Ducia PMPR 490 1U, AMPR 165 1U

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Tanya and Ducia

Tanya and Ducia

Member Since 2017
Hi,

Ducia's numbers since last PMPR were out of control completely. The SS is updated including meal/water/sqf.
Can somebody please take a look at it and tell me what is it with her.

PMPR and AMPR 1U.

Ketones test consistently at the Trace level. She received 75 ml Ringer's at last night PMPR +1.

We are also not sure that our feeding routine is a good one.

She is in good condition, visible gain weight,active/sociable, eats and sleeps and litter box visits at her usual pre-diagnose schedule. Shows great appetite and get enlarged portions of 2/3 of 5.5 can at each AMPR and PMPR. Midday and midnight meals also between 1/4 and 2/3 of 5.5 can.

I cannot figure out her response to insulin shot. She is up and down and we are to new to the FD to understand clearly what is going on.

AMPR was 165. I am worried about hypo. Hypo tool box ready. What should I watch for?


Last thread
http://www.felinediabetes.com/FDMB/threads/3-5-ducia-ampr-262-1-25u-3-233-ketones-large.174308/
 
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I know your situation is special because you're dealing with post DKA, etc. It's possible that the changes in Lantus dose are making her responses erratic. I might try leaving her at 1 u at least (maybe 1.25 u?) for several cycles. However, I'm still new to Lantus so it would be a good idea to get the experienced people to look at your SS.
@Wendy&Neko
@Doodles & Karen
@Bobbie And Bubba
@Sienne and Gabby (GA)
Sorry if I've missed others ...
 
Can you get a re-test of the AMPS number? If I am reading your spreadsheet correctly, you got a 328 at +11 from the PM cycle and then 165 at AMPS, which would be an almost 200pt drop in 1hr.
 
hi Kris, thank you for reply.
How to I bring others to look at this post? Also I do not know how to change prefix of my post.
 
Nan & Amber said:
Can you get a re-test of the AMPS number? If I am reading your spreadsheet correctly, you got a 328 at +11 from the PM cycle and then 165 at AMPS, which would be an almost 200pt drop in 1hr.
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You read it correctly. Her AMPR +1 is due in 30 min. I will retest then. Is it ok?
 
Tanya and Ducia said:
You read it correctly. Her AMPR +1 is due in 30 min. I will retest then. Is it ok?
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Yes, that's fine. I suspect that the AM number was a bad read (sometimes it happens)-- I'm really not sure how to explain it otherwise. Let's see if the +1 number is higher.

To get the attention of another user, we use "tags"-- type "@" and the username (if you start typing a name with the correct letters, usually you will get a pop-up list to complete it so you don't have to remember exact spelling of the whole name)
 
Tanya and Ducia said:
hi Kris, thank you for reply.
How to I bring others to look at this post? Also I do not know how to change prefix of my post.
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I've tagged some others already, Tanya. Nan pointed out something important that I didn't see at first - that big drop from +11 to AMPS. It's possible that the bouncing from last night is ending and that's why you got a blue this AM. So far, the 1 u dose hasn't given a really low number so it might be OK.
 
Tanya and Ducia said:
Where do I type it?
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If you look at my post #2 up above you'll see a list of names in blue of people I've tagged for you. Notice how each name starts with the @ symbol. If you start typing with that and then type the first few letters of the person's screen name, a little menu of names will drop down and you click on the name you want. The menu works best if you type slowly.
 
Tanya--

First, follow Bobbie's advice and give HC food!

Then: can you give a quick summary of the food you have on-hand, and what you have given her this morning? I know that she got a large meal of canned food but it would be helpful to know:

brand (Fancy Feast, etc.) and variety ("Tender Beef Feast")

for whatever you have on-hand. Just so we know what you have to work with today-- there is likely to be a lot of "steering".
 
Tanya and Ducia said:
Do you mean that her last night's PM shot is still working and that by giving AM shot after 12 hours can OD her?
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Don't think hypo or OD right now. Do you have any canned food that has sauce or gravy in it? The gravy by itself can be given a teaspoon or so at a time. Do you have honey or karo syrup in case you need it later?
 
please add honey to her gums if you thin she won't eat on her own an you are unabe to get the food into the etube We need to get the numbers up STAT
 
She is alert, grooming right now, does not seem hypo at this moment.
I'd ask again: should I give more time for the morning LC meal to absorb. I do not want to rush, but when ever Hypo is in horizon I panic. I don't want to mess up thing any further. So, is saf to wait another 45 m without giving HC immediately?
 
When you get a chance, you want to pick up a high carb food, greater than 15%, that has gravy. With something like the fancy feast gravy lovers you can pop the can and squeeze out gravy. That might go in the etube.

How long ago did she get food?
 
Tanya and Ducia said:
Should I give more time for the LC food to absorb before testing?

Also have 23% Soulistic Autumn Bounty but it is not for etube.
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No, we don't want to wait-- get some HC into her now. It's not panic time yet, we're trying to prevent the panic situation! So, HC now.

If she'll eat the Soulistic Autumn Bounty on her own, a tsp or two of that would be good to get her to eat. Other than that, listen to Bobbie-- a little honey on her gums to bump her numbers.

Bobbie And Bubba said:
The onset is around +3 for Lantus and if she is a ready dropping this rapidly it could be a repeat of before
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Bobbie, I'm also wondering about the huge drop pre-shot. I don't have an explanation for what could be going on with that.
 
Tanya and Ducia said:
She is alert, grooming right now, does not seem hypo at this moment.
I'd ask again: should I give more time for the morning LC meal to absorb. I do not want to rush, but when ever Hypo is in horizon I panic. I don't want to mess up thing any further. So, is saf to wait another 45 m without giving HC immediately?
Click to expand...
No, you can't wait when she's dropping this fast. She's not hypoing right now. What we're telling you to do is to slow down the drop in BG so she doesn't get there. That can be done with 1. LC food if the drop is not too fast or 2. HC food if the drop is too fast. The extra carbs with reduce the action of the insulin.
 
This is a bounce breaking cycle, hence the downward movement in the numbers. That can give a lot of downward momentum. But we want to put the brakes on, hence the high carb food. She has had plenty of time to digest the carbs from breakfast and it didn't do the job. Hence the move to higher carb. You can retest if it's been 20 minutes, but will probably still need the carbs,
 
What food do you give by the feeding tube? Would it be possible to dilute some karo syrup with warm water and add that to some tube food? Will she eat anything on her own?
 
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