? 8/15 Nelson amps 223, +4 171, +6 88, +7 74 want to reduce dose

Nelson and Taz

Nelson and Taz

Member Since 2020
Hey guys. Had a rough night 2 nights ago with Nelson being so low. He was propped up with hc food and honey. I think that entitles him to a reduction because if we didn't intervene he would have dipped below 2.7 mmol. Today is looking the same, he'll probably be in the green at shot time and the full 4 units didn't agree with him the other night. So, 2 questions, should I reduce to 3.75 tomorrow? What kind of reduced dose do I give tonight if he's still in the green 2 units? Thanks
 
here's your last post https://www.felinediabetes.com/FDMB...7-74-8-63-pmps-103-1-103.233584/#post-2610791

Technically following TR he hasn't earned a reduction even though you food propped....that prevented the reductio. Getting into the greens is very scary at first. It is the best healing #s for the kitty's pancreas. that's why we try to keep them there, safely. It requires a lil extra testing and food intervention.
we'll see what others say.
 
I need to step AFK for a bit. Haven't cooked supper yet. OMGoodness the DH is gonna eat me:p I'm going to tag @tiffmaxee to see if she can explain it better than I. I'd likely confuse you:rolleyes: But the idea is to keep them in the greens for as long as possible w/o going to low. tiff may see smthg in Nelson's SS that i've overlooked.
Be back in a bit:bighug:
 
If we don't see a number under 50, it didn't happen. If cats really want that reduction, they'll find a way to show you that under 50.

As for shooting lower numbers, think of that as a gift. Cycles with lower preshots are usually much flatter. And a way for him to spend lots of time in pancreas healing green numbers. If you reduce before he earns a reduction, he'll spend time in higher numbers, possibly getting glucose toxicity. It's only by spending time in nice upper greens that he'll get used to those normal BG numbers, and stop bouncing so much. See how much the preshots and overall numbers have improved this week as he's spent more time in green. He's made some great progress recently.
 
Wendy explained it much better than I could have....thank you Wendy.
Nelson will tell you when he's had enough of this dose.
Just remember you're in control of the cycle. Greens are scary but, are what we strive for. Long flat green cycles:D:D:D
Check out China's SS...the member's name is Chris and China. That's a SS of beauty:joyful::woot:
 
Ok thanks. Im just struggling at home and copping some flack for looking after Nelson. I don't know if I can do another night of lows with constant testing. Sometimes I need help testing and that doesn't go down very well. It sounds like you want me to shoot green again like 2 nights ago and then prop him up with food again and I just don't know if I can go through that again and then he spends the next day in the 300's anyway. Is there a reduced dose I can give tonight if he's still in the green?
I do appreciate your help but is there some way we can avoid a repeat of the other night pls?
 
It wouldn’t t be a reduction. It would be a one time thing. It’s not recommended but if you are exhausted we don’t want you getting sick. Then you won’t be of any use to him either. I need to look at your ss and think about it.
 
Once you have read the scenarios, it would be good to know what you are thinking you would like to do tonight. :)

You are also on TR (at least right now), which is an aggressive method in itself - and often involves shooting low and sometimes feeding/testing kitty through the curve - which can be really uncomfortable and nerve-wracking.

There are differences between the methods on when to shoot, increase, decrease, etc.

Again, would be good to run the 'what if' options so you can decide :bighug:
 
Being nosey as usual:rolleyes: I don't like saying this because TR is the best way to get your baby into remission and keep them well regulated....do you think SLGS might be more your speed? It's less aggressive but, the downfall is kitties tend to have higher #s.
 
Briere Fur Mom said:
Being nosey as usual:rolleyes: I don't like saying this because TR is the best way to get your baby into remission and keep them well regulated....do you think SLGS might be more your speed? It's less aggressive but, the downfall is kitties tend to have higher #s.
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I think so as well. Also you shoot so late that you end up not getting sleep. Max would drop at night but I shot at 6:00 so I’d be done by 1 or 2 when he pulled a stunt.
 
Again, not trying to dissuade you. This is the normal for TR. If you look at our SS's specifically Moey for me and tiff's Max. This is what it looks like. You don't have to test as much as us but, you need to test whne their dropping or low. That could last a couple hous or more.
If things in life are preventing you from being able to test when necessary, it not fair to you or Nelson. Don't make yourself sick taking care of Nelson. He needs you to be functional to help him in w/e way you can:bighug::bighug::bighug:;)
I used SLGS when I first started Lantus with my boys...that's right, I was treating 2 diabetics at once. And learning with 2. Boy those were the days. I knew I couldn't handle TR with 2 cats, so I got my feet wet with 1 of them. But, I started with SLGS first because I thought these folks were absolutely crazy for giving cats insulin that were in their 50s. Then, after a while on SLGS I got the courage to switch protocols. I was already testing enough to do TR just didn't have the courage to shoot lower #s. But, all the testing started to reveal trends and patterns. It made me comfortable and gave me a sense of readiness and understanding.
Just think about it. Life gets in the way sometimes. But it's OK!!!:):bighug::bighug::bighug:


ETA:And look at Jan's Tina's SS
 
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I don't shoot late. I shoot at 3.30pm. Nelson has a late nadir and the other night he was already low at +3. I'm just struggling to understand while I'm so stressed it's making me ill.
So you all shot low even though you knew you'd have to prop the numbers with food? That's what I'm trying to understand.
I want what's best for him but I'm getting no support at home and I want to leave but I can't.
 
I didn't have to food prop unless we got into low #s. Everything we used was w/i the LC food scale. Varying degrees of carbs but all under 10%. Looking over Moeys' SS he was 2x more likely to drop into the lime greens from a blue or higher start. Not trying to scare you with that either...just saying he was less likely to drop when starting with a green.


ETA: ECID not saying this is how Nelson will react;)
 
Yay...always love to hear that you're dealing with a good eater. Makes life easier.You can offer his meals at certain times to help offset the insulin drop. Feed heavier in the front half of the cycle prior to nadir. This can help extend insulin duration too.
Does he get 1 can of food 4x daily?
 
Moey would get fed a partial meal prior to shot after AMPS. I'd get another partial meal into at +1.5 to help offset the +2 drop. Moey dropped early. Kept giving him mini meals through the front half of the cycle. Then after +6(unless he was low or dropping) I started backing off on feeding.

ETA: Should say AMPS testing
 
Yes Nelson eats 4-5 cans in 24hrs. He usually won't eat again until +3 hours but is a big fan of +4 eating. I'm getting a yelling at right now from him and his sister but they have to wait 40mins. He always has room for creamy treats if I have to get something into him earlier.
 
Spreading the meals out starting early....+1.5(1/4 to 1/2can) and every hour or so after is important to buffer the insulin onset(+2 to+3). And allow for snacking or mini meals before +6 or nadir time. Offer lil snacks if you see drops in #s.
Many people on the board use automatic feeders so they can provide the mini meals w/o actually having to feed them. I was a sucker. My cat's meowed,"I asked how high."
 
Its tough when you don't get support at home.
If you are doing TR Taz, you are not supposed to be using any dry food at all with that method.
SLGS allows the dry food but not the TR.
Did you get the high carb wet food the other day for when Nelson drops low?
 
sorry I'm overloading you with info. Trying to offer you every trick I have in my bag.

If you wanna watch Abby and Cassie right now. she's a good example of steering with LC food, cause Cassie gave her a bigger than expected drop.
 
Bron and Sheba (GA) said:
Its tough when you don't get support at home.
If you are doing TR Taz, you are not supposed to be using any dry food at all with that method.
SLGS allows the dry food but not the TR.
Did you get the high carb wet food the other day for when Nelson drops low?
Click to expand...
I've got about $ 100 worth of wet food in the cupboard and none of it is hc. Can I still put honey in the lc until I make the trip to town, im 35 from supermarket? Can you recommend some tasty aussie hc ones pls?
 
Got enough strips. If this the way to go to get the best results for my baby. I'm gonna give him his 4 units now. Then I'll get more valium for cat mama tomorrow lol
 
Nelson and Taz said:
Got enough strips. If this the way to go to get the best results for my baby. I'm gonna give him his 4 units now. Then I'll get more valium for cat mama tomorrow lol
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OK, go for it. I can be around to help you.
What I would do is get a +1 and a +2 so we know where he's going.
Make sure he eats well now. And when you get the +1 give him a small snack....same with +2.
Can you post the +1 and the +2 as I,ll be watching for them?...Thanks.
 
Bron and Sheba (GA) said:
OK, go for it. I can be around to help you.
What I would do is get a +1 and a +2 so we know where he's going.
Make sure he eats well now. And when you get the +1 give him a small snack....same with +2.
Can you post the +1 and the +2 as I,ll be watching for them?...Thanks.
Click to expand...
No probs. Do you consider creamy treats a snack? Or there's the dine entree size pate. Can I still use some bikkies until I get to the shops tomorrow? Sorry for all the questions.
 
No problem with questions.
Dine entree Pate is low carb.
Creamy snacks aren’t high carb unless it has sugar but not a great snack.
For the HC you would be better giving low carb with a drop of honey than dry food. only use the dry food if he refuses all other food.
 
Bron and Sheba (GA) said:
No problem with questions.
Dine entree Pate is low carb.
Creamy snacks aren’t high carb unless it has sugar but not a great snack.
For the HC you would be better giving low carb with a drop of honey than dry food. only use the dry food if he refuses all other food.
Click to expand...
Hi bron, +1 is 5.3. He's so fast asleep didn't wake for the bg test. Can I hold off on the snack for now?
 
Yes he ate all his and half his sister's lol. That explains the food coma. So at +2 I'll have to do the honey and wet food. Can you recommend how many tablespoons? I'm doing ok at mo, just doing some snake proofing. Thank you
 
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