8/23 Garland AMPS 279 PMPS 401 +1 347 +2 364 +3 330 +4 316

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Re: 8/23 Garland AMPS

Awesome!!! Your link worked for yesterdays thread too - very cool. You forgot the AMPS reading in your subject though.
 
Re: 8/23 Garland AMPS 279

279 is a good # to start with! Hopefully he'll come down a bit for you, and perhaps put a toe into the blues sometime today. I wish him to make a full and speedy recovery for you, and him. Have a great day! :)
 
Re: 8/23 Garland AMPS 279

The 279 I took about 5 minutes ago. I wanted to get a true number, not a food spike number. I am feeding her right now... (typing one handed LOL)

Shes due for her shot in 20 minutes
 
Re: 8/23 Garland AMPS 279

You guys wanted me to check in before her shot.. is there anything I need to do different today? still 2.5?

Also, Sienne, how do I word the SS stuff in the title? although once the calculation is figured out i can do the cc calorie amounts to write in
 
Re: 8/23 Garland AMPS 279

My 2 year old just painted the floor mulit colors and the baby is crying for breakfast. Ill check back in once they are settled. Garlands shot is due, so im gonna give it to her :) brb
 
Re: 8/23 Garland AMPS 279

Online times:

Here is my day today: Its 815am now, Garland gets her shot at 8/8
730 feed garland online time usually
8-9 Cook breakfast, feed breakfast, clean up breakfast, get kids ready for the day (change clothes etc)
9-1030 Zumba class then feed garland
1030-1200 cook lunch, feed lunch, clean up lunch, play a little w the kids and get them ready for naptime
12-130 nap (im usually online for a little bit here) clean house up, feed garland around 1
130 up and snack for kids
2-4 Charlottes speech therapy appointment
430 start prepping dinner and feed garland around 5
5-6 dinner, baths, clean up dinner
6-7 play, wind down for the night
7-8 put kids down (i can get online here too)
8 feed garland every 3-4 hours after the kids are in bed

Does this help? I also pop on for a couple minutes here and there throughout the day, but cant stay long
 
Re: 8/23 Garland AMPS 279

Wow you are a busy lady! I hope that you and Garland have a good day. Did you see the post on health asking you to check private messages?
 
Re: 8/23 Garland AMPS 279

Violet:

I'm so glad that you are taking some time to get to zumba class. It is very, very important for you. I hope you are trying to nap when the kids are; we can wait. We are here to answer your questions but don't feel like you have to be on here every spare second because we understand you have priorities. You are truly amazing in my eyes but it is ok to be less than amazing ;-) ;-) ;-)

Just know we are keeping you all in our thoughts and prayers every minute and we are here when you need us. But take time for you when you can. Sending you the biggest hugs and caring thoughts. And sending Garland extra scritches and most powerful healing vines.
 
Re: 8/23 Garland AMPS 279 +1 309

Violet --

Thanks for the schedule. That will help us make sure we're getting info to you.

I'm also wondering if you're not feeling a little overwhelmed by the amount of content in your condo. (I know I get a little overwhelmed trying to keep up.) Would it help if the posts that are directed around Garland's health issues (i.e., feeding, Lantus or R dose, schedules, medication) were in a different color? Sandy put her post in red last night and that seemed like a really good idea. If we color code, you can just scan and pick out the essential info if you're pressed for time. When you have more time, you can go back and read at your leisure. I think everyone here wants to be supportive and encouraging but looking at your schedule, I wouldn't be surprised if you're pretty frazzled.

I haven't a clue if there's anyone from FDMB that's in the DFW area that could lend you a hand. What I am wondering, though, is if you have family or friends who might take the kids for an hour or two so you could catch a nap or have some time to just put your feet up.
 
Re: 8/23 Garland AMPS 279 +1 309

zumba is something I have wanted to try you hear so much about it now :razz: hope you are doing well and you are doing a super job with Garland :mrgreen: sending more healing vines and snowflakes today for Miss Garland cat_pet_icon :YMHUG: :YMHUG:
 
Re: 8/23 Garland AMPS 279 +1 309

Hi guys .. wow, you have so much going on right now but you are doing a great job of handling everything! I keep garland in my thoughts and prayers that her recovery continues to go well ... hang in there!
 
Re: 8/23 Garland AMPS 279 +1 309 +3 336

Marjorie and Lisa-- I love Zumba! I highly recommend it. I go 3 days a week. Its fun and gets you moving LOL Much better than a treadmill :)
 
Re: 8/23 Garland AMPS 279 +1 309

Sienne and Gabby said:
Violet --

Thanks for the schedule. That will help us make sure we're getting info to you.

I'm also wondering if you're not feeling a little overwhelmed by the amount of content in your condo. (I know I get a little overwhelmed trying to keep up.) Would it help if the posts that are directed around Garland's health issues (i.e., feeding, Lantus or R dose, schedules, medication) were in a different color? Sandy put her post in red last night and that seemed like a really good idea. If we color code, you can just scan and pick out the essential info if you're pressed for time. When you have more time, you can go back and read at your leisure. I think everyone here wants to be supportive and encouraging but looking at your schedule, I wouldn't be surprised if you're pretty frazzled.

I haven't a clue if there's anyone from FDMB that's in the DFW area that could lend you a hand. What I am wondering, though, is if you have family or friends who might take the kids for an hour or two so you could catch a nap or have some time to just put your feet up.
Click to expand...

Yea, putting the important stuff in a different color will for sure help it stand out. Great idea!

I wish I had a place to have the kids go for a few hours. Unfortunately, all my family works (and lives an hour away) and most of my friends do as well. We moved out here 3 years ago and still havent met a lot of people right around us. Ive been housebound w two babies LOL
 
Re: 8/23 Garland AMPS 279 +1 309 +3 336

i'd really like to try Zumba too. i'll second/third the "we're here for you, but don't kill yourself" sentiments!
 
Re: 8/23 Garland AMPS 279 +1 309 +3 336

I think Sandy will be back regarding the R. The issue here is that because R is a powerful insulin, until you see how it works for Garland, you need to be able to monitor for the 4 hours after you give the shot. In addition, R needs to be timed so the Lantus and R do not reach nadir simultaneously -- otherwise, it could be a struggle to get numbers to come up. So, R needs to be given either early in the cycle or later, after Lantus has reached nadir (so more like at +8). There's a relatively narrow window for when it can be used. There's also trying to figure out what the right dose of R will be and that's by starting at a small dose (like 0.1u), doing the 4 hours of testing and evaluating, and the if necessary, increasing the dose -- then repeating the process. Coupling the safety issues with your schedule and need for sleep may be the challenge.
 
Re: 8/23 Garland AMPS 279 +1 309 +3 336

Hello Violet,

You have a lot to juggle.

In looking at your schedule, the morning does not look like a good time to start R - I don't see where you have time to monitor. So much going on.

The PM cycle looks like it could work, if you can stay awake, or "sleep test". Sleep testing is when we set the alarm for the next test time, grab 40 winks, then get up and take a quick test. This is repeated as needed. We've just got to get to know how Garland will react to R, and that can only be done in baby steps. Once we figure that out,you won't always have to get so many tests. Then maybe R could be added to the AM cycle, depending on your ability to monitor. With so many moving parts here- diet, FHL - as those things change/improve the R will have to change with them.

What I have in mind for the next step, is 0.25u R immediately following your PM Lantus shot. You will use a seperate syringe for the R. Then you get a +1, +2, +3 and possibly a +4. It may make a difference, it may not. If it doesn't the next night you can try 0.5u.

The idea is that if Garland has a high PS, since R is fast acting, hopefully it will knock the number down by the time thhe Lantus kicks in. Lantus generally kicks in around +2. That way the lantus has an easier time .

Has Garland been keeping her food down today?

If she has and you are prepared (karo, HC gravy, strips) and can stay up for 3-4 hours past Garlands shot time, how about trying it tonight?

You said shot times are 8a/8p. Are you in central time? I'm in eastern time and will be gone tonight from 8pm-11pm eastern. If you are in central that would be until your +2. I'm sure we can find someone to hang out with you for those 2 hours.
 
Re: 8/23 Garland AMPS 279 +1 309 +3 336

Ill be back soon to talk about the R, just wanted to pop on to tell you about the food.

I mixed 3 tablespoons of clinicare with the 5.8 oz can of canin recovery for my batch. Im feeding 30cc per feeding (sometimes a few cc more, depending on how shes doing)
 
Re: 8/23 Garland AMPS 279 +1 309 +3 336

Sandy and Black Kitty said:
Hello Violet,

You have a lot to juggle.

In looking at your schedule, the morning does not look like a good time to start R - I don't see where you have time to monitor. So much going on.

The PM cycle looks like it could work, if you can stay awake, or "sleep test". Sleep testing is when we set the alarm for the next test time, grab 40 winks, then get up and take a quick test. This is repeated as needed. We've just got to get to know how Garland will react to R, and that can only be done in baby steps. Once we figure that out,you won't always have to get so many tests. Then maybe R could be added to the AM cycle, depending on your ability to monitor. With so many moving parts here- diet, FHL - as those things change/improve the R will have to change with them.

What I have in mind for the next step, is 0.25u R immediately following your PM Lantus shot. You will use a seperate syringe for the R. Then you get a +1, +2, +3 and possibly a +4. It may make a difference, it may not. If it doesn't the next night you can try 0.5u.

The idea is that if Garland has a high PS, since R is fast acting, hopefully it will knock the number down by the time thhe Lantus kicks in. Lantus generally kicks in around +2. That way the lantus has an easier time .

Has Garland been keeping her food down today?

If she has and you are prepared (karo, HC gravy, strips) and can stay up for 3-4 hours past Garlands shot time, how about trying it tonight?

You said shot times are 8a/8p. Are you in central time? I'm in eastern time and will be gone tonight from 8pm-11pm eastern. If you are in central that would be until your +2. I'm sure we can find someone to hang out with you for those 2 hours.
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My schedule changes daily slightly. But usually I can monitor during the day as well. It doesnt take long to run in there and take a test. But I can stay up tonight too. (and I will) The one time we did the R last week, nothing happened. I gave her .25

Garland hasnt thrown up since yesterday morning. Shes not licking her lips and stuff anymore either. She just lays there. Which is nice. The licking/gagging was worrysome. But now that ive made it a little thinner and warmed it up, she takes it easier. I also notice she starts to fidgit right around 27-30cc. I think she gets full.
 
Re: 8/23 Garland AMPS 279 +1 309 +3 336

Last week was 0.1u-
by Libby and Lucy » Wed Aug 17, 2011 10:35 pm

I would not give another Lantus shot until *at least* 10 hours after the last one, and that is only if her number is still high. How would you feel about trying the R now?

What you would do is give 0.1 unit of R. Here is a picture of what that looks like - it's just a drop. You might want to practice first to be sure you are actually squirting out some insulin. Then test at +1, +2, and +3 after you give it to see if it is doing anything. If she is still going down at +3, then you would get a +4 to see if she is going up yet. If she is still high at +4 after the R, post for advice. Depending on what time that is, you might want to give more R or you might want to give Lantus instead (or maybe even both).

0.1u might not do anything at all, but R is powerful so it's important to be cautious with your starting dose. Some cats are more sensitive to R than others.

What time zone are you in?
Click to expand...

So tonight you can try 0.25u.
Any spot checks since the +3?
Looks like you are getting the food mix and feeding fine tuned!
 
Re: 8/23 Garland AMPS 279 +1 309 +3 336 +9 356

Hello again Violet,

Here is your checklist for tonight's R trial of 0.25u

  • separate syringe for R shot
  • 3cc oral syringe pre-loaded with the gravy from high carb canned food
  • karo
  • plenty of test strips

Give the R shot immediately following the Lantus shot. Then test at +1, +2 and +3

In the event of low numbers, this is what you'll want to do (besides post for help)

  • 1. rub karo on the gums
  • 2. put HC gravy through the tube
  • 3. If the number is rising at this point, follow up with a partial feeding of whatever you have been feeding Garland. If the number still has not risen...lather, rinse and repeat

The above is so that you are prepared. It probably will be a non event, but it will give you valuable data.

As I mentioned earlier, I will be away from about 8pm to about 10:45pm eastern time. I'll check on you when I return. In the mean time don't hesitate to post for some moral support if you need it.
 
Re: 8/23 Garland AMPS 279 +1 309 +3 336 +9 356

Sandy and Black Kitty said:
Hello again Violet,

Here is your checklist for tonight's R trial of 0.25u

  • separate syringe for R shot
  • 3cc oral syringe pre-loaded with the gravy from high carb canned food
  • karo
  • plenty of test strips

Give the R shot immediately following the Lantus shot. Then test at +1, +2 and +3

In the event of low numbers, this is what you'll want to do (besides post for help)

  • 1. rub karo on the gums
  • 2. put HC gravy through the tube
  • 3. If the number is rising at this point, follow up with a partial feeding of whatever you have been feeding Garland. If the number still has not risen...lather, rinse and repeat

The above is so that you are prepared. It probably will be a non event, but it will give you valuable data.

As I mentioned earlier, I will be away from about 8pm to about 10:45pm eastern time. I'll check on you when I return. In the mean time don't hesitate to post for some moral support if you need it.
Click to expand...

Got it! :) Thanks!!! What is the low number range I should be on the watch for?
 
Re: 8/23 Garland AMPS 279 +1 309 +3 336 +9 356

If you start seeing blue numbers -- around 150, how about posting so we can keep some eyes on your condo?
 
Re: 8/23 Garland AMPS 279 +1 309 +3 336 +9 356

Hi Violet, just thought I would check on you since I haven't visited in a while. I'm in the middle of moving, but I kept peeking in and seeing that you were in great hands.

I'm glad you'll be trying R again tonight. You're right, 0.1 didn't do anything. We thought it might not, but it's safest to try a tiny dose and work up from there. Some cats are very sensitive to R so it's best to be safe. 0.25 may or may not do anything either, but we need to try that dose before moving to 0.5.

About low numbers, in her case we're not really looking for any specific number to mean "be on guard." We'll be watching for how fast she drops, and if it looks like she is dropping too fast then you can use Karo to slow her down. For most cats we don't worry about karo until they are below 40 or so, but in Garland's case we'll be conservative because feeding her curve is a little more tricky with the feeding tube. We've got your back, though. Just stay close so we can help you stay on top of her numbers.
 
Re: 8/23 Garland AMPS 279 +1 309 +3 336 +9 356

Libby and Lucy said:
Hi Violet, just thought I would check on you since I haven't visited in a while. I'm in the middle of moving, but I kept peeking in and seeing that you were in great hands.

I'm glad you'll be trying R again tonight. You're right, 0.1 didn't do anything. We thought it might not, but it's safest to try a tiny dose and work up from there. Some cats are very sensitive to R so it's best to be safe. 0.25 may or may not do anything either, but we need to try that dose before moving to 0.5.

About low numbers, in her case we're not really looking for any specific number to mean "be on guard." We'll be watching for how fast she drops, and if it looks like she is dropping too fast then you can use Karo to slow her down. For most cats we don't worry about karo until they are below 40 or so, but in Garland's case we'll be conservative because feeding her curve is a little more tricky with the feeding tube. We've got your back, though. Just stay close so we can help you stay on top of her numbers.
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Thanks Libby!
 
Re: 8/23 Garland AMPS 279 PMPS 401 +1 347

ok, see you at +2.

Did you feed at PMPS, or is this the first feeding since her shot?
 
Re: 8/23 Garland AMPS 279 PMPS 401 +1 347

Libby and Lucy said:
ok, see you at +2.

Did you feed at PMPS, or is this the first feeding since her shot?
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I fed her a couple hours before PMPS, and then right after I took her +1. I put a food row on my spreadsheet today.

+2 364
 
Re: 8/23 Garland AMPS 279 PMPS 401 +1 347

hi violet. i'm happy to see the use of R being incorporated into garland's routine. you're getting some great advice!

sienne was calculating the amount of calories garland is getting from the mixture you've been whipping up for her everyday. it appears you're feeding approximately 30 calories per feeding. ideally, we'd like to see a recovering kitty who weighs around 10 pounds getting close to 300 calories per day.
how many feedings have you been able to manage per 24 hour period?
 
Re: 8/23 Garland AMPS 279 PMPS 401 +1 347

Jill & Alex said:
hi violet. i'm happy to see the use of R being incorporated into garland's routine. you're getting some great advice!

sienne was calculating the amount of calories garland is getting from the mixture you've been whipping up for her everyday. it appears you're feeding approximately 30 calories per feeding. ideally, we'd like to see a recovering kitty who weighs around 10 pounds getting close to 300 calories per day.
how many feedings have you been able to manage per 24 hour period?
Click to expand...
Hmmm... not 10, I know that... Probably around 8? Its different everyday based on my day. Sometimes I get in there every 3 hours, others its every 4.
 
Re: 8/23 Garland AMPS 279 PMPS 401 +1 347

Violet and Garland said:
Jill & Alex said:
hi violet. i'm happy to see the use of R being incorporated into garland's routine. you're getting some great advice!

sienne was calculating the amount of calories garland is getting from the mixture you've been whipping up for her everyday. it appears you're feeding approximately 30 calories per feeding. ideally, we'd like to see a recovering kitty who weighs around 10 pounds getting close to 300 calories per day.
how many feedings have you been able to manage per 24 hour period?
Click to expand...
Hmmm... not 10, I know that... Probably around 8? Its different everyday based on my day. Sometimes I get in there every 3 hours, others its every 4.
Click to expand...
this feeding business is kind of like having a newborn in the house, isn't it? while hectic and wearing, at least there'll be an end in sight... sooner than later!

you might try to feed her more in one sitting or try to squeeze in extra feedings whenever you can. i know it's really tough. i'm all too familiar with the schedule. the thing is, food is like medicine for the liver. the closer you can get to 300 calories per day, the better. much of the pressure will be off once her liver heals.
 
Re: 8/23 Garland AMPS 279 PMPS 401 +1 347 +2 364

Fuzzy cell phone pic.. But Garland is snoozing :)

Picture20.png
 
Re: 8/23 Garland AMPS 279 PMPS 401 +1 347

Jill & Alex said:
Violet and Garland said:
Jill & Alex said:
hi violet. i'm happy to see the use of R being incorporated into garland's routine. you're getting some great advice!

sienne was calculating the amount of calories garland is getting from the mixture you've been whipping up for her everyday. it appears you're feeding approximately 30 calories per feeding. ideally, we'd like to see a recovering kitty who weighs around 10 pounds getting close to 300 calories per day.
how many feedings have you been able to manage per 24 hour period?
Click to expand...
Hmmm... not 10, I know that... Probably around 8? Its different everyday based on my day. Sometimes I get in there every 3 hours, others its every 4.
Click to expand...
this feeding business is kind of like having a newborn in the house, isn't it? while hectic and wearing, at least there'll be an end in sight... sooner than later!

you might try to feed her more in one sitting or try to squeeze in extra feedings whenever you can. i know it's really tough. i'm all too familiar with the schedule. the thing is, food is like medicine for the liver. the closer you can get to 300 calories per day, the better. much of the pressure will be off once her liver heals.
Click to expand...
LOL- This is way more complicated than my newborn babies :) But I know there will be an end in sight :)

I can try, but its more about what she can handle, as opposed to my schedule. I noticed when I tried upping her feeds (amount and frequency) thats when the vomiting started. Once I backed off, shes been fine...She has thrown up both times Ive given her more than 32cc in one sitting. I can try to fit in a couple extra small ones though.. (maybe 20cc?)
 
Re: 8/23 Garland AMPS 279 PMPS 401 +1 347 +2 364

Ohhhh...poor little sweetie...

How has she been today? did she get up an about at all, like she did yesterday?
 
Re: 8/23 Garland AMPS 279 PMPS 401 +1 347 +2 364

just try whenever and however you can. i understand the balancing act. all we can do is do our best.
trying extra small feedings sounds like a great place to start.

what a cute picture! :-D
 
Re: 8/23 Garland AMPS 279 PMPS 401 +1 347 +2 364

Sandy and Black Kitty said:
Ohhhh...poor little sweetie...

How has she been today? did she get up an about at all, like she did yesterday?
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Oh yea. Shes been walking around a bit once I got the kids in bed. During the day, she stays in the master closet/bathroom area. So the kids dont get her, and shes easily accessible. But once I get the babies in bed, I bring her out into the rest of the house. She walked around a lot (considering) tonight :) Shes getting better, but still has a very long way to go
 
Re: 8/23 Garland AMPS 279 PMPS 401 +1 347 +2 364 +3 330

I would definitely get a +4. She has dropped a good bit since PMPS and we need to see when she stops dropping. This is good, though! It looks like 0.25 units of R is having some effect.
 
Re: 8/23 Garland AMPS 279 PMPS 401 +1 347 +2 364 +3 330

I agree with Libby - grab the +4.
You are doing great!
You think you can manage the same thing with the morning shot tomorrow?
 
Re: 8/23 Garland AMPS 279 PMPS 401 +1 347 +2 364 +3 330

Thanks for sharing Garland's photo and the news that she is walking around more. What a party the day she starts to eat on her own.
 
Re: 8/23 Garland AMPS 279 PMPS 401 +1 347 +2 364 +3 330

Sandy and Black Kitty said:
I agree with Libby - grab the +4.
You are doing great!
You think you can manage the same thing with the morning shot tomorrow?
Click to expand...
yea, pretty sure. .25 again?
 
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