7/9 Benny AMPS 104 +3 131 PMPS 129 +3.5 79 +4.5 111

Ben&Squirrel

Ben&Squirrel

Member Since 2022
https://www.felinediabetes.com/FDMB...8-4-5-122-8-125-pmps-112.265551/#post-2973655

Hi everyone!

Benny started the day at 104. That is within the margin of error of greens, which makes me nervous. He will be monitored with the Libre unless something goes wrong, then the manual meter will be used.

Bhooma, you asked about whether he has had access to MC rather than just LC. He has gotten access to MC at night since he started having really low BGs. I was worried that he would crash when I was asleep. He was still in the greens, though. He had access to MC rather than LC all night last, so that should have increased his BG, theoretically?

He went to the vet to get the Libre placed (the vet does it really well and I don't yet) and he has gained about a half pound in less than a month. His fur is looking better and his urine is at a lower volume. She keeps an eye on his spreadsheet and is happy with how he is doing.

Her recommendation for the vacation dose was that he receive no insulin at all if his BG is under 200 (which given the Libre's potential for error makes sense to me), .5 if under 500, and 1u if over 500 for days at a time. Not sure about that last bit, but that's what she recommended. What do you folks think?
 
Hi Catherine, the MC would have kept him higher but we don't know by how much. The idea of starting a vacation dose a few days ahead is to determine how low he goes on a dose and see if that is a safe dose for him. Thanks to the MC we don't know that now.

I would suggest you not feed MC today and see how low he goes. You leave tomorrow evening, right? And you are gone for 3 weeks?
 
Bandit's Mom said:
Hi Catherine, the MC would have kept him higher but we don't know by how much. The idea of starting a vacation dose a few days ahead is to determine how low he goes on a dose and see if that is a safe dose for him. Thanks to the MC we don't know that now.

I would suggest you not feed MC today and see how low he goes. You leave tomorrow evening, right? And you are gone for 3 weeks?
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But I thought it was a trial to see how he would do on the food that he was going to be given while I'm gone. That was @tiffmaxee's recommendation. He won't be eating LC while I'm gone, because he and Squirrel won't be able to be fed separately and she eats MC.

I'll be gone for 12 days.
 
The mc has muddied the waters. We didn’t find out until yesterday. Will he be eating all mc? I think his dose will need to be lowered but it needs to be consistent unless a skip is needed.
@Bandit's Mom I told her to feed as she will when away but that was just yesterday.

I definitely would not shoot if under 100. I’ll be back.
 
tiffmaxee said:
The mc has muddied the waters. We didn’t find out until yesterday. Will he be eating all mc? I think his dose will need to be lowered but it needs to be consistent unless a skip is needed.
@Bandit's Mom I told her to feed as she will when away but that was just yesterday.
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Yes, he will be getting all MC. I'm sorry if I have made a mistake here; I thought since we used MC to feed through low points in the curve that it would be okay to give him some MC when he got low and I could not be awake beyond a certain point to monitor. It did not seem to alter his AMPS at all when he had access to it or LC vs. just LC. I'm getting frantic about this vacation dose and am not ready to start experimenting with MC vs LC. I'm literally leaving within 48 hours.
 
Okay. I’d continue with mc. We can decide after we see what he does on guidelines for your sitter.
 
Sorry, I did not realize that the sitter would be feeding MC and not LC when you are away. I thought you were feeding MC to prevent him going low at night when you are asleep. If he is going to get only MC when you are away, that is what you want to feed now.
 
Bandit's Mom said:
Sorry, I did not realize that the sitter would be feeding MC and not LC when you are away. I thought you were feeding MC to prevent him going low at night when you are asleep. If he is going to get only MC when you are away, that is what you want to feed now.
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Sounds good, I'll do that.

+ 3 131

+5 113. This is with an MC breakfast and an MC snack (for both of them; they will get that when I'm gone.)
 
Ben&Squirrel said:
Her recommendation for the vacation dose was that he receive no insulin at all if his BG is under 200 (which given the Libre's potential for error makes sense to me), .5 if under 500, and 1u if over 500 for days at a time. Not sure about that last bit, but that's what she recommended. What do you folks think?
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Your vet is not as familiar with the depot style insulins and is suggesting dosing like an in and out insulin. I'd have no problem shooting above 120 on this dose and would stick to this dose unless you see anything green by tomorrow. Last of depot should be drained tonight.
 
Benny was in the blues all day. The +9 of 100 concerns me, since it is within error variance of below 100 (and I checked it with manual meter too.) He has been eating the diet he will eat when I'm gone. I'm trying not to freak out, because that is not good for him, and he's already worried because I'm cleaning everything, which...I usually don't, I'm afraid. But I'm freaking out a little bit. I am so, so scared that he's going to dive when I'm gone and I want him in a very solid position not to do that.

Hope everyone has had a great day and has a great Saturday night.
 
I guess if under 90 or 100. If she can stay and check again if low and she might be able to shoot. Maybe check before she cleans litter boxes and if low check again in 20-30 minutes.
 
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OK, that 110 was an error. He's back at 78, verified that. I'm heading for bed, he has MC and 78 is not actually dangerous territory, if I remember my greens well enough. (Sob...greens.)
 
Bandit's Mom said:
Did he eat MC after the 79?


110 on the Libre and 78 on the meter? Error how?
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Nope, he did not snack, and it was a relatively short period of time after that when the Libre alarm went off signaling a lower bg value.

What I was asking is whether a cat can be at 79, then 111, then 79 within a short period. Could it be a bounce, or something wrong with the measurement itself rather than the cat's actual BG? To me, that has to be a measurement error, because it does not seem plausible that a cat's blood sugar can change that quickly, up and then down, without eating. The 79 and the 78 were both checked on the meter, the 110 only on the Libre. The 110 was not double-checked, via meter, although the reading was checked several times on the Libre. This also led me to think that it was a measurement error, a blip of some kind. That's just my hypothesis.

My work actually focuses on errors of measurement in a different context. This may be what led me to believe that it was measurement error, and maybe it should not do that!
 
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