Chase 3/5 +2:181,+3:98,+3.5:45,+3.75:22,+4.25:64,+4.75:122,+5:136,+7:92,+8:47,+8.75:82,+9.5:93

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@Gill & George... the "big picture" was beginning to make more sense to me. That is.. until this morning. It takes me a while to wrap my brain around something like this... and it takes repetition... and LOTS of it, before the "light bulb" finally goes off. The light bulb had JUST gone off, to a large degree. I don't give up easily... but this process is very difficult for me. I want to do what's best for Chase... always. Here's the kicker for me. Sometimes it would just be best if I weren't such a perfectionist. I end up stressing myself out and then am worse off, in the long run. :(
:bighug::bighug::bighug::bighug::bighug:
We can all see how much you care for Chase.
Try not to be too hard on yourself.
 
:bighug::bighug::bighug::bighug::bighug:
We can all see how much you care for Chase.
Try not to be too hard on yourself.
I second that :bighug: The FD dance is not something that is understandable in a short time . It takes repetition and since these kitties never do the same thing twice.....:rolleyes: we have to learn different ways to handle different scenarios. You and Chase are young in this dance and Chase is really doing some crazy fancy foot work and is the leader for the dance and you my dear, are following along pretty darn well. :cat::bighug:
 
I second that :bighug: The FD dance is not something that is understandable in a short time . It takes repetition and since these kitties never do the same thing twice.....:rolleyes: we have to learn different ways to handle different scenarios. You and Chase are young in this dance and Chase is really doing some crazy fancy foot work and is the leader for the dance and you my dear, are following along pretty darn well. :cat::bighug:
:bighug:
 
I'm very confused by Chase's numbers. Why would he do a nose dive at +8? I'm going to give him a tsp of MC and retest in 20 minutes.

I'm sorry to be using the "911", but I'm concerned. :(
 
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Or, his pancreas is waking up and sent out its own burst of insulin in response to the food. We were just talking on another thread about how some kitties run in low numbers normally (see thread: http://www.felinediabetes.com/FDMB/threads/3-5-bubby-3-days-since-last-shot-low-numbers-36.174305/), and can get down into "scary" numbers without outside insulin very easily.

We worry about numbers in the 40's when we are adding insulin to the mix, and I agree that giving him a bit of a boost to raise those numbers is a good idea for safety-- but given that it is +8 and he is on such a tiny dose, I strongly suspect that what you're seeing now is more him than the shot this morning.
 
Hi Sandi, I think Kris gave you the best explanation of why Chase did a dive again . The carb load is wearing off .When was the last time you fed him prior to the +8?
 
Your SS was stil on my screen and here's your food comments for the day.

AMPS/0.1u/fed quarter cup MC. +1 fed (2) tsp MC. +2 no food. +3 (1) TBL MC. +3.5 gave 1 tsp HC. +3.75 gave TBL MC food. Then gave 1 tsp HC gravy mixed with (1) tsp Caro syrup. +4.25 gave TBL MC. +5.5 gave him remainder of MC morning food Will give +6.5 MC snack and +9 LC snack.
 
Just lost ALL my feeding notes for the day. This happens to me so often, and I have to figure out what was undone. :(

I can see notes up to +5.5 (with a plan to feed at +6.5)-- are these the ones you lost?



AMPS/0.1u/fed quarter cup MC. +1 fed (2) tsp MC. +2 no food. +3 (1) TBL MC. +3.5 gave 1 tsp HC. +3.75 gave TBL MC food. Then gave 1 tsp HC gravy mixed with (1) tsp Caro syrup. +4.25 gave TBL MC. +5.5 gave him remainder of MC morning food Will give +6.5 MC snack and +9 LC snack.
 
I can see notes up to +5.5 (with a plan to feed at +6.5)-- are these the ones you lost?



AMPS/0.1u/fed quarter cup MC. +1 fed (2) tsp MC. +2 no food. +3 (1) TBL MC. +3.5 gave 1 tsp HC. +3.75 gave TBL MC food. Then gave 1 tsp HC gravy mixed with (1) tsp Caro syrup. +4.25 gave TBL MC. +5.5 gave him remainder of MC morning food Will give +6.5 MC snack and +9 LC snack.
HA, GMTA ;)
 
I don't think it is his pancreas.

Did you feed MC at +6.5 as you were thinking? I'm only asking so we can put the puzzle together on him dropping later in the cycle.

You are retesting 30 mins after food, yes?
 
82 at +8.75. This is the time of day when he would be getting that +9 snack. @Marje and Gracie what should I give him? LC or MC snack? That's one of the questions I needed to ask you. Yesterday we talked of a LC snack for his +9 (a.m. and pm.). What about now?
 
82 at +8.75. This is the time of day when he would be getting that +9 snack. @Marje and Gracie what should I give him? LC or MC snack? That's one of the questions I needed to ask you. Yesterday we talked of a LC snack for his +9 (a.m. and pm.). What about now?
Ok then... I'll give him a LC snack since I'm not sure. If you see this and I need to add, please let me know. Thank you. I'll work on rebuilding my food notes, now.
 
I can see notes up to +5.5 (with a plan to feed at +6.5)-- are these the ones you lost?



AMPS/0.1u/fed quarter cup MC. +1 fed (2) tsp MC. +2 no food. +3 (1) TBL MC. +3.5 gave 1 tsp HC. +3.75 gave TBL MC food. Then gave 1 tsp HC gravy mixed with (1) tsp Caro syrup. +4.25 gave TBL MC. +5.5 gave him remainder of MC morning food Will give +6.5 MC snack and +9 LC snack.
Very strange... because I'm sitting here looking at my SS and none of that info is there. I don't get it.
 
It's because I hadn't refreshed my browser copy since the info got deleted, that's all-- I was looking at the old copy.
Yep me too. That is why we still had them. Just copy and paste them back into your comment line. Whenever I accidentally delete info in the comments( and it happens often) if you hit Ctrl and Z at the same time, it will bring back your text.
 
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LC snack was a good choice. Glad you thought it out...you made the right decision.

However, I'm not sure that we need to continue with the +9 snack after today because it hasn't been achieving what it is designed to do.

In a cat on a very low dose and getting green numbers, if the pancreas is working, a +9 snack will get the pancreas to do it's job and the preshot will be lower. We haven't seen that with Chase and so I don't think there is any benefit to continuing it now. There might come a time when that strategy will be necessary.
 
LC snack was a good choice. Glad you thought it out...you made the right decision.

However, I'm not sure that we need to continue with the +9 snack after today because it hasn't been achieving what it is designed to do.

In a cat on a very low dose and getting green numbers, if the pancreas is working, a +9 snack will get the pancreas to do it's job and the preshot will be lower. We haven't seen that with Chase and so I don't think there is any benefit to continuing it now. There might come a time when that strategy will be necessary.
Since I got the timed feeder, I had been setting it for him to get 3 small snacks during the day... +4.5, +6.5 and +9. I'm not even sure what I'm supposed to be doing, at this point. I'm going to let you know what my schedule looks like for this next week and maybe that will determine my choices.
 
03.06.17 - 03.12.17

  • I can be home to test for +1, +2 and +3 every day. After this week, though, I have to start working my old work schedule, which only allows me to be home in the morning to do a +1.
  • I will be in Phoenix all day next Sunday. I can test, feed, shoot and then do a +1, +2 and +3 in the morning, but will have to leave immediately following the +3... then will be gone all day long. I will return around 6:00 p.m. and can do his PMPS, feed and shoot, like normal... and can test +1, +2 and +3... just as I have been doing.
  • I have to work next Saturday, so I won't be able to get a regular curve in, at all, this next week. I can do +1, +2 and +3 on Saturday.... then come back home once in the middle of the day to test him, and then do his PMPS, +1, +2 and +3 like I normally do.
  • I am putting all of this out there because of the change in Lantus dosage. I want those of you who have been helping to guide me know about my schedule because of the way Chase does his nose dives at around +3 each morning. I know that he would need to be watched especially closely, with any increase in Lantus.
With all that being said, it's probably not a good time to consider taking him up to .75u. So I guess, then, there are these choices:
  1. Keep him on 0.1u and monitor him for his +1, +2, +3. Keeping him on MC food.
  2. Take him back down to the previous drop dose and give him LC food or a combination of LC/MC.
  3. Take him off of insulin altogether and feed him nothing but LC.
  4. Any combination.
I know that the goal is to get him into the green numbers and keep him there and being flat for as long as possible. From what I understand, that would give him a better chance of staying in remission, if that is, indeed, where he is heading. But keeping him safe is the number 1 priority, and since I work full time that can be tricky, when increasing insulin dosage.

If you can give me a plan, and some test numbers/carb options scenarios within that plan, I will stick with it... no matter what happens, unless drastic measures must be called upon.

His shot time is in 2 hours. I'm hoping to make an informed decision by that time so that I can get his course of treatment started.

Thank you all SO VERY much for your encouragement, suggestions, and watchful eyes. :)

I was very fortunate that my employer allowed me to alter my work schedule so that I could keep such a close eye on Chase. I was SO hoping it would be enough time to find the right dose and combination of food for him, so that he might come off of insulin altogether. I guess there was a glitch this past week, that caused that to not be able to happen. Several people said, more than once, that it looked like he was on his way to it. I don't know what went wrong, though. I just hate to think that the past 2 weeks didn't lend to a successful remission trial. I really have done absolutely everything in my power to test him as often as possible, and feed him the right food, as well as keep up with his SS. I'm sorry if any of you have wasted "otherwise" better spent time by helping as much as you did. when maybe there was a cat who had a better chance at remission. It seemed like he had such a good shot at going OTJ. Now I don't know what's going to happen. It feels like I've come up a day late and a dollar short. But he IS alive and he's not nearly as sick as he was when we began this journey in January. For that... I am extremely grateful.
 
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I don't think it is his pancreas.

Did you feed MC at +6.5 as you were thinking? I'm only asking so we can put the puzzle together on him dropping later in the cycle.

+6.5 (1) tsp MC snack - scheduled snack
+8 (1) tsp MC (only because he had a low number)
+9 (1) tsp LC snack - scheduled snack


You are retesting 30 mins after food, yes?

92@+7
47@+8
82@+8.75
93 @+9.5
 
I
03.06.17 - 03.12.17

  • I can be home to test for +1, +2 and +3 every day. After this week, though, I have to start working my old work schedule, which only allows me to be home in the morning to do a +1.
  • I will be in Phoenix all day next Sunday. I can test, feed, shoot and then do a +1, +2 and +3 in the morning, but will have to leave immediately following the +3... then will be gone all day long. I will return around 6:00 p.m. and can do his PMPS, feed and shoot, like normal... and can test +1, +2 and +3... just as I have been doing.
  • I have to work next Saturday, so I won't be able to get a regular curve in, at all, this next week. I can do +1, +2 and +3 on Saturday.... then come back home once in the middle of the day to test him, and then do his PMPS, +1, +2 and +3 like I normally do.
  • I am putting all of this out there because of the change in Lantus dosage. I want those of you who have been helping to guide me know about my schedule because of the way Chase does his nose dives at around +3 each morning. I know that he would need to be watched especially closely, with any increase in Lantus.
With all that being said, it's probably not a good time to consider taking him up to .75u. So I guess, then, there are these choices:
  1. Keep him on 0.1u and monitor him for his +1, +2, +3. Keeping him on MC food.
  2. Take him back down to the previous drop dose and give him LC food or a combination of LC/MC.
  3. Take him off of insulin altogether and feed him nothing but LC.
  4. Any combination.
I know that the goal is to get him into the green numbers and keep him there and being flat for as long as possible. From what I understand, that would give him a better chance of staying in remission, if that is, indeed, where he is heading. But keeping him safe is the number 1 priority, and since I work full time that can be tricky, when increasing insulin dosage.

If you can give me a plan, and some test numbers/carb options scenarios within that plan, I will stick with it... no matter what happens, unless drastic measures must be called upon.

His shot time is in 2 hours. I'm hoping to make an informed decision by that time so that I can get his course of treatment started.

Thank you all SO VERY much for your encouragement, suggestions, and watchful eyes. :)

I was very fortunate that my employer allowed me to alter my work schedule so that I could keep such a close eye on Chase. I was SO hoping it would be enough time to find the right dose and combination of food for him, so that he might come off of insulin altogether. I guess there was a glitch this past week, that caused that to not be able to happen. Several people said, more than once, that it looked like he was on his way to it. I don't know what went wrong, though. I just hate to think that the past 2 weeks didn't lend to a successful remission trial. I really have done absolutely everything in my power to test him as often as possible, and feed him the right food, as well as keep up with his SS. I'm sorry if any of you have wasted "otherwise" better spent time by helping as much as you did. when maybe there was a cat who had a better chance at remission. It seemed like he had such a good shot at going OTJ. Now I don't know what's going to happen. It feels like I've come up a day late and a dollar short. But he IS alive and he's not nearly as sick as he was when we began this journey in January. For that... I am extremely grateful.

I am very proud of you for listing out the options but remember it was 0.25u we were discussing, not 0.75u;););) Even I wouldn’t attempt 0.75u with these numbers and I was pretty aggressive :):p:p

Your goal of keeping him safe is the most important. If it were me, I’d deal with a week at a time and not get too ahead because a lot can change in a week. We know you are available to test up until +3 each day this week which is great!

I don’t think anything went wrong. No one can predict what a cat will do. Some get down to 0.1u and just can’t make it to the finish line on remission. This is the reason I really like to stress that the goal is a well-regulated cat. And those of us who help....our goal is safety and a well regulated cat for you. My goal in helping someone is for their cat to feel better and to stay in good numbers. As long as someone is learning and trying, my time is never wasted. I would wager that everyone feels the same. It’s just important to remember that you are dealing with hormones and a living, breathing creature. Things change and it isn’t anything you’ve done wrong or failed to do. Give yourself a pat on the back that he looks this great!!!

I think you understand the options and I think this also has to be your decision. If you choose “door number one”, you really have to stay on top of the testing and the feeding at PS, +1, +2, +3 according to the plan which means MC. If you see a big drop early in the cycle like you did today, I’d go with HC because a drop of 90 mg/dL needs to be slowed down. You don’t need karo if he’s at a safe number like he was today but you need to apply the brakes.

If he were mine, I’d not feed after nadir. I’d give the majority of food before and around onset and leave some for later (e.g. +4 to +6) via auto feeder if he needs to surf.
 
If I stay with what I did today, what will it mean that I can't do anything more than a +1, after this week? I know it has to be my decision, but I was hoping that someone could look at his data, so far, and let me know if they thought he'd be safe to continue on the 0.1u.

When you say that you wouldn't give him food after nadir, well... I'm not even completely sure when his is because it varies. Feeding at the PS? Yikes... better go find my dictionary.
 
If I stay with what I did today, what will it mean that I can't do anything more than a +1, after this week? I know it has to be my decision, but I was hoping that someone could look at his data, so far, and let me know if they thought he'd be safe to continue on the 0.1u.

When you say that you wouldn't give him food after nadir, well... I'm not even completely sure when his is because it varies. Feeding at the PS? Yikes... better go find my dictionary.
I hold just try to feed prior to +6 when you leave food out in the autofeeder.

I did look at his data and I wouldn't agree with an option that would not have a margin of safety :). So I'm glad you thought about it and made a decision that works for you and Chase.

PS is preshot.
 
Hi Sandi.

Awesome job today getting Chase up from that scary dive. You're getting excellent guidance from Marje, so I'm just going to add one thought: Whenever you get a number that surprises you, whether it's really high or really low (like 22), retest immediately. Sometimes you don't get enough blood on the strip, or too much, or the strip got contaminated somehow. I can't tell you how many times I got a scary low number, but when I retested right away discovered he wasn't so low after all (poor cat, I would often get a third test to break the tie). The point is, if the test is in error, you don't want to carb him up unnecessarily, but if it is accurate, it's good to have that back up reading.
 
Just saw a 56 @+1 on his SS. I hope you gave HC and a retest 30 mins later.

I'd take the dose back down to a drop in the morning, Sandi. Maybe he just needed a little kickstart. Mission accomplished.

Everything ok?
 
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I'm sorry if any of you have wasted "otherwise" better spent time by helping as much as you did. when maybe there was a cat who had a better chance at remission. It seemed like he had such a good shot at going OTJ. Now I don't know what's going to happen. It feels like I've come up a day late and a dollar short. But he IS alive and he's not nearly as sick as he was when we began this journey in January. For that... I am extremely grateful.
Oh Gosh, Sandi, no wasted time on anyone here that needs help :bighug: I am feeling a little badly that I was one of the ones that talked about remission and I still think it is a viable possibility since he is doing so well on such a tiny amount of insulin. Please don't feel discouraged as he is doing so wonderful and it is just a matter of getting him to stop the bouncing and for Marje and your to fine tune the food /insulin ratio.

I peeked at his SS today and it is looking so good. Hope you are feeling better. :bighug:
 
Oh Gosh, Sandi, no wasted time on anyone here that needs help :bighug: I am feeling a little badly that I was one of the ones that talked about remission and I still think it is a viable possibility since he is doing so well on such a tiny amount of insulin. Please don't feel discouraged as he is doing so wonderful and it is just a matter of getting him to stop the bouncing and for Marje and your to fine tune the food /insulin ratio.

I peeked at his SS today and it is looking so good. Hope you are feeling better. :bighug:
Oh gosh... no... don't feel bad. It has encouraged me to know that he looks like a good candidate for remission. I think it's gonna happen, too. But it will be in the King's time... not mine. LOL

I'm off to work. Have a great day! :bighug:
 
Chase's BG dropped 10 points in 30 min (see his +5 readings on his SS). I have to go to work so I can't stick around. I fed him 2 tsp MC with 2 tsp HC gravy. His timed feeder has MC in it... set for 1.5 hrs from now. Please, @Marje and Gracie ... if you see where I should have done something different with his food... let me know. I'm still trying to understand "when" I give MC with HC gravy to stop numbers from dropping, AND how those feedings affect his schedule.

Thank you ALL for everything. :)
 
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