9/30 Henri AMPS 85,

Katie_Waz

Katie_Waz

Member Since 2020
https://felinediabetes.com/FDMB/thr...-5-3-53-64-3-5-4-66-5-72.236005/#post-2645704

So Henri has had great numbers for awhile now. I have stopped using food to influence to influence her for the past 3 days now and she has dropped into the 50/s and come back up on her own. The reason she got into the blue last night PMPS is bc my husband fed her twice as much as he was supposed to for her snack. I had to cut her calories then for her other meals which she actually did OK with. We also skipped her late night (10:30 pm) snack last night bc she just didnt want it.

Anyway, it's +11 and she tested 55, I dont think I've shot anything below 70 something Should I lower her morning dose to .25 if she doesn't come back up to the 70's?
Please let me know what you think. I think she has to be in the good numbers for a week to earn a reduction anyway which she hs done 6 full days now since her last reduction. I can be around to monitor her this morning but not ALL morning. I can be around until +5 though. What should I do? Help please
 
Ok, so now you are in the two hour window prior to AMPS, correct? No more food, test again at AMPS and then decide whether to shoot or not. IF she continues to drop, she'll have earned a reduction.

At this point I don't see that she's earned a reduction just yet.

What time do you have to shoot to stay on schedule? I may not be around at that point, so be sure to post again with a '?' and your AMPS number and then something like STALLING - NEED HELP WITH AM DOSE...

That'll get some attention...
 
Sue and Luci said:
Ok, so now you are in the two hour window prior to AMPS, correct? No more food, test again at AMPS and then decide whether to shoot or not. IF she continues to drop, she'll have earned a reduction.

At this point I don't see that she's earned a reduction just yet.

What time do you have to shoot to stay on schedule? I may not be around at that point, so be sure to post again with a '?' and your AMPS number and then something like STALLING - NEED HELP WITH AM DOSE...

That'll get some attention...
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I'm in the 1 hour window. Her normal shot time is in 30 min. +11.5 66 but I had to milk it a little to get the number and I know that can change it...don't know how yet though.
 
Katie_Waz said:
I'm in the 1 hour window. Her normal shot time is in 30 min. +11.5 66 but I had to milk it a little to get the number and I know that can change it...don't know how yet though.
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So that number was higher than the last - test again in 30 minutes - if she's still going up, shoot your normal dose.
 
OK. and if it drops to the 50's again should I lower her dose? She tends to go down from +1-+4 ish
 
Only if she take a sudden dive...I'd be surprised about that since she appears to be going up. I predict that her next number will be higher.

You mentioned earlier that you'll be able to monitor until 5+ today, correct?

Perhaps today she'll earn her reduction fair and square...that's what you're hoping for...:)
 
her +11.75 is 81 so I guess I freaked out over nothing lol
Yes' I definitely want her to earn it fair and square. For her to do that she needs to drop below 50 or be under 120 for a week? I'll update the title in a few min. I have to go test, shoot and feed her now
 
Katie_Waz said:
her +11.75 is 81 so I guess I freaked out over nothing lol
Yes' I definitely want her to earn it fair and square. For her to do that she needs to drop below 50 or be under 120 for a week? I'll update the title in a few min. I have to go test, shoot and feed her now
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Good job shooting low! You'll get more and more comfortable as long as long as you can monitor.

Reductions on TR are one time <50 OR when the cat regularly has its lowest BGs in the normal range of a non-diabetic healthy cat (50 - 80 mg/dL) while staying under 100 mg/dl overall for at least one week.
 
JaxBenji said:
Good job shooting low! You'll get more and more comfortable as long as long as you can monitor.

Reductions on TR are one time <50 OR when the cat regularly has its lowest BGs in the normal range of a non-diabetic healthy cat (50 - 80 mg/dL) while staying under 100 mg/dl overall for at least one week.
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ah...OK for some reason I had the number 120 in my head. I was looking for my printed out sticky this morning but my papers have been a mess! lol

She hopped back up to 82 for her preshot number but she's usually higher on her +11 so I got nervous lol
 
Here's the link to the sticky (I keep links on a tab in my SS).

And 120 is the upper range of "normal" BG on a human meter :D
  • 50-120 on human meter
  • 70-150 on pet meter
When you get a second, I'd take off your ? and remove the question from your title since you shot :) Hope you have a wonderful day!
 
JaxBenji said:
Here's the link to the sticky (I keep links on a tab in my SS).

And 120 is the upper range of "normal" BG on a human meter :D
  • 50-120 on human meter
  • 70-150 on pet meter
When you get a second, I'd take off your ? and remove the question from your title since you shot :) Hope you have a wonderful day!
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Thanks! I adjusted the title.

So im using a human meter...if she stays under 120 for at least a week...then she earns her reduction? Im assuming that week starts after her last reduction and maybe even 4-6 cycles after that bc of the depot from the reduction?
 
Katie_Waz said:
Thanks! I adjusted the title.

So im using a human meter...if she stays under 120 for at least a week...then she earns her reduction? Im assuming that week starts after her last reduction and maybe even 4-6 cycles after that bc of the depot from the reduction?
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No, reductions are only earned on TR if Henri drops one time <50 OR when the cat regularly has its lowest BGs in the normal range of a non-diabetic healthy cat (50 - 80 mg/dL) while staying under 100 mg/dl overall for at least one week.

The italicized part is right from the sticky.

I was just giving the normal ranges since you were thinking of 120. Normal range is different than range for a reduction.
 
JaxBenji said:
No, reductions are only earned on TR if Henri drops one time <50 OR when the cat regularly has its lowest BGs in the normal range of a non-diabetic healthy cat (50 - 80 mg/dL) while staying under 100 mg/dl overall for at least one week.

The italicized part is right from the sticky.

I was just giving the normal ranges since you were thinking of 120. Normal range is different than range for a reduction.
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Ah....ok I i didn't realize the normal range was different for a reduction. That makes sense now. So all greens for at least a week then...or a drop below 50.

Hopefully its the greens for a week bc the drops below 50 scare me.
 
tiffmaxee said:
It’s good that you tested before amps so you knew she was on her way up. That reduction will come soon. In the meantime she’s enjoying all these great healing days. :D
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Thanks! It's comforting to know she's healing!
Amd fantastic news...my vet is super impressed with how im managing her that she wants to learn what ive learned! And I found a study specific to TR and lantus, levamir amd another insulin I cant remember...but im going to give her copies of the info she wants...maybe she can better help others kitties now!

Everything they were inititelling me was so contradictory to TR
 
This is exactly what I was trying to explain to @Chrissyt7183 a while back...it's critical to get AM and PM pre-shot numbers, not an hour or two before...but at the time of shooting. So much can change in an hour with these kitties. I haven't seen her post for a while, I hope Kirby is doing okay!
 
Sue and Luci said:
This is exactly what I was trying to explain to @Chrissyt7183 a while back...it's critical to get AM and PM pre-shot numbers, not an hour or two before...but at the time of shooting. So much can change in an hour with these kitties. I haven't seen her post for a while, I hope Kirby is doing okay!
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Definitely...ive seen her come back up quite a bit in 1 hour...sjes just never been that low so I was nervous if amd what she would come up to.
Thats all me though lol im getting better lol

I hope her kitty is doing well too!
 
Actually if she’s green two more days counting today I would consider a reduction since the two blues were 106. Anti jinx and up to you.
 
I would LOVE to reduce her dose! Her low was 52 this morning but she came back up on her own. If she stays in the green, maybe ill reduce on Sunday. We have a vet visit Saturday and it could cause a spike bc of the stress thats involved. Id want her to have enough insulin to help bring it back down
 
You don’t want a spike before a vet visit if possible. Max often was running low when I had a vet appointment but would spike by the time I got home. He would be in normal range in the labs though. ;)
 
tiffmaxee said:
You don’t want a spike before a vet visit if possible. Max often was running low when I had a vet appointment but would spike by the time I got home. He would be in normal range in the labs though. ;)
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Definitely not.

Do you think pushing it off until Sunday is ok then?
 
Sue and Luci said:
...it's critical to get AM and PM pre-shot numbers, not an hour or two before...but at the time of shooting. So much can change in an hour with these kitties.
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I hope I'm not breaking post protocol by interrupting this thread with a question. I've been following along to learn (Charlie and I are into this journey 7 weeks, and his #s are finally starting to trend down, so I'm preparing).
When we started, and I got my test|feed|shoot instructions, I recall the time between feed and shoot was to be 20-30 minutes. That's what I've been doing--usually 30 minutes. If, as you say above, you should get the pre-shot number at the time of shooting, when do you feed? Or was the comment specific to @Katie_Waz situation?
 
Karen & Charlie said:
I hope I'm not breaking post protocol by interrupting this thread with a question. I've been following along to learn (Charlie and I are into this journey 7 weeks, and his #s are finally starting to trend down, so I'm preparing).
When we started, and I got my test|feed|shoot instructions, I recall the time between feed and shoot was to be 20-30 minutes. That's what I've been doing--usually 30 minutes. If, as you say above, you should get the pre-shot number at the time of shooting, when do you feed? Or was the comment specific to @Katie_Waz situation?
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Hi! Love you are asking questions but this board tries to do one thread/condo for a member a day - mind starting a new post with your question? Your title would be something like 10/01 Charlie - Do I have to wait between feeding and shooting? Some of the more experienced folks can also glance at your SS if you want dosing advice. I'm curious as to who gave you your instructions - maybe include that info in your new post :) In short, lantus does not require "food on board" like other - faster acting - insulins but please do a new post so others can explain. I can also link to other replies on this topic on the new condo.

ETA - I see Charlies was on Vetsulin before? that would explain the feed, wait, shoot instructions- I am not totally familiar with the timing for Vetsulin but know food has to be on board. Lantus is different (slower, gentler insulin).
 
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Karen & Charlie said:
I hope I'm not breaking post protocol by interrupting this thread with a question. I've been following along to learn (Charlie and I are into this journey 7 weeks, and his #s are finally starting to trend down, so I'm preparing).
When we started, and I got my test|feed|shoot instructions, I recall the time between feed and shoot was to be 20-30 minutes. That's what I've been doing--usually 30 minutes. If, as you say above, you should get the pre-shot number at the time of shooting, when do you feed? Or was the comment specific to @Katie_Waz situation?
Click to expand...

I'm not sure whether or not you started a new condo, but I'll reply - I test, allow Luci 15 minutes to eat, and then shoot. It's just our routine. The point I was trying to make is how quickly kitty's numbers can change in those pre-shot hours. Since it's near the end of the duration of Lantus it's not completely unexpected to see kitty drop dramatically between 10+, 11+ and then it's time to determine dosage based on the pre-shot number - the immediate value of getting a pre-shot number is for safety. The question always has to be, is it safe to shoot? Getting a pre-shot an hour or two ahead of time does not answer that question.

I hope this is helpful..in the meantime, I'll try to find your condo and will put this answer there as well :)

I couldn't find you post for today - so thanks for asking! Please do create a post tomorrow - we'd love to see how things are going with Charlie :)
 
tiffmaxee said:
It shouldn’t but lots of people are afraid of it as it stays in their system for months and no anecdote if they have a bad reaction. My vet said he never had an issue with it.
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Yeah, I hadn't heard an=bout that until she got her first round a few weeks ago. but I figured since there were no adverse reaction the first time that it would be ok to do the 2nd round. It's so important that she get an antibiotic and she hasn't been able to keep one down :( I wasn't paying attention to her BG that day. I'l have to look up when that apointment was and see if I can find any correlation to that and her BG
 
Sue and Luci said:
I'm not sure whether or not you started a new condo, but I'll reply - I test, allow Luci 15 minutes to eat, and then shoot. It's just our routine. The point I was trying to make is how quickly kitty's numbers can change in those pre-shot hours. Since it's near the end of the duration of Lantus it's not completely unexpected to see kitty drop dramatically between 10+, 11+ and then it's time to determine dosage based on the pre-shot number - the immediate value of getting a pre-shot number is for safety. The question always has to be, is it safe to shoot? Getting a pre-shot an hour or two ahead of time does not answer that question.

I hope this is helpful..in the meantime, I'll try to find your condo and will put this answer there as well :)

I couldn't find you post for today - so thanks for asking! Please do create a post tomorrow - we'd love to see how things are going with Charlie :)
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Thanks so much--I appreciate your response!
Here is my post.
 
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