Blue AMPS 151

https://www.felinediabetes.com/FDMB/threads/blue-has-curves.233851/page-2#post-2617859
I guess this is good that Blue has a low number but it's also confusing because it's been 12 hours since his last shot. He's eating now. What should I do about the morning shot since the BG reading is 151? If he doesn't get a shot I fear by tonight he'll once again be off the chart Hi.

 

Hi Patty, I presume you are following SLGS? Has Blue eaten? Will you be around today to monitor him?

@tiffmaxee
@Sue and Luci
@Briere Fur Mom

 

Morning, Patty!

Looks like Blue is getting benefit as the Lantus depot is getting better established. Great that he didn't spend too much time on his trampoline.

I second Bhooma's question: are you able to test Blue throughout today's AM cycle?


Mogs
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Yes I can monitor today. Yes, SLGS. He has eaten now.

 

Yes, I can monitor. I guess he doesn't get a morning shot? How soon and often should I monitor? Every 2 hours?

 

Drat! I was going to ask you to stall a little and test again to check if Blue's numbers were rising on their own.

Please don't give Blue his insulin yet. I have some things to check on with you first. I'm posting this first to ask you to delay a little while I get the questions typed out.


Mogs
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OK. Before you give Blue his insulin dose, as a precaution I need some information from you about the supplies you have to hand so that members responding to this thread have a full picture of how you're set up.

1. What food has Blue had just now for his breakfast? If it was a mix of wet and dry, please can you give an idea of how much of each Blue has eaten.

2. What are the carb values for his Am Journey wet food and his Dr. Elsey's dry food?

3. Please can you tell us if you have any medium carb wet food in the house, e.g. Fancy Feast Gravy Lovers (and the carb percentage if you know).

4. Please can you tell us what high carb food you have (both wet and dry options if you have them, also any high carb treats like Temptations).

5. Please confirm you have honey or karo syrup in your hypo toolkit.

6. Please confirm that you have a good supply of test strips.

7. Please confirm that Blue normally eats well throughout the day.

(This list is more for me than for you! )


Mogs
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Good morning Patty. This is great news. I suspect you did already shoot. Next time you get a number that’s lower than usual you need to stall, don’t feed. and recheck In 20 minutes. We want to make sure his BG is rising and not still going down. If you gave him the insulin please test in one hour. Please answer the questions above.

 

@tiffmaxee -

Morning, Elise.

Are you around for the next while?

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Good morning . Yes. I just woke up.

 

That's good to know, Elise. I can keep an eye on Patty and Blue for now but a bit of backup would be very welcome.

Sending you a nice cup of cyber-coffee.


Mogs
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Brilliant, Patty. Just having a read through the above. BRB ...

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Can you pick up some high carb wet foods later today at the market or pet store? Foods with gravy are high carb. Look at Lisa Pierson’s food list. Fancy feast gravy lovers are great for that. Dry food takes longer to get into the blood stream. So if need be we will add some honey to age canned or dry. No worries. We are just getting prepared.

 

Just to add to the others, if you post in the Lantus Forum (https://www.felinediabetes.com/FDMB/forums/lantus-basaglar-glargine-and-levemir-detemir.9/), you will get more eyes on your post.

 

Patty, please can you tell me the full description of the varieties of Meow Mix wet food that you have (e.g. Meow Mix Morsels in Gravy Tuna & Salmon) so that I can look them up on the food list?

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Tender favorites turkey & giblets in sauce and salmon & ocean fish in gravy.

 

Ta! Off to foodlist. BRB...

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I will get there. It was mentioned yesterday but I was afraid I'd get lost in the shuffle with so many people/posts. Also, when I learned about this site on FB there were too many people with differing opinions and that can get scary. I thought I'd wait until I had a better understanding of what I'm doing. Does that make sense?

 

Yes. I can get some.

 

I have not given him a shot. I was too scared too.

 

Great. It’s good to have a variety of food at different carb levels handy at all times. The manufacturers don’t supply the carb info for us. The food list is old but generally accurate.

 

Check the bg now please.

 

Patty - make a note of these values for future reference:

* Meow Mix Tender Favorites - Turkey & Giblets in Sauce: 13% Carbs

* Meow Mix Savory Morsels in Gravy - Salmon & Ocean Fish: 20% Carbs

(Carb values from Dr. Pierson's 2017 list)

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We need you to add SLGS to your signature too.

 

@tiffmaxee -

Think we're good to go, Elise. I'll leave it to you to fire the starting pistol.


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455

 

Patty, that makes perfect sense. You need to go at a speed that is comfortable for you. There is such a lot to take in in the early days.

(As an aside, I have PTSD and I could neither post for help on the L&L board (there used to be a 'relaxed' Lantus group in those days), nor could I step in to help others. It's overwhelming to my senses: just trying to read through the thread titles literally makes me feel queasy.)


Mogs
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It’s food influenced but high eniugh to shoot without worry. Will you give him his insulin? Then I will explain further.

 

Oi Blue! Earth's down here!!!


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Yes. I'll give him his dose now.

 

Patty, since you shoot pretty late at night to get a lot of tests in before you go to sleep it would be good to get a +11 and then an amps. That way we will know if Blue’s bg is on his way up or still going down. We don’t want to shoot a bg still coming down at least this early in his journey with FD. That way you won’t get off schedule. We test before insulin to make sure it’s safe to shoot. Your instincts were right to not shoot as he was lower than you have seen before. Then we stall, don’t feed, and see if the bg is coming back up. If it is you feed to make sure he will eat and shoot. If still coming down, stall another 20 and recheck.You don’t want the test to be food influenced. Today had you stalled I’m sure it would have gone up given your last test.

 

Oh, now that makes a lot of sense. Will be quite an ordeal here with everycat meowing, but I’ll figure it out.
So don't check him until later +11? I feed again around 4:00 normally and now have added a night meal just for Blue’s insulin dose.
His poor little ears are looking very red. I've been on a learning curve there too.

 

No. Sorry. You will still need a +3 and if too low to stop more tests. It looks like he might have a late nadir. We need to find out. I’m adding an extra test for now so that you can shoot on time and not need to stall.

 

I had just finished reading your previous thread.

I'd encourage you to switch over to the Lantus forum. You see numbers in the subject line because we ask people to follow a particular format for their subject line. Having the numbers in the subject lines lets experienced member and moderators scan the board to make sure no one is in trouble or we may pick up on an issue due to seeing the kitty's progress. People also open a thread on a daily basis so we can see what's happening. Before I took on the moderator role, I rarely came over to Health.

Because on the Lantus forum it's pretty muck all Lantus all the time, the members will help you get up to speed and feel less overwhelmed -- and it is overwhelming.

Also, when you have a moment, can you update Blue's spreadsheet with today's information?

 

I believe I have the SS updated. I tested twice before giving him insulin at 10:30 so I'm way off schedule again. I'm going to test again at +3 which will be around 1:30.

Yes, I will start posting over in the Lantus forum.

 

You have 2 numbers in the AMPS column that are vastly different. If Blue's AMPS is what you noted in the subject line, only the 151 should be there. What's the 455?

 

Sienne hi. She stalled. She fed before anyone could tell her not to do so but he then was up to 455 so shot then.

 

@Patty and Blue Sorry that I answered for you but I wasn’t sure you would be back before tge next test.

 

Glad you did. I guess I didn't make it clear enough.

 

Patty, I suggest you make a note in today's spreadsheet remarks along the lines of:

"AMPS 151. Didn't know to stall so fed Blue straight after AMPS. BG rose to 455 [xxxx time] after food. Insulin injection given [xxxx time] after AMPS reading."

That way, if you ever need to refer back to today's BG information the figures will be more meaningful.


Mogs
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Great idea Thanks...going to do that now.

 

It's me again Patty....hehehehe. How are you doing today Patty...hehehehe. How's Blue doing, Patty...hehehe.(borrowed and altered from the song It's Me Again Margaret by Ray Stevens) See this exactly the reason you wanna go to the L&L forum......we're a bunch of wild and crazy guys/gals!!! No seriously though, don't be intimidated by the L&L forum. We don't bite hard. There's lots of peeps waiting to say hello. Posting over there can allow you to learn from others' experiences too.


ETA: Hope the link to that video didn't creep you out. I'm not a stalker or anything....just a lurker

 

We are still learning and I'm not learning fast enough for Blue’s changing numbers. I will come over to Lantus forum tomorrow and see what's up.
Thanks for the encouragement and no, not creeped out...yet!
Ok music kind of creepy.

 

LOL!!!!!

We'll be waiting for you over there. Once you learn the posting "etiquette" it'll become second nature. All of us go through it in the beginning. It's a learning process. Don't worry. You don't have to know the etiquette before you come over. We'll help ya.
You have the condo(thread) title subject line with Blue's name and AMPS. That's a great start. Just be sure to include the date, when you jump over to L&L land. Update your condo title subject line with current test #s and it looks like a L&L condo to me!! You'll blend right in

 

How are things at your end, Patty? How long till your next test?

Before I forget, another tip: record when, what, and how much Blue eats during this cycle (e.g. +4 10g Dr Elsey and 1/2 can Journey). It will help you to learn how food affects his numbers and you'll have a handy record to refer back to should you need it in the future.


Mogs
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254 now...+3 will update the SS

I will test again before he eats at 4:00. I used to leave dry food out all day because he's a grazer but the others eat the new food. I can't leave their food out because Blue will eat it. Teddy has tummy issues with the new dry.

 

Good of you to join us, Blue!

Nice 'n' safe number. @tiffmaxee - When do you want Patty to do the next test?


Mogs
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I think 2-3 hours if you can.

 

He dropped to green at +5 yesterday.

 

Yes

Yes he did and then started going back up. He ate at 4 and by 8:30 was 550.

 

Wonder what he has planned for today.

 

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Too cute!

 

The Mogster likes her smileys!


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Okay, we're at 162. Waiting 20 minutes and if I can find him I'll retest. He's over it.

 

In the paddling pool.


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You didn’t need another test so soon. I’d try for an hour.

 

He eats at 4. Is that okay? He's already been in the kitchen looking...along with a couple of others.
I can wait if necessary...

 

Yes. You can feed him whenever you want. You just need for now to pick up food two hours before PMPS.

 

Feed away, Patty.


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I’m glad he’s hungry.

 

Great!

 

Me too

 

Yes

 

I think since he’s eating now I would test once more in 2 hours from when he eats. If he’s still going down get that +11 or 11.5. If not you can wait until PMPS.

 

Will do.

 

117 Wow crazy since he ate. Thought it'd go higher. He didn't eat a lot ( couple of tablespoons ) and I didn't give any dry food.

 

GO BLUE GO!!!

 

It doesn’t take much. It’s good he ate. It will prevent him going too low. Let me look at your ss. Be right back.

 

I'm just wondering about this...He started at 8:30 at 115 and ate and was 455 at 10:30. Does that mean I could have given him a shot on time around 9:00 and it wouldn't have gone up so high. He has been going down since the shot at 10:30. Sorry, just trying to figure this out. Definitely did not need 2 units OMG that vet wanted...

 

Ate you okay with testing again in two hours from last test? In case he’s still dropping you can feed a little then.

 

I'm just wondering about this...He started at 8:30 at 115 and ate and was 455 at 10:30. Does that mean I could have given him a shot on time around 9:00 and it wouldn't have gone up so high. He has been going down since the shot at 10:30. Sorry, just trying to figure this out. Definitely did not need 2 units OMG that vet wanted...

 

Yes, I can do that.

 

If you had stalled and not fed you would probably been able to shoot on time. He was likely going up on his own. By feeding we don’t know if the bg is food influenced. That’s why I said you need at least for now to get a +11 or 11.5 and then the pretest. Does that make sense?

 

You might want to get some regular neosporin pain relief ointment for his ear. It helped Max.

 

Nite peeps. Dropping over here.

Keep safe!


Mogs
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I got some when I saw the list. I'm using it.

 

Note. Thanks for your input.

 

Yes...I will check again. Just finished Sunday meal for family. I'm around so I'll be back.

 

Once we figure him out you won’t need to test as much.

 

Yikes it 89

 

Whew.

 

Ok. Give him a little higher carb food. He’s earned a reduction to .75 what to you have?

 

Good catch.

 

I hope Elise can stay with you I too have to leave. (Not that I'm all that much help) Need to fix dinner. will TRY to check in later.
Be safe I know its going to be ok

 

I can stay.

 

I usually feed him before his shot. Should I give him something now? He might not eat much. He isn't a big eater.

 

Thank you

 

He needs some carbs so he doesn’t drop too low. Just a teaspoon.

 

The insulin doesn’t kick in for about 2 hours so he can have a small amount at PMPS.

 

He's eating the gravy lovers and loving it....
I will test again around 10.

 

Post when you come back the foods you bought. I would have given something middle range. We save gravy for under 68. It’s ok. He just might go up a lot from it. Late in the cycle you want just over 10% to keep surfing. For some even lc works. We just don’t know with Blue. We will find out. Note on your ss how much and what you fed him.

 

I just got the gravy lovers and he likes gravy so doesn't eat much of it. Maybe a teaspoon. I also have Meow Mix. I'm sorry, I forgot what mid range would be. I think one of the Meow Mix was 13% so probably should have used that.

 

This late in the cycle 13% might have been better. It’s no big deal. No apologies needed. You are learning. The carbs in gravy lovers is where the carbs are so when he’s low that’s all he needs. We don’t yet know how carb sensitive he is. This will help us see. It’s all good.

 

Wow, increased to 418.... should I feed a little and give insulin? 1 or less do you think?

 

Isn’t it around PMPS time?

 

Yes. Lower than yesterday.

 

Yes. You can feed and shoot. That’s what the high carb and possibly the lower nadir did. Next time lc or mc.

 

Please get a +3. Don’t forget the new dose is .75.