Chloe 20

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Teenuh said:
I mean . . . I guess this makes sense in a way. There are great-knowledgeable doctors/specialists and there are some not so great, lack the knowledge.

Anyway, I'm glad you found a vet who is on board with you!
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I’m not saying she’s as experienced as the people here by any means.? She seemed open & pleased to the info that this board has given me.
 
srk4cats said:
doin' swell. how's chuck?
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He's not very happy with me. I've been testing every hour for for the first half of the cycle the last few nights. We added another insulin to our game plan to try to bring his numbers down without having to increase his lantus dose. So he's hiding under the chair.
 
I see that 46 on your SS, Roberta. This dive might have been brewing since the 2.5 u dose on your AMPS yesterday of 113. I strongly encourage you to get a before bed test every night. She might have signalled her intention to drop then. The night before she dropped to low dark green when you gave 2.5 u on a PMPS of 149.

Just saw your negative ketones test - hurray! Skipping insulin after a DKA isn't ideal but I don't know what else you can do on a work day. She's far too low to give her shot.

Post DKA she needs enough insulin to keep ketones at bay. That means you might have to feed her higher carb food to support that higher dose. I don't know the carb level of the 9 Lives she eats but you might need to switch it up for now until she's well past the DKA crisis.
 
I agree with Kris.
It looks like you'll have to increase the carb level of her food. When she gets down to under 50 it will cause a bounce and she'll be in dangerous numbers again risking ketones.
 
Kris & Teasel said:
I see that 46 on your SS, Roberta. This dive might have been brewing since the 2.5 u dose on your AMPS yesterday of 113. I strongly encourage you to get a before bed test every night. She might have signalled her intention to drop then. The night before she dropped to low dark green when you gave 2.5 u on a PMPS of 149.

Just saw your negative ketones test - hurray! Skipping insulin after a DKA isn't ideal but I don't know what else you can do on a work day. She's far too low to give her shot.

Post DKA she needs enough insulin to keep ketones at bay. That means you might have to feed her higher carb food to support that higher dose. I don't know the carb level of the 9 Lives she eats but you might need to switch it up for now until she's well past the DKA crisis.
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Thank you so much for your advice. Chloe is eating again. I'll have to call in at work to say I'll be late. I won't leave until she is above 100. When do you think I can give her a reduced dose, maybe .5?
 
srk4cats said:
Thank you so much for your advice. Chloe is eating again. I'll have to call in at work to say I'll be late. I won't leave until she is above 100. When do you think I can give her a reduced dose, maybe .5?
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How long do you have before you have to leave for work? You could give 0.5 u just so she has some insulin in her. My guess is she'll bounce after this lime green so that tiny dose should be OK. If you give it, test her before you leave to see what's happening.

If you don't have any higher carb food at home I suggest you get some. You can mix gravy style food (high) with low carb pate to create a medium carb food so you only need low carb and high carb in your pantry to give you lots of options.
 
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I agree. She needs insulin but was obviously too low at 46. I think we suggested higher carb food so she can get a higher dose before...with the DKA on her past it’s super important.
 
Based on 1/26, 1/27, and 2/9 AM cycles I think 0.5 units would be ok and I agree with testing before leaving the house after the dose.
If you test again before the insulin and she's over 150, I think 1 unit would be ok too.
 
If you're feeling braver you could go as high as 1 u, Roberta. If you've already given 0.5 u don't give more though. Just trying to figure out what's best for Chloe right now.
 
Kris & Teasel said:
How long do you have before you have to leave for work? You could give 0.5 u just so she has some insulin in her. My guess is she'll bounce after this lime green so that tiny dose should be OK. If you give it, test her before you leave to see what's happening.

If you don't have any higher carb food at home I suggest you get some. You can mix gravy style food (high) with low carb pate to create a medium carb food so you only need low carb and high carb in your pantry to give you lots of options.
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She is at 58 and I've put some honey in her mouth at 6:30 and again just now. Her BC is not moving much. Do you think it's safe to go to work or should I wait another hour?
 
I just opened a can of generic wet food and poured out all the gravy into Chloe's bowl. She is eating and all the other cats came running, too, so it must be a cheap hi-carb. Moisture is 78%, protein 10%, so that would make it 12% carbs, right?
 
srk4cats said:
She is at 58 and I've put some honey in her mouth at 6:30 and again just now. Her BC is not moving much. Do you think it's safe to go to work or should I wait another hour?
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She's not budging much. You can't surmise the %carbs from that analysis on the label unfortunately. You just have to assume that because it's a gravy style food it's high carb (usually starch in the gravy).

Trying to balance the need for insulin against the low BG is really tricky. Maybe wait an hour, retest and if she's high enough from that food give 0.5 u. Leave out more of that food while you're at work. That seems the best of less than ideal solutions.
 
I just emailed work that I will be late, but after reading the new email from my principal, I don't feel like going in at all. I emailed back that I would be late, but that also, I was feeling harrassed. Maybe I won't go in at all today. He was supposed to do my observation yesterday and didn't and I'm sure he's going to claim that it was scheduled for today. Prick.
 
srk4cats said:
I just emailed work that I will be late, but after reading the new email from my principal, I don't feel like going in at all. I emailed back that I would be late, but that also, I was feeling harrassed. Maybe I won't go in at all today. He was supposed to do my observation yesterday and didn't and I'm sure he's going to claim that it was scheduled for today. Prick.
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If you decide to stay home, try the 0.5 u dose. Test 2 hours after and keep high carb food out of the picture if you can.
 
srk4cats said:
I just emailed work that I will be late, but after reading the new email from my principal, I don't feel like going in at all. I emailed back that I would be late, but that also, I was feeling harrassed. Maybe I won't go in at all today. He was supposed to do my observation yesterday and didn't and I'm sure he's going to claim that it was scheduled for today. Prick.
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Side note: Do you have in writing (email or text) that the principal was supposed to do your observation yesterday? If so--I'd try not to worry. Did he just no show up yesterday? I'm sure that is frustrating-especially if you planned for it.

Wishing you and Chloe a good day.
 
Teenuh said:
Side note: Do you have in writing (email or text) that the principal was supposed to do your observation yesterday? If so--I'd try not to worry. Did he just no show up yesterday? I'm sure that is frustrating-especially if you planned for it.

Wishing you and Chloe a good day.
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No, it wasn't on my calendar. The union rep is the other special ed teacher and she's part of the problem. I called the union, even though I'm not a member. I'm going to have to take a xanax now.
 
Kris & Teasel said:
If you decided to give 0.5 u you can enter it in one of the BG cells on your SS at the appropriate time. We need to see it.
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I just tested her at +4 and she's at 121. I'm going to give her .5 now and go to work. Somehow I screwed up my SS and the colors don't show. I'll ask tech to fix it.
 
Kris & Teasel said:
You can manually colour it by using the little paint can icon in the SS tool bar. Please put in the dose in the appropriate time cell.
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every time? I don't think so. I'm in the middle of a bunch of stuff and getting very frazzled. I put the time in the comments section, but that's not working either. It's 10:25 my time and I'm going to give her 1 unit. after I test one more time.
She's at 248 at 10:25 am and I just gave her 2.5 units. Now I can breath again.
 
srk4cats said:
every time? I don't think so. I'm in the middle of a bunch of stuff and getting very frazzled. I put the time in the comments section, but that's not working either. It's 10:25 my time and I'm going to give her 1 unit. after I test one more time.
She's at 248 at 10:25 am and I just gave her 2.5 units. Now I can breath again.
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I'm not an expert, but did d you just tell us you're going to give your kitty a second dose of insulin in less than eight hours?

That's not safe to do.
 
shelaghc said:
I'm not an expert, but did d you just tell us you're going to give your kitty a second dose of insulin in less than eight hours?

That's not safe to do.
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No, when I saw she was over 200 in the morning, I gave her the full dose (2.5u). Problem is, I didn't know when to give her the PM dose. She's been eating for quite a while on and off, so I gave her the 2.5 at 7:45 pm, which is only about 9 hours after her AM dose. It may have been a bit of a fur shot because I was so hesitant. I'll test her again in a couple hours.
 
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