TYLER'S JOURNEY #3

Discussion in 'Caninsulin / Vetsulin and N / NPH' started by Diane Tyler's Mom, Jun 20, 2019.

  1. Diane Tyler's Mom

    Diane Tyler's Mom Well-Known Member

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    continued from previous thread which was #2
     
  2. Diane Tyler's Mom

    Diane Tyler's Mom Well-Known Member

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    @MrWorfMen's Mom ok will stay with FAT 0.5 u for today
    Just re posting from previous thread
    AMPS - 215 got into his brother dry food
     
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  3. Diane Tyler's Mom

    Diane Tyler's Mom Well-Known Member

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    @MrWorfMen's Mom Hey Linda ok AMPS was 215 today THURSDAY 6-20-19
    Tested at +2 119 so that means he dropped 96 points right?
    So he didn't have much room to play with , All of a sudden I'm getting confused
    I fed him FF
    and re tested at +5 - 116 so I fed him again
    I was out to I couldn't test at +4 like I usually do
    So he only dropped 3 points correct?
    Going to test him again at +7 is that ok which would be 5:00 pm @MrWorfMen's Mom
     
  4. MrWorfMen's Mom

    MrWorfMen's Mom Well-Known Member

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    HERE is a link to previous thread.

    Tyler may have gone a bit lower at +4 and is now on his way back up. That's OK. He's still in good numbers. The 96 point drop at +2 is a bit fast but not unusual for Vetsulin. He obviously slowed down thereafter. We'll see what he gives you for +7.
     
  5. Diane Tyler's Mom

    Diane Tyler's Mom Well-Known Member

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    Ok so only going down 3 points wasn't that bad, I don't know why I was getting confused about feeding him at +2 , so I was correct in giving him food at +2?
    At what point would you not have to feed anything at all.
    I mean say if his AMPS or his PMPS was between 95 and 160 would you still give insulin and still test @ +2 and after. I don't know why I am thinking about this all of a sudden lol. We have him at a no shoot of 175 right now @MrWorfMen's Mom
     
  6. MrWorfMen's Mom

    MrWorfMen's Mom Well-Known Member

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    Given his BG of late, you might be able to back up your no shoot number a tad but certainly not to 95 which is very close to the lowest we want him to go. Feeding him at +2 will slow him down a bit but if he was already low APMS and you give insulin, it would take more than a snack to get BG up to safe levels if he started to drop fast/a lot. It might be OK to shoot at 160, maybe a slightly reduced dose but not sure I'd go any lower. For now I'd stick with the 175 cut off.
     
  7. Diane Tyler's Mom

    Diane Tyler's Mom Well-Known Member

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    Ok will definitely stay with the 175. , Don't get aggravated lol let's say his AMPS or the PMPS is 165 would I give insulin if so how much?
     
  8. MrWorfMen's Mom

    MrWorfMen's Mom Well-Known Member

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    Let's cross that bridge when we come to it. It really depends on how he is doing at the time and for the past few days to a couple of weeks. Diabetes is not static and things change with time so we don't want to put the cart before the horse and decide to shoot any lower without knowing how he's been doing for a few days/week before.
     
  9. Diane Tyler's Mom

    Diane Tyler's Mom Well-Known Member

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    Ok I was just thinking the same thing , I'm over thinking to much. You better not disappear on me lol just don't get aggravated with me
     
  10. MrWorfMen's Mom

    MrWorfMen's Mom Well-Known Member

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    I'm not going to get aggravated. I tend to be a very patient person when it comes to this subject (not so much on some others LOL!). It may not be rocket science but it's not simple or even straight forward much of the time. Asking questions is the only way we learn so ask away.
     
  11. Diane Tyler's Mom

    Diane Tyler's Mom Well-Known Member

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    Please don't kill me lol I'm confused again .we said No Shoot at 175 or under right?Meaning if it's 175 or under do not give insulin
    How come then I gave the Fat 0.5 when I got BG's of 153 that was on 6-17-19 AMPS, 170 on 6-18-19 PMPS, 156 on 6-19-19 AMPS , What am I getting confused about lol @MrWorfMen's Mom
    Ok +7 - 169 I'm all screwed up now lol please explain this to me



    THURSDAY 6-20-19
    PMPS - 195 give FAT 0.5 units? @MrWorfMen's Mom
    Will be shooting at 10:00 pm slreaal went with the FAT 0.5 u @MrWorfMen's Mom
    +2 -107 and won't eat a thing for me, what if he drops any lower at +4 and still won't eat @MrWorfMen's Mom
    He finally ate a little around 12:30 am and tested at
    +4 - 118 couldn't keep my eyes open any longer I had to go to sleep
     
    Last edited: Jun 21, 2019
  12. Diane Tyler's Mom

    Diane Tyler's Mom Well-Known Member

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    @MrWorfMen's Mom
    FRIDAY 6-21-19
    AMPS .- 225 will give O.5 fat at 10:00 am
    Linda if you didn't see line #11 above could you please explain it to me @MrWorfMen's Mom
     
  13. Diane Tyler's Mom

    Diane Tyler's Mom Well-Known Member

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    @MrWorfMen's Mom Hey Linda
    FRIDAY 6-21-19
    AMPS. - 225
    +2- 108 so he dropped 117 points now I'm nervous, just fed him FF will check at +4?
    Please take a look at #11 , I'm just a little confused about the 175 cut off, when you read it yoully know what I mean, sorry to be a pain in the neck @MrWorfMen's Mom
     
    Last edited: Jun 21, 2019
  14. MrWorfMen's Mom

    MrWorfMen's Mom Well-Known Member

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    While Tyler dropped a fair bit in that 2 hours, the fact that he didn't feel the need to eat might be a good sign that he is getting use to being in those lower numbers. That doesn't make you feel better at the time but it's nothing to panic about. If you were to find that he was continuing to drop quickly, then you can always intervene with higher carb and if that means treats he will eat, so be it. As a last resort or if numbers are really low, rubbing karo or honey on his gums will give him a quick although short lived boost. He has a habit of doing the quick drop but he is surfing in decent numbers for a decent period too so I wouldn't worry about him too much. Not saying to become complacent but I don't think on this dose he is likely to nose dive unless he hasn't eaten his pre-shot meal well.

    I see the drop again today. If you are worried about him check him again at +3. If he's fine at +3 then leave him go until +5 or +6 and check again then.
     
  15. Diane Tyler's Mom

    Diane Tyler's Mom Well-Known Member

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    I guess I should feed him again after +3 also? Did you read what I wrote on #11 please don't get annoyed with me @MrWorfMen's Mom
     
  16. MrWorfMen's Mom

    MrWorfMen's Mom Well-Known Member

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    If Tyler isn't hungry at +2 check again at +3 and feed him then. It's hard to give you hard and fast rules because kitty doesn't always co-operate as you found out. Relax. Tyler usually hits nadir between +2 and +4 so if he drops more than usual, my bets are that he will want to eat. You are checking him often enough to catch a big drop and if you see something out of the ordinary for him, you can always test again earlier.
     
  17. Diane Tyler's Mom

    Diane Tyler's Mom Well-Known Member

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    He did eat @ +2 I gave him FF, did you read #11 yet, I am getting confused about the 175 cut off .I'm sorry to keep asking @MrWorfMen's Mom or do you mean if he doesn't want to ever eat @ +2 then test again at +3
     
  18. MrWorfMen's Mom

    MrWorfMen's Mom Well-Known Member

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    Yes. Unless he's seriously low at +2 (getting down to 80 or 90), just let him be and retest in 30 minutes to an hour again depending on BG level. So if he is at 100 you can wait an hour...if he's at 85 retest in 30 minutes.

    The 175 cutoff is for pre-shot readings only and tells you whether to give him a full dose or any insulin. We expect the readings after pre-shot to be lower.

    Not sure I am explaining this well. Maybe I'm not understanding what is confusing you. Let me know.
     
  19. Diane Tyler's Mom

    Diane Tyler's Mom Well-Known Member

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    Ok +3 98 dropped 10 points
    Ok just tested @+3 98 What's confusing me is those numbers in page #11 weren't after pre shot @MrWorfMen's Mom
     
  20. MrWorfMen's Mom

    MrWorfMen's Mom Well-Known Member

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    Oh now I understand. You're right. If you can monitor and get tests then you can shoot those lower pre-shots. I'm hesitant to make it a carte blanche thing that you can shoot under 175, say 150 or above, only because if he suddenly decides to start throwing green numbers, then it wouldn't be safe. Today is a prime example. He's now down to 98 and he started higher. It's something that needs to be watched in relation to what Tyler has been doing for the past few days. Right now, knowing what he's doing today, I'd be reluctant to shoot under 175. Clear as mud right!?
     
  21. Diane Tyler's Mom

    Diane Tyler's Mom Well-Known Member

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    Ok so what you are saying is with those numbers I posted on #11 I didn't have to give any insulin at all? So for the next few pre shots if he's under 175 do not shoot
    What do you mean 150 or above? I don't know what you are trying to tell me about that, I have no clue @MrWorfMen's Mom
    I just gave him some more FF @+3 now I feel like giving up because I'm not understanding
     
    Last edited: Jun 21, 2019
  22. MrWorfMen's Mom

    MrWorfMen's Mom Well-Known Member

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    Diane, breathe. This is not black and white stuff. Some of it is gut feeling and a lot of it is comfort level along with history.

    We initially say don't shoot if BG is under 200 (or in your case 225 to 250 because you use the pet meter) because when you are new and don't have data, you don't know what kitty will do and have little to no history to predict what kitty will do. Once you get some data to understand how the insulin is working for Tyler, we moved the no shoot limit back to 175 because we want to get those pre-shots down and get him surfing in decent numbers through a longer period each cycle.

    Tyler did fine shooting around 175 pre-shots and didn't drop exceptionally fast or a huge amount so when he gave you lower pre-shot numbers it became a decision making process. Given how far he was dropping on the dose he was on from 175, I thought it was safe to try dosing him at 153 for instance because he wasn't dropping enough to get into trouble with 20 points less to play with (the amount of room he has till he hits that 80 to 90 goal.)

    The last couple of days, Tyler has dropped a bit more in that first couple of hours so if he were to present you with a reading of 153 tonight, I definitely wouldn't give him the fat 0.5u. I might try a skinny 0.5u or less if you can monitor but otherwise I'd say skip. It's a bit of guess work but it's based on Tyler's current handling of the insulin. That's why the testing is so helpful. It gives you data to see what he is likely to do.

    Does that help? :)
     
  23. Diane Tyler's Mom

    Diane Tyler's Mom Well-Known Member

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    You are definitely going to kill me or stop replying to me , so if he might give me a PMPS tonight of 153 lower his dose, correct, what I'm confused about now if it is 153 or let's say lower why am I giving any insulin at all??, Is it to get him into the higher greens and lower blues at preshots so we don't have to give any insulin, you really must be tired of explaining things to me over and over again , yes I'm a hyper person lol @MrWorfMen's Mom
    Ok just tested at +4 - 124
     
    Last edited: Jun 21, 2019
  24. MrWorfMen's Mom

    MrWorfMen's Mom Well-Known Member

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    You are exactly right. You try to shoot lower pre-shots as long as they are not likely to take Tyler too low with the goal of getting Tyler to surf as long as possible each cycle in a range of about 80/90 to maybe 125 or so while on insulin and ultimately to get him off insulin completely. Unfortunately we don't have exact numbers for high acceptable levels for pet meters but my experience, doing side by side testing made me think I'd have a strong remission if I could keep her under 125 on her pet meter. That is just my experience not science. Even though we say normal BG is 68 to 150 on a pet meter, we don't want kitty sitting at the top end of normal if we can get them below that. If you skip shots it usually ends up causing numbers to go up and a cycle or two to get back on track. Once you have more data, you try shooting at a slightly lower pre-shot to see if you can push his numbers down. Remember our kitties get use to being in high numbers and their bodies need to be "retrained" to accept that lower numbers are good and the more we can maintain good numbers the more they stop bouncing and even out a bit.

    You have to look at duration, nadir etc and put together a plan for each cat as they are all different. Pre-shot shootable numbers can be lowered, dose can be adjusted, giving reduced insulin at lower pre-shot numbers can all be used to try to get and keep kitty in ideal numbers for as long as possible through each 24 hour period.
     
  25. Diane Tyler's Mom

    Diane Tyler's Mom Well-Known Member

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    Ok I think I totally understand, sorry for the late response, had to run to the vet to get Perry more Cerenia. I'll speak to you later and we will see what is PMPS so I'll know what to shoot, I always feel like I rely on you to much I know that you have your kitty's to take care of and chores. At least his +4 went up to 124 @MrWorfMen's Mom
    Decided to do a +9.25 - 187 so it looks like the Vetsulin might be
    lasting a little longer ? I will be testing him at 9:00 pm. Oh he just kept haunting me for food at 7:15 just now, he wouldn't shut up, so I gave him just a fork full of the FF.
    I know you shouldn't give food 2 hrs before testing but he was relentless @MrWorfMen's Mom
     
    Last edited: Jun 21, 2019
  26. Diane Tyler's Mom

    Diane Tyler's Mom Well-Known Member

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    @MrWorfMen's Mom hey Linda just tested Tyler
    FRIDAY 6-21-19
    PMPS - 179
    What do you think I should shoot?
    Is it strange to you that @+9.25 he was 187 and now at 9:00 pm he is 179?
    Will be shooting at 10:30pm, I usually shoot at 10:00 pm but he wouldn't eat that much, he finally finished eating at 10:00 pm, so waiting the 30 minutes to shoot @MrWorfMen's Mom
     
    Last edited: Jun 21, 2019
  27. MrWorfMen's Mom

    MrWorfMen's Mom Well-Known Member

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    Sorry Diane. I dozed off after dinner and just woke up. How about a right on the line 0.5u tonight if you haven't shot yet?
     
  28. Diane Tyler's Mom

    Diane Tyler's Mom Well-Known Member

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    Ok I am just about to shoot, will go with 0.5 u, did you find it strange what I said in #26 about his +9.25 being 187 and then at PMPS was 179
     
  29. MrWorfMen's Mom

    MrWorfMen's Mom Well-Known Member

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    Nope because all meters have a 20% variance so those numbers are virtually the same and BG waivers around a bit all the time so not that much different if at all.
     
  30. Diane Tyler's Mom

    Diane Tyler's Mom Well-Known Member

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    Ok I understand, so now he will have me up really late tonight. I wish now that I would
    have started him off when I first found out he had diabetes, I would have made the testing times at 7 or 8 o'clock am and pm. But of course the vets don't tell you that you have to monitor them after shooting, they just gave me that dumb sliding scale @MrWorfMen's Mom P.S. who gave you the right to fall asleep lol, you do know I'm only joking with you
     
    Last edited: Jun 21, 2019
  31. MrWorfMen's Mom

    MrWorfMen's Mom Well-Known Member

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    If you want to back his shot time up to 7am/7pm or 8am/8pm you can do that easy enough. Tomorrow move everything back an hour and then on Sunday do the same thing again. That gets you back to 8pm.
     
  32. Diane Tyler's Mom

    Diane Tyler's Mom Well-Known Member

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    I was just thinking the way I never know when I have to leave the house with Ashley because of someone mowing their lawns, or for what ever reason , something always happens or if I have to do food shopping or errands at night, I wouldn't have to be home until 8:30 pm. It's just a mess lol between him and Perry I think it works out better when I come to think of it. At least if I do ever want to you told me how to. Thanks. P.S. who gave you the right to fall asleep lol you know I'm only joking with you @MrWorfMen's Mom
     
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  33. MrWorfMen's Mom

    MrWorfMen's Mom Well-Known Member

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    I'm older than you. I've earned it! :p
     
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  34. Diane Tyler's Mom

    Diane Tyler's Mom Well-Known Member

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    You're too funny, I'm 63 and sometimes I feel like I'm 70 lol
     
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  35. Diane Tyler's Mom

    Diane Tyler's Mom Well-Known Member

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    @MrWorfMen's Mom ok
    FRIDAY 6-21-19
    PMPS - 179
    +2 - 115 fed him FF
    +4 - 117 did not feed any food to see if he would come up without any food and
    he did
    +5 - 140
    How do you think I handled his numbers , Good night I'm pooped

    Just so we don't forget we lowered his insulin from 0.5 FAT to 0.5 units exactly on the line @MrWorfMen's Mom
     
    Last edited: Jun 22, 2019
  36. Diane Tyler's Mom

    Diane Tyler's Mom Well-Known Member

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    @MrWorfMen's Mom
    Morning Linda how about Tyler's numbers last night( Friday ) on 6-21-19
    He dipped his feet in the green lol

    SATURDAY 6-22-19
    AMPS. 174 stay with exact 0.5 u again?
    Was it correct that last night at +4 when it was 117 that I didn't feed him to just see if his BG would come up on it's own which it did Will be shooting at 10:00 am @MrWorfMen's Mom
     
    Last edited: Jun 22, 2019
  37. MrWorfMen's Mom

    MrWorfMen's Mom Well-Known Member

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    You got it. Stick with the exact 0.5u again and see what he does. As for not feeding Tyler at +4, that is something you can experiment with. If his pancreas is working it's possible his BG would go down by about 3 hours after eating but if he just ate at +2, I don't think he needed more food yet.
     
  38. Diane Tyler's Mom

    Diane Tyler's Mom Well-Known Member

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    Ok 0.5 units it is, but do you think I should have given a little bit of food at +4? Since I saw it came up at +4 after feeding him at the +2 that's why I didn't feed and wanted to see if his BG would come up on it's own .
    How bout that green number
     
    Last edited: Jun 22, 2019
  39. MrWorfMen's Mom

    MrWorfMen's Mom Well-Known Member

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    No I'm not saying you should have fed him. Testing about 3 hours after feeding to see if BG has gone down is a way to see if the pancreas is doing some extra work. You fed Tyler at +2 so 3 hours without food would be +5 and he was back up a bit so it doesn't look like his pancreas did any extra work from the food. His pancreas is obviously working better but it's still sputtering off and on by the looks of things given that green yesterday.
     
  40. Diane Tyler's Mom

    Diane Tyler's Mom Well-Known Member

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    Guess what confused again, are you saying I should test at +2 and +3 are you saying when I tested @+2 and then fed him right after that and then didn't give any food since that +2 his BG shouldn't have gone up a bit and his pancreas didn't do that much work to keep it lower than that +5 number? So was that green number a good sign or bad sign? What do you mean when you said it doesn't look like his pancreas did any extra work from the food , sorry for not understanding it @MrWorfMen's Mom
     
  41. Diane Tyler's Mom

    Diane Tyler's Mom Well-Known Member

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    SATURDAY 6-22-19
    AMPS - 174
    +2 - 134. I fed him some FF Will test again at +3.5 @MrWorfMen's Mom
    +3.5 - 157 not going to feed, is that ok so does this BG of 157 mean it went up to fast already at +3.5 and should have been lower, that the pancreas isn't doing it's job?
    Do you think I should test any more or just wait and test at his PMPS @MrWorfMen's Mom please explain what you wrote in #39 and my response in #40 thanks
    Ok just did a
    +6 - 217
    Do you think these higher numbers are because we went down to an exact 0.5 u from the
    FAT 0.5 u? @MrWorfMen's Mom But go figure last night I gave him the exact 0.5 units and he has lower numbers in all blue


    SATURDAY 6-22-19
    PMPS. - 172 will shoot at 10:00 pm
    +2 - 125 Fed him FF
    +3 - 140 No food given
    +4.75 - 115 JUST FED SOME FF, IS THIS THAT LOW BECAUSE I DIDN'T FEED
    HIM @ +3? SHOULDN'T HIS BG HAVE GONE UP @+4.75
    +7 - 121 Fed some FF
    I guess I'll go with the 0.5 exact since I haven't heard from you @MrWorfMen's Mom
     
    Last edited: Jun 23, 2019
  42. Diane Tyler's Mom

    Diane Tyler's Mom Well-Known Member

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    @MrWorfMen's Mom hey Linda good morning
    SUNDAY 6-23-19
    AMPS - 212 Going to shoot at 10:00 am
    Going back up to FAT 0.5 units
     
    Last edited: Jun 23, 2019
  43. MrWorfMen's Mom

    MrWorfMen's Mom Well-Known Member

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    I'd try the fat 0.5u as long as you can monitor him. I'd like to see him get down to a dark green again. Will respond to previous questions shortly. :D
     
  44. Diane Tyler's Mom

    Diane Tyler's Mom Well-Known Member

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    Ok will do , hope everything is ok @MrWorfMen's Mom
     
  45. Diane Tyler's Mom

    Diane Tyler's Mom Well-Known Member

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    SUNDAY 6-23-19. Fat 0.5 units
    AMPS - 212
    +2 - 130 . Gave him FF
    +3 - 139 Gave him FF
    +5.5 - 143 did not feed any food, just sure if I was supposed to @MrWorfMen's Mom
    Will see what his PMPS is tonight and what dose we should give.
    Back on June 9, 2019 we said it seemed Tyler was hitting nadir between +3 and +5, looks like not anymore. Do you have any idea why. Linda do you think I have over testing him to often his AMPS and PMPS? I know you said it's always good to get a test mid cycle, usually when his nadir occurs. What would you suggest , I remember when you said to me , you don't want to make a pin cushion out of him lol. Would you say a +2 and a +3,
    A +2 and a +4, or a +3 and a +4 , I don't know. Was I correct in not feeding Tyler today when his +5.5 was 143? I'm sorry for so many questions @MrWorfMen's Mom


    SUNDAY 6-23-19
    PMPS - 159
    Going to shoot at 10:00 pm
    Stay with FAT 0.5 u? @MrWorfMen's Mom
     
    Last edited: Jun 23, 2019
  46. MrWorfMen's Mom

    MrWorfMen's Mom Well-Known Member

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    Food will cause a rise in BG shortly after eating however the pancreas also notices this and pumps out insulin to deal with that extra glucose from the food. When kitty' pancreas is not working as well as it should, we have to give them insulin shots to make up for what the pancreas is not producing. The insulin we inject is going to work no matter what BG is but feeding when we know the BG is most likely to be dropping gives the insulin something to work with over and above the glucose already circulating. So with Vetsulin if kitty drops around +2 or +3, you feed then to slow down the drop so the insulin has something to work with. This also tends to help duration. Feeding in the last half of the cycle can shorten the cycle and cause higher pre-shots.
    I think what you've been doing has bee working well for Tyler. He is not dropping off sharply but he is getting a decent surf in the early middle of the cycle. We don't want to shorten duration but the only way to see if feeding any later would affect his cycle would be to try it. While this theory works for many cats, every cat is different and you just have to experiment a bit to see what works best for Tyler. I don't think you are over testing but you could get a +2 and move the +3 to +4 periodically to give him more of a break between tests unless he is dropping off sharply at the first post shot test or do a +3 and +5 some days especially when he starts the cycle a bit higher (in the yellows).
     
  47. Diane Tyler's Mom

    Diane Tyler's Mom Well-Known Member

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    Ok #41 did you find his BG's in #41 PMPS strange would you take a look now
    Oh I forgot should I stay with the FAT 0.5 tonight
    His PMPS , SUNDAY 6-23-19 was
    159,, now do I give him insulin or not? We said no insulin if it's under 175, here's where I'm getting confused, you said something about 150 or above on #20 that's why I confused whether I should shoot tonight or any other time it might be 150 or under @MrWorfMen's Mom , need to do something soon
     
    Last edited: Jun 23, 2019
  48. MrWorfMen's Mom

    MrWorfMen's Mom Well-Known Member

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    I think I'd stick to an even 0.5u tonight. I think that yellow this AM might have been a bounce from possibly going lower than we are aware of last night. He's been pretty flat all day today so I'd definitely get the +2 to see what he up to tonight. :)

    While his numbers in #41 might not be what you expected, they're really not that strange. All those readings are pretty flat and he's getting better duration in the cycle. Everyday is not going to look the same and there are always going to be those blurps that make you scratch your head a bit.
     
  49. Diane Tyler's Mom

    Diane Tyler's Mom Well-Known Member

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    Ok one last thing take a look at #47 , that's what's confusing me about shooting @MrWorfMen's Mom
    This is what is confusing me about when to shoot or not to shoot
    [​IMG]
    MrWorfMen's Mom
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    Oh now I understand. You're right. If you can monitor and get teststhen you can shoot those lower pre-shots. I'm hesitant to make it a carte blanche thing that you can shoot under 175, say 150 or above, only because if he suddenly decides to start throwing green numbers, then it wouldn't be safe. Today is a prime example. He's now down to 98 and he started higher. It's something that needs to be watched in relation to what Tyler has been doing for the past few days. Right now, knowing what he's doing today, I'd be reluctant to shoot under 175. Clear as mud right!?
    Linda if I am too much with all these questions please let me know, I feel like I'm the only new member that doesn't understand and that I see that a lot of members don't ask for help as much as I do @MrWorfMen's Mom
     
    Last edited: Jun 23, 2019
  50. Diane Tyler's Mom

    Diane Tyler's Mom Well-Known Member

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    SUNDAY 6-23-19
    PMPS - 159
    +2 - 111 fed him FF
    +4 - 126 fed him FF
    +6.75 - 119 fed him FF @MrWorfMen's Mom
     
    Last edited: Jun 24, 2019
  51. Diane Tyler's Mom

    Diane Tyler's Mom Well-Known Member

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    @MrWorfMen's Mom morning Linda
    MONDAY 6-24-19
    AMPS - 168 staying with 0.5 units
    +2.5 - 113 fed Tyler some FF
    +5. 122. fed him FF
    +9. 190. Did not feed
     
    Last edited: Jun 24, 2019
  52. MrWorfMen's Mom

    MrWorfMen's Mom Well-Known Member

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    Good decision! He's definitely getting more acquainted with the lower numbers and doing great!
     
  53. Diane Tyler's Mom

    Diane Tyler's Mom Well-Known Member

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    Yep it looks like he is. When you get a minute would you please read #49 thank you @MrWorfMen's Mom
     
  54. MrWorfMen's Mom

    MrWorfMen's Mom Well-Known Member

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    It's Ok that Tyler went down to 98. That is exactly what you want him to do. If you can get him to mix some of those higher dark green in with the low blue numbers, you have hit the jackpot and Tyler isn't that far from doing just that. How about if he is at 160 and you can monitor, you try a skinny 0.5u which is just at the top of the half unit mark. I know those greens are scary but if you can get him to hit those greens more often, then he'll get used to them and won't bounce up as high for pre-shots. I wish this was black and white but it's really about reading YOUR cat. Tyler is doing beautifully but if we could get him down just a tad more, he's be GREEEAAAATTT! :D
     
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  55. Diane Tyler's Mom

    Diane Tyler's Mom Well-Known Member

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    Sep 21, 2018
    Hey Linda, how are you, I already gave Tyler his insulin 0.5 units at 9:00 pm
    PMPS - 174

    Here is what I don't understand, be patient ok lol
    When it comes to shooting, you said

    Oh now I understand. You're right. If you can monitor and get teststhen you can shoot those lower pre-shots. I'm hesitant to make it a carte blanche thing that you can shoot under 175, say 150 or above, only because if he suddenly decides to start throwing green numbers, then it wouldn't be safe. Today is a prime example. He's now down to 98 and he started higher. It's something that needs to be watched in relation to what Tyler has been doing for the past few days. Right now, knowing what he's doing today, I'd be reluctant to shoot under 175. Clear as mud right!?

    With what you above , why am I giving insulin to him if his BG Pre Shot is under 175 and what does 150 or above mean when you said that? And only because if he suddenly decides to start throwing green numbers then it wouldn't be safe? When you said today was a prime example , he's now down to 98 and he started higher.
    Can you please explain that to me again, sorry I'm just not getting it.
    You said to maybe try 0.5 skinny tonight if his pre shot was 160, ok does that mean if he has a lower pre shot we still give insulin , only a lower dose, until maybe he might give a pre shot number of maybe 98 up to say 110 then we don't give any insulin at all?
    I'm just trying to understand what you said @MrWorfMen's Mom
    That 98 happened on 6-21-19 @+3 and you said that's where we want him to be, but then you said if he suddenly starts throwing green numbers then it wouldn't be safe.This is what I'm not understanding
     
    Last edited: Jun 24, 2019
  56. MrWorfMen's Mom

    MrWorfMen's Mom Well-Known Member

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    You've got it. If he gives you a pre-shot under 160 you skip the shot. I'm saying that because we want to get his BG down a bit more but he dropped quickly with a pre-shot of just over 150. Dark green numbers are NOT unsafe unless they go too low. So you want to aim for high dark green numbers 80 to 99 but not much lower. Tyler is not going to go hypo unless he drops below 68 and my girl has been below that on her AT2 meter and never had a hypo event so 68 allows for a bit of cushion with most cats. 80 is where you want to call the cut off with Vetsulin because it can cause steep BG drops. That said, Tyler has the smoothest cycles I have ever seen with Vetsulin because he doesn't drop a lot quickly but he maintains a decent BG well.
    I initially said 175 so we could see what he did. Because he doesn't drop a lot quickly, I think you can safely dose him at a lower pre-shot. If you are not comfortable with anything I suggest, that is fine. This is not about my feelings. This is about keeping Tyler safe and you comfortable with what you are doing so you are not worrying about him constantly. When you get a pre-shot of 98, you'll hear me partying up north here and know not to shoot!
     
  57. Diane Tyler's Mom

    Diane Tyler's Mom Well-Known Member

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    Linda I am very comfortable with what you suggest, I don't want to give you the wrong idea at all. I honestly hope you are not annoyed . I was just wondering why I shot on 6-17-19 when is AMPS was 153 and on 6-15-19 his PMPS was 142. Thats why I was confused. I just have to stop worrying like I do. I'm trying to understand things so I don't have to bother you so much . Please don't ever think I don't feel comfortable with what you suggest, I just hope you are not annoyed or tired of me. You have been fantastic and I can't say enough great things about you @MrWorfMen's MomI hope you are still willing to help me with Tyler.

    Monday 6-24-19
    PMPS - 174
    +2 - 127 he didn't want any food
    +4 - 110. Ate small amount of FF
    +6.5 - 128. Didn't want to eat @MrWorfMen's Mom
     
    Last edited: Jun 25, 2019
  58. Diane Tyler's Mom

    Diane Tyler's Mom Well-Known Member

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    @MrWorfMen's Mom
    Hi Linda just tested Tyler what a surprise this morning,
    TUESDAY 6-25-19
    AMPS - 149 No Shoot
    No insulin this morning, or do I give a dose and if so how much? do you still do a test or two if you don't shoot@MrWorfMen's Mom
     
    Last edited: Jun 25, 2019
  59. MrWorfMen's Mom

    MrWorfMen's Mom Well-Known Member

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    Well look at the boy work that juice. I'm delighted to see that BG! Go Tyler!:joyful::joyful::joyful::joyful:
    Test him once +3 after his pre-shot meal and then take a break. Just like to see if he is holding, down at all or rising at that point with no shot.

    Diane, stop worrying so much. Deep breathes. I have no problem with questions no matter how often they are asked. There are so many if, ands or buts in this sugar dance that it can be mind boggling at times. If I don't answer right away, it's either I'm off doing other stuff or trying to think of a better way to explain. :D
     
  60. Diane Tyler's Mom

    Diane Tyler's Mom Well-Known Member

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    Ok will do, thank you Linda, and again I feel totally comfortable with any suggestions you give me, I felt awful last night that you might have thought I didn't feel comfortable with any suggestions, I'll check him at +3 and post it , he better be a good boy lol @MrWorfMen's MomDo they give any awards out here for The Biggest Nut Case lol , I'll probably win lol
     
    Last edited: Jun 25, 2019
  61. MrWorfMen's Mom

    MrWorfMen's Mom Well-Known Member

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    No awards because we all go a little nutty when dealing with these extra sweet four footers but if there was an award, you aren't even close. :woot:
     
  62. Diane Tyler's Mom

    Diane Tyler's Mom Well-Known Member

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  63. Diane Tyler's Mom

    Diane Tyler's Mom Well-Known Member

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    @MrWorfMen's Mom Ready Drum Roll
    +3 with no insulin Are you ready lol
    +3-. 111
    So we have Tuesday 6-25-19
    AMPS - 149 NO INSULIN
    +3 - 111
    If he wants a little FF later, like a teaspoon do I have to check 30 minutes after he eats it, or just wait and see what his PMPS is tonight @MrWorfMen's Mom
     
    Last edited: Jun 25, 2019
  64. MrWorfMen's Mom

    MrWorfMen's Mom Well-Known Member

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    I am celebrating that 111. animated-feeling-smiley-image-0234.gif Obviously his little pancreas is working much better. No insulin, a meal and his BG is down! WHOOHOO! You can feed Tyler just as you usually do and you and Tyler can take a break from testing. Just wait and see what his PMPS is.
     
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  65. CandyH & Catcat

    CandyH & Catcat Well-Known Member

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    Apr 23, 2019
    hurray for you !!! :joyful::cool::cat:;):)
     
  66. Diane Tyler's Mom

    Diane Tyler's Mom Well-Known Member

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    I knew that would make you happy, it wouldn't have happened if it wasn't for your guidance, , I thank you so much and so does Tyler, he told me to tell you thank you for helping my mama with everything , at least I don't have to get poked until tonight. Lol @MrWorfMen's Mom
     
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  67. Diane Tyler's Mom

    Diane Tyler's Mom Well-Known Member

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    Thanks Candy, let's hope I get a good BG tonight
     
  68. Diane Tyler's Mom

    Diane Tyler's Mom Well-Known Member

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    @MrWorfMen's Mom hey Linda
    Well that was short lived , Tyler didn't listen to us lol
    TUESDAY 6-25-19
    PMPS-. 211 he hasn't eaten anything since I fed him his morning meal, he hasn't bothered me for any, do you think because he hasn't eaten since then that could be the reason why for the 211 BG, nothing in his stomach to make his pancreas do some work?
    What dosage do you think I should give tonight @MrWorfMen's Mom
     
  69. MrWorfMen's Mom

    MrWorfMen's Mom Well-Known Member

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    Well I guess he needs a snack later in the day to get his pancreas revved up when his shots are skipped. I'm assuming he was quite hungry when you fed him tonight? No worries about the 211. I'd stick to 0.5u on the line tonight and test again around +3 after his meal.
     
  70. Diane Tyler's Mom

    Diane Tyler's Mom Well-Known Member

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    That's what I was going to mention to you , as a matter of fact today I had to follow him around to get him to eat enough, he's a strange cat, he will eat some then walk into another room, so I have to get the dish and hold it up to his mouth for him to eat some more, he's a weirdo lol, and tonight he wasn't that hungry, I thought he would be also. He ate some, then I had to follow him and put some on my fingers and then he licked it off and then eventually he ate some more from the dish. Like I said he's a weirdo lol . He seems perfectly fine today, ok I'll give the 0.5 u on the line and check him @+3 @MrWorfMen's Mom



    TUESDAY 6-25-19
    PMPS - 211
    +3 -124 @MrWorfMen's Mom
     
    Last edited: Jun 26, 2019
  71. MrWorfMen's Mom

    MrWorfMen's Mom Well-Known Member

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    Remember, as Tyler gets into better numbers, he is processing the food he takes in more efficiently and that generally leads to a decrease in appetite back to a more normal level. I know how frustrating it is to chase a cat around with their food bowl in your hand encouraging them to eat.....welcome to my world with a 21yr old with some dementia who loses his food bowl or forgets what he was doing, walks away and then howls at me to bring his food to him. LOL! As long as Tyler is eating a decent amount over the course of the day, I wouldn't be worried about him.
     
  72. Diane Tyler's Mom

    Diane Tyler's Mom Well-Known Member

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    @MrWorfMen's Mom morning Linda, here we go again lol
    WEDNESDAY 6-26-19
    AMPS - 150
    NO INSULIN is that correct?
    Should I do what we did yesterday morning when I fed him and then tested him at +3?
    @MrWorfMen's Mom
     
  73. Diane Tyler's Mom

    Diane Tyler's Mom Well-Known Member

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    Lol at least we get some exercise in chasing them around, How is Myster doing? I hope he is going to have a good day , I going to attempt to feed Tyler , I assume it's a NO SHOOT this morning @MrWorfMen's MomWell I'm not even going to get his food ready yet, he's not even bothering me, just laying on the kitchen floor rolling around
    Since his BG was 150 this morning and a NO SHOOT let him get good and hungry. Like I said after feeding him I'll test @+3 like yesterday morning to see what's going on @MrWorfMen's Mom
     
    Last edited: Jun 26, 2019
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  74. Diane Tyler's Mom

    Diane Tyler's Mom Well-Known Member

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    @MrWorfMen's Mom so far so good
    WEDNESDAY 6-26-19
    AMPS -150. NO INSULIN
    Feed him is morning meal and tested
    @+3 - 128
    Going to give him a snack around 4:00 or 4:30 pm to see if his PMPS tonight might be lower than last night's @MrWorfMen's Mom
     
  75. Diane Tyler's Mom

    Diane Tyler's Mom Well-Known Member

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    WEDNESDAY 6-26-19
    PMPS - 194
    Well this morning was a NO SHOOT
    I gave him a snack this afternoon around 3:30 hoping with the snack his PMPS might have been lower. What do you think about tonight's dosage, should we do the 0.5 u right on the line again? @MrWorfMen's Mom
     
    Last edited: Jun 26, 2019
  76. MrWorfMen's Mom

    MrWorfMen's Mom Well-Known Member

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    Yes I'd stick with 0.5 on the line tonight. I'm thinking though that the next time he is low in the AM like yesterday and tomorrow, that perhaps a 0.25u dose might be the ticket to keeping him lower at night. Let's see what he does tomorrow AM and if you can monitor, you can try the smaller dose at the lower pre-shot if you are game. ;)
     
  77. Diane Tyler's Mom

    Diane Tyler's Mom Well-Known Member

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    Ok Linda, , that's sounds good, I can monitor him all day tomorrow in the morning if I get a low reading again in the am, and I'm game ! Thanks so much @MrWorfMen's Mom
     
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  78. Diane Tyler's Mom

    Diane Tyler's Mom Well-Known Member

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    Last edited: Jun 27, 2019
  79. Diane Tyler's Mom

    Diane Tyler's Mom Well-Known Member

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    Last edited: Jun 27, 2019
  80. MrWorfMen's Mom

    MrWorfMen's Mom Well-Known Member

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    I'd give him a fat 0.5u. You've shot that dose at that BG range before and it kept him surfing in the blues. :D
     
  81. Diane Tyler's Mom

    Diane Tyler's Mom Well-Known Member

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    Ok 0.5u fat it is, have a good day and talk later. Not going anywhere tidat it's going to be 90 degrees but feel like 96. I just hate the heat, what's it like by you today @MrWorfMen's Mom
     
  82. MrWorfMen's Mom

    MrWorfMen's Mom Well-Known Member

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    Hot here too with mega humidity (it's already 77...feels like 84) but I am NOT complaining. We are supposed to reach 86 and feel like 93 later today. It's taken far too long to warm up here. It was a miserable extremely cool/wet spring so this is a welcome change as far as I'm concerned.
     
  83. Diane Tyler's Mom

    Diane Tyler's Mom Well-Known Member

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    Enjoy the heat, I'm staying inside lol The older I get the more I can't stand the heat, I'm an old fart now lol
     
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  84. Diane Tyler's Mom

    Diane Tyler's Mom Well-Known Member

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    @MrWorfMen's Mom
    THURSDAY 6-27-19
    AMPS - 178 .gave 0.5 u fat
    +2 - 127 fed him some FF
    +4 - 111 fed him some FF
    +6.5 - 130
    Will test tonight @MrWorfMen's Mom
     
    Last edited: Jun 27, 2019
  85. Diane Tyler's Mom

    Diane Tyler's Mom Well-Known Member

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    @MrWorfMen's Mom
    THURSDAY 6-27-19
    PMPS - 193
    +2 - 119 fed him FF
    +4 - 112. fed him FF
    +5 - 119 fed him FF and left a little bit of food out overnight
    Going to give 0.5 fat again, think that's ok?
    Will see what the morning will bring @MrWorfMen's Mom
     
    Last edited: Jun 28, 2019
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  86. Diane Tyler's Mom

    Diane Tyler's Mom Well-Known Member

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    @MrWorfMen's Mom hey Linda
    Just tested Tyler 45 minutes late, had a doctor's appt
    FRIDAY 6-28-19
    AMPS - 152
    Not bad at all lol
    Do you think we should try the 0.25 u like we talked about hoping that his PMPS might be lower when I test him? @MrWorfMen's MomWe were hoping the 0.25 u in the am might be the ticket to keeping him low at night. Will be ready to shoot if any at 10:30. Oh, I left a little food out for him overnight, which I never do.
    Ok I'm going to have to shoot so I am going to try the 0.25 units and will definitely monitor him and see if this might give him a lower PMPS, wish me luck
     
    Last edited: Jun 28, 2019
  87. MrWorfMen's Mom

    MrWorfMen's Mom Well-Known Member

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    Sure. Try the 0.25u and see what he does. :D
     
  88. Diane Tyler's Mom

    Diane Tyler's Mom Well-Known Member

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    Hi just gave it to him 10:45 am , I'll make sure I check him , of course I had to eye ball that 0.25 u so we shall see. @MrWorfMen's Mom
     
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  89. Diane Tyler's Mom

    Diane Tyler's Mom Well-Known Member

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    Sep 21, 2018
    FRIDAY 6-28-19
    AMPS - 152 0.25 u of Insulin given
    +2 - 122 fed FF
    +4.5 - 129 fed FF do you think I should test him one more time before his PMPS @MrWorfMen's Mom
     
    Last edited: Jun 28, 2019
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  90. Diane Tyler's Mom

    Diane Tyler's Mom Well-Known Member

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    Linda do you think I should test him anymore after his +4.5 which is above #89 or can I wait until tonight for his PMPS @MrWorfMen's Mom
     
  91. MrWorfMen's Mom

    MrWorfMen's Mom Well-Known Member

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    You can give him a break until tonight. :)
     
  92. Diane Tyler's Mom

    Diane Tyler's Mom Well-Known Member

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    And me lol. :) @MrWorfMen's Mom
     
  93. Diane Tyler's Mom

    Diane Tyler's Mom Well-Known Member

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    Linda do you think it's ok if I happen to give Tyler his insulin at 10:00 pm tonight, even though I gave it to him this morning at 10:45 am today, had a doctor's appointment and got home late, or is it too early @MrWorfMen's Mom
     
  94. MrWorfMen's Mom

    MrWorfMen's Mom Well-Known Member

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    With Vetsulin you have an hour of leeway so no problem as long as pre-shot is shootable which it appears it will be.
     
  95. Diane Tyler's Mom

    Diane Tyler's Mom Well-Known Member

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    Sep 21, 2018
    Ok thank you
     
  96. Diane Tyler's Mom

    Diane Tyler's Mom Well-Known Member

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    @MrWorfMen's Mom hey Linda
    FRIDAY 6-28-19
    PMPS - 163
    What do you think I should give?
    About the time frame
    Tyler just got done eating at 9:15 on so I wait 30 minutes and then give him insulin.
    which would be 9:45 , can I wait unitl 10:00 pm to give him his insulin? @MrWorfMen's Mom
     
  97. MrWorfMen's Mom

    MrWorfMen's Mom Well-Known Member

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    Feb 18, 2015
    If you plan to do your usual testing tonight, I'd try 0.5 just to the top of the half line so a 0.5 skinny. I like those 2 lower pre-shots today but would like his nadir down a touch more too. If not then I'd stick to 0.25u if you need a night of rest. And yes you an wait till 10pm actually shoot.
     
    Last edited: Jun 28, 2019
    Reason for edit: said bottom of line when I should have said top. oops!
  98. Diane Tyler's Mom

    Diane Tyler's Mom Well-Known Member

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    Sep 21, 2018
    Yep I can stay up to test him through the night, I thought you would like those lower pre shots today, ok 0.5 skinny, , a little confused about the skinny, I know I did it before, when you say just to the bottom of the half line , do you mean where the 0.5 half markings is I would go a little above the line? @MrWorfMen's Mom
     
  99. Diane Tyler's Mom

    Diane Tyler's Mom Well-Known Member

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    You were right when you said to give him the 0.25 u this morning when his AMPS was 152 and we shot, it looks like it did bring his PMPS down lower than his other ones @MrWorfMen's Mom
     
  100. MrWorfMen's Mom

    MrWorfMen's Mom Well-Known Member

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    Feb 18, 2015
    Yes that was a cycle almost completely in normal numbers.....just a wee tad above at start and finish. Let's see what he does tonight.
     
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