7/22 kit +8.5 56,+9.25 48,+10 64,+11 62,+11.5 78,PMPS 70,82,+1 159,+2 191,+3 206,+10.25 240

Next time you go food shopping get some fancy feast gravy lovers. I used to drain the gravy and feed mostly gravy. That’s where the most carbs are. I hope Marje comes back. I was thinking the same as you. How long did it take her to get hungry last time?

I also bought Soulistic Triple Harmony. It was one of Max’s faves before diabetes. Petco seems it. Very high carb. It’s chicken, tuna, and salmon if my memory is right and lots of gravy. It comes in pouches and sold at Petco.
 
tiffmaxee said:
I’m glad to see you. She has late nadirs. What dose would you suggest for tonight and morning? Would you avoid another reduction since this was influenced by the higher dose? I’m learning too as I never dealt with high dosing.
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She has late nadirs because she’s clearing bounces. Gracie did the same and it’s why I switched her to Levemir.

I’m around so let’s see how she does with the food before we worry about a dose. I’ll BBS.
 
tiffmaxee said:
How long did it take her to get hungry last time?
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it was an effort to get her to eat main meal that night. 7/20
we gave her the LC 6% portion first and only after that was eaten did we give her the tiki (0 carb) portion
and then she ate about half a normal mini which is full mini = 0.5oz ff 6% and 0.5oz tiki
she lost complete interest in all of it around PM+3.25 according to my notes.
 
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JOJI and Kit said:
it was an effort to get her to eat main meal that night. 7/20
we gave her the LC 6% portion first and only after that was eaten did we give her the tiki (0 carb) portion
and then she ate about half a normal mini which is 0.5oz ff 6% and 0.5oz tiki
she lost complete interest in all of it around PM+3.25 according to my notes.
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I just looked at your ss and she didn’t need to eat after 3.5 so that’s good.
 
Marje and Gracie said:
ETA: I’d give her the reduction tonight. I found with Gracie that doing something similar on a bounce clearing cycle didn’t mean she needed a reduction but I had gobs off data. We aren’t sure yet with Kit.
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read and understood.

JOJI and Kit said:
it was an effort to get her to eat main meal that night. 7/20
we gave her the LC 6% portion first and only after that was eaten did we give her the tiki (0 carb) portion
and then she ate about half a normal mini which is full mini = 0.5oz ff 6% and 0.5oz tiki
she lost complete interest in all of it around PM+3.25 according to my notes.
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what do you think about the desire to eat after a day long treat fest?
on 7/20 we shot BCS of 3U in the face of that reduction bc she was not her usual happy to eat self.

thanks so much for your guidance.
 
JOJI and Kit said:
right. bc we shot 3.0U
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Recall that a large depot will affect the cycle even if you shoot a BCS so most of that cycle would have looked at exactly as it did as also indicated by her AMPS the next day...the BCS didn’t change what her cycle would have looked like anyway due to the depot.


JOJI and Kit said:
64 at basically +10
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Excellent. I would test no later than +11.5 so you don’t get any surprises but it’s fine if you want to test at +11. Just post and I’ll help you with a dose.

JOJI and Kit said:
what do you think about the desire to eat after a day long treat fest? on 7/20 we shot BCS of 3U in the face of that reduction bc she was not her usual happy to eat self.
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We definitely want to be sure kitties are eating when we give insulin. In similar situations, I’ve tested, fed to be sure she was going to eat, and then shot. But, I once had a very, very wise person here tell me, for a caregiver (CG) who has some data (which you all do), that stalling, skipping, and shooting BCS doses is more for the CG than the cat especially when you have such a large depot. Sure, there are some instances where it’s just better to take one of those routes as long as you don’t get a false sense of security (which you did not the other night).

Make sense?
 
Marje and Gracie said:
test no later than +11.5 so you don’t get any surprises but it’s fine if you want to test at +11.
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62 at one hour before the typical BG time for PMPS
remember there's a 15min differential in there bc we are still walking back from the stall the other night, so this isn't exactly +11, but you get the idea ;)

will test again in 30min (t-22min)

Marje and Gracie said:
We definitely want to be sure kitties are eating when we give insulin. In similar situations, I’ve tested, fed to be sure she was going to eat, and then shot. But, I once had a very, very wise person here tell me, for a caregiver (CG) who has some data (which you all do), that stalling, skipping, and shooting BCS doses is more for the CG than the cat especially when you have such a large depot. Sure, there are some instances where it’s just better to take one of those routes as long as you don’t get a false sense of security (which you did not the other night).

Make sense?
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yes. makes sense.
and i think we have read the writings of the very, very wise one.:bighug:
we really do want to shoot the 5U.
we see how much better kit is doing now that she's getting into these numbers. so yeah, it's for her not for us (CG's)
thanks for your support.

of course, just for the record, our lowest shot so far is like 91 ... so if we don't get much higher by pre-shot we will be in new territory for us.
shoot low to stay low.:nailbiting:
 
and kit food fact while we're waiting for the next bg ....
looks like she has a bit of a sweet tooth, that karo went down without a hitch.
hmmmmm...
 
JOJI and Kit said:
@+11.5 78 @Wendy&Neko I think Kit heard you! joji
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I’d suggest shooting the 5u dose. You can feed her first if you want to be sure she eats. You can give her MC if you want to bump her BG up a bit but be aware the other side to that is she might start a bounce; we don’t know.

You can go with LC because she’s on the way up and test at +1 to see if she has a food spike.
 
For her meals, we usually do a mix of zero carb Tiki and 6% LC Fancy Feast so we were actually thinking of just doing the LC FF tonight, skipping the Tiki. joji
 
JOJI and Kit said:
For her meals, we usually do a mix of zero carb Tiki and 6% LC Fancy Feast so we were actually thinking of just doing the LC FF tonight, skipping the Tiki. joji
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IMHO, mixing foods isn’t the best option, typically....not just in this situation. Most diabetic cats actually do better with foods in the 6-10% carb range.

With that in mind, your suggestion is a good one. You might want to consider using the FF going forward without the Tiki which are usually pretty low in % carbs.
 
JOJI and Kit said:
:bighug: np, so many little details. :bighug:
turns out we only shot about 7mins later than our normal time.

eta: come to think of it. i think it was implied in the part about what's at the convenience of the CG. xo
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Over the years, I’ve seen members with data, want to stall because the BG was in the 60s or 70s but then what happened was the BG just kept dropping and the lower it dropped, the more they were afraid to shoot.

But once a member knows how the kitty responds to food and understands onset, nadir, and duration, shooting on time allows the CG to immediately feed so the drop stops and the BG goes up. Kit has been pretty flat since +11.5 so that’s good but, hopefully, this explanation will help you see what happens if you stall.

Now, obviously, if the BG is below 50, you definitely need to stall and see if the numbers come up. If, after stalling 20 mins, it doesn’t, it’s time for a small amount of LC and as soon as the BG heads up above 50, shoot the rise.

I’d suggest a +1 and +2 and then go from there.
 
Marje and Gracie said:
Over the years, I’ve seen members with data, want to stall because the BG was in the 60s or 70s but then what happened was the BG just kept dropping and the lower it dropped, the more they were afraid to shoot.

But once a member knows how the kitty responds to food and understands onset, nadir, and duration, shooting on time allows the CG to immediately feed so the drop stops and the BG goes up. Kit has been pretty flat since +11.5 so that’s good but, hopefully, this explanation will help you see what happens if you stall.

Now, obviously, if the BG is below 50, you definitely need to stall and see if the numbers come up. If, after stalling 20 mins, it doesn’t, it’s time for a small amount of LC and as soon as the BG heads up above 50, shoot the rise.

I’d suggest a +1 and +2 and then go from there.
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thanks for the explainer on the consequences of stalling.

tonight, it was probably our "knee jerk" reaction from the "early days" when PS were higher, but still felt low .... if that makes sense... and the guidance in those cases is to stall and ask for help.

and yes we will test +1, +2 and go from there.

in other fun food facts: kit ate that all LC meal like we'd never fed her before :rolleyes:

thanks again for your support.
 
JOJI and Kit said:
thanks for the explainer on the consequences of stalling.

tonight, it was probably our "knee jerk" reaction from the "early days" when PS were higher, but still felt low .... if that makes sense... and the guidance in those cases is to stall and ask for help.

and yes we will test +1, +2 and go from there.

in other fun food facts: kit ate that all LC meal like we'd never fed her before :rolleyes:

thanks again for your support.
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Good girl, Kit! You’re welcome :)
 
JOJI and Kit said:
sorry her action kept marje from getting back to you sooner. looks like you're ok now tho. :bighug:
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Oh Liz don't be silly, your situation was more urgent than Tyler.
Going to increase his dose tomorrow morning, keeping my fingers crossed after the depot fills again after 6 cycles he starts to show me greens again like he did in the past.
I hope you get a good sleep tonight both you and Kit :bighug::cat:
 
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