3/30 Ducia PMPS +11 292, AMPS 318 1U Earned Reduced dose is given

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Tanya and Ducia

Tanya and Ducia

Member Since 2017
Yesterday

http://www.felinediabetes.com/FDMB/...-8-142-pmps-384-reducie-waits-till-am.175541/

Good morning,

Posting an update on Ducia who earned reduction to 1U Lantus by going below 50 on 03/29 AM cycle.

The PMPS turned out to be bouncy 384 as it was predicted by this Board and, as advised, I gave her the old 1.25U dose. The night was spent in Pinks. It was somewhat restful night for both of us.

This morning Ducia AMPS is 318 but she will receive the decreased 1U dose and I will be monitoring/posting and SS updating. It is most likely that I will have questions which I will be posting here.

Can you please check Ducia’s SS from time to time or note our question posts and help out? I am new, except for being prolific in somebody else’s ears poking and not sure what to expect. Ducia likes giving surprises. The reduced dose sounds less stressing; at least it does to me. I hope it is a good dose for my cat girl.

Was shooting reduced 1U the right move?

Thank you so much!
 
Taking the reduction today is the right way to proceed. As was suggested yesterday doing a one time shot at the old dose to "shoot through the bounce" can help to slow down how high the bounce is, but after hitting 40 yesterday the reduction is due. It may take a day or so for the bounce to clear, but that 40 calls for the reduction.
 
Tanya and Ducia said:
Hi,
I knew it, I just wanted to hear again that regardless of hign AMPS I was still to proceed as planned.
Thank you so much for replying promptly.
:bighug::):bighug::)
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Sometimes you just have to be patient and wait out the bounce. I know how frustrating it is to see higher numbers and then give a reduced shot, but the 1.25 unit got the numbers down to 40 and that is a bit too low to stay with the dose. :bighug:
 
I agree.
We had a discussion about the yesterday's 40 here at home.
Our at home human medic was saying that it is a good sign and that Ducia 's pancreas might be producing insulin on its own. Does it make any sense to you ?
I lack any kind of medical knowledge - feline or human.
 
Ducia is seeing more blue and green numbers which are in the "healing range". The more time a kitty spends in these numbers the more time the pancreas has to heal, something that kitties can do but people can't. That is why all the testing you do will help keep Ducia safe if her pancreas decides to start "kicking in" some more. Great job!!
 
You're doing great Tanya, but (and I don't think I've ever said this here), I really think you can give Ducia a break on the amount of tests you're doing.

As long as she's not running low, you don't need to get tests every hour...or even every 2 hours

If you can get the Pre-shot tests, and a +2, you can usually tell what kind of cycle she's going to have from there.

If the +2 is about the same as the PS, it's usually going to be a pretty normal cycle.....gradually down to nadir and then gradually back up again.....On those days, you could probably get by with maybe just getting 1-3 other tests in....Like PS, +2. +5, +8 for example......One day you could get a +5 and +8 and another day you might get a +6 and +9....just mix them up some and you'll get more than enough data for us to help you

If the +2 is higher than the PS, that usually is your signal that there's a bounce starting....those are the cycles where you can usually take a break from testing.....maybe get 1 more sometime later in the cycle if you want

If the +2 is lower than the PS, that's your "early warning" that she might be dropping more during that cycle.....those cycles you kind of play it by ear....depending on how much she drops from PS to +2

It's great that Ducia is willing to let you get all those tests in, but I really do think you can back down a little and still keep her safe as well as relaxing a little yourself!!

Think of your spreadsheet as a puzzle......if you sprinkle pieces (tests) all over, it's pretty easy to see what the "whole picture" is....you don't need to fill in the whole puzzle!
 
Chris & China said:
As long as she's not running low, you don't need to get tests every hour...or even every 2 hours
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But I never know it, do I?
Yesterday, after her +2 test shown 168 I fed her 1 TBS 6%. I thought it was legit to think I was safe until next meal/test at +4. I actually thought she was still in mid 100s. Instead I found her at 40. She gave me no warning signs. None. I do not know how long does it take to bottom from BG 40 -is it ten minutes or half an hour, I don't know. I am convinced that should I not test her for the sake of record keeping she would be dead.
Hate to bring it again but when we OD her and the hypo started I was 5 feet away from her talking on the skype to my dad and looking at her thinking "how quietly she sleeps, the insulin must be working well on her". I was on the phone for an hour. I could have tested and nothing would have happened. At least I could have stalled the insulin effect by pouring the food into her.
 
Chris & China said:
You're doing great Tanya, but (and I don't think I've ever said this here), I really think you can give Ducia a break on the amount of tests you're doing.

As long as she's not running low, you don't need to get tests every hour...or even every 2 hours

If you can get the Pre-shot tests, and a +2, you can usually tell what kind of cycle she's going to have from there.

If the +2 is about the same as the PS, it's usually going to be a pretty normal cycle.....gradually down to nadir and then gradually back up again.....On those days, you could probably get by with maybe just getting 1-3 other tests in....Like PS, +2. +5, +8 for example......One day you could get a +5 and +8 and another day you might get a +6 and +9....just mix them up some and you'll get more than enough data for us to help you

If the +2 is higher than the PS, that usually is your signal that there's a bounce starting....those are the cycles where you can usually take a break from testing.....maybe get 1 more sometime later in the cycle if you want

If the +2 is lower than the PS, that's your "early warning" that she might be dropping more during that cycle.....those cycles you kind of play it by ear....depending on how much she drops from PS to +2

It's great that Ducia is willing to let you get all those tests in, but I really do think you can back down a little and still keep her safe as well as relaxing a little yourself!!

Think of your spreadsheet as a puzzle......if you sprinkle pieces (tests) all over, it's pretty easy to see what the "whole picture" is....you don't need to fill in the whole puzzle!
Click to expand...
Hi,
I read you post several times. There are many people on this board who were extremely kind to me and Ducia and who told me the same and I don't want to upset any of them. :bighug:
I actually printed your message out and will keep it as a reference to a sane testing.:)
Thank you for your post, I know it is caring and kindness speaks in you, and I am very grateful. :bighug:
I wish I am as competent and as knowledgeable as you are, and may be I will be, but it is not today. I do not know my cat. I understand now that all of the testing done while in the PM bouncing cycles was unnecessary. Her AMs are different.
I am the last person who want to hurt her.
But today chances are that will overlook warning signs that are obvious to anyone else but me and endanger her.
 
Tanya and Ducia said:
I do not know how long does it take to bottom from BG 40 -is it ten minutes or half an hour
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Tanya I feel for your worry and anxiety. I have a kitty that can start off with a black and hit a low green in the same cycle so I truly understand your concern. Trying to balance the "keep kitty safe" and our own anxiety and health is indeed a rocky road. There does come a point where you need to take care of your own physical and emotional health. There have been time that I have "broken" all the rules and given HC simply because the last test showed a big drop which from what I knew about my kitty could mean a bigger drop on the way, but according to the protocols HC should not have been given. You do need to do what you need to do...whether that be more testing than would be advised or giving a higher carb food just based on gut instincts. While you keep Ducia safe you need to keep yourself healthy and sane. Sometimes we just need to bend the rules a bit. :bighug::bighug::bighug:


This is my own personal opinion and may not apply to other members.
 
Thank you sooo much for saying that!:bighug::bighug::bighug:
I do wish to stick to the rules but I am too aware of my own ignorance on the subject.
I know it will pass.
I already feel less disoriented.:)
But I truly cannot imagine how do you cope and deal with Black to Green in 12 hours :eek:!
I sad it before - this Board is a God sent. It does help a lot to know that I am not alone and that people and cats do survive AND thrive in many variety of difficulties.
:bighug::bighug::bighug::bighug:
 
Tanya and Ducia said:
But I never know it, do I?
Yesterday, after her +2 test shown 168 I fed her 1 TBS 6%. I thought it was legit to think I was safe until next meal/test at +4
Click to expand...

I totally understand your fears Tanya...I'm lucky in that I've been doing this for 4 years and I know China so well

Your "hint" that she needed more testing was in the +2 yesterday....going from 219 to 168 is a significant drop, so if you'd posted then, we would have told you to test again at +4...which you did!! She was "safe until +4" although we might have also suggested you feed her a little snack at +2 to keep her from dropping so quickly.....40 isn't dangerously low, but it doesn't leave any "wiggle room" so yes, we'd want you to get her back above 50 as quickly as possible, which is why we suggested feeding something higher carb than 6%

You're doing better than you think you are!
 
Tanya and Ducia said:
But I truly cannot imagine how do you cope and deal with Black to Green in 12 hours
Click to expand...


The local pharmacy where I buy my test strips and syringes all know me as the crazy cat lady ( in a nice way). In some ways they have NO idea just how crazy I actually am. ;);)


:bighug::bighug::bighug:

ETA I have been doing this for quite a while now with 2 FD kitties and I have "learned" over time to "read" what my kitties are doing. It all takes time and dedication. You certainly have the dedication and the rest of the knowledge will come with time and data.
 
Chris & China said:
I totally understand your fears Tanya...I'm lucky in that I've been doing this for 4 years and I know China so well

Your "hint" that she needed more testing was in the +2 yesterday....going from 219 to 168 is a significant drop, so if you'd posted then, we would have told you to test again at +4...which you did!! She was "safe until +4" although we might have also suggested you feed her a little snack at +2 to keep her from dropping so quickly.....40 isn't dangerously low, but it doesn't leave any "wiggle room" so yes, we'd want you to get her back above 50 as quickly as possible, which is why we suggested feeding something higher carb than 6%

You're doing better than you think you are!
Click to expand...
Thank you Chris,
I am learning from all of you guys.
:bighug::bighug::bighug:
And I do suffer from mild perfectionism - nothing that I do is good enough, I am aware of it and stick with a Zen Lama who once said that there is no perfection. But it doesn't mean we should stop striving for it. :)
 
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