3/11 Jonesy PMPS 166-1u; 349@ +3.5

[Darcy and Jonesy]

I'm loving these lower numbers, but what do I SHOOT?? I'm stalling a bit now, but I can't miss work
Will check again in 20 minutes or so. In the meanwhile, he's feeling good, happy and purring, wondering why I'm holding out on brekkie! LOL

Yesterday http://www.felinediabetes.com/FDMB/...ps-261-2u-no-cancer-95-3.226835/#post-2541286

 

[Darcy and Jonesy]

Plus 30 minutes after stalling, 113, what can I shoot?? I can't monitor at all today

 

[Sonia & Leo]

Sorry no one's answered yet Darcy. It's very quiet on the board this morning. Going to tag @Bron and Sheba (GA) , hopefully she's still around.

 

[Sonia & Leo]

103 and 113 are basically the same numbers. I think if it were me, I would give a reduced dose and leave out some LC and MC. Might be overkill but better safe than sorry.

 

[Sonia & Leo]

Darcy, you still there?

 

[Si am cat mom]

You've shot lower before and shot a 103 on 1/31...
If you are worried about monitoring, could you leave food available?

 

[Darcy and Jonesy]

Darcy, you still there?

Thanks Sonia! Sorry, I'm also trying to slap my makeup on! LOL

I agree, I'm feeding him now his slurry with the antibiotic in it, then will probably shoot 1.5 . . . not sure yet on that

 

[Darcy and Jonesy]

You've shot lower before and shot a 103 on 1/31...
If you are worried about monitoring, could you leave food available?

I can definitely leave food out, but I don't see the 103 on 1/31?? He's also up to 2 units now, my concern is what amount to shoot. I definitely need to give him some amount.

 

[LindyNova]

103 and 113 are basically the same numbers. I think if it were me, I would give a reduced dose and leave out some LC and MC. Might be overkill but better safe than sorry.

I agree----seems Jonesy is in a bounce to me.....New dose wonkiness, as they say....

from your spreadsheet, it looks like he responds well to the food and goes up a bit before the insulin kicks in, and then stays fairly stable. If you are really really scared--I am too---reduce back to 1.75, but I would shoot the full amount and leave food out in case.

 

[Darcy and Jonesy]

I can definitely leave food out, but I don't see the 103 on 1/31?? He's also up to 2 units now, my concern is what amount to shoot. I definitely need to give him some amount.

AAAAh, OKAY! Jan 30th, but again, that was only .75, versus the 2 units he's up to now

 

[Sonia & Leo]

Ok, LOL, It's possible that the infection/inflammation in Jonesy's mouth were keeping his numbers up. After the dental and if the AB's start kicking in, Jonesy might decide to go down the dosing ladder.

 

[Darcy and Jonesy]

I agree----seems Jonesy is in a bounce to me.....New dose wonkiness, as they say....

Ugh . . . he's all over the board in regards to his NDW! LOL

Get OFF the trampoline Jonesy, you're too CHONKY to be bouncing! heehee

 

[Darcy and Jonesy]

Okay . . . he's eating right now. My THOUGHTS are to shoot 1u, or should I go with 1.25? (Or 1.5?!) *face palm*

 

[Sonia & Leo]

I would definitely err on the side of caution. We have no idea what Jonesy has in mind right now.

 

[Sonia & Leo]

Personally, I would go with 1. You can always make up for it later.

 

[Darcy and Jonesy]

Ok, LOL, It's possible that the infection/inflammation in Jonesy's mouth were keeping his numbers up. After the dental and if the AB's start kicking in, Jonesy might decide to go down the dosing ladder.

He's actually BEEN on antibiotics for over two weeks now. One week prior to his dental, and since. They suspect that his actual jaw bone has a major infection in it so he'll more than likely be on them for awhile yet.

 

[Darcy and Jonesy]

Personally, I would go with 1. You can always make up for it later.

I like that plan! Shooting ONE right now! (I swear, the carpet in this office is 40% wet cat food, 40% litter dust and 20% insulin! LOL)

Edit: okay, back to slapping on makeup! Will test him before I have to leave

 

[Sonia & Leo]

1 unit might be overly cautious but you don't have a lot of data post-dental.

 

[Sonia & Leo]

I hope he doesn't end up in outer space but it's better than flirting with sharks while you're not there to catch him.

 

[LindyNova]

Better safe than sorry!

 

[Darcy and Jonesy]

Okay, have to get my butt to work. Just took a plus one and he's dropped a bit to 101. I'm leaving out some HC wet.

 

[carfurby (GA)]

I hope Jonesy surfs safely today. Glad you're leaving some food out.

 

[Sonia & Leo]

Have a great day Darcy!!
Surf safe Jonesy!! Please don't go to the moon!!

 

[LindyNova]

Sorry no one's answered yet Darcy. It's very quiet on the board this morning. Going to tag @Bron and Sheba (GA) , hopefully she's still around.

@Sonia & Leo this is why I do my testing PS about a half an hour before feed and shoot--and I delay shooting about 10-15 mins after they're done eating. I don't get a timely response unless I hit a 911 and that is reserved for medical emergencies.....{siiiiigh}

 

[Sandy and Black Kitty]

You've shot lower before and shot a 103 on 1/31...

I can definitely leave food out, but I don't see the 103 on 1/31?? He's also up to 2 units now, my concern is what amount to shoot.

in the world of FD,dosing decisions consider the recent data and circumstances. anything farther back than 2 weeks is pretty much ancient history.

 

[Darcy and Jonesy]

in the world of FD,dosing decisions consider the recent data and circumstances. anything farther back than 2 weeks is pretty much ancient history.

@Sandy and Black Kitty do you think I made the right call? Shooting 1u? Leaving HC wet?

 

[Darcy and Jonesy]

After HC food and low numbers this morning, he's at a lovely 166! Since I reduced his dose by 1 full unit, and only shot a unit this am, should I only give him 1u now??

@Sandy and Black Kitty
@Wendy&Neko

 

[Darcy and Jonesy]

@Bron and Sheba (GA) ? You around?!

 

[Darcy and Jonesy]

Anybody? Hullo?!

 

[Bron and Sheba (GA)]

Looking now

 

[Bron and Sheba (GA)]

Are you home tonight
And can monitor all night if necessary? Plenty of high carb food and test strips?

 

[Bron and Sheba (GA)]

Are you still testing for ketones?

 

[Darcy and Jonesy]

Yessss, home all night, but it's already 8:00 pm here and I try to get to bed by 10:00. Been burning the candle at both ends lately Not up for a pajama party honestly

What were you thinking?

 

[Darcy and Jonesy]

Are you still testing for ketones?

Not recently as a week ago he tested negative at the vet when he went in for his dental (full senior blood panel again) So we're pretty confident we're good there.

 

[Darcy and Jonesy]

I have to shoot within the next short while as I can't delay his amps any longer than I did this morning.

 

[Bron and Sheba (GA)]

I would definitely get a ketone test done. He’s still has a fairly recent DKA history.

If you can’t monitor all night if necessary then I would give a reduced dose I think. But please test for ketones.
and he may be needing less insulin after the dental a week ago.
Maybe go with the 1 unit again but if that isn’t holding the numbers you will have to increase.
I would get a before bed test in and wake up at least once during the night to get a BG around nadir.

 

[Chris & China (GA)]

If you need to get some rest tonight, why not just go ahead with the 1U....give him some insulin but hopefully not enough to keep you up chasing sharks all night.

We have to take into account how you feel as well as Jonesy!

 

[Darcy and Jonesy]

Thank you ladies!! MUCH appreciated!

 

[Sonia & Leo]

Have a good night's sleep Darcy!!

 

[LindyNova]

wishing for a smooth night for both you and Jonesy. Hope you get a good sleep!

 

[Wendy&Neko]

I wonder if the antibiotic is also kicking in. It’s a good idea to write down any new meds in the Remarks column of the SS.

 

[Darcy and Jonesy]

I wonder if the antibiotic is also kicking in. It’s a good idea to write down any new meds in the Remarks column of the SS.

But this is the same antibiotic he has been on for over two weeks now! It's so weird . . .
His follow up appt is next monday, and as the jaw issue is not cancerous, they suspect it is a long term, badly infected bone. So he'll more than likely be on the AM for sometime yet . . . I guess I'll find out Monday.

(Fyi, he's climbed up to 349 now. If he's high in the morning, now I don't know if I have to start with the increases in the .25 amounts only?)

Oh! @Bron and Sheba (GA) ! I DID manage to get a ketostix test done just now, negative

 

[Wendy&Neko]

If he's high in the morning, now I don't know if I have to start with the increases in the .25 amounts only?

Go back to his last good dose, which was 2.0. He didn’t earn a reduction from that dose yet.

 

[Bron and Sheba (GA)]

Oh! @Bron and Sheba (GA) ! I DID manage to get a ketostix test done just now, negative

Fabulous! I think it would be worth while checking for ketones every few days at the moment if Jonesy has a chronic jaw infection and history of recent DKA. . It’s a very worthwhile insurance policy.

 

[Sandy and Black Kitty]

@Sandy and Black Kitty do you think I made the right call? Shooting 1u? Leaving HC wet?

You made a good call- keep in mind the effect of a reduced dose is likely to influence the cycle following the one that received the reduced dose.

With ketones still visible in the rear view mirror going without any insulin could unintentionally open the door to ketones once again developing. Your instincts were good regarding 1/30 vs 3/11.

Post dental is an unpredictable time.

I have seen kitties start flying down the dosing ladder immediately following a major dental and others who took a bit of time for things to settle.
which way your kitty will go under these circumstances is unknown.

It’s shot by shot sometimes... with a good supply of HC.

Looks like tonight is a ‘save-a-strip” night

 

[Darcy and Jonesy]

Go back to his last good dose, which was 2.0. He didn’t earn a reduction from that dose yet.

Excellent! That's good to know Wendy, thanks much. Right now, as his am shot has been delayed by the last couple of shot time/tests, he's currently at 443 (at plus 10.5 from the shot time)

Will shoot 2 u.

Thanks EVERYONE!