11/18 Max2 ~ PMPS=239, +1=385, +2=226, +3=192

[Stephanie & Max]

Max is on 2nd cycle of dose decrease and last cycle he went down to 25. Possible it was a bad strip or it was real. Who knows. Today he bounced for sure, but a big drop at +2. I'm wondering if I should put some MC in front of him.

I'm pretty thrashed from my own medical conditions and lack of sleep. I'm struggling to post this, but want to make sure I can sleep and not have to worry about him going too low.

Should I just encourage him to eat his LC or put some MC in front of him?


Previous Post:
https://www.felinediabetes.com/FDMB...6-2-75-57-3-70-4-59-5-53.255575/#post-2878438

 

[Bama Kitty Mom (GA)]

I am not the best one to advise on this. It does look like a huge drop at +2 and since he possibly went as low as 25, I would be feeding MC if it were me. Also, get a +3 if you can. I'll tag some people for you. @Wendy&Neko @tiffmaxee

 

[Stephanie & Max]

I am not the best one to advise on this. It does look like a huge drop at +2 and since he possibly went as low as 25, I would be feeding MC if it were me. Also, get a +3 if you can. I'll tag some people for you. @Wendy&Neko @tiffmaxee

Thanks. I wasn't sure how to tag people.

 

[Stephanie & Max]

Max just went down to 47 @ +3. I'm feeding him some HC.

 

[Suzanne & Darcy]

Good idea.

 

[Suzanne & Darcy]

When he had that big drop at +2 did you feed him?

 

[Suzanne & Darcy]

Retest him in 20-30 minutes

 

[Suzanne & Darcy]

@tiffmaxee I am glad you are here!

 

[Stephanie & Max]

When he had that big drop at +2 did you feed him?

To be honest, I think I fed 16% at +2, but my brain is fried. It could have been LC. He only ate a little bit at that point. He ate 22% between +3.25 - +3.5. He's a slow eater so my times between testing him feeding and testing again are bunched up.

 

[Suzanne & Darcy]

To be honest, I think I fed 16% at +2, but my brain is fried. It could have been LC. He only ate a little bit at that point. He ate 22% between +3.25 - +3.5. He's a slow eater so my times between testing him feeding and testing again are bunched up.

Since he is a slow eater there may be times when you need to use Karo.

 

[Stephanie & Max]

He's at 49 @ +3.75. Should I try and feed him more HC or karo?

 

[Suzanne & Darcy]

I would use karo. I don’t like the way he hasn’t come up yet

 

[Suzanne & Darcy]

But if you can keep getting him to eat HC food as well that will give a more long lasting boost.

 

[Suzanne & Darcy]

@tiffmaxee what do you say?

 

[Suzanne & Darcy]

You are using the ReliOn Premier meter right?

 

[Stephanie & Max]

I would use karo. I don’t like the way he hasn’t come up yet

I just game him some karo and will retest in 20.

 

[Stephanie & Max]

You are using the ReliOn Premier meter right?

Relion Premier Compact

 

[tiffmaxee]

@tiffmaxee what do you say?

Hc should work now that he’s over 50. Give it 30 minutes to work from your last test.

 

[Stephanie & Max]

He's at 57 @ +4. He is also annoyed by me. Well, he is a wee bit sticky from the karo as he wasn't exactly cooperative, so understand the grumpiness.

 

[Stephanie & Max]

Hc should work now that he’s over 50. Give it 30 minutes to work from your last test.

Should I feed him more HC and then test in 30, or just test at 30 after last test?

 

[tiffmaxee]

I’d test 30 after you fed hc. If he is in 60’s by then it would be time to try 10-12%.
I think you can remove the 911 . If you need attention again you can add it back.

Thank you.

 

[Suzanne & Darcy]

Agreed. I always mixed my karo syrup 50/50 with water and syringed into Darcy’s mouth. He didn’t seem to mind it at all, but I admit he was a very compliant kitty. I usually gave 1.5 cc of the mixture at a time. Doing it this way, he never got sticky.

 

[tiffmaxee]

Isn’t it time for mother year?

 

[Stephanie & Max]

Isn’t it time for mother year?

I'm going to read this as isn't it time for another test.

Max is at 98 @ +5. I'm hoping this means I can sleep for a while. I'm wondering what I should do about his dose for his PM cycle since he just had a reduction, but again went below 50 today. Do I keep the same dose as today or reduce again?

 

[Suzanne & Darcy]

If it were my cat. I would reduce again. But that is just my personal opinion.

 

[Suzanne & Darcy]

And if you get another crazy low reading like 25 always retest.

 

[tiffmaxee]

Back to back reductions usually don’t work and the depot was in play today. That being said any test under 40 calls for a reduction. I think a 25 qualifies. We have to assume it was not an error. So I too would reduce. If the reduction fails you can go back up.

 

[Suzanne & Darcy]

And as for going to sleep, can you set an alarm and test at +6 and possibly also +7 I see that yesterday he went to 49 at +7. And right now he’s had karo and HC food

 

[Suzanne & Darcy]

Back to back reductions usually don’t work and the depot was in play today. That being said any test under 40 calls for a reduction. I think a 25 qualifies. We have to assume it was not an error. So I too would reduce. If the reduction fails you can go back up.

Plus Stephanie is not feeling well and it sounds like it’s not the best time for her…

 

[Bama Kitty Mom (GA)]

Thanks. I wasn't sure how to tag people.

Stephanie, just start typing the @ symbol plus their user name and you'll see a box come up that you can then choose the correct person if there are users with similar names. So, I'll just tag you like this: @Stephanie & Max

 

[Bama Kitty Mom (GA)]

Yay for reducies! Get some rest, Stephanie, and feel better! Max, settle down with those plunges, dear, you scaring the peoples!

 

[Stephanie & Max]

So Max ended up with a not unexpected bounce from today, but I'm not sure if that means I can skip testing much more for the night. I did shoot a reduced dose tonight, but with how the last few days have gone, I don't know what's going to happen.

Does it look like I need to test more tonight? Max & I would like some uninterrupted sleep if possible, but I can be up to test if necessary.

 

[tiffmaxee]

He’s already dropped a lot at onset. . I’d start with a +3 and see if he continues to drop.

 

[Bandit's Mom]

If you can't stay up, Abort the cycle with some MC

 

[Stephanie & Max]

He’s already dropped a lot at onset. . I’d start with a +3 and see if he continues to drop.

If you can't stay up, Abort the cycle with some MC

He's at 192 @ +3. Do you think I should still feed MC if I'm needing to sleep?

 

[Bandit's Mom]

I think LC is fine. Feed and go to bed.

 

[Bama Kitty Mom (GA)]

Stephanie, someone may have mentioned this already, when a kitty hits the hypo lows he tends to be more sensitive to insulin so just keep that in mind. You are doing great.

 

[Bandit's Mom]

Stephanie, someone may have mentioned this already, when a kitty hits the hypo lows he tends to be more sensitive to insulin so just keep that in mind

My understanding is that this applies only to symptomatic hypoglycemic episodes and not low numbers.

Tagging @Bron and Sheba (GA) and @tiffmaxee for confirmation.

 

[Bron and Sheba (GA)]

My understanding is that this applies only to symptomatic hypoglycemic episodes and not low numbers.

Tagging @Bron and Sheba (GA) and @tiffmaxee for confirmation.

Yes that is correct. It is the symptomatic hypos that can cause a cat to be more sensitive to insulin.
@Stephanie & Max I notice Max dropped to 25 at +2 yesterday pm cycle. Dropping under 30 is an automatic reduction in dose at the next cycle. Please make sure you take the reduction if that happens again for safety sake.