8/18 Cosmo +7.75 47, +8 56, +8.5 63, +9 86 +10 191 AMPS 425 +2 454, +3 434, +6 470, +9 416, PMPS 466

Ok so we're here now. :) Sorry about the last post in your old thread. And sorry Sue. I thought we had to stick to one per 24 hours. I'm still learning too.
 
Excellent job with the catch this morning!

How soon do you test again?

So, even on the west coast, is it not 8/18 after midnight? Just trying to get a handle on this date time thing...

It's kinda confusing because we do have international posters whose day starts before ours - Australia is almost a day ahead of us...
 
Excellent job with the catch this morning!

How soon do you test again?

So, even on the west coast, is it not 8/18 after midnight? Just trying to get a handle on this date time thing...

It's kinda confusing because we do have international posters whose day starts before ours - Australia is almost a day ahead of us...
I'm sorry for adding to the confusion by saying anything. It is after midnight for Tanya. I think I have learned, switch after midnight to a new condo, even if it won't start with "AMPS".
 
I wouldn't keep feeding...just hold the food and test again in an hour...please update your title (if you're going to have the low numbers there - so that everyone can see that he's rising)

The next thing to expect is a bounce...he could soar...or do whatever he feels like doing...a low like that will most likely result in a big ole bounce...hang on for the ride.
 
Well, thanks for being here! I wish I knew why he drops like this?

It happens..

You may want to set up a feeder for late night feeding to keep the 'dives' from occurring...it's a process learning when/why this happens. Look at Luci, after all this time, she's in charge...and as often as I test her, she still catches me off guard...

You're doing a wonderful job with Cosmo :)
 
Aww thanks! We started a food regimen with his gastro on 8/13. He gets about 3/4 can of gastro wet at preshots and then is free fed on gastro kibble during the day and overnight.

When I woke up and did his test this am, all the kibble was gone so he must have been feeding himself through most of the drop on his own.
 
Looks like he heard all those talks about the increase. Good boy :D
Totally. It's nice to see some greens on his SS. You are right. I think he got the memo :eek:

Now what to do in a few hrs at his preshot? I really don't want to skip and let him bounce for days. Come up little Cosmo!
 
Totally. It's nice to see some greens on his SS. You are right. I think he got the memo :eek:

Now what to do in a few hrs at his preshot? I really don't want to skip and let him bounce for days. Come up little Cosmo!

You know I'm a newbie, and there's absolutely no reason to listen to me. But I'd look at his PS and if he is still on the rise shoot his full new dose. He is bound to bounce, and the earned reduction will mitigate things anyway.
 
Below 150 mg/dl (8.3 mmol/L), don't give insulin.
Between 150 and 200 (8.3-11.1 mmol/L), you have three options:
a.) give nothing
b.) give a token dose (10-25% of the usual dose)
c.) feed as usual, test in a couple of hours, and make a decision based on that value
Above 200 (11.1 mmol/L) but below the cat's normal pre-shot value, a reduced dose might be wise.

Cosmo is on SLGS, so the guidelines are a little different :cat:
 
I checked the sticky. As far as I understand these rules are for those who don't have enough data.
Until you collect enough data to know how your cat will react, we suggest following the guidelines in the FDMB's FAQ Q4.4:
Q4.4. My cat's pre-shot level was way below the usual value. Should I give the injection?
A4.4. There's no hard and fast rule, but if you don't have data on how your cat responds to insulin, here are some general guidelines.

  • Below 150 mg/dl (8.3 mmol/L), don't give insulin.
  • Between 150 and 200 (8.3-11.1 mmol/L), you have three options:
    • a.) give nothing
    • b.) give a token dose (10-25% of the usual dose)
    • c.) feed as usual, test in a couple of hours, and make a decision based on that value
  • Above 200 (11.1 mmol/L) but below the cat's normal pre-shot value, a reduced dose might be wise.
 
Than it says:
With experience, you may find that lowering these thresholds may work well for your cat. When you have reached that stage, the following guidelines are suggested for Lantus, Basaglar, and Levemir users following the Start Low Go Slow approach:

If the preshot number is far below usual preshot numbers:

  • Do you need to stay on schedule? Then skip the shot.
  • Do you have some flexibility with your schedule? Then stalling to wait for the number to rise might be a good option. Don't feed, retest after 30-60 minutes, and decide if the number is shootable.
  • Repeat until the cat either reaches a number at which you are comfortable shooting, or enough time has passed that skipping the shot is necessary.
If the preshot number is near kitty's usual preshot numbers:

Look at your data to see what numbers you have shot in the past and decide what would be a safe, shootable number for your cat. Don't feed. Stall until kitty reaches the preshot number you've decided on and then shoot.
We usually don't suggest or recommend shooting a preshot number less than 90 mg/dL when following the SLGS Method. Remember that with SLGS, generally speaking, your goal is to achieve flat numbers that are greater than 90 mg/dL. However, let experience, data collected, knowledge of your cat, and availability to monitor help in making the best decisions for your cat.
 
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You know I'm a newbie, and there's absolutely no reason to listen to me. But I'd look at his PS and if he is still on the rise shoot his full new dose. He is bound to bounce, and the earned reduction will mitigate things anyway.
The problem with that is you can’t guarantee a bounce. I’m still reading but wanted to mention that.
 
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