Shaak AMPS 170, Feb. 25, 2016

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Cathie and Shaak Ti (GA)

Cathie and Shaak Ti (GA)

Member Since 2016
AMPS 170

even lower than yesterday's AMPS. I am leaning towards not shooting because of her being low and also because of my being scared of last nights descent below 100 so quick. I have a feeling that these are the things I am going to have to become used to as it will probably be Shaak's way of getting her own body working but please understand for me I feel the need to be able to be here for several thirty minute increments of time and right now I can't manage it, this weekend I plan on being here for long stretches during the day and so should be able to accommodate myself to Shaak's schedule better.

@Marje and Gracie
@Sue and Oliver (GA)
 
I understand your hesitation, Cathie. Did you do the second retest to be sure she is rising, not falling?

We might look at 0.25 minus a drop or two on the days you can monitor. I am conservative and I wouldn't shoot under 180 and then only a few drops with plans to test.

Today, it would be fine to skip. Sounds like you can't monitor and she is low.
 
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I'm out of my realm here as with levemir, I wouldn't hesitate to shoot this number if I had to be in and out but the onset, nadir, and duration of the insulins is hugely different.
 
Then I would skip. You can't monitor and she is unpredictable. Any day you will be around to monitor, remember to wait to feed and take the second test so shooting is a possibility, even if you only give a drop.

I would really like to see the pancreas test. Today would be a good time - when you can, get a test. Then feed her maybe half a can. Wait 40 minutes to an hour and retest. If she goes down instead of up, her pancreas may be working (Marje, I am confused here. Don't we usually say food will impact the numbers within 20 minutes or so? That's why we say stall without feeding that long? I would think in 2/3 hours, the impact of the food could be gone.) Cathie, my thought is that we think food raises levels in a cat whose pancreas is not functioning. And food doesn't impact levels in a cat whose pancreas is functioning. I see no other explanation for the long cycles other than her pancreas is helping to keep the levels flat,and even bringing them down, without any insulin present.

It is different with the non depot insulins. Especially with one that has the fast onset like N. I know I may be overly cautious, but I would be careful shooting under 180 and even with 180, plan to monitor carefully and be ready to bring up a low number.
 
Not much of a change.

Tonight, if you want, you can give her a shot earlier than usual. That might give you some extra time in the morning for the amps to rise, if it's low. Does that make sense?
 
Sounds like you've got a plan, Cathie. Looks like last night was a bit busy for you! I hope she'll surf a bit higher. :cool::cool:

Will be interesting to see if she's gone down from that +19.
 
Sue and Oliver (GA) said:
I would really like to see the pancreas test. Today would be a good time - when you can, get a test. Then feed her maybe half a can. Wait 40 minutes to an hour and retest. If she goes down instead of up, her pancreas may be working (Marje, I am confused here. Don't we usually say food will impact the numbers within 20 minutes or so? That's why we say stall without feeding that long? I would think in 2/3 hours, the impact of the food could be gone.) Cathie, my thought is that we think food raises levels in a cat whose pancreas is not functioning. And food doesn't impact levels in a cat whose pancreas is functioning.
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I think we are talking apples and oranges. Food starts to effect the blood glucose in 30 minutes but the action of endogenous insulin (i.e. The pancreas working properly and secreting insulin) takes much longer. What happens is the cat eats, the BG rises, the beta cells detect the increase in the BG. In a cat with a working pancreas, insulin is released which goes into the blood and binds with glucose and takes it to the cells, thus lowering the BG. That process takes about 3 or so hours. So if you want to see if the pancreas is working, you test and feed. The BG goes up. If the pancreas is working, it will release endogenous insulin and within a few hours, the BG comes down. Same as for humans. So yes, food does impact BG levels in cats and humans with a working pancreas. it just may not affect them to the degree it affects a diabetic cat.
 
PMPS 250

shot 0.5 u

a little nervous about the dose, I fear low numbers.

I did not get to shoot early, My room mate needed help. He took a walk across the street for a chocolate shake, almost passed out, and called me to come get him. Thankfully we got him home okay, he refuses to go back to the hospital though.

@Marje and Gracie

@Sue and Oliver (GA)
 
Sounds good! I'm headed to bed. I think she will surf for you with LC....hopefully.

Another great job, Cathie. She might get a little duration tonight so hope you rest. If she comes up a bit, you ca probsbly grab a couple hours sleep and set an alarm. Up to you....you know her.

Good night.
 
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