5/10, Susie, 276 PMPS, 278 @+2 Can I go to bed?

@Suzanne & Darcy If I am to follow Susanne's advice Susie's WBC count is not out of the reference range of the vet's range. Their range shows WBC should be between 5.50 - 19.50 which puts Susie within the range, at 18.23, but still on the high end. Don't get me wrong. I AM concerned about this and will discuss it with him.
 
This seems to be a new low at AMPS. Let's hope it means something is responding to the new dose. I would keep a close eye on her, until her intention for the day are more clear....;)
I will keep a close eye on her. I was debating whether I needed to go out this morning to take care of some things but I think I'll stick around and see what she is doing.
 
@Suzanne & Darcy If I am to follow Susanne's advice Susie's WBC count is not out of the reference range of the vet's range. Their range shows WBC should be between 5.50 - 19.50 which puts Susie within the range, at 18.23, but still on the high end. Don't get me wrong. I AM concerned about this and will discuss it with him.
Okay. So I guess you got the reference ranges from your vet this morning. If that is their reference range for in house labs — you will have to go with that. I was just using the Idexx ranges. It’s on the high end or “normal” for the vet’s in house lab, I guess? This is confusing.
 
Okay. So I guess you got the reference ranges from your vet this morning. If that is their reference range for in house labs — you will have to go with that. I was just using the Idexx ranges. It’s on the high end or “normal” for the vet’s in house lab, I guess? This is confusing.
I got some of the reference ranges on my lab test. 10 are missing but they are on test that I do not recognize or have seen before so I'm sure there is some sort of explanation.
 
Where do the reference ranges that are listed on the Labs tab on the SS come from — those are already pre-filled in.
I have no idea where those "pre filled in" reference ranges come from but I did bounce them off my previous lab test and I think I might have changed a few. Honestly, I don't remember. I am confused with the different lab test and reference ranges. I think it is an excellent question to ask though. "Where did those reference ranges come from on the provided lab tab in the spreadsheets"?
 
She is going for it today :) Keep on top of her, I don't you want for her to immediatly get a reduction.....
I will test her every hour until she starts to go up and then I will probably continue to test a few times after that just to make sure she continues to go up. I don't want to reduce her yet too but I am on modified SLGS. Reductions at 70. I might switch that to reductions at 60. We will see. That 93 was very early in the cycle which concerns me more than anything.
 
I have no idea where those "pre filled in" reference ranges come from but I did bounce them off my previous lab test and I think I might have changed a few. Honestly, I don't remember. I am confused with the different lab test and reference ranges. I think it is an excellent question to ask though. "Where did those reference ranges come from on the provided lab tab in the spreadsheets"?
Use the reference ranges given in your lab report.
 
Here is my lab test. I tried to enlarge it. Hopefully you can read it.
Susie Lab Enlarged.jpeg
 

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you might want to give a tsp of HC if she looks like she is going further down in the next hour to keep herflat through the day...
Sorry for giving suggestions without being asked, I just am really hoping you find a dose she can stay in the greens, and I do not know how you usually feed.... Feel free to completely ignore me if you have matters on hand!
 
Susie is at 88 at +3. I am comfortable with these greens but they are too early in the cycle. Should I follow Karen's advise and give a tsp of HC now or should I give a Tbsp of HC Recommendations folks? I am not panicky just trying to do what is best. I hate to influence her glucose with food but this does seem too early.

@Bandits Mom or @tiffmaxee or @JaxBenji
 
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you might want to give a tsp of HC if she looks like she is going further down in the next hour to keep herflat through the day...
Sorry for giving suggestions without being asked, I just am really hoping you find a dose she can stay in the greens, and I do not know how you usually feed.... Feel free to completely ignore me if you have matters on hand!
I appreciate your comments Karen. Seems a tsp is such a little bit but you may be right. I just want a couple of other opinions. I usually don't feed again until her nadir around 6 and will give her 1/2 can of FF l/c.
 
Summer
I know you are doing SLGS and even if I did SLGS, I would not intervene with HC yet. I would not want to ruin a good thing goin on :)
That is just me, though. You have to be comfortable for yourself :)
And I SO love seeing this happen for Susie!

Edit: P.S.
My post came in after Bhooma's response and her response was not showing for me, so carry on :joyful:
 
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Just a spoon is fine. Did you feed anything at +2?
No, I did not feed at +2. I just gave her a heaping tsp of l/c at 3.5. She was down to 74. Will check her again at +4.

If this happens again and she is lower (around 93) at +2 how should I feed the curve. How much of what @ +2? Also, how long can I estimate the heaping tsp of l/c at +3.50 to take effect? I'm not sure how long it takes food to influence the numbers.
 
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Summer
I know you are doing SLGS and even if I did SLGS, I would not intervene with HC yet. I would not want to ruin a good thing goin on :)
That is just me, though. You have to be comfortable for yourself :)
And I SO love seeing this happen for Susie!

Edit: P.S.
My post came in after Bhooma's response and her response was not showing for me, so carry on :joyful:
Thanks, Cherryl. I just gave Susie a heaping tsp of FF l/c at +3.50. I don't want to ruin a good thing either but it worries me that she is this low so early in her cycle. Will check her again at +4.
 
Thanks, Cherryl. I just gave Susie a heaping tsp of FF l/c at +3.50. I don't want to ruin a good thing either but it worries me that she is this low so early in her cycle. Will check her again at +4.

I understand your fears. I wish I could help you get over some of them. It took me a while, so I do understand.
You will have to get more time with Susie at those numbers, so to be able to feel the comfort with it.
This is great for Susie! And that 74 calls for a big woot woot :)
 
I understand your fears. I wish I could help you get over some of them. It took me a while, so I do understand.
You will have to get more time with Susie at those numbers, so to be able to feel the comfort with it.
This is great for Susie! And that 74 calls for a big woot woot :)
Her 68 calls for a big woot woot, too. I am feeding the curve just a little but started too late. Hope I can get her to level off and SLOWLY start to come up. She is two hours away from nadir.
 
It's a great cycle and safe numbers.

I hope you are contemplating taking reductions at 60 :) She is doing great on this dose!
Thank you so much for your help! She just got 85 at +4.5 so I'm feeling a little better about this. Probably won't test again until +5.5. I can't believe I did not know to give a little l/c when she hits a green and with each subsequent test in the greens although I did not give more l/c at +4.5. This minimal amount of l/c food helped to get her up a little. It will be interesting to see what her 5.5 test is. I changed my spreadsheet to reflect reductions at 60 instead of 70. Thanks again for your easy to understand advice. I will feel more comfortable going in to the future with this information.
 
I got some of the reference ranges on my lab test. 10 are missing but they are on test that I do not recognize or have seen before so I'm sure there is some sort of explanation.
I've been entering a ton of labwork into an Excel SS for Darcy this morning (five separate days worth) and the IDEXX Reference Interval for WBC is 2.87 - 17.02. By the way, the interval for ALT is 12-130.

My vet uses IDEXX equipment for In House labs as well as the ones where they are sent out (which always gives you more bang for your buck... but sometimes you need fast answers).
 
No, I did not feed at +2. I just gave her a heaping tsp of l/c at 3.5. She was down to 74. Will check her again at +4.

If this happens again and she is lower (around 93) at +2 how should I feed the curve. How much of what @ +2? Also, how long can I estimate the heaping tsp of l/c at +3.50 to take effect? I'm not sure how long it takes food to influence the numbers.
30 minutes
 
Here is my lab test. I tried to enlarge it. Hopefully you can read it.View attachment 60862
Also, don't worry about not having ref. ranges for the white count breakdown -- the ones that say %NEUT %MONOS %EOS etc. You don't get a reference range for that -- they call it a derived value or number. It is a percentage of the whole white blood count and tells you what percentage of the white cells are neutrophils, lymphocytes, monocytes, eosinophils, etc.

Now that I see the report, the information provided looks pretty standard to me.
 
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I've been entering a ton of labwork into an Excel SS for Darcy this morning (five separate days worth) and the IDEXX Reference Interval for WBC is 2.87 - 17.02. By the way, the interval for ALT is 12-130.

My vet uses IDEXX equipment for In House labs as well as the ones where they are sent out (which always gives you more bang for your buck... but sometimes you need fast answers).
Interesting. I guess it is like Susanne says. There are different labs and different reference ranges. I mentioned my vets reference range for WBC earlier. His reference range for ALT is 20 -100 and she got 260 but this is better than her last ALT test which was done "off site". That reference range was 10 -100 and she scored a 525.
 
78 at +5.5. She went down a little again. I went ahead and fed her normal lunch which is 1/2 can l/c food so hopefully this will bring her up. Her nadir is usually around +6 so she should start coming up normally soon. I'm going to lie down for a little while and check her at +6.5 or +7.
 
Interesting. I guess it is like Susanne says. There are different labs and different reference ranges. I mentioned my vets reference range for WBC earlier. His reference range for ALT is 20 -100 and she got 260 but this is better than her last ALT test which was done "off site". That reference range was 10 -100 and she scored a 525.
Yep! It's moving in the right direction. :-)
 
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