4/12 Honey AMPS 282, +6 198, PMPS 165

Julie and Honey said:
Thanks. I think so, but I am her mother:) All kitties are special, but I did get lucky with this one, she is a very good girl. I almost did not take her because I did not think I could love another kitty as much as my first furry child who I had for 22 years, but this kitty is just as special.
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So this is your second kitty? Nelli is my second :).
 
Krystina & Nelli said:
So this is your second kitty? Nelli is my second :).
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Yes, my first kitty (Punkin) I got as a kitten. Honey was estimated to be about 3 years old when I took her in 8 years ago. Both girls with long hair, lol. They have similar faces, but Punkin was darker coloring, tan and black stripes.
 
181 isn't far off of other test numbers

I'm not a lantus user, but if probably give the 1 unit. Might want to wait for another opinion
 
JanetNJ said:
181 isn't far off of other test numbers

I'm not a lantus user, but if probably give the 1 unit. Might want to wait for another opinion
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Thx, I am testing again in 10 minutes. I have always stalled in the past and shot around 200. Just not sure if she does not come up more, already off schedule.
 
Bron and Sheba said:
You shot a 175 a few days ago. If you can test, have plenty of strips and some higher carb food I would shoot the 1 unit also
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Didn’t shoot 175, I stalled until around 200.

I’m checking again now, hopefully she is closer to 200. Just not sure what to do if she isn’t.

45 minutes late now, hopefully that was enough stalling. She is hungry too, so food will help.
 
You have shot quite a few mid-170-180s, you may have a bounce breaking, so if you shoot, I'd get +1 and see how things go. If you are able to test, and have some higher carb food on hand, you should consider shooting. I will be around for a while if you need help.
 
Looking at your SS it looks like you have shot at least 4 in the 170 to 185 range. If you stall and shoot the stalled number you need to put that in the SS otherwise we are none the wiser.
 
Christie & Maverick said:
The 200 mark is really only for consideration until you get an idea of how your can reacts to insulin, and you seem to have enough data now IMHO to not treat that number as your no-shoot.
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I would not feel comfortable going under 200 at night, maybe in the morning
Bron and Sheba said:

Ok sorry didn’t see those. It is fine to put that there in the comments Column but you need to put it in the actual SS as the stalled number is the AMPS or PMPS. Not criticising just wanting to help with getting it sorted. :bighug:​
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Thanks. I’ll have to figure it out, I was thinking about that today. I want to keep the original number because that is always the 12 hour mark. Maybe any ones that are stalling I can put an asterisk in cell.
 
It seems you have had a few times where you have stalled, I have already provided some comment regarding your hesitation to shoot anything lower than 200. To give you some more food for thought, I think if you are able to get a +10 or +11, you may be able to see whether the cycle is coming down yet to pre-shot, or whether the cycle is waning, and Honey is on her way back up. I am extracting the following from one of the stickies about handling lower pre-shot numbers, hope it helps.

Becoming Data Ready:
Are you data ready to handle a lower preshot number?

Everyone focuses on the +6 spot check to find the cat’s nadir, but there is a reason to collect data in the very early and very late part of the cycle. The +10s and +11s and +1s and +2s are often the “neglected spot checks,” but they can be almost as important as the nadir.

Why the +1s and +2s? Let’s say you have a lower than usual preshot. If you have collected the data to know what usually happens after you shoot and how long it usually takes for the insulin to start having an effect (onset), you may see that shooting low is actually very safe for your cat. If your cat typically rises through +1 and +2 before the insulin starts to work between +2 and +3, then you can feel comfortable knowing that your cat will actually be much higher before the insulin starts to work. If your cat typically has little to no food spike or an early onset, then you may need to be more conservative with low preshots. You are not shooting the number your cat is at now – you are shooting the number your cat will be at when the insulin kicks in. You need to know what that number will be. You are then using the lag time (aka overlap and carryover) to your advantage. It is important to note that while Levemir may typically have a later onset than Lantus or Basaglar, that is not true for every cat. Know thy cat.

Why the +10s and +11s? These spot checks will help keep you out of trouble. Again, let’s say that you have a lower than usual preshot. If your preshot is higher than +10 or +11, you know the insulin from that cycle is waning, the cat is on his way up, and the number is probably shootable. If you have a preshot that is much lower than your +10 or +11, knowing why will help you decide whether or not to shoot. Some Lantus, Basaglar, and Levemir users notice a dip at the end of the cycle, meaning that the preshot is always a bit lower than +10 or +11 (but usually still higher than the nadir – the cat dips to a nadir at mid-cycle, then rises, then dips again). If this is your cat’s pattern, then this type of dip is not a reason to delay a shot. On the other hand, if your cat has a bounce clearing and is still careening downhill at shot time (usually characterized by numbers that drop for the whole cycle, without a clear nadir), then you will want to take that into consideration as you make a decision about shooting. Know thy cat.

Knowing whether your cat is one that dips at the end of the cycle can also help you with dose increases. If your nadirs are not that great and you are considering an increase, but then he dips again at the end of the cycle, you might be tempted to delay the increase. If you know that this is a usual pattern for your cat, you will know that you can ignore that dip and go ahead with the increase.

Do not forget the “neglected spot checks.” They are more useful than most realize.

Know thy cat. Be data ready to handle the situation.

~ written by jojo and bunny(GA) and Y, edited to update and clarify by Libby and Lucy

Again, IMHO, we all have had to get used to shooting lower preshots...not saying it is easy, but depending on your goals for Honey, at some point you may need to get more comfortable with the idea.
 
For stalling before preshot, I stack the data in the same cell...I enter in recorded BG level, followed by +20min (or whatever time) BG which records the time variance between shot. Similar to doing multiple tests in one hour, just enter in the data in the same cell.
 
Hi Julie
Sorry I took so long getting back to you. I had a friend arrive who stayed ages.
I think Christie has explained how to stack the numbers in the AMPS column when you stall. If I can help further with that please tag me.
I think you have enough data to start thinking about shooting a lower Preshot. I know it can be scary but if you take it slowly you will be fine.
Start off shooting numbers in the high 100s. You can see when you stall that Honey comes up within the following hour, so if you gave the insulin at the original shot time you might be able to bring down the numbers overall which would be a good thing for Honey. Then when you are comfortable with shooting in the higher 100s you could move it to 150.
Think about it anyway. We are here to help you anytime.
 
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