300´s at shot time twoo digits at nadir

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Silvina

Silvina

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Hello all!

We´ve been able to settle a little and shoot consistently. We have nice numbers at nadir but I see that shot time glucose goes up, like the curve is not nicely flat. Is this normal or should we rethink the dose?

On the other hand, I will have to be out for many many hours (about 12). I have to do a polysomnography which is a brain study while Im sleeping so I will have to spend the night out of my house at a clinic.

I will not be home for dosing nor feeding. I can ask dad to come feed my cats but will be difficult since this will happen during the night (I will spend the night out for this study). I guess I will have to skip dossing so I don´t risk hypo?

Silvi

This is the previous thread.
http://www.felinediabetes.com/FDMB/...oday-11-5-186-what-to-do.146653/#post-1526211
 
Hi Silvi.

It's pretty normal, especially this early in the FD dance, to see high preshots and low nadirs. It doesn't necessarily mean you are at the wrong dose.

I see that Markies has vomited a few times in the past week. Was this after eating? Did he eat again after being sick?

If there will be no one to test, skipping is probably your best option while you're at the sleep clinic. You shoot at noon and midnight, right? You might consider shooting a reduced dose that day. That will keep the depot from draining completely and hopefully make it easier to get Markies back on track later. You will obviously be skipping the dose that you would have shot at midnight. You might also consider shooting an 18/18 schedule. This would depend on what time you will be getting home the next morning. You might have to adjust the first shot time. If you're getting home around 9 am, you could shoot the day before at 3 p.m, then shoot 18 hours later at 9 am. Your next shot would be at 3 am, but you could shoot as early as 1 am to get back on schedule. Let's see what others think.
 
I agree that you should hold this dose a little longer....it's been getting him into some nice SAFE green numbers and then he bounces....and the only thing you can do about that is to wait for them to clear and then try to get him back there as much as possible so his body can re-learn that it's OK to be there

As for what to do when you have your test, it will depend on what time you'll be home! If you shoot at noon, you could either skip the midnight dose and get back on track at noon the next day (just call it a furshot) or do the 2 18 hour cycles....to do the 18 hour cycles and stay on your current midnight/noon schedule, you'd have to be home by 6am

Have they given you an idea of when they'll let you go in the morning?
 
Thank you Tricia and Chris! I still don´t know about the time I will be leavint the clinic. Actually, still don´t have the study scheduled since it´s hard to get this people answer the phone. But Ive been reading their website and I know that I will have to spend the night there. I don´t think this will happen soon. As soon as I have that information I will let you know.

Abour vomitting, it´s like Markies has some days that he vomits for example after eating (once a day) for two or three days and then stops. Then some days with no vomit at all (may be 7 to 10 days with no vomits) and then he may vomit again. He never vomits too much I mean, usually stops. When he vomits, he does it right after eating. Wha I also noticed is that when I wake up in the morning I see that he will be eating grass. Some times he vomits after grass and some times not.

And also I noticed that since he is on BARF (raw home made food) he doesn´t vomit those long semi hard hairballs (like hair balls sturds. LOL, sorry for the description). So I have no clue if he is not expelling his hair and he may have a huge hair ball in his tummy or if he does vomit hair but as food is different (no more dry food) the shape of the hair balls is different or may be his hairs go to poop. Hope you understand. No more long hair balls in his vomits, never ever since we stopped with dry food.

Silvi
 
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Have you tried forcing him to slow down when he eats by putting something in the bowl that he has to "eat around" or spreading it out thinly on a flat plate?

Another thing to try is putting his food up so he has to stand to eat
 
About the night you do the sleep study, I think I'd wait and decide what to do a day or so before your appointment. It'll depend on how long you're going to be gone.

Maybe it would help to try feeding smaller amounts of food more often so he's not eating a large quantity at once, on an empty stomach.
 
I agree that the problem with his vomiting may be that he's eating too much too fast. I used to have that problem with Harvey. I learned to give him less, and spread it out on the plate. I also elevated the plate. Since I give him less to start, if he wants more, I give it to him, but I make him wait 5-10 minutes.
 
I like those ideas, like using a big plate, putting it up so he has to stand up, and adding like a golf ball to his food. BUt also I have to keep in mind not to give him much, specially when his GC is little high like on 300s. Usually when his GC is high he vomits.

Thank you dears!! Im changing schedule to 1 am / 1Pm for medical appointment tomorrow so I changed it this afternoon 30 minutes and tomorrow will shoot 30 minutes later. So this afternoon I shot 12.30 PM - now 12.30 AM and tomorrow will shoot 1 PM.
 
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