5/17, Susie, Reduction tonight to 2.75

Summer and Susie (GA)

Summer and Susie (GA)

Member Since 2020
https://felinediabetes.com/FDMB/threads/5-16-susie-343-amps.247407/#post-2790926

I was asked if I was taking reductions at 80 now. I'm not sure. I did reduce when I got the 78 at PMPS on the 15th. It is the low AMPS/PMPS numbers that would make me want to reduce. If I got a 78 mid cycle I would not want to reduce but after what happened on the 15th, with me not being able to raise Susie's glucose with food, I just don't know what to do. Any recommendations? I certainly would not want to reduce if I got a 78 during mid cycle.
 
Unfortunately, it does not work like that! :-) You reduce when the BG drops below your reduction point - irrespective of when in the cycle that happens.

As long as you can monitor and have enough supplies, you are good to shoot any number over your reduction point. I know it's scary initially but it's only a matter of getting used to it.

Some cats nadir at the end of the cycle or even +13 and then start rising. Have you seen Phoenix's SS?
https://docs.google.com/spreadsheet...zbGvpTZuWAeGjBueO4gbvRMhFRxL3TQ7Bwf0v/pubhtml

Next time you get a situation like a couple of days back where the +10 is flat or lower despite feeding at +9, feed slightly higher carbs at +10. You don't want to carb her up too much at the end of the cycle. And if you skip, you needn't reach for HC. She will start coming up on her own with LC.

We get so used to the higher numbers that normal numbers begin to seem too low! :-)
 
Bandit's Mom said:
Unfortunately, it does not work like that! :) You reduce when the BG drops below your reduction point - irrespective of when in the cycle that happens.

As long as you can monitor and have enough supplies, you are good to shoot any number over your reduction point. I know it's scary initially but it's only a matter of getting used to it.

Some cats nadir at the end of the cycle or even +13 and then start rising. Have you seen Phoenix's SS?
https://docs.google.com/spreadsheet...zbGvpTZuWAeGjBueO4gbvRMhFRxL3TQ7Bwf0v/pubhtml

Next time you get a situation like a couple of days back where the +10 is flat or lower despite feeding at +9, feed slightly higher carbs at +10. You don't want to carb her up too much at the end of the cycle. And if you skip, you needn't reach for HC. She will start coming up on her own with LC.

We get so used to the higher numbers that normal numbers begin to seem too low! :)
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I don't even know when Susie's nadir is anymore. For the longest time I thought it was +6. Then, looking at the 13th and 14th, it looked more like +4 and, of course, +12 on the 15th. Anyway, I should have fed a little h/c late in the cycle when I was "sweating bullets" and yes, I should not have fed h/c when I passed on the shot. I have to admit that I was scared for her. Not being able to raise her numbers with food was new to me. I still don't understand this except that I should have gone with the h/c earlier. Thanks for your advise. I will think about a reduction point and stick with it.
 
Summer and Susie said:
Anyway, I should have fed a little h/c late in the cycle when I was "sweating bullets"
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HC would have been too much that late in the cycle. What is your normal LC%? I think something like 8-12% would have been enough.

We have all panicked and thrown too much carbs at the kitty when confronted with our first green. That and skipping shots when the PS was lower than we are used to is almost like a rite of passage on this journey. At some point you look back and shake your head at the skipped shots and the excess carbs. With time and experience you will get used to it. :bighug:
 
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Susie just got 67 and 78 @+2. I went ahead and fed 1/4 l/c because I had already had that ready for her. Should I give some h/c now or wait and check in 30 minutes to see where she is. I guess another reduction is called for.
@Bandit's Mom
 
Okay. I fed another tsp. m/c around +3. Will check at +3.5. I know the numbers are safe but what worries me is she is so far away from nadir. I feel a little like I am going through the afternoon of the 15th except that I have a wonderful advisor this time. Thank you so much!
 
This cycle will probably be similar to the AM one on 5/10. Hopefully surf greens for a while before bouncing/heading up towards the end of the cycle. Let's see! They live to surprise us! :rolleyes:
 
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71 @3.5. What should my plan be going forward? I was going to do yard work but will delay that. Should I fed another tsp of m/c and check in an hour?
 
Summer and Susie said:
I just overfed her then. I gave her a 4th can of FF l/c at +3.75. I'll keep the condo updated.
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Just a spoon of food with every test is enough. Whether LC, MC or HC.

I think you may be done with testing and feeding after this. Get a test at +4.5/+5 and if flat or higher, don't feed and test again at +5.5/+6 to see if she stays up without food.
 
Bandit's Mom said:
Just a spoon of food with every test is enough. Whether LC, MC or HC.

I think you may be done with testing and feeding after this. Get a test at +4.5/+5 and if flat or higher, don't feed and test again at +5.5/+6 to see if she stays up without food.
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She was 78 at +4.5. I did not feed and will wait to test again until around +6 or a little later. Thanks!
 
It is so scary when you're feeding them, it's a ways from nadir, and they're not going up! But you're doing a great job! It's actually a fantastic cycle.
 
My main reason for not being fond of. SLGS is that there’s no such thing as a failed reduction so you have to wait a week to increase if needed. Since she didn’t really earn a reduction to 3.0 it’s up to you what to decide is the new dose. If she bounces tonight you can shoot through the bounce and decide in the morning.
 
tiffmaxee said:
My main reason for not being fond of. SLGS is that there’s no such thing as a failed reduction so you have to wait a week to increase if needed. Since she didn’t really earn a reduction to 3.0 it’s up to you what to decide is the new dose. If she bounces tonight you can shoot through the bounce and decide in the morning.
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Are you saying I should keep her at 3 units even though she went down to 65 today? You are right about not earning the reduction from fat 3 to 3 with that 78. I don't know what to do. If you were a novice like me (I still am new and inexperienced) what would you do? I don't want every day to be like this. I am shooting for low blues and upper greens - not mid to lower greens.
 
Summer and Susie said:
I don't want every day to be like this. I am shooting for low blues and upper greens - not mid to lower greens.
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Actually, you do want every day to be like this. :-) She was in good numbers (not too low) and you were able to steer her easily with the lower end of MC.

Susie has been on insulin for 6 months now. That's half way to being a long term diabetic. SLGS is for people who are just starting out and who cannot test even twice in a cycle.
 
Bandit's Mom said:
Actually, you do want every day to be like this. :) She was in good numbers (not too low) and you were able to steer her easily with the lower end of MC.

Susie has been on insulin for 6 months now. That's half way to being a long term diabetic. SLGS is for people who are just starting out and who cannot test even twice in a cycle.
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There is one aspect of TR that I cannot live with. I refuse to wait until 50 or lower before I take a reduction. I just cannot do that. If there were some way to switch to TR without that protocol hanging over me I would. Also, I know the goal for most people is remission but I am not aiming for that. Again, it is the fear of hypoglycemia and pushing her too low. It is the fear of having my entire life absorbed with worry and testing. If Susie becomes a long-term diabetic so be it. I am not going to play "Russian roulette" with her life or mine. I assume I can choose not to reduce? If not, I will lower her reductions to 60 and see how she continues to do, over the next few days, on the 3 units. Please do not get me wrong, Bhooma, I am very grateful to you for all your help. I just can't do what others can.
 
Summer and Susie said:
There is one aspect of TR that I cannot live with. I refuse to wait until 50 or lower before I take a reduction. I just cannot do that. If there were some way to switch to TR without that protocol hanging over me I would. Also, I know the goal for most people is remission but I am not aiming for that. Again, it is the fear of hypoglycemia and pushing her too low. It is the fear of having my entire life absorbed with worry and testing. If Susie becomes a long-term diabetic so be it. I am not going to play "Russian roulette" with her life or mine. I assume I can choose not to reduce? If not, I will lower her reductions to 60 and see how she continues to do, over the next few days, on the 3 units. Please do not get me wrong, Bhooma, I am very grateful to you for all your help. I just can't do what others can.
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I totally understand. And no pressure whatsoever. Just as long as you are clear about what to expect :)
She is your baby and you hold the syringe and you know what's best for you and her! :bighug:

You can keep your reduction point at 70 and reduce to 2.75U since she dropped below that today or reduce your reduction point to 60 and hold the dose.
 
I was wrong about shooting through the bounce. That is only allowed with TR. Sorry to mislead you. As for the new dose, you reduced before it was earned depending on your reduction number. You can reduce again though since following SLGS. It gets confusing when the methods get tweaked.
 
tiffmaxee said:
I was wrong about shooting through the bounce. That is only allowed with TR. Sorry to mislead you. As for the new dose, you reduced before it was earned depending on your reduction number. You can reduce again though since following SLGS. It gets confusing when the methods get tweaked.
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Not a problem. Two different protocols with two different sets of rules. I'm going to wait until I get closer to PMPS before I make a decision on whether to hold the dose, change my reductions or reduce. Thanks for your support Elise.
 
Summer and Susie said:
https://felinediabetes.com/FDMB/threads/5-16-susie-343-amps.247407/#post-2790926

I was asked if I was taking reductions at 80 now. I'm not sure. I did reduce when I got the 78 at PMPS on the 15th. It is the low AMPS/PMPS numbers that would make me want to reduce. If I got a 78 mid cycle I would not want to reduce but after what happened on the 15th, with me not being able to raise Susie's glucose with food, I just don't know what to do. Any recommendations? I certainly would not want to reduce if I got a 78 during mid cycle.
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Hi Summer, I know it gets scary but Susie looks like she likes these lower numbers. Bhooma is my savior, often night after night "can I go to bed yet?" I've become a little more confident in my own decisions but there are still nights when I need her input. Susie's numbers are pretty much what Bhooma predicted.
As far as the nadir, if you look at Dolly's spreadsheet sometimes she is at her lowest at onset and then she could drop at +3,+4,+5 or +6. I don't know. :rolleyes: She's unpredictable to me. Dolly often drops at her PMPS. I hoping for a relaxing day for you and Susie without worry :) Sending great big hugs to you both :bighug::bighug::bighug::bighug::bighug::bighug:
 
Our Dolly Girl said:
Hi Summer, I know it gets scary but Susie looks like she likes these lower numbers. Bhooma is my savior, often night after night "can I go to bed yet?" I've become a little more confident in my own decisions but there are still nights when I need her input. Susie's numbers are pretty much what Bhooma predicted.
As far as the nadir, if you look at Dolly's spreadsheet sometimes she is at her lowest at onset and then she could drop at +3,+4,+5 or +6. I don't know. :rolleyes: She's unpredictable to me. Dolly often drops at her PMPS. I hoping for a relaxing day for you and Susie without worry :) Sending great big hugs to you both :bighug::bighug::bighug::bighug::bighug::bighug:
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Thanks, Adrienne. When the nadirs change around a lot it is hard to tell when to feed when we are told not to feed after nadir. So does that mean if Dolly's nadir is at +3 then she has to go the rest of the day, until PMPS, before receiving food? By the way, you are another one on TR that has been holding the dose of 1.25 for a long time. Does that mean you are not aiming for remission?
 
Summer and Susie said:
Thanks, Adrienne. When the nadirs change around a lot it is hard to tell when to feed when we are told not to feed after nadir. So does that mean if Dolly's nadir is at +3 then she has to go the rest of the day, until PMPS, before receiving food? By the way, you are another one on TR that has been holding the dose of 1.25 for a long time. Does that mean you are not aiming for remission?
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I am most definitely aiming for remission but until I can monitor her at night post +3, I don’t know what her numbers are doing. Have not earned a reduction and really don’t think she needs an increase to push her into limes. Her numbers have been fairly stable but not enough to earn a reduction, too many blues. I feed Dolly all day up until fasting. She’s a grazer and never eats a whole meal at once. I had never heard feed the curve before until mentioned in one of your posts. IDK Summer. I have been totally out of wack since my accident and exhausted.
:bighug::bighug::bighug:
 
Our Dolly Girl said:
I am most definitely aiming for remission but until I can monitor her at night post +3, I don’t know what her numbers are doing. Have not earned a reduction and really don’t think she needs an increase to push her into limes. Her numbers have been fairly stable but not enough to earn a reduction, too many blues. I feed Dolly all day up until fasting. She’s a grazer and never eats a whole meal at once. I had never heard feed the curve before until mentioned in one of your posts. IDK Summer. I have been totally out of wack since my accident and exhausted.
:bighug::bighug::bighug:
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I'm sorry about your accident. I don't know what happened but I have seen a lot of comments regarding people praying for you and wishing you the best. Thanks for all the comments and support you offer to me. I pray that you return to good health soon.
 
Summer and Susie said:
I'm sorry about your accident. I don't know what happened but I have seen a lot of comments regarding people praying for you and wishing you the best. Thanks for all the comments and support you offer to me. I pray that you return to good health soon.
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I fell in March and broke my Femur. Had surgery on the fourth and was home in a week. Dolly had to of felt totally abandoned. My husband had to learn on his own how to test her, he’s the shot man, and care for her, mostly my job. It’s taking time to heal both my mind and body. I am a control person and had to learn to accept complete care from my husband and daughter. It’s taken time to get rid of the walker and with PT I just use a cane. I am also the only driver in the house so my daughter took my husband wherever he needed to go, mostly grocery shopping. He waited on me, home cooked all of our meals. So much to be grateful for. Before my accident I was taking care of him, a lot of illnesses that has kept us isolated from everyone the last 3 years. Life throws lots of curveballs. Thanks Summer :bighug::bighug::bighug:
 
Our Dolly Girl said:
I am most definitely aiming for remission but until I can monitor her at night post +3, I don’t know what her numbers are doing. Have not earned a reduction and really don’t think she needs an increase to push her into limes. Her numbers have been fairly stable but not enough to earn a reduction, too many blues. I feed Dolly all day up until fasting. She’s a grazer and never eats a whole meal at once. I had never heard feed the curve before until mentioned in one of your posts. IDK Summer. I have been totally out of wack since my accident and exhausted.
:bighug::bighug::bighug:
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Me too, Adrienne. Right now Darcy nibbles all the time. I have to keep many different foods out for him to eat all day long and all night long. A lot of it is high carb food too.
Now about “fasting” what are you talking about? I was told that not feeding your cat for two hours before a shot was only for newbies who don’t have enough data or knowledge of their cat to know how food affects their BG. That doesn’t apply to either you Summer or you @Our Dolly Girl
 
Suzanne & Darcy said:
Me too, Adrienne. Right now Darcy nibbles all the time. I have to keep many different foods out for him to eat all day long and all night long. A lot of it is high carb food too.
Now about “fasting” what are you talking about? I was told that not feeding your cat for two hours before a shot was only for newbies who don’t have enough data or knowledge of their cat to know how food affects their BG. That doesn’t apply to either you Summer or you @Our Dolly Girl
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Suzanne, now I am totally confused. Lately I feel as if I know nothing or have forgotten what I did know. I guess it's time to read the TR protocol again, can't tell you how many times I've read both protocols. Your situation is special, at least to me. Darcy has different needs when it comes to insulin and the balancing act you have to do. Also his labs, the phosphorus etc. You have to give him foods that address all of his needs. Truth be told, I think Dolly would have a better AMPS if she ate first, that's how it used to be with her Diabetes and prior to joining FD. Last November I wanted to quit TR. I was a zombie, once 3 straight days without sleep. It took me a long time to recover from that. You don't bounce back like you did when you were younger. I will do everything I can for Dolly, I couldn't bear to lose her. This is such a major commitment, my world as with all of you, revolves around Dolly's schedule, her numbers, her shots, her food. Would I change it never, will I complain from time to time, absolutely. Where do you think it states that fasting is only for newbies? I will research. You and Darcy take food care. Remind him that Dolly still sends out her hungry tummy hugs and prayers :bighug::bighug::bighug::bighug::bighug::bighug:
 
Our Dolly Girl said:
I fell in March and broke my Femur. Had surgery on the fourth and was home in a week. Dolly had to of felt totally abandoned. My husband had to learn on his own how to test her, he’s the shot man, and care for her, mostly my job. It’s taking time to heal both my mind and body. I am a control person and had to learn to accept complete care from my husband and daughter. It’s taken time to get rid of the walker and with PT I just use a cane. I am also the only driver in the house so my daughter took my husband wherever he needed to go, mostly grocery shopping. He waited on me, home cooked all of our meals. So much to be grateful for. Before my accident I was taking care of him, a lot of illnesses that has kept us isolated from everyone the last 3 years. Life throws lots of curveballs. Thanks Summer :bighug::bighug::bighug:
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You are truly blessed to have your husband and daughter to help you and Dolly out. I'm so sorry about your accident. Breaking your femur is very serious. I wish only the very best for you and I wish the best for your husband as well. It sounds like he has had his own problems to bear. Praying for both of you. It is wonderful to have a daughter to help you out, too. Wishing the very best that life can bring you.
 
Summer and Susie said:
You are truly blessed to have your husband and daughter to help you and Dolly out. I'm so sorry about your accident. Breaking your femur is very serious. I wish only the very best for you and I wish the best for your husband as well. It sounds like he has had his own problems to bear. Praying for both of you. It is wonderful to have a daughter to help you out, too. Wishing the very best that life can bring you.
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Thanks Summer. We will be fine. I know at my age it could have been much worse. Yes we are very blessed but it’s so easy to forget that at times. :bighug::bighug::bighug:
 
Our Dolly Girl said:
Suzanne, now I am totally confused. Lately I feel as if I know nothing or have forgotten what I did know. I guess it's time to read the TR protocol again, can't tell you how many times I've read both protocols. Your situation is special, at least to me. Darcy has different needs when it comes to insulin and the balancing act you have to do. Also his labs, the phosphorus etc. You have to give him foods that address all of his needs. Truth be told, I think Dolly would have a better AMPS if she ate first, that's how it used to be with her Diabetes and prior to joining FD. Last November I wanted to quit TR. I was a zombie, once 3 straight days without sleep. It took me a long time to recover from that. You don't bounce back like you did when you were younger. I will do everything I can for Dolly, I couldn't bear to lose her. This is such a major commitment, my world as with all of you, revolves around Dolly's schedule, her numbers, her shots, her food. Would I change it never, will I complain from time to time, absolutely. Where do you think it states that fasting is only for newbies? I will research. You and Darcy take food care. Remind him that Dolly still sends out her hungry tummy hugs and prayers :bighug::bighug::bighug::bighug::bighug::bighug:
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Oh, I am probably totally wrong. I mean, yes that is what I was told about feeding Darcy -- that I didn't have to not feed for two hours before either a.m. or p.m. shots -- but there is probably some confusing and convoluted caveat in there ... an exception to the rule... or an exception to the exception to the rule :confused: all these protocols are like that... seemingly. You are doing REALLY well Summer and will be a pro soon. I will not.
 
Suzanne & Darcy said:
Oh, I am probably totally wrong. I mean, yes that is what I was told about feeding Darcy -- that I didn't have to not feed for two hours before either a.m. or p.m. shots -- but there is probably some confusing and convoluted caveat in there ... an exception to the rule... or an exception to the exception to the rule :confused: all these protocols are like that... seemingly. You are doing REALLY well Summer and will be a pro soon. I will not.
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Suzanne, you look like a pro to me :) I wish I had all your knowledge about cat stuff. I just read the TR protocol and see no mention about fasting. I also wonder if my brain is not fully functioning :rolleyes: You do an unbelievable job with Darcy.
 
Our Dolly Girl said:
Suzanne, now I am totally confused. Lately I feel as if I know nothing or have forgotten what I did know. I guess it's time to read the TR protocol again, can't tell you how many times I've read both protocols. Your situation is special, at least to me. Darcy has different needs when it comes to insulin and the balancing act you have to do. Also his labs, the phosphorus etc. You have to give him foods that address all of his needs. Truth be told, I think Dolly would have a better AMPS if she ate first, that's how it used to be with her Diabetes and prior to joining FD. Last November I wanted to quit TR. I was a zombie, once 3 straight days without sleep. It took me a long time to recover from that. You don't bounce back like you did when you were younger. I will do everything I can for Dolly, I couldn't bear to lose her. This is such a major commitment, my world as with all of you, revolves around Dolly's schedule, her numbers, her shots, her food. Would I change it never, will I complain from time to time, absolutely. Where do you think it states that fasting is only for newbies? I will research. You and Darcy take food care. Remind him that Dolly still sends out her hungry tummy hugs and prayers :bighug::bighug::bighug::bighug::bighug::bighug:
Click to expand...
Summer and Susie said:
https://felinediabetes.com/FDMB/threads/5-16-susie-343-amps.247407/#post-2790926

I was asked if I was taking reductions at 80 now. I'm not sure. I did reduce when I got the 78 at PMPS on the 15th. It is the low AMPS/PMPS numbers that would make me want to reduce. If I got a 78 mid cycle I would not want to reduce but after what happened on the 15th, with me not being able to raise Susie's glucose with food, I just don't know what to do. Any recommendations? I certainly would not want to reduce if I got a 78 during mid cycle.
Click to expand...
Our Dolly Girl said:
Suzanne, you look like a pro to me :) I wish I had all your knowledge about cat stuff. I just read the TR protocol and see no mention about fasting. I also wonder if my brain is not fully functioning :rolleyes: You do an unbelievable job with Darcy.
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Thanks!!
 
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