1/27/20 PMPS 135, 127@+1, 103@+2, 112 @+3, 107@ +4, 121@ +5

Jazmin

Jazmin

Member Since 2015
I'm VERY shocked for his PMPS to be 135... I tested my monitor with the control solution and it came back fine. I unfortunately let him start eating right away while the meter was loading because I was 100% sure it was going to be high...

We're doing 1 unit 2x per day of lantus.

Yay??? I feel like I should be happy but Im honestly just confused.
 
I should add too, vet said he wanted Io on his current insulin regimen for 14 days, so if I skip tonight am I throwing everything off and the depot is wrecked?
 
When you test for Preshot try not to offer food before you get the result. If it’s lower than normal you can stall, don’t feed, and test again in 20 mins to see if it’s rising.

You could test again 20 mins after the first test to see what it is, but it will be food influenced.
If you did shoot tonight, do you have plenty of test strips, high carb food and honey/ karo. And willing to stay up all night if necessary.
At the moment Io is too low for you to shoot so early in the journey
 
Bron and Sheba (GA) said:
When you test for Preshot try not to offer food before you get the result. If it’s lower than normal you can stall, don’t feed, and test again in 20 mins to see if it’s rising.

You could test again 20 mins after the first test to see what it is, but it will be food influenced.
If you did shoot tonight, do you have plenty of test strips, high carb food and honey/ karo. And willing to stay up all night if necessary.
At the moment Io is too low for you to shoot so early in the journey
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I didn't shoot. Def learned my lesson on the food thing. I just really was not expecting this at all so soon.

If the spreadsheet number is blue or green thats the no shoot zone correct? Is the green zone remission?
 
As you gather data you can start to shoot lower BGs. If you are unsure, stall, don’t feed and post and ask for help.

remission happens when cats can stay in green numbers without insulin.
 
Thanks Chris.
Jasmin can you add to your signature that Io had recent ketones please.
You will need to give some insulin tonight Jasmin because of the recent ketones.
you can either give the full dose and give some higher carb food to bring the BG up a bit or you could give a reduced dose of say 0.5 units but you will have to test tonight.
It is important that he gets some insulin.
 
Chris & China (GA) said:
Yes, at least.....Personally I'd probably give the 1U dose and get a test at +1 and +2 (to start) so if you need to intervene with high carb food, you can do it early.

But if you're more comfortable giving .5, then do it. I'd still plan on getting a +1 and +2
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If I need to, how do I know how much high carb food to give him? Can I just give him his old kibble he was on?
 
We don't like using kibble because it takes too long to get into the bloodstream. You should keep some medium and high carb foods in the house just in case, like Fancy Feast Gravy Lovers (the beef is the highest)….the gravy part has most of the carbs so when I needed it, I'd pop the top, put it back down and "squeeze" the gravy into another bowl. Give a couple teaspoons and then test again in 20-30 minutes.

You can also use Karo/honey/syrup....a few drops into a teaspoon or 2 of his regular low carb food (and again, retest in 20-30)
 
Chris & China (GA) said:
We don't like using kibble because it takes too long to get into the bloodstream. You should keep some medium and high carb foods in the house just in case, like Fancy Feast Gravy Lovers (the beef is the highest)….the gravy part has most of the carbs so when I needed it, I'd pop the top, put it back down and "squeeze" the gravy into another bowl. Give a couple teaspoons and then test again in 20-30 minutes.

You can also use Karo/honey/syrup....a few drops into a teaspoon or 2 of his regular low carb food (and again, retest in 20-30)
Click to expand...
Like maple syrup?
 
Just an FYI....we have a tradition here. If we suggest someone shoot a lower number than they're used to, we will stay online to watch out for you (as long as necessary) to make sure you're kitty stays safe.

If we can't stay online, we'll either tell you up front, or we'll find someone else to take over.

@Bron and Sheba (GA) and @Deb & Wink have lots of experience too
 
Jazmin said:
Like maple syrup?
Click to expand...

That'll work! When China was first diagnosed, I literally had a bottle of syrup in every room in the house...just in case...LOL

First time she went under 50, I grabbed it and poured about a cup full into a bowl and gave it to her (she liked it!)….later, I found out I was only supposed to give a few drops, not half the bottle!

Needless to say, her BG went up....and up.....and up!
 
Chris & China (GA) said:
That'll work! When China was first diagnosed, I literally had a bottle of syrup in every room in the house...just in case...LOL

First time she went under 50, I grabbed it and poured about a cup full into a bowl and gave it to her (she liked it!)….later, I found out I was only supposed to give a few drops, not half the bottle!

Needless to say, her BG went up....and up.....and up!
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Oh boy! What is it about the ketones that change everything regarding when to shoot even if low?
 
Once a cat has ketones, it's much more likely that they'll have them again. The recipe for ketones is Not enough insulin + not enough food + infection/inflammation.

If you skip the insulin, they're much more likely to start developing ketones again so even if we have to feed them higher carb food, it's important to keep giving insulin.
 
Bron and Sheba (GA) said:
Great advice from Chris.
Sorry I was MIA last 1/2 hour. Dr apt.
I can be around off and on for the next several hours if necessary.

Are you testing each day for ketones?
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I wasnt able to test today since I was back at work, but the last three days the tests have been negative
 
Chris & China (GA) said:
Once a cat has ketones, it's much more likely that they'll have them again. The recipe for ketones is Not enough insulin + not enough food + infection/inflammation.

If you skip the insulin, they're much more likely to start developing ketones again so even if we have to feed them higher carb food, it's important to keep giving insulin.
Click to expand...
So because he had ketones does that mean he needs to be on insulin forever?
 
Jazmin said:
So because he had ketones does that mean he needs to be on insulin forever?
Click to expand...
Not necessarily. If he goes into remission he won't need insulin but while he needs insulin you need to be aware that he is more prone to ketones than some other cats.
If he is sick, lethargic or not eating, you need to check for ketones.
 
Bron and Sheba (GA) said:
Not necessarily. If he goes into remission he won't need insulin but while he needs insulin you need to be aware that he is more prone to ketones than some other cats.
If he is sick, lethargic or not eating, you need to check for ketones.
Click to expand...
He’s been alert and pretty active the past four days which has me hopeful
 
Okay I did a +1 and its at 127

Under 50 is when I should be concerned and give him syrup right?
 
Post when you get the +1 and keep the SS updates
Jazmin said:
Okay I did a +1 and its at 127

Under 50 is when I should be concerned and give him syrup right?
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Yes.
Do you have any higher carb food? Around 12%
If so I would give him a teaspoon of it now as we don't want him to drop low too early in the cycle.
 
Bron and Sheba (GA) said:
Post when you get the +1 and keep the SS updates

Yes.
Do you have any higher carb food? Around 12%
If so I would give him a teaspoon of it now as we don't want him to drop low too early in the cycle.
Click to expand...
How can you tell the carb %? I have some b.f.f. Wet food in minced style tuna based in gelee and then mixed style tuna based in gravy
 
Bron and Sheba (GA) said:
Post when you get the +1 and keep the SS updates

Yes.
Do you have any higher carb food? Around 12%
If so I would give him a teaspoon of it now as we don't want him to drop low too early in the cycle.
Click to expand...
Is 127 already too low of a drop?
 
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Jazmin said:
How can you tell the carb %? I have some b.f.f. Wet food in minced style tuna based in gelee and then mixed style tuna based in gravy
Click to expand...
Can you look it up in the weruva website?
Or in Dr Piersons site
https://catinfo.org/docs/CatFoodProteinFatCarbPhosphorusChart.pdf

Jazmin said:
Is 127 already too low of a drop?
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It's not a big drop at all, but he didn't get a food bump either and it's early in the cycle so good to just bring the BG up a bit for when the insulin onsets.

Did you feed some food at all?
 
Bron and Sheba (GA) said:
Can you look it up in the weruva website?
Or in Dr Piersons site
https://catinfo.org/docs/CatFoodProteinFatCarbPhosphorusChart.pdf

It's not a big drop at all, but he didn't get a food bump either and it's early in the cycle so good to just bring the BG up a bit for when the insulin onsets.

Did you feed some food at all?
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fed him his normal fancy feast classic pate, he is napping now but in his “happy boy” napping position opposed to how he was sleeping last week
 
Chris & China (GA) said:
That's OK...you're doing great!

He's still in nice safe numbers.....how about a +3? I'll be watching for you
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This is honestly such a mess tonight. I only have one test strip left because I wasnt expecting to go through so many and my meter sucks I need to nail it on the first one but then idk what about tomorrow mornings test. I feel like such a huge failure with this
 
Tomorrow can you go out and buy some medium carb food around 11 to 16% and high carb food 17% and up and when you get it home mark the number of carbs on the top of the cans and put them in another spot in the cupboard because you will need them again.. you can check Dr Piersons list for details of carbs.

I have to go out for an hour or two but Chris is staying with you.
 
Jazmin said:
This is honestly such a mess tonight. I only have one test strip left because I wasnt expecting to go through so many and my meter sucks I need to nail it on the first one but then idk what about tomorrow mornings test. I feel like such a huge failure with this
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Are you able to go out and buy some more test strips tonight?
 
This is all still very new to you. Please don't get upset with yourself. Diabetes is a complicated disease but you have lots of us to help you learn.

It's a whole new world, but you can do it! Because you care!
 
Chris & China (GA) said:
This is all still very new to you. Please don't get upset with yourself. Diabetes is a complicated disease but you have lots of us to help you learn.

It's a whole new world, but you can do it! Because you care!
Click to expand...
Thank you :bighug:

okay I got the relion premier classic and got 112 for his reading
 
That's great!!! He's doing fantastic and all these wonderful blue numbers are "pancreas healing" numbers! That's exactly what you want!

Is he a big eater? Like will he eat as much and as often as you feed him?
 
Good job in getting more strips Jazmin! If you update your title with your numbers, it will be easier for the experienced folk to keep an eye one you.


PMPS 135, 127@+1, 207@+2 etc.
 
Chris & China (GA) said:
That's great!!! He's doing fantastic and all these wonderful blue numbers are "pancreas healing" numbers! That's exactly what you want!

Is he a big eater? Like will he eat as much and as often as you feed him?
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I’ve always free fed him, he’s definitely never been an over eater and has always been relatively slim. He can’t resist a freshly cracked open pate usually though ;) Do you think I would be clear to go to bed? I wake up at 5am generally :banghead:

also tomorrow morning if he’s still blue for his AMPS do I do the .5 of insulin again?
 
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