11/29 Squamee

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Good morning, late as usual.

We have about an hour before you shoot and she's 300 now. Depending on how much higher she goes I'd say your looking at .9 or 1 unit depending on if your going to be home to test and how aggressive you want to get.

Can't wait to see her AMPS.

Robin
 
AMPS 315 1U because I will be home to test. But now I am thinking that maybe that was too high with a PMPS last night of 441 and a drop to 315? Oh damn--just not enough time to think these things through.
 
I think you're just fine with 1 unit.

Yesterdays AMPS she was only 7 points higher than todays AMPS (so basically the same number) and you shot .9, at the end of the day I said it looked like she could have handled 1 unit since she didn't get much movement all day.

So today we see what she can do with an extra drop of insulin.

That 400ish could have been food spike or whatever.

Have a great day.
 
That's a faster drop than she usually gets, but she's still safe, can you test again in an hour? I'm glad she ate after the test.
 
AMPS 315 1U
+2.25 175
+4.25 107

Thanks for keeping your eye on us, Robin

PS I offered her 2 different cat foods with its juice, and she turned her nose up and went under a blanket. Then I sat down to eat my lunch of COLD turkey (how much can it smell ?) and there she was, asking for food!
 
No problem.

Something must have been off for her yesterday. Same PS's, 1 drop of insulin difference but two completly opposite results.

I'm glad your home to test her. She will probably give you a high number tonight because of the fast drop so don't react to that. I would offer her a little bit of food every hour to slow the drop, her nadir us usually later like +6 to +8 so I would test through then.

Todays curve looks more like Harleys, he drops early like +3 or +4 and then surfs those numbers through +8 to +10 then rises.

Ms. Squamee like keeping us on our toes.
 
AMPS 315 1U
+2.25 175
+4.25 107
+6.5 252

She ate a fair amount of turkey between +4 and +5. She may turn us into ballet dancers! (mostly on our toes).
 
H always liked deli peppered turkey - I used that as treats. His favorite though was fois gras... unfortunately since he was pancreatitis kitty I did not ever let him have much. He would go nutzo over fois gras - and I can't complain about his taste.
 
Ohmigod! So that's why Squamee rejected liverwurst! Someone let her know about fois gras and she thought I was not being high class enough for her highness!
 
The closest thing the SR21 database http://www.nal.usda.gov/fnic/foodcomp/search/index.html has for Turkey breast is "Turkey, all classes, breast, meat and skin, cooked, roasted." So technically you could create a recipe using the http://www.knowwhatyoufeed.com site and product. Any ingredient in the SR21 database can be added to the KWYF calculator. If you ask Ms. Kaspar she will create custom calculators for you and add ingredients of your choosing for you. That has the skin which adds fat. Basically you would buy boneless turkey breasts from the store. You could still use chicken liver [mainly needed for the vit A]. The chicken I used was "stewed" and not "roasted." One could looks at the various chickens - roasted vs stewed and see if there is really any material difference.

Ms. Kaspar can also make a version of the calculator that has the conversion to % Kcal from DM which is a big help.

I mentioned the fois gras thing because the chicken you gave before did not have the liver in it and *my cat* seemed to really have a thing for it. You could buy some chicken livers from the store and simmer one to about 165F and see if she how she likes it. You just can't give too much since it is so high in Vit A.

Just planing some dark side ideas for you. :-D

BTW H's recipe is TomTom approved now - apparently he loves it. :-D :-D
 
AMPS 315 1U
+2.25 175
+4.25 107
+6.5 252
PMPS 382 Stick with the 1U because she went down fast and I was around to test and feed ? (I can test in 3 hours, but then I'll be asleep)
 
1u should be fine. I would consider today to be a somewhat 'worst case' on 1u. Of course really worst case would have been if she did not eat. Even then, the low in that case is unknown - she might have not gone too much lower but she might have. She must be eating a lot of turkey or that turkey is soaked in stuffing or cranberry sauce :shock: ? Hopefully you can get her eating more nutritionally complete foods. Beyond some of the trace minerals and vit K, cooked poultry [without organ meat] I think of taurine deficiency and vitamin A deficiency - both are bad for the eyes.

http://maxshouse.com/Tuna_and_Cats_Nutr ... _Facts.htm
http://www.petside.com/health/petvet/ta ... feline.php
http://www.maxshouse.com/feline_nutrition.htm
 
I think I would scale back a bit. Although I know she is higher tonight so 1 unit should be ok, but I expected a much higher number than this.

I guess it's up to you, I wouldn't scale back much but 1 unit and over seems to be her max dosage. And you can test at +3.

Pretty wishy washy huh.
 
Considering that I am just now about to shoot (either 1 or .9?) I probably won't be able to check her at +3, ---too tired to stay up till midnight (+3). So I can do +2. Am inclined to do 1U, but I am a little scared--I don't know what that drop would have been if I hadn't given her food.
Gator, I usually give her cat food. The turkey is a Thanksgiving treat and I never give her that exclusively. Thanks for the food links. When I have some time I will check it all out. Turkey was without cranberry or stuffing
 
I thought that because of the faster than normal drop she had that her liver would panic and dump sugar to protect her.

But she didn't do that so maybe she's used to it.

BTW what was so different from yesterday to today with her routine, food, play level, etc.
 
Robin,
My impression has been that some cats are more prone to that and some aren't. But there are certainly no hard and fast rules in all of this. :smile:
 
I know, it's just that she's been in the 300's for the last 4 days, she usually drops more gently and she usually nadirs at +6 to +8 so today when she hit a perfect nadir at +2.25 I figured her liver would panic.

Although today was more typical of PZ it is not her usual pattern.
 
I shot 1U.
Today was not particularly different, except for the turkey. But with the transdermal phenobarb, you never know what the dosage is that she actually absorbs---it was much more consistent with the pill. I did see some mouth symptoms this afternoon that I had not seen in awhile. Also, I am giving the phenobarb 3x/day. WIth the pill I was giving 15mg in the AM and 7. 5 mg in the PM.
I don't know how the phenobarb effects either her eating or her BG level.
TOnight my husband said she was much more her old self, sitting on his lap and following him into the study. Still no playing, mostly sleeping. And most of the day under a blanket on the couch. And she is more skittish with me---leaves when she sees me heading in her direction. She really HATES the Flagyl (2x/day till Wed.) I have lines of white drool all over my house. And now I have little pieces of dried phenob. gel around too (and that worries me for when the grandchildren are here--I don't know the potency of that stuff. Guess I need to ask the vet about that.
So---any thoughts about dosage tomorrow? I will probably start posting around 7:30 Eastern Standard.
 
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