? 5/14 AMPS = 10.4 mmol/L (using AT2 meter), should I skip the shot ?

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Champoux

Champoux

Member Since 2017
Link to my previous thread: http://www.felinediabetes.com/FDMB/threads/2-units-sid-wonky-numbers.177560/

Since May 10, Champagne's dose has successfully been lowered to 0.5 units BID. However, he tends to do the same thing he did with the previously higher doses: once he gets one dose, he is almost automatically under his "safe" shot number at PS, leading us to skip the dose and giving him against our will, his dose only once a day.

Now this morning his +11.5 was 10.3 mmol/L and his AMPS was 10.4 mmol/L. I'm wondering if I should give the whole dose and hope he rises back during the day, reduce the dose to 0.25 or just skip it completely again and reduce the next doses ? The thing is, I feel that the 0.5 is just right for him at the moment, it brings him down to blues and often greens towards nadir. The only thing bothering me are his low PS numbers. I was told by the vet not to shoot under 12 mmol/L and I'm worried about giving him a shot while he's low and accidentally putting him at a hypo risk.

Sorry for posting right around his shot time again.

Thanks in advance for your advice !
 
Can you monitor through the day if necessary and test as often as needed? Do you have enough supplies? If so if he were mine I would shoot the .50. If not Lowering tge dose might still lead to an active cycle. You do want to find a dose you can shoot every 12 hours. See what others say.
 
tiffmaxee said:
Can you monitor through the day if necessary and test as often as needed? Do you have enough supplies? If so if he were mine I would shoot the .50. If not Lowering tge dose might still lead to an active cycle. You do want to find a dose you can shoot every 12 hours. See what others say.
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Since it's 45 mins past his shot time already and I don't want to disrupt the next doses too much, I decided I'll give him the 0.50 and see what it does. I have enough supplies to test him often and plenty of high carb food in case he drops too fast. I'll keep you updated.
 
try to think of what you shoot now responding later in the day.
Yesterday without the shot, he ventured back into pink.

I would shoot the .50 .....


and you just posted that you shot...
 
rhiannon and shadow (GA) said:
try to think of what you shoot now responding later in the day.
Yesterday without the shot, he ventured back into pink.

I would shoot the .50 .....


and you just posted that you shot...
Click to expand...


Welp I'm really not sure anymore, I just tested him and he's at 9.6, he seems to be going down. I haven't shot yet.
 
Yeah, I'll be around but if I shoot now, his shot time would be delayed by 01:15. I thought maybe I could give 0.5 tonight then 0.25 tomorrow morning and try to stick with 0.25 twice a day ? In the last two days he dropped at 7 mmol/L or so at his AMPS. Assuming he'd do the same thing tomorrow morning, I could shoot him while he's low, while also introducing a lower dose.
 
You could also go ahead and shoot the 0.25 now, see how he does .....
and if he's still travels upward..... shoot on time ( which would now be an early shot).....


it's your choice.
 
rhiannon and shadow (GA) said:
You could also go ahead and shoot the 0.25 now, see how he does .....
and if he's still travels upward..... shoot on time ( which would now be an early shot).....


it's your choice.
Click to expand...

Last time I did a shot reduction, he dropped surprisingly low on the first try (dropped from 2u to 1u and he still reached 4.2 mmol/L ) so I think I'd rather not take the chance for that to happen and to have to deal with his next shots being delayed. I'll skip this morning's, give 0.5 tonight and 0.25 tomorrow morning. Thanks a lot for the advice though, it was really helpful :) !
 
Are you following TR or SLGS for dosing? If you can monitor and have plenty of test strips and high carb food, 9.6 or 173 is safe to shoot. Kitties usually have much flatter cycles when ou shoot lower. Even if you don't give him the full dose, I would give him some insulin if you will be around to monitor, or he will be pink by PMPS.

4.2 on the AT is still safe. Our "take action" number is 3.8 or 68 on that AT.
 
Wendy&Neko said:
Are you following TR or SLGS for dosing? If you can monitor and have plenty of test strips and high carb food, 9.6 or 173 is safe to shoot. Kitties usually have much flatter cycles when ou shoot lower. Even if you don't give him the full dose, I would give him some insulin if you will be around to monitor, or he will be pink by PMPS.

4.2 on the AT is still safe. Our "take action" number is 3.8 or 68 on that AT.
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I'm trying to follow the SLGS but it says everywhere the reference numbers aren't designed for AT meters, that's why I was asking for advice this morning. I didn't want to make a dangerous decision. For now he's 2 hours past his normal shot time so I'll skip it, but next time I'll know he can be safely shot at lower numbers. I still have a lot to learn :) thanks for your reply !
 
I would still put SLGS in your signature, so people know how to help you. You are right that the reference numbers in SLGS are for human meters - using a human meter is listed as a prerequisite to following SLGS, though we have had people try to use it with an AT. Might be worth getting a back up meter, a human kind, so you can do a second test when you aren't sure about numbers.
 
Weirdly enough, it seems Champagne still has done some sort of mini curve even though he skipped his dose. He slowly dropped to 7.4 at +6 and then started rising again to reach 9.7 at +8. Maybe I could start his dose reduction tonight instead of tomorrow morning ?
 
I have an AT2. I have shot as low as 91. Yum did go Super Green (63) after that, but she popped right back up after some carbs. I am following TR---not SLGS. I don't know what 90/human is on the AT2---wish I did. Lab reports say 72-175 or 71-159 is a normal reference range.
 
MJW said:
I have an AT2. I have shot as low as 91. Yum did go Super Green (63) after that, but she popped right back up after some carbs. I am following TR---not SLGS. I don't know what 90/human is on the AT2---wish I did. Lab reports say 72-175 or 71-159 is a normal reference range.
Click to expand...
On this board I see 68-120 cited as normal for AT2.
 
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