? 6/5 New Member - PMPS +12 97, RT +12.5 105 | 4u inj | +1 85; +2 99; +3 97; +4 117

It looks like you've gotten some great advice from @Bron and Sheba (GA) already.

The only thing I can add is that you may want to ask @Marje and Gracie to help you get your SS set up so that you don't have to write in the date every day...

I really like that you have a column for the time of day you're shooting - I think that really helps me stay as consistent as possible as far as the time of day.

I also agree with testing before any shot...it's just plain dangerous not to do that - at the very least. However the mid-cycle tests will give you the best information as far as how low Chandler is going on any particular dose.

Please keep posting and tomorrow you can use the format that the rest of us use - like this: 6/6 Chandler AMPS ### (and then any comments or questions)...it really helps us all keep it straight as to what's what and who's who...since this is a big forum with lots of posts and then people like me who can barely keep up...I work a lot so have so little time to visit condos...I miss out on a lot!

You'll learn a lot for visiting other people's condos and their spreadsheets to see where everyone is at and how they've gotten to where they are today...many have come from SS's that have looked a lot like yours!

So welcome to the best place you'd never thought you'd be... it's a great group..lots of friendly people here to help, support and advise you on various options. Lots of info in those yellow stickies at the top of this forum too. Lots of reading to do around here.

Be well! :)
 
Tested just now after 25 min & it’s up to 105 - advice?

also, how should I record this in the SS since it’s 2 PMPS tests?
 
If you can monitor you can shoot the usual dose. I was hoping @Bron and Sheba (GA) would stop by again but since she in Aus she may be headed to bed...

Be sure to monitor again in about an hour or so...just to make sure Chandler is still heading up.
 
It looks like Channy has come off the bounce during the cycle. You can see the numbers dropping steadily. Often when cats come off a bounce they can do it dramatically and drop lower than normal like Canney did today.
I think he is still too low to shoot a full dose as we don’t have any data. Only a 117 where you didn’t test afterwards so we don’t know what happened then.
Are you able to test all cycle if necessary tonight ?
 
Bron and Sheba (GA) said:
It looks like Channy has come off the bounce during the cycle. You can see the numbers dropping steadily. Often when cats come off a bounce they can do it dramatically and drop lower than normal like Canney did today.
I think he is still too low to shoot a full dose as we don’t have any data. Only a 117 where you didn’t test afterwards so we don’t know what happened then.
Are you able to test all cycle if necessary tonight ?
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So you’re saying you think I should feed & skip the dose?
Yes I could test all cycle if necessary - at what point during testing would I know if I can stop & actually go to bed?
 
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arush8510 said:
Yes I could test all cycle if necessary - at what point during testing would I know if I can stop & actually go to bed?
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I think I would reduce to 4 U just for this dose and you will need to get a +1 and a +2 to start with, to see Channey is not dropping back. Then we can see when to test next.
Make sure you post each BG and update the SS and subject line as you go along.
also make sure he eats well before the shot.
 
Bron and Sheba (GA) said:
I think I would reduce to 4 U just for this dose and you will need to get a +1 and a +2 to start with, to see Channey is not dropping back. Then we can see when to test next.
Make sure you post each BG and update the SS and subject line as you go along.
also make sure he eats well before the shot.
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Would that just cause another bounce though since Lantus likes consistency?
 
arush8510 said:
Should I give small meals around +2 (or 3) & +4 (or 5) like I usually do?
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Yes. Feed what you normally do.
And when we see what the BG is, we may need to give some extra food to keep him up. But not too much as we don’t want to fill him up in case we need him to eat later if he drops low.
 
If you test and then retest (RT) immediately, you need to enter it, for example, as “89 RT 92” in the appropriate cell. If you test at +4, for example, and then wait 15 minutes and test again, then you would enter it as "89; 105 @ 4.25”.

If you would like the dates autofilled, please send me a private message by clicking on “Marje and Gracie” to the left and then “start a conversation”.
 
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Marje and Gracie said:
If you test and then retest, you need to enter it, for example, as “89 RT 92” in the appropriate cell. If you test at +4, for example, and then wait 15 minutes and test again, then you would enter it as "89; 105 @ 4.25”.

If you would like the dates autofilled, please send me a private message by clicking on “Marje and Gracie” to the left and then “start a conversation”.
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I split the numbers for the PMPS tonight into 2 rows & then merged the rest of the cells so the colors would still work. Is that OK or do I need to do it exactly as you described but then have no colors?
 
arush8510 said:
I split the numbers for the PMPS tonight into 2 rows & then merged the rest of the cells so the colors would still work. Is that OK or do I need to do it exactly as you described but then have no colors?
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It’s ok to do it like you did as long as you put in each split cell when you did the test such as @ +12 or @ +12.5. However, once you do that, you’ll have to manually color the cells which is what we usually do. If I had a BG that was blue and one that was green in the same cell, I would manually color the cell for the lower number as we need to see nadirs.
 
Bron and Sheba (GA) said:
I’d give some medium carb food if you have some around 14 carbs. A teaspoon. Do you have any?
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I'm not sure the exact % of some of them as I don't have the % cal values, but I have some FF medleys that I believe are higher carb, just not sure exactly how high

Planning on feeding normally at +3 & +5 ... if I test again at +2 & it is lower, should I feed then instead or feed high carb again? What BG level trigger high carb &/or karo?
 
Because it is very early in the cycle we need to bring him up a bit higher for when the insulin kicks in at around +2. So give a teaspoon of the medley and test again in30 mins. do that now and I will answer your other question
 
Bron and Sheba (GA) said:
Because it is very early in the cycle we need to bring him up a bit higher for when the insulin kicks in at around +2. So give a teaspoon of the medley and test again in30 mins. do that now and I will answer your other question
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I just gave him a little more than a teaspoon (like flatware teaspoon, not measured tsp) of Medleys Shredded Chicken Fare, which is around 11% carbs according to the Catinfo.org chart
 
If you are doing TR the BG where you give HC is 50. However we would normally see that number around the middle of the cycle.
If you get a drop at +1 or early in the cycle into the greens like we have here, we need to bring the BG up higher so that we have some leeway and a safety margin for when the insulin starts to work. And it works for several hours. We don’t have much data as to how Channey goes with a lower Preshot so we need to be cautious.
It is far better to take some action now than find you have a very low number in a couple of hours.
I’ll watch for the BG in 30 mins. .
 
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Bron and Sheba (GA) said:
If you are doing TR the BG where you give HC is 50. However we would normally see that number around the middle of the cycle.
If you get a drop at +1 into the greens like we have here, we need to bring the BG up higher so that we have some leeway and a safety margin for when the insulin starts to work. And it works for several hours. We don’t have much data as to how Channey goes with a lower Preshot so we need to be cautious.
It is far better to take some action now than find you have a very low number in a couple of hours.
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Thank you so much for the help! I am very grateful with being so new to the actual BG testing & I feel like I've been failing him for a year now. He has definitely improved immensly from his DKA bout last May, but I have no clue about the dosages since they were all based on vet curves & increased by 1u at a time. And I'm wondering if his numbers aren't going to lower & even out because he keeps bouncing since it's dropping too low for what his body is used to.
 
Bron and Sheba (GA) said:
I’ll watch for the BG in 30 mins. .
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I know you are in Australia & I'm not sure of the time difference, so if you want/need to go to bed please don't feel like you need to stay up for this. If you can just give me general guidance for if I test again & it's low, etc. I can probably take it from there. I feel bad holding you up like this.
 
Bron and Sheba (GA) said:
It’s 11 am in Sydney Australia on a lovely sunny morning. so all good. :)
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hahahaha oh okay, I just saw someone above mention you might be heading to bed, so I thought it was late PM or early AM. Guess I should've looked it up before saying anything & sounding like an idiot lol ...glad it's a nice, sunny day! Will update with +2 BG in about 5-10 min.
 
arush8510 said:
hahahaha oh okay, I just saw someone above mention you might be heading to bed, so I thought it was late PM or early AM. Guess I should've looked it up before saying anything & sounding like an idiot lol ...glad it's a nice, sunny day! Will update with +2 BG in about 5-10 min.
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I was just getting up when @Sue and Luci thought I might be going to bed. :cool: It is Saturday morning here.
Once you start testing before every shot and get some tests in during the cycle we will be able to figure out what’s happening.
Increasing in 1 unit increments is too much and people often go past the best dose.
You haven’t failed Channey, you have done a great job getting him to this point and now finding us.
 
Bron and Sheba (GA) said:
I was just getting up when @Sue and Luci thought I might be going to bed. :cool: It is Saturday morning here.
Once you start testing before every shot and get some tests in during the cycle we will be able to figure out what’s happening.
Increasing in 1 unit increments is too much and people often go past the best dose.
You haven’t failed Channey, you have done a great job getting him to this point and now finding us.
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Thanks for your kind words! Just tested again & is up to 99.
That's my concern with the dose is that I feel like sometimes I just want to go back to like 2u & work my way up by .25 or .5 at a time
 
arush8510 said:
Thanks for your kind words! Just tested again & is up to 99.
That's my concern with the dose is that I feel like sometimes I just want to go back to like 2u & work my way up by .25 or .5 at a time
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Good, 99 is better. Test again in 1 hour and we will see what it is. If he is due for his normal snack in the meantime, give it to him.

I wouldn’t reduce the dose too much just yet until we see what is happening. The main reason is because he has had DKA and you must always be aware that he could get ketones again and dropping the insulin too much could do that. We need to be a bit cautious.
 
Bron and Sheba (GA) said:
Good, 99 is better. Test again in 1 hour and we will see what it is. If he is due for his normal snack in the meantime, give it to him.

I wouldn’t reduce the dose too much just yet until we see what is happening. The main reason is because he has had DKA and you must always be aware that he could get ketones again and dropping the insulin too much could do that. We need to be a bit cautious.
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Yes, that's true - I'm not going to drop it back down that far but just frustrating Lol I will test again at +3, which is when I usually give him his 1st snack anyway.
 
arush8510 said:
Yes, that's true - I'm not going to drop it back down that far but just frustrating Lol I will test again at +3, which is when I usually give him his 1st snack anyway.
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I do understand your frustration but you are now on a path that should give us some answers and hopefully better numbers foe Channy.
 
A good idea moving forward is to get a variety % of carbs of canned food and mark the number of carbs on the top of all the tins with a texta so that you will know at a glance what the number of carbs is in the can when you need it. Get some from 11% up to 22%. And put them in an area with the honey/karo for when it’s needed. I would also print off this link and put it on your fridge
http://www.felinediabetes.com/FDMB/threads/how-to-treat-hypos-they-can-kill-print-this-out.15887/

Have you read this link?
http://www.felinediabetes.com/FDMB/threads/new-how-you-can-help-us-help-you.216696/
 
Bron and Sheba (GA) said:
Awww, poor boy. Are you giving him a treat every time you test?
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I haven't been because he's been doing fine with it with just love/praise/pets (& since most of the times it coincides with some type of food after). I also don't really have any good low carb treats right now. I've tried PureBites a while ago & he didn't like them, so gonna get a couple different brands from the "List of Low carb healthy treats" & see how they go over. I'm not sure if it was the freeze dried texture or just that he didn't like those (his sister didn't like them either) so may have to try adding a bit of water so they are closer to a regular texture.
 
Have you thought about just plain cooked chicken breast cut into tiny pieces and give him one after each test. You can freeze the pieces on a flat tray and then put in a baggie and get out as needed.
Sheba very soon got to associate a treat with testing..so much so that as soon as she heard the noise of me at the test strips getting ready, she would race to me to be tested.
 
Bron and Sheba (GA) said:
Have you thought about just plain cooked chicken breast cut into tiny pieces and give him one after each test. You can freeze the pieces on a flat tray and then put in a baggie and get out as needed.
Sheba very soon got to associate a treat with testing..so much so that as soon as she heard the noise of me at the test strips getting ready, she would race to me to be tested.
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Hmm... I'll have to try that, thanks! Do you just bake it? More like cubes or more shredded?

Just tested again at +4 - up to 117
 
arush8510 said:
Hmm... I'll have to try that, thanks! Do you just bake it? More like cubes or more shredded?
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I meant to put it all in the one post but pressed post instead of return....:rolleyes:

With the chicken I would gently poach it so that it retains the moisture. When it’s cold I would cut it up into small cubes....
Then feeeze.
You could give the liquid the chicken has been cooked in to Channey. He should love it.
 
Bron and Sheba (GA) said:
He’s having a lovely cycle so far! Well done!
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Thanks to you!
Any suggestion for continued testing until his AM shot?
Typically my plan for now would be to give him his last snack at +5 to +5.5 & then go to bed Lol

Bron and Sheba (GA) said:
I meant to put it all in the one post but pressed post instead of return....:rolleyes:

With the chicken I would gently poach it so that it retains the moisture. When it’s cold I would cut it up into small cubes....
Then feeeze.
You could give the liquid the chicken has been cooked in to Channey. He should love it.
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Ok, thanks for the suggestion - I will definitely try that!
& yes, I'm sure he will love the liquid - they always love tuna or chicken water if I open a can for something.
 
Bron and Sheba (GA) said:
Any more tests?
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Not overnight - I was really tired & I went to sleep but didn't have any alarms set. I also kinda thought since you 'liked' my post which this was part of...
arush8510 said:
Any suggestion for continued testing until his AM shot?
Typically my plan for now would be to give him his last snack at +5 to +5.5 & then go to bed Lol
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...that you agreed with my plan, so I fed him his next snack & ended up falling asleep.

My plan now is to get an AMPS between 6:45 & 7:00AM (currently 6:20) so I can feed & give his shot closer to 7 than 7:20 to start getting it back to around 6:30.
 
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