Buddys SS up and going 3rd part about dosing

Status
Not open for further replies.
wolfey said:
I had wondered all day about his numbers not coming down much and when I took a BG reading it was lower than anytime today. How can you tell he has been bouncing.
Click to expand...
You look for several cycles of elevated numbers after that same dose gave you some very good numbers. That's what has happened to Buddy. The lower PS number tonight suggests that the bouncing is stopping.
 
Kris & Teasel said:
You look for several cycles of elevated numbers after that same dose gave you some very good numbers. That's what has happened to Buddy. The lower PS number tonight suggests that the bouncing is stopping.
Click to expand...
This morning @8:00 Buddy was @50, starting feeding FF grilled with gravy and he is now at 145. Does anyone have a suggestion on what I might do next.
 
wolfey said:
This morning @8:00 Buddy was @50, starting feeding FF grilled with gravy and he is now at 145. Does anyone have a suggestion on what I might do next.
Click to expand...
How long is it since you got that 50? You could wait another 20 minutes or so and test again. If he gets to 200-ish, you can give a reduced dose but you need data. He stopped bouncing.
 
Kris & Teasel said:
How long is it since you got that 50? You could wait another 20 minutes or so and test again. If he gets to 200-ish, you can give a reduced dose but you need data. He stopped bouncing.
Click to expand...
I got the 50 around 40 min. ago, then I feed him FF grilled with gravy and he came up to 145. I am going to check him again right now. What would you consider a reduced dose.
 
wolfey said:
I got the 50 around 40 min. ago, then I feed him FF grilled with gravy and he came up to 145. I am going to check him again right now. What would you consider a reduced dose.
Click to expand...
Bouncing makes dosing a lot trickier. There are no hard and fast rules, only knowledge of your kitty's responses from a lot of data on your SS. This is something new for Buddy so you have to figure it out as you go along. The guiding principle always has to be doing what will keep him safe while giving insulin if at all possible.

We're experimenting here: if he gets to 200, try giving him 1 u. That should be low enough. Do some testing at +2, +3, etc. to see where's he's headed. Whatever data you get today in this situation is something you can refer to later on.
 
Just a few minute ago I took reading @8:50 and he was @151. Last night he was @290 and I gave him 2.5 u. Do you think that dosage was too large, or is this a part of bouncing. He has ate 1 can of RC 3oz and part of a can of FF grilled with gravy 3oz so far this morning. All of this drives me crazier than usual.
 
wolfey said:
Just a few minute ago I took reading @8:50 and he was @151. Last night he was @290 and I gave him 2.5 u. Do you think that dosage was too large, or is this a part of bouncing. He has ate 1 can of RC 3oz and part of a can of FF grilled with gravy 3oz so far this morning. All of this drives me crazier than usual.
Click to expand...
Kris, I don't know what we would do without you, you are so much help to us.
 
wolfey said:
Just a few minute ago I took reading @8:50 and he was @151. Last night he was @290 and I gave him 2.5 u. Do you think that dosage was too large, or is this a part of bouncing. He has ate 1 can of RC 3oz and part of a can of FF grilled with gravy 3oz so far this morning. All of this drives me crazier than usual.
Click to expand...
His BG is staying close to the same number and it might be because of the food. If you're now over an hour past his usual shot time I think it might be best to no give him a shot this AM. He'll be high tonight but you'll get him back. He'll probably need to go down in dose after this green.

wolfey said:
Kris, I don't know what we would do without you, you are so much help to us.
Click to expand...
Thanks, Teresa! I learned a lot from Teasel's crazy responses.
 
wolfey said:
At 9:07 he was @149, so I am feeding him more RC wet, he is more than happy to eat more.
Click to expand...
OK. No shot this AM. You don't need to do a lot of testing through today unless you want some mid cycle numbers to see how fast his BG rises - totally optional. He'll be high tonight but that's OK - no high BG panicking allowed! ;)
 
wolfey said:
When you say go down on the dose, do you mean his usual of 3u, or from his dose after PMPS reading last night.
Click to expand...
Down from the 2.5 u that got him here this AM. It's a judgment call. Let's wait to see where he is tonight.

BTW - you accidentally put Buddy's AM number in the dose column. If you could move it to the PS column and put "NS" in the dose column that would be great.
 
Kris & Teasel said:
Down from the 2.5 u that got him here this AM. It's a judgment call. Let's wait to see where he is tonight.

BTW - you accidentally put Buddy's AM number in the dose column. If you could move it to the PS column and put "NS" in the dose column that would be great.
Click to expand...
I will correct, I just took reading he is @166 took 10:07.
 
Huge bounce from the 50. It better to wait and dose 1 hour early tonight so you don't mess up your schedule. A few hours of being high won't hurt him.
 
Kris, I just took a reading and Buddy is at 521, is there anything I can do now,
Kris & Teasel said:
Huge bounce from the 50. It better to wait and dose 1 hour early tonight so you don't mess up your schedule. A few hours of being high won't hurt him.
Click to expand...
Is it safe for me to go out, or feed him. I will try to shoot around 6:00 p.m., could he pass out from such high numbers. Do you have any ideas on a u to give him.
Sorry, I know that I don't have enough experience to keep from getting scared, I have heard people talking about other people passing out, or going into a coma with high numbers.
 
Teresa, no need to be scared. As Kris said he is starting to bounce from that lovely green number this morning and the no shot. She predicted this morning it was going to happen. If you would normally feed him, go ahead. But no need to feed him just because of the number. Go ahead and run your errand. Update your spreadsheet when you get back so Kris can advise you on tonight's dose.
 
wolfey said:
Kris, I just took a reading and Buddy is at 521, is there anything I can do now,

Is it safe for me to go out, or feed him. I will try to shoot around 6:00 p.m., could he pass out from such high numbers. Do you have any ideas on a u to give him.
Sorry, I know that I don't have enough experience to keep from getting scared, I have heard people talking about other people passing out, or going into a coma with high numbers.
Click to expand...
You can go out. If he's hungry give him a snack.

Cats tolerate high blood glucose better than dogs and people. The high numbers become a problem if he's high all the time for several days and also isn't eating well, is dehydrated or has an infection. I think you've tested his urine for ketones before, right? You can try a ketone test later - it's the best indicator if he's in trouble.
 
Pati said:
Teresa, no need to be scared. As Kris said he is starting to bounce from that lovely green number this morning and the no shot. She predicted this morning it was going to happen. If you would normally feed him, go ahead. But no need to feed him just because of the number. Go ahead and run your errand. Update your spreadsheet when you get back so Kris can advise you on tonight's dose.
Click to expand...
I know she predicted it would happen, guess I wasn't expecting it this early in the day. He ate some boiled chicken breast, that should not raise his numbers a lot.
He was wanting to eat, but he is eating RC wet, his amount he can eat a day is limited.
 
It might help you to have an idea of the goal now with Buddy. You'll be working to find the just right amount of insulin to give Buddy a shootable number both am and pm. For example tonight's dose will be a reflection of his current BG at PMPS but just as importantly how much he was given last night that resulted in him having a too low to shoot number this morning.
 
Kris & Teasel said:
You can go out. If he's hungry give him a snack.

Cats tolerate high blood glucose better than dogs and people. The high numbers become a problem if he's high all the time for several days and also isn't eating well, is dehydrated or has an infection. I think you've tested his urine for ketones before, right? You can try a ketone test later - it's the best indicator if he's in trouble.
Click to expand...
I did test his ketones yesterday and they were alright. He is eating well, he just ate some boiled chicken breast. Buddy likes cat food better than people food. He has been running around and playing. His numbers are crazy, hopefully when I know all these things I will not get upset. I got off schedule several days ago because of low numbers and shot late, maybe I can do an earlier shoot tonight. I appreciate your patience.
 
wolfey said:
The low numbers scare me, but so do the high numbers.
Click to expand...
It's all scary until you have tons of data to look at and do some (safe) experimenting, Teresa. Here's a breakdown of what 's happened and what I think is going on:
  • Buddy had 4 days of mostly high numbers after the greens on 02/10. When doses that are similar or the same give greens one day and then only pinks and yellows afterward, that's usually bouncing.
  • You had a string of yellows after a yellows PMPS. The lack of pink suggested that the bounce was stopping and that means Buddy was ready to respond to insulin again - and he did.
  • He dropped very low this AM. Why? Bouncing is a protective process whereby the kitty's body gets glucose from the liver where it's stored in another form and puts it into the bloodstream to elevate BG. This is his own body's protection against hypo. Problem is, that storehouse in the liver can get emptied out and that leaves him without the ability to prop up his own BG. So - when you gave him insulin last night he used the last bit of his stores to give you yellows and the tank was empty by this AM.
  • His body regenerates these stores quite quickly from food he eats, etc. so that when he called on that protective process again today after the 50, he was able to send his BG zooming up again.
I've given you a super simple explanation of what are complex regulatory processes but that's it in a nutshell. Some kitties have very itchy trigger fingers in this area - the bouncy ones - and some don't.
 
wolfey said:
I did test his ketones yesterday and they were alright. He is eating well, he just ate some boiled chicken breast. Buddy likes cat food better than people food. He has been running around and playing. His numbers are crazy, hopefully when I know all these things I will not get upset. I got off schedule several days ago because of low numbers and shot late, maybe I can do an earlier shoot tonight. I appreciate your patience.
Click to expand...
No problem, Teresa. Buddy has been through a lot and so have you. He's also a bouncy boy so that complicates things. I'm glad he's doing so well post surgery. Have you considered putting his picture in the box beside your posts?
 
Kris & Teasel said:
No problem, Teresa. Buddy has been through a lot and so have you. He's also a bouncy boy so that complicates things. I'm glad he's doing so well post surgery. Have you considered putting his picture in the box beside your posts?
Click to expand...
I think his surgery is doing better than me or his numbers. He seems to be feeling better than he has for a long time, now if we can figure out the correct dose for him, he would be great. I do not have a smart phone to take pictures with, but my daughter does and she told me she would take a picture of Buddy and put it in the box. Buddy is very handsome, he is a true blonde beauty with short to medium length hair. He has several places where hair is shaved off. From the front he reminds me of a French Poodle, because of the way his leg has hair shaved off of it, he also has hair shaved off his neck on one side. He looks like someone with clippers was mad at him.
 
Kris & Teasel said:
It's all scary until you have tons of data to look at and do some (safe) experimenting, Teresa. Here's a breakdown of what 's happened and what I think is going on:
  • Buddy had 4 days of mostly high numbers after the greens on 02/10. When doses that are similar or the same give greens one day and then only pinks and yellows afterward, that's usually bouncing.
  • You had a string of yellows after a yellows PMPS. The lack of pink suggested that the bounce was stopping and that means Buddy was ready to respond to insulin again - and he did.
  • He dropped very low this AM. Why? Bouncing is a protective process whereby the kitty's body gets glucose from the liver where it's stored in another form and p, uts it into the bloodstream to elevate BG. This is his own body's protection against hypo. Problem is, that storehouse in the liver can get emptied out and that leaves him without the ability to prop up his own BG. So - when you gave him insulin last night he used the last bit of his stores to give you yellows and the tank was empty by this AM.
  • His body regenerates these stores quite quickly from food he eats, etc. so that when he called on that protective process again today after the 50, he was able to send his BG zooming up again.
I've given you a super simple explanation of what are complex regulatory processes but that's it in a nutshell. Some kitties have very itchy trigger fingers in this area - the bouncy ones - and some don't.
Click to expand...
I am going to print this out so I will have it. I have no idea what to shoot tonight, do I go by his numbers tonight, or the dose he had last night that made all of this take place (must have been too much insulin).
 
wolfey said:
I am going to print this out so I will have it. I have no idea what to shoot tonight, do I go by his numbers tonight, or the dose he had last night that made all of this take place (must have been too much insulin).
Click to expand...
You have to wait to see where he is tonight and look at that in conjunction with yesterday and this AM. It's never based on just one number. Will you be dosing an hour early?

Sounds like Buddy is a very handsome boy!
 
Pati said:
It might help you to have an idea of the goal now with Buddy. You'll be working to find the just right amount of insulin to give Buddy a shootable number both am and pm. For example tonight's dose will be a reflection of his current BG at PMPS but just as importantly how much he was given last night that resulted in him having a too low to shoot number this morning.
Click to expand...
I have no idea whether I should shoot from today's PMPS #, or whether to shoot with a number because what I gave last night was too much.
 
wolfey said:
I have no idea whether I should shoot from today's PMPS #, or whether to shoot with a number because what I gave last night was too much.
Click to expand...
As I said above, let's wait until you have the PMPS test done, Teresa. No need to worry about the dose right now. :)
 
Kris & Teasel said:
You have to wait to see where he is tonight and look at that in conjunction with yesterday and this AM. It's never based on just one number. Will you be dosing an hour early?

Sounds like Buddy is a very handsome boy!
Click to expand...
I am going to try to dose early (an hour early) if possible, unless something should come up. Buddy is also a very good cat, no problem to pill, he does not like his ears poked though. One of the vets said she thought he was satisfied with being there, he did not act like the other cats around him. Kris, I do not know how I could dose on today's numbers if they are anything like the one I got earlier. Evidently 2.5u last night was too much. I looked at his SS and there was 3u, 2.5, & 1.5, guess I could take an average (not really). If I was going on my own I would probably shoot 2u for 3 times, unless that was too much. Really I do not know and I do not want to hurt Buddy.
 
wolfey said:
I am going to try to dose early (an hour early) if possible, unless something should come up. Buddy is also a very good cat, no problem to pill, he does not like his ears poked though. One of the vets said she thought he was satisfied with being there, he did not act like the other cats around him. Kris, I do not know how I could dose on today's numbers if they are anything like the one I got earlier. Evidently 2.5u last night was too much. I looked at his SS and there was 3u, 2.5, & 1.5, guess I could take an average (not really). If I was going on my own I would probably shoot 2u for 3 times, unless that was too much. Really I do not know and I do not want to hurt Buddy.
Click to expand...
Don't worry, Teresa. I wouldn't suggest a dose that I thought was too high. We can take every precaution but, unfortunately, they can surprise us. Then we have to use the tools we have to keep them safe - testing, giving high carb food, etc.
 
Kris & Teasel said:
Don't worry, Teresa. I wouldn't suggest a dose that I thought was too high. We can take every precaution but, unfortunately, they can surprise us. Then we have to use the tools we have to keep them safe - testing, giving high carb food, etc.
Click to expand...
Kris, I am sure you would not suggest a dose that was too high. I would be lost if it were not for you.
 
Rachel said:
Look at Buddy dropping low this morning! It's nerve-wracking, but this is a good thing!
Click to expand...
I don't understand, how is that a good thing. He did not get any insulin this morning, so he was up to 517 at PMPS. Both of these scare me, but he was running around the house playing and wanting to eat.
 
Status
Not open for further replies.
Back
Top