2/23 Tommy AMPS= 270 +3=68 +3.5= 69 +4.25=63

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Sandy&Tommy

Sandy&Tommy

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I'm around most of the day today. I have to leave after nadir for awhile, but won't be gone too long.
I'm a supervisor at a group home and I usually work afternoons, getting off at 10:45-11:45p. Depending on appointments, meetings and office time I also work day shifts as well. There are times I get home at 11-12p and have to work again at 8:30a. :shock: DH won't test yet so this can be quite an endeavor. I'm working on him, so maybe in the future I will have help. It took Tommy getting back to his old self for DH to see that he was glad I talked him out of just putting him down. ohmygod_smile So that is my schedule. Just like living in Minnesota, you never know when the weather will change, my schedule changes. Thank you for offering to help.

Sandy
 
Re: 2/23 Tommy AMPS 270

Nicer AMPS this morning. I hope the shave works. :-D Fellow ProZincer's, can we look at Sandy and Tommy's schedule and brainstorm to see if we can come up with a little easier way to shoot Tommy?

Sandy, can you edit your first post to put the question mark on it? I tried to do that on my reply, but it's not showing up. A question mark on your post will usually get more eyes on your post and let people know you have a question. :smile:
 
Re: 2/23 Tommy AMPS 270

Sandy&Tommy said:
+2: 142 small treat of dried chicken
Click to expand...

Sandy that's a BIG drop for +2. How long can you monitor today? I think we may need to slow him down...
 
Re: 2/23 Tommy AMPS 270

I can stay until nadir, then I'll be gone 2-3 hours.
He went from 487 to 84 in six hours yesterday. He does drop fast. That is why he bounced so much in the early days of his sugar dance.
 
Re: 2/23 Tommy AMPS 270

Let's try to smooth him out with food a little bit and see how his curve looks today....can you feed him about a tablespoon of his regular LC food? We don't want to overload him in case we need to keep feeding him, but giving a little food for the insulin to "work on" can slow a drop a bit. Since he's dropping too fast, I'd encourage you to test at least +3 if not at +2.5.
 
Re: 2/23 Tommy AMPS 270

Just want to add, unless you have a cat that will ALWAYS eat, you may want to give less than a Tablespoon when steering, go with a Teaspoon or 2 at most. The last thing you want is to have your cat NOT eat when you need him to.

There have been times I've seen newbies shove food at their cats and then 30 mins later, need them to eat again because of their numbers and the cat won't eat. Not a situation that I'd want anyone to be in.

Because of Lucian's severe spikes and drops with Lantus, I had to steer him A LOT and had seen what happened to others who over fed, so I knew better.

Just wanted to toss that at you for future reference.
 
Re: 2/23 Tommy AMPS 270

Do you have medium carb food (12% or more)? Do you have your hypo toolkit with high carb food and karo?

Deep breath. :smile: Don't give any more food for now. You don't want to fill him up in case you need to keep feeding. On your SS, put in your notes when you fed and how much when you have a second.

If you have a second, please edit your Subject line in your very first post to something like this: 2/23 Tommy AMPS 270, +3 = 68

Test in 1/2 an hour and post. I'm going to try to get some extra eyes.
 
Re: 2/23 Tommy AMPS 270

Sandy&Tommy said:
Oh, boy! :o :shock: +3:68 ohmygod_smile gave 2T food. Should I give more?
Click to expand...

Not yet, test in 30 mins. If he's still low move up to 2 tsp of medium carb, if you have it. Test every 20-30 mins when steering. I went 30, worked for Lucian.

Do you keep Low, Med and High carb? Most cats will do fine with a max of med carb when they are low, high carb is more for emergency numbers, under 50 or so. ECID I don't give high carb at all, med has done fine for us.
 
Re: 2/23 Tommy AMPS 270

Tommy's goal and passion in life is eating. :lol: there was only one time he didn't eat and that was when we stayed a few nights at a friends home over Thanksgiving.
He scarfed that food a few minutes ago and turned to me saying, that was yummy, thanks mom!
 
Re: 2/23 Tommy AMPS 270

That's good! My Lucian is picky to start with.

Do you have Med carb? If not, you can mix 1 tsp low and 1 tsp high and get a med carb if you need it. The bad thing about high carb is that it will spike the numbers, which you need at certain times. This isn't one of them. He is in non-diabetic numbers, which is good. It just looks scary to you and maybe his liver if he's not been there too often before.

Hang in there and breathe!
 
Re: 2/23 Tommy AMPS 270

bunni9 said:
Do you have medium carb food (12% or more)? Do you have your hypo toolkit with high carb food and karo?

yes

If you have a second, please edit your Subject line in your very first post to something like this: 2/23 Tommy AMPS 270, +3 = 68 did that

Test in 1/2 an hour and post. I'm going to try to get some extra eyes. ok
Click to expand...
 
Re: 2/23 Tommy AMPS 270 +3:68

Good. How long since your last test? Test each 30 mins, unless he hits 50 then more often, like every 15.
 
Re: 2/23 Tommy AMPS 270 +3:68

He's responding to what you gave him. Wait another 30 mins and test. As long as he stays in the 60's there's no reason to 'feed up'. If he's say 60-62 next test, give a tsp of low carb, since he's doing fine on that and test again in 30. You may need to do this for a couple hrs until he is rising on his own and not in response to food.

BTW you're doing great, just relax, no emergencies at the moment. We'll be here to watch you.
 
Re: 2/23 Tommy AMPS 270 +3:68

Thank you! I'm actually ok and not stressed. I was a bit concerned about the drop this morning, but knowing all of you are helping out makes it easier. This last time Tommy looked at me when I came to get him from his sun bath with a look of "seriously???" I just gave him extra kisses, which he loves. I will post with the next number. Thanks again.
 
Re: 2/23 Tommy AMPS 270 +3:68

You should have been concerned, that is too big a drop that early in the cycle. Now it would make a bangin' nadir though! :-D

If he drops to low 60's at the next test, feed the tsp and test in 30. As long as he's mid/high 60's, he's good. Keeping him in that range is very good for him.

My poor Lucian thinks he's a pincushion, he's been tested so much for so long. He's gotten to where he really pays no attention any more, he just sits there, doesn't even blink when I test. :lol:
 
Someone came to the door just at the 30 min mark. Sooo at 45 min, he was 63. I will give a tsp?
This time I really think he sighed. :YMSIGH:
 
Sandy&Tommy said:
Someone came to the door just at the 30 min mark. Sooo at 45 min, he was 63. I will give a tsp?
This time I really think he sighed. :YMSIGH:
Click to expand...

Yep. Go ahead and give a tsp. of LC.
 
I have a chair that I use most of the time, all the time in the beginning several months. Usually, I'll put Lucian on the footstool after his test and he'll just sit there, like a King, waiting for me to bring his food to him. :lol: If I put him down on the floor, where ever I leave him, is where he is when I come back. He sees no reason to follow me, since he knows I'll bring his food to him. ohmygod_smile :lol: He is sooo rotten! He has not followed me into the kitchen in months! He has ME well trained. :lol:
 
That is too cute!I tried a few places in the beginning and found that he was calmer on my bed. Probably because that is his favorite spot!! :lol: He and I have grown so much closer in these last few months. Actually it was fortunate that of the three cats, Tommy was the one for diabetes. He is very friendly, and passive, unless he gets to teasing his fur sibs. He has never tried to bite me, nor even growl at me. He takes it all in stride. He loves people and if you pet him, you are his friend for life! cat_pet_icon
 
See? Lucian was the opposite, very independent, not a lapcat in any way! A 'pet' was all you could get. The first 6 weeks, I had to burrito him in a towel because he tried to destroy me when I tested. At about the 6 week mark, I noticed that he was no longer struggling and tested without the towel. No problem. He has been still for his test ever since. Yes, Lucian and I are much closer now and I can carry him around the house, slung over 1 arm, while I'm getting his stuff and he couldn't care less. He is much more mellow now than he ever was. Of course, he's also 15.5 yrs old too. I'd hate to think what it would have been like in his early years to have to do this. I'd have ended up at the ER. :lol:

In the beginning, I only tested in my chair, because I didn't want him to associate the bed with a 'bad' thing. Now I can test him anywhere. If he's asleep on the bed, I test there, he usually doesn't even fully wake up. Not with a test or a shot. :thumbup
 
Good job! :thumbup Now might be the time to think about what to do should he be too low to shoot this PM.
 
What a lovely day for Tommy! Sounds like he would like a little less insulin. What nice news! You had wonderful help today, Sandy. If it happens again, you will be an old hand at this.
 
Thanks, Deb and Sue!
It was a good experience in how Tommy's day progresses. I need to leave for a couple of hours so I will test and post when I get back.
This is the time that my DH would normally give Tommy a snack. Should I go ahead and do it or should I wait until I get back home?
I know I will have more questions about going forward later tonight. Thanks for all the help. :mrgreen:
 
:roll: Got stuck in a snow drift, what a day! +10= 171
DH's car stalled, now I have to run to town and pick him up. :YMSIGH: At least Tommy is doing well. 2 hours to go. I will post his PMPS.
 
I am back. What should we do about dosing? I talked with Jen yesterday and she suggested that I reduce my sliding scale by .2 across the board. That is why I shot a .8 this morning. I know Tommy wasn't in danger with his lower numbers today, (I'd like them there all the time! :-D )but since I was home we steered him from dropping any lower. I'm fairly certain that Tommy may have bounced tonight if we hadn't fed into the 60's. Should I try the reduction of .2 for a few days or do you want to go lower? DH will be home for his snack at nadir most all week. What are your thoughts on this?
 
With that huge drop he had by +3 today, I'd lean towards another reduction by maybe 0.2. Hopefully Sue will chime in as well...
 
Hard choice. If you'd be around to make sure he didn't drop too low, I'd definitely stick with the scale as adjusted. He did have a lovely cycle today but 20 points lower would be a problem. DH giving snacks will help.

Guess it depends on how you And your gut are feeling. Hate to stop this beautiful progress by lowering, but want him to be safe.
 
PMPS = 290
I think I agree with you Sue. I will be gone during the day tomorrow so I won't be able to keep an eye on him. What if I just do the .2 reduction in the morning and have DH give a mid-morning snack as well as his nadir snack? Also I'm thinking .8 for tonight?
 
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