? !Help! with Mimi PMPS 105, ... what to do

Mimis mom said:
http://www.felinediabetes.com/FDMB/threads/mimi-amps-300-2-212-6-155.221407/


I wait again?
@Sandy and Black Kitty @MrWorfMen's Mom

@Sienne and Gabby (GA)
@Bron and Sheba (GA) @Marje and Gracie

should I give her a smaller dose so she doesn’t bounce all over again. It seems like giving her the dose yesterday made her go too low which caused her to bounce too high- maybe she’s trying to tell me she needs less insulin?
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I’ve tagged 5 people and not one person can get back to me :(
 
115 at the +12.5 mark, let her lick some of the HC food about 30 minutes ago- probably not smart but that was me wondering if she ate her auto feed food because I didn’t separate them today
 
Bron and Sheba (GA) said:
Rosa, when you stall you do not feed as it bumps up the BG.

Are you going to be home tonight to test , all night if necessary?
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What is my other option- to stall the shot? I still haven’t shot her.. I’ll just try and scale her back every 15 minutes if I’m to wait.

I’ll be home I just will want to be sleeping at some point.
 
Mimis mom said:
What is my other option- to stall the shot? I still haven’t shot her.. I’ll just try and scale her back every 15 minutes if I’m to wait.

I’ll be home I just will want to be sleeping at some point.
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is that what diabetics would do (humans) if their pre shot was low, would they wait until it went up and then just change their every 12 hour shot time
 
Once you have given her some food, there is no sense in stalling longer.
First priority is to keep her safe.
How long can you test tonight?
I have to leave soon so please answer
 
I need to know if you are willing to test tonight as long as it is necessary.
And do you have some higher carb food and plenty of strips
 
is there anyone else on here thats experienced like you that can help me after you leave? Thanks :)
 
Bron and Sheba (GA) said:
I need to know if you are willing to test tonight as long as it is necessary.
And do you have some higher carb food and plenty of strips
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What is as long as necessary. So every time she tests low I need to be prepared to test every hour? There has to be an easier way- will stalling the shot help?
 
Id rather keep stalling so I don't have to keep testing her so much.. I ordered some more Freestyle Lite strips- I can't take the blood amount for the Relion- its making both of us mad (Mimi and I) that .2 is a HUGE difference..
 
Rosa...I have to leave in 5 minutes.
If you shoot, you will need to test as long as it is needed. It will all depends on what the BG level does.
It is not good to skip with a post DKA cat.
 
Bron and Sheba (GA) said:
Rosa...I have to leave in 5 minutes.
If you shoot, you will need to test as long as it is needed. It will all depends on what the BG level does.
It is not good to skip with a post DKA cat.
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I won't skip - ill just delay- is that what diabetics do normally? If it was too low do you wait until its high again??
 
Rosa --

If someone is offering to help you, you need to stay on track and answer their questions. Bron is telling you she can help but within certain parameters. I won't be awake much longer. I have to work tomorrow.

People are different than cats. A human can make his or her own decisions and/or communicate to other people. Our cats do not communicate in English and typically cannot feed themselves. Asking what humans do is irrelevant.

If you are going to follow TR, you need to decide what is the lowest number. you feel that you can comfortable shoot.
 
Sienne and Gabby (GA) said:
Rosa --

If someone is offering to help you, you need to stay on track and answer their questions. Bron is telling you she can help but within certain parameters. I won't be awake much longer. I have to work tomorrow.

People are different than cats. A human can make his or her own decisions and/or communicate to other people. Our cats do not communicate in English and typically cannot feed themselves. Asking what humans do is irrelevant.

If you are going to follow TR, you need to decide what is the lowest number. you feel that you can comfortable shoot.
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Im not exactly sure what you mean by not answering her questions..Also, I tagged 5 people, three which were online, and didn't hear a response for an hour. I just need to know if her BG is in normal range, will that mean it stays that way. I don't want to shoot her and do what I did yesterday- something about that seemed like I should have waited. Isn't human diabetes very similar to feline in the way its treated and handled? Thats the gist I got from Dr. Pierson from catinfo
 
Sienne and Gabby (GA) said:
Rosa --

If someone is offering to help you, you need to stay on track and answer their questions. Bron is telling you she can help but within certain parameters. I won't be awake much longer. I have to work tomorrow.

People are different than cats. A human can make his or her own decisions and/or communicate to other people. Our cats do not communicate in English and typically cannot feed themselves. Asking what humans do is irrelevant.

If you are going to follow TR, you need to decide what is the lowest number. you feel that you can comfortable shoot.
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How do I know what is the lowest number? have I collected enough data to know? I read about TR and its said you can shoot as long as its about 50 was it? but that comes after knowing your cats cycle
 
Read above post #12 to see what Bron posted and how you were asking more questions and not responded to what she asked. And yes, she told you she had to leave. Just like I said I can't stay up with you because I have to be up early for work and I'm also juggling an emergency at work tonight.

With TR, ultimately you should be able to shoot any number over 50 providing you can monitor and have strips and HC food on hand. No one expects someone to do this immediately out of the gate. Look at Gabby's SS. Look at Marje's Grace's SS. Look at lots of SSs. Feline diabetes is similar to diabetes in humans. However, humans can test themselves, eat at will, etc. A cat does not have opposable thumbs and can't open a can of food.

You are asking for guarantees. There are none. A cat is a living being and inherently, they like to be unpredictable and keep us guessing. Ideally, when you shoot low, the curve flattens out and the cat "surfs" in a good range. But, that doesn't always happen. Hence, you need to be prepared to monitor and have supplies should they be needed.

If numbers are below your comfort zone, you can skip, stall but do not feed your cat, or shoot a reduced dose. Those are your options.
 
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Sienne and Gabby (GA) said:
Read about post #12 to see what Bron posted and how you were asking more questions and not responded to what she asked. And yes, she told you she had to leave. Just like I said I can't stay up with you because I have to be up early for work and I'm also juggling an emergency at work tonight.

With TR, ultimately you should be able to shoot any number over 50 providing you can monitor and have strips and HC food on hand. No one expects someone to do this immediately out of the gate. Look at Gabby's SS. Look at Marje's Grace's SS. Look at lots of SSs. Feline diabetes is similar to diabetes in humans. However, humans can test themselves, eat at will, etc. A cat does not have opposable thumbs and can't open a can of food.

You are asking for guarantees. There are none. A cat is a living being and inherently, they like to be unpredictable and keep us guessing. Ideally, when you shoot low, the curve flattens out and the cat "surfs" in a good range. But, that doesn't always happen. Hence, you need to be prepared to monitor and have supplies should they be needed.

If numbers are below your comfort zone, you can skip, stall but do not feed your cat, or shoot a reduced dose. Those are your options.
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I just tested her and she’s 110... could that mean she’ll stay low all night? Should I test out skipping a dose since I’ve waited so long?
 
At what time did you get the 110? The information isn't on your SS.

I have no idea if Mimi will stay low all night. None of us have a crystal ball.

If you've delayed more than 2 hrs, you should consider whether your schedule can handle being off track by that amount. Also keep in mind that skipping a shot is not the best strategy for a cat that's recently experienced DKA.

What do you think you should do?
 
You are two hours late for the shot and gave HC 45 minutes ago? Is that correct?

I, for one, didn’t get your tag. We’ve found that if you put the tags next to each other, it doesn’t seem to notify the tag-ee. The best way to do it is make a vertical list, one name per line.
 
Sienne and Gabby (GA) said:
At what time did you get the 110? The information isn't on your SS.

I have no idea if Mimi will stay low all night. None of us have a crystal ball.

If you've delayed more than 2 hrs, you should consider whether your schedule can handle being off track by that amount. Also keep in mind that skipping a shot is not the best strategy for a cat that's recently experienced DKA.

What do you think you should do?
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well last time I skipped it was because she was at 60, 70, and then at +16 jumped to 528!! but this time her numbers are in the blue, looking like a cat that doesn't have diabetes. I don't know. I guess just keep checking and as soon as its high enough, shoot? I don't want her to bounce again, that can't be good for her pancreas right?
 
Marje and Gracie said:
You are two hours late for the shot and gave HC 45 minutes ago? Is that correct?

I, for one, didn’t get your tag. We’ve found that if you put the tags next to each other, it doesn’t seem to notify the tag-ee. The best way to do it is make a vertical list, one name per line.
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no I gave a tiny bit (I don't even know if she ate the actual meat, she was licking it mostly) at +12. so its been almost 2 hours since then. I fed them their raw at 10:45, because a recent DKA kitty should keep eating too right?
 
Sienne and Gabby (GA) said:
At what time did you get the 110? The information isn't on your SS.

I have no idea if Mimi will stay low all night. None of us have a crystal ball.

If you've delayed more than 2 hrs, you should consider whether your schedule can handle being off track by that amount. Also keep in mind that skipping a shot is not the best strategy for a cat that's recently experienced DKA.

What do you think you should do?
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I got it at +13.5 I have it on my SS now
 
FROM CATINFO.ORG

Very Critical Points
If you do not read any further on this webpage, please understand the following principles. Your cat’s life literally depends on your understanding of these issues.

Many cats that are in a diabetic state no longer need any insulin when they are finally fed an appropriate low-carbohydrate diet.

Others will always need some insulin but the amount necessary to maintain proper blood glucose levels is nearly always significantly reduced once the patient is on a low carbohydrate diet.

Please re-read the previous two paragraphs carefully.

If you change your diabetic cat’s diet to one with lower carbohydrates, he will, in all probability, IMMEDIATELY (not days or weeks later) require a reduction in his insulin dosage. He may also immediately go into ‘remission’ and not need any insulin at all.

If this warning is ignored, you may very well end up with a cat in a hypoglycemic crisis (dangerously low blood sugar) which can result in death, or brain damage.

If you take only one point away from this page, it needs to be the understanding that if you stop pouring carbs into your cat by switching to a low-carb canned food diet (or even a dry food diet with lower carbs than you have been feeding), you MUST be aware of the probable immediate and significant impact on your cat’s insulin needs.
 
Rosa

We know all of that. Can you please answer my question so I can help you? That’s what we need to focus on right now: whether to give insulin and how much.
 
What +time is 10:45? Giving the hour in your time zone is not helpful since were scattered all over the world. Bron is in Australia.

Rosa - what is your point about copying the information about the importance of a low carb diet from Dr. Lisa's website?

Again, what do you think you should do?
 
Mimis mom said:
FROM CATINFO.ORG

Very Critical Points
If you do not read any further on this webpage, please understand the following principles. Your cat’s life literally depends on your understanding of these issues.

Many cats that are in a diabetic state no longer need any insulin when they are finally fed an appropriate low-carbohydrate diet.

Others will always need some insulin but the amount necessary to maintain proper blood glucose levels is nearly always significantly reduced once the patient is on a low carbohydrate diet.

Please re-read the previous two paragraphs carefully.

If you change your diabetic cat’s diet to one with lower carbohydrates, he will, in all probability, IMMEDIATELY (not days or weeks later) require a reduction in his insulin dosage. He may also immediately go into ‘remission’ and not need any insulin at all.

If this warning is ignored, you may very well end up with a cat in a hypoglycemic crisis (dangerously low blood sugar) which can result in death, or brain damage.

If you take only one point away from this page, it needs to be the understanding that if you stop pouring carbs into your cat by switching to a low-carb canned food diet (or even a dry food diet with lower carbs than you have been feeding), you MUST be aware of the probable immediate and significant impact on your cat’s insulin needs.
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my reason for posting this is because they are on a raw diet- just organs, whole animal, heart, liver and kidneys, so its probable that she might just be regulated for a bit? is that common? like a cat can maintain a below 150 BG for all of their second cycle and then start rising again for their next one? (almost like the insulin worked 24 hours?)
 
And I can delay two hours if i have to- I don't have a client tomorrow until noon- I just need to tell them to block me out.
 
Ok.... she’s flat and hasn’t gone down further. After stalling this long, we would normally shoot the full dose and feed a good meal then test at +1 and +2.

Here’s what you need to know: I am not able to stay up but will be here for the +1 so if you shoot, you will be on your own until (and if) Bron gets back.

I will answer your other questions after we deal with this.
 
Sienne and Gabby (GA) said:
What +time is 10:45? Giving the hour in your time zone is not helpful since were scattered all over the world. Bron is in Australia.

Rosa - what is your point about copying the information about the importance of a low carb diet from Dr. Lisa's website?

Again, what do you think you should do?
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the point of me posting that was because I was trying to ask - is it possible since she's staying so flat, and is on raw, could this be happening to her? Not saying it is, but what if it was? just tested again and its 118
 
Again, I will answer all your questions when we deal with her shot. Are you going to give her insulin? I can be here for +1; Christie can be here until +3. Bron might be back as well.

Remember it’s not smart to skip when a cat has had DKA and she’s at a shootable number. She is not in remission at this time.
 
Marje and Gracie said:
Again, I will answer all your questions when we deal with her shot. Are you going to give her insulin? I can be here for +1; Christie can be here until +3. Bron might be back as well.

Remember it’s not smart to skip when a cat has had DKA and she’s at a shootable number. She is not in remission at this time.
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ok so you do believe this is a shootable number even though its flat
 
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