10/31 Phoebe AMBG 488 AMPS 536 +2.25 392 +3.25 277 +4.25 135 - first time

Maggie&Phoebe

Maggie&Phoebe

Member Since 2020
Yesterday

Okay - so Phoebe ate about 1/6 of a can of FF at 7:30AM, we just tested her at 488 (+2 from feeding). She did spike last night to 532 but we were able to get her under 500 by feeding FF (476). She hasn't had any insulin since 8:40AM on 10/29. Should I give the .75 or 1 unit?
 
It might take a few mins for someone to come along, so let’s just wait. I think they will want to help guide through the day, since it’s your “first time”

For now, since you haven’t given insulin yet, you’ll want to put in your subject line:

AMBG 488 Help please. First time.

We use AMBG (am blood glucose) to indicate that we have not given insulin yet.
AMPS (am preshot) indicates we have gone through the test, feed, shoot regimen already.
 
Ok, I have read through yesterday and looks like either 0.75 or 0.5 was recommended by @tiffmaxee

So, we have an AMBG that is shootable, so as soon as someone comes along to help guide the day, you will test again, feed then shoot. Not yet though...we want to confirm the dose and have someone here.

There is a general rule that if someone helps you shoot, they will stay with you, but since I am working this am, I cannot do that for you.
 
thebigfuzz said:
Ok, I have read through yesterday and looks like either 0.75 or 0.5 was recommended by @tiffmaxee

So, we have an AMBG that is shootable, so as soon as someone comes along to help guide the day, you will test again, feed then shoot. Not yet though...we want to confirm the dose and have someone here.

There is a general rule that if someone helps you shoot, they will stay with you, but since I am working this am, I cannot do that for you.
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I can’t stay with you for the day though. I will be leaving in about 3 hours.
 
Morning @tiffmaxee :bighug: Thank you!

Do you want her to test (it’s been +30 mins since last test), feed (it’s been 2 hours since food), shoot 0.75 units then?
 
Once you test, feed, shoot, you’ll then update your thread title to AMPS. I’d still leave ‘first time’ up, so people will keep a close eye today :)
 
Hi Maggie. Did you shoot? If so please change the AMBG to AMPS and update your ss to the .75 if that’s what you did. Let us know how how long ago so we know when to check back. I’m working on finding people to look in on you.
 
Sorry for the split posts, wanted to get the results up as quickly as possible.

I'm going to see if she'll eat the leftovers of her insulin meal + a little extra now. Should I check at +4, or can I wait a little longer (i.e. +5, or +6?).

I'm also struggling with feeding and really think that, for now, I have to use dry food as an extra source of calories. Does any one have recommendations? I'm looking at a small bag of Dr. Elsey's just to see if the clowder likes it or not. We would probably do some version of "free-feeding" particularly overnight and then 3-4 smallish wet meals (we make pate-soup by adding water too) throughout the day. I'm not sure we can try free-feeding the wet right now - my boys will just eat it all. With the dry, they each graze throughout the day and eat 10-20 kibbles each time.

Also - treat recommendations? I tend to rotate treats by whatever looks interesting at the pet-store, so I have a lot, but they are mostly crunchy or high carb soft treats. Temptations are the only ones she consistently eats, but she also likes Purina soft whisker lickin's. Found some Pure Bites Shrimp that I had grabbed during one of my last pet store scrounges and she sniffed it and was clearly unenthused...

(I'm putting together a Chewy order - thus all the questions :D)
 
I'd get a +3. It looks like Phoebe is on the move and we don't know how quickly she will drop. And thank you for getting the results up as quickly as possible.:)
Butters won't eat the pure bites shrimp but she loves the pure bites chicken. Any treats that are 100% meat/fish are fine. Temptations are high carb.

ETA: Another treat that I use for Butters: I have actually cooked her a plain piece of meat (lamb/chicken/duck), cut it into very very tiny pieces and placed them in a freezer bag in my freezer. I'll pull some out to use for treats as well.
 
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Could you use an autofeeder for wet overnight? Not sure if anyone mentioned autofeeders to you previously. I know it can be challenging in a multi-cat home. I know Jax's mom Susanne keeps Jax separated from her other kitty overnight and uses an autofeeder.
My sister has two autofeeders for wet food meals overnight, for her two cats.

As for dry, I think some people whose kitties are very addicted to kibbles and can't give it up cold turkey feed them a Dr. Elsey's LC dry. I don't have experience with that myself though.
 
I am a bit confused, here earlier in your post you say the AMPS was 488, but your title and SS say 536? I ask because a drop from 536 to 292 is more signifanct (to me anyway) than from 488 to 292. It matters only a little since she is dropping, so I agree in checking at +3 (or I guess +3.25 which is an hour from your last test). You want to be able to get ahead of the drop and manage with food.
 
And... she just threw up. It was all liquid. Dhe did have a few bites of food after. I'm going to keep coaxing her to eat a little more.
 
Christie & Maverick said:
I am a bit confused, here earlier in your post you say the AMPS was 488, but your title and SS say 536? I ask because a drop from 536 to 292 is more signifanct (to me anyway) than from 488 to 292. It matters only a little since she is dropping, so I agree in checking at +3 (or I guess +3.25 which is an hour from your last test). You want to be able to get ahead of the drop and manage with food.
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Sorry - to clarify, I tested her when I got up at 9:30AM. Her result then was 488. I hopped on here with that result to ask for advice about what to do with dosing and then retested and she was 536 at 10:45 (which is when I gave her the shot). Then tested around 1:00PM - 392. Does that make any sense?
 
Ah ok thank you for clarifying. If you don't mind, can you put that in the SS 488 (shot 536 @+1.25). Since you delayed the shot, we want to make sure you don't shoot at your regular time this evening, so that it is given 12hours from the last dose this morning, within 1/2 hour. We are still trying to gauge how Phoebe reacts to the insulin, and what you are feeding (and when), so I'd suggest adding notes in the remarks when you fed a snack, LC or MC, and I'd put in the notes too that she threw up some liquid shortly after +2.25.

Is she still doing ok then after eating a little following the throw up?
 
Christie & Maverick said:
Ah ok thank you for clarifying. If you don't mind, can you put that in the SS 488 (shot 536 @+1.25). Since you delayed the shot, we want to make sure you don't shoot at your regular time this evening, so that it is given 12hours from the last dose this morning, within 1/2 hour. We are still trying to gauge how Phoebe reacts to the insulin, and what you are feeding (and when), so I'd suggest adding notes in the remarks when you fed a snack, LC or MC, and I'd put in the notes too that she threw up some liquid shortly after +2.25.

Is she still doing ok then after eating a little following the throw up?
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So, I instead added the 488 at the +11PM number for yesterday in the SS, is that okay? I think, given the no food 2 hours before test/food/shot, we are going to have our shoot time be 10:30.

She is doing pretty okay - a little stumbly again, but not nearly as bad as she was a few nights ago. And she did eat about .5 oz of LC food in total after throwing up.
 
Glad she is doing pretty okay and keeping down the LC. Not sure what the stumbling might be, though.
I think it is time for a +3...or rather, a +3.25.
 
Butters & Lyla said:
Glad she is doing pretty okay and keeping down the LC. Not sure what the stumbling might be, though.
I think it is time for a +3...or rather, a +3.25.
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277 at +3.25

Now i'm feeling like we are dropping more quickly than we should be. Should I offer her some HC kibble? And I'm assuming retest in an hour?
 
No bother at all, I just stepped away, and lost track of time, Still looking fine, but if you can test again, around +4.25, and feed a little LC then. No need for the big guns just yet :)
 
Maggie&Phoebe said:
277 at +3.25

Now i'm feeling like we are dropping more quickly than we should be. Should I offer her some HC kibble? And I'm assuming retest in an hour?
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Sorry, I had to step out to get Butters' meds. I'm still getting them but keeping an eye on you. Will check in when I can.
 
I'd suggest some MC to slow things down a little, but if you don't have any, they a little blend of HC with the LC works out the same. You'll have to check again in an hour. Normally a bit of LC is fine, but not knowing how carb sensitive Phoebe is, as well as not having any data yet, I'm maybe being a bit overly cautious.
 
Christie & Maverick said:
I'd suggest some MC to slow things down a little, but if you don't have any, they a little blend of HC with the LC works out the same. You'll have to check again in an hour. Normally a bit of LC is fine, but not knowing how carb sensitive Phoebe is, as well as not having any data yet, I'm maybe being a bit overly cautious.
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She threw up again - again it was mostly liquid, with remnants of the treats she was given after being poked.

I mixed 1/2 tsp of HC and 1/2 tsp LC which I would say was about an oz - she ate a 1/3rd of it.

EDIT:
I'm beginning to wonder if part of the problem was introduce Friskies - she's been eating FF regularly and the two times she threw up was after she had eaten a mix of FF with Friskies.

It also seems like she's throwing up after I shortly after I stick her (+2 and +4). I'm wary of stressing her out and making things worse.
 
What kind of treats are they? The throwing up is odd, I don't think it would because of the tests. Might be a good idea to test for ketones today, if you can.
 
Christie & Maverick said:
What kind of treats are they? The throwing up is odd, I don't think it would because of the tests. Might be a good idea to test for ketones today, if you can.
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I was only able to find human ketone strips, would those work (relion)? and also, I'm pretty sure it will be really hard to get a test, but I can try.
 
Friskies made all my cats sick. But it could also be from being high then dropping as much as she has been.

I used Vital Essentials freeze dried raw nibs (the complete meal) for treats. Is just dry kibble food but low in carbs. Chewy has it. It also comes in treats and mini patties. I just use the kibble for treats or when they want their dry kibble fix. I use the patties rehydrated for meals.
 
I used the Ketostix to test for ketones whe he went to the litter box to pee. They are for humans but work just fine with cats. Unless you have test strips for a meter? If yes, you can only use them in the applicable ketone meter (Nova max or Precision Ultra) not in you BG meter.
 
Christie & Maverick said:
I'd suggest some MC to slow things down a little, but if you don't have any, they a little blend of HC with the LC works out the same. You'll have to check again in an hour. Normally a bit of LC is fine, but not knowing how carb sensitive Phoebe is, as well as not having any data yet, I'm maybe being a bit overly cautious.
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Okay so the next test was 105, which makes me feel a little less panicked (at least the drop is slowing down). Fed her a little more of the HC/LC mix (about 1/3 of an oz).

I've noticed that she came back from the vet with one of her eyes weeping a lot, and she's had some third lid laziness on that eye. I just spent some time after her last meal watching her groom that eye pretty extensively - then the other. Is it possible that an eye infection could cause balance issues/wobbling? (I mean, beyond just her BS dropping so quickly).
 
Oh good, I see in your SS +5.25 is 105 so she's flattened out. I think you can give just a teaspoon of LC now and that should keep her in this range.
 
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