+3 86!

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Catannc

Catannc

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Sorry to double post, what do I do? She had half the meal with the shot, half an hour ago when she dropped from 339 to 144. bout 1/6 a cup. Feed again, test how often?
 
Check at the 30 minute point after that last test. We can stay in this thread, but let's only use one so nobody gets confused, ok?
carl
 
Feed some of your low carb food...what type of food do you feed? You don't want to over feed...but, you need to stop the drop.
 
Okay, I'm here. So am I feeding now or waiting for the food from an hour ago to hit? Low carb wet or high carb dry?
 
What type of low carb wet do you have? I would not feed the high carb yet.
 
what brand and flavor is that canned food you mentioned with "sugar" as an ingredient?
 
That was raw chicken, right? Very low carb, so you still need to check on the half hour. But the 121 looks really good. No more food for now.

Carl
 
Yep, semi-raw chicken, livers, eggs, vitamins. She crashed on day 2 of insulin, and she never acted like she did that night. I don't think she even knows why I keep pestering her, not happy with extra ear pricks though. Will continue to check, her am dose is normally around 8, will you be available to discuss options at that point?
 
8 am I'll be still sleeping, but others will be on. It's usually pretty busy then. We might be able to figure out something yet tonight.

It looks to me like a little less insulin is the way to go, but let's worry (not worry) about this cycle first. :smile:

If you can test about 30 minutes from now, and she hasn't dropped any, then you could wait an hour as long as you keep an eye on her. I think she's just fine right now though.

Carl
 
I can be on in the morning at 8-- Sue is normally around by then also. I don't claim to be a "dosing" expert, but I will be happy to tell you what I see and together, along with others, we can discuss the options.

Good Job tonight! No panic with the dropping numbers, but well aware of the situation!
 
Thinking less insulin too, she seems to just keep amping up her response, her doses are going to be getting ridiculously small. Worry about it tomorrow though. She's sitting on my feet snuggling right now, I think she'll be fine, it's just a little scary how quickly things can change day to day.
 
Scary, Cathy. But the recent changes you are seeing are good things. Do you have, or have you thought about getting u100 syringes? You can be a lot more accurate with doses under 1/2 unit with them. It looks like you might be headed that way soon!

Carl
 
Yeah, was going to get them but planned on her not going down in dose for a while, still stuck on the spiel I got from the vet about not changing doses for a couple weeks. Need to forget everything about her advice I guess. How small a dose do people go to before they typically just try to come off the insulin and see what small controlled meals throughout the day do? Guess this is in reality a good thing, first time she's seen a green since she went hypo!
 
I am thinking the diet change can be part of these exciting numbers too. Some cats take a week or more for the diet to affect their numbers. I think you started the wet 5 days ago?

Great job on managing some lower numbers, Cathy. One of the great things about testing and knowing how food counteracts insulin is that it makes it possible to work with the numbers, not fear them.

Good work!
 
165, so yay. And to think i used to freak out if I saw blood or a syringe, how quickly it becomes routine.
 
Thanks and get some sleep! You people are freaking amazing, husband abandoned me about 30 minutes ago!
 
Sue, yes. Her first wet meal was Friday night. Big improvement the next day, and thank god I was smart enough to realize that 1 unit was waaaay too much quickly. I'm guessing the half is starting to be too much, her pancreas and liver should start coming back "on-line" soon, right?
 
Not sure about the pancreas yet, but the food and insulin seems to be working great together.

Be sure to put some gravy Fancy Feast flavors on your shopping list. The gravy is a great way to bring up low numbers quickly. No need tonight, but if you have them, you probably won't need them, right? :mrgreen:
 
To answer your question about how small a dose... the last shot I gave Bob was .25u, which was also the smallest dose I ever gave. Some kitties go all the way down to .1 just before going OTJ.

That 165 looks very good. I'm hoping you don't see a "bounce" from that green number, but you might. I am thinking less than .5 in the morning. How precise do you think you can be? I know it's all just eyeballing at this point...
Carl
 
One more thing I think we have told you, but just in case. Under 200, don't feed, wait 20 minutes and retest to see if the number has come up. A high amps is probably a bounce from some lower numbers today and tonight. We still want you to reduce the dose and shoot cautiously.
 
one night you shot .33, so if you can duplicate that, then that would be a good next step.
 
I can replicate 1/3 unit, or I can run to the Walmart. I'm in a big metro area and it's like 5 miles away. Probably go get the U-100's since I can be more accurate? Recommend feeding the whole meal and then giving a bump at +1 if she's falling fast I'm guessing?
 
Alright, I will def. ask. If they do have them (seems finding the 1/2 unit marked ones is hard?) what would her new recommended dose be? Went from 1 to .5 and saw about the same curve the last time.
 
Catannc said:
Not to be an idiot, but OTJ would be "off the juice"?
Click to expand...
lol, yes.
If you can get some syringes at wallyworld, that would be ideal. Ask if they have any with 1/2 unit markings too. Those are the easiest to work with.

Once you have them, your dose increments will be in .2's. A .4 would be 1.0 on the U100 syringe, and a .2 would be .5 on the U100 syringe. Those intervals line up nicely with the marks.
 
Let's see in the morning. Often we say 1/2 the previous dose, which would be .25. If you measure a little more than that, but below .5, that would be good.


Yes, OTJ is off the juice or off insulin.
 
Catannc said:
Alright, I will def. ask. If they do have them (seems finding the 1/2 unit marked ones is hard?) what would her new recommended dose be? Went from 1 to .5 and saw about the same curve the last time.
Click to expand...
It will depend on what sort of AMPS you get, and people will help you pick a dose in the morning. If I were a betting man, I'd bet on .2 though. Usually after you see a green, a kitty will be more sensitive to insulin for the next cycle or two. So you'd go with "lower is safer" in general.
Carl
 
Well, yay for Ms. Kitten then! As bad as this all seems, I look at others' SS who have been treating for months, a year, and are on 3 or 4 units and not getting good numbers. Hard to be thankful and terrified at the same time! Literally couldn't do this without you guys, there are no words.

Cathy
 
Good MORNING Cathy - if you're still up, that is.

When you go to Walmart, ask the pharmacist if you can see the choices they have for the U100s. We looked at 3 diff types - only one had the half-unit markings. I think one bag of 10 (I wanted to try them first) was about $1.80. Carl is correct: .2 units is to the 1/2 mark; .4 to the 1. Makes life MUCH easier when doing the mini doses. Print out the conversion chart and keep it with your needles for convenience. I have a short memory sometimes and had to check the computer when I first started mini-dosing!

Sounds like Kitten is doing well in the low doses, and maybe she'll be one of the lucky 35% that go to remission. But keep in mind, that even if she doesn't, a "managed" diabetic cat is still a really good place to be! I have to keep reminding myself too... Grayson has something that is identifiable and treatable. MUCH better than something where you don't know what you're working with.

You're doing a great job - especially w/ the food and those low numbers tonight! Keep it up!
 
Cathy,
Just now saw that last number. Definitely safe to go to bed. You did a great job tonight handling the early appearance of the low numbers!
Make sure and post your AMPS tomorrow so people can help if you need help.

Sleep well,
Carl
 
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