? Arya AMPS 128, 20 mins 132, shot reduced dose 3.5 units, +1 172, +2 311, +5.5 500, PMPS 390

KatieBDZ

KatieBDZ

Member Since 2020
Previous post: http://www.felinediabetes.com/FDMB/threads/3-27-arya-amps-277-2-225-6-103.227590/#post-2549215

Hi all - I haven't posted in a while but spreadsheet is updated. I linked previous post above. I'm currently stalling because Arya's AMPS was 128 which is the lowest it's ever been for her in a while - she's currently getting 4 units. I do think she ate less overnight than usual which might be impacting that number. Do I skip her shot, give her a reduced dose, or give her regular dose and monitor? Also do I decrease the insulin or wait? Thanks!
-Katie
 
How is Arya’s appetite?
Are you able to monitor the whole cycle?
Do you have some high carb food and honey/ karo at home in case you need it?
 
Bron and Sheba (GA) said:
How is Arya’s appetite?
Are you able to monitor the whole cycle? fo you have some high carb food and honey/ karo at home in case you need it?
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Ok 20 mins later BG is 132 - her appetite is good and I will basically be able to monitor the whole cycle - I have to run out for 30 minutes to buy them more food (clerk gave me the wrong kind yesterday) but her appetite is good - I do have high carb food and honey available.
 
You definitely don’t want to skip a dose with DKA in the recent past.
132 (alphatrak) is a lot lower than you have shot before.
Your options are to give the full dose or give a reduced dose. You would still have to monitor if you gave the reduced dose because of the depot.
I hesitate to recommend the full dose because I can’t stay with you. I am just about to go to sleep.
How do you feel about those two options.?
 
Bron and Sheba (GA) said:
You definitely don’t want to skip a dose with DKA in the recent past.
132 is a lot lower than you have shot before.
Your options are to give the full dose or give a reduced dose. You would still have to monitor if you gave the reduced dose because of the depot.
I hesitate to recommend the full dose because I can’t stay with you. I am just about to go to sleep.
How do you feel about those two options.?
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I think Id feel comfortable doing the reduced dose - do you think 3.5 is ok? And should I change her regular dose going forward or wait?
 
Ok. Give 3.5 units. Make sure she eats well before the shot. Get a +1 and a +2 to start with so you can see where she is going. And give a small snack when you test. Not too much because we don’t want to fill her up. You will have to continue testing after that but the +1 and +2 are important when you shoot low for the first few times.

Post all your BGs as you take them. You can always give some higher carb food early in the cycle if Arya stays low.
 
Bron and Sheba (GA) said:
Ok. Give 3.5 units. Make sure she eats well before the shot. Get a +1 and a +2 to start with so you can see where she is going. And give a small snack when you test. Not too much because we don’t want to fill her up. You will have to continue testing after that but the +1 and +2 are important when you shoot low for the first few times.

Post all your BGs as you take them. You can always give some higher carb food early in the cycle if Arya stays low.
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Ok thank you for all of your help! Do I test every 2 hours after the +2 as long as it's not too low?
 
KatieBDZ said:
Ok thank you for all of your help! Do I test every 2 hours after the +2 as long as it's not too low?
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See what the +2 is first. The onset will probably be around the +2 to +3 so I would get a +3 unless she bounces up really high which she could do with the lower Preshot.
Then if you are unsure when to test next, post and ask for help. If the numbers are not rising you will have to test more often than if they are rising.

Also to answer your earlier question.... you will go back to 4 units the next dose unless Arya earns a reduction.
Are you still feeding dry food? If so you would be doing the SLGS method and would reduce if she drops under 90.
You would also give some higher carb food to bring her up over 90 if she drops lower.
 
Bron and Sheba (GA) said:
See what the +2 is first. The onset will probably be around the +2 to +3 so I would get a +3 unless she bounces up really high which she could do with the lower Preshot.
Then if you are unsure when to test next, post and ask for help. If the numbers are not rising you will have to test more often than if they are rising.

Also to answer your earlier question.... you will go back to 4 units the next dose unless Arya earns a reduction.
Are you still feeding dry food? If so you would be doing the SLGS method and would reduce if she drops under 90.
You would also give some higher carb food to bring her up over 90 if she drops lower.
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Ok she ate well and I gave her the 3.5 units (it's about an hour past her regular shot time). Will get the +1 and the +2 and then see if she needs the +3. Yes still feeding the dry food for now due to her stomach issues. Thank you again!
 
You will need to give the next dose 3/4 hour late seeing you gave this one late. Then move back to your usual time by 15 mins each cycle.
I would get a +3 anyway to see what happens with the onset.
Well done shooting the 132.
You will need to put 128 @+12; 132@+12.30 (Amps) and stack them in the AMPS column of the SS. Then if you could keep the SS up to date as you test during the cycle it will help others helping you and put the BGs also in the subject line so we can see at a glance how you are going.
If you are at all concerned about the numbers post and ask for help.
I hope you and Ayra have a good day :)
 
KatieBDZ said:
+2 was 311 so much higher..seems like she is bouncing?
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Most likely!

That means you can relax for a while. I'd test at least once more this cycle, just in case she pulls a fast one, but odds are, she'll be up in the clouds from here. Those lovely blue numbers this morning were not at all what her body was expecting!
 
Nan & Amber (GA) said:
Most likely!

That means you can relax for a while. I'd test at least once more this cycle, just in case she pulls a fast one, but odds are, she'll be up in the clouds from here. Those lovely blue numbers this morning were not at all what her body was expecting!
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Ok thank you! Not what I was expecting either but hoping to get her back there safely :)
 
Don't worry, though-- what goes up, must come down. It's going to be a while before she gets used to those lower numbers, but she will get there!
 
KatieBDZ said:
more sleepy than she has been
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Aw, she'll feel better eventually... it can't feel good to be rubber-banding back and forth between these numbers in such a short time period. She'll feel better once that settles down for a while, even if she settles down in higher numbers than you'd like. Just as long as you're keeping an eye on her appetite and monitoring regularly for ketones.
 
Oh my goodness Ayra... come down off that trampoline! Katie she is just not used to normal numbers/lower numbers because she has been in high numbers for a while now. This is very normal behaviour for a newly diagnosed FD kitty. She needs to get used to lower numbers again... It will just take time.
 
Bron and Sheba (GA) said:
Oh my goodness Ayra... come down off that trampoline! Katie she is just not used to normal numbers/lower numbers because she has been in high numbers for a while now. This is very normal behaviour for a newly diagnosed FD kitty. She needs to get used to lower numbers again... It will just take time.
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Thank you for all your help/advice! Definitely a crazy day for her hoping she levels out and we get good numbers again soon
 
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