4/13 - New Low AMPS of 185 for Minnie

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Alessandra Franco said:
Happy Easter to all!
http://www.felinediabetes.com/FDMB/threads/help-minnies-low-pre-shot-am-number.228027/#post-2555913
Numbers were good last night and this am. I think we’re back in business :)

thanks ladies!
http://www.felinediabetes.com/FDMB/threads/help-minnies-low-pre-shot-am-number.228027/#post-2555913
http://www.felinediabetes.com/FDMB/threads/help-minnies-low-pre-shot-am-number.228027/#post-2555913
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Below 90 and she was a bit nauseated this morning. I started thinking that maybe the IBD/ nausea could be causing the low numbers so I went back to Tuesday when she had the bad flare up and of course low nadir! I can’t remember too far back after last week, but starting adding to the notes column. If she’s below 200 at the pm preshot I’ll be giving her a token dose tonight. Btw, I tested twice to rule out a bad strip or result and the variation was minimal
 
I guess my concern now is giving her token doses too often because I know Lantus needs consistency and she hasn’t been on the new lower dose of 3.75 for 6 full cycles yet. Last night numbers were fine so I gave her full new dose of 3.75. Today she is feeling well and ate normal but I still got a low AMPS of 185 and had to give her a token dose. should I just lower the dose to 3.5? Help and thanks!
 
Nan & Amber (GA) said:
I think I'd still shoot the 3.75, as long as you are prepared to monitor today. 185 is a safe number to shoot in general, and you do want to keep shooting consistently if you can!
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Thanks Nan, but I already gave her the token dose. I followed the sticky notes that say to do that under 200 :(

@Deb & Wink should I not have done that? Is above 180 still okay?

Thanks!
 
Nan & Amber (GA) said:
That's fine. The thing about the guidelines is that you will want to start moving them downwards as you get more data and get comfortable with shooting. So, next time you hit a number that is not much lower than your usual "token dose" number, you can think about whether it's time to make that the new cutoff :).
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I think I get what you’re saying, but for someone like me who follows recipes when backing and needs exact measurements, this is going to be a challenge ha! I did give her 50% instead of 25% because I thought that exactly that the number wasn’t super on the low end.

I’d like for the training wheels to come off now please ha! :)
 
Alessandra Franco said:
I’d like for the training wheels to come off now please ha! :)
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Yes, with Lantus, you can give the insulin shot at lower and lower pre-shots, you just have to gather the data and know how to manage the low numbers.

I don't think you have that test data yet, to be confident of shooting at those low numbers. BUT, if you are around to monitor, then you can test a bit and see where the BG level is headed. The +2 test is a great test to let you know the direction the BG levels are headed. Acts like a "heads up" warning for you.

You really need to get that evening test data. As someone else here is famous for saying "If you don't test in your PM cycle, you are missing half your data."
 
Deb & Wink said:
Yes, with Lantus, you can give the insulin shot at lower and lower pre-shots, you just have to gather the data and know how to manage the low numbers.

I don't think you have that test data yet, to be confident of shooting at those low numbers. BUT, if you are around to monitor, then you can test a bit and see where the BG level is headed. The +2 test is a great test to let you know the direction the BG levels are headed. Acts like a "heads up" warning for you.

You really need to get that evening test data. As someone else here is famous for saying "If you don't test in your PM cycle, you are missing half your data."
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I totally agree with you. I panicked and didn’t feel ready to just “wing it” so I went with a lower dose. I could have done the +2 test and I will next time. I was pretty sure her +6 number would be high and it was 197. I also agree about the night cycle. She only has one more meal after the pm shot so she’s running on empty pretty much that entire cycle as opposed to the am cycle as she eats the bulk of her meals in the morning and afternoon. It’s hard to get her to eat after 8pm these days :(

I’m having such a hard time sleeping with everything going on that if I try to wake up at the +6 mark to test her, I’ll be dealing with both cats then waking up and expecting/demanding food then they’ll both want to go outside which is a no no at night so I’ll be getting lots of complaining meowing. I will try to stay awake instead and get the +4 number. Will that work?

I’m expecting a high number at the pmps and I could be wrong, but I think we’re going to end up at 3.5 units when it’s all said and done.
 
Alessandra Franco said:
I’m having such a hard time sleeping with everything going on
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Me too. My cat likes to wake me up in the wee hours of the morning. If I wake up by myself, I try to close the bedroom door so she can't climb all over me, dancing back and forth, begging for attention and breakfast at 4 am. :rolleyes:
Alessandra Franco said:
I could have done the +2 test and I will next time.
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Do you think you could get that +2 every cycle, or close to every cycle?

It really does help you to tell what direction the BG's are headed.

As @Chris & China (GA) says all the time,
"The +2 is like an "early warning" for most cats!
If the +2 is about the same as the PS, it's usually a pretty normal cycle...dropping down to nadir and then rising back up again.
If the +2 is higher than the PS, that usually signals a bounce, and those are the cycles when you can usually take a break from testing.
If the +2 is lower than the PS, that's your "Early warning" that kitty might be going much lower later in the cycle so it's important to plan on getting another test or two (or 6) in.

It doesn’t work every time or with every cat. But it does hold true most of the time, so keep this in mind for next time."
So, try for that +2, then an occasional +4 PM test.

Alessandra Franco said:
if I try to wake up at the +6 mark to test her, I’ll be dealing with both cats then waking up and expecting/demanding food then they’ll both want to go outside which is a no no at night so I’ll be getting lots of complaining meowing. I will try to stay awake instead and get the +4 number. Will that work?
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Oh boy! Meowing to go out at 2 or 3 am?

Staying up to get that +4 will work.
 
Deb & Wink said:
Me too. My cat likes to wake me up in the wee hours of the morning. If I wake up by myself, I try to close the bedroom door so she can't climb all over me, dancing back and forth, begging for attention and breakfast at 4 am. :rolleyes:

Do you think you could get that +2 every cycle, or close to every cycle?

It really does help you to tell what direction the BG's are headed.

As @Chris & China (GA) says all the time,
"The +2 is like an "early warning" for most cats!
If the +2 is about the same as the PS, it's usually a pretty normal cycle...dropping down to nadir and then rising back up again.
If the +2 is higher than the PS, that usually signals a bounce, and those are the cycles when you can usually take a break from testing.
If the +2 is lower than the PS, that's your "Early warning" that kitty might be going much lower later in the cycle so it's important to plan on getting another test or two (or 6) in.

It doesn’t work every time or with every cat. But it does hold true most of the time, so keep this in mind for next time."
So, try for that +2, then an occasional +4 PM test.


Oh boy! Meowing to go out at 2 or 3 am?

Staying up to get that +4 will work.
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You have no idea. I raised 2 little monsters I’m afraid. They sure have me trained! I’m the greatest can and door opener that is ha! They have a pet door but they still wait by the door and cry to get me to open it if I’m home :(

fun fact, I spent about an hour cleaning peeing off the hardwood floor this am. Minnie has always had this issue with lifting her butt up as she pees and the pee starts to go out. Stopped happening with the neuropathy because she was only able to pee with the back legs full down. Now she’s back to her old self and I’ve never been happier to clean pee in my life. Did it with gusto lol! :)
 
I have a high sided litter box, for my "high peeing" gal kitty.

Some people buy something like a large Rubbermaid container, and cut out one end.
I cat sit for someone that had to do this. One of their female cats has arthritis, and can not squat anymore.
 
For a while she couldn’t get into high litter boxes. I have a covered one. I have tried everything she manages to outsmart me. Peeing outside is what works for her and now I’ve potty trained her to go once in the am and once in the pm before bed, but the painters were back today and she got spooked and didn’t want to go out :(
 
100% I know. I think and hope yesterday was the last day. I laugh when people say cats are so much easier and independent than dogs. Bobo is a velcro cat, they’re get freaked out with any unusual noises or activity nearby and forget about change of environment. Dogs are much more adaptable and you can take them everywhere. False adverting ha! Btw, I got a 229 this am, yay! I’m sticking to the 3.5 units for the next 6 cycles to see where it takes us. I’m going to check her +2 today
 
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