Charlie’s Numbers

Laney73

Laney73

Member
@Suzanne & Darcy - Started out at 107. At +2 at 75 with .75U.

At +3, down to 60. Gave some Hill’s C/d wet, 3 fruitables cat treats as well as some honey to try and skirt a repeat next reading like yesterday.
 
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Laney73 said:
Started out at 107. At +2 at 75 with .75U.
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Nice start. I see he’s at 60 at +3 so you might want to slow him down a bit with some MC food or what worked best yesterday and retest at +4. The goal is to not over carb him but just give enough carbs that it can bring that 60 back up to the 70s and see if he can stay there.

Just checked and you in East Coast time and I’m on West so you are probably well past +3. I hope you’ve retested??
 
Marje and Gracie said:
Nice start. I see he’s at 60 at +3 so you might want to slow him down a bit with some MC food or what worked best yesterday and retest at +4. The goal is to not over carb him but just give enough carbs that it can bring that 60 back up to the 70s and see if he can stay there.

Just checked and you in East Coast time and I’m on West so you are probably well past +3. I hope you’ve retested??
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Yes, that was the 60. His first dose was at 7:30am.

I had already gone with some high carb as I said above, along with a little honey since the next reading was when he fell so low yesterday, and his drop this morning between +2 and +3 has been faster than yesterday.
 
Laney73 said:
Yes, that was the 60. His first dose was at 7:30am.

I had already gone with some high carb as I said above, along with a little honey since the next reading was when he fell so low yesterday, and his drop this morning between +2 and +3 has been faster than yesterday.
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Ok. Looks like the part about the HC was added after my post :) It’s best to not go back and add info like that to a previous post because it can be missed.

Have you retested him? His SS hasn’t been updated past +3.
 
Marje and Gracie said:
I’m sorry I didn’t see this before you shot.

Yes, I would have reduced to 0.5u but it looks like you reduced by or did you make an entry error? His dose should be 0.5u bid.
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No typo. Just went with .25 deciding I would rather it be a little less than make him go too low again especially during the night.
 
Laney73 said:
No typo. Just went with .25 deciding I would rather it be a little less than make him go too low again especially during the night.
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Thank you but shooting a reduced dose when he really doesn’t need it is not beneficial for Charlie. If you are sick or cannot test, it’s a consideration but in order to work towards getting Charlie in remission, the best thing for him is to get the appropriate dose on time. :) Cats are known for going lower at night and if you always reduce his dose because of that, his progress will be much slower.

Having said that, you hold the syringe :)
 
I’m sorry that I wasn’t around today. So I understand about the .25 dose tonight. I hope it goes well this evening, and that tomorrow morning Charlie will be able to get the .5 dose - and that his preshot will be at a level that is comfortable for you to shoot the .5 units. What’s your shot time again?
 
Okay. Well the good news is that he stayed in safe numbers all day yesterday- really great numbers in fact. So I am not worried for his safety. I would feed him a teaspoon of low carb food now.
 
Suzanne & Darcy said:
Okay. Well the good news is that he stayed in safe numbers all day yesterday- really great numbers in fact. So I am not worried for his safety. I would feed him a teaspoon of low carb food now.
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He had a a spoonful left from his first feeding and ate it right after I tested him. He must know the drill. :)
 
Suzanne & Darcy said:
It sounds like he does!
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I am entering his BRs onto his spreadsheet. Seems to be steady so far. +3 was 63 and just now was 64. Also writing in comments what he is eating. With these numbers will he go to .25 tonight since they are below 90? Thought I would ask to be sure before the day’s end. :)
 
Yes. Reduce to .25 units. Will you be able to get a few night time tests? Many cats have a pattern of dropping lower at night and he has been in the greens a lot even though we are lowering doses.
 
Suzanne & Darcy said:
Yes. Reduce to .25 units. Will you be able to get a few night time tests? Many cats have a pattern of dropping lower at night and he has been in the greens a lot even though we are lowering doses.
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I will do whatever I need to do for the baby. What would be the ideal testing times - like every three hours or ? Thanks!
 
Looking at his spreadsheet, it looks like he has his nadir between about +4 and +6. So maybe try a +2 and +4. That will be about 11:30 pm, right? Will that be okay. You probably will be able to tell if he is going to go low by +2 and if not then by +4 for sure. Then if you need to sleep you could set an alarm to wake up and test him at +6. Of course, you can also decide what percentage of carbs you want to give him based on these tests.
 
Suzanne & Darcy said:
Looking at his spreadsheet, it looks like he has his nadir between about +4 and +6. So maybe try a +2 and +4. That will be about 11:30 pm, right? Will that be okay. You probably will be able to tell if he is going to go low by +2 and if not then by +4 for sure. Then if you need to sleep you could set an alarm to wake up and test him at +6. Of course, you can also decide what percentage of carbs you want to give him based on these tests.
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Yes 11:30 for the +4 (and then the others on each side). Sounds like a plan. Thx!!!
 
This is a really good question. If you look at his spreadsheet, you can see he had a really beautiful cycle today. 84 is a very healthy normal number for a cat to be in, so I hate to see us drop his dose down to the next lowest dose, which would be .1 units. He needs to spend more time in those green numbers. You have some options. You can stick with this .25 unit dose and lower your personal reduction point to a lower number (perhaps 75) and still follow the SLGS method. You could try the Modified ProZinc method where reductions are taken when the cat drops below 50. You can try the lower .1 unit dose and see what happens. You can also try making sure he gets a snack at around +2 and +3 and see if maybe he needs a few more carbs there. What is he eating for snacks in the early part of the cycle? Just the FF Classics and the Weruva? Do you know the carbs percentage. No matter what you do, you should at least continue to get the "before bed" test in the evening. Great job testing last night, by the way.

What do you think?
 
I think I would feel better to keep doing the .25 for a few days to get him used to it and see if we can hit more green.

His food has .4% (FF) and .5% (Weruva) carbs. When I give him LC tsps., that is what I give him too.

He was 123 at 7:30.
 
Laney73 said:
I think I would feel better to keep doing the .25 for a few days to get him used to it and see if we can hit more green.

His food has .4% (FF) and .5% (Weruva) carbs. When I give him LC tsps., that is what I give him too.

He was 123 at 7:30.
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Okay. Then do me a favor and write SLGS: Reductions at 75 on your signature. (Or whatever number you decide you would reduce). And keep a close eye on him to make sure he doesn’t surprise us with a very low number-I’m not anticipating that but we must be careful.
 
Suzanne & Darcy said:
Okay. Then do me a favor and write SLGS: Reductions at 75 on your signature. (Or whatever number you decide you would reduce). And keep a close eye on him to make sure he doesn’t surprise us with a very low number-I’m not anticipating that but we must be careful.
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He is starting out lower at 105. I feel a little anxious about the .25 with that - to think if he hit 75 during the day felt fine but to start out at 105 feels iffy. Do you think .1 would be more appropriate? We were running a little late this a.m. after storms and a power outage early this morning so he only finished eating at 8. And for when we do go to .1 to get a measurement on a u100 looks like it would be .5 (.1 x 2.5). Correct?
 
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Suzanne & Darcy said:
You are using U-100 syringes for the ProZinc?
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No, using u40s but wouldn’t even know how to measure .1 in those. I have 100s from my allergy shot is why I was looking at getting a precise mark. Did not have that conversion chart so thank you!
Thanks for pointing out the 107! The 105just took me by surprise and I scanned the chart and missed that. Okay, .25 it is! Thanks from the frantic woman. ‍

Glad to have the chart in anticipation of that lower dose!!
 
Laney73 said:
@Suzanne & Darcy Realized after the fact tonight that I should have shot Charlie at .1 after his 64 earlier today. Will correct in the morning
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Yes, if you want to continue to follow SLGS, that is. You do enough testing to follow MPM with Charlie. That allows him to go down to 50 without getting a dose reduction.

Anyway, do you plan to use your U-100 syringes to draw the .1 unit? If so, to me it looks like on the conversion chart that you would draw to the .25 level in a U-100 syringe. Do you agree?
 
Suzanne & Darcy said:
Yes, if you want to continue to follow SLGS, that is. You do enough testing to follow MPM with Charlie. That allows him to go down to 50 without getting a dose reduction.

Anyway, do you plan to use your U-100 syringes to draw the .1 unit? If so, to me it looks like on the conversion chart that you would draw to the .25 level in a U-100 syringe. Do you agree?
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No snack at +3. By your question, seems like I should be giving him one then too? I was planning to use the U-100 because I don’t think I could accurately shoot with the U-40 at that small amount.
I just read over the MPM. What are the advantages of doing that? Do more cats achieve remission? The whole idea of going down to 50 like that makes me feel a little nervous (I doubt you are surprised at that) but if it is a better course for Charlie, I can suck it up. :).
 
MPM allows tighter control of blood glucose. I know how nerve wracking it is at first to be in the 50s, although it’s a normal number for a cat (but requires caution when a cat is on insulin, of course.) So it depends upon your goals for Charlie. If you want to try the .1 dose and see how it goes, that is fine. You’ve really stepped up to the plate to help him, and I am impressed with that.
 
Suzanne & Darcy said:
MPM allows tighter control of blood glucose. I know how nerve wracking it is at first to be in the 50s, although it’s a normal number for a cat (but requires caution when a cat is on insulin, of course.) So it depends upon your goals for Charlie. If you want to try the .1 dose and see how it goes, that is fine. You’ve really stepped up to the plate to help him, and I am impressed with that.
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My goal is to get him as healthy as possible and of course there is that rainbow goal of giving him every possible chance of remission. Guess I just answered my question. Will leave at .25 and do the MPM. Then if we need to adjust to get him down more, we can. Thanks. You have the gift of encouragement, Suzanne.
 
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He's doing really really well right now. I'm glad you are switching to MPM. I don't like to push people, but I don't think if you were reducing every time he went under 90 that you would be seeing these great numbers right now. Anything between 50 and 120 are really healthy, normal numbers, but you have to keep doing the great job of testing that you have been.
 
He’s doing really well and looks very good. If you are switching to MPM, I wouldn’t give him too long before increasing the dose back to 0.5u bid if you keep seeing blue PSs and 80s-90s nadirs. Yes, he’s had a couple of BGs in the 60s but you want to see more of the cycle in green. I’m not saying to increase right now but watch the next 2-4 cycles and if you don’t see alot more green, I’d think about increasing to 0.5u as long as you can continue to grab those nighttime tests in addition to the day cycles.
 
Marje and Gracie said:
He’s doing really well and looks very good. If you are switching to MPM, I wouldn’t give him too long before increasing the dose back to 0.5u bid if you keep seeing blue PSs and 80s-90s nadirs. Yes, he’s had a couple of BGs in the 60s but you want to see more of the cycle in green. I’m not saying to increase right now but watch the next 2-4 cycles and if you don’t see alot more green, I’d think about increasing to 0.5u as long as you can continue to grab those nighttime tests in addition to the day cycles.
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I had been thinking that was coming so we could get him to the lower numbers. Last night, I totally slept through the +6 alarm and must have pulled my earbud out. Got a nap today so I can be up for the night ones. :)
 
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