Update and Hello - 1st BG Curve!

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Hi Everyone!

Spent the week at a baking class! I had my mom test Coby while I was away during the day.

After increasing the dose from the experimental 1.0 back to 1.6U, the numbers were wonky at first but it seems to be more stable in the last couple of days. There were a couple of slightly below 200 AMPS/PMPS numbers and I chose NS. I think it was a mistake. I should have given him a lower dose to control the sugar better. Like this morning, AMPS was 198 and I gave him 1.0U. I hope to stay from the black numbers. What's your recommendation?

Thanks,

Patricia
 
When you get a lower-than-usual number, have you tried stalling without food? Most of the time, if you stall for 20 minutes (don't feed him!), the number will rise to a more normal number and then you can give the full dose. You can stall for up to an hour (testing every 20 minutes) to get a shootable number. It's important to not feed though since that will artificially inflate the number and you can end up over-dosing.

How was the baking class? What did you learn? Are you going to share?!?!;)
 
Hi Patricia! Stalling is always my first go to if you can do it. Usually within that time frame they will rise to a better number. If you can't stall because you have to be out of the house, a reduced dose is a good option too. Obviously, if they're super low, you'd want to skip.

You don't happen to live down the street and want to share your baking skills, do you? I could go for some baked goods! ;)
 
Last week was unique because I had to be out of the house by 6am. Didn't want to risk hypo while I was gone :confused:. I am on summer break right now so it is easier to test him but once August comes around, testing during the day is not going to be possible :(. I am testing him with a lower dose when AMPS/PMPS is slightly lower than 200 to see how he deals with it. This will give me a better idea on what to expect when I have to do this when I go back to work.

Baking class was great! I took 2 other classes in previous summers and they were both about cakes. This time it was all about artisan bread baking. Here are some for your breakfast tomorrow morning, enjoy :D:

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Ohhhh that bread looks so good!

You do what you can with testing. For now, it's a good time for you to really fine tune the dose...when August comes, you'll test mid cycle when you can (weekends if possible or every now and then in the middle of the night maybe) and work with it the best you can. :) That's when a on the way out of the house or before bed test a few hours after the shot will really come into play. Even a +2 is helpful if that's what you can get! All data is good data.
 
PPCW said:
Last week was unique because I had to be out of the house by 6am. Didn't want to risk hypo while I was gone :confused:. I am on summer break right now so it is easier to test him but once August comes around, testing during the day is not going to be possible :(. I am testing him with a lower dose when AMPS/PMPS is slightly lower than 200 to see how he deals with it. This will give me a better idea on what to expect when I have to do this when I go back to work.

Baking class was great! I took 2 other classes in previous summers and they were both about cakes. This time it was all about artisan bread baking. Here are some for your breakfast tomorrow morning, enjoy :D:

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Ummmm....I live on the west coast too! That's not very far away from that bread....
 
Rachel said:
Ohhhh that bread looks so good!

You do what you can with testing. For now, it's a good time for you to really fine tune the dose...when August comes, you'll test mid cycle when you can (weekends if possible or every now and then in the middle of the night maybe) and work with it the best you can. :) That's when a on the way out of the house or before bed test a few hours after the shot will really come into play. Even a +2 is helpful if that's what you can get! All data is good data.
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One concern I have about giving a full dose when the AMPS/PMPS number is +/- 200 is that will it induce hypo? For example, 7/7, his nadir on full dose (1.6) was 108.
 
PPCW said:
One concern I have about giving a full dose when the AMPS/PMPS number is +/- 200 is that will it induce hypo? For example, 7/7, his nadir on full dose (1.6) was 108.
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It won't necessarily induce a hypo. On 7/7 that nadir value was very good. It's by accumulating a SS full of data that you learn your kitty's way of responding so you can make decent predictions. Some cats are very predictable, others aren't.
 
Kris & Teasel said:
It won't necessarily induce a hypo. On 7/7 that nadir value was very good. It's by accumulating a SS full of data that you learn your kitty's way of responding so you can make decent predictions. Some cats are very predictable, others aren't.
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Got it. Will definitely do it now to see how he reacts.

Thank you all for your knowledge and kindness! It has been invaluable in this journey!!!
 
It's extra hard to say if it would lead to a hypo or not when the kitty is bouncing around this dramatically. Most likely it wouldn't since your lowest number (86) is still pretty safe. But given the dramatic ups and downs, it could.

I think 1.6 might be a smidge too high for right now. You're getting quite a few drops of more than 50% which is why he's bouncing so much. Plus, every time you adjust the dose, it sets of more wonky numbers. You've needed to reduce the dose a few times because of the pre-shot, but it does add to the complication.

You might consider dropping back to 1.4, and then doing everything possible to hold that dose steady for a few days instead of changing it up so much. That means that if you get a lower-than-normal pre-shot, you'll need to stall without feeding for 20 minutes, then re-test and see if the number is closer to normal. If it's not there yet, you'll need to stall another 20 minutes without feeding and test again. Then you are most likely going to be high enough to give the full dose. It's kind of a pain, and the kitties don't love it since they want dinner NOW, but it lets you hold the dose steady which can help settle down those swings you're getting.

1.4 isn't likely to be enough insulin in the end, but it could help to settle things down a little since your drops are so currently so big. Once things are a little calmer, you can resume the increases to start to get the pre-shots down more.

Does all of that make sense? It may or may not help at all, but it's a strategy that sometimes works and may be worth considering. Totally up to you though if you want to give it a try.
 
Djamila said:
It's extra hard to say if it would lead to a hypo or not when the kitty is bouncing around this dramatically. Most likely it wouldn't since your lowest number (86) is still pretty safe. But given the dramatic ups and downs, it could.

I think 1.6 might be a smidge too high for right now. You're getting quite a few drops of more than 50% which is why he's bouncing so much. Plus, every time you adjust the dose, it sets of more wonky numbers. You've needed to reduce the dose a few times because of the pre-shot, but it does add to the complication.

You might consider dropping back to 1.4, and then doing everything possible to hold that dose steady for a few days instead of changing it up so much. That means that if you get a lower-than-normal pre-shot, you'll need to stall without feeding for 20 minutes, then re-test and see if the number is closer to normal. If it's not there yet, you'll need to stall another 20 minutes without feeding and test again. Then you are most likely going to be high enough to give the full dose. It's kind of a pain, and the kitties don't love it since they want dinner NOW, but it lets you hold the dose steady which can help settle down those swings you're getting.

1.4 isn't likely to be enough insulin in the end, but it could help to settle things down a little since your drops are so currently so big. Once things are a little calmer, you can resume the increases to start to get the pre-shots down more.

Does all of that make sense? It may or may not help at all, but it's a strategy that sometimes works and may be worth considering. Totally up to you though if you want to give it a try.
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Yes, it does. The dramatic increase of AMPS & PMPS has bothered me a lot and I have wondered about the >50% drop of BG in some of the recent cycles. I remember reading about it in the "intro" section of this forum. I started 1.4U this morning. His AMPS was 208, +2 was 174 then +8 was 118. Let's see he behaves for the next few days.
 
Wow, that's a nice, gentle cycle! Curious what he's going to show you for your PMPS tonight?
 
WOW!!!! That's a great cycle! Amen to repeats of this, and even better things to come!

Now for a little reality though: It's unlikely that lowering the dose a little "fixes" the bounces. This cycle was likely just a lucky coincidence, so please don't be too disappointed if those reds and blacks re-appear. Although the hope is that the lower dose will settle things a bit, I would doubt that every cycle will be quite this pretty. :)
 
Djamila said:
WOW!!!! That's a great cycle! Amen to repeats of this, and even better things to come!

Now for a little reality though: It's unlikely that lowering the dose a little "fixes" the bounces. This cycle was likely just a lucky coincidence, so please don't be too disappointed if those reds and blacks re-appear. Although the hope is that the lower dose will settle things a bit, I would doubt that every cycle will be quite this pretty. :)
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Oh yes, I remember my 1st BG curve (which started this thread), the nice blue gentle curve. Then he started to bounce.... Despite the numbers, he has more energy now and started picking fights with the young ones :D.
 
Yup, that first cycle was text-book perfect! Too bad they can't all be like that!

That's the best data of all: when they start feeling and acting better! How many other pets do you have?
 
OMG...he's adorable!!! It's a feral, I assume? Is he old enough to be away from mama? Do you know where the rest of them are?
 
It is a feral. All my cats were feral. This is a litter of 3. The other two have siamese seal point colors. They are not with mom when I see them. They are probably 1 month old.

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Aaaah! So cute!!! Both of mine were adopted from shelters as full grown cats, so I've never had a kitten. I want to take all of them!!!
 
So cute how the one kitten has orange for the Siamese seal point markings! He's like a little dreamsickle! And he's gonna be FLUFFY! ♥
Coby is looking very nice :cat::cool::D
 
Whoa, King Coby! Look at that green at +7! I think you might want to consider dropping down to 1.2u. That's cutting it pretty close to the cut-off, especially since you have data that indicates his nadir is a little before that.
 
Whoa! That was quite a low +7. I mean, yes it's NICE but wow...I think a small reduction might be good especially if you can't monitor tonight.
 
I was quite shocked to see that green at +7 :eek: especially I wasn't home before that! I will monitoring him tonight as I gave him another 1.4 to see if there is going to be a repeat performance. Honey and syrup are all ready to go. I think he heard me saying "low numbers" too many times and said "Here you go!" :cool:

PMPS was 241.
 
Honestly, I was expecting a higher PMPS. That doesn't even look like he bounced at all! I find that rather curious (in a good way) since he was bouncing like a ping pong ball just a few days ago. Can't wait to see what your before bed test shows tonight.

If he's having an active cycle, you might consider giving a snack as you go to bed. It will give him a little extra to work with during the night.
 
He always gets a snack at PMPS+3 because I am not able to leave food out over night because Cody would eat it all. I will definitively do a +6 tonight. It is going to be a long night....
 
Wow he had a really normal PMPS! That's completely unexpected...hope last night went well!
 
Good morning!

His numbers were low last night. PMPS+3: 147 the +6 at 72. I gave him a snack at that point. The +6 would have been even lower if he didn't eat at at +3. So 1.4U is now high for him.

The just tested AMPS is 151. Will test again in 20 min but he may not get over 200 in 20 minutes. How many times can I stall?
 
You're only at +20min right now, so if you kept stalling another +20, you'd probably get close to 200. How are you doing on time? Do you have a few more minutes, or do you need to shoot and leave for work?
 
I agree with 1 unit. I think 1.4 got you good numbers if a bit too low. Going down so far might cause you to lose some momentum.
 
I am waiting for AMPS+40min right now, if I am able to shoot at 7am (pacific), then I leave the house @ 8am.
 
Yes, the no-shot under 200 rules is just when you're first learning and aren't confident with testing yet. You're a pro now, so you can shoot under 200. :)

However, it's always always always up to you. You hold the syringe and need to do what you feel comfortable with. If it was me, I would shoot 1 unit, but if that makes you really nervous, it's okay to do what you feel okay about. It never hurts anyone's feelings if you make a more conservative choice.
 
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