3/27/13 Rags - AMPS ~ HI +4 ~ 188 +5 ~338

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Becki

You've mentioned the ADHD and I've done some reading on that. I know that sometimes, for some folks with this, it may be difficult to focus on just one thing. I also know that sometimes, for some folks with this, if you do get focused, sometimes it can be difficult to switch.

What specific things will help us help you? If there are specific things that will help, and we know what they are, we can do a better job of assisting you.

(In a former life, I obtained a graduate degree in counseling and worked a crisis line for 4 years)
 
Sorry, but I don't know how to put these numbers on his SS. Because I took BG at : 6:17 a.m. BG HI
6:41 a.m. BG HI
8:40 a.m. BG HI
11:30 a.m. BG 188
12:40 p.m. BG 338
I don't know wat plus's to put then all under. Also where do you put his food in remarks ?

Please Advise !!!
 
The first test in the am or morning, before you give insulin, is the amps or AM Pre-shot.
The first test in the pm or evening, before you give insulin, is the pmps or PM Pre-shot.
when you test later in the day, you indicate how many hours since you gave insulin

a test 1 hour after giving insulin is entered in the +1 column of the spreadsheet
a test 2 hours later is entered in the +2 column of the spreadsheet
and so on.

If I understand your numbers correctly
AMPS ~ BG HI (6:41 am); shot given (?)
shot of 2 units (7:30?)
+ 1 ~ BG HI (8:40 am)
+ 3 ~ BG 188 (11:30 am)
+ 5 ~ BG 338 (12:40 pm)
 
I don't know wat plus's to put then all under. Also where do you put his food in remarks ?
Click to expand...

The starting point on the spreadsheet would be AMPS. That should be the time where you actually gave him his shot. I think that was around 7:30?
As for the rest of the numbers since then, you can enter them in the + box that is closest to when you got the test. It doesn't need to be exactly "on the hour".
You can put them in +1, +4 and +5 today.

The food remarks go all the way to the right in the "comments" section.
 
Carl, I did my spread sheet, would you check to make sure I did it right ? Also, I just got a BG @ 12:40 and someone asked me to get another, am I suppossed to do that Now ??? also, can I feed him now ?
 
Just a couple things, Becki.

In the AMPS column, put HI.
And in the "U" column, put 2.0. That the dose of insulin you gave him, right? The rest of the line of numbers is good!
 
Becki, I just posted to get a +6 so we know if he is going back up and insulin is through working. I said to wait the next hour, which would be 1:40 and do a +6. Carl, Deb, BJM, myself.....we are all Eastern time so we at least are in the same zone.
 
Hopee, give me a time please. I've already taken five BG's last one at 12:40. So 2:40 or 1:40 and can I feed him now ?

I'm very confused because of the way I've beeb taking them today !!!

Sorry, just got your 1:16 post, I'll take it at 1:40, but can he Eat after I take it again ?
 
Becki,
He can eat whenever you want to feed him. EXCEPT in the two hours before AMPS or PMPS. Just try to keep track of when you feed him, and how much, in the "comments" column.
 
Becki, can we hold off on the food till we get a +6? Feeding him now will up his numbers some and we won't know if he is going up because insulin is pooping out or if the food raised him up.

With N, once we find his peak, the lowest he goes, then we will have a handle on food and when to stop feeding him till it is time for his next shot in the evening. Their bodies just have to learn to adjust to it. If you keep feeding him after peak, no insulin is there to keep his numbers down. Once we know his peak, you can feed him all he wants before but none after.
 
Testing

1) We test before giving insulin (pre-shot) to make sure it is safe to give

2) We may test at +2 hours after giving insulin to see how fast the glucose is dropping. If the numbers suggest the drop may be too big, we'll continue testing every 2 hours (or sooner if it looks like it'll get below 50) to identify if we need to intervene.

3) We test around the expected low point to see how low the glucose goes. For Novolin, this is around +3 to +4 hours after the shot.

4) If the glucose goes below 50, we'll start a testing/feeding/15 minute wait and repeat process until the numbers come up to a safe level.

5) When we have stable dose management, we'll do a curve - testing from pre-shot to pre-shot, every 2 hours.
 
Done and Done ! I unit given and posted and entered on SS . 1/2 can ff fed @ 1:55 p.m.

Will take BG at 4:00 p.m. Thank you !!!!!
 
Done and Done ! I unit given and posted and entered on SS . 1/2 can ff fed @ 1:55 p.m.

Will take BG at 4:00 p.m. Thank you !!!!!
 
Becki, how many cans of FF is he eating in the morning? Mishka would suck down 3 cans at a sitting when she was first started on insulin. I backed her off to 1 1/2 cans and an hour later another 1 1/2 cans. That settled her down. Once her body adjusted to the insulin, it was U at the time and had longer duration that N, she then only ate 1 1/2 cans and was fine.

I will check back for the 4:00 test also.
 
Rags ate one and a half cans this a.m. and at 1:57 he ate one can and would like more. I also gave him 1 unit at 1:57 p.m.
 
Rags ate one and a half cans this a.m. and at 1:57 he ate one can and would like more. I also gave him 1 unit at 1:57 p.m.
 
are you adding water to the food? you may want to add about 1/3 can of water to 1 can of food - this will help fill him up, slow him down and you may still need to give 2 cans of food, but this may help some. plus mixing water in food, can't hurt anything.
 
I have never tried the water in wet food because I don't think they will eat it. They don'like it when it is like soup. But I will try it.

Now again, I'm sorry that I have to ask this question again. I know I can't feed Rags two hours before his shot, so can I feed him after his 4:00 BG a can ?
 
Yes, he can eat as much as he wants now but try not to keep feeding him because this 1 unit will also wear out. He will probably start to go back up about 3 hrs. from now. Good job, Becki.
 
yo hon said:
I have never tried the water in wet food because I don't think they will eat it. They don'like it when it is like soup.
Click to expand...

Aim for a stew-like consistency or thin mashed potatoes consistency.

How much does Rags weigh? its not on his profile.
 
Becki, on Health you can see all the last responders to someones post. I tried to copy and paste BJM's last post to you but it won't show the little white square after BJM $ ( I put an dollar sign instead but it looks like a white square). If you put your mouse right on that square, it will bring up the very last post and put you in the thread. Then you can scroll up and see if there are any more recent posts you might have missed.


by BJM $
Wed Mar 27, 2013 4:11 pm
 
yo hon wrote:I have never tried the water in wet food because I don't think they will eat it. They don'like it when it is like soup.

and BJM replied:
Aim for a stew-like consistency or thin mashed potatoes consistency.

How much does Rags weigh? its not on his profile.
Click to expand...

I think of applesauce consistency. :lol:
 
No problem, I added 1/3 can of water to each half that he just ate, yes ! I said Just Ate ! Yeah, but of course, he wants more. I'm goona give him another 1/2 cause he doesn't eat til 8:00, I think. He ate at 8:00 this morning. See my mind is sooo fried, I am so sorry for being so messed up !!! I just can't seem to focus.

Still haven't found my little girl, been looking all afternoon and did call Animal Control.
 
Becki,

Your doing great with this today! :RAHCAT :RAHCAT :RAHCAT

But I bet you feel a littly like this kitty :dizcat

Sorry to hear your feral girl has not been seen for more than a day. Sending come home vines and Becki misses you vines to get her back home to you.

I'm back here for you. Wanted to let you know how hard everyone is trying to help you. I'm not going to leave you hanging.
 
Maybe this schedule will work for you when you are at home; you can check the dose with the board if you think it needs adjusting.

It is more food because until regulated, Rags can't use all the food that is eaten.

If you are not home to test, go with a dose you know will not take her too low. Better a day high, than a moment too low.

AMPS pre-shot test
feed 3 oz (1 FF can) with 1 tbsp of water added
give insulin if over 200

+2 test (when you're not sure how the dose is working)
feed 1/2 oz with 1/2 tbsp of water added

+4 test (when you're not sure how the dose is working)
feed 1/2 oz with 1/2 tbsp of water added

+6 test (when you're not sure how the dose is working)
no food until after next test

+8 test/afternoon pre-shot

give insulin if over 200
feed 3 oz (1 FF can) with 1 tbsp of water added

+2 test (when you're not sure how the dose is working)
feed 1/2 oz with 1/2 tbsp of water added

+4 test (when you're not sure how the dose is working)
feed 1/2 oz can with 1/2 tbsp of water added

+6 test (when you're not sure how the dose is working)
no food until after next test

+8 test/evening pre-shot

give insulin if over 200
3 oz (1 FF can)
Go to sleep!
 
Schedule for when you are at work:

When you are not home to test, go with a dose you know will not take her too low. Better a day high, than a moment too low.

The night before, take 1 or 2 cans of Fancy Feast, mix each with 1 tbsp of water, and put each in a muffin cup to freeze overnight.

AMPS pre-shot test
feed 3 oz (1 FF can) with 1 tbsp of water added
give insulin if over 200
put out the frozen serving to thaw and be eaten slowly

when you get home, test and get the afternoon pre-shot
give insulin if over 200
feed 3 oz (1 FF can) with 1 tbsp of water added
put out the frozen serving to thaw and be eaten slowly

bedtime test/evening pre-shot
give insulin if over 200; use a modest dose, since many cats go lower overnight
3 oz (1 FF can)

Prep tomorrow's frozen food.
Go to sleep!
 
Deb & Wink, thank you fot the kitties, and you are absolutely right about the kitty going in circles. That is exactly what my mind is doing if i even have one left !!!
The kitty that is missing isn't the feral one. She has lived with me for ten years. my feral kitty shows up when he is not too busy chasing another kitty, ya know ?

Well, everything i just wrote went away. Soooo

Bowhuntress, Thank you very much for all your prayers, I really appreciate that !!!! Very kind of you !!!

My Boy Rags, (stop calling him a her, ha,ha. He is a him.) He weighed 16 lbs. a month ago, he now weighs 13 lbs. He has a large frame, he is a big, polidactal cat with 4" long gray hair and aqua eyes. He is beautiful !!! He just appeared at my door at about 7 months old, very skinny.

Carl, Thank you for all your help today. I really do appreciate all the help everyone gives me, your just working with a not so smart person that has a hard time understanding and I am sorry. Too much going on in my life right now and i am just Very overwehlmed. Now add Rags and my Sweetie to that mix and you have a Basket Case !!! Well guys, again all i can say is Thank you and believe it or not but i have been trying to do what you tell me.
 
It's a process, not an event :smile: You'll get there.

Do the plans I laid out work for you? Have you got questions about them? Need to change them?
 
Just want to be sure i'm right because I tested him so much this a.m. The last time I did his amps test was 6:41 and gave insulin at 7:21 because I was told to do it that way. I know food before insulin. But my question is do I check his BG at 6:41 0r 6:17 (the first time I did BG)
 
1.5 should be safe for the evening.

If you feed 2 cans worth of food - 1 now, and 1 in 2 hours, I think you could safely give 2 units.
 
he just ate a half of can with water and didn't finish all of it. still give 1.5 in 30 min. or 15 min. after he eats. then try another can in two hours ?
 
You just need to do an amps at your normal time in the a.m.....test him, feed him, and 1/2hr. later shoot him. You really didn't need to do the test earlier this evening unless it was time to test, feed and shoot. We are slowly getting a handle on how long N is working and how much to give mid day also. If he wants more than a can at normal feeding time, give it to him.
 
Hope, I just asked about how many units to give. I was first told 1.5 then told if he eat one can now and two cans two hows later i coul give two units.
He only ate 1/2 can so i wrote back about giving him the 1.5 and how long i should wait. Did not get a response within 1/2 hour so that's when i gave him 1.5 units. Was that right? Are you telling me not to test him anymore tonight ?
 
I was driving home from work when you posted.

Its ok that you shot 1.5 units.

Cat Info has some guidelines for estimating how much the cat should eat.

He is going to be hungry until he is regulated. He can be fed about 50% more than the regular amount for a cat that size.
Per Cat Info, daily calories should be about 13.6 * optimal lean weight in pounds + 70.
Because diabetes doesn't let the cat use all the calories it consumes, increasing that by 50% is OK untilregulated.
 
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