PMPS @ 7.3. Anyone available? Do I skip dose or wait?

Crystal&Hendrix

Crystal&Hendrix

Member Since 2020
Hi, I’m in need of some advice...

So lately my sugar babies numbers have been doing really good, all blues and greens. Tonight before his Preshot he tested at 7.2 so I stalled and didn’t give him any food, waited 30 minutes to re test him, and his number retested at 7.3... then I fed him and was going to wait another 30 minutes to retest him....should I skip his shot tonight and wait until morning? or wait until his BG rises high enough to give him his shot?? I don’t like to shoot under 150 just to be safe so I’m a little boggled at the moment. (It is 2:11am right now (I’m from Canada) and he usually has his shot around 1am/1pm. He used to be 11am/11pm but with his BG being low lately I’ve had to wait and wait for it too rise which resulted in it now being at 1-2am.)

If you have any questions please feel free to ask, thank you :cat:
 
You have shot numbers around the same BG as 7.3 (131) before.
Is there any reason you are hesitating tonight?
Are you able to monitor if you shoot, all night if necessary?
Do you have plenty if test strips and high carb food?
How is Hendrix appetite?
If you are going to stall in future... don’t feed, but test again20 mins later to see if the BG is coming up on its own.
 
I’ve never shot under 150. I usually don’t shoot if his BG is under 8.3. And I have one bottle left I just finished the first bottle tonight I will need to get some more tomorrow. His appetite is always good. And I did stall after the first test, waited 30 minutes and it came up by one point it was 7.2 the first test then I didn’t feed him I waited 30 mins and re tested and he was at 7.3 THEN I fed him to bring it up some but usually I don’t shoot unless his BG is around 8.3 because it drops to around 4.0 when I test him +3 or +4 hours after his shot so I try not to shoot under 8.3 for that reason.
 
That was after I brought it up to 11.0 I believe. He tested 7.3 then I stalled and re tested him and it was 11.0 so I gave him his shot
 
Ok so if that happens you need to write that all in SS so we can see. I’ll tell you how to do that when we sort this out.

so your choices are
  • Skip the shot
  • Give a reduced dose.... but because of the depot you will still have to monitor and he could drop lower. Nothing wrong with that though if you are testing.
If you skip you can restart at the time of your choice tomorrow as long as it’s 12 hours or more since the last injection.
Has he ever had ketones?
 
I usually write it in the notes on the side. And I honestly might skip his dose just for tonight because he’s doing so well and start fresh in the morning as long as it’s been 12 hrs like you said. I don’t even want to risk giving him a reduced dose to be honest. And no I don’t believe so but when I buy more strips tomorrow I am going to buy some ketostix as well.
 
Crystal&Hendrix said:
I usually write it in the notes on the side. And I honestly might skip his dose just for tonight because he’s doing so well and start fresh in the morning as long as it’s been 12 hrs like you said. I don’t even want to risk giving him a reduced dose to be honest. And no I don’t believe so but when I buy more strips tomorrow I am going to buy some ketostix as well.
Click to expand...


I forgot to mention I usually use a time calculator thing online (time between two times) and if he had his last shot at 1:44pm and I skip his dose tonight and start over tomorrow for 11am that’s 20 hours....does that matter? As long as it’s been 12 hours? Is it okay to give him his shot at 11am in the morning to start fresh? If that makes sense
 
Under SLGS , you would have earned some reductions with these numbers under (90) - are you trying to follow the TR ( tight regulation) dosing method?

What is the usually shooting schedule you try to follow...it looks like sometimes you have given insulin at 11PM and then stalled and gave it at 1:57 AM? Are you usually on a 11AM/ PM schedule?
 
I’m not really using a method to be honest (that I know of) I just test him when I need to. I usually always try to test him +3 or +4 after a shot somedays I’ll test him +5 or +6. My usually schedule is 11am/11pm but I have to stall a lot because his numbers are getting so good or staying low that I don’t want to risk giving him his shot if his BG is low/good. I usually don’t like to shoot under 150 so I stall a lot that’s why his times got messed up. But I’m skipping his dose for tonight and starting fresh at 11am.
 
Crystal&Hendrix said:
I’m not really using a method to be honest (that I know of) I just test him when I need to. I usually always try to test him +3 or +4 after a shot somedays I’ll test him +5 or +6. My usually schedule is 11am/11pm but I have to stall a lot because his numbers are getting so good or staying low that I don’t want to risk giving him his shot if his BG is low/good. I usually don’t like to shoot under 150 so I stall a lot that’s why his times got messed up. But I’m skipping his dose for tonight and starting fresh at 11am.
Click to expand...

I forgot to add to your reply about reductions...I’m also wondering if he needs a reduction as well. He is only on .50 dose so I’m wondering if soon he will need just .25 dose? I will have to talk to an admin about it. He’s getting better each day
 
Crystal&Hendrix said:
I usually write it in the notes on the side. And I honestly might skip his dose just for tonight because he’s doing so well and start fresh in the morning as long as it’s been 12 hrs like you said. I don’t even want to risk giving him a reduced dose to be honest. And no I don’t believe so but when I buy more strips tomorrow I am going to buy some ketostix as well.
Click to expand...

Ok, then skip tonight and give the insulin in the morning at the time which is most convenient for you to do the 12:12 cycles.

When you are stalling this is how you write it in the SS.
In the PMPS column you stack the numbers on top of each other so we can see that you have stalled and then later given the insulin when the BG has come up.
eg. 7.2@+12
11.0@+13 (PMPS)
This way we can see exactly what has happened. Does that make sense?

Also I've noticed you have tested at times and got a green number such as 4.3 and then not tested again. I would always test again an hour later, or sooner if the drop has been fast, to make sure the BG is not dropping lower.

Also one other thing.....sorry I'm mentioning all these things but they are important and I know it is hard to get your head around everything in the early days......when you put a BG number in the subject line in your thread, always put in the US version of the number. You can put your number in brackets beside it but a lot of people do not understand the rest of the world numbers and they will not be able to help. I live in Australia and use World numbers so understand.

Crystal&Hendrix said:
I forgot to mention I usually use a time calculator thing online (time between two times) and if he had his last shot at 1:44pm and I skip his dose tonight and start over tomorrow for 11am that’s 20 hours....does that matter? As long as it’s been 12 hours? Is it okay to give him his shot at 11am in the morning to start fresh? If that makes sense
Click to expand...
If you skip a shot, you don't have to wait 20 hours for the next shot. As long as its12 hours or more, that is fine. Dosing is 12 hours apart. So yes, if 11:11 are your best times, go back to those.


Also have you chosen a dosing method yet?
You are testing enough for tight regulation and getting such great numbers so early on, it would be a shame to do SLGS.

Also you need to look at slowly reducing your no shot number so you can shoot lower numbers. We can help with that and watch you the first few times.

If you have to keep stalling and skipping you may need to reduce the dose but please look at the two dosing methods.
 
Last edited:
The dosing methods are so you know what BGs signal that you should decrease the dose or thresholds for numbers that are okay to shoot.

It would be a bit easier for you to know how to handle some of the preshot numbers if you were following one method over the other. Seems like TR would be fine since you are able to test often during each cycle and that method has you adjusting the " no shoot " number after you have some data that shows you what your cat does with his insulin dose. If you are having to stall for 2 hours and/or skip doses- you might want to read up on the TR method and think about trying to shoot numbers above maybe 120 if you have supplies and can monitor. Good numbers are great, but if you have to go 20 hours without insulin or skip sometimes then maybe there is another way ...?
 
Crystal&Hendrix said:
I forgot to add to your reply about reductions...I’m also wondering if he needs a reduction as well. He is only on .50 dose so I’m wondering if soon he will need just .25 dose? I will have to talk to an admin about it. He’s getting better each day
Click to expand...
Crystal, once you choose a dosing method, the reduction BG is either 90 for SLGS or 50 for TR.
I think you could manage TR well, as you are testing enough and Hendrix is doing amazingly well for a newly diagnosed cat and if remission is your goal, the. TR is a better choice.
Think about it.
 
Bron and Sheba (GA) said:
Ok, then skip tonight and give the insulin in the morning at the time which is most convenient for you to do the 12:12 cycles.

When you are stalling this is how you write it in the SS.
In the PMPS column you stack the numbers on top of each other so we can see that you have stalled and then later given the insulin when the BG has come up.
eg. 7.2@+12
11.0@+13 (PMPS)
This way we can see exactly what has happened. Does that make sense?

Also I've noticed you have tested at times and got a green number such as 4.3 and then not tested again. I would always test again an hour later, or sooner if the drop has been fast, to make sure the BG is not dropping lower.

Also one other thing.....sorry I'm mentioning all these things but they are important and I know it is hard to get your head around everything in the early days......when you put a BG number in the subject line it in your thread, always put in the US vision of the number. You can put your number in brackets beside it but a lot of people do not understand the rest of the world numbers and they will not be able to help. I live in Australia and use World numbers so understand.


If you skip a shot, you don't have to wait 20 hours for the next shot. As long as its12 hours or more, that is fine. Dosing is 12 hours apart. So yes, if 11:11 are your best times, go back to those.


Also have you chosen a dosing method yet?
You are testing enough for tight regulation and getting such great numbers so early on, it would be a shame to do SLGS.

Also you need to look at slowly reducing your no shot number so you can shoot lower numbers. We can help with that and watch you the first few times.

If you have to keep stalling and skipping you may need to reduce the dose but please look at the two dosing methods.
Click to expand...


Okay yes that all makes sense to me. I was going to give him his shot at 11am and when I use the calculator it says 11am would be 20 hours since his last shot as his last shot was at 1:17pm. That’s why I am frustrated his times got to 1am/1pm , or 2am/2pm. And I also know and try to stack numbers but for some reason when I do that it doesn’t change colour for me it just stays white so I quit stacking them but I can fix it. It just doesn’t go blue or green when I type it in like that the column will just stay white for some reason... I also haven’t chose a dosing method I just test him when I need to because I usually can tell when his numbers are good/low if that makes sense, not always but I usually test him +3 or +4 after a shot and another day I’ll do +6 type thing. I may have to talk to an admin about getting a reduction and see if he needs
Or can have one he’s only on .50 and may need to go to .25 as his numbers are doing so good. Also when his numbers go to 4.3ish range I usually feed him a good meal that way I know it won’t drop too low if that makes sense but yes I’ll start testing an hour after I see that from now on but I’ve never seen him act funny or anything LUCKILY....it usually goes back up a few hours later when I test him again.
 
Crystal&Hendrix said:
Okay yes that all makes sense to me. I was going to give him his shot at 11am and when I use the calculator it says 11am would be 20 hours since his last shot as his last shot was at 1:17pm. That’s why I am frustrated his times got to 1am/1pm , or 2am/2pm. And I also know and try to stack numbers but for some reason when I do that it doesn’t change colour for me it just stays white so I quit stacking them but I can fix it. It just doesn’t go blue or green when I type it in like that the column will just stay white for some reason... I also haven’t chose a dosing method I just test him when I need to because I usually can tell when his numbers are good/low if that makes sense, not always but I usually test him +3 or +4 after a shot and another day I’ll do +6 type thing. I may have to talk to an admin about getting a reduction and see if he needs
Or can have one he’s only on .50 and may need to go to .25 as his numbers are doing so good. Also when his numbers go to 4.3ish range I usually feed him a good meal that way I know it won’t drop too low if that makes sense but yes I’ll start testing an hour after I see that from now on but I’ve never seen him act funny or anything LUCKILY....it usually goes back up a few hours later when I test him again.
Click to expand...


the numbers don't change automatically if you are typing anything in... you can use the fill in button on the options tab. There is one that looks like a underlined A - which is for the text and the other ( I think) looks like a paint container tipped over- which is to color the entire background or square.
 
Crystal&Hendrix said:
And I also know and try to stack numbers but for some reason when I do that it doesn’t change colour for me it just stays white so I quit stacking them but I can fix it. It just doesn’t go blue or green when I type it in like that the column will just stay white for some reason
Click to expand...

If you add any extra information other than just a number, you have to manually choose the color coding yourself. It's that way for everybody.

If the numbers you stack in the same cell are different colors (like a low blue, high green), pick the most important (usually it's going to be the lower number)
 
Si am cat mom said:
The dosing methods are so you know what BGs signal that you should decrease the dose or thresholds for numbers that are okay to shoot.

It would be a bit easier for you to know how to handle some of the preshot numbers if you were following one method over the other. Seems like TR would be fine since you are able to test often during each cycle and that method has you adjusting the " no shoot " number after you have some data that shows you what your cat does with his insulin dose. If you are having to stall for 2 hours and/or skip doses- you might want to read up on the TR method and think about trying to shoot numbers above maybe 120 if you have supplies and can monitor. Good numbers are great, but if you have to go 20 hours without insulin or skip sometimes then maybe there is another way ...?
Click to expand...
I would really like to do TR as I test him so much and his numbers are getting so good. And I know I don’t know what to do about that 20 hour mark that seems like Awhile and I don’t want his numbers to go high again....should I retest him now and see if his BG is high enough for a dose ? I just really don’t want to have his times at 3am/3pm it wouldn’t matter really it’s just hard on me....I know how to do the 15 min thing to bring it back to 11 I just don’t want him going 20 hours without medicine that seems a bit crazy...
 
Si am cat mom said:
the numbers don't change automatically if you are typing anything in... you can use the fill in button on the options tab. There is one that looks like a underlined A - which is for the text and the other ( I think) looks like a paint container tipped over- which is to color the entire background or square.
Click to expand...
Oh see I didn’t know you could do that, that’s cool and helpful. I was wondering why it wasn’t changing colour I’m like hmm that’s weird guess I won’t type it like that then. Looks like I’m going to have to spend another day again fixing his SS. Boy oh boy LOL
 
Crystal&Hendrix said:
should I retest him now and see if his BG is high enough for a dose ?
Click to expand...

At this point, I'd just skip it and start over at whatever time you want to in the morning. If you can, you might want to even shoot at 10am/10pm.....that way you'd be able to get some tests in the PM cycle without having to stay up all night.....it would also give you a little time to "stall" if you need to without pushing your shot time too far back (again)

I HATE mornings but changed China from 11/11 to 6/6 so I could get lots of PM tests without being up all night (and I could sneak back to bed in the morning after AMPS)
 
Crystal&Hendrix said:
Okay yes that all makes sense to me. I was going to give him his shot at 11am and when I use the calculator it says 11am would be 20 hours since his last shot as his last shot was at 1:17pm. That’s why I am frustrated his times got to 1am/1pm , or 2am/2pm. And I also know and try to stack numbers but for some reason when I do that it doesn’t change colour for me it just stays white so I quit stacking them but I can fix it. It just doesn’t go blue or green when I type it in like that the column will just stay white for some reason... I also haven’t chose a dosing method I just test him when I need to because I usually can tell when his numbers are good/low if that makes sense, not always but I usually test him +3 or +4 after a shot and another day I’ll do +6 type thing. I may have to talk to an admin about getting a reduction and see if he needs
Or can have one he’s only on .50 and may need to go to .25 as his numbers are doing so good. Also when his numbers go to 4.3ish range I usually feed him a good meal that way I know it won’t drop too low if that makes sense but yes I’ll start testing an hour after I see that from now on but I’ve never seen him act funny or anything LUCKILY....it usually goes back up a few hours later when I test him again.
Click to expand...
Once you add anything also to the SS columns you have to manually colour the square. Look along the top to see a paintbrush.
You don't have to use the time calculator at all...just try and stick to the 11:11 time frame.
If you need to stall again.....don't feed, test again 20 mins later and then we can decide if you can shoot. We don't want you waiting hours to shoot. It throws everything out too much.
Please look at the dosing methods....it is far easier to follow one of them than just guessing things.
Think about reducing your no shot number to 140 and see how that goes. As long as you can test, Hendrix will be safe.
If you need to keep skipping then we can look at reducing the dose. I am experienced enough to help you with this.


Crystal&Hendrix said:
I would really like to do TR as I test him so much and his numbers are getting so good. And I know I don’t know what to do about that 20 hour mark that seems like Awhile and I don’t want his numbers to go high again....should I retest him now and see if his BG is high enough for a dose ? I just really don’t want to have his times at 3am/3pm it wouldn’t matter really it’s just hard on me....I know how to do the 15 min thing to bring it back to 11 I just don’t want him going 20 hours without medicine that seems a bit crazy...
Click to expand...
What about shooting at say 8:8? Any reason to wait til 11am?
 
Chris & China (GA) said:
At this point, I'd just skip it and start over at whatever time you want to in the morning. If you can, you might want to even shoot at 10am/10pm.....that way you'd be able to get some tests in the PM cycle without having to stay up all night.....it would also give you a little time to "stall" if you need to without pushing your shot time too far back (again)
Click to expand...
I was thinking the same thing...kind of...10am/10pm works best for me to be honest. He had his last shot at 1:17pm so I think 10am would be okay. And yes I know LOL his times have been pushed back so many times now, arg!!
 
Crystal&Hendrix said:
I was thinking the same thing...kind of...10am/10pm works best for me to be honest. He had his last shot at 1:17pm so I think 10am would be okay. And yes I know LOL his times have been pushed back so many times now, arg!!
Click to expand...
Ok. done!
10:10 it is.
Think about reducing your no shoot number to 140. You can do it. You have enough data for that and you test enough. And someone will stay with you.
 
Bron and Sheba (GA) said:
Once you add anything also to the SS columns you have to manually colour the square. Look along the top to see a paintbrush.
You don't have to use the time calculator at all...just try and stick to the 11:11 time frame.
If you need to stall again.....don't feed, test again 20 mins later and then we can decide if you can shoot. We don't want you waiting hours to shoot. It throws everything out too much.
Please look at the dosing methods....it is far easier to follow one of them than just guessing things.
Think about reducing your no shot number to 140 and see how that goes. As long as you can test, He drip will be safe.
If you need to keep skipping then we can look at reducing the dose. I am experienced enough to help you with this.



What about shooting at say 8:8? Any reason to wait til 11am?
Click to expand...
I will read up on TR again for sure!!! I try to always make sure I have strips and HC food on hand now because of his numbers getting so much better! And thank you for your help it means a lot!!! I’m unsure if he needs to lower his dose to .25 or atleast soon , that’s why I’m glad you’re all here to help me figure that out.
 
Bron and Sheba (GA) said:
Ok. done!
10:10 it is.
Think about reducing your no shoot number to 140. You can do it. You have enough data for that and you test enough. And someone will stay with you.
Click to expand...
I just hope his BG doesn’t sky rocket waiting until 10am now , especially when he’s been doing so good. He’s never had a skipped dose before so I’m not sure how high his BG will get again. His last dose was at 1:44pm so giving him his shot at 10am would mean he went 20 hours without insulin so I’m like oh no....lol
 
Crystal&Hendrix said:
I just hope his BG doesn’t sky rocket waiting until 10am now , especially when he’s been doing so good. He’s never had a skipped dose before so I’m not sure how high his BG will get again. His last dose was at 1:44pm so giving him his shot at 10am would mean he went 20 hours without insulin so I’m like oh no....lol
Click to expand...
Look forward to hearing his progress.
 
Crystal --

On this board, we encourage everyone to start a new thread every day that they post. Since you are starting to use TR, I'd strongly encourage you to post every day. When you start a new, daily thread, copy and paste the link to the previous day's thread so it's easy for you and everyone else to go back and find information that may be needed.

You'll also want to edit your signature to indicate that you're following TR. Same think on your spreadsheet - there's a box at the top where you can specify your dosing method. (It's right above the info on your meter.)

Please read over the dosing methods sticky and let us know if you have questions about TR.

Also, please make sure you're not feeding Hendrix within 2 hours prior to shot time. You do not want food to artificially raise your cat's numbers at shot time.
 
I figured as much I was just so excited I had to post right away but I will start a new thread. Thanks

I will put that in my signature now. Also Hendrix hasn’t ate since 1:54am so that’s why I was shocked when his BG stayed low:bighug:. I always make sure not to feed him two hours before shot time.
 
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