2/24 Pearl PMPS 51, +0.5 50, +1 52, +1.5 50, +2 48, +2.5 64, +3 64; +3.75 72, +5 60, +6 61, +7.5 69

Look at all that green! I don’t think she has dropped under 50 yet. She is toying with you though.
 
tiffmaxee said:
Look at all that green! I don’t think she has dropped under 50 yet. She is toying with you though.
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Oh yes, she is messing with me bigtime! Just when I thought I had figured her out. If only I had waited a few more minutes to test this morning Elise, maaaybe I would have gotten a 49 lol!!
 
As long as she’s between 50-100 the better. Being in the 50)s is no better than 60’s or 80’s.
 
Margaret,

You could have cheated (ya know, w/ a 49), but since you didn't, when she goes under 50, you will be so happy;) And she will have truly "earned" it!!
Just like Elise said, you are in healing numbers, protecting kidneys and all other organs:cat: Pearl thanks you!
 
Nice start this morning for Pearl! It's frustrating when they're almost there for a reduction. Even more frustrating when they're a long term diabetic like Molly. She'll get there ;) have a great day Margaret :bighug:
 
Adrienne & Molly said:
Nice start this morning for Pearl! It's frustrating when they're almost there for a reduction. Even more frustrating when they're a long term diabetic like Molly. She'll get there ;) have a great day Margaret :bighug:
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Thanks so much for the encouragement, Adrienne. I am so desirous of getting her off the insulin, but realistically - with her other long-standing medical problems - I don't know if that will ever happen. I can't imagine how disappointing it is when you realize the FD isn't going away. I will keep rooting for Miss Molly tooooo! :bighug:
 
Pearl, stop teasing those sharks! Either kiss them or move further away from them (70s would be nice!):D. Such a funny cat. It's like Butters has given Pearl drama lessons or something:p:bighug:.
 
There is another way to earn a reduction.:D From the Dosing Sticky on TR:
Alternatively, attempt a reduction 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.
 
I feel your frustration Margaret... you want her to have that reduction so badly..plus hoping it will give you a bit of a break too. I didn't rush Missy but she certainly took her own sweet time...so I know she definitely earned it. To my surprise today she earned ANOTHER reduction only 3 days later.:woot: Today she went down to 47 at +2.5
Pearl is definitely keeping you on your toes...and I really hope she earns her reduction soon. Btw thank you SOOOO much for the suggestion with the food in the BG cells. What a huge difference. I know I already told you this but I wanted to thank you again for suggesting that. Its been a big help! Have fun with your PM cycle. :bighug::bighug:
 
Wendy&Neko said:
There is another way to earn a reduction.:D From the Dosing Sticky on TR:
Alternatively, attempt a reduction 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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Oh, Wendy I didn't even know this. So, does Pearl qualify for this? And do you suggest I do it if so? She has had a couple inverted curves where she has wafted up into the very low 100s then back down again after an hour or so, so I don't know if this disqualifies her?
 
Ok all I don't know what to do. Pearl has been low all day (holding onto those 50s all day - not usual at all). She usually dips low again for PS reading. We are already at 59 @+10.75. What am I supposed to do if she doesn't go back up??? I am worried about shooting lower than this, because she has already been so low all day.

I usually shoot low to stay low, but today's pattern has been much lower (and holding onto the lows) than we are used to. NADIR was 50. Any advice? @Marje and Gracie (I still have to write my post with questions, this isn't it!) @Wendy&Neko
 
Pearl looks beautiful! She's flat from your +6 - when Jax ran low like Pearl is, I'd grab a +11.5 to see what he was up to. Perhaps you can grab that tonight? Just my two cents - have a good night, Margaret :bighug:
 
JaxBenji said:
Pearl looks beautiful! She's flat from your +6 - when Jax ran low like Pearl is, I'd grab a +11.5 to see what he was up to. Perhaps you can grab that tonight? Just my two cents - have a good night, Margaret :bighug:
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Thanks Susanne! Can you see what Wendy wrote earlier about the TR sticky description for alternative ways to earn reduction? I am unsure about a little of the wording. Can you read it and tell me if you think it applies to Pearl?

I really am ok with her current dose but if I also don’t want to egg on some really low numbers.

And yes I will get the 11.5 good idea!
 
Margaret (and Pearl) said:
Thanks Susanne! Can you see what Wendy wrote earlier about the TR sticky description for alternative ways to earn reduction? I am unsure about a little of the wording. Can you read it and tell me if you think it applies to Pearl?

I really am ok with her current dose but if I also don’t want to egg on some really low numbers.

And yes I will get the 11.5 good idea!
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JaxBenji said:
Pearl looks beautiful! She's flat from your +6 - when Jax ran low like Pearl is, I'd grab a +11.5 to see what he was up to. Perhaps you can grab that tonight? Just my two cents - have a good night, Margaret :bighug:
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Ok she is 52 @+11.5. What is the no shoot again? 50? What do I do, stall, or just say "no go" if she is 50 or under?? Our first time in this position! Thank you!!
 
Butters & Lyla said:
Pearl, stop teasing those sharks! Either kiss them or move further away from them (70s would be nice!):D. Such a funny cat. It's like Butters has given Pearl drama lessons or something:p:bighug:.
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You know it, they snuck out of the house and had a big whisper fest between them. Subject of conversation was how best to keep us on our toes, with lots of evil chuckling.
 
Margaret (and Pearl) said:
hi!! and thanks!! Ok I won't shoot. I will test again in a couple minutes to see if she is still dropping. I have not fed either.
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I'm here! how long since the 46? She may keep dropping without food. TBH when Jax did this <50 at shot time, I just fed and skipped. But there are options to get her above 50 and shoot the reduced dose.
 
JaxBenji said:
I'm here! how long since the 46? She may keep dropping without food. TBH when Jax did this <50 at shot time, I just fed and skipped. But there are options to get her above 50 and shoot the reduced dose.
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Hi again Susanne. Thank you so much for writing. I just tested again (46 was 15 min ago), she is now 51. So, same thing basically I think. I don't think she will go back up, I think she will keep dropping that is her pattern.

Pearl is not a cat who spikes with insulin either, and her NADIR is often within the first 2 hours.

I am confident using food to moderate her numbers and keep her safe. Of course, I use the 0% and 3% food (super carb sensitive), but I have syrup in case the 3% doesn't do the trick. If I used a HC or MC food it would shoot her through the roof.

And I know shooting in general is better than not. So, since we are at 50...what do you think? Do I shoot this sucker at the reduced dose (1/8 or 1/4U reduced??) I can also add a little snack and test again in 15 more min first??
 
Okay, here's the info from the Low Number Sticky (the bold/underline emphasis is mine) - perhaps we can see what her next test is and then decide what you would be comfortable doing. If she's not >= 50, it's not safe to shoot.

  • 40s or lower – you have a couple of choices.
    • When 40s occur at the end of the cycle, it can be beneficial to withhold food and test in 15-20 minutes to determine if kitty is on the rise or hasn’t reached nadir yet.
    • If they are hanging in the 40s for a while, or if they are still dropping, it is ok to feed a tsp or two of LC and retest. This is very tricky. You want to avoid feeding too much while you’re waiting for them to go over 50, because you don’t want to artificially inflate the number with food.
      • Example: if kitty is 43 and you feed a whole meal, or feed some HC, and the number bumps up to 52, is that the cat’s natural end-of-cycle rise, or is it food spike? What if it is food spike? Then if you shoot the 52, when the food wears off he might drop back to the 40’s (and when insulin kicks in a couple of hours later, you might have a problem). If the 52 is the cat’s natural rise, then he will probably keep rising for the next few hours until insulin kicks in. If you can’t tell whether the number is food spike or natural rise, it’s safest to wait. Your data will help you here. Study the spreadsheet. How much food spike does the cat usually get? How many hours after the shot does the insulin’s onset usually occur in this cat? At what number is the cat likely to be when onset occurs? If the cat does drop, how easy/hard is it to regain control of the numbers? How carb sensitive is he?
 
JaxBenji said:
Okay, here's the info from the Low Number Sticky (the bold/underline emphasis is mine) - perhaps we can see what her next test is and then decide what you would be comfortable doing. If she's not >= 50, it's not safe to shoot.

  • 40s or lower – you have a couple of choices.
    • When 40s occur at the end of the cycle, it can be beneficial to withhold food and test in 15-20 minutes to determine if kitty is on the rise or hasn’t reached nadir yet.
    • If they are hanging in the 40s for a while, or if they are still dropping, it is ok to feed a tsp or two of LC and retest. This is very tricky. You want to avoid feeding too much while you’re waiting for them to go over 50, because you don’t want to artificially inflate the number with food.
      • Example: if kitty is 43 and you feed a whole meal, or feed some HC, and the number bumps up to 52, is that the cat’s natural end-of-cycle rise, or is it food spike? What if it is food spike? Then if you shoot the 52, when the food wears off he might drop back to the 40’s (and when insulin kicks in a couple of hours later, you might have a problem). If the 52 is the cat’s natural rise, then he will probably keep rising for the next few hours until insulin kicks in. If you can’t tell whether the number is food spike or natural rise, it’s safest to wait. Your data will help you here. Study the spreadsheet. How much food spike does the cat usually get? How many hours after the shot does the insulin’s onset usually occur in this cat? At what number is the cat likely to be when onset occurs? If the cat does drop, how easy/hard is it to regain control of the numbers? How carb sensitive is he?
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LOL I read that sticky like 5 times when I was waiting :woot::woot::woot: I thnk the only option is to test again in like 10 min now with food and go from there. What do you think?
 
Margaret (and Pearl) said:
And I know shooting in general is better than not. So, since we are at 50...what do you think? Do I shoot this sucker at the reduced dose (1/8 or 1/4U reduced??) I can also add a little snack and test again in 15 more min first??
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Sorry we cross posted :)

I would shoot 2.75 if it was me - but it's as long as you are comfortable monitoring. You will have to monitor heavily first part of cycle. I can stick around only for an hour or two.

You can always skip too. Kitties recover really quickly.
 
Congrats on the reduction!
I would probably give her more 3% food instead of 0. She still has the full 3 unit depot, and may not go up a lot. And its night time! I bet you know what to do. But what timing!
 
Butters & Lyla said:
Okay WTG:woot:.
I wasn't going to specifically tell you to shoot because I cannot stay up with you if needed.:)
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Don't worry, I am good with the monitoring. Crazy enough, that is not anything I worry about. Just the decisions on what to do with the shot - gee willakers, what a stressful way to earn a reduction! THIS is what Butters and Pearl were plotting in their late night chats!

JaxBenji said:
Get a +0.5 to see if you need help her out any more with food.
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Sounds like a good plan!

Tina Marie and Jan said:
Decrease by .25!
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Did it! I wanted initally to only go down 1/8 unit just in case you know her BG went high again, but did the standard 0.25 reduction. :)

Thanks everyone!
 
I see you put your BOS's to good use again....Great Job Margaret!!! You're paving the way for me again!
Good luck with Pearl tonight... she's doing fantastic....and so are you...way to go!!! :bighug::bighug::bighug:
 
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