11/29 PMPS 385 +2 220 +3 268 +6 289 +10 273 +11 247 ~ Hypo after going low

Bron and Sheba said:
You did well getting some extra tests in last night. If you can do that again tonight but also if you can get some later tests in at say +7 and +9 (you will have to set the alarm to get up) to try and catch any big drops.
If the +3 is lower than the preshot, that usually means an active cycle. Last night Sushi dropped a lot at +2 then stayed much the same for a few hours but dropped low in the early hours of the morning. So be aware of that tonight and give some food during the night. Good luck with the 0.5 dose
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I will try my best to get those tests and to get some food in his belly.
 
Sushi said:
+3 268 He just ate a little more, nutrish tuna purrfection

Oh no, i didn't check the chart :banghead: 37protien 45fat 18carb
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Don't worry, we have all done that at times. It might keep him higher for a few hours which isn't a bad thing considering his track record over the past 2 days.:D
I'd test again at +6.
How is his appetite now?
When I bought the higher carb food, I always put the number of carbs on the tin with a texta so I could see at a glance what the carbs were.
 
Bron and Sheba said:
Don't worry, we have all done that at times. It might keep him higher for a few hours which isn't a bad thing considering his track record over the past 2 days.:D
I'd test again at +6.
How is his appetite now?
When I bought the higher carb food, I always put the number of carbs on the tin with a text so I could see at a glance what the carbs were.
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Eating a little bit more.
 
Sushi said:
+6 289
Yes, I'm so proud of him he made it soo far. I was really afraid he wasn't going to make it last week.
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I am sure you were worried.
I think you could leave him now til +9 or +10. Will he eat some food if you leave it out?
Hopefully he will be high enough to shoot in the morning. Are you going to be able to test him during the cycle in the morning if you do shoot?
Test another urine for ketones when you get the chance.
 
Bron and Sheba said:
I am sure you were worried.
I think you could leave him now til +9 or +10. Will he eat some food if you leave it out?
Hopefully he will be high enough to shoot in the morning. Are you going to be able to test him during the cycle in the morning if you do shoot?
Test another urine for ketones when you get the chance.
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If I'm Shooting at 6 am, the latest I can stay is 6:45 am
My brother has to get him to his 11 am the appointment and the hospital is about 50mins depending on traffic. Maybe I can test him before he goes to the vet if my brother comes to my work.
Just put some food out and he's eating it. (wellness complete health chicken & herring)
 
Sushi said:
If I'm Shooting at 6 am, the latest I can stay is 6:45 am
My brother has to get him to his 11 am the appointment and the hospital is about 50mins depending on traffic. Maybe I can test him before he goes to the vet if my brother comes to my work.
Just put some food out and he's eating it. (wellness complete health chicken & herring)
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Let’s see what he is at AMPS first.
If you do shoot you can get an almost +1 before you leave, then a +4 if they go by your work and you test and if necessary your vet could do a test during the vet visit. Get your brother to take some low carb, high carb food and honey with him ( just in case it’s needed.. always good to be prepared). What time do you get home?
Make sure you are getting some sleep.. you must look after yourself too
 
Sushi said:
If I'm Shooting at 6 am, the latest I can stay is 6:45 am
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Something you might think about...if you're usually home by 2/3, if you shot earlier, like 5am, you could get close to a +2 before you had to leave and you'd still be home in time to shoot the PM dose at 5pm. (4:30 would be even better but who wants to get up at 4 in the morning??? o_O)

I know it sucks to get out of bed before you absolutely have to, but it can really help to get a +2 before you leave. It can act a little like a crystal ball as far as predicting how the rest of his cycle is going to go.

You'd have to gradually work your way back so it wouldn't work for tomorrow, but it's something you might want to consider.
 
Bron and Sheba said:
Let’s see what he is at AMPS first.
If you do shoot you can get an almost +1 before you leave, then a +4 if they go by your work and you test and if necessary your vet could do a test during the vet visit. Get your brother to take some low carb, high carb food and honey with him ( just in case it’s needed.. always good to be prepared). What time do you get home?
Make sure you are getting some sleep.. you must look after yourself too
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Added them Sushi's bag.
I'll get home before 3:30pm today.

Chris & China said:
Something you might think about...if you're usually home by 2/3, if you shot earlier, like 5am, you could get close to a +2 before you had to leave and you'd still be home in time to shoot the PM dose at 5pm. (4:30 would be even better but who wants to get up at 4 in the morning??? o_O)

I know it sucks to get out of bed before you absolutely have to, but it can really help to get a +2 before you leave. It can act a little like a crystal ball as far as predicting how the rest of his cycle is going to go.

You'd have to gradually work your way back so it wouldn't work for tomorrow, but it's something you might want to consider.
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It is my goal to shoot earlier so I can watch Sushi. I'll get up at 4 am for my Sushi NP, is not much earlier than I used to get up at but I think shooting at 3:45 am would be ideal. I normally work 6am-2/2:30pm.
 
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Sushi said:
Added them Sushi's bag.
I'll get home before 3:30pm today.



It is my goal to shoot earlier so I can watch Sushi. I'll get up at 4 am for my Sushi NP, is not much earlier than I used to get up at but I think shooting at 3:45 am would be ideal. I normally work 6am-2/2:30pm.
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Sounds like a good plan.
In regard to feeding Sushi while she is travelling to and from the vet.. it sounds like sushi and your brother will be away from the house for probably a good three hours from about +4 to +7 which is normally over the lowest part of the cycle so I would get your brother to feed Sushi some food before he leaves, a little at the vet and then some when he gets home. How does that sound?
 
Bron and Sheba said:
Sounds like a good plan.
In regard to feeding Sushi while she is travelling to and from the vet.. it sounds like sushi and your brother will be away from the house for probably a good three hours from about +4 to +7 which is normally over the lowest part of the cycle so I would get your brother to feed Sushi some food before he leaves, a little at the vet and then some when he gets home. How does that sound?
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+10 273
Sound good, I'll leave a note for my brother.
 
Bron and Sheba said:
It’s looking like you might be able to give insulin at AMPS. Is Sushi’s appetite improving?
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He ate little when I offer it on a spoon, but he looks like he nauseous too. He was eating sitting up and a retching/burp just now.

Had a runny BM between +6 & +10
Neg for ketones in urine.
 
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Do you guy think a med carb (14) is okay if he eats it? He's going on a vet trip that quite a distance, ~1hr each way.
 
Sushi said:
Do you guy think a med carb (14) is okay if he eats it? He's going on a vet trip that quite a distance, ~1hr each way.
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I think given his history of DKA and low blood sugars, I think it would be fine to give him the higher carb food IF he has insulin this morning. It’s important he gets some insulin and higher carb food is sometimes given to cats that have had DKA so they can be given the insulin.
 
Bron and Sheba said:
I think given his history of DKA and low blood sugars, I think it would be fine to give him the higher carb food IF he has insulin this morning. It’s important he gets some insulin and higher carb food is sometimes given to cats that have had DKA so they can be given the insulin.
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He eating on his own and I think he going to eat a good portion of it too. Looks he's going to get his insulin @ 6 am.
 
+11.5 247
Look like he ate half, ~1.4oz, and most of the gravy.
Is it okay to give the 0.5U?
 
Sushi said:
+11.5 247
Look like he ate half, ~1.4oz, and most of the gravy.
Is it okay to give the 0.5U?
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Yes you can give the 0.5 units at 6am.
If you can get a test in before you go that would be great.
Then the plan is for your brother to bring Sushi to you on the way to the vet to be tested, yes?
 
So that leaves about from 11am til you get home at 2.30 or 3pm without testing.
Could your brother call in to you again on the way home from the vet to be tested again? Is that possible?
 
What I would also do if Sushi were mine, is ask the vet to check for ketones in the blood when he does the blood test for the anaemia this morning. Would you be happy to do that?
You are doing a great job looking after Sushi....he is lucky to have you.:)
 
Bron and Sheba said:
What I would also do if Sushi were mine, is ask the vet to check for ketones in the blood when he does the blood test for the anaemia this morning. Would you be happy to do that?
You are doing a great job looking after Sushi....he is lucky to have you.:)
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Added to my "question/remarks for the vet" sheet. I'm trying to keep things simple for and easy for my brother.
Thank you, I'm trying my best and he's such a sweet boy
 
I will be heading to bed before long....I live in Australia and it is late in the evening now.
I hope the day goes well for you, Sushi and your brother.
Just keep feeding Sushi small amounts. I'm glad his appetite is improving. That's a good sign.
If you find he is dropping, you can always give some higher carb food to bring him up a bit. If you need help, just change your subject like and ask for help.
I will look in in the morning, my time, to see how you got on at the vet.
 
Hey there! You are doing an amazing job with your boy! He is lucky to have you an you are lucky to have a brother that is willing to help you out with Sushi! It sounds like a great plan to have your brother swing by your work after the vet appointment to test. Keep in mind that a lot of cats get very stressed going to vets so if his number is a lot higher when you test afterwards that could be why.

Good luck at the vets. :)
 
+7 54 on the way home from vet ate some food in parking lot, will get more at home.

No ketones in blood
Was given anti-nausea pills, cerenia tablets.

Continue giving 0.5u of insulin.

Theres more but dont remember off the top head my head.

She say im doing a great job and thats all because of you guys.

Thank you for help its greatly appreciated!!!!:cat:
 
Hi and good morning (my time).
I’m very pleased the vet visit went well. Great news there were no ketones in the blood, and also for getting the cerenia tablets.
That was good coordinating between you and your brother to be able to test on the way to and back from the vet.
Have you been able to get home and test Sushi’s BSL again?. 54 is pretty low (but safe) but we need to know he’s not dropped any lower.
ETA. Just rechecked the SS and I see he’s bounced up to 273 from the 54 today. :)
 
Sushi said:
PMPS 418 My mom let him eat the leftovers of the high carb wet food when I was out.
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Never mind. If it was in the 2 hours before PMPS it would be food influenced so he could well drop in a few hours unless he is still bouncing. Could you put that he was given HC late in cycle in the remarks column of SS please. It all helps when we look at the SS overall.
What food did you feed during the morning cycle today?
And did the vet say anything else?
 
Bron and Sheba said:
Never mind. If it was in the 2 hours before PMPS it would be food influenced so he could well drop in a few hours unless he is still bouncing. Could you put that he was given HC late in cycle in the remarks column of SS please. It all helps when we look at the SS overall.
What food did you feed during the morning cycle today?
And did the vet say anything else?
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Done

Wellness complete health chicken & herring
Nutrish chix & salmon catterole (ate most of the sauce)
Nutrish chicken purrcata with low sodium chicken broth (Mom gave him this "ate a little")
FF gravy lovers Beef Feast(before vet)
FF gravy lovers Beef Feast (at home after vet)
Don't know if that was all, so many people feeding him. My mom doesn't quite understand when to feed low carb, high carb and how the effect the BG.
 
Sushi said:
Done

Wellness complete health chicken & herring
Nutrish chix & salmon catterole (ate most of the sauce)
Nutrish chicken purrcata with low sodium chicken broth (Mom gave him this "ate a little")
FF gravy lovers Beef Feast(before vet)
FF gravy lovers Beef Feast (at home after vet)
Don't know if that was all, so many people feeding him. My mom doesn't quite understand when to feed low carb, high carb and how the effect the BG.
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That looks like a mixture of LC and HC. I was interested because you may have to feed some higher carb food to ensure he can get the insulin he needs until his appetite improves. But with the high PMPS today I'd stick to LC unless he has a big drop, then you could give him some higher carb to slow the drop.......or if he goes too low, get out the HC.
Can you start a new thread for today please. On the Lantus forum we start a new thread each day and in the subject line we put the date, cats name, AMPS or PMPS and anything particular which needs attention. Thanks.
ETA we also link the previous day's post to the current one so people can look back on posts when helping:)
 
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