20 June Tucker AMPS 18.8, 3.25u Lantus

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Tucker

Tucker

Member Since 2018
So I had to go out early this morning and was unable to post the numbers for his AMPS (15.2). Then I came home at 2pm and tested him and he was 14.00, then had to dash out the door again. So at 5:30 I did his PMPS BG and it was 7!!! I retested in case it was a bad test strip or something and it came up 9.3. What do I do now?? He seems very happy and social with the other kitties, purring and joyful to see us show up after being out all day.
 
Tucker said:
So I had to go out early this morning and was unable to post the numbers for his AMPS (15.2). Then I came home at 2pm and tested him and he was 14.00, then had to dash out the door again. So at 5:30 I did his PMPS BG and it was 7!!! I retested in case it was a bad test strip or something and it came up 9.3. What do I do now?? He seems very happy and social with the other kitties, purring and joyful to see us show up after being out all day.
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Stall and do not feed him yet. When did you last test him?
 
I tested him at 2pm (+8) and it was 14. I tested him at 5:45 and it was 7, so I retested and it was 9.3. I came inside and texted our vet and got online with this message to the forum. The vet says "If he eats and is happy give him the 3.25 shot. If he doesn't eat or is unhappy give him half a dose." Then she came back and said that it is great that we finally have him down in the blues and it may be that he is a cat who takes a slightly smaller dose in the evening than he does in the morning.
 
Just found out my husband went out and gave him a packet of raw BARF kangaroo meat! Geez...... Suggestions on how to proceed now?
 
Ok, first of all it is far better to give the same dose morning and night.....not give one dose in the morning and a different dose in the evening. The trick is to find the best dose that will allow you to give the same dose each time....unless you are purposely increasing or decreasing the dose as per the TR protocol..

How long ago did your husband give him the BARF kangaroo?
And what is his BSL now?
 
He gave him the food about 20 minutes ago. I'll go check his BG now and report back in a minute.
 
Ok. If he had the food 20 minutes ago, that BSL is probably food influenced.
If the previous BSL was 9.3 (167) then he was probably going to drop a bit lower without that food.
If the previous BSL was 7(126) then the BSL has risen a bit but is food influenced.
The reason we say to stall is to see if the BSL will rise on its own and then it usually means that the insulin is wearing off and it is safe to shoot.
So because he has been fed it makes it not straight forward.....don't be cross with DH though....it is all a big learning curve.
I think maybe test again in 20 minutes and we will see what his BSL is and then decide what dose to give.
That will mean his 6:6 is a bit out but you can make your way back to the usual times over a day or two.
Are you happy to do that?
 
Ok the BSL is probably food influenced but the insulin is probably wearing off as well.
Do you have plenty of test strips?
Are you happy to test more frequently tonight until we see how he is going?
If so I think you would be safe to give the 3.25 units. If you don't feel comfortable with doing that you could give 3 units.
He is your cat and you must be comfortable doing it.
I will stay with you through the evening.
Either way I think you should get a +1 and a +2 and we can see how he is going and then decide when to test next.
 
I'm happy to do whatever is best for Tucker. Since I'm home you are saying to go ahead and give him the 3.25 now, then test his BG in another hour?
 
@LizzieInTexas I am glad you are around too. We are having wild weather at the moment and I am concerned we could get a blackout, in which case my internet would go down. If so it is good to know there is someone else online. It's evening here but must be morning for you.
 
Bron and Sheba said:
@LizzieInTexas I am glad you are around too. We are having wild weather at the moment and I am concerned we could get a blackout, in which case my internet would go down. If so it is good to know there is someone else online. It's evening here but must be morning for you.
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Yes. 5:15am here. I will be around for about 30 more min then I will leave for work.

We have a tropical wave coming ashore :rolleyes:. I can relate to the nasty weather.
 
When you draw breath and have a minute....you must be exhausted after yesterday and then finding a low number this evening........it is always scary the first time you see a low number but you will grow to love them........can you go to your SS and change the numbers please..
What time did you take the BSL 7? Was it +12 or earlier.
When we stall we write the numbers as follows so everyone will know what has happened and when.
If you took the 7 at +12 go to the PMPS box and write 7@+12; 9.3@+12; 9.3@+12.5; PMPS 13.4@+13;
Write all those in the PMPS box. Then your +1 will go in the normal PM +1 box.

Here's the tricky part........and if you don't feel you can manage it til the morning that is fine....
When we write anything but numbers only in the world boxes, the US SS will not translate it directly over like it does when we write say the number 7. It puts in odd signs etc. so manually go over to the US page of the SS and in the PM box you wrote all those numbers in you will find it is all odd numbers etc. delete them and manually write in what you wrote in in the world SS but use the US numbers. So 7 will became 126, 9.3 will become 167, and 13.4 will become 241. Does that make sense?
 
So I tried to update the SS with the correct format. Then I clicked on the tab below the SS for the US conversion to come up. Nothing is written there at all! It is showing me a completely empty spreadsheet.
 
Tucker said:
+1= 19.1! What the?
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He is bouncing from the BSL of 7
He is not used to being in near normal numbers any more and his body has said....'help, emergency, and his liver has dropped hormones and glucose into his system in an effect to save himself from the perceived threat.
This is a very common reaction when the BSL suddenly drops like it did today to 7 (126) so don't worry about it.
It is called 'bouncing' and it can happen if the numbers drop suddenly, or they drop lower than the cat is used to in the recent past. It can take up to 6 cycles for the numbers to go back to normal...sometimes fewer cycles, so if he has higher numbers over the next few days than he has had in the last couple of weeks, don't be alarmed. He doesn't need more insulin, he just needs to wait it out.

Let's take a +4 and if it is still up you won't need to test again this cycle.....you can have a good sleep.
 
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Yup, I was just reading about 'bouncing' and thought it sounded like what is happening to him tonight. He's very happy still, hanging out with his best bud, Daisy. He trills to her and she womps him on the booplesnoop........a game that can last for hours. If there is any noise in the kitchen he sprints in-just in case there is a snack on offer, so obviously he is still hungry. I'll wait 3 hours and retest. Thank you!
 
Tucker said:
So I tried to update the SS with the correct format. Then I clicked on the tab below the SS for the US conversion to come up. Nothing is written there at all! It is showing me a completely empty spreadsheet.
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It can be very frustrating when trying to fill out the US SS if you usually work with the worlds SS, because it all has to be done manually. The US SS is not empty though on my computer. The only thing missing are all the numbers from this evenings BSLs in the PMPS column. In world SS PMPS column from this evening you have missed out on one of the numbers. It might be easier to write:
7 and 9.3 @+12; 9.3@12.5; PMPS 13.4@+13

Why don't you leave the US numbers til morning when you are feeling less tired. I used to get very frustrated with them at times.
 
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Isn’t that +4?
He’s dropped a bit so might be a good idea to get a later test, say + 8 or +9 to check he is not dropping. Can you manage that? Try and sleep in between tests.
Tomorrow, because he was an hour late having the last dose, if you want to go back to the original times you need to go back 1/4 hour each cycle until you get back to 6:6 or whatever times you used.
 
Yes, I caught that and edited it to +4. I'm going to set an alarm and get up in 4 hours to check him again but am thinking I'll be on my own at that hour. Can you give me an idea of what I need to do if it has slipped to say below 15? or below 10? or if it is holding at around 16? If it is below 10 do I give him some food with carbs in it or just recheck a couple of hours later? I feel like some sort of a guideline might be helpful in the wee hours of the morning.
 
At +8 if the BSL is still around 16 (288) then no need to test again.
If it has dropped to say 10(180) then might be worth a + 10 because he dropped late in the last cycle and if you get a lowish number in the morning a + 10 might be useful.
There is no need to feed him unless he is dropping really low, but if you want to give him a small snack when you test him that is fine.
The US will be getting up now so if you need more help post and change your subject line to get attention. I will head off to bed now as I have an early start in the morning.
You are doing really well managing him and I can see you are getting the hang of it all. He’s a lucky boy to have you. :)
 
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