? 5/30/17 JELLY BELLY AMPS 355 and .75 unit/ +6 bs 90 ? PMPS 95 didnt shoot HELP ADVICE

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RochellenTiggs

Member Since 2017
this was jellys reading no insulin last night any advice?

could not do plus +2 sugars as i missed his ear twice and not enough blood then meter did something weird so i did +6 was only 90 ? what now advice
 
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He does need to be getting more than .75 of a unit, but I know he's a master at bouncing. Hopefully somebody with good "dosing advice" will chime in ;)
 
I don't think anyone can predict whether .75 is the right dose for now. After the green night followed by a bounce and a skipped shot we need to start the count over again and see what happens.
ok so what is my next step ? do i test today a curve ? what do i do?
 
I'd get a +2 and post. Of it's the same or lower you could likely have an active cycle. If higher I'd test around +5-6. I wouldn't do a curve until the depot builds. BTW do you give a treat after each poke? Freeze dried chicken or turkey treats are liked by most cats and no carbs. That helps make them accept the tests.
 
I agree that it is too soon to see what this dose will do. We would expect him to be higher when you skip a shot.

It is also possible that he will need to go back up in dose but it's important to find a dose that you can safely shoot twice a day. Right now, while you are learning and because you had two difficult nights back-to-back, it made sense to skip last night.

However, the next time you get a preshot below 150 (11.11), remember to not feed but post immediately and let's see if we can help you shoot and start learning how to deal with a little lower numbers.

I think some random spot checks today would be great starting with a +2, as Elise suggested. If he's up, grab a +6 and a +10. If he's down, you will want to check sooner.....even +3 if he takes a big dive.
 
Well I just got home so I misses the +2 so what now ?
I agree that it is too soon to see what this dose will do. We would expect him to be higher when you skip a shot.

It is also possible that he will need to go back up in dose but it's important to find a dose that you can safely shoot twice a day. Right now, while you are learning and because you had two difficult nights back-to-back, it made sense to skip last night.

However, the next time you get a preshot below 150 (11.11), remember to not feed but post immediately and let's see if we can help you shoot and start learning how to deal with a little lower numbers.

I think some random spot checks today would be great starting with a +2, as Elise suggested. If he's up, grab a +6 and a +10. If he's down, you will want to check sooner.....even +3 if he takes a big dive.
I just for
 
Sidn
Go ahead and test now and let's see where he is. Just post in his subject line and update this thread :)
I didn't test at +2 or + 3 I missed and not enough blood so I felt bad and I do have dehydrated chicken he has a treat but I felt bad I did warm ear this time and I got +6 bs it was 90 (5) what now ?! That's on .75 unit
 
That's a bit of a drop. How about feeding him two tsp of low carb food and retest in 30 minutes.

When a cat clears a bounce, numbers can keep dropping into the next preshot instead of getting to the nadir (lowest part of the cycle) and then going back up as you would normally see with Lantus.

If we feed him some low carb food, hopefully, we can get him to level out so he doesn't keep dropping. Sometimes it works, sometimes it doesn't and we have to feed a bit higher carb food (for example, 10%).

You need to stay on top of the BG now with testing, and perhaps feeding, so he doesn't give you an unshootable number at PMPS.

I think you will need to learn to start testing him at +2 both cycles and also to start feeding a little differently so he doesn't continue to do this on you.
 
I am starting school next week gone from 9-4 everyday so I need to figure this out before then .... what fancy feast do you recommend?

I can do plus 2 tom and whatever else but can't regularly and he is eating a shrimp and tuna flake one now 1/3 can
 
I am starting school next week gone from 9-4 everyday so I need to figure this out before then .... what fancy feast do you recommend?

I can do plus 2 tom and whatever else but can't regularly and he is eating a shrimp and tuna flake one now 1/3 can
I have never fed Fancy Feast so I don't know what the different carb levels are. I believe the classics (pates) are about 3%. Most members use Dr. Lisa's Food Composition Charts for the % carbs.

It's important that you have foods with a variety of % carbs available until you know how sensitive he is to carbs and responds to them. Some cats are easily controlled with just low carb foods.

I'll have to come back in a bit and respond to your question about schedule once you go back to school. Sorry, but we have an appt and have to get out the door in a bit. But I will be happy to expound upon testing and feeding :)
 
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You're going to have to "back him up" slowly to 7:00 and 7:00. Right now it is 9:00 pm and if you do shoot, then you shouldn't be shooting again for another 12 hours. Come school, it will be too late ;)
 
I think I have posted twice that if you get a number below 150 (11.1), don't feed but post for help.

I can't advise you to shoot because I can't commit to staying up with you if he goes low. If so done else is willing, then you could shoot. Otherwise, it's your decision.
 
I know and didnt shot and posted and heard nothing.... i tested posted waited then fed and its not gone up much waiting on further instructions
 
So you shot or you didn't? If you didn't, then I'd probably skip because you are way off in time and I don't k ow if there is anyone to stay with you on the board.
i didnt shoot any insulin it was too low and i fed and waited tested didn't go up so i posted and was waiting for instructions
 
Ok. Well you are more than two hours past shot time if you shot at 7 this morning. If you shot at 8, if @Darcy and Lebowski csn stay with you on the board tonight, you could potentially shoot if you have all themsupplies,mHC food, plenty of strips, and you can stay up.

But that's between you and Darcy.
 
Okay, no shot tonight. You have to be patient Rochelle. If your title doesn't post a question, or if you've not updated it, nobody is going to be watching the thread.
Marje gave good advice in regards to posting at lower than 150, which you did. But until you change the title, nobody is aware you need dosing advice ;) Start over tomorrow, but you're going to have to back up your times so getting to school, getting the kids away, all that morning stuff doesn't overshadow Jelly's needs too ;)
 
Ok. Well you are more than two hours past shot time if you shot at 7 this morning. If you shot at 8, if @Darcy and Lebowski csn stay with you on the board tonight, you could potentially shoot if you have all themsupplies,mHC food, plenty of strips, and you can stay up.

But that's between you and Darcy.
hes tested at 8 am not 7 and he had insulin 8:15 am and did 6+ and now evening PMPS and didnt shoot he ate tested again at 8:45 and same number
 
Sorry Rochelle, I can't stay up with you. I have to be up early. Marje is going out.
NO, he doesn't need high carb food, but test him again if you feel he's dropping.
 
Okay, no shot tonight. You have to be patient Rochelle. If your title doesn't post a question, or if you've not updated it, nobody is going to be watching the thread.
Marje gave good advice in regards to posting at lower than 150, which you did. But until you change the title, nobody is aware you need dosing advice ;) Start over tomorrow, but you're going to have to back up your times so getting to school, getting the kids away, all that morning stuff doesn't overshadow Jelly's needs too ;)
well i dont know how to update the title to get help? do i start new thread for help and i followed marje advice just posted wrong i guesss:(
 
hes tested at 8 am not 7 and he had insulin 8:15 am and did 6+ and now evening PMPS and didnt shoot he ate tested again at 8:45 and same number
So he's an hour "behind". If his number is staying level, don't shoot. But the 12 hours between shots is pretty much written in stone, due to the way the insulin itself works
 
Ok. Well you are more than two hours past shot time if you shot at 7 this morning. If you shot at 8, if @Darcy and Lebowski csn stay with you on the board tonight, you could potentially shoot if you have all themsupplies,mHC food, plenty of strips, and you can stay up.

But that's between you and Darcy.
i didnt shoot at 7 am it was test 8 am insulin 8:15 and then +6 and now at 8 pm low and posted
 
well i dont know how to update the title to get help? do i start new thread for help and i followed marje advice just posted wrong i guesss:(
No, don't start a new thread, but you now know how to edit your title. You can add the blue question mark if you want (but not on every post, or after awhile it is like "crying wolf" ;) ) You can put DOSING ADVICE PLEASE in caps. But you have to be patient.
 
So he's an hour "behind". If his number is staying level, don't shoot. But the 12 hours between shots is pretty much written in stone, due to the way the insulin itself works
yes now it would be an hour behind when i first posted it was due time but i messed up title and thats my bad i am patient i am just trying to follow all instructions
 
i didnt shoot at 7 am it was test 8 am insulin 8:15 and then +6 and now at 8 pm low and posted
I understand. I read your replies. What we're saying is that you shot at 8:15 am, it is now and hour and 10 minutes past that 12 hour mark. If you feel you'll need advice, then start testing a little earlier, in anticipation that you'll have to be patient waiting for an answer. You seem comfortable shooting in the am, so that's great, but it is his evening number that is always "iffy". So if you are able to BACK UP his am time, then that means his evening time will be earlier.

I have to get to my stuff around here. But tonight don't shoot. As long as he is eating, then maybe test again in an hour, if he's still around that 90 mark, you're good.
 
So he's an hour "behind". If his number is staying level, don't shoot. But the 12 hours between shots is pretty much written in stone, due to the way the insulin itself works
Well....not exactly on the 12 hours between shots. While it is desirable, it's not written in stone. I've shot early and late with no issues but, for a new member with little data, I would certainly take the more cautious route.
 
I understand. I read your replies. What we're saying is that you shot at 8:15 am, it is now and hour and 10 minutes past that 12 hour mark. If you feel you'll need advice, then start testing a little earlier, in anticipation that you'll have to be patient waiting for an answer. You seem comfortable shooting in the am, so that's great, but it is his evening number that is always "iffy". So if you are able to BACK UP his am time, then that means his evening time will be earlier.

I have to get to my stuff around here. But tonight don't shoot. As long as he is eating, then maybe test again in an hour, if he's still around that 90 mark, you're good.
ok i will test earlier an hour before shot is due i was just confused as i thought he needed to be tested at 12 hr mark pre insulin and food taken away 2 hrs prior so now i will test at 7 and then post and have hour before its due
 
ok i will test earlier an hour before shot is due i was just confused as i thought he needed to be tested at 12 hr mark pre insulin and food taken away 2 hrs prior so now i will test at 7 and then post and have hour before its due
I'm not saying to test an hour before the shot is due in the morning. But in the evening, as his numbers are so wonky, I'd suggest getting a +11 (one hour before his PMPS. This way if he is low, you can post explaining it is the +11 test only, but due to his history, this is what you anticipate.
 
I agree that it is too soon to see what this dose will do. We would expect him to be higher when you skip a shot.

It is also possible that he will need to go back up in dose but it's important to find a dose that you can safely shoot twice a day. Right now, while you are learning and because you had two difficult nights back-to-back, it made sense to skip last night.

However, the next time you get a preshot below 150 (11.11), remember to not feed but post immediately and let's see if we can help you shoot and start learning how to deal with a little lower numbers.

I think some random spot checks today would be great starting with a +2, as Elise suggested. If he's up, grab a +6 and a +10. If he's down, you will want to check sooner.....even +3 if he takes a big dive.
I missed this post completely and wish I seen it .... I missed the +2 and got a +6 and then the PMPS I am sorry it looks like I am not listening I truly am and trying to understand it all and from what I get it's a 12 hour cycle and he's going to go lower and lower and lower you'll be at the lowest in six hours in and then he should start to go back up now
I was told I also take the food away I've never done that before so started taking the food away two hours before his post morning shot and evening blood sugar test and then if it's lower than 11 I'm not shooting and I posted for advice today but got a post up +12 not +11 so tomorrow test a +11 to give time for feedback
 
Rochelle

Let me see if I can provide some info to help but not overload you.

I think you already know that the day is divided into two 12-hour cycles. One begins with the AM preshot or AMPS and the other with the PM preshot or PMPS. If you skip a shot, for purposes of posting a thread here, then the AMPS becomes AMBG and PMPS becomes PMBG even though the SS still says AMPS and PMPS.

Below is a chart to give you an idea of what an active Lantus cycle looks like, eventually. Jelly's SS probably won't look like this for quite some time consistently, but this is the goal.
+0 - PreShot number.
+1 - Usually higher than PreShot number because of the last shot wearing off. May see a food spike in this number.
+2 - Often similar to the PreShot number. You'll probably see an active cycle if the +2 is the same/similar OR lower than the preshot number. Continue testing!
+3 - Lower than the PreShot number, onset has started.
+4 - Lower.
+5 - Lower.
+6 - Nadir/Peak (the lowest number of cycle. NOTE: ECID. Not every cat has a mid-cycle nadir. Adjust the hours on this example to fit your cat.)
+7 - Surf (hang around the nadir number).
+8 - Slight rise.
+9 - Slight rise.
+10 - Rising.
+11 - Rising (one of the quirks of Lantus/Levemir: some cat's blood glucose numbers dip around +10 or +11... not to be confused with nadir).
+12 - PreShot number.

Three terms that are very important in each cycle and that you should eventually be able to recognize on Jelly's SS:
Onset: the time in the cycle when the insulin actually onsets. For Lantus, this can be +2 or +3, generally, but every cat is different (ECID).
Nadir: the time in the cycle where you see the peak action of the insulin and numbers will reach their lowest. This definitely differs by cat but, in a "perfect" ;) Lantus cycle, would be about +6.
Duration: How long the insulin lasts. Lantus is a long duration insulin with a typical duration of 12 hours but some cats get longer than that and some get less. Absorption from shot to shot can vary up to 50% so you can see how that might affect duration.

Today, Jelly was clearing a bounce and, often, when this happens, numbers just keep coming down so the lowest point is often at the next preshot...or even after. You should always be prepared for an active cycle when Jelly is clearing a bounce.

One thing that can help is feeding the curve. Not all cats need the caregiver (CG) to feed the curve but I believe if a kitt, like Jelly, clears his bounces like he did today, it might help you.

While detailed feeding the curve instructions are a subject to be dealt with separately, it might help him if you fed a portion of food at AMPS,+1, +2, and +3.

It often helps to feed the majority at AMPS and +1 and the rest at +2 and +3. However, this varies by cat and might need to be adjusted. The goal is just to offset the action of the insulin with low carb food so the numbers don't drastically drop early in the cycle.

Darcy suggested you get a +11 test because that will give you an idea of where he is headed by preshot. You will still need to get a preshot test though because numbers can change quickly in some situations.

It's also good to get a +2 test every cycle that you can because it will give you an idea if it's going to be a busy cycle. If the +2 test is similar or less than the preshot, you should count on it being a busy cycle.

I think that's enough to load you with for one day.:)
 
I'm going to re read this and make sense of it and tomorrow then am I aiming for amps and majority of food and then a +1 more +2 more food and bs and then +3 last of his usual morning food. Then a bs at +6 and +11 so I know where he's going and post then if concerns and then a pmps and his insulin ? If numbers permit ? Do I test again + 2 and more or can i sleep ?
Rochelle

Let me see if I can provide some info to help but not overload you.

I think you already know that the day is divided into two 12-hour cycles. One begins with the AM preshot or AMPS and the other with the PM preshot or PMPS. If you skip a shot, for purposes of posting a thread here, then the AMPS becomes AMBG and PMPS becomes PMBG even though the SS still says AMPS and PMPS.

Below is a chart to give you an idea of what an active Lantus cycle looks like, eventually. Jelly's SS probably won't look like this for quite some time consistently, but this is the goal.


Three terms that are very important in each cycle and that you should eventually be able to recognize on Jelly's SS:
Onset: the time in the cycle when the insulin actually onsets. For Lantus, this can be +2 or +3, generally, but every cat is different (ECID).
Nadir: the time in the cycle where you see the peak action of the insulin and numbers will reach their lowest. This definitely differs by cat but, in a "perfect" ;) Lantus cycle, would be about +6.
Duration: How long the insulin lasts. Lantus is a long duration insulin with a typical duration of 12 hours but some cats get longer than that and some get less. Absorption from shot to shot can vary up to 50% so you can see how that might affect duration.

Today, Jelly was clearing a bounce and, often, when this happens, numbers just keep coming down so the lowest point is often at the next preshot...or even after. You should always be prepared for an active cycle when Jelly is clearing a bounce.

One thing that can help is feeding the curve. Not all cats need the caregiver (CG) to feed the curve but I believe if a kitt, like Jelly, clears his bounces like he did today, it might help you.

While detailed feeding the curve instructions are a subject to be dealt with separately, it might help him if you fed a portion of food at AMPS,+1, +2, and +3.

It often helps to feed the majority at AMPS and +1 and the rest at +2 and +3. However, this varies by cat and might need to be adjusted. The goal is just to offset the action of the insulin with low carb food so the numbers don't drastically drop early in the cycle.

Darcy suggested you get a +11 test because that will give you an idea of where he is headed by preshot. You will still need to get a preshot test though because numbers can change quickly in some situations.

It's also good to get a +2 test every cycle that you can because it will give you an idea if it's going to be a busy cycle. If the +2 test is similar or less than the preshot, you should count on it being a busy cycle.

I think that's enough to load you with for one day.:)
 
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