Blue AMPS 81

https://www.felinediabetes.com/FDMB/threads/blue-amps-438.234160/#post-2620182

All day yesterday 300s and now in the morning he's 81....I've fed him to hopefully get it up a bit but I think I was supposed to wait and retest. What should I do now?

 

Hi Patty!

Arrrrggghhh. You've fed him.

DO NOT GIVE INSULIN YET!!!!

Just looking at Blue's spreadsheet and tagging Elise (@tiffmaxee) to see if she's online and could chime in.

BRB ...

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I know... I'm so mad at myself.
She's probably still asleep.
I have not given him a shot.

 

If it was my cat, I'd be very nervous about giving 0.75 units Lantus today.

There are a lot of moving parts here:

* Blue's clearing a bounce (and perhaps clearing the carbs from the contraband treats).

* The depot for the 0.75 unit dose is not yet fully established.

* Unfortunately we don't know whether Blue's BG levels were on the way up at AMPS.

I need to check on something in one of the forum stickies and I'll come back to you shortly, Patty.



Mogs
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Life happens, Patty. Stress and worry can play havoc with a person's ability to focus. Be kind to yourself!



BRB...


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Sorry for delay. Lost access to FDMB server. Off to look up stuff. Back as quick as poss...

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First up, Patty, under the SLGS protocol any result under 90mg/dL on a human meter earns an IMMEDIATE dose reduction.

Your 81 AMPS meets that criterion, so you now need to give less insulin.

How are you positioned for testing today, Patty (both AM and PM)?


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I have PT at 2:00 but can be around the rest of day and night.

 

Good morning. Well you can either skip or wait two hours, test then as it won’t be food influenced and shoot if he’s up. I would not give any now. He’s earned a reduction to .50. What do you think?

 

Is it more than 20 minutes since he ate?

 

Yep. It's 39 mins since I first responded to the thread and I think Patty's OP was about 12 minutes or so before that.

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It’s going ruin her schedule. I think it’s best to skip. If she shoots she will find herself up all night a lot and I don’t think it’s possible. I wish I had logged on earlier. She did this before 6 my time though.

 

If it was me in this situation with the gap in testing cover, I'd take the ultra-cautious choice.

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Agree. Two reasons to skip.

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Hi guys...sorry, was working with Brat. I will not shoot this morning but can test when I need to. What's your advice on when and how often?

 

Patty, what do you think you'd like to do?

(Might be a few minutes before I can respond. I need to feed the Noodler.)

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I also need to get better syringes today...

 

You know, I could test now and see where he is and then we can decide?

 

Going forward here’s our plan. He drops at night like many cats. Max did. You need to always get a test when you wake up and if low a +11.5 Then another At AMPS unless the other tests are higher than 100.

Test two hours after he ate so we can see his bg.

 

It's up to 91 only

 

Patty, 81 is a safe number so if you see that at AMPS or PMPS don’t panic. I bet you didn’t but want you to know just in case. M really optimistic for Blue that he was steroid induced.

 

That’s great! I need to feed my screaming cats and will be back.

 

I'm hoping that too

 

There'd still be food influence on the reading.

I didn't elaborate much about the reasoning behind my inclination to be uber-cautious because I wanted to leave space for you to give your view first, Patty. Blue is your cat.

Looking at Blue's spreadsheet, bounces and contraband aside, he is very much trending downwards in his insulin requirements. You have also reported his clinical signs and behaviours are getting better every day. He has earned another dose reduction this morning.

This is the first time Blue has been this low at preshot so you have no data at this time to guide you as to what his response could be. Blue has no history of throwing ketones or recent DKA, Even if only giving a reduced dose of 0.5 units, because you're not able to test throughout the full daytime cycle today I think it's safer to skip this morning's dose. If it were me in this situation, I would skip. Also, as Elise says above, it would be better for your schedule. You need to make sure you get sleep too, so that you can look after your beautiful boy.


Mogs
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Ditto. Anti-jinx!!

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Easier said than done when it's the first green preshot! Scared the howsyerfather out of me at the time with Saoirse.

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I agree. No shot this morning since he is still low. He will not eat again until around 4 so I can test before and after to see what happens. Now I can move up the PMPS to whatever time I want...

 

That's encouraging after his meal. Fingers and paws crossed he might stay in fairly good numbers in spite of the skipped dose.

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As I said, I freaked. Especially since he was high all day yesterday and last night. I didn't expect it.

 

Okay. Cats fed. I’ve got a cup of coffee so I’m set. First, good job Blue! That’s a safe bg, a normal range bg, but NOT shootable. That’s barely a rise plus he ate. That’s why I want you to test in two hours. If his pancreas is sputtering it could be even lower.

 

I don't know about Keytones but do know the vet said he didn't have them. I bought testing strips in case I needed them.
He is feeling good and loving on me in spite of the constant testing. He's the sweetest boy.

 

Okay, I'll test around 12

 

If a cat has had DKA you'd most definitely know about it.

Some cats are more prone to throwing ketones than others. If they are, then skipping doses can be a trickier issue.


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Normal bg is 50-120. With TR we shoot anything over 50 once we have enough data. With SLGS it’s tricky. They say over 90 but I would never advise you shoot that low and definitely not after eating. Let’s see where we are at +2. How many hours before you leave for PT? You might not need to test until later in the day but I’m planning ahead.

 

I'll test at 12 and I leave at 1:30 for 2 appt. I can test before or after. Maybe depending on what test is at 12?

 

GO BLUE GO!!!

 

I'm off to shower and start the day....thanks so much for being here. You guys are the best.

 

To me the +2 is to see if Mr. Pancreas is working. He’s not going to go to hypo range which is under 50. Once we see that test I might even say take a well earned break and don’t rush home. BTW, Max hit the 30’s but never had a symptomatic hypo. Cats usually act normal in the 40’s which is why we need to test. They could be on the brink and we wouldn’t even know it. Then they have a symptomatic hypo and we end up at the ER. That’s why I was so scared when your vet said to give 2 units.

 

Great. I'll check at 12 and post number. I'm so hopeful it will stay low.
If Blue got in the 30s I'd probably take him to the ER.
Absolutely crazy to think of Blue getting 2 units every 12 hours. I'm waiting to send vet the spreadsheet but will when we see where he goes with this.
Okay, be back.

 

I would cancel your next appointment unless you want to go for a reason other than FD.

If you ever see the 30’s I hope you post here first before heading to the ER. Usually some sugar and a little food brings them right up but you would be testing every 20 minutes until into the 60’s and then go to hourly and then until over 50 for two hours without food. We will cross that bridge when and if we get there. It’s why there maybe a few all nighters in the future or at least until +7 or 8.

So if you ever get an AMPS or PMPS that is lower than you have ever seen, stall don’t feed, and retest in 20 minutes. If it’s under 90, test again right away as it could be a bad strip. It happens. Then still stall, Even if higher, don’t feed, and retest in 20 minutes. We definitely need the test at +11-11.5 just in case and to keep you on schedule.

Tonight you can shoot at whatever time you want. The new dose is .50 unless he drops at any point to under 90.

 

Vet prescribes 2 units...cat hypos ...vet gets more appointments? Sorry but thats the way my mind thinks I'm skeptical that way.

 

Gosh I hope not! But being just stupid isn’t much if any better.

 

Its my last wish that NO vet would intend harm to collect a fee. But I have seen other wise in how they prescribe that scrip junk food. "Its the best thing on the market for your cat". Riiiight dude. I do realize for some, the script food is NECESSARY but for the majority we even see here? thats just NOT the case.

And youre right stupidity is NOT an excuse.

ok off the soap box.

PLEASE KNOW THESE ARE ENTIRELY MY THOUGHTS . Not endorsed by FDMB.
jeanne

 

Feed cat high carb diet, treat with an intermediate-acting, keep cat running artificially high, discourage home testing and promote vet office curves and fructosamine tests. That would be a more lucrative hustle.

(NB: Tongue planted firmly in cheek here. )

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He's at 127 so higher but still pretty good. What do you guys think?

I am going to cancel the appt. No reason to take him in other than billing, as you all say.

 

You can feed as you normally would and test at +11 unless you want to test more. I’ll never say no to testing. What time do you want to shoot tonight?

 

7:00 sound good? I'll probably not last long at that time. Seems like something happens to make it later and later.

I might test when I return and before feeding at 4:00. We can go from there depending on what his test is. If it goes up a lot I might shoot him earlier. What do you think?

 

That’s good for me at night as it’s 4:00 in the afternoon but I won’t be around in the morning. We will cover all possibilities tonight. You can always tag Bron or Sue, if needed but Mogs knows what to do as well. Just remember if ever lower than it should be, stall, don’t feed, and ask for help. I will fill them in to keep a eye out for a tag.

 

Patty, you have skipped. Stop staring at Blue. You don't have to monitor. Think of it as a spa day. Have a nap. Go off to your appointments. Enjoy your afternoon.

 

When you consider when to shoot remember it’s usually not a one time thing. It also can only be adjusted in 15 minute increments each cycle or 30 each day so if you shoot earlier, that’s you time. I would pick a time that ideally will work for you for the next few weeks. I would not want to get up at 4:00 a.m. to test every morning if I were you.

 

Blue is doing really well. Now we want you to relax.

 

But he's so handsome!

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Thanks guys. I think Blue is probably glad to have an uninterrupted nap. BBL I'm out and about!

 

Travel safe! (((Patty)))


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I just got home and tested Blue before feeding everyone. He's at 281 now. I was unable to find syringes that have the small marks.

 

Glad you're home safe, Patty.

Maybe Elise will be able to point you to a source for syringes when she checks in later.

The 281 is not bad at all. It's good to see how Blue has been running after skipping the dose. Every test is another helpful piece of the jigsaw.


Mogs
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The great news is he's feeling good. I can see his blue eyes again. His pupils are not as dilated as they were.

 

aye crumba!

Awwww he is beautiful! Great shot btw!

 

Hi. Walmart carries them but sometimes they don’t think they do so you need to make them check. Which brand are you using? ADW on line cells them as well. The one that was the best and I liked was discontinued.

 

https://www.adwdiabetes.com/

 

chewy has syringes with half unit markings too. See which is cheaper.

 

Oh, be still my beating heart! Patty, he's gorgeous! What a beautiful photograph of Blue.

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Thanks guys. One of my favorite pictures of my Bluebird because it shows his blue eyes.
I fell asleep after I got home so I have to test, feed and shoot. I'm already going to be behind.
I'll be back...

 

in that picture he looks a lot like my Mocha. You are good to shoot the .50 and grab a +2-3. Personally I like 2.5. I'm going for a walk if it's cooled off enough.

 

Oh, I like this!

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That extra 30 minutes can reveal a lot.

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Okay, 358 and he ate really good and I gave him .50 Yay and I was only a little late 7:10. I will plan on testing again at 9:40.

The picture was taken with a real camera by the way. My camera on my phone doesn't get his eyes as well. I'm a sucker for blue eyes. Blue and Mocha could be family!

I will start searching online for syringes. I was using Publix brand because they were the only syringes the correct size. Thanks for the leads.

Enjoy your walk...I can't wait to go for a walk again. Thanks everyone....btw what do y'all think of the 358 along with the rest of the day?

 

Blue loves the Purebites...He kept sniffing around the box I just got from Chewy...LOL

The thumbnail picture you can pick when uploading, can you blow up on it if I uploaded a photo that way? I just picked actual size. This is one with my phone camera and dark...no blue eyes.

 

Layla got a tune earlier, so now it's Blue's turn:






Mogs
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Oh I love that. Is that really Elton? He looks so young! Thank you...Love love love

 

What time zone are you in, Patty?

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We all do at some stage.

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That’s good after a skipped shot . Wonder what he’s planning for tonight?

 

Eastern right? Hahaha my brain!

 

Oh no...hopefully not eventful. Planning on 9:40 test so we'll see.

 

Eastern Daylight Time? Is it just after quarter to nine where you are?

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Cool. Got it plugged into my tablet's clock now so I'll have a better idea of when your tests are due in the future.

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Now it's "high"...crazy

 

Blue will come down. Test before bed and if you get up during the night to use the washroom.

 

Mogs, subtract 5 hours from your time.

 

Okay, I will do that. Thank you.

 

I wouldn’t even bother testing more until you wake up in the morning. The low bg which could have been for hours and the skipped shot has him all confused.

 

Thank you!

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In the morning if he’s under 150 stall, don’t feed, and retest in 20 minutes. Then post for help if not sure whether to shoot.

 

@Patty and Blue - Stick a note in big letters over the food tonight to remind you not to feed if you need to stall. (Saves you having to think about it first thing in the morning.)

Nite, peeps.




Mogs
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Nite Mogs. Sleep well.

 

Alright, I can do that. I can tell he's ”high” from the way he's acting. Poor baby blue.

 

Great idea. I'll do that right now. Goodnight

 

Blue is still ”high” at 7:00 a.m.
I fed and gave him a shot .50 but can't update SS yet.
Going back to sleep. I was up most of the night.
I'll be back.

 

Ok, Arnie!

Have a grand snooze.


Mogs
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I used to be a professional picture framer. It would have been an absolute delight to have framed this really beautiful image of Blue. I keep looking at it. It's stunning.


Mogs
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Oh wow, thank you. That means a lot. I love this picture of Blue. I'm sure we all have our favorites of our babies.

I tried to start a new thread on my laptop but I must have done something wrong. The site froze. Yikes

Anyway, I haven't retested yet but Blue is right here.marching and purring and wanting me to pay attention to him only. Lol

I'll try to get a test in a few minutes. BB

 

Good morning. I hope you both slept well and you caught up on your sleep, Patty. It’s good you can nap.

 

I have changed and I guess that's what retirement does for you...getting in a good nap.

I tried and tried to test Blue and he got impatient for the first time. I'll try again after a while to see if I can get blood to come out.

One thing realized is that I need a later time in the morning for test, feed and shoot. Everycat was up to eat and I have my mom who sleeps until 7:30-8. She downstairs. My daughter is upstairs and I woke her. Full house and it got exciting at 7.

 

You will find a time that works and hopefully one that works but let’s you sleep as well.

 

I started the new thread. It wouldn't allow me to post it earlier.

 

Wow Mogs I use to be a custom color printer! I as well would have loved a chance at printing this picture of beautiful Blue. I MISS my job.

 

I miss mine too, Jeanne. I loved making people happy through my work. Just think, in another universe the two of us could have formed a formidable double act.


Mogs
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