Stalling need help

If you are able to monitor today, and have plenty of supplies, you can shoot the normal dose. If you shoot, you'll need to get a +1 and a +2. I'm at work and can't stay with you. Just keep your subject line updated so people can see if you need help.
 
Ive 'been in your shoes...but I can't tell which protocol you're using, and am not comfortable giving dosing advice. Please get your signature done. With that said....I would not skip... given the high numbers in the recent past. here are the options using SLGS:
  • Between 150 and 200 (8.3-11.1 mmol/L), you have three options:
    • a.) give nothing
    • b.) give a token dose (10-25% of the usual dose)
    • c.) feed as usual, test in a couple of hours, and make a decision based on that value
    You may feel more comfortable giving a token dose.
I hope a mod or someone with more experience answers soon.
 
Thanks I got this
122 – 645am
137 - 715 -
153 – 730
177- 745 after little bit of food
so I think she'll keep climbing, if I skip or reduce if you notice Friday and Sunday she'll shoot right back up to 500's/HI.
 
You're welcome. Yeah, in the beginning when I saw those #s, I figured some insulin is better than none and reduced. Skipping always shot my Nova back up. I highly encourage you to go over the forum and read as much as possible. A LOT of info, get your signature up, and always update your spreadsheet. Sorry, I can't find the link, but click on your profile and you will see a link to set it up :) Hang in there. It is hard to get a response in the am, so the more you know the better you'll be able to help your sweet kitty.
 
Thanks, my link to spreadsheet is up there, right under my question, important to see the trend because I skipped before and that didn't work.
 
I saw that.....look for "how to help us help you" maybe in the welcome, or main health forum...I can't remember. It will walk you through getting your signature set up with a permanent link to the spreadsheet, and important info for the experienced when they respond. Good luck, hang in there...as I've been told, dealing with Feline diabetes is a journey, or a dance, and it takes time to see good results. The info here is invaluable....helped us tremendously. :)
 
carfurby said:
If you are able to monitor today, and have plenty of supplies, you can shoot the normal dose. If you shoot, you'll need to get a +1 and a +2. I'm at work and can't stay with you. Just keep your subject line updated so people can see if you need help.
Click to expand...
@carfurby this is how it went
122 – 645am
137 - 715
153 – 730
177- 745 after little bit of food
363 9am after little food (she doesn't eat alot at once
gave 1 unit, +1=477
PLEASE ADVISE for future trends like this, I believe I could have safely given 1.5, but at least I didn't skip this time. apparently she quickly rises.
once I understand this scenario, these morning readings will be a breeze for me to figure out myself.
Any info you can offer as you reflect on this incident and the rest of her chart would be grately appreciated.
I'm new to this board so I don't have everything perfect yet, but appreciate answers while I get that accomplished
Thanks
 
With the 147 at 7:15 it was safe to shoot your normal dose as the bg was going up. Yes, as Carla said, you could have shot on time as it was a safe number, provided you had supplies and could monitor.
 
tiffmaxee said:
With the 147 at 7:15 it was safe to shoot your normal dose as the bg was going up. Yes, as Carla said, you could have shot on time as it was a safe number, provided you had supplies and could monitor.
Click to expand...
yes, thanks she is now 477, and her normal routine is to rise quickly, so I was uncertain. she also does not eat that much at once time, but I think with Lantus that's ok
 
With Lantus onset is usually around +2 but can be as early as +1 or as late as +3. With Max a +1 was useless because he always got a food spike and was carb sensitive. I always fed Small meals often.
 
Hi Terry,

You shot roughly 2 hours late today. Is 6:45 your usual and preferred shot time?
Since you shot at 9:00 a.m. this morning, you cannot shoot at 6:45 tonight. Doing so is overlapping the dosing and can be dangerous.

To get back on schedule, you can
(a) shoot 30 minutes early with one of the shots each day
example:
Wed: 8:30 a.m.
Thurs: 8:00 a.m.
Fri: 7:30 a.m.
Sat: 7:00 a.m.

OR

(b) shoot 15 minutes early each shot
example
tonight: 8:45 p.m.
Wed: 8:30 a.m. and 8:15 p.m.
Thurs: 8:00 a.m. and 7:45 p.m.
Fri: 7:30 a.m. and 7:15 p.m.
Sat: 7:00 a.m.

It would help anyone looking at your posts if there was a signature added. It should contain the basic information. Type of insulin, food fed, meter used. any additional health problems …
Go up to the right hand top of this thread and hold the cursor over your name, then click on "Signature."
 
I know that well, it was this mornings amount that I needed help with, and now future advice on the morning number so I can make my own decision based on these results and previous results, is what I was asking
 
Right now it looks like she bounces when she gets into low numbers. That will eventually change once her body gets used to the lower (more normal) numbers. Usually you can shoot a number in the low 100s as long as you can monitor and have supplies. When you do it's a good idea to test early to see what she's going to do so you can intervene if you need to.
 
@carfurby furby yes, I see that I could have given the normal 1.5, and not waited so long, because she does quickly go up, food or not because she doesn't eat that much and it's low carb. but she wouldn't bounce if I kept the shot up, not reduce or skip, is what I think the problem is?? Thanks for your help!!
 
Bouncing is one of the most frustrating parts of the sugardance. There's no simple answer to it other than in most cats, it eventually stops.

Bounces are caused by 1. the BG dropping too low, 2. dropping too quickly, 3. dropping into numbers the body isn't used to being at anymore (or any combination of all 3).

The liver releases stored sugars and hormones to bring the BG up quickly. In the first 2 cases, to "save" the cat from possibly crashing.

With the 3rd reason, the same thing is going on (the liver is kicking in) but it's because of a "perceived" low, not an actual one. Most of our cats are actually diabetic for quite some time before they become sick enough for us to get them diagnosed so their body has had time to get used to living in those higher numbers. So even though dropping from 350 to 200 isn't anywhere near "too low", the body still says "wait a minute! I'm not supposed to be this low anymore!! Better release the hormones and sugars!!!"

With time, the body re-learns that it's OK to be in normal numbers and the bouncing slows down and hopefully stops.....but we've also seen cats who bounced all the way to OTJ.
 
teresazu said:
Thanks I got this
122 – 645am
137 - 715 -
153 – 730
177- 745 after little bit of food
so I think she'll keep climbing, if I skip or reduce if you notice Friday and Sunday she'll shoot right back up to 500's/HI.
Click to expand...

You asked me what I would have done so here's my thinking:

Let's say your usual shot time is 6:45 ….You got a 122 and you don't have enough experience or data to shoot that low yet so what you should do is Stall, Don't feed and test again in 20-30 minutes.

The 137 is going up, but could still be from the variance that meters can have but it IS going up...so testing again in 15-20 minutes you get 153

It is now pretty obvious that the last shot is wearing off because the numbers are trending up without any food in the picture, so I would have shot the scheduled dose at 7:30 as long as you could be home and test as much as necessary.

Anytime you get a PS that you're not sure about shooting, don't feed and keep testing to see if that number starts to trend up. Once it's going up, you can feed (which will also usually cause the BG to go up) and shoot (remember that the shot you give now doesn't usually start to kick in for 2-3 hours so you have those 2-3 hours for her to eat)

As you gain more experience and data and start to truly understand how both the food and insulin work in Cleo's body, you'll gradually shoot lower and lower Pre-shot numbers.
 
Have you decided yet if you are going to follow Tight Regulation (TR) or Start Low Go Slow (SLGS) for dosing? If so, please put either TR or SLGS in your signature so we can help you better. The guidance for shooting lower numbers differs between the two dosing methods.
 
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