7/26 Oscar AMPS 462, +6 64, +7&8 81, +11 110 PMPS 136, +2 246

Sam & Oscar

Sam & Oscar

Member Since 2019
Yesterday

I don't understand whats happening here. He was doing so good and then last night just cruised on red. I can't figure out if he's snuck in some kind of treat or if there could be something wrong with his insulin. The dog food has been secure. I haven't had any fur shots. I'm considering further limiting/eliminating his outdoor time.

Decided to skip the boarding. I'm too nervous and don't trust that they will keep him on any kind of schedule. Don't think we can relax whole worrying all weekend.
 
Looks like this could be a bounce! Really normal, don’t stress about it. Bounces can take up to 6 cycles to clear.

Oscars body was probably surprised by the blue yesterday and bounced into red! Hopefully he comes back down soon!!
 
So glad to hear that.. I haven't quite wrapped my head around bouncing. I thought he had to drop lower to bounce, but I guess it makes sense that the lower blues are low for him at this point.

Sometimes I think both of them are more catdog than individual species after being raised together :p
 
Whoa! 64 at +6, hes eating some higher lc 8% now, I will test in 15. Should I be busting into the mc/hc or see how this goes? Using AT2 meter.
 
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Sam & Oscar said:
Whoa! 64 at +6, hes eating some higher lc 8% now, I will test in 15. Should I be busting into the mc/hc or see how this goes?
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You fed him higher carb LC so I would wait until your next test to decide what to feed him next. You need to keep testing, this was a hell of a drop but 64 is a safe number right now but keep a close eye on him. You don't want him getting too full.
 
Jerry dutchboy said:
You fed him higher carb LC so I would wait until your next test to decide what to feed him next. You need to keep testing, this was a hell of a drop but 64 is a safe number right now but keep a close eye on him. You don't want him getting too full.
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Thanks. Such a large drop! So disappointed i couldn't get a +4, I thought with him being so high it wouldn't come down like that.

Hes 77 @+6.25, will take an extended lunchbreak. It's like hes just making sure I know that leaving for the weekend wasnt an option!
 
H
Sam & Oscar said:
Thanks. Such a large drop! So disappointed i couldn't get a +4, I thought with him being so high it wouldn't come down like that.

Hes 77 @+6.25, will take an extended lunchbreak. It's like hes just making sure I know that leaving for the weekend wasnt an option!
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Good that he's coming up but that could be food related. You will need to see two more tests with increases (without food influence) before you are out of the woods. He is probably at nadir around now but still get another test in 15/20 and we'll go from there. Good catch, its probably the bounce clearing. This means however a reduction to 2.25 but you may want to get more experienced input on that. Take a deep breath, its scary when you see your first lime but you did very well. Made all the right moves. My first low I broke out the HC and was a basket case...
 
Hahah I just shouted "see this is why I was scared to leave!" I have been a wreck over our pending vacation for days and after getting no call back from the vet I called it off. I have loads of different foods @different % from 1-21! I feel well prepared and glad my bf is home to also see how we handle this situation :D
 
Sam & Oscar said:
Hahah I just shouted "see this is why I was scared to leave!" I have been a wreck over our pending vacation for days and after getting no call back from the vet I called it off. I have loads of different foods @different % from 1-21! I feel well prepared and glad my bf is home to also see how we handle this situation :D
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Well you're prepared which is good. Do you also have karo/honey in you hypo kit?? I don't think you are going to need it today but its always a good thing to have on hand. Also extra strips cos when they decide to throw something like this at you its always a surprise and with all the testing its surprising how many strips you get through.
 
Yep! Plenty of honey in the house and double stocked on strips and lancets. Will be looking into switching to a human meter though, it's as if the cap goes ch-ching! everytime I pop open the bottle of test strips lol.

And 91@ +6.5. 15 minutes since he ate. Hes still asking for more food.
 
Sam & Oscar said:
Yep! Plenty of honey in the house and double stocked on strips and lancets. Will be looking into switching to a human meter though, it's as if the cap goes ch-ching! everytime I pop open the bottle of test strips lol.
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Yep the relion strips are very affordable and its what most of us use here. Have you gotten another test yet?
 
Sam & Oscar said:
Yeah I edited the other post, 91 @6.5. Hes still hungry though.
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I think you can give him a teaspoon of LC at this point. But still get another test in about half an hour to make sure he's still going up. Cats can be sneaky and drop down again. Don't be surprised if he bounces to the moon after this. You just have to ride it out. You may want to make a note on your ss what/how much you fed him at +6 for future reference.
 
Well i fed him more than a tablespoon!! Whoops! He was begging for food. Already noted everything on the spreadsheet, so I can keep track.

Hes 81@ +7. So he is still going down. I don't feel panicked, just glad to be here with him.
 
Sam & Oscar said:
Well i fed him more than a tablespoon!! Whoops! He was begging for food. Already noted everything on the spreadsheet, so I can keep track.

Hes 81@ +7. So he is still going down. I don't feel panicked, just glad to be here with him.
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Okay, still safe numbers and not a huge drop but still. No more food, test again in 20 mins.
 
Sam & Oscar said:
Yes! 87 @7.5. 30 minutes since food. Will check him again in 30 minutes.
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Good, just keep posting. He's surfing right now which is fabulous...welcome to the greens. Don't they look lovely on your ss?:D yes I think you can remove the ? No longer needed right now. Stay on top of it though..:bighug:
 
I'll be around for a few more hours so no worries. Before shot time you may want to post that you need advice on dosing just to make sure I'm correct. I'm nearly sure that any time you get a lime is an automatic reduction. Do you have anyone specific that has been helping you? If not I can tag someone for you.
 
Hes 81 @+8. No one in particular on dosing yet, I'm still trying to get a feel. I will keep up my ss and keep up with testing the rest of the day. Good thing I already took a half day! Just popped back into work to wrap things up and head home. DH in charge of testing for now.

I planned to add the dosing question a little closer to PMPS so I have some more numbers.
 
I don't think you need to test every 20 mins at this point but if it were me I'd still get a couple more tests in before Pm. :):D i'll watch for you pm post and if I don't see anyone respond I'll tag a few for you.
 
Jerry dutchboy said:
I don't think you need to test every 20 mins at this point but if it were me I'd still get a couple more tests in before Pm. :):D i'll watch for you pm post and if I don't see anyone respond I'll tag a few for you.
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Nah, we'll calm down on his ears for now, but will def be checking again. Thank you so much! It helps to have someone else reassure me that we're taking the right steps! :)
 
I know what its like and I agree its nice to have someone to bounce off. You handled it like a pro well done. Just glad I was online. You can always tag me if you need help you just jave to put a @ before my postname.:bighug:
 
Alright y'all, Oscar fell just below his safe line earlier @64 on the AT2. He's been riding greens but at +11 hes at 110. I know I would normally reduce to 2.25 now, but is that safe when hes still this low? He ate a lot at +6, but I don't see him having an issue eating dinner, he's a big fan. Should I go lower than 2.25 or skip depending on the PMPS? Haven't dealt with numbers this low before, but I will be home all night.
 
If Oscar doesn't bounce by shot time (i.e., in pinks), you want to reduce his dose by 0.25u. I do think it's very likely he will bounce sometime staring in the PM cycle given the big drop earlier today.

Bounces can occur for a few reasons:
  • Numbers drop low (i.e., dose reduction or lower)
  • Numbers drop fast
  • Numbers drop into a range that's lower than what your cat is used to
 
Ok, so if bounces to pinks PMPS, stick with 2.5? And if he's still low <150 go ahead with the 2.25? I'm nervous, but again, here all night and fully stocked.

I guess I don't understand yet how fast bounces can happen, I was thinking there was a cycle or two between... but ECID, right? I'm starting to see the trends in his numbers.
 
Oscar ate all of his food so I went for it :eek:

Here's hoping all goes well! Cant imagine following the vets plan and dosing WITHOUT testing first! I guess when they've got cats on 14+% carbs....
 
Usually, you don't shoot if PMPS is under 150, or at least you stall and wait. Please test him at +1 and through the night, since he was quite low during the day!
 
from the sticky:

Until you collect enough data to know how your cat will react, we suggest following the guidelines in the FDMB's FAQ Q4.4:
Q4.4. My cat's pre-shot level was way below the usual value. Should I give the injection?
A4.4. There's no hard and fast rule, but if you don't have data on how your cat responds to insulin, here are some general guidelines.
  • Below 150 mg/dl (8.3 mmol/L), don't give insulin.
  • Between 150 and 200 (8.3-11.1 mmol/L), you have three options:
    • a.) give nothing
    • b.) give a token dose (10-25% of the usual dose)
    • c.) feed as usual, test in a couple of hours, and make a decision based on that value
  • Above 200 (11.1 mmol/L) but below the cat's normal pre-shot value, a reduced dose might be wise.

If the preshot number is far below usual preshot numbers:
  • Do you need to stay on schedule? Then skip the shot.
  • Do you have some flexibility with your schedule? Then stalling to wait for the number to rise might be a good option. Don't feed, retest after 30-60 minutes, and decide if the number is shootable.
  • Repeat until the cat either reaches a number at which you are comfortable shooting, or enough time has passed that skipping the shot is necessary.
 
His +1&2 are usually quite higher, and +3 is sometimes still high. I gave him a higher lc than normal and went ahead with the reduced dose. I might have made the wrong call with limited data, but he was hungry and ate well. I know that I'll be able to keep an eye on him all night if necessary.

Any other advice on how I could have done differently is so welcome. I'm a bit discouraged with the vet, which never returned my call and didn't question that we didn't show up for boarding so I'll be looking for new options!
 
I am so sorry, this disease is so life disruptive. You can only count on yourself, vets are not invested. I havent left the house since Macka's diagnosis, and terrified at the idea of going on a week-end and boarding him, I understand you and feel your worries!
 
Yeah, I talked to our normal petsitter and he seemed open (and I know hes capable) to learning the ropes of this glucose dance in the future. Everyone loves Oscar, we have had many adoption offers. I just put more faith in the vets care than I should have right off the bat. I have a remission goal (accept that it's not at all guaranteed) and they have a regulation goal that works with more complacent caregivers.
 
Sorry no one was online when you needed the advice. I have a feeling he will bounce after that huge drop today but you really don't have a while lot of data to go on. I would certainly get a +2 as this can be an indicator as to how the cycle will go. I tried but my coverage was spotty where we were earlier. I'm home now and can help again if you need it.
 
Jerry dutchboy said:
Lets see what +2 is and go from there. I have a feeling he's starting a bounce. This is all valuable data...
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+2 @ 246

He hates the neosporin more than the poke. He self-rewarded for the poke by going to his bowl to finish the 1/8 serving of food he left.

I'll be keeping a close eye on his numbers tonight.
 
I personally don't use anything on his ears when poking or afterwards and have never had a problem. After I've got the test i just put some gentle pressure on the poke site for about 10 seconds and let him go. Oscar has stayed pretty flat from 1 to 2 but up from PMPS. Since you really don't have a ton of BG data I would take this opportunity to gather as much info as possible. I think he is safe but as I said earlier today I am really not an expert.
 
Penelope and Mačka said:
from the sticky:

Until you collect enough data to know how your cat will react, we suggest following the guidelines in the FDMB's FAQ Q4.4:
Q4.4. My cat's pre-shot level was way below the usual value. Should I give the injection?
A4.4. There's no hard and fast rule, but if you don't have data on how your cat responds to insulin, here are some general guidelines.
  • Below 150 mg/dl (8.3 mmol/L), don't give insulin.
  • Between 150 and 200 (8.3-11.1 mmol/L), you have three options:
    • a.) give nothing
    • b.) give a token dose (10-25% of the usual dose)
    • c.) feed as usual, test in a couple of hours, and make a decision based on that value
  • Above 200 (11.1 mmol/L) but below the cat's normal pre-shot value, a reduced dose might be wise.

If the preshot number is far below usual preshot numbers:
  • Do you need to stay on schedule? Then skip the shot.
  • Do you have some flexibility with your schedule? Then stalling to wait for the number to rise might be a good option. Don't feed, retest after 30-60 minutes, and decide if the number is shootable.
  • Repeat until the cat either reaches a number at which you are comfortable shooting, or enough time has passed that skipping the shot is necessary.
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This doesn’t apply here. :)

She was wondering whether she should shoot through a bounce or not.

Samantha.....you did absolutely fine!!! With a blue PMPS and not any more data than you have, I would have also reduced the dose. You didn’t need to shoot through the bounce. He’s going to bounce now, it looks like, but that’s ok. Shooting through the bounce is a technique but not a requirement.

I’m sorry I didn’t get the tag from @Jerry dutchboy; I was away from home at that time. But you did great!!!
 
Marje and Gracie said:
Samantha.....you did absolutely fine!!! With a blue PMPS and not any more data than you have, I would have also reduced the dose. You didn’t need to shoot through the bounce. He’s going to bounce now, it looks like, but that’s ok. Shooting through the bounce is a technique but not a requirement.

I’m sorry I didn’t get the tag from @Jerry dutchboy; I was away from home at that time. But you did great!!!
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Thanks so much for the input! I gave him 7% instead of his normal 1-3 just for peace of mind. I'll be keeping up testing tonight until I feel comfortable going to bed.

I have experience with human diabetes types 1&2, just trying to wrap my head around the kit translation.
 
Marje and Gracie said:
This doesn’t apply here. :)

She was wondering whether she should shoot through a bounce or not.

Samantha.....you did absolutely fine!!! With a blue PMPS and not any more data than you have, I would have also reduced the dose. You didn’t need to shoot through the bounce. He’s going to bounce now, it looks like, but that’s ok. Shooting through the bounce is a technique but not a requirement.

I’m sorry I didn’t get the tag from @Jerry dutchboy; I was away from home at that time. But you did great!!!
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Thanks Marje, I was a bit nervous giving dosing advice... I mean what do I know?Oscar dropped out of the bounce in a huge way earlier. Glad to have your experienced eyes on it.:)
 
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