4.3.15 Queenie, 51/54/55/66/ 68/ AMPS 78 +1 59, +2 57, +3 75, +5.5 72, +10 153 going to skip next

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She's telling me she'll try to give me the blues today
 
Ok, time for Q's shot and she tested 51, I immediately retested and got 54. I did not shoot and gave a tsp of HC and some regular low carb food. Retested in 30 and got a 55 so I did not shoot yet, but gave a little more gravy and food. Will test again in 30. Any words of wisdom???
 
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what a cute picture....

I 'd continue stalling especially since you've given her some food. Looks like she has cleared that bounce....

I would not give any more food while stalling unless she hits 49 ( and earns a dose reduction).
 
OK at AMPS +1 (still stalling on the shot) I got a 66. Thought it's probably pretty safe but will check again in 20.
 
Wendy&Neko said:
You can move shot times back 15 minutes every cycle, or 1/2 hour once a day. Here's a post on Getting Back on Schedule.

I love the pic of Queenie looking at you, what a sweetie!
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Thanks Wendy! I know how to move the shot times, I've been moving them around since starting.

But, my question is about the fact I stalled. Does this mean I have to wait until 12 hours for the next shot or should I keep the same time if I feel it's safe?

Julie had actually suggested I may want to do an increase yesterday when we were still seeing high numbers. But I had a strong feeling her numbers were so far off because of back to back "accidents", a gravy raid followed by a fur shot. So I was thinking before that happened that I might be headed for a reduction.....

I might have actually gotten below 50 today too, but I started adding a few carbs while I was stalling because I have dinner date tonight and don't need a sick Q when I'm heading out the door.

I know it can act like an increase when they end up being closer together than normal, or at least I think that's what you'll tell me....
 
I would hold the dose for now after those 50's. Usually we don't decrease until we've seen an actual under 50 on the meter.

And your shot time tonight can be 11 3/4 hour after the shot time this morning. Maybe as much as 11 1/2 hours if she's bouncing. Otherwise moving up any more (like you said) acts like a dose increase.
 
I just read the rest of yesterday's condo - i'd forgotten about all your other critters, so yes, it's good to repeat. I mean no criticism about what you choose, I just wanted to know if you'd picked a dosing guideline so I could refer to the right one. I like to find the reference for new members so they can read it for themselves when they are making dosing decisions. But . . . as it turns out, today seems to mean no increase anyway! It's good you were following your gut! It's funny how often on here that someone will talk about a dose increase, and almost like the cat's reading your posts . . . the cat's BGs come down! hahahahaha

Just an fyi, once you've had a lower preshot, you're very likely to be faced with one again. When it happens next time, you don't need to give hc to anything over 50. You've got several choices on how to proceed.

If you want to stall, you don't want to feed the cat - that's because you don't want the food to increase the blood sugar, which will make you think she's high enough to shoot, but after the food spike wears off her numbers may drop back into low numbers. That was a really long sentence, so if it doesn't make sense, ask.

Instead, just wait til you see the BGs are rising without food - that will tell you that the insulin is waning and you can go ahead and shoot.

If you're able to monitor the cycle, you also have the option of going ahead and shooting and feeding on time. You can give the full dose if she's over 50ish, per the TR protocol - so that caveat means that you are able to monitor afterwards, like you did today. If you aren't able to monitor, then you might want to shoot a significantly reduced dose.

The third option is to skip the shot.

We don't have a document that gives suggestions for dealing with a low preshot if you're following SLGS. But everything with SLGS is more cautious and conservative than the TR Protocol. Here is the link to the TR guidelines on Shooting and Handling Low Numbers.

The good thing that's just happened with Queenie, however, is all the hours this morning spent in green numbers! That's exciting! Because the more time spent in that range, the more of an opportunity for her pancreas to heal and for her to begin putting out insulin of her own. The second thing that happens when she spends a lot of time in normal numbers is that her body will "remember" that this range is normal and her bouncing will lessen in both duration and intensity - the bounces will be fewer hours and might only go to 250 instead of 450, for example.

and what a perfect photo - i love how she's looking at you!
 
Thanks all... So here is my dilemma. I was planning on a family dinner away from home tomorrow. I would have been able to give her AM shot right before leaving. Now with the stall I either have to take her along (not a good thing), skip her shot, or give a reduced dose for the next shot or two to feel safe. I won't feel safe giving her a shot too soon at the full dose and then leaving.

I am typically able to monitor enough for TR, but not always.... so what's the advice for my tomorrow/tonight shots? I'll be heading out soon for a family dinner but back in just a few hours, tomorrow is a longer event ( darn these holidays!)
 
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you mean tomorrow? my normal time was 11:30 ish.. Today I shot at 1:30.... so yes, I would be home tomorrow around 5:30 / 6:00 PM that had been my original plan.
 
Sometimes people have reasons that they might want to do two 18 hr cycles - so you would shoot at 5:30pm tomorrow (which would be slightly less than 18 hrs because you shot late today) and then your next shot would be 11:30 the following morning.

That has less impact than completely skipping a shot and waiting til the next shot time. It's an option, anyway, for you to consider if it works for you.
 
OK, then let me be sure I follow. The next shot will be 18 hours after the 1:30 today shot and the next one 18 after that. The normal dose?
 
You can skip tonight and get back on schedule in the morning. Sorry I missed your question earlier. The main point is not to shoot in less than about a 12 hr interval unless someone with experience looks at the situation and thinks it wouldn't be a problem.

Yes, normal dose unless there is some other circumstance that would make you need to change the dose.
 
Ok. So I will plan to shoot around 9 or 10 and have time to do a +2 before I head out.... That would make me feel much more comfortable I think. Timing is just not the best right now with the holiday and family stuff going on to be worrying with a another possible drop like today's.
 
Just got a 153 at +10. Will wait another 6 to 7 hours to shoot and work back to the mid day schedule. Would a meal of canned chicken tonight be a mistake instead of the usual blend of DM & Friskies Pate?
 
I think I'd just feed her as you normally would. Canned chicken by itself is not a complete meal, though some of it is fine.
 
Wendy&Neko said:
I think I'd just feed her as you normally would. Canned chicken by itself is not a complete meal, though some of it is fine.
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Thanks Wendy, I realize I can't feed straight chicken as an ongoing diet, but is it harmful for one meal? Like the Carbo load, I wondered about a NO Carb meal from time to time to try and keep BG low when faced with a delayed shot like this>

I'm bummed she did so well today overall and now will be surely back in the stinky pinkys by tomorrow.
 
I'd just feed her like you always do.....actually, a lot of cats do better with a few carbs instead of zero

If you want to "lighten" the carbs a little, you could try feeding just the Friskies and skip the DM
 
Chris & China said:
I'd just feed her like you always do.....actually, a lot of cats do better with a few carbs instead of zero

If you want to "lighten" the carbs a little, you could try feeding just the Friskies and skip the DM
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Hi Chris, your info says the Friskies is lower in carbs than the wet DM? I was beginning to feel it was driving numbers higher because I had eliminated the DM? I don't feel I can necessarily trust the food list because it is dated...I will go take another look.
 
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