? POST DKA Millie AMPS 89!! Shoot or not? Please assist

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carfurby said:
I'm at work and can't stay on very long. If you can monitor, maybe try reducing to one unit to get some insulin in her because of the DKA.
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So sorry. I posted in the main forum as well (gotta stop doing that). I retested, she was 77. I didn't get any response so I gave 1 unit and fed her.

Have a doctor's appointment but will cancel and monitor her.

Thanks for your response!
 
With the very recent history of DKA, it is recommendable that you shoot, though as it's your first green it would be recommendable that you stay and monitor at least in the early part of the cycle.
How's mIllie's appy? Have you got supplies, strips, HC food, karo etc?

If you haven't yet shot and fed, how about stalling for 20minutes to see which way her BG is going?

Are you able to stay with Millie this morning?
 
Gill & George said:
With the very recent history of DKA, it is recommendable that you shoot, though as it's your first green it would be recommendable that you stay and monitor at least in the early part of the cycle.
How's mIllie's appy? Have you got supplies, strips, HC food, karo etc?

If you haven't yet shot and fed, how about stalling for 20minutes to see which way her BG is going?

Are you able to stay with Millie this morning?
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I retested and she was 77. I got nervous so I just gave 1U and fed her. She is eating well. I have a doctor's appointment but will cancel. And yes, plenty of supplies (been keeping strips, food, etc available).

Thanks, Gill!
 
Sylvia & Millie said:
So sorry. I posted in the main forum as well (gotta stop doing that). I retested, she was 77. I didn't get any response so I gave 1 unit and fed her.

Have a doctor's appointment but will cancel and monitor her.

Thanks for your response!
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We cross posted.
Because of the nature of the depot, the first part of the cycle will likely play out very similar to what it would if you had shot the full dose, at the end of the cycle you may see her numbers come up some.

Please start of by getting a +1 and +2, you may need to steer the early part of the cycle with food.
 
Gill & George said:
We cross posted.
Because of the nature of the depot, the first part of the cycle will likely play out very similar to what it would if you had shot the full dose, at the end of the cycle you may see her numbers come up some.

Please start of by getting a +1 and +2, you may need to steer the early part of the cycle with food.
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Will do!
 
Can you take the 911 down, that way 'if' you need to use it later it will set alarm bells going.

Just read the post on the main forum, glad you didn't give an extra dose, it's not advisable to do that, since there is some margin of error whenever we draw, shooting twice could see you give a significantly increased dose.
I'll try and check in in about an hour to see how she's doing.
 
Gill & George said:
Can you take the 911 down, that way 'if' you need to use it later it will set alarm bells going.

Just read the post on the main forum, glad you didn't give an extra dose, it's not advisable to do that, since there is some margin of error whenever we draw, shooting twice could see you give a significantly increased dose.
I'll try and check in in about an hour to see how she's doing.
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Good information to know.

I guess Millie's earned another reduction? She was on 1.75, should she go to 1.5 or 1?
 
Sylvia & Millie said:
I guess Millie's earned another reduction? She was on 1.75, should she go to 1.5 or 1?
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I think I would stick with the 1.75u for now.

On TR you'd be looking for a drop below 50 (human meter)/ below 68 on the AT (pet meter). Additionally with DKA in the recent history, it's important to be sure she is getting enough insulin and food, to avoid a return to DKA, so you don't want to take the dose down prematurely.
It may mean that you need to feed a little higher LC food at times, or MC to keep her in safe numbers.
 
Gill & George said:
I think I would stick with the 1.75u for now.

On TR you'd be looking for a drop below 50 (human meter)/ below 68 on the AT (pet meter). Additionally with DKA in the recent history, it's important to be sure she is getting enough insulin and food, to avoid a return to DKA, so you don't want to take the dose down prematurely.
It may mean that you need to feed a little higher LC food at times, or MC to keep her in safe numbers.
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She is on CORE Wellness, which I think is an MC food with a little Tiki cat which is LC.
 
Gill & George said:
I think I would stick with the 1.75u for now.

On TR you'd be looking for a drop below 50 (human meter)/ below 68 on the AT (pet meter). Additionally with DKA in the recent history, it's important to be sure she is getting enough insulin and food, to avoid a return to DKA, so you don't want to take the dose down prematurely.
It may mean that you need to feed a little higher LC food at times, or MC to keep her in safe numbers.
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The idea of keeping it at 1.75 is nerve racking but will do. The number (89, 77) seem so low to my untrained eyes and with Millie being so high for so long, I guess I got accustomed to it. She also just had a reduction so it definitely makes sense.

This is sooooo new for us but also so great to see!!! Can't express my appreciation enough. Time for a +1.
 
Sylvia & Millie said:
@Mandy & Rex Your post showed up in my email but I couldn't find it in the thread, not sure what happened. You mentioned lowering by .25 increments.QUOTE]
Gill posted right after I did and I realized she had better advice so I quickly deleted my post. Now I know I should just add an ETA to my post to ignore my advice. :) She is far more experienced than I am
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ETA: Sorry - I can't fix this so my reply isn't in the quote area.
 
Looks like Milly is staying flat at that +1, the lack of food bump at +1 may indicate an active cycle, if this were George, I'd give him a teaspoon of MC to keep him surfin along and grab a +2.
 
Gill & George said:
Looks like Milly is staying flat at that +1, the lack of food bump at +1 may indicate an active cycle, if this were George, I'd give him a teaspoon of MC to keep him surfin along and grab a +2.
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Gave her a bit of HC sauce early on when I was nervous. She just ate a bit more a few minutes ago and is sleeping. Her +2 BG is due in 5 minutes.

What do you mean by active cycle? (ups & downs?)
 
Sylvia & Millie said:
Gave her a bit of HC sauce early on when I was nervous. She just ate a bit more a few minutes ago and is sleeping. Her +2 BG is due in 5 minutes.

What do you mean by active cycle? (ups & downs?)
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An active cycle is one where the early BG tests show a substantial drop and that can indicate that more monitoring is needed because there could be surprises ahead - like Teasel's cycle today. o_O
 
Where do I find the information that tells you the ranges of LC, MC or HC food? I looked on the food chart but didn't see it (I don't mean the % of individual foods, I mean the 0-4 is LC, kind of thing). Millie's chicken is 8% carb and her beef i 13% carb. She has been getting mostly chicken lately.
 
Sylvia & Millie said:
Where do I find the information that tells you the ranges of LC, MC or HC food? I looked on the food chart but didn't see it (I don't mean the % of individual foods, I mean the 0-4 is LC, kind of thing). Millie's chicken is 8% carb and her beef i 13% carb. She has been getting mostly chicken lately.
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Carb % according to Slang Dictionary

HC - High carb canned food (usually 16 - 24% carbs, depending on the cat)
MC – Medium carb food (usually 11 - 15% carbs, depending on the carb sensitivity of the cat)
LC - low carb aka reg canned food (usually 10% carbs or less, depending on the carb sensitivity of the cat)
 
Sylvia & Millie said:
Where do I find the information that tells you the ranges of LC, MC or HC food? I looked on the food chart but didn't see it (I don't mean the % of individual foods, I mean the 0-4 is LC, kind of thing). Millie's chicken is 8% carb and her beef i 13% carb. She has been getting mostly chicken lately.
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I was told LC is 0-8, MC is 9-16, and HC was 17+.
ETA: Use what Chubba just posted ... I was trying to remember from memory. :(
 
Chubba said:
Carb % according to Slang Dictionary

HC - High carb canned food (usually 16 - 24% carbs, depending on the cat)
MC – Medium carb food (usually 11 - 15% carbs, depending on the carb sensitivity of the cat)
LC - low carb aka reg canned food (usually 10% carbs or less, depending on the carb sensitivity of the cat)
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Very helpful. I thought Millie's chicken (10%) was MC, and that's what I've been giving her. Will switch to the beef.

Thanks a bunch!
 
Millie was 87 at her +3. This was after my giving MC food which she ate about 15 minutes ago so maybe it hasn't had an effect yet? I have her LC with a little HC sauce this morning.

Continue as I'm going or add higher cal food?
 
Sylvia & Millie said:
Millie was 87 at her +3. This was after my giving MC food which she ate about 15 minutes ago so maybe it hasn't had an effect yet? I have her LC with a little HC sauce this morning.

Continue as I'm going or add higher cal food?
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Take action number is 68. Millie is safe at 87. It looks like it may be a flat green cycle, which is perfect! I would continue doing what you are doing.
 
Lovely numbers, keep on doing what you've been doing.

Remember that as the cycle progresses, it's likely that she'll need less carbs to keep her surfin.

I found, with George that I needed to be more agressive with the carbs earlier on in the cycle say before +4 in a cycle where he was dropping early, if I continued being heavy handed with the MC or HC after +4 then what I found was that I would affect the duration and he would jump right up by next PS.

So if at +4 Millie is still staying flat you may want to just try LC snack at +4, to see if that will keep her surfing along, the idea is to keep them surfing along in green for as long as possible, I found that keeping notes alongside his BG in the ss of what I fed and when really helped me figure out what worked with George, I tried different strategies, and when I looked back i could see what worked for him and what did not.

:D:D:D
 
Gill & George said:
Lovely numbers, keep on doing what you've been doing.

Remember that as the cycle progresses, it's likely that she'll need less carbs to keep her surfin.

I found, with George that I needed to be more agressive with the carbs earlier on in the cycle say before +4 in a cycle where he was dropping early, if I continued being heavy handed with the MC or HC after +4 then what I found was that I would affect the duration and he would jump right up by next PS.

So if at +4 Millie is still staying flat you may want to just try LC snack at +4, to see if that will keep her surfing along, the idea is to keep them surfing along in green for as long as possible, I found that keeping notes alongside his BG in the ss of what I fed and when really helped me figure out what worked with George, I tried different strategies, and when I looked back i could see what worked for him and what did not.

:D:D:D
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I'll try to keep notes on a pad, I'm very slow typing. Then I'll transfer over to SS. Hopefully I'll remember what I did this morning, lol!
 
+5 was 89.

Lots of question: Do I continue to test hourly? Do I feed or give a snack again?

So if her dose remains the same will she adjust and we won't have to do this again too soon?
 
Kris & Teasel said:
Do you have some gravy style wet food? Maybe try just a teaspoon of the gravy to keep her surfing in dark green.
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I will try that and see if she eats.

I was told to keep her dose the same this evening but I'm concerned about the lower numbers and controlling with food if I can't do this tonight or tomorrow during the day.
 
Sylvia & Millie said:
I will try that and see if she eats.

I was told to keep her dose the same this evening but I'm concerned about the lower numbers and controlling with food if I can't do this tonight or tomorrow during the day.
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By the same you mean 1 u, right? I'd wait to see how the rest of this cycle plays out. She might go high(er). Post for advice. This is the down side of really good numbers.
 
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