1/10 Bailie +12 95 +13 145 PMPS (+13.75) 187 +1 338
- Thread starter Nancyco*
- Start date
Gus the Furminator
Member Since 2021
Have you fed anything yet? If not, please test now and let’s see that number.
Nancyco*
Member Since 2023
He ate an hour ago I am not waking him up now. He’s sleeping. I guess I’ll just forget about it tonight.
Nancyco*
Member Since 2023
He’s sleeping I really can’t bear to prick his ear again he’s very sore in the area.
Gus the Furminator
Member Since 2021
Nancyco*
Member Since 2023
I think it’s gonna be too late to give him anything right now because I cannot wait that long in the morning when he wakes up to feed him so I’m going to give it a pass right now.
It isn’t safe to disregard a 95 whether you plan to shoot or not. You have no way to know if the BG will go up or keep coming down.
It’s not the end of the world to wake him and if his ear is sore, poke the other one. But skipping again is not to his benefit. If you test him and he’s headed up, you can shoot the full dose and feed him.
Nancyco*
Member Since 2023
Ok one sec
Thank you very much. I’ll be watching.
Just a minute while I calculate that as I don’t know the equivalents right off hand and his SS is updated showing the conversion.
Ok…that’s 145 on a human meter. What did you feed him last and you said it was an hour ago?
Nancyco*
Member Since 2023
I don’t understand what you mean when you say it isn’t safe to disregard a 95 can you please explain that?
Nancyco*
Member Since 2023
Well, I had to wake him up to test him again and I had to give him his supplements so I gave him half a churro with his supplements in it and his gabapentin so that was just 10 minutes ago or so
Nancyco*
Member Since 2023
I usually feed him at 5:30 or 545 and he gets his shot at six
In post 3, you said you fed him an hour ago. I’m in a different time zone than you so telling me 5:30 means nothing to me. I don’t know where you are
So when you said you fed him “an hour ago “ in post 3, what did you feed him and how many carbs was it? How long ago was that now?
What are the carbs in the churro and did you give that to him after you got the 145 or before?
No, not a token dose. If I can get the information about food, I’m likely going to recommend a full dose.
Nancyco*
Member Since 2023
Yes I’m sorry I forgot that I’m just panickingIn post 3, you said you fed him an hour ago. I’m in a different time zone than you so telling me 5:30 means nothing to me. I don’t know where you are
So when you said you fed him “an hour ago “ in post 3, what did you feed him and how many carbs was it? How long ago was that now?
What are the carbs in the churro and did you give that to him after you got the 145 or before?
No, not a token dose. If I can get the information about food, I’m likely going to recommend a full dose.
No need to panic. He’s at a VERY safe number. But I’d like you to give him insulin however I need the questions answered. You’ve shot lower than this before.
Nancyco*
Member Since 2023
I fed him his meal an hour and a half ago then when I tested him and he was 8.1 I gave him his half churu with his supplements in it. I have no clue how many carbohydrates are in a churro I don’t think many if any.In post 3, you said you fed him an hour ago. I’m in a different time zone than you so telling me 5:30 means nothing to me. I don’t know where you are
So when you said you fed him “an hour ago “ in post 3, what did you feed him and how many carbs was it? How long ago was that now?
What are the carbs in the churro and did you give that to him after you got the 145 or before?
No, not a token dose. If I can get the information about food, I’m likely going to recommend a full dose.
Nancyco*
Member Since 2023
I’m also confused as to why I should be giving him a shot right now when it’s an hour and a half later than his shot because I was always told that you can only do 15 min either way ‘
I would like to deal with the shot issue first and then we can go over everything and I’ll answer your questions.
Do you have supples there for testing and HC food and/or syrup?
Please see above. Also, can you shoot tomorrow morning at 7 instead of 6 if need be?
Nancyco*
Member Since 2023
Yes I do but I’m under a tremendous amount of stress right now and I really cannot stay up all night scared if my cat is gonna go into hypo or not I just can’t do it. I’m going through too much stuff right now. Why can’t I just give him like one unit?
Nancyco*
Member Since 2023
So you think I should give him the full dose right now?
When you stall like this, it already acts like a dose reduction. If you then only give 1u, then it’s a double whammy on him. If you hadn’t fed him and his BG was coming up, then I would have no concern that he would come back down. But you fed him and food influences the BG at the end of the cycle.
In addition, because of the Lantus depot, if you give him 1u, the early part of the cycle will look the same as if you give him the full dose late, as we are now.
If you can monitor him for a bit, yes. It would be good if you could grab one more test before you shoot. I’m still here.
Nancyco*
Member Since 2023
I don’t like taking chances at the night time. Because if he goes hypo when something happens, I’ll never forgive myself. I’m scared.
Nancyco*
Member Since 2023
Can I do 2 units instead?
Nancyco*
Member Since 2023
What happens if I don’t give him a shot at all? I’m really really scared, especially overnight. I’m here by myself.
Nancyco*
Member Since 2023
Ok one sec
Nancyco*
Member Since 2023
Nancyco*
Member Since 2023
You there
He’s headed up.
You hold the syringe. It’s your decision on how much you shoot. I’m just trying to let you know that it doesn’t matter now if you shoot 1u or his full dose; he's got a 2.5u depot which means that the BG will be influenced by that dose for several hours yet. So you won’t see the BG headed up significantly from a dose reduction until later in the cycle.
However, it’s time to decide because you are at two hours late now and we usually don’t shoot after two hours as it’s too hard to make up the time.
Nancyco*
Member Since 2023
So you think I should give him the 2.5 units? Do you think it’s likely that he’ll go and hypo overnight?
Nancyco*
Member Since 2023
How long will you be on here for
I can’t tell you if he will go low but if you are testing him and feeding him, he won’t hypo.
If you skip, you’ll see the same kind of curve until about +4 on at which time he will start losing the depot effect, likely. Each cat is different. Sometimes the depot lasts longer, sometimes shorter, after a skipped shot.
However, it is now 2 hours 15 mins after you should have shot and so I would just skip at this point. It doesn’t mean you don’t have to test. You need to check him again shortly.
See above.
If you aren’t shooting, I have to cover my outdoor plants really quick as it is going to freeze here tonight. Then I want to come back and do an “after action report”; in other words, tell you how this could have best been handled.
Nancyco*
Member Since 2023
Ok I will skip but it’s 1 hour 45 mins late not more than 2 hours
If it’s 1 hour 45 minutes late, then please give him 2.5u and I will stay with you checking on him until he’s headed up.
Nancyco*
Member Since 2023
Ok you go I’m so sorry I’m such a basket case I apologize
Nancyco*
Member Since 2023
I jus
I just gave him his shot and believe it or not felt the weight coming off my shoulders. The indecisiveness, and not knowing what to do really makes me very anxious.
YAY!! Great job. You can give him a little LC food if he normally eats. That will also help bring his BG up.
Quickly: I updated his SS to show you how it’s done when you are stalling. I’m assuming you gave 2.5u but if you didn’t please change that on the SS to what you gave. I also updated your subject line so you can see how we do it when stalling.
Let me go cover my plants before it gets dark and I’ll check back in in ONE hour.
The mixup on the time was because you all are evidently 3.5 hours ahead of where I am. I was trying to figure out your time from the time stamps in this condo but didn’t realize it was 3.5 instead of 4 hours. I’ll be back.....one hour. Have some chocolate.
edited to add: please test him one hour after his shot and that is when I will see you back here to see what that BG is.
Nancyco*
Member Since 2023
Oh my goodness I was wondering what was going on and I couldn’t understand how that got there and I really didn’t know what to do. I erased it. Oh my goodness I’m so sorry help I feel like an idiot.
Nancyco*
Member Since 2023
I feel so bad for erasing what u did but honestly I wasn’t even sure what it was I was in such a tissue . I will try and re do it .I feel so bad . I just tried doing it and believe it or not I have no clue how to do it.
No apologies needed. Did you already test him for one hour after the shot and get 146 or where did that come from on his SS? If you haven’t tested him yet, which by my clock, isn’t an hour yet, then that should be deleted from the +1 on the World sheet and then it will auto delete on the US sheet. I have it fixed exactly as it should be. If you look at it later when you feel calmer, you’ll see the logic behind it. Because we typically shoot every 12 hours, if we delay, then the clock doesn’t start over....it just continues to +13, +14, etc. until we shoot. Then it starts over at +1 because we are looking at hours since the last shot. It would have been extremely helpful since you are at a very different time than any of us in the US, if you had said, I just tested him again and he’s 145 at +13. Then I would have known for certain when you got 187, 45 minutes later, that you still had plenty of time to shoot. It will help you and those helping you if you try to learn the lingo.
While we are waiting for that +1 test, let me go through a few things. I suggest you bookmark this page (on the top right of the first post you did today, click “watch thread” and then you can always find it in your “watched threads”) for future reference.
1. Always stay calm. It doesn’t help him, you, or the person helping you if you panic. Even if you test at some time and he’s at 40, do not panic. You do not need the 911 unless he is below 40 or is having hypoglycemia. It’s better to use the “?” prefix and have something in the subject title which indicates you need help ASAP. I have not yet, in 13.5 years, seen a cat hypo when the CG was testing and feeding appropriately. If you are doing that, he isn’t going to hypo. I understand the fear; I remember it well. We always have to have that feeling in us so we don’t get complacent but you are in control with your meter and food.
2. When we don’t shoot, it’s recorded as AMBG or PMBG. So, tonight, it would have been best for the subject line to state (after date and his name) “PMBG 95; need help to shoot”. If you put PMPS, people are going to assume you shot. Once you shoot, then you can change it as I have done for you.
3. Unless he’s below 40, as soon as you get a BG, record it on his SS immediately and then look at the US SS and see what the equivalent number is. Then post this in the condo. The majority of members here are not going to know how to convert mmol/L BGs to mg/dL BGs and so will likely not help if you don’t state it in the mg/dL format. Even for me tonight, you put it in the mmol/L, so I first looked on his SS to see the conversion but it wasn’t there. So I had to take time to convert it manually. Tonight it didn’t matter because he was at a safe number but there might be a time when every second counts.
4. Answer questions succinctly and remember that indecision wastes time. It is not helpful. Instead of continuing to ask me if you could shoot 1u or 2u, etc. and me repeating that the cycle would look the same for the first several hours no matter what you shot, you should have read my advice and then made a quick decision on what you wanted to do. While a member might decide to do something different than I recommend, it is not my business to judge or criticize it. I can tell you what I suggest after 13.5 years of doing this and helping hundreds and hundreds of people, but if you aren’t comfortable doing it and you wanted to shoot 2u, then we move forward. He’s your cat!!! And you also know your own situation and whether you have everything you need and can stay up to test him, if need be.
When I said it wasn’t safe to disregard a 95, I meant you couldn’t just skip the shot and not worry about testing him again because he was asleep. He was headed down all day and, although he was at the end of the cycle, sometimes we see the BG continue down in the subsequent cycle. Complacency is not safe here. Some times we have to wake them up to test. I know we don’t like it but if they are running lower than they have, we have to do it.
On shooting late or early. In general, you should test, feed, shoot within about 15 mins. However, that is different than when we are dealing with lower, and sometimes higher numbers. If the BG is too low to shoot at PS (below 90 for those doing SLGS and 50 for TR), then the best thing to do is not feed and then immediately post for help. Whoever is helping is going to have you test again in 30 minutes and if the BG is on the rise without food in the picture, it’s safe to shoot the full dose and feed. Sometimes, we don’t get a rising number for 1.5-2 hours so we continue stalling without food and retesting every 30 minutes and shoot the full dose as soon as the BG starts to rise. Sometimes, it doesn’t come up to a shootable BG in two hours so we skip and feed.
Typically when stalling, you want to then shoot the full dose because stalling can act like a dose reduction just as shooting early (yes, sometimes we do) can act like a dose increase.
When we stall, we have to get back to our shot time slowly, in general, and that is usually 30 minutes a day. So, for example, tomorrow, you would normally shoot at 7:30 since you shot at 8 tonight and tomorrow night you would shoot at 7:30. The next day, you would shoot at 7 am and 7 pm; the next day at 6:30 am and pm. And finally, the day after that, you will be back at 6/6.
However, we also have a little trick we can do if you get up in the morning at your usual time, test him (which would be around +10), and he’s really high. You can shoot on time with 2.5u. If this makes you nervous or you don’t know whether to do it, post, although I don’t know how many people will be on that early.
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Nancyco*
Member Since 2023
He is 18.8 wow