3/22 Mouzer: AMPS 253/+3 159/+5 142/+7 136/+10 151/+11.75 225/PMPS 237/+2 259/+4 242/+7 305

Cherryl & Mouzer

Very Active Member
Dose Increase: 2.0u
I was only making myself sicker by setting alarms to wake up through a night where I had been advised, by those who know what they are doing, to go get some sleep, so I took their advise. I went on to bed after pmps +5.
I woke to see amps at 253 and decided that these numbers are never going to be lower if I do not gather some nerve and take the advise of those who know what they are doing, so Mouzer has a dose increase at 2.0u. I will get a +1 and +2 and go from there.
Please bear with me if I freak out any today :D


3/21 Mouzer: AMPS 264/+2 283/+7.5 91/+8.75 123/+10 143/PMPS +12 176 /+12.25 118/+12.5 186/+1 265/+2 285/+5 273
 
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Start with a +2 or even a +3. Save the pokes for later in the cycle when he may go lower. :)
Good luck with the increase.

Thank you on good luck with dose increase...
And I would be lying if I said I am all calm about this hahaha
I am nervous and in fear but it is done, the 2.0 has been administered, so let us see what happens...
Go Mouzer! Do what needs to be done!

Just to mention that we are at an 8am EST for shot.
Last night went 30 minutes past his 7:45pm shot.
I will make a decision this evening if I want to take him back to 7:45 or leave him at 8.
 
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Start with a +2 or even a +3. Save the pokes for later in the cycle when he may go lower. :)
Good luck with the increase.

In thinking on this, Mouzer has hid under my bed, so I will wait til +3.
Maybe he will come out and relax in one of his favorite spots, where it is easier to get him without the chase :D
 
Do you think a LC treat after every test will make him more dread the testing less?

I do not keep treats around. I use food.
Mouzer cannot eat hard treats and I do not know any thing else to try but I pick out his favorite lc food and use it at test times.
He had amps +3 159 and is eating right now.
Is it safe to wait two hours for next test or should I grab one in an hour?
 
I think you can wait 2 hours for the next test :)

Ok! He could turn green in this next hour but the second hour I suppose would show better.
I wish it was not so hard on them for testing because I would test in an hour just because I am curious to know exactly the hour he goes green :D
But poor Mouzer is going to hate me for my curiosity. This could be a case of curiosity killed the cat's mom :D
 
Can you feed him freeze dried treats? They are softer.

I had ordered something someone suggested with saying it is freeze dried and he could not eat it.
I forget what it was, this was in 2017.
Mouzer has no teeth, so anything harder than canned food has to be tiny, so he can swallow it straight down the middle of his mouth.
 
I saw your post from yesterday and want to give some other info.

While we want to get him into healing numbers and regulated, it’s also important to be sure you know how low the current dose is taking him before you increase the dose. You’ve been doing a great job of testing and, so far, have had the data to support your increases. Good job!

The most important thing to remember is you have the tools to keep him safe and that is (a) testing and (b) feeding. Because he’s still bouncing, that means he is going to clear bounces and that almost always means a very active cycle. I strongly urge you to always get a +2. If it’s similar to or lower than the PS, it’s likely to be an active cycle so don’t wait hours to test again. You can feed the drops that often come with bounce clearing so that it flattens him out and keeps him from dropping too low.

I know you are worried about shooting greens. We all are at first and then it gets addictive. If he’s headed down towards PS, check him 15-20 mins early and if it looks like you will be faced with a low blue or a green PS that you are worried about shooting, post for help before you feed or give insulin. Someone can help walk you through it. Likely, you won’t need to do this more than once or so and the intent is not necessarily for you to stall the shot but to test early enough that someone can help you shoot that BG that makes you nervous pretty much on time.

And if you can’t decide whether to raise the dose, ask but just remember many members will suggest you hold a dose where he’s seeing BGs below 200 for ten cycles. As we discussed, that might not be the best course of action for him so feel free to tag Wendy, Sienne, or me if you need help.
 
I saw your post from yesterday and want to give some other info.

While we want to get him into healing numbers and regulated, it’s also important to be sure you know how low the current dose is taking him before you increase the dose. You’ve been doing a great job of testing and, so far, have had the data to support your increases. Good job!

The most important thing to remember is you have the tools to keep him safe and that is (a) testing and (b) feeding. Because he’s still bouncing, that means he is going to clear bounces and that almost always means a very active cycle. I strongly urge you to always get a +2. If it’s similar to or lower than the PS, it’s likely to be an active cycle so don’t wait hours to test again. You can feed the drops that often come with bounce clearing so that it flattens him out and keeps him from dropping too low.

I know you are worried about shooting greens. We all are at first and then it gets addictive. If he’s headed down towards PS, check him 15-20 mins early and if it looks like you will be faced with a low blue or a green PS that you are worried about shooting, post for help before you feed or give insulin. Someone can help walk you through it. Likely, you won’t need to do this more than once or so and the intent is not necessarily for you to stall the shot but to test early enough that someone can help you shoot that BG that makes you nervous pretty much on time.

And if you can’t decide whether to raise the dose, ask but just remember many members will suggest you hold a dose where he’s seeing BGs below 200 for ten cycles. As we discussed, that might not be the best course of action for him so feel free to tag Wendy, Sienne, or me if you need help.


Thank You Marje!
I was not sure if 15 and 20 minutes before shot time was too early to see if I need to ask questions, so I will surely do that now. It has appeared to me that Mouzer is more active the second day after dose increase, so if he does not scare me this evening, he may scare me tomorrow :D
P.S. I do not know who Sienne is :)
 
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MY QUESTIONS :)
Marje has mentioned that if Mouzer is low where I am worried about giving a shot, to get a reading 20 minutes before the shot, and I can know to come here and ask for help if I feel I need advise ... If I get a reading 15 to 20 minutes prior to ps, am I to take another reading right before the shot that will fall 15 or 20 minutes later?

I just stuck Mouzer's ear a 20 minutes before shot and again right before shot and I just am wondering if the second test is necessary if I am sure I am giving the shot according to the test done 20 minutes early.

I find where if below 150 not to give the shot but I thought it is said 50 and up for TR.
Can someone make sure I know which it is?
 
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It’s been 4 1/2 years that Max left. I used soulistic pouches for high carb. He loved Triple harmony. They have some pouches 15-25%. Here’s the nutritional link. They put it all on their site.
https://www.soulisticpet.com/original-flavors-nutrition

I’m out of the loop for food as my girls are on raw.

I just ordered two things with 8 pouches each of Triple Harmony to have on hand.


Some of the freeze dried treats are bigger than others. Some are more like powder that would be easier to eat if you have no teeth. I think Pure Bites is one.

I just ordered two pouches of Pure Bites Salmon freeze dried treats to try.
I do not like using the seafood products but I guess a treat would not hurt, if Mouzer will eat them.
There was only the salmon and something ocean fish or something - only seafood is what I saw.
 
MY QUESTIONS :)
Marje has mentioned that if Mouzer is low where I am worried about giving a shot, to get a reading 20 minutes before the shot, and I can know to come here and ask for help if I feel I need advise ... If I get a reading 15 to 20 minutes prior to ps, am I to take another reading right before the shot that will fall 15 or 20 minutes later?

I just stuck Mouzer's ear a 20 minutes before shot and again right before shot and I just am wondering if the second test is necessary if I am sure I am giving the shot according to the test done 20 minutes early.

I find where if below 150 not to give the shot but I thought it is said 50 and up for TR.
Can someone make sure I know which it is?

I got a quote from my first questions I have, if you can take time to read and perhaps respond, I would appreciate it.
Now, I just did a pmps +2...
Marji has said this: I strongly urge you to always get a +2. If it’s similar to or lower than the PS, it’s likely to be an active cycle so don’t wait hours to test again.
PMPS was 237 and + 2 is 259 -- Is that considered similar or does similar mean like 235 or 236 or 237?
I am trying to learn if I am to have an active cycle :)
 
I find where if below 150 not to give the shot but I thought it is said 50 and up for TR.
Can someone make sure I know which it is?
In the Tight Regulation: Becoming Data Ready to Shoot / Handle Lower Pre-shot Numbers sticky, it says:

New members without much data collected, but are following the TR Protocol in the Lantus, Basaglar, and Levemir Insulin Support Group should ask for guidance when presented with a preshot number less than 150 mg/dL. Once you've collected data to support your decisions, the TR "no shoot" number is 50 mg/dL.

That sticky has a ton of tips on data gathering - I really found it useful when I started shooting low - may be worth the read (or re-read :)).

Pure Bites
I use PureBites for Jax - I have chicken (link to chewy cat version) - I first bought a small bag to make sure Jax would eat them then I bought the dog bag (same stuff, just bigger treats) - I break up the dog treats into itty bitty pieces.
 
In the Tight Regulation: Becoming Data Ready to Shoot / Handle Lower Pre-shot Numbers sticky, it says:

New members without much data collected, but are following the TR Protocol in the Lantus, Basaglar, and Levemir Insulin Support Group should ask for guidance when presented with a preshot number less than 150 mg/dL. Once you've collected data to support your decisions, the TR "no shoot" number is 50 mg/dL.

That sticky has a ton of tips on data gathering - I really found it useful when I started shooting low - may be worth the read (or re-read :)).


I use PureBites for Jax - I have chicken (link to chewy cat version) - I first bought a small bag to make sure Jax would eat them then I bought the dog bag (same stuff, just bigger treats) - I break up the dog treats into itty bitty pieces.

Thank you for responding!!

Thank you on that sticky! I was searching in the wrong place :)
I was searching here: https://www.felinediabetes.com/FDMB...-low-go-slow-slgs-tight-regulation-tr.210110/

I added those treats to my chewy favorites for if Mouzer will eat what I have coming, I can know he will eat those.

Do you by chance know, if I test 20 minutes before shot time, do I need to test again at shot time?

Also, do you know if a 259 reading is considered similar to a 237 reading? Or does the term similar mean like 235, 236, 237, 239 to be similar to 237?
 
Do you by chance know, if I test 20 minutes before shot time, do I need to test again at shot time?
IMHO if you are getting a +11.5 (or +11.75) and then PMPS, it's kind of like a stall before PMPS (versus stalling after). You kind of have an idea of what kitty is doing + you can try to post for some guidance at +11.5 and not have to delay PMPS...with that said, I have always shot my PMPS unless it was <50 -- I know it can be nerve racking but we are never shooting the number at PMPS. Not sure if that helps :p Just my experience (which isn't that long in the scheme of things).
 
IMHO if you are getting a +11.5 (or +11.75) and then PMPS, it's kind of like a stall before PMPS (versus stalling after). You kind of have an idea of what kitty is doing + you can try to post for some guidance at +11.5 and not have to delay PMPS...with that said, I have always shot my PMPS unless it was <50 -- I know it can be nerve racking but we are never shooting the number at PMPS. Not sure if that helps :p Just my experience (which isn't that long in the scheme of things).

Thank you again.
So, there is need for the pmps along with if that I do the +11.75 ... I was just making sure in case I did not need to stick Mouzer twice :)
 
If I get a reading 15 to 20 minutes prior to ps, am I to take another reading right before the shot that will fall 15 or 20 minutes later?
Typically, no, you wouldn’t need to test again as long as you are able to shoot within that 15-20 mins. If it stretches to a total of 30 mins, you should probably test again. I’ve seen numbers change within 30 mins.

I find where if below 150 not to give the shot but I thought it is said 50 and up for TR.
We don’t have a “no shoot” number in this forum for TR. If someone is new to shooting below 150, we ask them to not feed but post for help just as I have suggested you do. Eventually, members following TR should be able to shoot any number above 50 as long as they have supplies and are available and able to test.

PMPS was 237 and + 2 is 259 -- Is that considered similar or does similar mean like 235 or 236 or 237?
That’s fairly close. You might want to get a +4 and see where he is.
 
Typically, no, you wouldn’t need to test again as long as you are able to shoot within that 15-20 mins. If it stretches to a total of 30 mins, you should probably test again. I’ve seen numbers change within 30 mins.


We don’t have a “no shoot” number in this forum for TR. If someone is new to shooting below 150, we ask them to not feed but post for help just as I have suggested you do. Eventually, members following TR should be able to shoot any number above 50 as long as they have supplies and are available and able to test.


That’s fairly close. You might want to get a +4 and see where he is.

Oh! Thank you for responding!
And Great!! Mouzer will be happy to hear that if I do a 20 minute test before shot time, he wont get stuck again at shot time :)
Unless mom freaks out and does all kinds of nutty things :D

And ok on that new shoot 150 - means I get to come ask for help before I trust my decision because I do not trust me with knowledge just yet.

OK! I have planned a +4 even if 259 was not similar and just because I am trying to learn here... but also wanted to know if 259 is considered similar, so to know I could have an active cycle.
+11.75 and pmps and +2 are yellow...
If I am correct, this is when the insulin has worn off and we are now waiting for the onset of the pmps shot...
Which could take place +3 or +4 but he is high enough I can wait til +4 ...
One thing I have in mind that I am still trying to learn is how to know that we will be only rising due to a bounce, so that could mean I will see yellows at +4 and even later on and maybe throughout the night ... I do not know how to know when I can go sleep without checking and sticking the ear all night.
 
Because I do not know how to know when they are bouncing and could get some long sleep or if they could drop way down while I sleep, I have an alarm set to get a +7.
I need to try to grab a touch of sleep. I am feeling nauseated and I get like that when I dont get right sleep.
 
Because I do not know how to know when they are bouncing and could get some long sleep or if they could drop way down while I sleep, I have an alarm set to get a +7.
I need to try to grab a touch of sleep. I am feeling nauseated and I get like that when I dont get right sleep.
I think it's safe to stop testing for the night. Get some sleep :-)
 
Which could take place +3 or +4 but he is high enough I can wait til +4 ...
Just to clarify, although ECID, it would be really odd for a Lantus cat to not onset until +3 or +4. Onset is typically by +2 :)

You did a great job testing last night. For the future, if he’s still pretty flat by +4, you can grab your sleep. He might come down slowly or shoot back up like he did.
 
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