2/5 Sandy AMPS 163, 120@+2, 47@+4

I understand how stressful this is, let's give no insulin a try and continue to test for ketones. How does that sound? Until then, we will have to keep an eye on this cycle a little while longer, okay?
 
Christie & Maverick said:
I understand how stressful this is, let's give no insulin a try and continue to test for ketones. How does that sound? Until then, we will have to keep an eye on this cycle a little while longer, okay?
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Yes sounds good. I just scanned him he’s at 50 so the honey has probably wore off. He is sitting in the sun at the moment and is taking a nap. I’m going to scan him every 20 minutes so I catch if he drops below that. He’s not interested in eating right now but maybe he will get hungry soon.
 
Okay he's holding steady, no treats or food given then, with either +4.5 or the +5 test?

Recap:

  • pmps almost a whole can (13% carbs).
  • +1 97 snack??? 13% carbs
  • +2 47 syrup on gums
  • +2.5 40 ???2 table spoons of ff turkey in gravy 13%
  • +3 52 , had some kibble
  • +3.5 49 kibble. teaspoon
  • +4 40 syrup/
  • +4.25 lo syrup / 5-10min later 48
  • +4.5 60 no intervention
  • +4.75 55 no intervention
  • +5 50 no intervention
 
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Liza Morales said:
No nothing
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I'd like to keep him above 50 to where we can get some consecutive tests without intervention, but I think he may dip again. Let's see where he is at 20 minutes after the +5, that will tell us if the syrup isn't in the system anymore. As you have come to experience, the numbers can bobble around a little.
 
Christie & Maverick said:
I'd like to keep him above 50 to where we can get some consecutive tests without intervention, but I think he may dip again. Let's see where he is at 20 minutes after the +5, that will tell us if the syrup isn't in the system anymore. As you have come to experience, the numbers can bobble around a little.
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Yeah that happened he’s down to 44 now
 
I'd like to see if he will eat a little, since he's had nothing but syrup since +3.5 so if you can offer him some of the kibble or MC food. If he doesn't want any, then you'll need to rub a little of the syrup on his gums again. I think you said he doesn't like the syrup in the food.
 
Christie & Maverick said:
I'd like to see if he will eat a little, since he's had nothing but syrup since +3.5 so if you can offer him some of the kibble or MC food. If he doesn't want any, then you'll need to rub a little of the syrup on his gums again. I think you said he doesn't like the syrup in the food.
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Gave him the gravy stuff he just licked some of the gravy for didn’t eat any of the meat. I’ll do the syrup again
 
Recap:

  • pmps almost a whole can (13% carbs).
  • +1 97 snack??? 13% carbs
  • +2 47 syrup on gums
  • +2.5 40 ???2 table spoons of ff turkey in gravy 13%
  • +3 52 , had some kibble
  • +3.5 49 kibble. teaspoon
  • +4 40 syrup/
  • +4.25 lo syrup / 5-10min later 48
  • +4.5 60 no intervention
  • +4.75 55 no intervention
  • +5 50 no intervention
  • +5.25 44 some gravy, no food, syrup
 
Christie & Maverick said:
Or if he likes the taste of one of the other FF varieties, then try and add a little syrup to that and mix it well, see if that trick might work.
Click to expand...
Christie & Maverick said:
Recap:

  • pmps almost a whole can (13% carbs).
  • +1 97 snack??? 13% carbs
  • +2 47 syrup on gums
  • +2.5 40 ???2 table spoons of ff turkey in gravy 13%
  • +3 52 , had some kibble
  • +3.5 49 kibble. teaspoon
  • +4 40 syrup/
  • +4.25 lo syrup / 5-10min later 48
  • +4.5 60 no intervention
  • +4.75 55 no intervention
  • +5 50 no intervention
  • +5.25 44 some gravy, no food, syrup
Click to expand...
he went up to 63 @+6
 
I always worry when Maverick gets sleepy, but then I compare how he is acting to my other non-diabetic cat, who also is sleeping, and I worry a little less. Hoping he'll stay flat or continue a little to rise, since we're mid-cycle now. Maverick usually gets super perky when he is in the 50s, but not always. I'm so glad you have the Libre, that helps keep an eye on things, as much as it is at the expense of your sleep at the moment :bighug:
 
Recap:
  • pmps almost a whole can (13% carbs).
  • +1 97 snack??? 13% carbs
  • +2 47 syrup on gums
  • +2.5 40 ???2 table spoons of ff turkey in gravy 13%
  • +3 52 , had some kibble
  • +3.5 49 kibble. teaspoon
  • +4 40 syrup/
  • +4.25 lo syrup / 5-10min later 48
  • +4.5 60 no intervention
  • +4.75 55 no intervention
  • +5 50 no intervention
  • +5.25 44 some gravy, no food, syrup
  • +6 63
  • +6.5 74
 
Christie & Maverick said:
I always worry when Maverick gets sleepy, but then I compare how he is acting to my other non-diabetic cat, who also is sleeping, and I worry a little less. Hoping he'll stay flat or continue a little to rise, since we're mid-cycle now. Maverick usually gets super perky when he is in the 50s, but not always. I'm so glad you have the Libre, that helps keep an eye on things, as much as it is at the expense of your sleep at the moment :bighug:
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Yes it’s nice having it. This is his last day for this one so I have to put in the next one on. I just don’t feel super comfortable pricking his ear when I can’t even get a reading on the meter I have. At +6.5 he is at 74. He usually starts steadying out at +7 or +8. Hopefully he has no more drops from now. I’m over here taking 10 minute naps between scans and I fall asleep right away so that how tired I am. I will scan again in 30 minutes at +7
 
  • pmps almost a whole can (13% carbs).
  • +1 97 snack??? 13% carbs
  • +2 47 syrup on gums
  • +2.5 40 ???2 table spoons of ff turkey in gravy 13%
  • +3 52 , had some kibble
  • +3.5 49 kibble. teaspoon
  • +4 40 syrup/
  • +4.25 lo syrup / 5-10min later 48
  • +4.5 60 no intervention
  • +4.75 55 no intervention
  • +5 50 no intervention
  • +5.25 44 some gravy, no food, syrup
  • +6 63
  • +6.5 74
Nice to see those consecutive tests rising, am I right in thinking that the last time he had food or syrup was at +5.25?
Little stinker dropping again!
 
Gill & George said:
  • pmps almost a whole can (13% carbs).
  • +1 97 snack??? 13% carbs
  • +2 47 syrup on gums
  • +2.5 40 ???2 table spoons of ff turkey in gravy 13%
  • +3 52 , had some kibble
  • +3.5 49 kibble. teaspoon
  • +4 40 syrup/
  • +4.25 lo syrup / 5-10min later 48
  • +4.5 60 no intervention
  • +4.75 55 no intervention
  • +5 50 no intervention
  • +5.25 44 some gravy, no food, syrup
  • +6 63
  • +6.5 74
Nice to see those consecutive tests rising, am I right in thinking that the last time he had food or syrup was at +5.25?
Little stinker dropping again!
Click to expand...
Yes you are right and he’s sleeping sleeping with no interest in food. Just scanned at +7 and he’s back down at 65
 
Hoping the +7.5 stays in the 60s, or goes back up, I usually am not too fussed when numbers bobble around between 60-70s, since it has been I think by my calculation 2 hours since intervention. Usually when you get to the end of the cycle and a couple of consecutive tests where the numbers have stabilized over 50, then you can relax. I say usually, because nothing Sandy does has been according to the playbook.
 
Christie & Maverick said:
Hoping the +7.5 stays in the 60s, or goes back up, I usually am not too fussed when numbers bobble around between 60-70s, since it has been I think by my calculation 2 hours since intervention. Usually when you get to the end of the cycle and a couple of consecutive tests where the numbers have stabilized over 50, then you can relax. I say usually, because nothing Sandy does has been according to the playbook.
Click to expand...
Ok he just went o his food bowl and started to eat. mom going to scan him again in 25-30 minutes then
 
Liza Morales said:
I didn’t. But I just took his +8 and he at 80
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Fantastic.

OK both of you can take a break.

Let's try and get you straight on the SS.

Start out a new line 2/6 and when you get his test at 6pm(ish) (his usual shot time) (or whenever is a good time for breakfast and dinner for him, if that's a bit later that's OK) pop that result in the pmps column.
Write NS in the dosage column.
and lets see if he stays green tonight.
If he does come up to blue or a bit higher (he might with the extra carbs he has had), don't worry about that.

Going forward, regular small meals spread throughout the day work best, it's easier on the pancreas and keeps them more level. George is in remission he gets a main breakfast and dinner 8am/8pm then snacks at +3 +6 +9. This keeps him level, if for some reason he misses a snack (doesn't use his autofeeder) his BG spikes a we bit. So we kept him on this regime of 3 hrly meals/snacks to keep his BG level. I tried 4hrly intervals a while back, but I felt that he had a tendency to be a bit higher.
main meals at 8am are about 3ounces and snacks about a 1 1/2 tsp, he is a big lad (6.75kg)

So let's see how he does tonight, and what he is at in the morning.
Just monitor tonight and tomorrow, and if he gets to green and stays there, then let's start the trial once he has settled., l would like to let him settle down after all this shenanigans.
Crucial that there is no kibble and no temptations from now on. Stick to the Freeze dried treats and his LC food (below 10%)
Let us know if you are having trouble with him eating.

With Sandy and his history, you will need to monitor a few things,
How does that sound?

With any luck we will get him started on his OTJ trial Monday morning (all my gang are keeping paws and fingers crossed).
 
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Gill & George said:
Fantastic.

OK both of you can take a break.

Let's try and get you straight on the SS.

Start out a new line 2/6 and when you get his test at 6pm(ish) (his usual shot time) (or whenever is a good time for breakfast and dinner for him, if that's a bit later that's OK) pop that result in the pmps column.
Write NS in the dosage column.
and lets see if he stays green tonight.
If he does come up to blue or a bit higher (he might with the extra carbs he has had), don't worry about that.

Going forward, regular small meals spread throughout the day work best, it's easier on the pancreas and keeps them more level. George is in remission he gets a main breakfast and dinner 8am/8pm then snacks at +3 +6 +9. This keeps him level, if for some reason he misses a snack (doesn't use his autofeeder) his BG spikes a we bit. So we kept him on this regime of 3 hrly meals/snacks to keep his BG level. I tried 4hrly intervals a while back, but I felt that he had a tendency to be a bit higher.
main meals at 8am are about 3ounces and snacks about a 1 1/2 tsp, he is a big lad (6.75kg)

So let's see how he does tonight, and what he is at in the morning.
Just monitor tonight and tomorrow, and if he gets to green and stays there, then let's start the trial once he has settled., l would like to let him settle down after all this shenanigans.
Crucial that there is no kibble and no temptations from now on. Stick to the Freeze dried treats and his LC food (below 10%)
Let us know if you are having trouble with him eating.

With Sandy and his history, you will need to monitor a few things,
How does that sound?

With any luck we will get him started on his OTJ trial Monday morning (all my gang are keeping paws and fingers crossed).
Click to expand...
Ok sounds good. I will start over tomorrow. Thank you for the info that gives me a plan as far as food and times and see where it takes him.
Thank you for all your help
 
Liza Morales said:
Ok sounds good. I will start over tomorrow. Thank you for the info that gives me a plan as far as food and times and see where it takes him.
Thank you for all your help
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No problems, it has been our pleasure, you've been a real trooper.
Start a new thread for tomorrow, this one has got really long:bighug:
Liza Morales said:
I have more fur kids in the house.
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hope they haven't been feeling too neglected.:cat:
 
Hi Liza
Just waking up and having a quick look at how the cycle went before I feed my hungry crew who are circling waiting for breakfast.
You did a great job getting him back up to good numbers and keeping him there with Gill and Christie’s help.
I’ll be back when I’ve fed my lot.
 
Hi Liza,
How are things going? You have had quite a busy day keeping Sandy up over 50. You had a great team helping you.
He is certainly on a mission.
You and Sandy have come such a long way since he first got sick with DKA.
I hope you can get some well earned rest now.

With everything that has been happening I haven’t asked you how you Mom is going with COVID? Is she any better?

Here is the thread from main health which I don’t think was linked for continuity https://www.felinediabetes.com/FDMB/threads/cat-recovering-from-dka.241784/?_params=Array
 
Liza we have been talking to @Marje and Gracie about Sandy and we think at this point it is not quite time to start an OTJ trial.
What we would like to do is give him several cycles with no insulin and see how he goes...and if he can maintain normal numbers and keep having negative ketones

Test him preshot then feed as normal and test again around +3 or +4 and then at pm preshot, test and feed again and test once during the cycle again. Give him his normal snacks during the cycle making sure he is getting enough food.

There is one thing we would like you to do if you can please, and that is give him a +9 meal each cycle of normal low carb food.
This is because when the pancreas is kicking in, which we think is happening with Sandy, feeding a +9 meal helps bring down the preshot BG.
If he is showing he can stay in normal numbers, we can then start the OTJ trial.
Can you note the +9 meals in the SS each time you give them please so we can see it. Thanks Liza.
How does that sound to you?
 
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Bron and Sheba (GA) said:
Hi Liza,
How are things going? You have had quite a busy day keeping Sandy up over 50. You had a great team helping you.
He is certainly on a mission.
You and Sandy have come such a long way since he first got sick with DKA.
I hope you can get some well earned rest now.

With everything that has been happening I haven’t asked you how you Mom is going with COVID? Is she any better?

Here is the thread from main health which I don’t think was linked for continuity https://www.felinediabetes.com/FDMB/threads/cat-recovering-from-dka.241784/?_params=Array
Click to expand...
Hi Bron, my mom is good, thank you for askig. Thankfully the only symptom he got was a low fever for 1 night. No other symptoms at all, she finished her quarantine and is back to work.
I managed to get some sleep (a lot actually), and my husband watched over Sandy and was scanning hi. To leave sure he was ok. The sensor stopped working last night and I picked up another this morning and placed it on him. Then I went back to sleep.
The 3 scans today were really good so I don’t know what’s going on but I’m praying things will stay this way and Sandy’s body continues to do this on his own.
He walked around the house a lot today while I was sleeping and even played around with some catnip toys.
 
I’m sorry everybody. Thank you for checking in and for your concerns. I slept a lot and my husband watched over Sandy. I did show him how to put numbers on the SS so he did that for me. He doesn’t know how to get into the forum so I figured I’d wake up and post but I just slept and slept. This all finally got the best of me.
My husband just let me sleep, and didn’t wake me up sonde Sandy was ok.
Ketone test was negative. Sandy has had about 2 ounces of food so far and some freeze dried snacks.
I will start a new thread
 
Very happy to hear from you and know that Sandy is eating well, playing and staying in normal numbers . And negative ketones.. YAY!! That’s great news.
And I’m so glad you have managed to get such a good sleep.
That’s so good your Mom is better!

Yes, please start a new thread. We will watch for it. Bron
 
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