1/2 BuddyM: AMPS 136 | +2 61 | Exhausted.

Mariette

Mariette

Member Since 2020
Previously:
https://www.felinediabetes.com/FDMB/threads/1-1-buddym-amps-120-2-79-4-61-5-54.240850/

I am dead on my feet today. I don't think I'll be able to handle tight regulation protocol any longer. With Buddy dropping like a ton of bricks sometimes I don't feel comfortable just giving the shot and going back to sleep. I am trying to grab a little bit of sleep here and there in the day time, but Monday I start working (from home fortunately) again and I need to be able to be function.

Is there a middle ground between Tight Regulation and SLGS please?

There is such a big difference between the two. I'd like to be able to do what's best for Buddy. I'd like to try for remission and get him to heal, and clearly TR is working for him. But it's incredibly demanding if you want to keep your kitty safe.

I am going to decrease Buddy's dose today. I know it's not the TR protocol but it works within SLGS. I don't really want to drop down to SLGS level of care, but I want to be able to get help on the forum if we need it.
 
I can’t open your spreadsheet. There’s nothing to stop you from following TR but taking reductions at a higher bg. You hold the syringe and you have to be able to function. When I can see your ss I will tell you when I think you could have stopped testing. :bighug:
 
tiffmaxee said:
I can’t open your spreadsheet. There’s nothing to stop you from following TR but taking reductions at a higher bg. You hold the syringe and you have to be able to function. When I can see your ss I will tell you when I think you could have stopped testing. :bighug:
Click to expand...
Hi Elise good morning I was just about to tag you, funny I can see her SS.
If you are able to look at it I have no idea why she has -2 and -1 at the top of the SS
Maybe you will understand it
 
Looks like Buddy is hitting his stride on this dosing method - that's for certain. But I can certainly understand you needing to get some sleep. There really isn't anything written that is a 'between' for SLGS and TR.

I've had the same problem in the past - I work from home too as a programmer and my brain has to be able to function correctly - which it doesn't do well at all when I've not had enough sleep.

One thing that really helped me was to get an auto-feeder. When I just got too tired to stay up any longer and Luci was running low (ok, it's been a while for us since she's done that - but she used to!)...I'd load all the cells of the feeder with medium carb food an go to bed...if I woke up in the late night/wee hours to go to the bathroom, I'd check on her...and he was usually back in much safer numbers and I could get some more sleep...

You may want to give that a try - we have a lot of exhausted caregivers around here - and you have to figure out tricks so you can get some rest - it's the same for folks who have to leave and go to work; test/feed/shoot - and dealing with lower numbers and then leaving for the day! It's nerve wracking - so take a look at the stickie for addressing that very issue: https://www.felinediabetes.com/FDMB...ion-possible-with-a-full-time-job-yes.129378/

It may help you...but looking at his SS, he sure is doing wonderfully on this dose - I'd hate to see you lose momentum because you're reducing too soon...but as Elise mentioned - you hold the syringe.
 
tiffmaxee said:
This is what I get and if I click on either date nothing happens.
https://docs.google.com/spreadsheet...m2pTRf4Ujfz_0CocaP4Wcvt7GYk666-AtoVe/pubhtml#

@Bandit's Mom
Click to expand...


Even this link works for me. Strange.

Diane Tyler's Mom said:
Morning Bhooma I can see it also but don't understand what she is doing with the -2 and -1 at the top of the SS, it's also on the 2020 SS
@Bandit's Mom
Click to expand...

Mariette seems to be reproducing the numbers at PMPS+10 and +11 at AMPS -2 and -1 respectively. Probably for her own understanding. Can be ignored :-)
 
Diane Tyler's Mom said:
Morning Bhooma I can see it also but don't understand what she is doing with the -2 and -1 at the top of the SS, it's also on the 2020 SS
@Bandit's Mom
Click to expand...

I am here Diane. And can answer.

I have those entries so that I can make sense of the day's pattern because I get up earlier... sometimes 2 hours before the shot time. Buddy can be tricky to tet in the morning so I want to be able to use a test from earlier if I am not able to get one right before shot time.

You can safely ignore those columns.
 
tiffmaxee said:
I can’t open your spreadsheet. There’s nothing to stop you from following TR but taking reductions at a higher bg. You hold the syringe and you have to be able to function. When I can see your ss I will tell you when I think you could have stopped testing. :bighug:
Click to expand...

Thank you so much Elise. I think that will make me more comfortable.

Sorry you can't see the spreadsheet. I'm not sure what I can do from my side except 'Publish to the web'?
 
Mariette said:
Sorry you can't see the spreadsheet. I'm not sure what I can do from my side except 'Publish to the web'?
Click to expand...
I don't think it's a problem at your end. :-)

Like @tiffmaxee suggested, you could probably take a reduction (even though unearned) and see if his nadirs come up a bit and give you some breathing space. He looks like he is going to earn one soon anyway. He is seeing such good numbers, I would hate for you to lose the momentum by switching to SLGS.
 
Mariette said:
I am here Diane. And can answer.

I have those entries so that I can make sense of the day's pattern because I get up earlier... sometimes 2 hours before the shot time. Buddy can be tricky to tet in the morning so I want to be able to use a test from earlier if I am not able to get one right before shot time.

You can safely ignore those columns.
Click to expand...
Thanks for explaining it to me :cat:
 
Bandit's Mom said:
I don't think it's a problem at your end. :)

Like @tiffmaxee suggested, you could probably take a reduction (even though unearned) and see if his nadirs come up a bit and give you some breathing space. He looks like he is going to earn one soon anyway. He is seeing such good numbers, I would hate for you to lose the momentum by switching to SLGS.
Click to expand...

Thank you Bhooma. Yeah, I'd hate to lose the good numbers too. I just wish he was more even. And him taking a big dose scares me too.

The lack of sleep is catching up with me today.
 
Mariette said:
Thank you Bhooma. Yeah, I'd hate to lose the good numbers too. I just wish he was more even. And him taking a big dose scares me too.

The lack of sleep is catching up with me today.
Click to expand...

What do you mean by more even?

Don't worry about the size of the dose. A cat needs as much insulin as it does. So if 4.5U or 4.25U is what Buddy needs to see normal numbers right now, that's a normal dose for him. As he spends more times in green numbers, his pancreas heal and hopefully his insulin requirements comes down.

Take that reduction and see. You need to look after yourself too to be able to take care of him! :bighug:
 
Bandit's Mom said:
What do you mean by more even?

Don't worry about the size of the dose. A cat needs as much insulin as it does. So if 4.5U or 4.25U is what Buddy needs to see normal numbers right now, that's a normal dose for him. As he spends more times in green numbers, his pancreas heal and hopefully his insulin requirements comes down.

Take that reduction and see. You need to look after yourself too to be able to take care of him! :bighug:
Click to expand...

By 'even' I mean not drastically higher or lower in a couple of hours.
 
It’s working now. Maybe it’s a Google issue with me as it said it resets every 5 minutes.
I think an auto feeder would be the answer. You could have stopped testing at +5 During the day yesterday and last night you could have set the auto feeder and gone to sleep at +4 and set an auto feeder. You really didn’t need that +9 at all.

Look at JaxBenj’s spreadsheet. She uses an auto feeder and many nights is done earlier at night. Some of the times she continues to test is to try and catch a drop under 50 but not all those are even necessary.
 
Yesterday he was flat. I would have stopped at +6 and maybe tested at +11.5 to make sure he was trending up at PMPS. I would not have gotten a +10. He is doing so well. I think you will regret moving to SLGS. Decide when you are more rested. If you switch you can alwats switch back to TR though.
 
tiffmaxee said:
Yesterday he was flat. I would have stopped at +6 and maybe tested at +11.5 to make sure he was trending up at PMPS. I would not have gotten a +10. He is doing so well. I think you will regret moving to SLGS. Decide when you are more rested. If you switch you can alwats switch back to TR though.
Click to expand...

Which cycle do you mean he was flat yesterday? Because the AM cycle he dropped from 120 to 79 in two hours. So that seems quite a drop to me.

The PM cycle I did stop at +6 when it looked like he'd bottomed out.

The daytime cycle I test if I'm up. I've never been a daytime nap person so even though I try I'm probably up if it's AM cycle and then testing I may as well test so I have data to help me. I'm still learning about him in greens.

The +10 was this morning when he woke me up two hours before shot time. I try and grab a test while still in bed because once he's out he starts bouncing around and can be hard to settle for a test. So I grab that one so at least I have something for the preshot test.
 
After the 79 he was flat green. The drop to 79 was when Lantus onset. Then he was flat. I thought you set an alarm for the +10.

I know you are learning and trying to help you figure out when you can stop testing. Icoukdnt nap either.
 
Thank you Elise, Bhooma and Sue for your advice.

I did get an auto feeder (PetSafe) that I haven't used yet. It has deep bowls and Buddy's going to struggle. He has no top fangsies. I saw a post about some little bowls that someone uses and I need to research/buy that.

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tiffmaxee said:
After the 79 he was flat green. The drop to 79 was when Lantus onset. Then he was flat. I thought you set an alarm for the +10.

I know you are learning and trying to help you figure out when you can stop testing. Icoukdnt nap either.
Click to expand...

At +2 and +3 I was feeding him MC to keep him afloat. If I didn't he may not have been flat? The trajectory from AMPS was sharp down so I wanted to make sure I stopped the drop.

Going to see if I can catch some zzz's now. Thank you so much for all your help over the past few weeks Elise!
 
That’s the idea. Feed mc to keep flat. If you need to continually feed hc then the dose might be too high. The more times spent in normal numbers, the more healing.
I hope you do get that nap.
 
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