12/1: Jude: AMPS 449, +4 193, +6 180, +9 315, PMPS 578,

Marielle said:
https://www.felinediabetes.com/FDMB/threads/11-30-jude-amps-274-4-5-336-9-360-pmps-352.296147/

Good Sunday, everyone.

Sadly, Jude is high again this morning, AND on top of that, I'm pretty sure I gave him a fur shot. The needle was bent after the shot.
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Hi Mary, hoping you got some insulin in Jude. We shall see.
Don’t beat yourself up if it was a fur shot, we all do it, or at least most of us do.
I’ve had a bent needle on occasion, but don’t recall if it was during a fur shot or not.
Hope you both have a good day :bighug:
 
I’m sorry Mary, as Staci said hopefully some insulin still made it. Often times after fur shots, you get quite a strong smell of the insulin on the cat’s fur. If you aren’t sure, maybe write PFS in the dose cell on your spreadsheet although I do see it in the remarks.
 
Anyone, can you weigh in on what is happening to Jude. I do not understand why we cannot get him regulated. Perhaps this is normal? Tonight he is 578 after being in the blues today. At his AM shot, I suspected that I gave him a fur shot, but then his numbers were relatively low through the day, so I thought I had actually gotten some insulin in him. Is it possible that I did give a fur shot and this high number tonight is reflective of him running out of the insulin that was in the depot?? Thoughts? Advice?
 
Typically, when a cat comes out of remission, they are bouncier than the first time on insulin, and often need to go to a higher dose to get to that breakthrough.

As for that PMPS, he's seen hardly any blues, and did a fast drop from AMPS to +4 - which can also cause a bounce. I found fast drops made worse bounces. What is your feeding schedule for Jude? Just wondering that could be tweaked to try to prevent any fast drops.
 
Wendy&Neko said:
Typically, when a cat comes out of remission, they are bouncier than the first time on insulin, and often need to go to a higher dose to get to that breakthrough.

As for that PMPS, he's seen hardly any blues, and did a fast drop from AMPS to +4 - which can also cause a bounce. I found fast drops made worse bounces. What is your feeding schedule for Jude? Just wondering that could be tweaked to try to prevent any fast drops.
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In terms of his feeding schedule, I feed him periodically throughout the day on the weekends (Fri, Sat, Sun) -- not on a regular schedule -- but if I see the bowl empty and see him at it, I give him food. At night, I give him food before I go to bed, and some of that food is almost always in the bowl when I wake up in the a.m. to test and shoot. This schedule is less regulated during the week because I work. I give him food in the a.m. after his 8:00 a.m. test and the shot just after he eats. Then I fill up the bowl before I leave, but he doesn't get any food until I get home which is often around +8. Sometimes he doesn't eat all the food in the bowl from the morning; sometimes he does.
 
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Wendy&Neko said:
Typically, when a cat comes out of remission, they are bouncier than the first time on insulin, and often need to go to a higher dose to get to that breakthrough.

As for that PMPS, he's seen hardly any blues, and did a fast drop from AMPS to +4 - which can also cause a bounce. I found fast drops made worse bounces. What is your feeding schedule for Jude? Just wondering that could be tweaked to try to prevent any fast drops.
Click to expand...

I'm thinking about this morning...I fed him just before his shot, and then I left the house and was gone until his +4 check. I didn't refill the bowl this morning after feeding him the first bowl full. I wonder if that is why he dropped so significantly?
 
It is possible that is why he dropped so fast. The other that can happen if you leave a bowl of food before going to bed is that he eats in late in the PM cycle after nadir. If they eat a lot after nadir, that can cause duration to shorten and give a higher preshot. So he might have been planning to come down today, but launched from a higher AMPS from eating late in the cycle.
 
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