@Marje and Gracie and those leaving instructions...
Agreed. She left food out. That has been the plan all along...even days when he's a bit higher so that he has LC food to graze on.@Marje and Gracie and those leaving instructions...
This might be a good time to use a different color font so relevant information will pop out.
Sandi, if you haven't, you can leave some food out for Chase to nibble on while you're gone...
Yes. Since I've posted them here, I will copy and paste in a PM so you can find them.
Think the .1 is a wise choice. Surf safely tonight Chase.
Hi Sandi, that is a nice cycle today and I would be inclined to do a 0.01 again too at this reading. But, I would still get a +12 or PMPS to see if things changed. Also, get a + 1 and + 2 to see how the cycle is going to go.
Hi Marje. Am I misunderstanding something? Doesn't PMPS mean PM pre-shot? I have to test before I give him his insulin at the 12 hr mark. Should I not list his PMPS in the PMPS spot unless I can do the pretest and shoot all within the same 10 minutes?
Isn't +12 and PMPS the same thing. Just when I think I understand, I guess I don't.
You are probably fine 15 - 20 minutes before +12.
I did give him MC. I thought that was the plan.
I think she said +12 OR PMPS in case you ran late past +12. So if you were really running late and had to shoot at +12.5, that would be your PMPS.
That is where the confusion is. I had trouble with that as well, converting conventional time into + talk. No worries.
Thank you. And your're right. She DID say +12 OR PMPS. I read it wrong. LOL.
Sorry, Bobbie. I am still a bit confused.
We are just sitting down to dinner but I will explain it after. For now, grab your dinner, relax, and we will see you at +1.
Thanks, Marje. Maybe we can look at the SS at the same time, and you can "try" to get it through my thick head. No time for me to relax. My kitchen is so small and always looks like a bomb went off in it unless I clean up twice a day. LOL
Thank you so much. Everyone here is SO great.Sandi, no stress, we all needed so much help in the beginning. I was a tech mo- mo and had to learn all the forum talk while learning about FD. We will help you every step of the way just like we were helped every step of the way. No stress.
Or maybe I should wait until +2 before I give him more food?Hmmmmm..... +1 is 186. PMPS was 144. LOL. Does that mean the rest of his meal should be LC, Marje? I'm asking you since we are doing an "experiment".
He's a strange fellow. I'm thinking LC.
SandiHe is due a whole can. I will give him MC. I'm still not completely understanding the numbers.
I did what you said. I was merely stating a fact.
I can't go to bed with him dropping like this. But he is really hungry. Do I give him the rest of his MC can?
Could only skim through this. Running out the door. I messaged you, and talked about LC. Please look at my notes and his SS and tell me what you think. I'll check in as soon as I get home this evening. My goal is to be here NLT 6:00 so I can test, shoot and feed. I'll test, post immediately, and hope that I'm on the right track. Thank you so much. Maybe I'll get to peek in here, from work. I'll try.@Sandi & Chase in AZ
Let me see if I can explain this a little better.
Insulin is not a drug....it's a hormone so that means we are potentially going to get a little different reaction each cycle. It's not only that it's hormone but it's also that absorption can vary up to 50% from cycle to cycle, the syringes are inaccurate, and you are trying to be consistent with a very small dose.
Our goal was to get him to stop dropping from mid blue/yellow to green in a couple hours. This is called managing the curve with food. The goal with managing the curve with food is to stop fast drops and keep numbers from going too low.
In managing the curve with food, we feed the normal total portion of food over several hours to slow the drop and raise the nadir so we get a flatter cycle. Sometimes when we do this, we need to raise the dose a bit to get the entire curve to come a little lower. It's something we will have to talk about if Chase stays in blue numbers. We usually manage the curve with the kitty's normal, LC food but sometimes we have to be flexible and that's what we've tried to do with Chase to keep him safe while you work.
We've seen the MC has worked really well to slow the drops and flatten Chase's curves. What I would suggest, and what I think Gill suggested, is that you keep really good notes in the Remarks section of the SS indicating what, how much, and when you fed food. Then you can see what worked and what didn't. If you look on Gracie's SS, you'll see we keptmreally detailed notes on how we fed her because managing the curve with food is art as much as science.
We can give you ideas and thoughts but it really comes down to you learning about Chase's reaction to insulin and food. Look at his SS and see if you can identify when his insulin onsets, when is the lowest point of the cycle (or the peak caution) we call the nadir; how much duration does he get from his shots? These are things you should study and whhen we ask, you should know. There might be a time when his feeding schedule needs to change so its really important you have a feel for it.
Please let me know if you have questions.