07/15 - Small Kitty amps 439 +11.75 52 +12.5 61 [haft dose] pmps +1 115 +2 131 +3 146 +5 203

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So , the 115 is @+1 after test, feeding and shooting. Get another test one hour from now with out food and let's make sure that SK is not going back down after the food spike wears off and post.
 
I think seeing how SK responds to the 1 unit will be some of the decision-making. I can't say for sure what dose I would suggest, but just to toss it out there something like 1.5 units perhaps. The dose needs to get SK into good numbers but not drop him like a rock.
A consideration for you Sebastian.
 
That will depend on how badly SK bounces...although he certainly cleared the bounce from this morning...even with a NS last night. As well it depends on whether Sebastian is available to monitor all day in the event that SK does another major drop like this morning. I think seeing how SK responds to the 1 unit will be some of the decision-making. I can't say for sure what dose I would suggest, but just to toss it out there something like 1.5 units perhaps. The dose needs to get SK into good numbers but not drop him like a rock.

Again only my own personal opinion, but for myself after over 1 1/2 years I would not have shot the PMPS number and would have been hesitant about the +1 number with using a AT2 meter. With my kitty, who I test very often and know his patterns, I probably would have shot 1/2 of his regular dose...but he is on 6 units right now, so that would be a substantial cut-back for him. Seeing the MAJOR drop from AMPS to PMPS after a NS is scary, because we have no idea how low SK might have gone during the day.

''problem'' is that it looked has a up and down cycle needing to be stopped. Another skip and the same thing as
this morning would have happened. That's why I went on with the haft dose. In the hope of flatting up the curve.
Think it might be lucrative in stabilizing the depot. There will not that much left in there soon.
 
A consideration for you Sebastian.
I told you all, just a pipe that got jammed and it's not letting fluid go :)

I think this pmps is a good opportunity. With no shot numbers were back in the red. With haft the dose, if we get in purple tomorrow that would mean that insulin is making it's effect more strongly.
 
''problem'' is that it looked has a up and down cycle needing to be stopped. Another skip and the same thing as
this morning would have happened. That's why I went on with the haft dose. In the hope of flatting up the curve.
Think it might be lucrative in stabilizing the depot. There will not that much left in there soon.


Sebastian I certainly understand your reasoning. I am just concerned about the fact that SK dropped 88% from his AMPS to his PMPS and there is no way of knowing what happened in between. Since you are able to monitor tonight the 1 unit is fine. I am just thinking out loud what dose might keep the numbers in a good range but without those major drops. Luckily it is the weekend and you are around to monitor, but come along Monday there will be no monitoring between shots. I totally expect another bounce from these low numbers, but if SK keeps hitting numbers that are too low, the bouncing will continue. Trying to figure out a safer dose, where he won't drop into too low of a number was more what I was trying to get at.
 
So his +2 after the insulin is 131. A nice safe number. Let's hope that he will surf and not start bouncing . But since he hasn't hit nadir yet, can you get a test at + 5 or +6 to makes sure he doesn't drop again? I wouldn't expect that he would, I would think but with SK we never know........
 
We have the same shot times EST so, I will look for your post tomorrow morning to see what his AMPS is and to see if you need help with the dose.
 
He's going well, progressing slowly. now 131 2h after his delayed shot.

Should I gave the usual feeding they usually receive at this time ? I've put it aside for now.
 
He's going well, progressing slowly. now 131 2h after his delayed shot.

Should I gave the usual feeding they usually receive at this time ? I've put it aside for now.
Why don't you hold off one more hour to make sure he doesn't drop with the onset of the insulin as you don't want to fill him up in case you need him to eat should you have to steer him.
 
Just change the numbers on the SS to reflect what happened. The 115 goes under the +1 a the 131 goes under the +2. Looking good!
 
Why don't you hold off one more hour to make sure he doesn't drop with the onset of the insulin as you don't want to fill him up in case you need him eat should you have to steer him.


I agree. You normally don't feed until 3 hours after the shot, so in one hour that will be 3 hours after the shot.

ETA Please do a retest in one hour
 
Good evening to both of you, all of you. Dream of anything but Small Kitty cat_wings>o

We're doing fine, I'll take care of things like a... pretty good care taker :smuggrin:


I will still be checking in for the next few hours and I am sure Bobbie and a few others will too. We all want to make sure SK and you are doing ok. :)
 
Okay, as long as you are okay. If he is still going up or holding @5 or +6, you should be good. I will look for your post tomorrow AM Oh and good job shooting a green number!!!!!
 
I will still be checking in for the next few hours and I am sure Bobbie and a few others will too. We all want to make sure SK and you are doing ok. :)
If you are going to be around Mary Ann, I will sign off, as 5:30 AM comes early. If SK was in lower numbers, I would not leave. This is so exciting seeing him start to get into green numbers. :D
 
Think Small Kitty is really sticky on his habits, stop the feeder and he'll make you know there is something wrong.
(he's meowing in request for HIS food now).
 
If you are going to be around Mary Ann, I will sign off, as 5:30 AM comes early. If SK was in lower numbers, I would not leave. This is so exciting seeing him start to get into green numbers. :D


I will check in for the next 1 1/2 hr or so...longer if need be :)

Have a good evening Bobbie.
 
Assuming that he doesn't go low again tonight, I'd return to the 2.0u dose in the morning. I see your point, Mary Ann, but I think the depot from the 2.5u could definitely have still been at play today. Today's cycle has every appearance of a bounce-clearing cycle to me. He was rising by pmps last night and just kept going up til this morning.

According to today's numbers for those following SLGS, however, he only earned a 0.25u decrease.

It's up to you, Sebastien.

Just saw your post about him being hungry. It can help a kitty surf along in normal numbers if you dole out 2 bites of his regular low carb food each hour. I'd go ahead and give him just a little bit.
 
Assuming that he doesn't go low again tonight, I'd return to the 2.0u dose in the morning. I see your point, Mary Ann, but I think the depot from the 2.5u could definitely have still been at play today. Today's cycle has every appearance of a bounce-clearing cycle to me. He was rising by pmps last night and just kept going up til this morning.

According to today's numbers for those following SLGS, however, he only earned a 0.25u decrease.

It's up to you, Sebastien.

Just saw your post about him being hungry. It can help a kitty surf along in normal numbers if you dole out 2 bites of his regular low carb food each hour. I'd go ahead and give him just a little bit.


Thanks for weighing in Julie. Considering that Sebastian skipped the shot last night PM that should have reduced the depot somewhat there. My greatest concern would be just how low did SK get during the day. If Sebastian were following TR SK certainly earned a reduction. Since he is following SLGS I am just "thinking out loud" what might be a productive and still safe dose that will work for SK.


ETA If Sebastian is around all day tomorrow to monitor then trying the 2 units might still work. Just trying to figure out a good dose for Monday as well
 
The 2.0u would be 0.5u less than he got yesterday morning, so even dropping to 2.0u is a significant decrease (20%) in the amount of insulin.

As you can see, Sebastien, sometimes things aren't clear-cut. In your case, there were many times when SK's dose was increased without having a curve done, so I totally understand what Mary Ann is thinking. These are things for you to consider.
 
Just saw your post about him being hungry. It can help a kitty surf along in normal numbers if you dole out 2 bites of his regular low carb food each hour. I'd go ahead and give him just a little bit.

That what happened, the feeder started turning, he took a small bite then I removed the bowl.
Feedings at +3 and +5 are very little, not even a table spoon of food.

Going to test, BrB
 
The 2.0u would be 0.5u less than he got yesterday morning, so even dropping to 2.0u is a significant decrease (20%) in the amount of insulin.

As you can see, Sebastien, sometimes things aren't clear-cut. In your case, there were many times when SK's dose was increased without having a curve done, so I totally understand what Mary Ann is thinking. These are things for you to consider.


Sebastian should have taken a reduction on July 11 according to the SLGS approach, but missed it. He was just starting the reduction this morning after skipping the shot last night, then SK took a nose dive today. SK is certainly keeping everyone on their toes.

Sebastian when are you planning on being away for a week..is that coming up soon?
 
Sebastian should have taken a reduction on July 11 according to the SLGS approach, but missed it. He was just starting the reduction this morning after skipping the shot last night, then SK took a nose dive today. SK is certainly keeping everyone on their toes.

Sebastian when are you planning on being away for a week..is that coming up soon?

I'm leaving next week-end, so the dose I'll chose will need to be more reddish then greenish.:D
 
146 at +3, he's fine.

Still continue testing until +5 or even better +6. SK "seems" to nadir around +6 and the +3 number is really not much different than the +2 number. He doesn't seem to be doing a huge bounce at this time so best to keep an eye on him until around nadir time.

I'm leaving next week-end, so the dose I'll chose will need to be more reddish then greenish.:D

OK That is coming up pretty quick considering what SK has been doing. Let's see how the next day or so goes and maybe get some feedback on what type of plan to have in place before next weekend.
 
TT

Sebastian

I am off for the night. Please do get another test or 2 in tonight.

Here is the link to dealing with a hypo:

http://www.felinediabetes.com/FDMB/threads/how-to-treat-hypos-they-can-kill-print-this-out.15887/

As you can see in the link:

This document was written for those using a meter calibrated for humans when measuring their kitty's blood glucose. However, users of the AlphaTrak brand blood glucose meter using AlphaTrak brand test strips in their meter please note:

2008 Abbott AlphaTrak User Manual Page 4

  • Hypoglycemia/Hypoglycaemia (low blood sugar) levels are: Below 65 mg/dL (3.6 mmol/L) for adult cats and dogs.

Just something to keep in mind. Hopefully you will not have to use the information in this write-up, but since you haven't dealt with low numbers up until now I thought I would post it here so you can read up on it.

Good luck with tonight and tomorrow morning!!
 
That is sooo strange, looks as if Small Kitty got his nadir at the beginning of his cycle and rising.
Only tomorrow will the question be answered as if he will keep on rising or stall at
some point.

Time to go sleep now, he's safe, that is for ''sure''.
 
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