4/8 Ducia bouncy night, AMPS 267, +2 294, +4 124

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Tanya and Ducia

Tanya and Ducia

Member Since 2017
Good morning,

Ducia's +11 was 121, AMPS is 105. 2 hours 25 min after LC meal. Going down.

I am not comfortable shooting at this number.

The shot 1.25U is on hold.
I will update the SS in 25 min at 11:20 Pacific.

Please advise what to do.
 
Tough one. Hate to skip shots, especially when she surfed so nicely for you last night. Let's see where she is in 25 mins, but I'd be inclined to shoot and plan on feeding the curve to try to keep her propped up during the day (I'm assuming you'll be able to monitor all day).
 
With a post DKA cat, you want to try and avoid skipping shots if you can.

Remember that Lantus often gets a second dip at the end of the cycle but there isn't as much difference between 121 and 105 and 90 as you think. She's pretty flat.

You've handled lower numbers so if you will be there to test and feed the curve and you have all the supplies you need, unless she is a lot lower, I'd also suggest shooting, feeding a good meal, getting a +1 and +2 to start. However, I am not able to stay with you today to help you through any low numbers.

The other important thing to note is that when you got the +12 number, you'd have been better off to shoot as long as you were available and able to test and had supplies so that you could feed her and numbers could start up. As you can see, delaying the shot more potentially allows the BG to continue to drop.

Normally when we stall, we don't also reduce the dose since stalling "can" act as a dose reduction although just being 30 mins past shot time is not a big deal.

It's up to you since I can't stay with you but if this was my cat, I would shoot and monitor. You have data and you have handled low numbers.
 
I don't think there's any point in stalling without feeding any more-- she's already hungry, it's been 3hrs since her last meal, so probably she'll just keep dropping without food.

Marje just posted with a very thorough explanation of why you probably want to shoot. I won't be able to help monitor for the first few hours due to my work schedule, but will be around from around +3 onwards.
 
I am still aroubd 30 min leter.
She is very hungry I can feed
Can anyone stay?
Especially around +4 = 3PM Pacific? and later on?
It's Friday.....
 
Great job!! You've earned these.....a coveted award every L/L member gets the first time they shoot green!!

bos_zpsb029e400.jpg
 
Ok...how about we work on cleaning up that SS just a bit so we can better see the "story"?

In the +11 column for last night, I suggest you fix it to state this: 121; 105 @ +12

You already have the food info in remarks so we don't need to see it again.

Then for the AMPS column today, I would put: 90 @ +12.5

You don't need anything in the "U" column except the dose (1.25u).

That tells us that you stalled about 30 mins (it's close enough). If you had stalled 45 minutes, you would have put 90 @ +12.75. Make sense?

And if you could please, you can change the subject line to show AMPS 90. Thank you!

See you at +1!
 
You might need more than 1 tsp but you know how carb sensitive is and whether 1 tsp will do the trick. Is this just gravy or isn't it also the food that you gave?

You don't want her to get too full so I will rely on your judgement.

When you are handling low numbers and you see lower numbers early, like this, or numbers below 50, it's good to alternate food with gravy until she's safely up. A lot of the carbs are in gravy and the food will help stabilize numbers. By alternating, she doesn't get too full.

See you in 20 although remember that it takes about 30 mins to see the effects of the food/gravy really kick in. It's up to you on comfort level.
 
Marje and Gracie said:
You might need more than 1 tsp but you know how carb sensitive is and whether 1 tsp will do the trick. Is this just gravy or isn't it also the food that you gave?

You don't want her to get too full so I will rely on your judgement.

When you are handling low numbers and you see lower numbers early, like this, or numbers below 50, it's good to alternate food with gravy until she's safely up. A lot of the carbs are in gravy and the food will help stabilize numbers. By alternating, she doesn't get too full.

See you in 20 although remember that it takes about 30 mins to see the effects of the food/gravy really kick in. It's up to you on comfort level.
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It was the gravy only. I will retest soon and give more gravy after that.
I hope thefirst 1 tsp will work
 
Just tested 20 min after - it's 53.
Gave 1 tsp 7% pate + 1 tsp gravy from 15% FF can on top.
It maybe double but it will make me comfortable to wait another 30 min and test.
I am okay.
I panicked this morning for somebody else who herself stayed actually cool headed. Panicking clouds my mind. Hence my indecisiveness to shoot this morning at BG 105.
Thank you for being here.
:bighug::bighug:
 
Tanya and Ducia said:
Just tested 20 min after - it's 53.
Gave 1 tsp 7% pate + 1 tsp gravy from 15% FF can on top.
It maybe double but it will make me comfortable to wait another 30 min and test.
I am okay.
I panicked this morning for somebody else who herself stayed actually cool headed. Panicking clouds my mind. Hence my indecisiveness to shoot this morning at BG 105.
Thank you for being here.
:bighug::bighug:
Click to expand...
Great job!!! Now let's hope that 15% will slow down the onset. But be prepared that when she onsets at +2, she could drop back down.

Yes you are correct that staying calm helps her, you, and us helping.

You're very welcome. See you in 30.
 
BG 56, 30 min after food and gravy.
I expected higher.. but she is safe now.
I didn't give anything after the last shot at +1.50.

What is best food giving, gravy giving and testing schedule for the next hour or hour and a half?

She is slightly not herself, but laying down in her bed trying to go to sleep. It is her normal sleeping time but also her reg snacking time (between 2 tsp to 1 Tbs). But interrupt with testing.
 
Hey Tanya and congrats on your first pair of Balls of Steel (BOS) ;) Since it is early in the cycle and she dropped into low 50's you want to stay on top of testing her and feeding her some to keep her surfing. Remember, she still has nadir to get to. I will pop in and out to see how you are doing.
 
Bobbie And Bubba said:
Hey Tanya and congrats on your first pair of Balls of Steel (BOS) ;) Since it is early in the cycle and she dropped into low 50's you want to stay on top of testing her and feeding her some to keep her surfing. Remember, she still has nadir to get to. I will pop in and out to see how you are doing.
Click to expand...
TY!
I will test & update the SS in less than 10 min. I hope she is ok - does grooming in bed in somewhat grumpy fashion.
 
+2.15 1 hour after 7% snack with gravy.
I gave her 2 tsp 7% without gravy and will let her sleep for another hour unless you think I should test earlier than that.

It was 4 reading at low 50s consistently. Is it safe to let her ears to rest for the whole hour?

She would normally receive that 2 tsp snack at this time.
 
If it were me, and because it is early in the cycle and she likely hasn't hit onset yet, I would not go more than 30 minutes to test.
 
I'm sorry, Tanya...I had a semi emergency phone call about my mom but all is ok now.

I agree with Bobbie....it's still very early in the cycle so I would test and feed a little bit more often until she is up just a bit.
 
She was 60 and I gave just over 1 tsp chicken broth from Nat Var Instinct 7%. No pate only the broth. Need to keep her appy for after +3.5.
Her insulin related activity do start after+3 - +3.5. ANd go on until + - +8.
Will retest in 30 min.

I am sorry to hear about your emergency, Marje. :bighug::bighug:Do take care of the family first. Ducia and I were helped a great deal and Nan should be coming in after +3.
 
Tanya and Ducia said:
She was 60 and I gave just over 1 tsp chicken broth from Nat Var Instinct 7%. No pate only the broth. Need to keep her appy for after +3.5.
Her insulin related activity do start after+3 - +3.5. ANd go on until + - +8.
Will retest in 30 min.

I am sorry to hear about your emergency, Marje. :bighug::bighug:Do take care of the family first. Ducia and I were helped a great deal and Nan should be coming in after +3.
Click to expand...
Thank you...it's all ok....a bit of a false alarm :blackeye:

Since Nan and Bobbie are around, I need to get back on to my schedule that I moved around a bit. You are doing great. If I pop back in the house, I'll check back.
 
Bobbie And Bubba said:
I like that 60. Hopefully she will surf for you and the 7% was a good call.
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It's back to 55 after 30 min

I gave her 4 tsp 7% because
a) it is when the insulin kicks in usually;
b) it is only 30 min earlier than her reg feeding time;
c) I hope I can let her sleep and give ears an hour pokey break.

I know none of you going to believe but really don't like poking her ears. :)

So, the plan is to test in 60 min unless you advice against it. I will be right here and I know what postures she takes in her sleep when comfy if I tickle her belly. She wouldn't display comfort in her sleep if she is sliding, would she? I still am only learning my cat:oops:.

What do you think?
 
I think the 7% meal was a great move-- hopefully it will bump her up a bit and have some staying power at the same time.

I'm sorry to say I would recommend against waiting the full hour to test, given where she is right now. Here's the thing about relying on external signs of hypo-- by the time they show up, she might be very low indeed, and it will be harder to bring her back up than if you had caught it halfway down.

I do understand wanting to give her ears a break, though! Maybe some of the folks who have been around longer will weigh in and disagree with me, and you can let her sleep for the full hour.
 
Nan & Amber said:
I think the 7% meal was a great move-- hopefully it will bump her up a bit and have some staying power at the same time.

I'm sorry to say I would recommend against waiting the full hour to test, given where she is right now. Here's the thing about relying on external signs of hypo-- by the time they show up, she might be very low indeed, and it will be harder to bring her back up than if you had caught it halfway down.

I do understand wanting to give her ears a break, though! Maybe some of the folks who have been around longer will weigh in and disagree with me, and you can let her sleep for the full hour.
Click to expand...

On the second I agree, the visual symptoms with HER are not reliable.
The BG is 70 30 min after 4 tsp 7%.

When should I test again?

The insulin is going to be working hard from now on till +8.
 
Ducia is 63 at +5.5 30 min after 1 Tbs 9%.
I expected higher number.

Was it really a 9%? I gave her Frieskie Chicken and Tuna Classic Pate. There is info on this one in the food charts I could found. It is my assumption that it is 9%.

Does anyone know how much in it exactly?

Thank you.
 
It looks like she dropped back a bit the last test and that you gave some more food to her. Good job. Sorry, I don't know the carb count of Friskie's . Did you look on the new chart? I'll see if I can find any info for you.

I will only be online for about another hour as I am getting out of town guest tomorrow for the weekend and have things to get done before I hit the bed. Will @Nan & Amber @Barbara & Uncle or @Wendy&Neko be around some in case Tanya needs any assistance?
 
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