2/3 Disco AMPS 127, +0.5 145, +1.5 207, +5.75 182, +11.25 62–what do I do now??***

Teri & Disco NoFurNo (GA)

Teri & Disco NoFurNo (GA)

Member Since 2019
Yesterday 2/2: http://www.felinediabetes.com/FDMB/threads/2-2-disco-amps-374-2-294-6-316-pmps-259-2-287.225129/

I’m reading up for info now… Still learning. I read that if my pre-shot level was below 150 don’t give insulin, if between 150 and 200 the three options are give nothing, give token dose, feed as usual and test in a couple of hours.

It’s it’s 8:00am and that’s usually when I give his dose so I think I will feed and test in a couple of hours unless I hear back quickly. Then I have to read what I do when I give the insulin late, I know I read that somewhere…

***Update: 7:45pm +11.25 62! Freaking a bit. Gave his AM inj about 30min late at 8:30am due to his AMPS. His +’s are in this posts subject line and i have updated/corrected SS I have not fed him yet
 
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you have shot a 113 a couple of days back.
if you haven't fed, stall for 15-20 mins and see if Disco is headed up or down.

i think if you can monitor, you should be good to shoot.

from the SLGS/TR sticky:

"If the preshot number is far below usual preshot numbers:
  • Do you need to stay on schedule? Then skip the shot.
  • Do you have some flexibility with your schedule? Then stalling to wait for the number to rise might be a good option. Don't feed, retest after 30-60 minutes, and decide if the number is shootable.
  • Repeat until the cat either reaches a number at which you are comfortable shooting, or enough time has passed that skipping the shot is necessary.
If the preshot number is near kitty's usual preshot numbers:

Look at your data to see what numbers you have shot in the past and decide what would be a safe, shootable number for your cat. Don't feed. Stall until kitty reaches the preshot number you've decided on and then shoot.
We usually don't suggest or recommend shooting a preshot number less than 90 mg/dL when following the SLGS Method. Remember that with SLGS, generally speaking, your goal is to achieve flat numbers that are greater than 90 mg/dL. However, let experience, data collected, knowledge of your cat, and availability to monitor help in making the best decisions for your cat."
 
If you can monitor and steer with food. I think you can shoot. It's what you've been working towards.

If you shoot late, next shot is 12 hrs from it. Depending on how late that is, it's takes time to get back to normal. If it's to late i think its best to skip and stay on schedule.
 
Bandit's Mom said:
you have shot a 113 a couple of days back.
if you haven't fed, stall for 15-20 mins and see if Disco is headed up or down.

i think if you can monitor, you should be good to shoot.

from the SLGS/TR sticky:

"If the preshot number is far below usual preshot numbers:
  • Do you need to stay on schedule? Then skip the shot.
  • Do you have some flexibility with your schedule? Then stalling to wait for the number to rise might be a good option. Don't feed, retest after 30-60 minutes, and decide if the number is shootable.
  • Repeat until the cat either reaches a number at which you are comfortable shooting, or enough time has passed that skipping the shot is necessary.
If the preshot number is near kitty's usual preshot numbers:

Look at your data to see what numbers you have shot in the past and decide what would be a safe, shootable number for your cat. Don't feed. Stall until kitty reaches the preshot number you've decided on and then shoot.
We usually don't suggest or recommend shooting a preshot number less than 90 mg/dL when following the SLGS Method. Remember that with SLGS, generally speaking, your goal is to achieve flat numbers that are greater than 90 mg/dL. However, let experience, data collected, knowledge of your cat, and availability to monitor help in making the best decisions for your cat."
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Thx for the quick reply! I did feed him already though he is a grazer and only ate about 1/3 of it. Yes, by accident I did shoot at 113 last Saturday because i misread the meter as 213, and we had a wonky day but eating HC brought him out of it. I am home today and able to test frequently so will do that and keep everybody posted.
 
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Olive & Paula said:
If you can monitor and steer with food. I think you can shoot. It's what you've been working towards.

If you shoot late, next shot is 12 hrs from it. Depending on how late that is, it's takes time to get back to normal. If it's to late i think its best to skip and stay on schedule.
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Thx for the input! I went ahead and gave him the 2.75u and the dose was about 30 min late.
 
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Teri (Disco NoFurNo) said:
Thx for the quick reply! I did feed him already though he is a grazer and only ate about 1/3 of it. Yes, by accident I did shoot at 113 last because i misread the meter as 213, and we had a wonky day but eating HC brought him out of it. I am home today and able to test frequently so will do that and keep everybody posted.
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It IS scary to shoot numbers lower than one is used to. I too am still getting used to it. I skipped a shot once and regretted it since it set us back some.
 
Hah! Well, just make sure to get at least one more midday test today-- we don't know for sure he's bouncing, so he still could move downwards today.

Kind of exciting, the change in numbers the last few days. Looks like Disco is starting to get the hang of this feline diabetes thing!
 
Teri (Disco NoFurNo) said:
I read that if my pre-shot level was below 150 don’t give insulin, if between 150 and 200 the three options are give nothing, give token dose, feed as usual and test in a couple of hours.
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You changed your dosing method to TR from SLGS. So the above no longer holds. On this forum, if following TR, the guideline if you get a preshot below 150 is to NOT feed, and post for help. Shooting lower numbers leads to flatter cycles with Lantus. Think of lower numbers as a gift for both you and Disco.

FWIW, the guidelines you quoted above are in the SLGS section of the Sticky Note under the heading "in the beginning....". Later on there is a section about what to do when you have more experience and data. That is where you are now, if you had been still following SLGS.
 
Wendy&Neko said:
You changed your dosing method to TR from SLGS. So the above no longer holds. On this forum, if following TR, the guideline if you get a preshot below 150 is to NOT feed, and post for help. Shooting lower numbers leads to flatter cycles with Lantus. Think of lower numbers as a gift for both you and Disco.

FWIW, the guidelines you quoted above are in the SLGS section of the Sticky Note under the heading "in the beginning....". Later on there is a section about what to do when you have more experience and data. That is where you are now, if you had been still following SLGS.
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Oh my gosh! I will add this to my notes! It does get confusing for me... I’ve never been a good studier, so I really appreciate you clarifying everything and simplifying it for my aging brain!
 
***Update: 7:45pm was his regular PMPS time, so this is +11.25 and it’s 62! Freaking a bit. Gave his AM inj about 30min late at 8:30am due to his AMPS. His + numbers are in this posts subject line. I have not fed him yet. Updating SS now.
 
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You know, I just had a feeling that Disco had more downward action in him today! Sheesh, though-- 62 at +10??? A little dramatic, there, Disco, you can tone it down a bit!

I won't be able to stay up with you if you shoot tonight, so hopefully either Disco will start moseying on up, or someone who can stay will pop on. Something does seem to have happened with Disco recently, something clicked into place for him or else his pancreas is starting to wake up a little bit. He's going to start "asking" for reductions soon, I think...
 
Nan & Amber (GA) said:
OK, I'm totally confused now-- how much time until your PMPS??? Are we around +10.5 or +11.5 now?

Edit: whoops, simultaneous post there, you just answered that
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Bandit's Mom said:
10.25 is an hour and 45 minutes before PMPS. do you have any more BG readings in that time?
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OK I need to get on my laptop and tap this out to type this out because I’m getting confused on my phone. His AMPS was at the usual time at 7:42am 127. Next test at 9:05am 145. Next test at 9:51am 207. Next test at 2:17pm 182. Next test at 7:42pm 62. Just tested at 8:31pm 69 (this would have been his PMPS)
 
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OK, I got it So, if I understand, the 62 came a half hour before what will be (soon) his PMPS. In the meantime, he ate a small portion of LC food.

That means that his PMPS might have some small food influence (lucky it's LC, and probably less than a half hour's time), but we'll deal with that.
 
Nan & Amber (GA) said:
OK, I got it So, if I understand, the 62 came a half hour before what will be (soon) his PMPS. In the meantime, he ate a small portion of LC food.

That means that his PMPS might have some small food influence (lucky it's LC, and probably less than a half hour's time), but we'll deal with that.
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Yes, about 45 min before PMPS due and yes, he ate small portion of LC food. I just got a 69 at 8:31pm 12 hrs from his last shot
 
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OK. I can't advise that you shoot tonight. These are shootable numbers with data, but you just don't have enough data for that yet, plus as I said before I can't stay up with you and the boards seem kind of quiet right now (@Bandit's Mom , I know you are around, but you have quite enough to deal with yourself right now until Bandit is out of the woods on that extra insulin!).

Even with skipping, you should keep testing for a while tonight, in case Disco is headed further down. On 2.75U he's still got a pretty big depot to work with, even if you skip a shot.
 
Bandit's Mom said:
10.25 is an hour and 45 minutes before PMPS. do you have any more BG readings in that time?
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I messed up the times. Here are the exact times/tests:
His AMPS was at the usual time at 7:42am 127. Next test at 9:05am 145. Next test at 9:51am 207. Next test at 2:17pm 182. Next test at 7:42pm 62. Just tested at 8:31pm 69 (this would have been his PMPS)
 
Nan & Amber (GA) said:
OK. I can't advise that you shoot tonight. These are shootable numbers with data, but you just don't have enough data for that yet, plus as I said before I can't stay up with you and the boards seem kind of quiet right now (@Bandit's Mom , I know you are around, but you have quite enough to deal with yourself right now until Bandit is out of the woods on that extra insulin!).

Even with skipping, you should keep testing for a while tonight, in case Disco is headed further down. On 2.75U he's still got a pretty big depot to work with, even if you skip a shot.
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Thank you SO much. I will continue to test tonght, should it be every 30 min or 1 hr?
 
I'd test at the usual +1, then go from there. You may just need a +1 and a before-bed test at +3 or +4 or whatever if he seems to be behaving himself. Usually we'd only go to every 30 when they have gotten below 50.

I think I just saw a post from @Wendy&Neko , tagging her in case she's able to pop in quickly to give her take on things.
 
Nan & Amber (GA) said:
I'd test at the usual +1, then go from there. You may just need a +1 and a before-bed test at +3 or +4 or whatever if he seems to be behaving himself. Usually we'd only go to every 30 when they have gotten below 50.

I think I just saw a post from @Wendy&Neko , tagging her in case she's able to pop in quickly to give her take on things.
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Thx!! Taking a big breath, forgot to ask about how to feed for the evening. So far he's had the small portion of LC food and thats all
 
he is heading higher. i guess we can expect a nice bounce from the lows and the skipped shot :(

@Wendy&Neko @Nan & Amber (GA) in situations like this, would a token dose (say 1 unit or less) be preferable to a skipped shot? asking for myself in advance!
 
Bandit's Mom said:
and since he is so low, i would think it is fine to feed him some LC food
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Actually no - you don't want to feed if less than 2 hours to preshot, unless below 50. Otherwise your preshot number is influenced by food.

For future reference - you might want to print off and read Tight Regulation: Becoming Data Ready to Shoot/Handle Lower Preshots

It's good you got those extra tests after your normal PMPS. Now you know it would have been a good idea to give insulin - and probably full dose.
 
Wendy&Neko said:
Actually no - you don't want to feed if less than 2 hours to preshot, unless below 50. Otherwise your preshot number is influenced by food.

For future reference - you might want to print off and read Tight Regulation: Becoming Data Ready to Shoot/Handle Lower Preshots

It's good you got those extra tests after your normal PMPS. Now you know it would have been a good idea to give insulin - and probably full dose.
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thanks for this (sorry for giving wrong info, Teri!). Would you know if the 2 hour window is longer for kibble? as in, should the "no food before shot" window be longer for dry food?
 
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