Asia 12/10 AMPS 55, +3.5 43, +4 55, PMPS 216

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Asia, be a good girl and let momma bean give you your insulin today. Don't go any lower!
 
I stalled for 30 and she's testing 55. Without food, I would expect her to keep dropping. Her last meal was +8 pm cycle. I don't want to skip a shot because I have a pretty good idea where that will get me. I don't think a BCS dose will do much to prevent the impending downward drop if I shoot, so that doesn't seem helpful to mess with the depot. If I shoot, can I load her up with carbs right after the shot to try to get a higher number for the insulin to work with?
 
MyTitan said:
Paula and I play the guessing game. One of us guesses the BG number and the other has to say over or under. If the number guesser gets within 5 points of the actual it's an automatic win. Are we sick or what?
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We do it all the time here as well. Guess the BG, but it's price is right style, closest without going over is the winner. Hey, you have to take the levity where it presents itself! :joyful:
 
Just fed tsp of FF gravy and regular food, I think I'm going to go through some FF today. I feel like she would drop in the first 1-2 hours which is why I'm concerned. Having a higher number to drop from is my preference. :facepalm:
 
I'm curious why you didn't reduce Asia's dose after the 48 on 12/6? That's dose reduction territory unless Asia has been diabetic for more than a year.

If you're following TR, shooting numbers in the 50s is feasible if you'll be home to monitor, have strips, and HC food on hand. The rationale is that onset takes roughly 2 hours, you're at the end of the cycle when numbers typically rise, and you'll giving Asia her morning meal -- which also causes numbers to rise. You've shot green before albeit, not quite this low.
 
Sienne and Gabby (GA) said:
I'm curious why you didn't reduce Asia's dose after the 48 on 12/6? That's dose reduction territory unless Asia has been diabetic for more than a year.

If you're following TR, shooting numbers in the 50s is feasible if you'll be home to monitor, have strips, and HC food on hand. The rationale is that onset takes roughly 2 hours, you're at the end of the cycle when numbers typically rise, and you'll giving Asia her morning meal -- which also causes numbers to rise. You've shot green before albeit, not quite this low.
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Thanks, Sienne. I discussed the reduction with Marje. I decided to do 3 under 50 or 1 under 40 because she already had a failed reduction from this dose and both times her low number was off of a really wonky cycle. She has dropped before onset, even from green, more than once.
 
She gave me a 43 after FF gravy (guess not long enough after) and I "fed" her some honey (tapped it on her mouth so she had to lick it off) and now she's at 65. It's going to be a long day.

So to recap: lowest AMPS to date and reduction earned in first 15 minutes of the cycle. :facepalm:
 
Stacy --

That's a reasonable strategy. I would put the info in your signature, though. I know I won't remember and there will be others who will keep raising the question unless we can find information on your strategy.

Just as an FYI, I'm not a big fan of using HC to bump up the numbers at AMPS in order to shoot. When I was nervous about shooting low, I would get a test at +0.5 or at +1 and then give HC if necessary. Gabby had an early nadir so dives into low numbers was pretty common for us.
 
MyTitan said:
Paula and I play the guessing game. One of us guesses the BG number and the other has to say over or under. If the number guesser gets within 5 points of the actual it's an automatic win. Are we sick or what?
Click to expand...
Stacy & Asia said:
We do it all the time here as well. Guess the BG, but it's price is right style, closest without going over is the winner. Hey, you have to take the levity where it presents itself! :joyful:
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I call the meter the one arm bandit (like slots) - I often asking him if he is going to give me winning numbers. :D

Stacy & Asia said:
She gave me a 43 after FF gravy (guess not long enough after) and I "fed" her some honey (tapped it on her mouth so she had to lick it off) and now she's at 65. It's going to be a long day.

So to recap: lowest AMPS to date and reduction earned in first 15 minutes of the cycle. :facepalm:
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Good luck. Hopefully she will come up a bit and surf for you. As hard as it is I have to give Gizmo at least 30 min for any amount of carbs to influence his numbers.
 
Sienne and Gabby (GA) said:
Stacy --

That's a reasonable strategy. I would put the info in your signature, though. I know I won't remember and there will be others who will keep raising the question unless we can find information on your strategy.

Just as an FYI, I'm not a big fan of using HC to bump up the numbers at AMPS in order to shoot. When I was nervous about shooting low, I would get a test at +0.5 or at +1 and then give HC if necessary. Gabby had an early nadir so dives into low numbers was pretty common for us.
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Just was not sure what to do, I was almost positive she would drop before onset as she has a good habit of doing that and the thought is much more jarring and dramatic when the preshot is this low. I wanted her to drop from something better than a 55. As is, she gave me a 43 fifteen minutes after shot and high carbs. So you would just shoot and see where the cards fall? Even if you had a good hunch they would go lower?

I'm still figuring out which way is up with this cat. :confused: My prediction is she continues fighting to stay over 50 for a good several hours. I hope I'm wrong.
 
Good luck with trying to figure your cat out! They tend be deliberately unpredictable.

Usually, when you shoot low, the cycle is flatter. A "typical" Lantus cycle is flat -- at least as a cat is becoming better regulated. It's why a cat that's on the road to remission sees a flat cycle despite getting whatever the full dose of insulin is.

I would use the HC sparingly unless it's absolutely necessary to intervene. Again, MY strategy with Gabby would be to try LC first to see if it bumped up the numbers but I was also testing early and often. This may or may not be a good approach with Asia.

If you think it would be helpful, take a look at Gabby's SS. She would double dip (numbers drop a second time closer to shot time) which was crazy making. I was pretty compulsive about leaving comments about what I was doing in response to her numbers.

 
Sienne and Gabby (GA) said:
Good luck with trying to figure your cat out! They tend be deliberately unpredictable.

Usually, when you shoot low, the cycle is flatter. A "typical" Lantus cycle is flat -- at least as a cat is becoming better regulated. It's why a cat that's on the road to remission sees a flat cycle despite getting whatever the full dose of insulin is.

I would use the HC sparingly unless it's absolutely necessary to intervene. Again, MY strategy with Gabby would be to try LC first to see if it bumped up the numbers but I was also testing early and often. This may or may not be a good approach with Asia.

If you think it would be helpful, take a look at Gabby's SS. She would double dip (numbers drop a second time closer to shot time) which was crazy making. I was pretty compulsive about leaving comments about what I was doing in response to her numbers.
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Thank you so much for your insight, Sienne! :bighug:

It looks like Gabby responded well to LC and got a food spike when you shot low, even in the 50s. My experience with Asia is that her (no carb) food keeps her surfing, but I typically don't see food spikes like that. Asia is also a nibbler, and doesn't eat much at one time, so surely that contributes. I treated this morning's preshot like it was already below 50, proactively, because given her history, regular food wouldn't do much to slow her roll. Although she's still not very consistent, her am nadir is more often +4/+5. She's got a lot more room to drop if she's so inclined. I don't want to intervene unnecessarily, but I also don't trust her at these lower numbers and I didn't want her to earn a reduction (too late there) as 2 units didn't work out so well the last time. I know the cycles should be flat, but I guess I'm not seeing enough consistency with her to feel comfortable that it would be flat from such a low number so early in the cycle. Regardless of her early dropping, she's usually lowest +4/+5. Had this been a+3 number and there was no big drop before onset, I would have let her be with her regular food.

It's a new adventure every day. At least I'm learning something. :)
 
Nan & Amber said:
Oh, Asia, you naughty girl, you! Always coming up with new tricks to stress out your bean!

Just popping in to say "hi", will be keeping an eye on this thread to see how it goes today. You got this!
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Thanks, Nan. I'll be glued to this cat and this board for hours it appears. :rolleyes:
 
+2 52, I'm going to just give her regular food and see where she is in 30 minutes. I feel like more honey is imminent, but it's worth a shot seeing if she might surf this I suppose.
 
In my stress brain, I thought she earned a reduction (because I was thinking this is the 3rd time below green on this dose), but the first one was when she was on this dose and I took the reduction. So it's 3 under 50 since this current dose, yes? Of course, that could change today anyway if she goes lower. :eek:
 
Mini surf experiment not going well. +3.5 43, well maybe she is surfing...in the 40s o_O but we can't have that. Gave tsp of FF, a drop of honey and some regular RadCat.
 
You know, some cats do actually like the 40's! Of course, that doesn't change the take action cutoff of 50 and you still have to treat them as you are doing now (no complacency!), but if it helps reduce the stress a bit to think of this...
 
Mandy & Rex said:
Asia is giving you a hard time today. :rolleyes:

If you struggle to bring her up or to keep her in safe numbers, you may want to consider taking the reduction. But I'm not a pro like @Sienne and Gabby (GA) or @Marje and Gracie.

I'll keep an eye on you. :bighug:
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It is definitely a consideration, we will see how it plays out. This is another one off cycle that she went below 50 on though, and that was my trouble with not wanting to reduce to begin with. I really waffled with skipping her shot this morning, but it's never done well when I have. :facepalm:
 
Nan & Amber said:
You know, some cats do actually like the 40's! Of course, that doesn't change the take action cutoff of 50 and you still have to treat them as you are doing now (no complacency!), but if it helps reduce the stress a bit to think of this...
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Well she's in the 40s a lot today and she's not bothered; she does seem to enjoy the 50s, but yeah, can't let that be a thing! When she gave me a 30, she was ravenously hungry and today I'm having to pick her up and pop her over to the bowl for bites in between her hourly visit to it. :rolleyes:
 
Judy and Boomer said:
Beautiful numbers last night and this morning Asia! But no need to go any lower!
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Hello I am farely new here and a struggling tryng to get my kitty's right dosage. I am looking at your spreadsheet and find it very interesting. Based on the info on this website in the Lantus section, they say not to give insulin with numbers under 100 and under 200, to just give a small percentage of regular dose. I've tried that before doesn't work. However this kitty has gone into remission once before (last year for about 9 months) and when that happened I didn't give under 100 and it was fine. I see that you stick consistently with your dose regardless. I have been advised by Dr Pierson to do this and i guess I am afraid of his GL going too low. So I am confused as to what to do when numbers start going down. Yesterday decreased the dose to.5 from 4 because it was 57. Maybe I just can't understand how this insulin works but I need to keep him from bouncing. So confused and would love some advice. Thank you
 
+4 55, another tsp of FF. I'm glad I figured out I could dab her on the mouth with honey and she licks it off. It annoys her for sure, but it's better (for me) than going in the back side.:facepalm: She'd be less annoyed if I went in the backside than tried to touch her mouth, however. :joyful:
 
Connie Kaplan said:
Hello I am farely new here and a struggling tryng to get my kitty's right dosage. I am looking at your spreadsheet and find it very interesting. Based on the info on this website in the Lantus section, they say not to give insulin with numbers under 100 and under 200, to just give a small percentage of regular dose.
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Hi Connie, I encourage you to open your own thread on this forum and copy what you wrote into that. You'll get many more eyes and help that way. I'd love to answer some of your questions on your own thread, that way you can keep all of Junior's info in one place. As far as Asia's dose is concerned, I'm following the TR protocol to the letter, with the exception of reduction after 3 drops below 50 and one below 40, which is a modification for my cat and situation only. :bighug:
 
She's staying in safe territory, which is great! The FF is low-carb, correct? I'm confused-- are you also giving her honey right now, or was the reference to before when she was in the 40s? She shouldn't need honey now, but if you are giving it, that's good to know (so we can see how much effort it's taking to keep her here in the 50's!).
 
Nan & Amber said:
She's staying in safe territory, which is great! The FF is low-carb, correct? I'm confused-- are you also giving her honey right now, or was the reference to before when she was in the 40s? She shouldn't need honey now, but if you are giving it, that's good to know (so we can see how much effort it's taking to keep her here in the 50's!).
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No, I didn't give her honey just now, but at +3.5 when she was at 43. it's just a new way to get her to eat honey I discovered today. The FF gravy is 15 carb. She's definitely not staying over 50 without these interventions.
 
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