2/4 Rosie PMPS116 +6 23

[Carol in Chicago]

Rosie has been having lower AMPS lately. Usually stall 30 min and it is OK to shoot.

Today AMPS was 40. After 30 min stall she is now at 37. Do I continue to stall or feed now because she is still dropping?

Previous.

 

[Carol in Chicago]

15 min later she is now 43. I'm feeding, but don't know what to do WRT shot. NS, BCS or something else?

I have supplies and can monitor.

 

[Alicia & Maggie (GA)]

Hope Rosie comes up so you can shoot as usual. Hope experienced members chime in. Seems like BCS would be good so something gets added to the depot. Or if you can be off schedule you could shoot 18 hrs. off the last shot so you can feed her now and let her rise.

 

[Nan & Amber (GA)]

Yikes, Rosie! 30's at pre-shot time???? Way to make a point!

I'm also hoping that some members experienced with over-5U dosing can offer input. If it were my cat, I'd probably do a NS to drain the depot a bit because she was so low and any rise now can't be disentangled from food influence, but that is not based on expertise, just caution. Hopefully some experts will be able to offer opinions in time.

 

[Carol in Chicago]

I reduced to 5u and shot 1 hour late. I'll monitor.

Thanks @Alicia & Maggie and @Nan & Amber for being early birds and jumping in. Rosie has been doing very well. I don't want to mess her up. I have a history of too many reductions too fast when I panic.

 

[Dyana]

She gets a reduction for the 37. Glad you can be home to monitor.

 

[Carol in Chicago]

PMPS is 116. +6 23!

Fed HC. Will retest in 15 min.

 

[Carol in Chicago]

Retested and she is now at 33. I'm adding syrup to her next serving of HC and will update in 15 min.

 

[Chris & China (GA)]

Rosie!!! UP girl, UP!!!

 

[Chris & China (GA)]

The LagoonMeisterin is on her way with the water wings!!

 

[Carol in Chicago]

Retested. Still 33. Will offer another small serving HC. She go really excited when her autofeeder opened, but once she realized it was the "normal" food and not this yummy stuff, she walked away without touching it.

 

[Chris & China (GA)]

I'd add a little more syrup too

And I think tomorrow you might want to do a real depot draining dose (as long as she's high enough for insulin at all)

 

[Carol in Chicago]

I'd add a little more syrup too

And I think tomorrow you might want to do a real depot draining dose (as long as she's high enough for insulin at all)

Thanks for being here Chris. Yes. Added syrup. She is slowing down in terms of eating, but at least licking the gravy.

I'm completely lost regarding what to do tomorrow.

 

[Carol in Chicago]

+7 is 41

 

[Chris & China (GA)]

+7 is 41

Keep going....lather, rinse, repeat until she's at least in the mid-50's but I think it's going to be a long night

Once she's really up, you can test 30 minutes later...then if she's still going up (and not by just a couple points) maybe wait an hour, but if she drops back down at any time, you have to start over

We suggest testing every 30 minutes for an hour, and then 1 more test an hour later so that you're testing for 2 hours from the last time you have to feed anything HC

 

[Chris & China (GA)]

I wish I could stay longer but I have to be out to take my mom to an appointment in 4 1/2 hours, but I saw what was going on and didn't want you to think you were alone either.

 

[Chris & China (GA)]

@Tricia Cinco(GA) & Harvey ....can you hang around a little while?

 

[Carol in Chicago]

I wish I could stay longer but I have to be out to take my mom to an appointment in 4 1/2 hours, but I saw what was going on and didn't want you to think you were alone either.

Thanks Chris! I'm OK. Lather, rinse, repeat. Yep. She needs a bath.

 

[Tricia Cinco(GA) & Harvey]

I'm here.

 

[Chris & China (GA)]

Well I just saw that @Tricia Cinco(GA) & Harvey was online....she's had more than her fair share of PJ parties so I'm hoping she'll see the tag and stop by and say hello

In the meantime, here's a couple of strong cups of coffee....I think you're going to need them!

 

[Chris & China (GA)]

I'm completely lost regarding what to do tomorrow

I'd probably go with something like 3U (if she's high enough for insulin at all)....enough to hopefully keep the ball rolling, but drain that overfull depot a little too so you can get some sleep!...because you're not going to get much tonight!!

Others may have some other suggestions too

 

[Chris & China (GA)]

Good luck.....I'll leave you in the capable hands of Tricia!!

Will check on you tomorrow and see what the rest of the night was like.

UP Rosie...UP!!!

 

[Tricia Cinco(GA) & Harvey]

I'm completely lost regarding what to do tomorrow.

I agree with Chris. I think the depot needs to drain a little. Something has changed and Rosie doesn't want as much juice right now. I would wait to make a definite decision until close to AMPS. but I'm thinking a significant BCS to drain the depot might be in order.

 

[Tricia Cinco(GA) & Harvey]

Do you have a +7.5? I would be testing every 30 minutes until she's above 60.

 

[Carol in Chicago]

Do you have a +7.5? I would be testing every 30 minutes until she's above 60.

She is now at 27. I'm syringing syrup now.

 

[Tricia Cinco(GA) & Harvey]

Rosie! Enough is enough! You've made your point. Now up, please.

Let me know what the +8 is, Carol.

 

[Carol in Chicago]

+8 is 21. I have given an additional .5 ml syrup and will update with an 8.5 in 20 min.

 

[Tricia Cinco(GA) & Harvey]

Carol, how is she acting? Normal? Lethargic? Anything unusual? I am concerned about her being this low this long.

 

[Carol in Chicago]

Nothing unusual in terms of behavior. I'm "looking" for any type of symptoms and don't see them. She is responsive when I'm talking to her and since she didn't care for the syringe much, I just offered her some butter with sugar in it. She really liked that.

 

[Tricia Cinco(GA) & Harvey]

Good. I wouldn't wait 30 minutes, but test after 20. We need to get her out of the 20s.

Not to alarm you, but how far away is the nearest ER?

 

[Wendy&Neko]

Personally, unless she was clearly skyrocketing by the AM, I would think about skipping. That depot is seriously overfull and you have a somewhat larger dose depot to deal with. If she comes up significantly, I'd still think half dose.

BTW, when you are over 5 units, I'd still do a 0.5 unit reduction instead of just 0.25. Got caught with a 20's when I did the same thing myself. Neko didn't show signs in the 20's either.

Anything below 40 means karo. The amount you gave before seems too little.

 

[Tricia Cinco(GA) & Harvey]

Personally, unless she was clearly skyrocketing by the AM, I would think about skipping.

I was thinking the same thing, but wanted to wait to see if we could get her out of the 20s before mentioning it. Something has changed and the depot needs to be drained.

 

[Carol in Chicago]

At 8.5 she is 48.

 

[Tricia Cinco(GA) & Harvey]

Great. Did you give her more food or syrup?

 

[Carol in Chicago]

While this is the first time I have had to break out the Karo, she has done this before (sudden dives). I was trying to get through it without NS, BCS due to my own panic. Needless to say, panic doesn't quite cover this...

 

[Carol in Chicago]

Great. Did you give her more food or syrup?

This was .5ml syrup with a butter /sugar chaser. She didn't like the syrup syringe so I offered her a "treat" of butter with sugar in it. She really like that.

 

[Wendy&Neko]

You do get a heightened sense of adrenaline when you see the 20's. A skip will also let you sleep tomorrow, which you'll probably need.

 

[Tricia Cinco(GA) & Harvey]

This was .5ml syrup with a butter /sugar chaser. She didn't like the syrup syringe so I offered her a "treat" of butter with sugar in it. She really like that.

Whatever works at this point. I'll be watching for your next test. Once you get her over 50, we'll cut the food/syrup to see if she can maintain without help.

 

[Tricia Cinco(GA) & Harvey]

You do get a heightened sense of adrenaline when you see the 20's. A skip will also let you sleep tomorrow, which you'll probably need.

I totally agree. At this point, I think a skip in the morning is the best option, but the next hour or so will tell us how much longer you'll need to monitor. I can hang around another 1.5-2 hours if needed, and then hopefully, if you need further help, some East Coasters will be available.

 

[Tricia Cinco(GA) & Harvey]

How are you doing, Carol? It's very late for you and this has got to be stressful. Remember to breathe.

 

[Carol in Chicago]

How are you doing, Carol? It's very late for you and this has got to be stressful. Remember to breathe.

I'm OK as long as she is OK. I have been doing all of this to help her. I don't know what I would do if I was the one who hurt her.

 

[Tricia Cinco(GA) & Harvey]

I don't know what I would do if I was the one who hurt her.

You aren't going to hurt her. You are keeping her safe. Hang in there.

 

[Carol in Chicago]

+9 is 47.

 

[Tricia Cinco(GA) & Harvey]

That's flat. That's better than falling. Did you give her any more syrup or food?

 

[Carol in Chicago]

That's flat. That's better than falling. Did you give her any more syrup or food?

She licked some sweet butter off my finger as a post test treat, but nothing else.

 

[Carol in Chicago]

9.5 is 41. No food / treats.

 

[Carol in Chicago]

+10 is 36. No food / treats.

 

[Carol in Chicago]

+10.5 is 29. Gave .5ml Karo with butter treat.

 

[Carol in Chicago]

+11 is 39. No food / treats.

 

[Nan & Amber (GA)]

Oh my goodness!!!!!! Rosie!

Is the ER close? You've been keeping her going with karo/butter+sugar for a long time now, it might be time to let the pros take it from here.