8/7 - Fitzel -AMPS+3-144/+6-97+10-233/+11-268-PMPS -255!

Status
Not open for further replies.
S

Shai and The Pirate Fitz (GA)

Member Since 2012
Had to get rid of a few of the early BG readings to fit the last three. What do I do here? Keep her at the same level or increase? Help!
Shai



Hi all - I'm extremely grateful to those of you who've come to Fitzel's rescue over on the main board. But, here we are now. I want to give a brief run down of Fitzel's AM and PM shot times, current insulin dosage, her food intake, the brand of foods and treats she's eating.

AMPS - usually 10am - (this might vary 10 minutes or so each way - when it does her shot schedule is adjusted and slowly maneuvered back to 10AM)

INSULIN DOSAGE - 0.01 (what's left in the syringe after the plunger is pushed pretty much to Zero)

She's NOT free fed and currently eating Fancy Feast Classics, Merrick Surf and Turf, Instinct Chicken Formula and for HC Soulistic Good Karma Chicken Dinner in Gravy. Soulistic is grain free. Fitzel has been off of all dry food since 6/6/2012

Fitzel is fed on a ledge above our other two civvie cats but everyone eats the same food. Fitzel usually consumes 2 to 3 ounces of food in the morning - when she is ambushed by mommy with her morning shot.

Fitzel is offered 4 hours later (around 2pm) Sometimes she'll eat, sometimes not. She'll usually consume 1 to 1 1/2 ounces. (one third to one half a can of FF)

Fitzel is offered food again 4 hours later (around 6pm) She usually eats her dinner, consuming approx. 2-3 ounces.

NO FOOD IS OFFERED OR AVAILABLE AFTER 7 WHEN ALL FOOD IS PICKED UP.

PMPS - is 10 PM - this is adjusted if the morning schedule is off and then slowly worked back to 10 PM. She is fed and her PM shot given. Depending on her mood she'll eat about 2 ounces.


Fitzel is tested before every shot and given a few PURE BITES before and after tests. She gobbles those down, absolutely loving them, but I still have to chase her out from under the piano in order to get my hands on her. Unless of course, she's hiding under a bookcase, a table, or behind the toilet.

Fitzel's SS has a complete lack of post PM shot tests - this has been because of my long term and permanent health issues and a night time prescription of pain killers with opiates in them. I consulted with my physician today and she will be changing my prescription to one with no opiates so I will actually have a chance to get conscious during the night and try to fill in some of those blanks.

If there is anything I'm missing that you need to see or if there is a different manner in which I should post it here, please let me know.

Shai
 
Re: 8/7 - Fitzel -AMPS-182/+3-144/+6-97

Hello Shai and Fitzel and welcome to Lantus Land!!!

Her SS looks really good and I see your note that you aren't happy with the higher numbers at this small dose. But her nadir today is perfect so she might just need more time to settle into this dose. She's only on the 8th cycle and when nadirs are in the 100s (as in before today), then we like to give a little longer time on the dose (at least ten cycles...more if she continues to get green nadirs).

One thing we'd love if you are able to do it is a Profile. The profiles allow those helping you access info about Fitzel quickly without having to ask you the same questions over and over.

Please bear with me while I just ask a couple questions about the nighttime situation. Is it possible to move her shot time up to 8 am/8 pm so you could at least get a +2 or before bedtime test? I understand your current shot times might be due to your medical condition, and that's fine....just have to ask about possibilities to shift the shot times and if you can't, then you can't. But any test at all that you could get before you go to bed would give us some info.

I would also suggest you might want to put something in your signature block that lets people know you can't test at night so you don't get continual comments in that regard. We do have other members who cannot test at night due to their own or a loved one's medical condition. So something simple but in bold letters "medical condition prevents PM testing" or something to that affect.

My thought is that Fitzel does not look, yet, like she is ready to go off insulin. She needs to be in green numbers for the majority of the time on the smallest dose you can give. I think what you are shooting right now is fine so I would just grin and bear it through the higher numbers. The bottom line is keeping her safe at night until you might be able to work something out with your doctor.

Does all that sound ok?
 
Re: 8/7 - Fitzel -AMPS-182/+3-144/+6-97

Shai and Fitzel,

I am very very glad you have moved over here. I am confident you will find the answers here. cat_pet_icon

I wish you much success with Fitzel. :-D :-D
 
Re: 8/7 - Fitzel -AMPS-182/+3-144/+6-97

Welcome to LL, Shai and Fitzel! The greatest place you never wanted to be. :roll: :lol: Oh well, here you are and you are getting excellent advice and guidance from Marje. I did wonder if her dose is more like 0.1u instead of the 0.01u you have on the spreadsheet? I hope you can post a picture of Fitzel.
Liz, Zener's other mom (I sign my posts and Anne doesn't)
 
Re: 8/7 - Fitzel -AMPS-182/+3-144/+6-97

Shai said:
Fiitzel is offered food again 4 hours later (around 6pm) She usually eats her dinner, consuming approx. 2-3 ounces
Click to expand...

This could be a problem. When you feed after nadir (which for her should be around +6 or +7 judging by her SS), you slow the effects of the insulin down. Jill had a great analogy on another condo.

Imagine you are driving your car and as you come up to the stop sign, you slam on the brakes. You come to a quick halt. But, if you anticipate ahead of time that you are going to have to stop, then you gently apply
the brakes just a wee bit long before you get to the stop sign and then you glide up to it without losing alot of momentum.

Same thing with insulin. If you feed at/after nadir, you are slamming on those brakes and that can cause the PS to go up. But if you gently apply the brakes before nadir, then Fitzel glides into her PS with a nice number :-D Theoretically ;-) ;-)
 
Re: 8/7 - Fitzel -AMPS-182/+3-144/+6-97

Welcome to Lantus Land.

Marje asked what could be a relevant question. Is there any way to move around shot times so you can get a PM test or two in and still work around your health issues?
 
Shai

Just breathe....it's ok. It's one number. I know you don't like seeing that high of a number.

First, can you please take off the 911? We usually use that for low numbers or emergencies. You can always bump your post up by just writing anything in the text box and you can put ??? Or " need help" in the subject line.

Did you see my earlier post about feeding her so late and slowing down the insulin?
 
Breathing and 911 gone. Sorry about that.

Yes, I saw your post and I can move or eliminate that feeding. Fitzel hasn't had her PM shot yet. Should I continue to give her the 0.01?
Shai
 
I think you've got two things going on....feeding too late and she appears to be bouncing off the green today. Bounces are totally normal and even though the numbers are higher, we just ignore them.

AND, more importantly, we don't dose on the PS...we dose on the nadir. So just hold for now. She might need more insulin but she was just in green for her nadir today. Bounces can take up to six cycles to clear so be patient and let us know anytime you have any question at all.

Better??? :-D
 
Okay, gave her the same dose. Still breathing. She's eating now.

Fitzel's shot schedule is based on my medical schedule. Several hours in the AM and same amount of time after Fitzel's PM shot I'm incapacitated during which no cats are allowed in that room. This schedule is not changeable. After I get the new medication I'm looking to get post PM shot readings after I get disconnected and before I go to sleep.

Re: feeding too late - are you referring to the feeding time at 6:00pm or the one a 10pm?

I can eliminate the 6pm feeding, but then she won't be eating at all from 3:00pm to 10pm. Is that too long without food? I'm wondering if low blood sugar might be an issue with 7 hours no food.

Shai
 
Ok...good to know all that so I would just add something in the signature line about not being able to test at night.

Referring to the 6 pm feeding. That's the one that is affecting your PS.

I think she will be ok...just be sure that you continue to feed the same amount of food and calories. You don't feed her between 3 a.m. 10 a.m. do you?
 
Need to leave to get started on night time medical stuff.

Thank you to everyone and your lovely welcomes. You're right this is the best place no one wants to be.

I know I need a 'condo' and a 'profile'. I'm not very computer savvy and when reading through the profile instructions my eyes sort of glazed over. I'll print those out tomorrow and see if I can work it step by step.

Again, thank you to all!
Shai
 

Attachments

  • Fitzel 2.jpg
    Fitzel 2.jpg
    4.5 KB · Views: 322
Status
Not open for further replies.
Back
Top