LOW BS (26) and we need to travel

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My biggest question is how do you measure insulin doses that small?

Right now she almost always has food in her dish. She gets upset if her dish is empty. When she was first diagnosed, I discovered that her numbers were best if she was fed low carb food twice a day. She is keeps herself to two a day all on her own.
 
Dyana asked for more eyes on your situation. You're skipping tonight, right? I think that's smart. I would continue to test her to make sure she stays over 50 this evening, and I think I would hold off her shot tomorrow morning unless she's over 150-200. If you can post in the morning before you shoot, have someone experienced take a look at her spreadsheet and help you decide if you should shoot or not.
 
I have to also wonder if Baby is one of those cats that responds to stress by going low...it's not the usual way they respond, but as I know with China, she's one of them that does it

I agree you should just skip tonight...get a good night's sleep (and yes, update your spreadsheet if you can!) and let's see where she is in the morning.

She may also be one of those I told you about the other day....that go from having a symptomatic hypo to OTJ
 
The spreadsheet is as up to date as it can be. As I said before, I have not been testing her sugars regularly up until now. I will start again.
 
She was at 102 this morning before Her morning shot would have been. We didn't shoot her this morning.

Where should I go from here?
 
You have 2 options:
- Wait until she's up over 200 mg/dL to shoot
- Use drop dosing as follows:
Using a colored liquid, so you can see it more easily, fill a syringe to 0.5 units.
Slowly squeeze out equal-sized drops, maybe by twisting the plunger, until you can get the same number of drops per 0.5 units every time.

Now, you can draw up more than the amount you need, and squeeze out drops to the dose you want.
You discharge the excess into the sink.

Decreases may be done a drop at a time.
 
I'm glad you skipped, but I'm a little confused on your spreadsheet

You said she was at 102 this morning and you skipped, but it looks like you shot .25 and she dropped to 30? Or is that yesterday morning?

Looks like maybe you have the dates wrong or she got a 102 two mornings in a row?
 
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That 102 to 30 is listed under yesterday's date on the spreadsheet. Did she give you exactly 102 two mornings in a row? If so, it looks as though last night's shot and this morning's were both skipped - is that right? Maybe she is ready for a trial, depending on how her numbers look later on today!
 
I'm sorry, I was mistaken. She was at 106 this morning. The spreadsheet is corrected. She is up to 156 right now. We are at +9 right now.

We skipped both last night and this morning's shot.
 
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Can you snag a +2 if you do shoot?
What you might consider is waiting until morning, then doing 0.25 for just an am dose unless she starts really climbing.
 
That's actually good news - it looks like she's brought herself down after eating. :) Her numbers are a little high for an OTJ trial just yet, but it does look as though she might be on her way - she probably just needs a little more support at a low dose for a while. I think skipping tonight is reasonable - and her depot will be emptying with every skipped shot so you won't have an overlap problem from the bigger depot when you do give a shot at the new, smaller amount.
 
Just be aware that after a symptomatic hypo, a cat can be very sensitive to insulin, so err on the side of too small of a dose when/if you shoot her. Looking at her spreadsheet (great job getting that together!) I wouldn't start with more than 0.25u.
 
We had already started to do the low doses as of friday night after the first hypo. I won't check her overnight because we both need sleep but i will check her before her shot time in the morning. At this point, what numbers should i be looking for AMPS to actually give her shot?
 
Since you have limited data on her, I'd like to see her at around 200 before shooting...and that's only if you're not going to be on the road and will be available to test

We have no way of knowing how sensitive she's going to be to the next shot, so better to let her be a little higher than too low again
 
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