charly - reduction

looks like she might be giving us a day off today.

ketones at 0.3 but she seems comfortable and is eating ok

i forgot to say amid all yesterdays action she seemed really well and happy last night in green. nearly back to the old charly.
 
I think we probably shot too little this evening. I was out at work and I wasn't expecting her to be blue at pmps and hadn't briefed the CG well enough for the low number....
 
DavidJ said:
I think we probably shot too little this evening. I was out at work and I wasn't expecting her to be blue at pmps and hadn't briefed the CG well enough for the low number....
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Yes. Since last night’s PMPS was lower than tonight’s you probably could have gone with the same dose as last night (1.25) or 1 unit. But with all the greens and recent limes, I can’t blame you for being cautious if you were not home (or was it just a miscommunication?) She will get back into green soon. It’s nice to hear that she felt well in the extended period of greens yesterday
 
Partly caution partly miscommunication.

PMPS is higher than last night but it didn't seem so clear was she going up or down. I was thinking to stall for 30 minutes but CG had already fed her so erred on side of caution as I am not home til around+6
 
DavidJ said:
Partly caution partly miscommunication.

PMPS is higher than last night but it didn't seem so clear was she going up or down. I was thinking to stall for 30 minutes but CG had already fed her so erred on side of caution as I am not home til around+6
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No worries. She’ll be about her business again soon. I just don’t want her to go high enough to make her feel uncomfortable.
 
Black again this morning like every morning recently....

But she looking happy and eating well and down to yellow at +6.

It would be nice to get a low amps one day soon!
 
DavidJ said:
Black again this morning like every morning recently....

But she looking happy and eating well and down to yellow at +6.

It would be nice to get a low amps one day soon!
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That is definitely what we are looking for — those preshot numbers to come down— and usually for Charly it’s the AMPS that’s the high one.
 
Suzanne & Darcy said:
That is definitely what we are looking for — those preshot numbers to come down— and usually for Charly it’s the AMPS that’s the high one.
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yes it seems like she bounces by end of cycle when we shoot a low pre shot number. which typically is the pm cycle. the pm cycles start low and end high. the am cycles start high and end low.
 
Yes. I was thinking we probably should go back up, but I wanted to see what happened today. I think you will definitely be safe with going back to 1.25.
 
another similar day. shes looking very happy but the numbers are disappointing.

she ate a vole she caught at around +8 which probably hasn't helped much with the pmps number
 
She was hi but happy again his morning. Had to shoot her and go out this morning but will get +5 or +6 when I get home.

She definitely much more comfortable now most of the time. I'm wondering if maybe the suspected pancreatitis is improving and now we have just the diabetes. Her presentation is so much better im not nearly as worried about her as I have been despite all the black. Ketones were low yesterday too. Have increased the dose again today today to 1.5
 
It must be that he pancreatitis flare up has improved! Diabetic cats are prone to pancreatitis. At least Charly ate through most of it because some cats will not.
 
Having said all that red at +5 today is very disappointing. I was hoping for better numbers today. She's looking less happy again suddenly too.
 
I was at work again this evening. She always picks the nights I'm out for the tricky dose decisions...

Yes she's looking happier again tonight
 
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We just increased to 1.5 this morning. Do you mean hold the 1.5 dose or go back down to 1.25?
 
Did she eat all right last night…. Heading down to that +4? There are no notes on what she ate or what you fed her at +4. I am assuming you didn’t carb her up because she had a nice little surf in green for a bit. ‍
 
Ah yes I was barely awake last night while trying to feed her and test her etc. I didn't have the energy for notes!

Yes she was eating well. She had usual lc meals at 0 and +2. I made her +4 meal medium carb instead of low when I saw the lime green and gave her another teaspoon of mc at +5 when she was 3.2.
 
She's looking quite relaxed this afternoon I *think" it's going to be a similar cycle to yesterday although her behaviour doesn't always seem map onto her BG levels.
 
I know you don’t like to test too much, but the +2 can be a really great indicator of how the cycle is going to go. If it’s about the same as AMPS/PMPS then it’s probably going to be a boring cycle. If it’s quite a bit lower than AMPS/PMPS then it’s probably going to be an “active” cycle. It can help you make feeding decisions as well regarding carbs. In Charly’s case, I would try more carbs earlier in the cycle to help prevent a lime. I hope to eliminate the black preshots.
 
Okie dokie. Yes I was thinking we need to try doing something different with feeding but I wasn't sure what. Will give this a try
 
It’s definitely a lot of trial and error sometimes with the feeding. I just would like to see us get her stabilized for a few days at a dose so we can see what’s going on. And I do not like the black AMPS. But after that she still does go down … but next day another black AMPS.
 
Like tonight— when you saw the +2 you naturally would stick with LC food. If you had a lower number you might try a little higher carb.
 
Suzanne & Darcy said:
It’s definitely a lot of trial and error sometimes with the feeding. I just would like to see us get her stabilized for a few days at a dose so we can see what’s going on. And I do not like the black AMPS. But after that she still does go down … but next day another black AMPS.
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yesi'm hopeful she won't be black at amps tomorrow
 
Back in black. But at least she's got back to green briefly and we've managed to maintain a steady dose for a few cycles. Things might settle down if we hold the dose for another few cycles?

We gave her MC too late in the cycle last night I know. I was away from home last night and another misunderstanding with her CG.
 
i tried to keep her out of lime green today with mc food in the first half of the cycle but didn't succeed. things got a bit scary around +5 when she was lime green and vomited up the food i'd given her half an hour earlier. but she kept the next teaspoon down and came back up.....al the way back to black :banghead: she vomited clear small amounts of clear liquid again two or three times around +11. and she is NOT happy about testing again at the moment.

she is eating well again at shot time which is a big relief and seems happy to be back in black. reduced dose to 1 because I assume she has earned the reduction again and also because she and I are going to fall out if we are testing her every half hour through the night!

i'm not sure if this is progress or not.....?!
 
Whoa! What a day you had. She definitely earned the reduction. Let’s hope we can get things stabilized on 1 unit for a while. Well done today. Sorry for Charly’s aggravation!
 
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