Low pmps 66 do I does the drop. I’ve stalled for now

NikkiN

NikkiN

Member Since 2019
NikkiN
3.8 (68) half hour before pmps! Do I give the drop or stall? What to do please. I can’t check after +2-3 tonight.
 
NikkiN said:
I guess so. Do you think that’s best? I was stalking as I’m assuming she’ll then bounce again if I skip
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I think it is best to skip.
You can’t test past +2 or 3 tonight.
And you are doing SLG S and 65 is quite a bit lower than 90.
If you had been able to monitor the whole cycle it might have been different.

I’d just feed her the low carb food this cycle, not the 8% carbs because she isn’t getting any insulin.
I would get a +1 and +2 to make sure she is coming back up.
Even if she does bounce, she doesn’t do it for long and safety first. She is doing so well!
 
NikkiN said:
She had one can of 8 and half of low.
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Ok. If she eats any more just give the low carb this cycle
It will be interesting to see how high she does go this cycle. The bounce yesterday was from the low am Preshot of 85. And she doesn’t bounce for long.
The drop of insulin is bringing her down beautifully.
 
Bron and Sheba (GA) said:
Ok. If she eats any more just give the low carb this cycle
It will be interesting to see how high she does go this cycle. The bounce yesterday was from the low am Preshot of 85. And she doesn’t bounce for long.
The drop of insulin is bringing her down beautifully.
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Ok thank you. So in the morning I’m assuming she’ll be right to shoot - do I give her the low carb food or 8%
 
In the morning she should be high enough to shoot. If not, stall, post and ask for help.
Yes I’d give the 8% if you are giving the insulin
 
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It would be very helpful if you could set your title up like this:

11/18 Fif AMPS 131

Each day we are all asked to set up one condo/thread per day and it's difficult to know which day is which without a date, cat name, etc. Please help us to help you.

Thanks so much!
 
@NikkiN
How would you feel about swapping over to TR?
That way you would be able to start shooting numbers under 90.....as long as you were able to test the BG for that cycle.
That way you could avoid skipping as much.
At first you could shoot numbers above say 80 and gradually lower the preshot number as you get more data.
How would you feel about that?
If you decide to, can you change the method in your signature from SLGS to TR please..
 
Bron and Sheba (GA) said:
@NikkiN
How would you feel about swapping over to TR?
That way you would be able to start shooting numbers under 90.....as long as you were able to test the BG for that cycle.
That way you could avoid skipping as much.
At first you could shoot numbers above say 80 and gradually lower the preshot number as you get more data.
How would you feel about that?
If you decide to, can you change the method in your signature from SLGS to TR please..
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Yes sure if you think it will help. I don’t have time to read about it for next few days. So if you could guide me I can do that.
 
Hi Nikki,
The main difference is that she will earn a reduction with a drop below 50, and that you will ultimately shoot anything above 50.
You will also hold doses for a minimum of 6 cycles, and re evaluate the dose, depending on what she does with this drop dose you may need to go up to then come down again, but she will let us know.
As Bron says depending on what PS values are we can help you get comfortable with shooting lower.

Looks like she is bouncing and perhaps suffering from the skipped shot at the moment, though nice to see that she is dropping in that pm cycle tonight, with any luck she'll be back into blues and greens before too long.

FWIW I think it's a good decision, as TR will allow you to push her into the healthy/normal range of between 50-80 and with any luck she will get used to being there and we will stop seeing those pinks.
 
Gill & George said:
Hi Nikki,
The main difference is that she will earn a reduction with a drop below 50, and that you will ultimately shoot anything above 50.
You will also hold doses for a minimum of 6 cycles, and re evaluate the dose, depending on what she does with this drop dose you may need to go up to then come down again, but she will let us know.
As Bron says depending on what PS values are we can help you get comfortable with shooting lower.

Looks like she is bouncing and perhaps suffering from the skipped shot at the moment, though nice to see that she is dropping in that pm cycle tonight, with any luck she'll be back into blues and greens before too long.

FWIW I think it's a good decision, as TR will allow you to push her into the healthy/normal range of between 50-80 and with any luck she will get used to being there and we will stop seeing those pinks.
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I’m sure I can manage that. My concern is how much food she should be having. She has changed to weruva 8% and I’m struggling to work out how much to give. She eats twice a day just before shooting. She has been stable at 4.6 kilos for a while now. Just changed food 3 days ago.
I also have a concern as 21/12-2/2 she is going to be in care and the dosing will be the same each day with no checking. If she was to go hypo at all the vets are next door so that’s not a concern so much but the whole week of just letting her run her race without me checking.
 
NikkiN said:
I also have a concern as 21/12-2/2
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In FD terms thats a long way away, we can help you formulate a plan closer to the time.

NikkiN said:
She has changed to weruva 8% and I’m struggling to work out how much to give. She eats twice a day just before shooting. She has been stable at 4.6 kilos for a while now. Just changed food 3 days ago
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Is she at a good weight or do you need her to lose, or gain?
Here is a formula

calories per day = [13.6 X optimal lean body weight in pounds] + 70 1kg=2.205lbs
That allows you to work out how many calories, you can use that as a starting point, but the best way to work out if it's the right amount is to weigh her regularly, that's what I have done with George.

Is there a particular reason she is not getting fed midcycle?

I see you shot 90, please make sure you get a +1, or if it's later than that please get a test asap.
 
Gill & George said:
In FD terms thats a long way away, we can help you formulate a plan closer to the time.


Is she at a good weight or do you need her to lose, or gain?
Here is a formula

calories per day = [13.6 X optimal lean body weight in pounds] + 70 1kg=2.205lbs
That allows you to work out how many calories, you can use that as a starting point, but the best way to work out if it's the right amount is to weigh her regularly, that's what I have done with George.

Is there a particular reason she is not getting fed midcycle?

I see you shot 90, please make sure you get a +1, or if it's later than that please get a test asap.
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I’ll test now. I think her weight now which has been stable for a little while is good. Vets always told me feed twice a day just before insulin. I’ve stuck to that. But could give her a mid feed most days.
 
NikkiN said:
Vets always told me feed twice a day just before insulin. I’ve stuck to that. But could give her a mid feed most days.
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Diabetic cats do better on various meals through the day, it's easier on the pancreas.
Not more quantity, just the same but spread through the day.
George, for example, now he is of the juice, gets fed every 3-4hrs. Main meal at AMBG and PMBG then a snack at +3 +6 +9 (morning and night I have an autofeeder)

When he first went otj I was still checking him regularly twice a day, for quite a while, I noted that if he missed his +9 snack his ambg would be above what was normal for him.

And on that note, he's howling in the kitchen wanting his +3 snack:rolleyes:
 
NikkiN said:
So if my calculations are correct she needs around 200 calories per day
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yep, as I said, start with that, but you may need to adjust depending on what her weight says, you'll need to monitor.

George for example is a big guy, but he is old and very sedentary, according to that calcualtion he should get 270 calories, but he gets about 220 to 230, his weight is stable with that. If I give him more he would gain weight.
 
NikkiN said:
I’ll test now. I think her weight now which has been stable for a little while is good. Vets always told me feed twice a day just before insulin. I’ve stuck to that. But could give her a mid feed most days.
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Well he's about the same at +1.5, You might want to check her again at +3, it looks like you might see an active cycle.
 
I’m sorry Fifi is not eating.
Have you tried sprinkling some Parmesan cheese on her food?
Or offered her some poached chicken breast?

If she is still not eating in the morning I would buy some Ketostix if you don’t already have some and test her urine for ketones.
You may need to take her to the vet to be checked over tomorrow if she is still not eating to see if they can find the cause.
She may need an antinausea medication.
 
Bron and Sheba (GA) said:
I’m sorry Fifi is not eating.
Have you tried sprinkling some Parmesan cheese on her food?
Or offered her some poached chicken breast?

If she is still not eating in the morning I would buy some Ketostix if you don’t already have some and test her urine for ketones.
You may need to take her to the vet to be checked over tomorrow if she is still not eating to see if they can find the cause.
She may need an antinausea medication.
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Yes I will take her tomorrow. I’m wondering if it’s the food change not agreeing with her pancreas?
 
Bron and Sheba (GA) said:
It didn’t ever upset Sheba and she was prone to pancreatitis but ECID of course.
Did you try some Parmesan cheese?
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So to be naive what is ECID?
no Parmesan. She has no interest. I’m not sure if she has lost weight last two days. I’ve weighed her tonight and I’m sure she was 300-500 grams heavier two days ago. I’m just waiting to double check with my husband about the weight
 
Bron and Sheba (GA) said:
ECID is every cat is different.
Was she eating ok before tonight?
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Oh haha thanks. Definitely:)
Yes this morning she was herself and ate well.
She had a fur ball an hour before dinner time (not unusual every so often) and has seemed fine during the day. Tonight she has no interest in food at all and is a bit withdrawn. She has definitely lost weight since Monday.
 
Getting her to the vet and nipping whatever it is in the bud sounds like a good idea.
Sheba was always such a good eater, that when she wouldn’t eat I knew something was wrong.
Please let us know how you get on if you go to the vet. We worry about ‘our’ kitties’
 
Do I give her insulin this morning if she still has not eaten.
 
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NikkiN said:
Do I give her insulin this morning if she still has eaten.
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Do you mean ‘ still hasn’t eaten?’

If she hadn’t eaten, can you get an early vet apt first before giving the insulin?
I think I would wait and see the vet first.
My vet would always see Sheba because she was diabetic , especially if she wasn’t eating.
 
Bron and Sheba (GA) said:
Do you mean ‘ still hasn’t eaten?’

If she hadn’t eaten, can you get an early vet apt first before giving the insulin?
I think I would wait and see the vet first.
My vet would always see Sheba because she was diabetic , especially if she wasn’t eating.
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I’ve made an appointment online for this afternoon. I’ll call when they open to see if I can get in earlier
 
NikkiN said:
I’ve made an appointment online for this afternoon. I’ll call when they open to see if I can get in earlier
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That’s a good idea and tell them you are withholding the morning dose until she can be seen because she isn’t eating.
A couple of times when Sheba was ill I just waited at the vet for them to open as I knew they would fit her in.
A diabetic cat who isn’t eating is a priority to be seen.
 
She is at the vets for the day. Having some tests (maybe a uti) and some fluids. She did eat a tiny bit before we left.
 
I'm just trying to work out how much to feed her. she is 4.190 kilos so I'm assuming she needs 200 calories per day which is 4 of the cans if she stays on the weruva. I may need to find at cheaper food for her as they were $2 per can. Double the fancy feast I was giving her.
 
I just need to check with the vets this afternoon if they are happy with that weight or want her to possibly gain a little. She was 4.4 a couple of weeks ago.
 
There are other foods you could look at.
I have to go out now. I’ll be back in about 4/5 hours.
I’m sure we can find a combination of foods that would be suitable.
 
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