? AMPS 98 ......

[Angela & Cleo]

So morning preshot. Im stalling without feeding but shes starving. @FrostD ....what should i do. i know no shot if under 200.

https://www.felinediabetes.com/FDMB/posts/2918963/

@FrostD[/US
went to the prozinc dosing tab and did...

Q4.4. My cat's pre-shot level was way below the usual value. Should I give the injection?
A4.4. There's no hard and fast rule, but if you don't have data on how your cat responds to insulin, here are some general guidelines
[LIST]
[*]Between 150 and 200 (8.3-11.1 mmol/L), you have three options:
[LIST]
[*]a.) give nothing
[*]b.) give a token dose (10-25% of the usual dose)
[*]c.) feed as usual, test in a couple of hours, and make a decision based on that value
[/LIST]
[/LIST]

So I did option c). I tested 45 mins later and she was 307. Gave 1.5Us.
This is still within my 12/12 hr window and i can roll back feedings by 15 min increments.
Was this ok?

 

[FrostD]

Do you have any data between the two tests last night?

Spreadsheet is Libre data correct?

It's reasonable to assume she went below 90 and therefore needs a 0.25U reduction.

Yes stalling was the right thing to do, as was giving a full dose given the 307 (I just would have done the reduction but she should be ok).

The only thing that's curious is that was a pretty drastic bounce, so I probably would have double checked the numbers both times. Unusual numbers always should be rechecked...with Libre I guess rescan?

 

[FrostD]

Also sorry I am usually not online until 9-10a ish, then not again til after 8p EST. Sometimes I can pop in middle of the day

 

[Angela & Cleo]

Do you have any data between the two tests last night?

Spreadsheet is Libre data correct? yes

It's reasonable to assume she went below 90 and therefore needs a 0.25U reduction. You really think a reduction already, its only been 2 cycles on the 1.5?

Yes stalling was the right thing to do, phew, as was giving a full dose given the 307 thank you and thank you prozinc dosing methods sticky post. (I just would have done the reduction but she should be ok).

The only thing that's curious is that was a pretty drastic bounce, so I probably would have double checked the numbers both times. Unusual numbers always should be rechecked...with Libre I guess rescan?

Morning! So sorry to have bothered you this early.
I rescanned the Libre several times each time and they were all within a couple of points each time.
I'm thinking, but don't have any proof other, that she tends towards huge increases in BG under stress. For Cleo, not eating when she wants to eat seems to increase her BG drastically. At yesterday's PM +10 (which was about 4:15 am) she woke me up so I scanned her libre and saw the 93 reading. I decided to slow the drop with 1 tsp of LC wet food. We then both went back to bed, cuddled and slept for another 2 1/2 hrs.
I am going to have the SS up all day and scan her every 1 -2 hours. Darn is making finding NADIR very difficult.