AMPS pending Need Help with Dosing

Scdal

Scdal

Member Since 2020
Phoenix's PMPS was 178. I gave him his 10 units. +2 230. +6 173 +7 106 I checked again after 30 minutes and Phoenix had dropped to 60 BG. I fed him some chicken hearts and at +8 67. I will continue to check every 30 minutes. He usually continues to drop until he eats after his AMPS.

I am concerned about his upcoming AMPS. Should I reduce his dose by .25 and what is the lowest number I should give him his insulin? He is due his next injection in 3 hours. Any help would be greatly appreciated.
 
Hi, You should wait for someone with more experience to weigh in, I just wanted to respond because I know how nerve wracking it is to post a question and get no answers :)

For what is worth, if you are following SLGS, Phenix would have won a reduction due to the drop below 90. However, I have seen this approach been adjusted if cats have been diabetic for long time. Definition of long time is more than a year, and phoenix has not, but it is quite close.... In long term diabetic cats, or cats that do not hold dose reductions in the past, I have seen people wait until 3 low BG to reduce.

The reduction is supposed to be 0.25, but again this is adjusted when doses are quite high to 0.5. I know that 10 is quite high.

On top of all this, there is the issue of whether you will be around tomorrow during the day to feed as needed, and whether phenix is easy to manage with food (i.e. does he eat most of the time you offer food, and do you usually see a quick response?

If you are not going to be around, and do not have plenty of testing strips or appropriate food to manage low BGS, then I would think reducing is absolutely a good idea. However, if you will be around and are prepared to manage low numbers, I might be tempted to give another cycle to see what happens, but again I am definetely not giving you advice, just thinking outloud in case it is helpful. Sorry if it is not.
 
Here's the link to your previous post - https://www.felinediabetes.com/FDMB/threads/great-news-phoenix-81-amps.242590/

Since you are following SLGS, you have earned a reduction with that 67. For doses above 5U, you increase and reduce in multiples of 0.5U, so your new dose is 9.5U.

If you get a number below 90 at AMPS, you stall without feeding and test in half an hour to see if he rises above 90 on his own. If he does, you can shoot - provided you can monitor. If he is below 90 despite stalling you skip. Even if you skip, the large depot will continue to affect the first part of the cycle.

Any reason you did not take a reduction when you got that 81 yesterday?
 
Bandit's Mom said:
Here's the link to your previous post - https://www.felinediabetes.com/FDMB/threads/great-news-phoenix-81-amps.242590/

Since you are following SLGS, you have earned a reduction with that 67. For doses above 5U, you increase and reduce in multiples of 0.5U, so your new dose is 9.5U.

If you get a number below 90 at AMPS, you stall without feeding and test in half an hour to see if he rises above 90 on his own. If he does, you can shoot - provided you can monitor. If he is below 90 despite stalling you skip. Even if you skip, the large depot will continue to affect the first part of the cycle.

Any reason you did not take a reduction when you got that 81 yesterday?
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I recently changed to TR since the SLGS was not working for Phoenix. I did hold the dose at little longer than recommended last week because Phoenix had a vet visit and I would be unable to monitor him. The guidelines state that I shouldn't reduce until he falls to 40 BG but I don't want him to drop that low.

After feeding Phoenix the chicken Hearts, he went up to 67 BG and 30 minutes later was at 69 BG. Now at +9 62 so I fed him some liver.

Do you think I should reduce his dose by .25 or hold at 10 units? I would really prefer to keep his numbers in the low 100 range. The green numbers scare me to much. Thankfully, I am retired. I have been up all night monitoring his BG but I don't mind it. Please let me know how you would handle his morning AMPS and thank you for responding.
 
Phoenix is now at 96BG because the liver I fed him always raises his BG. His AMPS is due in 1 hour. I am not sure what to do about his insulin dose.
 
If you are following TR, you shoot the whole dose. You shot an 81/93 a couple of days back at AMPS.

When did he last eat and what?


Could you change the SLGS to TR in your Signature and SS, please? Thanks :-)
 
Bandit's Mom said:
If you are following TR, you shoot the whole dose. You shot an 81/93 a couple of days back at AMPS.

When did he last eat and what?


Could you change the SLGS to TR in your Signature and SS, please? Thanks It was time for Phoenix's AMPS. His BG was 81 so I gave him the full dose. I am so upset. I gave him a fur shot. His fur was all wet. I was so excited because this is the first time he has remained low. Is there anyway I could at least give him a partial dose? I feel like this fur shot is really going to set him back and cause him to bounce.
There is no excuse for me giving a fur shot. He was very cooperative and I had a clear view. I thought the needle was in.
Click to expand...
 
JaxBenji said:
No, do not give any more insulin. It can be dangerous.

Fur shots happen, it's okay :bighug::bighug::bighug:
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I am so upset about the fur shot. This has happened quite a few times the last couple of months. I am going to only give him half of his lunch. He eats a lot and his BG really goes up after he eats. At least this should help keep his BG down a little. I know you will probably advise me not to do this but it works for Phoenix. Thankfully, he is a good eater.

I am just so upset. Phoenix depends on me and his life is in my hands. I can't believe I did a fur shot again !!!!!
 
Hercule's mum said:
Hi, You should wait for someone with more experience to weigh in, I just wanted to respond because I know how nerve wracking it is to post a question and get no answers :)

For what is worth, if you are following SLGS, Phenix would have won a reduction due to the drop below 90. However, I have seen this approach been adjusted if cats have been diabetic for long time. Definition of long time is more than a year, and phoenix has not, but it is quite close.... In long term diabetic cats, or cats that do not hold dose reductions in the past, I have seen people wait until 3 low BG to reduce.

The reduction is supposed to be 0.25, but again this is adjusted when doses are quite high to 0.5. I know that 10 is quite high.

On top of all this, there is the issue of whether you will be around tomorrow during the day to feed as needed, and whether phenix is easy to manage with food (i.e. does he eat most of the time you offer food, and do you usually see a quick response?

If you are not going to be around, and do not have plenty of testing strips or appropriate food to manage low BGS, then I would think reducing is absolutely a good idea. However, if you will be around and are prepared to manage low numbers, I might be tempted to give another cycle to see what happens, but again I am definetely not giving you advice, just thinking outloud in case it is helpful. Sorry if it is not.
Click to expand...
Thank you for your reply. I was so busy checking Phoenix's BG that this was the only chance I have had to reply. I really appreciate you responding. It is very hard when no one replies to your post. I have had that happen many times when I was frantic for help.
You are an asset to this forum. Keep it up and thanks again for responding to my post. I hope you and yours have a wonderful day.
 
Scdal said:
The guidelines state that I shouldn't reduce until he falls to 40 BG but I don't want him to drop that low.
Click to expand...
Only cats whose diagnosis is over 1 year are considered long term diabetics. Phoenix is not there until the end of the month. Under TR, his reduction point is 50 now.

You will get more eyes on your posts if you do the following things (1) put Phoenix's name on the subject line, (2) put the date so people know it's a current post, (3) use the "?" subject prefix so people know you have a question outstanding. We scan the board looking for those - there are enough people posting here we need a way to prioritize where to stop in. This may seem like a lot of "rules", but with so many cats posting here we want to make sure we get to those who really need it.

Plus you posted at what is the middle of the night for North Americans, which is the majority of members, so less people on. You did get responses from the rest of the world members though.

The link to your last post here, for continuity: https://felinediabetes.com/FDMB/threads/great-news-phoenix-81-amps.242590/
 
Wendy&Neko said:
Only cats whose diagnosis is over 1 year are considered long term diabetics. Phoenix is not there until the end of the month. Under TR, his reduction point is 50 now.

You will get more eyes on your posts if you do the following things (1) put Phoenix's name on the subject line, (2) put the date so people know it's a current post, (3) use the "?" subject prefix so people know you have a question outstanding. We scan the board looking for those - there are enough people posting here we need a way to prioritize where to stop in. This may seem like a lot of "rules", but with so many cats posting here we want to make sure we get to those who really need it.

Plus you posted at what is the middle of the night for North Americans, which is the majority of members, so less people on. You did get responses from the rest of the world members though.

The link to your last post here, for continuity: https://felinediabetes.com/FDMB/threads/great-news-phoenix-81-amps.242590/
Click to expand...
Should I wait until he drops to 50 before I give him food?
I do believe that Phoenix was diabetic for almost 2 years before he was diagnosed. His BG was always high at the vet due to stress so I don't blame them. I had mentioned that Phoenix had started walking pigeon toed on his back legs and also his eyes seemed cloudy. All of that has cleared up since he has been on the insulin.
 
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