12/11 Mačka AMPS 106, +4.75 297, PMPS 460 (of course bouncing from the greens)

http://www.felinediabetes.com/FDMB/...4-119-5-88-6-91-pj-party.222766/#post-2491084

He spent last night in the greens!!!! I did not sleep at all

An hour ago he was at 105 and AMPS is 106.
Should I shoot? I am concerned.
Shot time is at 6:45 PST, in 20 minutes.

Thanks!

 

Wow! last night looks great! I can't tell you weather or not to shoot, but will you be around to monitor and do you have all the supplies you need? (Psst I just shot an 88! Eeeek! )

 

Thing is, I did not sleep at all, and am already sleep deprived. I can't go on like this again today and be alert and monitor every hour.
I feel like this is too risky, without data, what if he goes wayyyy too low?

I have supplies yes.

 

You can stall, don't feed and test in 15 mins to see where he is going.

 

totally understand, I will let someone more experienced jump in though. It is really scary to shoot low numbers the first couple times.

 

I'm sorry you had a PJ party last night! I hope someone will be along shortly to guide you. You could tag someone that's helped you in the past. I'm no pro but, 106 is a safe # to shoot following TR dosing guidelines; as long as you can monitor, have plenty of test strips and MC/HC food. Shoot low to stay low. As Sandra said...I can't tell you to shoot either. It's your comfort level and ability to monitor today just in case you have to steer the cycle. You will have to shoot lower #s eventually And as Sandra said you can stall, w/o feeding and re-test to see if you're getting a rising #.
If you can't monitor, I'd question shooting. JMO

ETA: If Macka has a hx of DKA, you may need to provide some insulin.

 

Luckily I am at home today, but falling apart because of the lack of sleep (and the nervousness).

I already fed him, because he was at 105 at +11, and at 106 at AMPS, so no movement up. And he was so hungry from the greens.

I gave him MC last night a few times, and it did not give him a food bump, at all. So I am also concerned about that.

 

@Wendy&Neko @Sienne and Gabby (GA) @Bobbie And Bubba @Marje and Gracie @Red & Rover (GA)
if you see this thread, I'd love your input. Thanks!

 

I know... what about a token dose? or half?

 

Look at the blue you shot on 12/8 and how he went into the yellows -- is it time to test again to see if he's going up?
I'm afraid he'll go quite high if you don't shoot, but I understand your position!!! I'm thinking like you . . . half, BUT he has a full depot, and even shooting a half dose wouldn't mean you could quit testing too soon.
Penelope - it is fabulous to see your boy in greens!!

 

I am thinking you will have a busy testing day even if you don't shoot. (he may also go up) Like Jan said if his Depot is already full it will still have an effect.

ETA: He will probably have a pretty good bounce from the greens, even if you shoot.

 

I wish I could give you that type of advice I'm sorry

 

I see your point. I am still not sure what to do with his dose. Yes, I could test him again (I tested him 45 minutes ago).

I am leaning toward 1/2 dose though. Guys, I am so frightened and exhausted

 

@Crista & Ming if you're on...any advice?

 

Penelope - this is a great dilemma to have, but I'm sorry you are feeling so bad. It won't be long before this can be resolved here, paws crossed!
What is his current BG number . . . your next one . . .
@Sue and Luci hi!

 

Just tested him again, he's going lower, 100

 

@LizzieInTexas

 

Now 1/2 hour late
106 to 100 basically the same number but still lower
He ate a snack already, right?

Take a hug and a breath!

 

it's the same number, so he holds steady, which is good.

 

Are you at home today? To monitor?

there are other options

 

I can't delay the shot any longer, it's already hard to go back on schedule.
I am going to shoot 1/2 dose and monitor the best I can :/

 

I'll be home yes, but sleep deprived, that's the thing

 

Chances are he is going to bounce and then you can take good rest.
I was meaning to propose you shoot thru the bounce, the full dose and see what happens.
I believe he will bounce soon.
Shooting thru the full dose helps bringing the whole range of numbers down.
What do you think Penelope?

 

He had a snack an hour ago yes

 

I know...
it likely that he will start a bounce soon

ETA: besides it's already an hours past, it might serve as lowering the dose.

 

I know, but I am so so scared I'll be all alone too.
Gosh, this is worse than torture

 

not alone entirely.. I can hang with you if you like

 

Oh that's right! Shooting late will act like a reduction.

 

I won't be much help but I will be here too.

 

Do your very best to sleep between any alarms you set.

This is the kind of advice I was waiting on Tanya.
Penelope - I believe this is very good advice, but I also know of your high anxiety . . .
She's right Penelope

 

Hi Penelope, I'm sorry I wasn't around earlier to help support you. And I don't want to do any 'Monday Morning Quarterbacking' at this point - you made your decision and that's fine.

You weighed your options and did what you thought was best.

The only thing I would have done differently was to proceed with the full dose - if you're home, able to monitor and have your supplies on hand for raising his blood glucose up if he falls down around 50 - maybe next time you get a beautiful blue number like that you can decide to shoot.

Remember what I've said before - eventually you're going to have to shoot those lovely green numbers that we all so desperately want to see.

Take care and relax. Maybe soon you'll get another chance? Fingers and paws crossed

 

I know she is right. I was too scared and shot 1/2 dose, sorry @Tanya and Ducia
The shot was only 20 minutes late, so not too bad.

It took already all I've got, to shoot. He might bounce, but also, he might not, he hasn't in a long time!
I am going to try to sleep for an hour. Should I test in an hour or in two?

Thank you all for your support, you're precious

 

Thank you @Sue and Luci . Sleep deprivation is the worst when it comes to decision making.
Most likely, I blew his chances of staying in good numbers
Whatever happens, I'll learn from it, and maybe I'll be more confident next time?

 

an hour would be very good.
If he is at the same level or lower - post.

If he higher - it s a bounce, take a rest.

 

You were splendid yesterday!

and you do need rest , so no worrying and no self blaming.
You will get another chance soon.

If you are going to take +1 I'll check in.
When isit exactly/

PS. Please update the SS BC many many caring eyes would like to see what is going on.

 

I think my SS is updated. Is there anything missing?

I shot at 7:20am PST. Next test will be at 8:20am, so in 40 minutes

 

I can see it now.
Shall we say test at 9AM PST?

 

Good morning. Just seeing your tag now - am not a morning person. What a lovely line of green on Mačka's spreadsheet! The longer he spends in green, the more he will find it a friendly place to hang.
Chances are that he will bounce but I understand the lack of sleep. You are doing a good job, Penelope. A few months back, those green numbers would taken you and Mačka on a wild ride to the ER.
It is a busy day for me. I will not be able to hang out on the forum much.

 

ok

 

Alright, so he's at 141 (more or less +1.75 since shot).
Food bump? What should I do?

 

Great +1.75!
Have a nice rest Penelope!

 

If you can test late in the cycle and then (of course ) the PMPS it'll be perfect.

ETA: as late as +10

 

Are you saying that this is going to be a smooth cycle? Should I take a +5 just to be on the safe side?

 

I strongly believe that Machka is going to bounce from +1.75 on and you need to sleep.
If it is not too hard do take mid-cycle at +5 or an any mid cycle when you normally feed him for the data collection purposes.
But again, I DO think he will bounce.

 

@Penelope and Mačka ,
Ducia just started her bounce and I am going out to explore the new place we've moved in to recently.
Are you going to be ok?
If you are planing still to take midcycle I can check in later just let me know what time PST.

 

You're a sweet heart! I am going to have breakfast and sleep for 3 hours. I will post a mid cycle test (12:20pm). Please have fun exploring!

 

I’m also sorry to be late here. Wendy and I are on West coast time so not often on in the mornings.

As Sue said, it’s just a matter now of seeing what he does but I agree with her that shooting the full dose would have been the best option and something to consider for the future. Because of the depot, shooting a half dose is going to look like shooting a full dose u til, perhaps, late in the cycle.

If he bounces, he would have done it anyway on a full dose. Take the opportunity to grab some sleep

 

Not only are Marje and I west coast, neither are early morning peeps. If I am up early, it’s because I am out the door for a workout. Good to see you had people around to help you. Like Marje, I too would have shot full dose. You can go back to 5 units tonight. One benefit of a slightly higher dose is a larger depot, so maybe he won’t go quite as high as a smaller dose cat. Well, ignoring the bounce of course.

Get a good nap in today. Over time, I got pretty good at getting up at night, and testing and back to bed all in 5 minutes. Napping is a good skill if you have a diabetic cat.

 

+4.75 = 297....

 

It did't make sense until today. I will shoot the full dose from now on.

 

Let's hope he will stay in the low pinks...

I was the only one on the west coast not sleeping lol!

 

I hope you are having good rest, Penelope.
Not sure I agree with your title as reads currently.. maybe this one instead:
Non, Je ne regrette rien

 

Hahahahaha touchée!

It's hard to sleep during the day. But also, I have a migraine because I skipped the morning coffee because I needed to sleep lol. So I had a noon coffee and ibuprofen and in bed right now, hoping to catch some sleep up until next shot.

 

Sorry -- I'm just seeing this now. I was already at work when you tagged me. Some days, I can get on the board during the day and some days, not so much. Today was one of the latter.

What did you learn?

 

awesome.. then it was a little bit worth it!
Now you not only know you can handle it but also what numbers are safe to shoot and that you can relax a bit when the numbers start to hold.
well done

 

Good question!
Well first, that MC food does not influence Macka s BG very much. I am not sure if it means that he would have gone lower without MC or that He’s just not very sensitive to carbs. Because he stayed flat and even went lower at +8.

Second, that an injection of slow active insulin does not have an effect during the first hours of the cycle. If I understood well, the cycle is influenced by the previous shot, please correct me if I’m wrong. I did not get it at all before today.

Third, that a breakthrough can happen to Macka too after all. I can see a pattern in his SS, similar to other cats that became regulated or went into remission. They all had a cycle like the one he just had, preceded by a few better preshot numbers, just like him. It gives me hope.

Fourth, that during the new moon, kitties go lower!

I am open to comments!

 

Thank you! I’m learning through experience. It’s the only way to overcome fear I think.

 

You are doing so well. I get the anxiety and I haven’t had to shoot a green yet but your posts inspire me and probably many others. Keep fighting

 

PMPS 460, bouncing and playing and running (kinda) like a cray-cray cat...
I thought he was low again, to run around the house like he did, but no! Super red tonight, of course, you guys were all correct

 

It's going to happen sooner than you think!

 

I’m not ready. Lol

 

You did well, Penelope. I’ve made the same decisions before and it’s all about learning

 

Feline diabetes is a work in progress. Every cycle is an experiment. Sleep well tonight.