? 12/25: MITTENS - Novolin N (TID) - Ketones Small - MDPS 223

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Just wanted to pop in, I can't add anything because I'm at work. Just wanted to send out some thank you's to everyone for all the help. I'm halfway thru my shift and counting down till I can get home and relieve Dan so he can sleep. I keep checking each break to try to keep myself updated. I'm going to try to learn about the spread sheet tonight so I can help enter stuff into it. I'll check back later, keep up the good work Dan.

-Heather
 
Unless ketones are higher than small, I would stick with 0.25u tonight along with getting as much food and water into Mittens as possible. If she were mine, my goal would be to syringe 20 mL of food and 10mL of water (more if possible) before sleeping. I would plan on increasing the dose to 0.5u in the morning.

My reasoning: All of you have been going above and beyond and have done one hell of a job doing it, BUT none of you can keep up this pace. We're talking a break of a few hours... not days. There are a lot of us, but if Dan or Heather break... who will care for Mittens?

Just my opinion.

 
+6 -240

Sorry its a few minutes late, i was dozing off.

I would be ok on waiting to up the insulin dosage til tomorrow if thats what you think? I havent gave Mittens any insulin yet(Heather has been giving it)
 
OK, still pretty flat, that's great!

We seem to be nearing a kind of consensus, but let's not make the final decision until we get closer, to see if Mittens does something new or if someone else shows up with some advice/information about the situation.
 
So, Dan, this will be the first time for you to give insulin by yourself tonight, correct? Will you be on your own for a while then or will Heather get back relatively soon afterwards?

Post when you get the pre-shot BG! And try to convince Mittens that now would be an excellent time to head to the litterbox....;)
 
Nan & Amber said:
So, Dan, this will be the first time for you to give insulin by yourself tonight, correct? Will you be on your own for a while then or will Heather get back relatively soon afterwards?

Post when you get the pre-shot BG! And try to convince Mittens that now would be an excellent time to head to the litterbox....;)
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Yes this will be my first insulin injection for Mittens(Heather has done the rest). Im also a little concerned because it took a couple lancets last time to get her BG and now i got one left in the original lancet set we got, but i think its used already. Am i ok to re-use it? I know its not the right way, the soonest i can have new ones is about 3 1/2 hours.

She just used the litterbox but she didnt look like she was even settled in there yet when she was already done and on her way out, so i missed the chance to get another ketone test. I apologize, i think my lack of sleep is starting to catch up to me, tomorrow i will be refreshed i promise. I will keep an eye on her and the litterbox still.
 
Dan&Heather said:
missed the chance to get another ketone test
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Drat! :(

Hey, ho! Some ya lose, Dan. ;)

Dan&Heather said:
now i got one left in the original lancet set we got, but i think its used already. Am i ok to re-use it? [...] know its not the right way, the soonest i can have new ones is about 3 1/2 hours.
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It'll do, Dan. Get the BG test done and then feed.

(Tip: warm the ear a bit longer; might make it easier to draw a blood sample.)

.
 
Re-using a lancet isn't ideal (they get dull), but needs must. I think in a pinch you could even use a syringe needle-- you'll probably have to later because I think we'll want at least one test before +3 to see where the cycle is going. Mittens has been behaving beautifully on insulin so far, but we don't want her surprising us tonight.

The plastic wrap in the litter box is a good trick-- just a little bit has to splash on it for you to dip the stick in, so that way you don't have to actually catch her in the act (much easier).
 
Houston, we have a spreadsheet! :)

Mittens' BG data, insulin doses, meds, fluids, feeds etc., are now included in her FDMB spreadsheet.

Please check the spreadsheet and most recent thread posts for status information from here on in (i.e. no need for SITREPs at the top of the threads).

(If anyone spots any howlers please let me know.)


Mogs
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Just got her +7.5 -262

So for the night:
4:15pm MDPS -220
5:45pm +1.5 -227
6:45pm +2.5 -223
8:15pm +4 -226
10:15pm +6 -240
11:45pm +7.5 -262

About to feed her again right now.
 
Chris & China said:
I swear we're going to have to have some kind of intervention with you!!
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I've been after one of those for years, Chris! Where do I sign? :confused:

I hope the spreadsheet will make things much more straightforward for members pitching in to help Dan & Heather. (It's certainly going to be much easier to update and manage the information now.)

How long will you be around for, @Chris & China?

.
 
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Critter Mom said:
How long will you be around for, Chris?
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Probably for a couple hours, but I think considering how tired Dan is (and that neither of them have gotten any meaningful sleep for the past several days) it's going to be safest and sanest to stick with the .25 tonight

Mittens seems to be getting a lot more calories and water in and her numbers aren't horribly high so for the sake of everyone's sanity, I think that's the best thing to do for tonight
 
OK, if other folks are going to be around for a bit I think I'm going to sign off now because I'm kind of losing it. I will check back in the morning to see how things are going-- crossing fingers and paws that everyone will be able to get some rest tonight!

Dan: How much did Mittens eat this time? Assuming she's still getting a decent amount of food, I think the general opinion is yes, 0.25U. Are you OK measuring that dose? It's really tiny-- there was a picture in the previous thread, I'll try to repost it here:

upload_2016-12-26_0-28-39.png
 
Nan & Amber said:
OK, if other folks are going to be around for a bit I think I'm going to sign off now because I'm kind of losing it. I will check back in the morning to see how things are going-- crossing fingers and paws that everyone will be able to get some rest tonight!

Dan: How much did Mittens eat this time? Assuming she's still getting a decent amount of food, I think the general opinion is yes, 0.25U. Are you OK measuring that dose? It's really tiny-- there was a picture in the previous thread, I'll try to repost it here:

View attachment 25220
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She just ate another 10ml of Fancy feast about 40 minutes ago. Ok thank you for the picture, yes i know where the .25 is and yes it is real tiny but i think i can get it.

Chris & China said:
yes, I think that's the best idea, especially because you're so tired and this is the first time you've shot an 8 hour schedule
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Ok thank you and everyone else for the assistance yet again tonite! :)
 
Chris & China said:
... it's going to be safest and sanest to stick with the .25 tonight ...
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Absolutely, Chris. Saw the 0.25IU dose as a done deal. :)

I asked because I wondered whether you'd be around to check in with Dan for a BG check around +1.5 - +2 just to get a heads-up on where the cycle might be heading. If that's OK with you I'm going to take my sleep meds now.


Mogs
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My girl just threw me a teensy curve ball and I will be getting up to check her later (probably around 3am) which I think will be around the +2.5 point for Mittens so I will try to check in then. With that I am off to bed. I salute everyone who has been helping. What a team effort here! And Dan & Heather YOU ARE AMAZING! :bighug::bighug::bighug::bighug::bighug::bighug: to you all!
 
Critter Mom said:
I asked because I wondered whether you'd be around to in with Dan for a BG check around +1.5 - +2 just to get a heads-up on where the cycle might be heading
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Yeah I should and if I can't be, I know @Tricia Cinco(GA) & Harvey , @Wendy&Neko , @Gill & George and a few others are usually online later in the night .....we might not know Novolin very well, but we know how to keep a kitty safe
 
Heh. I hope I didn't insult you by re-posting the picture, Dan! It's just one of those "better safe than sorry" things-- the very last thing Mittens needs right now is to get 10X the amount of insulin necessary!

Signing off now for real-- good luck tonight, I think things are going swimmingly :).
 
Nan & Amber said:
Heh. I hope I didn't insult you by re-posting the picture, Dan! It's just one of those "better safe than sorry" things-- the very last thing Mittens needs right now is to get 10X the amount of insulin necessary!

Signing off now for real-- good luck tonight, I think things are going swimmingly :).
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haha no you didnt insult me, i was looking for the picture anyway. :) I really appreciate the help you and everyone else has offered, youve all done more than you should have to. Thank you. :)
 
OK.....looks like it may be another cycle like the other ones (which in a way is good because maybe you and Heather will be able to get some sleep tonight!)

I think you could easily take a break and get another test at +3 and if she's still doing OK then, think about getting some rest tonight

Looks like she's eating better too and that's good news
 
I think @MrWorfMen's Mom will be checking in again soon

I'm sorry I can't stay up any longer but I have to be out in the morning to take my mom to physical therapy.

If at any time you're worried, don't be afraid to use the 911 icon in your original post....Just go to the first post of today and "edit" by clicking on the thread tools and add the 911 prefix to get people's attention

Once you have someone's attention, you can remove the 911 again
 
Chris & China said:
I think @MrWorfMen's Mom will be checking in again soon

I'm sorry I can't stay up any longer but I have to be out in the morning to take my mom to physical therapy.

If at any time you're worried, don't be afraid to use the 911 icon in your original post....Just go to the first post of today and "edit" by clicking on the thread tools and add the 911 prefix to get people's attention

Once you have someone's attention, you can remove the 911 again
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Ok, thank you so much. Get some rest :) I will keep the thread updated.
 
I tested her at 3:30 and it was 273 then I fed her 7.5mL of fancy feast. Dan went to bed literally as soon as I got in the door, I haven't had a chance to really look yet, I'm guessing this is the +2.5 reading your looking for. I'm sorry I didn't write it right I'm just trying to get caught back up, I couldn't follow as closely at work as I would've liked, but wanted to get you this number right away.
 
Thanks Heather. No worries about how you wrote that Heather. I've got the details. +2.5 reading @ 03:30am EST is 273
So she has only dropped 10 points since the last test and the previous test was actually elevated from PMPS slightly. It's looking like the cycle is going to be pretty inactive but she is holding. You usually test again at +4 but I am going to suggest you push the next tests out to +5 and +7 tonight. It will give us info for another time in the cycle without leaving too long between tests. Keep up the feeding schedule and get fluids into her as you can.

I am heading back off to bed and hope you can take a little nap at some point too. If there is any drop of 100 points or more at either the +5 put the 911 on your title immediately to get someone's attention to follow along with you just in case. Mittens will still be safe at that point but will need more frequent checking.
Sorry it took so long to send this. I still can't see straight yet :woot: and I'm not the fastest typist either. Will check in again when I get up hopefully around 6:30 or 7am your time.
 
I did not see your message until right now, so I did test at +4 (about 45 minutes ago). Sorry I was eating and didn't check the board before I did it. So it's +4 -280 and I fed her 7mL of fancy feast immediately after I tested her. I will test again in a bit and post the results.
 
Good morning. You can put the 280 in the +4 column of your spreadsheet, and add the food you gave to the Remarks section.
I think getting a +6 and then the +7.5 before insulin will give a good feel for where she might be headed, for the possible increase this morning.
Sorry, I won't be here to see how it goes. I have to work all day. Hope you have a good day, and Mittens eats more food and has less ketones.
 
Ok, I will try to add those things to the spreadsheet. I just tested her a little bit ago +6 -296. Also, 7.5mL fancy feast mixed with potassium tablet right after testing. I'll try to add all of this to the spreadsheet.
 
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Good morning, @Dan&Heather -

I'm here for a little while. For speed I'll do the spreadseet updates posted above in a minute.

ETA - Spreadsheet updates done.

I'd just like you to answer a few questions for now:

1. Did Mittens poop yet?

2. Did you get another ketone test yet?

I hope you both had some bit of refreshing sleep.

:bighug:


Mogs



(AM INSULIN DOSE DUE AT 08:45 EST (13:45 GMT) )
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Critter Mom said:
1. Did Mittens poop yet?

2. Did you get another ketone test yet?
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1. No, I dont think so.

2. unfortunately not, I've been waiting for her to go to the liter box,



Critter Mom said:
Overall, do you think Mittens ate a fair bit more yesterday?
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I do feel like we got more into her yesterday and the night before than we had previously.

She needs her next dose of insulin, should I give her 0.25 again? What times should I do testing this time?
 
I think you need to follow Jill's and Meya's recommendation to increase the dose to 0.50IU Novolin N. BG has drifted up.

Have you done preshot BG and fed yet? Insulin is due.

If not, please do BG test and feed straight away.

Post result for BG first and post result immediately so we can check it's safe to give the increased dose.

.
 
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