11/26 Henry PMPS 101 +1 138 + 2 108 +2.5 107 +3 83 + 3.5 77 +4 88 + 4.5 99 +5 101 + 6 110 + 11 334

Happy Thanksgiving! Great to see the yellow today. I suspect he might be clearing a bounce so you might want to get a +10 and not be surprised by a lower number at PMPS.

Remember that if you aren’t comfortable shooting a lower PMPS under 150, try stalling without feeding for 20-30 minutes. Retest and shoot if the BG has headed up. If it’s not high enough to shoot yet, repeat the process. Once you get to stalling for two hours, if the BG is still not up, it’s best to just skip at that point.

Usually, I’m not a fan of stalling and skipping unless the BG is below what we would shoot per the specific method we are using and/or the CG is not available and able to test. The reason is because stalling and skipping BGs that are safe to shoot are (1) generally for the CG and not the cat and (2) will often result in the same BGs during most of the cycle due to the depot.

However, since it is a holiday and I won’t be around most of the rest of this day and evening to help, I am not going to suggest you shoot a lower normal than usual (but above 90) unless someone is here to help you and stay up to guide you through dealing with lower numbers.

I hope you have a quiet, uneventful day and Henry doesn’t decide to use a holiday to make a statement.
 
Happy Thanksgiving! Great to see the yellow today. I suspect he might be clearing a bounce so you might want to get a +10 and not be surprised by a lower number at PMPS.

Remember that if you aren’t comfortable shooting a lower PMPS under 150, try stalling without feeding for 20-30 minutes. Retest and shoot if the BG has headed up. If it’s not high enough to shoot yet, repeat the process. Once you get to stalling for two hours, if the BG is still not up, it’s best to just skip at that point.

Usually, I’m not a fan of stalling and skipping unless the BG is below what we would shoot per the specific method we are using and/or the CG is not available and able to test. The reason is because stalling and skipping BGs that are safe to shoot are (1) generally for the CG and not the cat and (2) will often result in the same BGs during most of the cycle due to the depot.

However, since it is a holiday and I won’t be around most of the rest of this day and evening to help, I am not going to suggest you shoot a lower normal than usual (but above 90) unless someone is here to help you and stay up to guide you through dealing with lower numbers.

I hope you have a quiet, uneventful day and Henry doesn’t decide to use a holiday to make a statement.

OK, Marje what does CG mean?

I can get a + 11 now too late for + 10

You also have a Happy Thanksgiving

Thanks for getting back to me it REALLY MEANS A LOT

AMPS + 11 (113)

Take Care
 
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CG = caregiver.

Beautiful +11.:cool: Henry likes this dose. Now we'll know by PMPS whether he's on his way up or still going down.
 
Hi Robert,
Remember what Marje said:

Remember that if you aren’t comfortable shooting a lower PMPS under 150, try stalling without feeding for 20-30 minutes. Retest and shoot if the BG has headed up. If it’s not high enough to shoot yet, repeat the process. Once you get to stalling for two hours, if the BG is still not up, it’s best to just skip at that point.

How about stalling and retesting without food in 20-30 minutes, then we can see where Henry is at?

I see you are doing SLGS, so we are pretty close to that 90 right now.
 
So great to see Henry in these nice numbers! I worry that this stall may bring him below the 90, but we'll see. Your signature says you are doing SLGS but your spreadsheet doesn't really look that way? I know how hard you've been working with Marje to get Henry's numbers down, so I'd hate for you to lose the momentum.
Shooting when they are green (90 or above in your case) is a wonderful opportunity.
 
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So great to see Henry in these nice numbers! I worry that this stall may bring him below the 90, but we'll see. Your signature says you are doing SLGS but your spreadsheet doesn't really look that way. I know how hard you've been working with Marje to get Henry's numbers down, so I'd hate for you to lose the momentum.
Shooting when they are green (90 or above in your case) is a wonderful opportunity.

OK If I shoot Henry under TR will it be the full amount 4.75 units
 
As per Marje, you could shoot as long as he is above 90:

I am not going to suggest you shoot a lower normal than usual (but above 90) unless someone is here to help you and stay up to guide you through dealing with lower numbers.

I wouldn't go against what Marje says. However, I am here to help you navigate low numbers if you can shoot Henry at or above 90. And you would shoot the full amount. As she pointed out, the depot is going to be in play anyhow. So shooting a "big chicken shot" ie a lower dose wouldn't affect his numbers in the evening cycle.
 
As per Marje, you could shoot as long as he is above 90:

I am not going to suggest you shoot a lower normal than usual (but above 90) unless someone is here to help you and stay up to guide you through dealing with lower numbers.

I wouldn't go against what Marje says. However, I am here to help you navigate low numbers if you can shoot Henry at or above 90. And you would shoot the full amount. As she pointed out, the depot is going to be in play anyhow. So shooting a "big chicken shot" ie a lower dose wouldn't affect his numbers in the evening cycle.

Just performed BG reading on Henry (101) at 6:30 pm EST

Shoot full amount 4.75 units?
 
Yay! I will urge you to do so (full amount) if you are comfortable, and therefore I will stay with you and guide you in case he goes lower.
Do you have enough test strips and MC and HC food, and karo if you require it? It looks like Henry may be on the rise, but we can't say for sure. But the 101 is a really nice number to shoot.
 
I have about (75) AT2 strips

I do have Karo, Temptations kibble, Fancy feast ocean white fish and tuna in gravy, and Earthborn harbor harvest
 
No need to break out anything HC just yet. I asked just to make sure that you have something just in case. Assuming that you did shoot, I'd feed Henry his usual PMPS food and then get a test at +1. Sound good?
 
No need to break out anything HC just yet. I asked to make sure that you have something in case he pulls a lower number later. Assuming that you did shoot, I'd feed Henry his usual PMPS food and then get a test at +1.

I shot henry full amount (4.75) at 6:45pm EST

Next BG reading (PMPS +1) at 7:45pm Correct
 
Correct! Great job shooting. Can you please also note in here what you are feeding him so I can keep track. What did he eat at PMPS?
 
Correct! Great job shooting. Can you please also note in here what you are feeding him so I can keep track. What did he eat at PMPS?

We feed Henry (4) times daily 80 Calories each feeding - Times are as follows: (6:00am, 11:30am, 6:00pm, and 11:30pm)

Of the 80 Calories - 50 calories is wet food (Earthborn Montery Medley) with 10% carb and 30 Calories of Dr. Elsey's kibble high protein with 5% carbs - Combined calories 80

Henry is 22 inches long (Very Large Cat) Vet says ideal weight is 16Lbs

Henry was 24.75Lbs at his diagnosis Feb 2020 so we have him on 320 Calories daily for ~= 16Lbs diet

He's 20.5 Lbs now maybe little less
 
Oh he is really coming along! Thanks for the info on the food. He is adorable.
With feeding him the dry food that's probably why you're doing SLGS and why Marje is helping you with fast tracking his dose. TR doesn't allow the feeding of dry food.

Tonight you stalled without feeding, and then fed him at 645pm when you shot, correct?
 
So great to see Henry in these nice numbers! I worry that this stall may bring him below the 90, but we'll see. Your signature says you are doing SLGS but your spreadsheet doesn't really look that way? I know how hard you've been working with Marje to get Henry's numbers down, so I'd hate for you to lose the momentum.

The reason the spreadsheet does not reflect SLGS because Marje wanted Henry accelerated (cut down time to get him back to go numbers) and then shift to SLGS
 
Oh he is really coming along! Thanks for the info on the food. He is adorable.
With feeding him the dry food that's probably why you're doing SLGS and why Marje is helping you with fast tracking his dose. TR doesn't allow the feeding of dry food.

So tonight he got his 80 calories at 645pm instead of 6pm, correct?

Correct feeding at 6:45pm EST
 
Okay. And I will meet you back here at 745pm EST to see what his +1 is and figure out our next move, so please be sure to post it.:)
 
Okay. And I will meet you back here at 745pm EST to see what his +1 is and figure out our next move, so please be sure to post it.:)

I need to tell this too

The 6:00pm BG reading fed Henry (3) kibbles ~= 3 Calories
The 6:30pm BG reading fed Henry (3) kibbles ~= 3 Calories total of (6) calories they were rewards for getting pricked in the ear
 
I can't tell from your spreadsheet if you have ever delayed before and then needed to move your shot times earlier. You can move the shooting time earlier in increments of 15 minutes per shot, OR 30 minutes at one time in a 24 hour period. So if you normally shoot at 6am/6pm, then you could do the following:

11/26 PM shot at 645pm
11/27 AM shoot at 630am
11/27 PM shoot at 615pm
11/28 AM shoot at 6am

OR

11/26 PM shot at 645pm
11/27 AM shoot at 615am
11/27 PM shoot at 615pm
11/28 AM shoot at 6am.
 
I can't tell from your spreadsheet if you have ever delayed before and then needed to move your shot times earlier. You can move the shooting time earlier in increments of 15 minutes per shot, OR 30 minutes at one time in a 24 hour period. So if you normally shoot at 6am/6pm, then you could do the following:

11/26 PM shot at 645pm
11/27 AM shoot at 630am
11/27 PM shoot at 615pm
11/28 AM shoot at 6am

OR

11/26 PM shot at 645pm
11/27 AM shoot at 615am
11/27 PM shoot at 615pm
11/28 AM shoot at 6am.


Only one delay two days ago 11/24/2020 PMPS was given at 8:00pm two hours later
 
Okay, my understanding is you're not supposed to move the shot time back more than 30 minutes per 24 hours or 15 minutes per shot....unless Marje gives you special instructions.:) THat's different.
 
Okay, my understanding is you're not supposed to move the shot time back more than 30 minutes per 24 hours or 15 minutes per shot....unless Marje gives you special instructions.:) THat's different.

You are correct with the protocol of moving back the times.

Marje said since Henry's numbers were HIGH she waived (this time only) the protocol for moving back time
 
In your title, change the "+12.5" to PMPS so everyone can see you shot Henry. The 101 is your PMPS even though you got it 15 minutes before shooting.
 
Just performed BG reading (PMPS + 1) on Henry (138) @ 7:45pm EST
Okay, so maybe he is on the rise and going to bounce, OR maybe this is a food bump. Get another test at +2 and let's see what that says. At +2 the latest dose will likely kick in, and the food may start to wear off. Sound good?
 
Okay, so we have a drop from +1 and a similar number to PMPS and it is early in the cycle. Normally when your PMPS and your +2 are similar, or your +2 is lower, it means it could be an active cycle. It wouldn't surprise me if he goes below 90 tonight. Let's try to keep him surfing around or just above 90 for as long as we can.

How about try feeding him a couple tsp of 10% and check again in 30 minutes? You don't have much data, so this is a good opportunity to get some. We can see whether 10% carb food is enough to influence his numbers at this point.
 
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How is his appetite? Is he a good eater?
And just so you know, numbers above 50 are nice and safe on a human meter. 68 and above on an alphatrak. But if he goes below 90 that earns a reduction (unless Marje says otherwise as a special one time thing just for Henry and for no other cat:)).
 
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How is his appetite? Is he a good eater?
And just so you know, numbers above 50 are safe. But if he goes below 90 that earns a reduction (unless Marje says otherwise as a special one time thing just for Henry and for no other cat:)).

Knock on wood but YES Henry is eating the tsp of 10% like he's not ate in days

Henry so far has been eating well this entire time (forever)

If we let Henry have his way on eating he would be right back up 25Lbs

Will do BG reading at 9:15pm EST
 
Lol. Butters is also a longstanding member of the clean plate club. Great. a 9:15pm test it is, and then we can go from there.
 
Nice and steady number. The 10% didn't seem to influence things, but it might've prevented him from going lower. How is he doing with the testing? I suggest no more food right now, and check him again in another 30 minutes. How does that sound?

Testing in another 30 gives us a better idea of how quickly (or not) he might continue to slide down. Once we see that number, which will be a +3, I think we will know better if he is going to continue to surf at these numbers, or possibly go lower.
 
Nice and steady number. The 10% didn't seem to influence things, but it might've prevented him from going lower. How is he doing with the testing? I'd suggest no more food right now, and check him again in another 30 minutes.

Testing in another 30 gives us a better idea of how quickly (or not) he might drop.

I stand to be corrected I just fed (1) tsp not (2)

Does this change anything?
 
How is he doing with the testing?

He's getting tired (sleepy) long day but Henry does not fight or squirm during the test
 
That's good to know. Because Henry is just starting to get into lower numbers, it is such a good opportunity for you to gather some data. But it is hard to do that when a cat fights the testing.
 
Okay so reduction earned:D. Still a good number. Feed him 2 tsp of the 10% and check again in 30 minutes. If we can hold him around here that would be nice.
 
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