02/20 MISSY PMPS 110, +1.5 101, +2.5 59, +3 56, +3.5 58, +4.5 58

Good Morning..

At AMPS this morning Missy is 149...
Should I feed the LC with a tiny bit of MC to prevent the big dip or just stick to LC?



https://felinediabetes.com/FDMB/threads/02-19-missy-pmps-108-1-5-63-3-68-4-76.243374/

 

Good morning. Lc only.

 

And feed at +1 as well.

 

Hi Bhooma... got it... LC at +1
I don't have to leave this morning so test at +1.5?

 

Yes. Test at +1.5!

 

+1.5 128...


AMPS 149... fed LC at PS and +1.. dropping nicely. More LC? Test 1 hour?

 

I know you guys are busy....I am just going to feed on the hour. So she didn't get more LC at +1.5. I will feed her at +2 and test again in one hour..then I am back on schedule. Hope this is the right call.

 

Hi Tammy, sorry. Just lost of track of time. You are absolutely on the right track.

 

+2.5 test?

 

PMPS 110...
Going to feed a mix of LC/MC as I did last night.

 

Same at +1. Test at +1.5

 

Hi Bhooma.... Good Morning... hope you got some sleep and your little Bandit behaved herself.

I just gave her 1 tsp of LC. Didn't know if I should carb her up seeing she is flat. It's not too late I can still give her 1/4 - 1/2 tsp if you think I should.

 

She might dive at onset like she did last night. Yesterday's 63 was at PMPS +1.5 (onset) but your SS says +1.

 

She didn't dive...

Darn it... you're right!!
Luckily she didn't dive... she's 101 now.
Havent fed her yet... what are you thinking?

 

yesterday we fed at +1... tested at +1.5... and then fed again at +1.5 (at least I'm pretty sure thats what we did... i went back and looked at the notes to see what we did)

 

Yes. I remember But I went and looked too!
Feed LC at +2 and test at +2.5?

 

Ok.... sorry I'm being a pain... and a bit confused

I have only fed PMPS and +1
Should I feed her now as well. I'm at +1.75. Last meal was at +1 LC but she didnt dive thankfully.

 

Sorry. I meant feed at +2 - I know you've fed at PMPS and +1 and she's kinda flat.
Thought you could test at +2.5 (one hour from the last test).

Hopefully she is bouncing and you can get some sleep!

 

Ok good... I'm not on my game tonight ... I just tested her just to be safe seeing I screwed this hour up... she is 74. So.... I will feed LC and test at +2.5.

My forum is kinda slow and has been stalling a bit... just so ya know.

 

Oh very nice - another cycle of green! How lovely! 74 at +1.75 or +2?

Sounds like me this morning. I want more sleep.

 

LOL...I bet you need more sleep...same here.
So that 74 was at +2

 

Hey Bhooma....
She's dropping more... now 59 at +2.5
What do I feed?

 

LC! Higher carbs only if she drops below 50

 

Done... I test in 20 min now.. +3

 

+3 is 56...
What should I feed?

 

LC! and test in half an hour.

Is this your lowest number so far?

 

gotcha... its getting exciting again

 

i never thought i'd see this day! when you find the 50s exciting!

 

I know right
I used to always read you guys talking about greens being ADDICTIVE... and I was like
now I know what you mean... Maybe she will earn her reduction tonight.

 

OMG +3.5 is 58... what the heck...

 

she will flatten out now. probably stay in these levels. another soon of LC and test in an hour.

59, 56, 58 are all flat. good old meter variance!

 

Ok great
Sooooo that means no reduction tonight I guess

 

I think you have the +9 and +10 BG numbers in the wrong line.....maybe they were last nights numbers but are in tonight’s cycle.

 

She could still drop again

 

yah I do... thank you... I just shoved them in there quick to get Bhooma a US number. Thanks for the reminder. I will go fix them now.

 

+4.5 58...

 

She's really going to drag this out, isn't she?! Want to take a nap and test in a couple of hours?

 

A couple of hours? Can I leave her that long being so low?
I have stuff to do still.... I won't be going to bed yet or napping

 

LOL. Did you get another test?

 

Sorry forgot to post... +5.5 74
I fed LC and may get one more just to be sure. Thank you again for always being there and for all your support.

 

Hi Elise or Bhooma **darn it I just noticed I posted into the wrong message**

Seeing Missy earned a reduction today I was doing a bit of research and have a few questions.

1. When do I reduce the dose? For the next cycle which would be this PMPS or tomorrow morning AMPS?
2. I copied a section below from the TR protocol and it mentions shaving the dose down rather than reducing it by a full quarter. This is her first reduction on TR. She did have a reduction on SLGS but it wasn't very successful and we ended up increasing the dose again. So that is why I am asking. I guess maybe there isn't enough history of reductions with Missy to know full well how she will hold it. What are your thoughts on this for her?

Thank you for all your help and support!!!

@tiffmaxee
@Bandit's Mom

Reducing the dose:

The TR Protocol is an aggressive method in itself. The modified version of the protocol is slightly more aggressive. Let's keep all our kitties in the Lantus, Basaglar, & Levemir ISG safe by taking reductions when appropriate.

• If kitty drops below 40 (long term diabetic) or 50 (newly diagnosed diabetic) reduce the dose by 0.25 unit. If kitty has a history of not holding reductions well or if reductions are close together... sneak the dose down by shaving the dose rather than reducing by a full quarter unit.
• Alternatively, attempt a reduction when the cat regularly has its lowest BGs in the normal range of a non-diabetic healthy cat (50 - 80 mg/dL) while staying under 100 mg/dl overall for at least one week.
• Please do not let yourself become complacent or blasé about drops into the 20s or 30s. Please ask for advice immediately.
• If your cat drops into the 30s, a full reduction of 0.25u is recommended. There are few exceptions given to caregivers who have collected years of data and KNOW their cat's response to the combination of insulin and food backwards, forwards, and inside out.

 

Hi. Just finished my workout and seeing this. You will reduce tonight so her new dose will be 1.0. Since she has not been diabetic very long take the full reduction. Unlike SLGS, if her numbers go up there’s no set amount of time to wait to go back up if the reduction fails. She might bounce but since she wasn’t under 50 too long she might just not miss a beat.

 

Ok perfect.... thank you!! I will reduce at PMPS

 

She’s surfing nicely. Maybe the little bit of hc was a good idea. Next time she drops under 50, if early in the cycle give hc. If at +5 or later you can try mc if you want. If not up in 20-30 then a little hc.