27/12 AMPS Glen 66; 20 minutes 57 & 55

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Islandmomma

Islandmomma

Member Since 2016
He is all over the place. Hoping he settles down.
He is supposed to get 2u this AM.
Ate lots of breakfast...should I still give the 2?

Thinking I am going to have to order that automatic feeder sooner rather than later!
 
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Will you be able to stay home and monitor? Do you have lots of supplies: test strips, high carb food?
 
I ask because one of two things could happen. He could bounce and give you high numbers because he's not used to normal ones or he could drop and you might need to steer with food all day.
 
tiffmaxee said:
I ask because one of two things could happen. He could bounce and give you high numbers because he's not used to normal ones or he could drop and you might need to steer with food all day.
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Ok. I am going to go ahead and give. I can keep an eye on him. I don't want to drop the dose because he went high the last time I did that
 
Should have written I'll be around, lol. I hate my iPad typos.

Canned is fine. Do you have honey or karo? Do you have high carb food such as fancy feast gravy lovers or Soulistic triple harmony? Take a look at the food charts on catinfo.org for ideas. If you don't have any of these things I'd run to the market after the +1.

Also, please read the sticky on how to handle low numbers if you haven't already.
 
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tiffmaxee said:
Should have written I'll be around, lol. I hate my iPad typos.

Canned is fine. Do you have honey or karo? Do you have high carb food such as fancy feast gravy lovers or Soulistic triple harmony? Take a look at the food charts on catinfo.org for ideas. If you don't have any of these things I'd run to the market after the +1.

Also, please read the sticky on how to handle low numbers if you haven't already.
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Yes I have gravy style FF and Friskies. I also have syrup & honey.

I'm worried about tomorrow because I work all day and won't be home to test :(
 
If you can't test during work days I recommend following SLGS for safety reasons and taking reductions when he goes under 90. You should reduce the dose to 1.75u tonight in my opinion. It's also very important to get at least 1 test before bed after PMPS. High numbers are often caused by low numbers or lower then they are use to seeing or even big drops. Without enough tests it's easy to think he needs and increase when really he might need to be reduced.

ETA: better a little high then too low.
 
Doodles & Karen said:
If you can't test during work days I recommend following SLGS for safety reasons and taking reductions when he goes under 90. You should reduce the dose to 1.75u tonight in my opinion. It's also very important to get at least 1 test before bed after PMPS. High numbers are often caused by low numbers or lower then they are use to seeing or even big drops. Without enough tests it's easy to think he needs and increase when really he might need to be reduced.

ETA: better a little high then too low.
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Thank you! I was thinking he might need a reduced dose tonight. So hard in the beginning...

When you say less than 90 reduce the dose do you mean if any value is less than 90 or if it's AMPS/PMPS?
 
Islandmomma said:
When you say less than 90 reduce the dose do you mean if any value is less than 90
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Any time you get a reading under 90 regardless of when it is in the cycle. As you get more data and experience you can change that reduction number but it's way to early for you and without being able to monitor it's the safest. Be sure to get that +1 & +2 today. He was breaking a bounce last night along with that increase so he might have extra momentum today.
 
3.1 20 minutes later

He loves crunchy treats so giving him those and some of his fav lickable treat. He is otherwise asymptomatic. Will continue to watch him today.

Thinking I should drop his dose tonight for sure? I work tomorrow.
 
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You need to feed gravy and test in 20. You will definitely drop his dose tonight but you will need to keep this routine up until he is over 90 without food for two hours. I would feed some food each time as well but just a spoonful because you nay need him to eat for several hours.
 
tiffmaxee said:
You need to feed gravy and test in 20. You will definitely drop his dose tonight but you will need to keep this routine up until he is over 90 without food for two hours. I would feed some food each time as well but just a spoonful because you nay need him to eat for several hours.
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I will. He is hating me right now for testing but will track him down!

He is not as interested in the food but I keep trying. I smeared some on his lips and paws.

What should I drop him to tonight?
 
Let's see how today plays out. You might need to skip because the depot will be in okay even on a reduced dose. He has to keep eating high carbs. Will he eat the treats if they ate dosed in honey or karo? You will need to find a food that is high carb that he loves once this crisis is over. I don't want to scare you but the nadir, lowest point in a cycle is often at +6-7 but can be earlier or later. You need to be diligent about testing until he comes up. He might bounce tonight or might not.

I forgot to mention you should test and post at +11 and change your subject to dosing advice.

Also please put the tests in your subject bar. Some people scroll to see if anyone needs help and the numbers will catch their attention.
 
tiffmaxee said:
Let's see how today plays out. You might need to skip because the depot will be in okay even on a reduced dose. He has to keep eating high carbs. Will he eat the treats if they ate dosed in honey or karo? You will need to find a food that is high carb that he loves once this crisis is over. I don't want to scare you but the nadir, lowest point in a cycle is often at +6-7 but can be earlier or later. You need to be diligent about testing until he comes up. He might bounce tonight or might not.

I forgot to mention you should test and post at +11 and change your subject to dosing advice.

Also please put the tests in your subject bar. Some people scroll to see if anyone needs help and the numbers will catch their attention.
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I managed to spoon feed him some gravy sprinkled with cat treats lol

I will be checking him until he comes up for sure.
 
You're doing great and for now don't worry about the SS. However below are some instructions on how to format the SS if needed.

In order to put multiple numbers in the same cell you just enter them, then click "Format" at the top and then click "Wrap Text" and it will stack the numbers. You'll likely have to manually change the color when multiple numbers are in the same cell. You do that by clicking on the icon/ symbol looking like a" paint bucket" on the toolbar and selecting the color.
 
Doodles & Karen said:
You're doing great and for now don't worry about the SS. However below are some instructions on how to format the SS if needed.

In order to put multiple numbers in the same cell you just enter them, then click "Format" at the top and then click "Wrap Text" and it will stack the numbers. You'll likely have to manually change the color when multiple numbers are in the same cell. You do that by clicking on the icon/ symbol looking like a" paint bucket" on the toolbar and selecting the color.
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I think I figured it out!
 
Doodles & Karen said:
Ok, try not to feed any more for 2 hours unless he drops back under 50. BTW, what is his normal feeding times?
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Ok

I usually feed him around 0630 and give insulin at 0730. I then leave some wet food out for him, with a snack in the afternoon if I am home. Feed again at 1830 with insulin at 1930.
 
Most of us test feed shoot within 15 minutes, at least a small amount of food. Many get auto feeders so they have food while the bean (owner) is at work.
 
tiffmaxee said:
Most of us test feed shoot within 15 minutes, at least a small amount of food. Many get auto feeders so they have food while the bean (owner) is at work.
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Ok I will work on closing the gap between food and insulin.
That was always the regular feeding time but he started later so I've been trying to get them closer together!

He's at 104. I'm a bit behind but he is seriously pissed and hiding LOL
 
He's out of the woods. Two hours without food and still over 90 and you can leave him alone until a half hour before you would shoot. Change your topic at that point to say dosing advice and insert a ? in the prefix. You handled things beautifully today.

The reason we like to feed a little right before shot time us to make sure they are eating. Lantus doesn't usually kick in until+2-3. Any earlier often means an active cycle like today.
 
We really want to avoid feeding 2 hours before giving insulin. He can eat anytime between that but feeding within 2 hours of preshot time gives you a false/ food influenced BG reading which is not so good. The petsafe 5 seems to be popular for those that use auto-feeders. I'm not one of the lucky ones that has been able to use them.
 
tiffmaxee said:
He's out of the woods. Two hours without food and still over 90 and you can leave him alone until a half hour before you would shoot. Change your topic at that point to say dosing advice and insert a ? in the prefix. You handled things beautifully today.

The reason we like to feed a little right before shot time us to make sure they are eating. Lantus doesn't usually kick in until+2-3. Any earlier often means an active cycle like today.
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Excellent! Thank you so much for your time and help! I will do a PMPS and post to get some advice on pm dose.

Thank you thank you!
 
Doodles & Karen said:
We really want to avoid feeding 2 hours before giving insulin. He can eat anytime between that but feeding within 2 hours of preshot time gives you a false/ food influenced BG reading which is not so good. The petsafe 5 seems to be popular for those that use auto-feeders. I'm not one of the lucky ones that has been able to use them.
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Thank you thank you for all of your help!
 
Yesterday's thread (when you start a new thread each day, put the link to the prior one in so it's easy for people to quickly go back and see what's been going on)

Wow!!! Shooting that low of a Pre-shot when you're this new probably wasn't a good idea, but good to see he's coming up!! That's what I was concerned about when I mentioned the "before bed" test on the PM cycle....he could have been dropping low at night and then "bouncing" high by morning.....and this morning he just hadn't bounced yet.

I know you have a crazy schedule (and life in general!!) but you don't have to stay up really late.....getting a +2 can tell a lot about what the rest of the cycle might be like. What's your current schedule? (when do you test/feed/shoot?...when do you have to be out of the house for work?...when do you get home from work?....when do you usually go to bed?)

Like I said yesterday, I really think you should drop back to 1.5 for now and let's see how he does (starting tonight) Even on TR his starting dose would have been 1.5, not 2U and on SLGS, we usually start at 1 unit

He will probably bounce high again due to his liver releasing stored sugars and hormones to bring his glucose back up. Bouncing happens when 1. they drop too low 2. they drop too quickly 3. they drop lower than their body is used to being at (or any combination of the 3)

It can take 6 cycles for those hormones to clear out of the body, so you don't want to increase just because you see higher numbers......it takes some patience to do this dance!

Generally, we Test/Feed/Shoot....all within about 5-10 minutes....You TEST to make sure they're high enough to get insulin, FEED to make sure they're at least willing to eat and SHOOT

If the number is below 150, we suggest that you stall, DON'T feed, and post for help.....I understand you didn't get a fast response this morning, but make sure your Subject line is really clear....something like "STALLING....NEED HELP!!!!" usually works!...LOL

You can always go back later and edit it once you have your answers.

You're really too new to be shooting numbers that low .....we just want Glen to be safe....but as long as you did, you should get your BOS award!!
Balls of Steel fist.png
 
Doodles & Karen said:
If you can't test during work days I recommend following SLGS for safety reasons and taking reductions when he goes under 90.
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Many people here work a full time job and follow Tight Regulation. There is a Sticky Note describing how it's possible to work a full time job and follow Tight Regulation. There are however, a couple of "buts" associated with following TR. You have to get a couple of tests each cycle, the preshot test and one other. During the day, either get an "out the door" test or "in the door" test at the end of the day. Provided you aren't got 12 hours, that will work. Getting an autofeeder will also help greatly. And if you can arrange shot time so that you shoot and leave the house in the morning two hours later, you will have a good idea whether you need to put low, medium, or high carb food in the autofeeder. And to chime in with the rest, it's essential to get a PM test before bed. Many cats go lower at night. We determine what dose to give (both SLGS and TR), based on how low the dose takes the cat, so we need to find out how low they are going.

Following Tight Regulation means your cat has a better chance of getting regulated faster, and if you are lucky, going into diabetic remission. However, it's also possible to start with Start Low Go Slow while you are getting used to everything, then switch later. Just keep in mind that the sooner a cat gets regulated, the greater the chance of remission.

By the way, being Canadian I understood that AMPS of 3.1. My eyes popped! Most new people are reluctant to shoot low, and work their way down, but as you have seen, cycles are often flatter when you shoot lower.
 
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