01/06 Gus PMPS 56 +1 50, +2 76, +4 50, +5 68, +6 59, +7 58, +8.75 76

FYI note.. just so I’m aware of all things I’ve called the closest ER vet and the next closest ER vet..

The closest was at capacity when I called 1.5 hours ago and gave me the next closest which I just called. They said they might not be able to take him (atm they are full and had lots of procedures today) but maybe later tonight wouldn’t be as busy. They did say they are prioritizing as well.. I asked if hypoglycaemia was in that category and she said it would depend on the situation. This worries me.

I know he doesn’t need vet help now.. but in the case somethings happens later I wanted to find out what was happening with these closures and restrictions
 
OK, he was 61 at +12, so looks like some of the karo/HC has worn off. If you can still stall some, I'd give a coupls tsps of LC to see if you can get him to not drop anymore, and test again in 30. That'll make it 2 hours after his last carbs?
 
Wendy&Neko said:
OK, he was 61 at +12, so looks like some of the karo/HC has worn off. If you can still stall some, I'd give a coupls tsps of LC to see if you can get him to not drop anymore, and test again in 30. That'll make it 2 hours after his last carbs?
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We’re at 2 hours after syrup/hc now. I can test to see where he is.. been 30mins since his last test.

Does that change things? Can I still give him some LC food.. he and his sister are fighting out of hunger atm :) kids…
 
You have a few options. (1) shoot the new dose now. (2) delay a bit more to see if he'll climb some more if 67 isn't your comfy zone. (3) shoot a reduced dose. Not a favourite of mine as a delay act a bit like a reduction already. (4) skip - he'll likely bounce so not a fan of that one either.

What's your gut telling you?
 
Wendy&Neko said:
Oh, and can you monitor tonight, have plenty of strips?
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I can monitor and plenty of strips and stocked up on mc/hc…and so much syrup.

My gut has conflicting thoughts.

We’re almost an hour past regular shot time ( in 15 more mins) so delay has happened already

I want to shoot his new earned 3.5u …I don’t want to cause any bounces from not shooting or a bigger reduced dose

BUT (a big but) I’m super concerned about this ER thing now. What if something happens that I need help and they are full…
 
If you feed hc and Karo or honey if needed you won't need the ER. From what I have heard shoot you have a real emergency and go to an ER they triage and if immediate care is needed they will take him even if full. You have to do what make you most comfortable.
 
Wendy&Neko said:
Remember, there is no wrong answer. Think of it as data gathering.
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I’ve decided to go with 3.5u at +13.5

I called my best friend who’s an RVT (for my regular vet) and she’s taking supplies home with her just incase something happens and I can’t see an ER.. not sure why I didn’t think of that earlier.

thank you for your guidance on this
 
For the spreadsheet do I just cram the numbers into the am cycle? In the PMPS column?

ETA: I’ve edited my spreadsheet please let me know if I did it right/if it’s clear
 
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Since I normally do insulin at 6 and we didn’t shoot until 7:30. Tomorrow mornings insulin should be at 7?

AM: 7
PM: 7
AM:6:30
PM: 6:30
AM: 6
PM: 6

This correct or should I do 15mins intervals?
 
You can go back 15 minutes per cycle, or 1/2 hour once per day. Your choice. Some cats are more sensitive to the larger changes, some not. Again, another thing to learn about Gus.
 
Wendy&Neko said:
You can go back 15 minutes per cycle, or 1/2 hour once per day. Your choice. Some cats are more sensitive to the larger changes, some not. Again, another thing to learn about Gus.
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ok, I’ll think about it.

I slept in one morning (12/15) by an hour, did 30min to get him back to norm. He was in the middle of a bounce, it got him some low AM blues…
 
Wendy&Neko said:
Liking that +2. :D
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Feeling a little more comfortable with my choices. It’s still a HC influenced number.. so we’ll see at next test in 30mins how he’s doing.

Not gonna lie, I did add a tiny bit of HC in his LC snack at +2 (not much) I probably didn’t need to, kind of regretting it now. +4 will be his first reading without HC.

He does have a tendency of having a late nadir. So if he’s not too low at the next few tests I might not feed incase he needs food later on… is that a good plan or better to feed?
 
Wendy&Neko said:
I'd wait and watch. It's possible he'll bounce.
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I’ll be watching him like a Hawk! ;) I’ve already let my boss know that I might be in for a long night so I’ll be up with him until he’s in a good range.

When he went to 43 on 12/30 he kept going for the next 1.5 cycles… but maybe the 31 will make him bounce faster, time will tell.
 
Bandit's Mom said:
And still down to 50 @+4 after the HC, I see! What did he last eat and when?
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Before +4 test, his last Meal was at +2 a tsp worth of LC with a dab of HC (since he was at 76). +1 he had a tsp worth of HC.. I’m using 19% HC

ETA: I didn’t want him to be filled up incase he goes lower at nadir… so I didn’t feed at +3 not sure if that was the right thing to do
 
I was thinking about how I was going to bring Gus back to regular time.. (comment 68)

I’m wondering since a) we reduced his dose and b) We ‘delayed’ his dose by an hour and half (could act like another reduction) I think we’d be safe to do it 30 min intervals. We did it back on 12/15 with no issues that I can see.

Does is makes sense to do 30mins or is it safer to do it 15 since he ‘earned’ a reduction at this point.

Im in no rush to get him back to regular schedule, though the morning will be tough since he’ll be banging at my door for food at regular time regardless ;)
 
You could do 30 mins a day. So, tomorrow morning, you can shoot 11.5 hours after you shot tonight - that is 30 mins early.
He can eat till 2 hours before his shot. Maybe if you feed at +9.5, he will leave you be till +11.5? No? :blackeye:
 
Bandit's Mom said:
You could do 30 mins a day. So, tomorrow morning, you can shoot 11.5 hours after you shot tonight - that is 30 mins early.
He can eat till 2 hours before his shot. Maybe if you feed at +9.5, he will leave you be till +11.5? No? :blackeye:
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Ya, I think that will work. He can usually go 3-4 hours without before… it’s just that internal alarm they have
 
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