4/15 Boris: Hold one more cycle or go back to last dose?

Nathalie & Boris

Nathalie & Boris

Member Since 2022
Dropped Boris .25u on 4/13 due to low drop. Bounce typically seems to last 3-4 cycles after going low. He is on the 4th cycle now.

Hold 1 more cycle tonight, or go ahead and increase?

Tomorrow I'll be gone to an event most of the day with my niece, so I won't be able to take numbers as often, as well as I'm low on test strips and waiting for ones to come in for the new meter I bought. Store sells them for $100 online $22. I'll start using human strips tomorrow. Relion until I get the Freestyle lite strips in.

I also bought an automatic feeder, so if I do increase should I leave a higher carb portion to feed at some point to be safe?

https://www.felinediabetes.com/FDMB/posts/2937253/
@FrostD
@tiffmaxee
@Wendy&Neko
 
Still bouncing, so it's too soon to call it a failed reduction. See where he's at after the bounce clears (whether that's tonight, tomorrow, etc).

Even so, that 50 was pretty low for a pet meter, so I'd be very hesitant to take it back up so soon after.
 
FrostD said:
Still bouncing, so it's too soon to call it a failed reduction. See where he's at after the bounce clears (whether that's tonight, tomorrow, etc).

Even so, that 50 was pretty low for a pet meter, so I'd be very hesitant to take it back up so soon after.
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Ok thanks! I just want to make sure I stay on track so I can get him on track.
 
We wait for the bounce to clear and see where the nadirs land (should be green) before deciding if a reduction has failed. Today is cycle 4, I'd wait a couple more cycles before deciding.
 
Bandit's Mom said:
Just wanted to confirm that you are using the AT2? Your SS is the format for the human meter.
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I have been on the Alphatrak2 because my vet refused to let me do my own sampling unless I used it. Not going further into that. Just used my last strip and I am changing over now. Tonight I'll be using the Relion Premier until the Freestyle lite strips I order come in on Sunday. I notated on the spreadsheet the last AT test which is now 175 @2.5+ which means he'll be going down tonight.

Now to start using your numbers that work with the human meter. should I go ahead and feed him a little bit of food so he doesn't go down to low?
 
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Unfortunately I'm not sure I see a lot of sleep in my crystal ball, but next test will be a little more telling. You'll be able to leave some MC or HC food out to hopefully get more sleep, but first we need to see exactly what he's doing at the moment.

He started breaking the bounce in the AM cycle, which often means a later nadir. The timing of the break is a little unfortunate, because he has a bit of extra downward momentum due to the break and the shot. So - I'm not sure when nadir will be or how long he'll hang there which makes it a little tricky
 
Also would like to know if I should schedule feedings for tomorrow am. Heading out of town for egg drop with niece and will be gone a good portion of day.
FrostD said:
Unfortunately I'm not sure I see a lot of sleep in my crystal ball, but next test will be a little more telling. You'll be able to leave some MC or HC food out to hopefully get more sleep, but first we need to see exactly what he's doing at the moment.

He started breaking the bounce in the AM cycle, which often means a later nadir. The timing of the break is a little unfortunate, because he has a bit of extra downward momentum due to the break and the shot. So - I'm not sure when nadir will be or how long he'll hang there which makes it a little tricky
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I gave 7% tsp and will test again in 5 minutes and post results. Wish your crystal ball had more good news. lol It is what it is. Already running on fumes.

Think my niece is the trick. It was her and her little friends staying here a few weeks ago that gave him his first hypo scare. She has him running quite a bit. More time to play as I'm cooking etc.
 
FrostD said:
Unfortunately I'm not sure I see a lot of sleep in my crystal ball, but next test will be a little more telling. You'll be able to leave some MC or HC food out to hopefully get more sleep, but first we need to see exactly what he's doing at the moment.

He started breaking the bounce in the AM cycle, which often means a later nadir. The timing of the break is a little unfortunate, because he has a bit of extra downward momentum due to the break and the shot. So - I'm not sure when nadir will be or how long he'll hang there which makes it a little tricky
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After 3 attempts, it came in at 54 on Relion. I gave another tsp of 7%
 
FrostD said:
He started breaking the bounce in the AM cycle, which often means a later nadir. The timing of the break is a little unfortunate, because he has a bit of extra downward momentum due to the break and the shot. So - I'm not sure when nadir will be or how long he'll hang there which makes it a little tricky
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Interesting. Think I may be getting this down. I was counting the chart last night and expecting it to happen last night or in the am.
 
Ah I am sorry I wasn't around for the test. See where he's at now please. If he drops more it will be HC. If under 40 you will add some honey

If you are gone tomorrow we'll have to see...I'm guessing he'll bounce by then, but if not may need to consider a temporary reduction, leaving higher carb food out, etx
 
Nathalie & Boris said:
By the way, can I send a donation to the site, or to the people that stay on call because they care so much?
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If you look at the top of this page (or any page on the site) there is a link to fundraising for the site. We do not allow personal fundraising, GoFundMes, those sorts of things.

Edit - link to fundraising page
 
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Nathalie & Boris said:
@10.1 62
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Ok that's a decent bump from 7%, hopefully about at/past nadir. I'd give one more tsp and test again in half hour.

In your spreadsheet please note the % fed and when (I don't have it open, you may already be doing this).

And for reference - low carb is under 10%, medium carb (MC) is 10-15, high carb (HC) is 16-29%. I also keep a few cans of stuff about 24% + just in case
 
I do have to get to bed but I think you should be ok. We want to make sure he's rising on his own after 2 hours without food. But realistically, if he's consistently rising with LC it should be ok, just leave him snacks.

I don't think I'll be around for AM dose, but if bounces I would give full dose. If not, hopefully someone else is around to advise. Sometimes we do a half dose but that's not always a guaranteed safe thing because of the depot
 
FrostD said:
Ok that's a decent bump from 7%, hopefully about at/past nadir. I'd give one more tsp and test again in half hour.

In your spreadsheet please note the % fed and when (I don't have it open, you may already be doing this).

And for reference - low carb is under 10%, medium carb (MC) is 10-15, high carb (HC) is 16-29%. I also keep a few cans of stuff about 24% + just in case
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Thanks, that was my next question. And yes, I've started adding to SS per your advice.
 
FrostD said:
I do have to get to bed but I think you should be ok. We want to make sure he's rising on his own after 2 hours without food. But realistically, if he's consistently rising with LC it should be ok, just leave him snacks.

I don't think I'll be around for AM dose, but if bounces I would give full dose. If not, hopefully someone else is around to advise. Sometimes we do a half dose but that's not always a guaranteed safe thing because of the depot
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Idk if anyone will be around at 530 am, so I'm going to probably need to make a plan now. If AMPS is < or > ? do full shot or half shot kind of deal?
 
I'm a little uncomfortable making a blanket statement, so I will say use your best judgment and do what your comfortable with. He'll recover from a skipped or smaller dose than usual, just check ketones.

If he's above 300 that's a bounce for sure, and he bounces for a few cycles at a time. So I'd give the full dose.

Below that is a bit harder and I think you'd get different advice depending on who you ask. I am probably too cautious when leaving the house. If he were my cat, I'd shoot the full dose if over 200 and just leave him some slightly higher low-carb food mid cycle. I'd probably do a half dose if 125-199, assuming he was rising, and again leave some higher low carb food (MC if he was closer to that 125). Below that I'd probably do a 0.1-0.25U token or skip altogether depending on the number.

Edit - this is specifically for Boris for his specific pattern lately. Advice changes a bit as their patterns change, and from cat to cat
 
Nathalie & Boris said:
Idk if anyone will be around at 530 am, so I'm going to probably need to make a plan now. If AMPS is < or > ? do full shot or half shot kind of deal?
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BG +10.75 66. Gave 11%. Need to go buy higher carb foods tomorrow.
FrostD said:
I'm a little uncomfortable making a blanket statement, so I will say use your best judgment and do what your comfortable with. He'll recover from a skipped or smaller dose than usual, just check ketones.

If he's above 300 that's a bounce for sure, and he bounces for a few cycles at a time. So I'd give the full dose.

Below that is a bit harder and I think you'd get different advice depending on who you ask. I am probably too cautious when leaving the house. If he were my cat, I'd shoot the full dose if over 200 and just leave him some slightly higher low-carb food mid cycle. I'd probably do a half dose if 125-199, assuming he was rising, and again leave some higher low carb food (MC if he was closer to that 125). Below that I'd probably do a 0.1-0.25U token or skip altogether depending on the number.

Edit - this is specifically for Boris for his specific pattern lately. Advice changes a bit as their patterns change, and from cat to cat
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Thank you so much! Yes Boris has own patterned swings not seen on most SS I’ve seen.

luckily I know him really well and he knows how to tell me when something is up.

i set the feeder for 1tsp 7% in 1 hour, then 1tsp 0% in 2. Will check his bg in 30 before I fall out and determine if I should adjust that depending on how much 1tsp 11% brings him up
 
Bandit's Mom said:
Is his AM shot due in an hour and 15 mins?
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No, she said she shoots 530a and she's my time zone.

I think there's a bit of a slip between the SS notation and actual time. So right now it's midnight, but in terms of the SS it should be +6.5. The prior ones (like 10.5 meaning possibly 10:30 or 10:50) I suspect need to be converted to spreadsheet time, if that makes sense.
 
Bandit's Mom said:
Yes, but why are these tests in the +5 cell?


Has he eaten in the 2 hour window before his AMPS?
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Not yet. The results are in the cells they are because I'm still testing and trying to put the info in cells if it falls after the cell time but before the next cell time. Hope that makes sense.
 
Nathalie & Boris said:
Not yet. The results are in the cells they are because I'm still testing and trying to put the info in cells if it falls after the cell time but before the next cell time. Hope that makes sense.
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I have food left out for him in feeder I'm debating taking up based on feeding of 11%. I've been adding tsp of carb fed in the cells tonight per Frost's suggestion. I'm a bit tired, so sorry if not typing in an understandable format.
 
Nathalie & Boris said:
Not yet. The results are in the cells they are because I'm still testing and trying to put the info in cells if it falls after the cell time but before the next cell time. Hope that makes sense.
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To clarify, shot times are in the 30's. 530 am/pm. So I'm trying to compute in 15 min increments, but be as exact as possible.
 
FrostD said:
No, she said she shoots 530a and she's my time zone.

I think there's a bit of a slip between the SS notation and actual time. So right now it's midnight, but in terms of the SS it should be +6.5. The prior ones (like 10.5 meaning possibly 10:30 or 10:50) I suspect need to be converted to spreadsheet time, if that makes sense.
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I compute numbers all day, and refer to .25 at 15 minutes after + time, .5=30 min. .75 etc. If there is a .10 it means it was taken @ +?&5-10 min after instead of .25=15 min after. Maybe I should just round up to make it easier lol. I never do that with business and money, so that's my downfall
 
Nathalie & Boris said:
I compute numbers all day, and refer to .25 at 15 minutes after + time, .5=30 min. .75 etc. If there is a .10 it means it was taken @ +?&5-10 min after instead of .25=15 min after. Maybe I should just round up to make it easier lol. I never do that with business and money, so that's my downfall
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That is the correct way to do it, you were just using real time instead of our + notation. So 10:30p is actually +5 because it's 5 hours after your shot. I see you fixed it though
 
FrostD said:
That is the correct way to do it, you were just using real time instead of our + notation. So 10:30p is actually +5 because it's 5 hours after your shot. I see you fixed it though
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I was so tired I was just entering what I could. lol

This am after 2-3 hours of sleep, I saw what I did and why the confusion. Think adding the time so I don't have t count hours every time threw me off. ;)
 
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