5) and let's see how she's doing
 
Chris & China said:
72 is a good, safe number, but she has come down pretty quickly

Go ahead and get another test now (at +3.5) and let's see how she's doing
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58 now

this is what worries me, I work all day, today she stayed in the 200's all day but dropping fast now, what if this happens while I am at work and there is nothing I can do
 
did you feed her at +3?

Go ahead and feed her a couple more teaspoons.....Is she a really good eater? Will she eat as long as you need her to?
 
Chris & China said:
did you feed her at +3?

Go ahead and feed her a couple more teaspoons.....Is she a really good eater? Will she eat as long as you need her to?
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I fed her a spoonful about 1/4 can of FF,
yeah she loves to eat, everytime I go near her bowl she thinks she is eating, comes running
 
why does the numbers drop like that, is it because the pancreas is trying to regulate with the insulin I am given her?

tonight I actually gave her little more than the .5, I did more of the .75 like it was suggested yesterday
 
Sorry, I have family here and we were eating dinner.

Cats blood sugar doesn't stay flat until they are tightly regulated. At this point it's normal to have it go up and down.
 
julie & punkin (ga) said:
Sorry, I have family here and we were eating dinner.

Cats blood sugar doesn't stay flat until they are tightly regulated. At this point it's normal to have it go up and down.
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oh ok , sorry if I am bothering you, just been a rough weekend, been so nervous and lack of sleep, and worrying about tomorrow when I go to work
 
You don't want to overfeed her at this point. Just a couple of teaspoons to see if she will surf along in green numbers.

No you're not bothering me. They just left. You do need help when you're starting out - we all get it. No worries.

Retest her in 30 minute intervals at this point. Hopefully she'll just coast along and stop dropping.

If she goes below 50, then you'll bring out the high carb. I saw you've had low numbers before - do you know the routine?
 
julie & punkin (ga) said:
You don't want to overfeed her at this point. Just a couple of teaspoons to see if she will surf along in green numbers.

No you're not bothering me. They just left. You do need help when you're starting out - we all get it. No worries.

Retest her in 30 minute intervals at this point. Hopefully she'll just coast along and stop dropping.

If she goes below 50, then you'll bring out the high carb. I saw you've had low numbers before - do you know the routine?
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just learning...

well I already fed her another small amount, Should I take it away from her?
 
Lisa and Gato said:
I did more of the .75 like it was suggested yesterday
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When that was being discussed, it was because the night before she had "earned" a reduction from the 1U dose to .75, but instead, you gave her .5

We generally do reductions and increases in .25 unit increments

Later on in your post from yesterday, we suggested staying at the .5 a little longer and catching your breath, so let's stay at the .5 for now

I think you stocked up on high carb yesterday, right? If she drops below 50, pop the top on a Gravy Lovers food and then put it back on and "Squeeze" the gravy into another bowl and give her a couple teaspoons
 
ok - if she drops below 50, you're going to open a can of high carb gravy cat food - do you have that? Put the lid back on and squeeze mightily to press out the gravy. Most of the carbs are in the gravy. Usually a teaspoon or so of the gravy will do it, depending on how high carb the high carb is!

If you don't have high carb gravy cat food, use a syrup - karo, corn syrup, honey, maple syrup, pancake syrup. Just a drop or two can usually be enough. It can take a few minutes for the carbs to raise the blood sugar. Depends on the cat might be 15-30 minutes before you see the full effects.

Give the high carbs, then post here. We can guide you through the next step.
 
I'm going to step away and let Chris guide you through this. Too many cooks can become confusing when you're dealing with low numbers! I'll watch and check back in later.
 
julie & punkin (ga) said:
ok - if she drops below 50, you're going to open a can of high carb gravy cat food - do you have that? Put the lid back on and squeeze mightily to press out the gravy. Most of the carbs are in the gravy. Usually a teaspoon or so of the gravy will do it, depending on how high carb the high carb is!

If you don't have high carb gravy cat food, use a syrup - karo, corn syrup, honey, maple syrup, pancake syrup. Just a drop or two can usually be enough. It can take a few minutes for the carbs to raise the blood sugar. Depends on the cat might be 15-30 minutes before you see the full effects.

Give the high carbs, then post here. We can guide you through the next step.
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OK yeah I did that yesterday, with honey and then she was still dropping so I did FF gravy
 
Chris & China said:
When that was being discussed, it was because the night before she had "earned" a reduction from the 1U dose to .75, but instead, you gave her .5

We generally do reductions and increases in .25 unit increments

Later on in your post from yesterday, we suggested staying at the .5 a little longer and catching your breath, so let's stay at the .5 for now

I think you stocked up on high carb yesterday, right? If she drops below 50, pop the top on a Gravy Lovers food and then put it back on and "Squeeze" the gravy into another bowl and give her a couple teaspoons
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yeah I remember that, but tonight I gave her about a .75, could that be why she is dropping bigger than with the .5?
 
Yes, it's possible....even a drop "too much" can really cause some dramatic drops in blood glucose numbers

Don't forget to change it on your spreadsheet too so when we look, we know you gave the .75 instead of the .5
 
It's hard to remember everything we throw at you, so don't worry! We all understand because we've all been there! It's like trying to earn a college level degree in diabetes in 2 days or less!
 
consistency in dosing is really important, especially in a kitty that is on a small dose. It could be that the little bit extra tonight in his dose is making a difference, but it could also be that this would've happened anyway.

You know that Lantus is a depot insulin, right? that means that some builds up in her body and slow releases over the next few days. So the previous dose, the 1.0u, has a depot that corresponds in size to the dose, and when you reduced the dose to 0.5u, the depot has to "drain" or reduce in size until it corresponds to the new, smaller dose. The depot can take as many as 4-6 cycles (2-3 days) to reduce. So the 1.0u dose that you gave her yesterday morning could still be lowering her blood sugar tonight. Think of it like a timed release med - that lasts for a few days!

I'd stick with the 0.5u for now and let the depot stabilize so you can see what the 0.5u can really do. However, since you're going to be gone tomorrow, if you have any doubts, just skip her shot. Unless she has a recent history of DKA or ketones. Has she had either of those recently?
 
julie & punkin (ga) said:
consistency in dosing is really important, especially in a kitty that is on a small dose. It could be that the little bit extra tonight in his dose is making a difference, but it could also be that this would've happened anyway.

You know that Lantus is a depot insulin, right? that means that some builds up in her body and slow releases over the next few days. So the previous dose, the 1.0u, has a depot that corresponds in size to the dose, and when you reduced the dose to 0.5u, the depot has to "drain" or reduce in size until it corresponds to the new, smaller dose. The depot can take as many as 4-6 cycles (2-3 days) to reduce. So the 1.0u dose that you gave her yesterday morning could still be lowering her blood sugar tonight. Think of it like a timed release med - that lasts for a few days!

I'd stick with the 0.5u for now and let the depot stabilize so you can see what the 0.5u can really do. However, since you're going to be gone tomorrow, if you have any doubts, just skip her shot. Unless she has a recent history of DKA or ketones. Has she had either of those recently?
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Not that I know of her vet hasn't said anything, just kept running high bg when I would take her to appointments, they never said she had high ketones, I would take her for urinary tract infections, so the tested her urine, when she gets nervous or changes in her life

she is up to 70 now it was a +4 going to test her in another 30 min
 
That's great....it'll give you some peace of mind that she can have some food offered to her while you're not there to do it

Now Miss Gato....time to hop into your swimsuit and do some surfing!! (surfing is when they stay in the same general blood glucose reading for several hours)

Those 70's are great numbers
 
so should I give her a .5 tomorrow if her BG is high enough too? or skip it?

just to think my vet told me not to check her numbers and just keep giving her a 1u twice a day!
 
I'd plan on getting a +11 in the morning if you can and post for help

If she's not over at least 200 in the morning, I think I'd just skip the shot...it's always safer to start again at the lower dose and work your way up if you have to

I'd like to get @julie & punkin (ga) to give her opinion too
 
Chris & China said:
I'd plan on getting a +11 in the morning if you can and post for help

If she's not over at least 200 in the morning, I think I'd just skip the shot...it's always safer to start again at the lower dose and work your way up if you have to

I'd like to get @julie & punkin (ga) to give her opinion too
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I am going to test her again at +5 , before I go to bed, I am watching a soccer game so I am up, I am also trying to do school work, but not working very well
 
Actually I think this was a pretty perfect cycle, once she started surfing in the green numbers. It's really hard to make predictions in advance. On the LL group, most people will just go ahead with the regular dose if the preshot is over 150. I think it might be helpful to get a +11 or +11.5 so you can ask for help if you need it in the morning.

I think if she'd had DKA you'd certainly have known it - it's very expensive and cats end up boarded at the vets, usually.
 
julie & punkin (ga) said:
Actually I think this was a pretty perfect cycle, once she started surfing in the green numbers. It's really hard to make predictions in advance. On the LL group, most people will just go ahead with the regular dose if the preshot is over 150. I think it might be helpful to get a +11 or +11.5 so you can ask for help if you need it in the morning.

I think if she'd had DKA you'd certainly have known it - it's very expensive and cats end up boarded at the vets, usually.
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I do get up at 630 and test her , then I test her again at 7 before her shot

by the way +5 is 80, safe for bed?
 
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by the way the highest bg she got was like 350 on my meter, and 450 something on theirs but it was within 2 days after we moved to the downstairs apartment and she got scared and snuck back upstairs and hid for 2 days, I put food and water upstairs out for her
 
Is the autofeeder one that you can set a variety of times for it to open? We had the Petsafe 5 compartment, which allowed you to have 4 openings. If punkin was lower in the morning, I'd set it to go all 4 times with some food in each one. You'll want to think about what times you want yours to open while you are at work.
 
julie & punkin (ga) said:
Is the autofeeder one that you can set a variety of times for it to open? We had the Petsafe 5 compartment, which allowed you to have 4 openings. If punkin was lower in the morning, I'd set it to go all 4 times with some food in each one. You'll want to think about what times you want yours to open while you are at work.
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It is only a 2 compartment one
 
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