11/22 Dumpling AMPS 84, +1 95, +1.5 93, +3 68, +4 92, +6 79, +8 122

Dumpling0407

Dumpling0407

Member Since 2022
Hi all,

Dumpling has been steadily low over the last night, and got numbers below 68 in the early morning
Alpha READYINGS AT
PMPS 215 (11/21/22)
135 +4
107 +5
84 +6
85 +7
77 +8
55 +9 (1 tsp hc food at 4:55am, 95 at 5:10 am, 86 at 5:30am, 74 at 6am, give 1/3 tsp hc with 1tsp lc food at 6:05am, 68 at 6:20am, 1tsp hc food at 6:23am)
88 +10 (80 at 7:05am)
77 +11 (83 at 7:50am)

AMPS 84 (11/22/22)
95 +1
93 +1.5
68 +3 (feed 1tsp hc, 86 at 11:45am, 72 at 12:08pm, give 1/3 tsp hc with 1tsp lc. The number is still dropping through libre trend, so feed 1/3tsp hc with 1tsp lc food at 12:20pm)
92 +4 (85 at 1:15pm, feed 1/4tsp hc with 1tsp lc to avoid dropping, 85 at 2pm)
79 +6
108 +7
122 +8

Dumpling got hypo twice this early morning (last cycle), shot 6.5u this morning, 68 again at +3. I had a dose reduction from 7u to 6.5u this am, since dumpling got another hypo in current cycle, should I reduce the dose to 6.25u? Can someone please advice?

Thanks in advance :)
 
Last edited:
He has earned a reduction with that drop below 68 on the AT. His new dose would be 6.5U.

How long till his shot is due?
 
Bandit's Mom said:
When did he last eat?
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we gave him tiki cats after dark shreds at 1am (half can) and then we fed him 2 tsp hc food during hypo in the early morning, should I feed him now? Seems like he is not hungry, usually he will comes to us asking for food if he is hungry.
 
Dumpling0407 said:
should I feed him now? Seems like he is not hungry, usually he will comes to us asking for food if he is hungry.
Click to expand...
No. Do not feed him. You don't feed 2 hours before the shot (unless he is below 68) because you don't want a food-influenced number at preshot.

Has it been 2 hours since the last ate? Or only around an hour?
 
Bandit's Mom said:
No. Do not feed him. You don't feed 2 hours before the shot (unless he is below 68) because you don't want a food-influenced number at preshot.

Has it been 2 hours since the last ate? Or only around an hour?
Click to expand...
last normal meal was 7 hours. Last 1tsp hc food was fed 2 hours earlier from now
 
Dumpling0407 said:
@Bandit's Mom another test at 7:50, the number is 83
Click to expand...
Good to see he is staying flat/ heading higher. Can you monitor if you shoot?

Dumpling0407 said:
thanks Bhooma for the advice, so 1tsp lc food right? after every test if the number drops
Click to expand...
Yes, usually a spoon of LC unless the drops are sharp in which case you might need to use higher carbs to slow him down.

Have you seen this sticky on using food to manipulate the curve?
http://www.felinediabetes.com/FDMB/threads/8-10-tashie-pmps-high-questions.101989/#post-1087990
 
Bandit's Mom said:
Good to see he is staying flat/ heading higher. Can you monitor if you shoot?


Yes, usually a spoon of LC unless the drops are sharp in which case you might need to use higher carbs to slow him down.

Have you seen this sticky on using food to manipulate the curve?
http://www.felinediabetes.com/FDMB/threads/8-10-tashie-pmps-high-questions.101989/#post-1087990
Click to expand...
thanks Bhooma, I will read the post : ) if dumpling's number is above 68 preshot, should I go with 6.5u? What if he drops under 68 again? should I skip the shot?
 
tiffmaxee said:
Nice cycle.
Click to expand...
thank you : ) @tiffmaxee @Bandit's Mom
Actually I have a question about when should I use mc food to manipulate the curve.
1. Is it better to wait until 68 (AT) to feed with hc food so I can get reduction on dose
2. or should I avoid going down to 68 and feed mc food to avoid the drop?

Like what dumpling showed up this morning, I know his curve is dropping and will below 68 in a short period time so I fed him mc to level up the number a little bit, but I'd love to know what is your thoughts on this. Much appreciated!!!
 
Dumpling0407 said:
Actually I have a question about when should I use mc food to manipulate the curve.
1. Is it better to wait until 68 (AT) to feed with hc food so I can get reduction on dose
2. or should I avoid going down to 68 and feed mc food to avoid the drop?
Click to expand...
You want to feed some MC to flatten the curve and prevent sharp drops as well as a drop below 68. Sometimes you have to use carbs to keep them on a good dose.

Lantus is a depot insulin and the depot can take 4-6 cycles to adjust to a reduction. What you are seeing today (and will continue to see tomorrow) is still the 7U depot at work. So youmight have to use higher carbs to keep him over 68.

Btw, for numbers between 68 and 99, the cell colour would be drak green. Below 68 would be lime green.
 
Bandit's Mom said:
You want to feed some MC to flatten the curve and prevent sharp drops as well as a drop below 68. Sometimes you have to use carbs to keep them on a good dose.

Lantus is a depot insulin and the depot can take 4-6 cycles to adjust to a reduction. What you are seeing today (and will continue to see tomorrow) is still the 7U depot at work. So youmight have to use higher carbs to keep him over 68.

Btw, for numbers between 68 and 99, the cell colour would be drak green. Below 68 would be lime green.
Click to expand...

thanks Bhooma for the explanations and that is really helpful :) I am reading the TR guidelines but not sure how to reduce dose if the cat has several hypos in day. Can you please help?
 
Dumpling0407 said:
I am reading the TR guidelines but not sure how to reduce dose if the cat has several hypos in day. Can you please help?
Click to expand...
Here is the sticky on reductions:
Reminder: *earning* reductions and starting OTJ trials

Are you using the AT or the Libre - I am a little confused. For the AT a drop below 68 is a reduction while with the Libre (or any human meter) it is 50. Btw, we do not use the term hypo unless it is a symptomatic hypo episode. Otherwise it is just low numbers :-)

From the sticky on how to handle low numbers:
"If your cat is testing in low numbers and you are not getting a quick response to your post, there are several things you need to do. (Low numbers are under 50mg/dL or 2.8 mmol/L.)
  • Depending on how carbohydrate sensitive your cat is, feed approximately a teaspoon or less of gravy from high carb food or high carb food only. (If you have a cat with GI issues, using a couple of drops of syrup plus low carb food is an alternative.)
  • Test again in 15 – 20 min. Depending on the numbers, give more HC food.
  • Repeat the above steps every 15 – 20 min. until your cat tests in the 50 mg/dL (2.8 mmol/L) or above range for 2 consecutive tests. Continue to feed in small amounts to keep numbers in a safe range.
  • Test in 30 - 40 min. and repeat the test and feed process until there are 2 consecutive tests where numbers are stable or rising.
  • Test in an hour and follow the same steps.
DO NOT become complacent. If numbers have risen after one or two tests, it’s important to continue testing. Numbers may bobble up and down as the HC food and/or Karo wear off. DO NOT get one test where your cat has risen from low numbers into the 50s and go to sleep or leave the house. You are putting your cat in a risky situation. When in doubt, leave HC food out."

The idea is not to leave the cat in low numbers and keep feeding higher carbs and testing till it is over 68/50. From a reductions point of view, multiple drops in the same cycle earn only 1 reduction. With TR you do not take back-to-back reductions. Like I said above, the depot takes 4-6 cycles to adjust, so even if he were to drop below 68 today or tomorrow you would not reduce since it is the previous depot working.

Hope I am clear? Let me know if you have any questions. :-)
 
Bandit's Mom said:
Here is the sticky on reductions:
Reminder: *earning* reductions and starting OTJ trials

Are you using the AT or the Libre - I am a little confused. For the AT a drop below 68 is a reduction while with the Libre (or any human meter) it is 50. Btw, we do not use the term hypo unless it is a symptomatic hypo episode. Otherwise it is just low numbers :)

From the sticky on how to handle low numbers:
"If your cat is testing in low numbers and you are not getting a quick response to your post, there are several things you need to do. (Low numbers are under 50mg/dL or 2.8 mmol/L.)
  • Depending on how carbohydrate sensitive your cat is, feed approximately a teaspoon or less of gravy from high carb food or high carb food only. (If you have a cat with GI issues, using a couple of drops of syrup plus low carb food is an alternative.)
  • Test again in 15 – 20 min. Depending on the numbers, give more HC food.
  • Repeat the above steps every 15 – 20 min. until your cat tests in the 50 mg/dL (2.8 mmol/L) or above range for 2 consecutive tests. Continue to feed in small amounts to keep numbers in a safe range.
  • Test in 30 - 40 min. and repeat the test and feed process until there are 2 consecutive tests where numbers are stable or rising.
  • Test in an hour and follow the same steps.
DO NOT become complacent. If numbers have risen after one or two tests, it’s important to continue testing. Numbers may bobble up and down as the HC food and/or Karo wear off. DO NOT get one test where your cat has risen from low numbers into the 50s and go to sleep or leave the house. You are putting your cat in a risky situation. When in doubt, leave HC food out."

The idea is not to leave the cat in low numbers and keep feeding higher carbs and testing till it is over 68/50. From a reductions point of view, multiple drops in the same cycle earn only 1 reduction. With TR you do not take back-to-back reductions. Like I said above, the depot takes 4-6 cycles to adjust, so even if he were to drop below 68 today or tomorrow you would not reduce since it is the previous depot working.

Hope I am clear? Let me know if you have any questions. :)
Click to expand...

Thanks for answering the questions. I am using AT for testings but I also have Libre on Dumpling to monitor curves just in case I can't test in time (so I can see curves after and receive alerts when I fall asleep). But I am still not very clear about how to decide the dose reduction when we see low numbers (lower than 68). So for Dumpling, his dose is 7u before today, this AM we reduced to 6.5u since we got low numbers last night. So I am wondering when and how should I decide to reduce 0.25u or 0.5u based on numbers? For this pm shot, should I also reduce 0.25u to 6.25u since we got another 68 in today's cycle? thanks in advance :)
 
@Bandit's Mom sorry missed your note about "From a reductions point of view, multiple drops in the same cycle earn only 1 reduction. With TR you do not take back-to-back reductions. Like I said above, the depot takes 4-6 cycles to adjust, so even if he were to drop below 68 today or tomorrow you would not reduce since it is the previous depot working."
so I understand that we only do one reduction even we got several drops in 1 cycle. So we still keep 6.5u for the pm shot and wait 4-6 cycles until we cleared the previous cycle depot.
 
Bandit's Mom said:
Here is the sticky on reductions:
Reminder: *earning* reductions and starting OTJ trials

Are you using the AT or the Libre - I am a little confused. For the AT a drop below 68 is a reduction while with the Libre (or any human meter) it is 50. Btw, we do not use the term hypo unless it is a symptomatic hypo episode. Otherwise it is just low numbers :)

From the sticky on how to handle low numbers:
"If your cat is testing in low numbers and you are not getting a quick response to your post, there are several things you need to do. (Low numbers are under 50mg/dL or 2.8 mmol/L.)
  • Depending on how carbohydrate sensitive your cat is, feed approximately a teaspoon or less of gravy from high carb food or high carb food only. (If you have a cat with GI issues, using a couple of drops of syrup plus low carb food is an alternative.)
  • Test again in 15 – 20 min. Depending on the numbers, give more HC food.
  • Repeat the above steps every 15 – 20 min. until your cat tests in the 50 mg/dL (2.8 mmol/L) or above range for 2 consecutive tests. Continue to feed in small amounts to keep numbers in a safe range.
  • Test in 30 - 40 min. and repeat the test and feed process until there are 2 consecutive tests where numbers are stable or rising.
  • Test in an hour and follow the same steps.
DO NOT become complacent. If numbers have risen after one or two tests, it’s important to continue testing. Numbers may bobble up and down as the HC food and/or Karo wear off. DO NOT get one test where your cat has risen from low numbers into the 50s and go to sleep or leave the house. You are putting your cat in a risky situation. When in doubt, leave HC food out."

The idea is not to leave the cat in low numbers and keep feeding higher carbs and testing till it is over 68/50. From a reductions point of view, multiple drops in the same cycle earn only 1 reduction. With TR you do not take back-to-back reductions. Like I said above, the depot takes 4-6 cycles to adjust, so even if he were to drop below 68 today or tomorrow you would not reduce since it is the previous depot working.

Hope I am clear? Let me know if you have any questions. :)
Click to expand...

Sorry Bhooma I have one more question, this morning your suggestion is to have a reduction from 7u to 6.5u. Is there a reason why we go with reduction of 0.5u instead of 0.25u? @Bandit's Mom
 
Dumpling0407 said:
so I understand that we only do one reduction even we got several drops in 1 cycle. So we still keep 6.5u for the pm shot and wait 4-6 cycles until we cleared the previous cycle depot.
Click to expand...
Yes, usually you do not take back to back reductions with TR and wait 4-6 cycles for the depot to adjust.
 
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