? 1/26 - Wally - PMPS: 83, +1: 92, +2: 88, +3: 72, +4: 77, +5: 85, +6: 110, +9: 265

What a perfect progression of almost all the colors! My buddy Lou is a rainbow kitty as well, but even he hasn't had every color showing so beautifully! I hope he continues to stay steady for you now that he's come out of the clouds. I'm excited to see where he ends up! I hope you both have a wonderful day!
 
I am very glad to see Wally back in the blues. Hope he is breaking the bounce from the blues the night before last. I hope tonight's pre shot number will be starting with a high blue or a low yellow.
 
real-time update +10: 169

he is right now relaxed and cuddle with his sister

wallyeve.jpg
 
AW! Love the Photo! It's always better to have more than one cat,so they can cuddle :) Great to see the Blue #'s! Don't forget to try & fill in some parts of the puzzle at Night!
roks.jpg
 
Thank you MWM.... I will take PMPS measurement in 15 minutes from now.

Shot was planned 45min from now... so we have some time to decide what to do

I will wait your feedback before shoting / feeding
 
Ok. Hold off on the PMPS for 30 minutes and don't feed Wally to see if he might start rising on his own. You don't need to leave such a gap between tests and shots. I will check back in then. Wally isn't far from 150 so unless he drops further and assuming you can monitor him at least till +3 tonight, I'd say give the 7.5u. I'll watch for the PMPS and then we can decide best course of action.
 
http://www.felinediabetes.com/FDMB/threads/tight-regulation-shooting-handling-low-numbers.147/

"... If it is your first time shooting green, then we will likely suggest that you stall the first time, even if the number is 80-100. That will let you collect data on what your cat will do when you stall. One thing you can do if you are having a low cycle is to get a +10 and +11. Those will give you a good idea of how quickly the cat’s numbers are rising (or not) when preshot time arrives."

we are not green, but very close for the first time
 
You are indeed getting close but Wally still has a little ways to go. I remember how nerve wracking all this can be when numbers start dropping but it will get easier. My kitty was on 16u of insulin twice daily for a time so I know the higher doses can cause even more uncertainty for the CG. Wally and you are doing great!
 
Hmm! He's on a mission. Can you stall for another 30 minutes without feeding Wally without disrupting your schedule too much?
 
Not a problem... I can stall as much as we want!!

But Wally is kissing me for food right now...his way to ask for food

Should I measure again at +0.5 ?
 
OMG! What a wonderful surprise! Now I think the big question is how much are you willing/able to monitor through the night and do you have lots of supplies on hand should he get even friskier?
 
I am willing to test as much as needed!!! What is the plan now?

I do have 40 strips with me... but in case I can refurbish even on night
I do have alot of patience :)
I do have anxiety :)
I do have a hungry cat :)

When they say you should stall it means wait some time or give no insuline at all?
 
You can stall a bit longer but I doubt that is going to bring him up much if at all or shoot a reduced dose. If he were mine I'd probably reduce by 25% so down to 5.5u. Then I would test him at +2 to see what he's up to. I'll keep an eye on you.
 
I'm stalling with no food for now...

I immagine that skipping the dose for a cycle is out of discussion from what you said. I don't understand what the page means exactly when they talk about stalling...
 
Since the lowest that has been shot was a 173, I am thinking a reduced dose also. And since Wally has had a recent DKA, skipping is not good choice. Chances are that he will start to shoot upwards in bounce mode, but I am thinking more of a reduced dose too. And sometimes the longer you stall with a hungry cat, they will continue to drop more.......
 
The number he is at the time of the shot will go into the PMPS cell along with the 129 and put @ +12.5 if it the shot was 30 minutes late. If it's 1 hour late then it would say @ +13. That will tell us and you that you stalled and shot later. Then the next test you get at the actual +1 after the shot will go in that cell and all subsequent test will be in the correct cell.
 
Stalling is simply withholding food, waiting 30 minutes or so and then retesting to see if the BG is coming up on its own. Wally obviously wasn't going anywhere but down so no point in continuing to stall.
I'm not clear on what you have or are doing.
You are feeding Wally and giving him his shot now. And will test him again in 2 hours (+2 from new PMPS) Correct?
 
Sorry, I was out on the water. You would have been fine shooting. If you are nervous you can do a reducted dose, but I am not a fan of those. The depot means a good part of this cycle will likely play out like it would have without a reduction.

Awesome on the first green! That means we keep holding this dose,
 
Also, they can keep dropping without food, so at some point you have to get strong, feed and shoot, or his numbers will keep dropping. Food will boost him up.
 
The amount you shoot is up to you. This is your first green so you could reduce, but like I said, you could still have an interesting cycle where you need that Red Bull. However, shooing late also acts like a bit of a reduction on it’s own, so I am no a fan of delaying and shooting less. However, it’s your call.
 
Do you have higher carb food, maybe some medium carb around? One option is to give him a boost with food.

If you give full dose, you still do 7.5 because he hasn’t earned a reduction yet. You could go with 4 if that makes you too nervous. Note that he will bounce high after his first greens.

Whatever you shoot, test again at +1 and +2 to start.
 
I did shot 5.5U because I am scared of low numbers ...quoting wally’s endocrynologist that didn’t know TR - ‘never shot below 200”)...

Now how often should i monitor him?

By the way thank you all!!!!
 
While you are monitoring Wally, let's fix your spreadsheet so anyone following has the right information.

Please put the readings of 95 @ +12.5 and 83 @ +13 into the same box with the 129. It should look like this.
Wally.PNG
That way when you test at +1 after his new shot time the +1 box will be available for you to put in his new reading.:D
 
The number he is at the time of the shot will go into the PMPS cell along with the 129 and put @ +12.5 if it the shot was 30 minutes late. If it's 1 hour late then it would say @ +13. That will tell us and you that you stalled and shot later. Then the next test you get at the actual +1 after the shot will go in that cell and all subsequent test will be in the correct cell.

Can you please check If i did the the SS correctly? will my cycle become shifted +1 forever?
 
While you are monitoring Wally, let's fix your spreadsheet so anyone following has the right information.

Please put the readings of 95 @ +12.5 and 83 @ +13 into the same box with the 129. It should look like this.
View attachment 42126 That way when you test at +1 after his new shot time the +1 box will be available for you to put in his new reading.:D
Thank you , you read my mind... please check If i did correctly :)
 
Your spreadsheet looks perfect! :D
will my cycle become shifted +1 forever
No you can work the time back to your usual time over the next couple of days. Plan to shoot 15 to 30 minutes earlier tomorrow morning. If you shot at 8:15pm tonight you'd shoot at 8am or even 7:45 am tomorrow morning and so on until you get back to your regular shot time.
 
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