MURPHY 9/21/201 AMPS 270 PMPS +1 = 162

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msmurphy2010

msmurphy2010

Member Since 2010
Take a peek at this !!!! Murphy PMPS at 6:30 a.m. before she ate was 270. I was at work all day and I've run out of strips, should have them tomorrow, but tonight, she's at 162. I'm wondering what could be going on during the day, or if this is just a fluke. Any ideas? I'm pleased as could be, and I can tell today she feels so much better.

Lisa and Murphy
 
can you get more strips tonight? +1 should be higher than PMPS, not lower. Lack of food spike at +1 usually means it will be an action cycle.
 
No, they're both at pre-shot. I just wonder how low she got today, but she appears to feel really good. The vet said it would take several weeks to see some sort of improvement, although I don't want to get my hopes up to high right now, and I'm also trying to portion her food out better as well. I have one more meter at home with one strip left I think. Will test after dindin.

L/M
 
Hi Lisa,
Im really glad to see you have made it to LL. I think you will find a great deal of support and information here to keep Murphy healthy.

Im a little confused when you say Murphy is ____ @ breakfast or dinner. The number you want is right before you shoot the insulin. Your ss shows the 162 as PMPS (the number you got before shooting insulin), but your heading and post imply it is the number you got 1hr after the insulin. Can you clarify?

Can you run out to the store and get a small batch of strips? when shooting a number lower than you have in the past, its always a good idea to get a +1, and so on to see what is happening...and of course keep her safe.

A back up meter is also a good idea. Any chance there is a walmart around? That would be your cheapest option for tonight...relion meter and 50 strips.

If you could start getting some checks in the evening, that will help people here be able to guide you or give you feedback. With only preshot numbers, folks cant help. This is because dosing is based on nadir (lowest # in 12hrs), not pre shot #'s. Also, getting curves on the weekend is good. Looks like you gave that a good, honest attempt this weekend?

I hope you can get some more strips tonight. Again, I think that may be very important for both data and making sure Murphy stays safe.

Keep posting! Things are coming along, arent they?
 
Oh- I see you kind of clarified it. You shot 2u insulin at a 162 pmps. Strips would be a helpful thing tonight if you could run out at some point. :mrgreen:
 
Maybe I'm doing my spreadsheet wrong, because I've been reporting my pre-shot numbers, but I guess I am putting them in the wrong place or reporting them wrong. I do have a backup meter, with one or two strips left. She certainly ate all her dindin. So, tonight, the entire day so far is before breakfast, 270 and before dindin 162. But, if you look at my spreadsheet I have been testing during the day when I am home, several times per day. I'll keep an eye on her tonight. She seems to feel better -- I noticed right away when I got home, but I wonder what's going on during the day if she's at 162 before dinner 12 hours later. She should be getting higher prior to dindin, right? I may have my pet sitter come from 11-2 tomorrow to check on her.
 
Re: MURPHY 9/21/201 AMPS 270 PMPS 162

This is way different than treating feline asthma. I'm supposed to be looking for lack of coordination, drunkenness, excessive hunger, what else - if she would go hypo? I've got the Karo syrup. I called my vet and she said that since she's so hyper-G that she wouldn't go under 100 probably. I'll keep my eye out tonight.
 
No, I see your tests over the weekend....or when you are home. Try some evening tests, if you can thru the week, though.

Im glad you have a strip or two. Try a +2 if you can.

Its possible she is going 'low' during the day. Its also possible she is getting good duration, or taking a double dip at the end of the cycle. Again, more testing and data will help you understand that for the future. We just cant know right now.

Big drops and low numbers will often, but not always make a cat want to eat. Eventually you learn how your cat reacts to drops or low numbers. Latte used to drink when she was high, and drink when she went low. Eating was hit/miss as a sign. If she was howling at her water bowl, it was a sure sign I better test!
 
Re: MURPHY 9/21/201 AMPS 270 PMPS 162

msmurphy2010 said:
This is way different than treating feline asthma. I'm supposed to be looking for lack of coordination, drunkenness, excessive hunger, what else - if she would go hypo? I've got the Karo syrup. I called my vet and she said that since she's so hyper-G that she wouldn't go under 100 probably. I'll keep my eye out tonight.
Click to expand...

Your best tool is testing, Lisa. Not every cat shows symptoms of a hypo. Im not sure its accurate to say she probly wont go under 100. She is a cat! :lol: No one knows what she will do! She could have gone 'low' during the day is on her way up for all we know, giving you a really high number tomorrow (300+). Test, test, test. Sorry. :sad:

Most importantly...you ARE home watching her. And, you have us! :mrgreen: Post and ask about any concerns, k?
 
The test you take immediately prior to your giving Murphy his shot is your AMPS or PMPS. On your SS, and from what you describe, it sounds like your PMPS was 162. What's confusing is your subject line -- it indicates that the 162 is an hour after you shot (i.e., your +1 after your PM shot). I think your SS is right, it's the subject line that is wrong.

The term, "Murphy's Law" -- whatever can go wrong, will go wrong could be very special for your kitty, given the name. In this case, it might mean that the day you are low on strips is the day Murphy's numbers run low and you really need to test like crazy. The moral of the story is to not run low on strips. I always have at least 25, if not 50, in reserve.

The symptoms of hypo are as follows:
list of symptoms:
* glassy eyes - it may look like cat is staring into space
* abnormal hunger
* restlessness
* meowing, crying, yowling, or vocalizing in a way that is unusual for your cat
* sniffing around (like a dog)
* dilated pupils
* laying, sleeping, hiding or curled up in an unusual location of the house
* vomiting
* cat looks/acts 'freaked out'
* problems with eyesight
* unusually aggressive (hissing , swatting, etc.)
* unusually overly affectionate
* weakness, lethargy, sleepiness
* head tilting
* unable to wake the cat easily when it is sleeping.
* drooling
* shivering
* staggering, uncoordinated movements, 'drunken' walk, wobbling, unbalanced
* ataxia - usually lack of muscular coordination, but maybe changes in head and neck movements
* disorientation (yowling, walking in circles, etc.)
* twitching
* stupor
* convulsions or seizures
* coma

There's more info on hypo in the "Data Ready" sticky. As long as you are testing, this is very unlikely to happen. Some people have described lethargy or their kitty looking a bit glassy eyed but even that is unusual. HC food is the first choice for lower numbers. Sometimes a few drops (literally) of syrup are needed but most of the time, the gravy in HC food does the job very nicely.

Definitely get a +1 and a +2 and you may need to get more tests after that.
 
I'm going to test her at 9:30 and then at 12:00 before I go to bed. I just bought 50 strips last week, and I bet I ran through 20 of those just trying to figure out how to get that little vein in her ear. I have 325 coming tomorrow and another 100 coming next week. I'll keep a good watch on her, I always do, just like the other night, sitting right in front of me, she had an asthma attack, and had I not been around, who knows what would have happened. First attack in over 2.5 years. Right now, she's sleeping, holding her Hello Kitty beanie baby'!
 
Is this common to see within the first few weeks/months of insulin therapy? She hasn't been this low in at least a year and a half.
 
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