Zeke - 8/12 - Stall with testing, AMPS 63, +0.5 90, +1 122, +2 187, +4 296, +10 329, PMPS 256 +2 309

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Meridith and Zeke

Meridith and Zeke

Member Since 2017
Yesterday's Condo

Last night after I went to bed, Zeke had a very active cycle! Only had my daughter do the +4 and +6, but she has learned enough to know that she needed to keep testing with the way he was dropping. She has earned getting to sleep in a bit this morning. :)

+4 233
+6 180
+8 138
+10 122

His AMPS is 69. Do I stall then test again or just feed and skip shot with it being that low? This is the first time on Lantus he has been this low
 
I got up early and honestly figured I would just be getting dosing help for an under 150 amps, wasn't expecting the drop he had from +10 to his amps.
 
Yes I can monitor. I work from home.j

Stalled and have done another test at 15 minutes after amps and it is 58, so still dropping.
 
If need be, yes. I would rather go off schedule a little then try to shoot too low. I might have to separate a fat boy we have though before he starts getting destructive without his food though. (he is very demanding when he thinks it is meal time and he isn't getting it.)
 
I hope his next test is high enough that you feel comfortable shooting, or the one after that. Do you have plenty of test strips and HC or syrup for just in case? I have to leave in 15 minutes for a car appointment that I can not get out of, so I can't advise you to shoot and stay with you.
Come on up now, Zeke.
 
:bighug::bighug:

We have a saying around here, shoot low to stay low, but with Zeke being so new to Lantus and never having a pre shot number close to this low, I don't know what I would do.

So, I don't have any real advice, just offering hugs! :bighug::bighug:
 
I am rereading over the sticky for shooting low. So depending on his number when he starts going up, (I am assuming above 50 or so) I would want to feed and shoot?

Dyana said:
I hope his next test is high enough that you feel comfortable shooting, or the one after that. Do you have plenty of test strips and HC or syrup for just in case? I have to leave in 15 minutes for a car appointment that I can not get out of, so I can't advise you to shoot and stay with you.
Come on up now, Zeke.
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Yes, I have plenty of strips, a can of hc and walmart 10 minutes away if I need anything else :) My daughter can always watch if I do have to step away.

Thank you @Osha.
 
I would ask myself what number you feel comfortable shooting. Like would you be okay shooting when he gets to 100 or 85 or ? Do you have supplies and can be around to monitor all day? How off schedule is it possible to be? Depending upon the number you shot, you may want to start with some higher carb food, so sending someone to go get some more HC will probably be necessary. If you shoot, keep testing often and posting his numbers for guidance.
 
Dyana said:
I would ask myself what number you feel comfortable shooting. Like would you be okay shooting when he gets to 100 or 85 or ? Do you have supplies and can be around to monitor all day? How off schedule is it possible to be? Depending upon the number you shot, you may want to start with some higher carb food, so sending someone to go get some more HC will probably be necessary. If you shoot, keep testing often and posting his numbers for guidance.
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I have a can of HC I can give him right now if needed. I honestly don't know where I would feel comfortable shooting. Haven't had this before. I know it is better to shoot then skip a shot. Going by his SS do you have a suggestion of what could be a safe starting number for shooting?
 
Since Zeke is not in a life threatening situation, please take down the 911

Since we don't have much Lantus data on Zeke and your schedule can accommodate stalling, I would continue to stall (not that it is a guarantee he will go up)
here is an example of how I documented stalls on the ss ( I did quite a bit of stalling)

stall.jpg
 
OMG! He is certainly giving you a dramatic change of pace! Now you have a new skill....stalling! I'll be following along to see what your furball does today! Can I have my patience pants back now!?!:woot:
 
Doodles & Karen said:
When's the last time he ate? He could stay around that number without food but hopefully the next test he'll come up a little more for you. Green preshots are a gift but only if you're ready too to take the plunge.
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It would have been at +10 (2 hours before his AMPS) at the latest.

Sandy and Black Kitty said:
Since Zeke is not in a life threatening situation, please take down the 911

Since we don't have much Lantus data on Zeke and your schedule can accommodate stalling, I would continue to stall (not that it is a guarantee he will go up)
here is an example of how I documented stalls on the ss ( I did quite a bit of stalling)

View attachment 30267
Click to expand...

What does the NO R mean? And still stalling.

MrWorfMen's Mom said:
OMG! He is certainly giving you a dramatic change of pace! Now you have a new skill....stalling! I'll be following along to see what your furball does today! Can I have my patience pants back now!?!:woot:
Click to expand...

Yes, I will gladly give them back!
patiencepants-jpg.30249
 
13.25 is 62, we are still hanging at these numbers.

Hopefully soon he will start rising. With being off schedule, means I will be able to get at least a +11 in the morning when normally I am not up at that time. Might even be able to do a +10 if he keeps going the way he is.
 
Meridith and Zeke said:
What does the NO R mean? And still stalling.
Click to expand...
Black Kitty had a high dose condition call IAA. I was using Lantus, and a rapid acting insulin on top of the Lantus as needed , Humulin R or R for short.

How is his appetite?
Did you ever have to guide his numbers with food on novolin?

If you were to shoot now, you likely have a couple hours until onset. He likely will bounce at some point - he did shoot up after that green on 8/5.
What do you think?

 
Sandy and Black Kitty said:
Black Kitty had a high dose condition call IAA. I was using Lantus, and a rapid acting insulin on top of the Lantus as needed , Humulin R or R for short.

How is his appetite?
Did you ever have to guide his numbers with food on novolin?

If you were to shoot now, you likely have a couple hours until onset. He likely will bounce at some point - he did shoot up after that green on 8/5.
What do you think?
Click to expand...

His appetite wasn't as good yesterday AM, but with his higher numbers that was normal for him. He ate much better last night at dinner and afterwards. My daughter had to put out some more food for them at one point during the night.

There was only one time that we actually used food for the purpose of guiding his numbers and that was when he went neon green 7/18 pm.

So you think feed, shoot and monitor close? Feed his normal friskies or higher carb?
 
Meredith, I know how scary this is! I think Zeke was in a bounce when you upped the dose to 2.25u and that bounce has now suddenly cleared. Looks to me like 2.25u is a good dose for now. It's up to you but if you can monitor today, then shooting low helps to keep them low. As long as Zeke is eating well, then you can steer him if need be. It's up to you and you have to decide what you are comfortable with. You won't have to do this alone if you decide to go ahead! :)
 
Transitioning to Lantus from a non depot type of insulin can leave a kitty vulnerable for the development of ketones. With that recent ketostix reading of 'small' I think its important to get insulin and calories into him.

If you are comfortable that he will eat if and when you need him to and provided someone makes a run for some more HC food (one can may not be enough)
Also, do you have Karo or honey in the pantry?

If you shoot, shoot the same dose - 50 is the reduction point with TR, unless you were to have a cycle that demanded constant feeding to keep above 50.

What do you think?

BTW I'll be around until 2pm eastern
 
Sandy and Black Kitty said:
If you were to shoot now, you likely have a couple hours until onset. He likely will bounce at some point - he did shoot up after that green on 8/5.
What do you think?
Click to expand...

Yes, he does always bounce with a low number. So would I feed him his normal friskies pate, or would hc be better? And would I need to be testing every hour? To make sure he doesn't drop too low? Or start out every 30 minutes til I see that he is rising after his shot?
 
Sandy and Black Kitty said:
Transitioning to Lantus from a non depot type of insulin can leave a kitty vulnerable for the development of ketones. With that recent ketostix reading of 'small' I think its important to get insulin and calories into him.

If you are comfortable that he will eat if and when you need him to and provided someone makes a run for some more HC food (one can may not be enough)
Also, do you have Karo or honey in the pantry?

If you shoot, shoot the same dose - 50 is the reduction point with TR, unless you were to have a cycle that demanded constant feeding to keep above 50.

What do you think?

BTW I'll be around until 2pm eastern
Click to expand...

Since I know I can monitor him and I also have the help of my daughter for that, I think we can shoot. I do have some honey also so if needed quick rise can use that on his gums. How would I need to do my testing after feeding and shooting since I will want to monitor more closely?
 
I'm betting Zeke will either surf after the shot or go up rather than down. Testing intervals later on are going to depend on what he does so you really just have to play it by ear.
 
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