Mimi 12/12 PMPS 55...

Discussion in 'Lantus / Levemir / Biosimilars' started by Mimis mom, Dec 11, 2019.

  1. Mimis mom

    Mimis mom Well-Known Member

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    Oct 12, 2019
  2. Mimis mom

    Mimis mom Well-Known Member

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    Oct 12, 2019
    Does anyone think her nadir became too low so she’s jumping AMPS?
     
  3. Sandra And Buddy (GA)

    Sandra And Buddy (GA) Well-Known Member

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    Mimi is looking good in those blues! How about trying on some greens again!
     
  4. Mimis mom

    Mimis mom Well-Known Member

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    Oct 12, 2019
    I know right!!!
     
  5. Sandra And Buddy (GA)

    Sandra And Buddy (GA) Well-Known Member

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    She may be bouncing a bit, Normal. :)
     
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  6. Mimis mom

    Mimis mom Well-Known Member

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    I can’t recall the answer- do nadirs change daily for a cat? Is she approaching her nadir?
     
  7. Mimis mom

    Mimis mom Well-Known Member

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    Oct 12, 2019
    +10 76, 62, 78... go with an average of 70? See when the numbers are below 100 I get nervous with the margin of error and possibly taking a “failed reduction”
    What about if I got a reading that was 47, but then subsequent to that 54 and then maybe a 49- do I go ahead with a reduce when that kind of thing can happen because of the nature of the meter?
    (Would like to be prepared if that did happen) :bighug::)

    @Marje and Gracie
    @Wendy&Neko
    @Sienne and Gabby (GA)
    @Gill & George
    @Bron and Sheba (GA)
    Can anyone weigh in? thanks!​
     
  8. Mimis mom

    Mimis mom Well-Known Member

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    Oh!! Also she last ate at +8 and now her +10 is low(ish) should I give her something now or wait until her meal time which is in an hour and a half
     
  9. Marje and Gracie

    Marje and Gracie Senior Member Moderator

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    My first question is why did you do all those retests? (BTW, the SS says 70 and you said 76. Could you please be sure they agree?)

    I suggested before that you don’t get wrapped around “margin of error”. The 70 or 76...whichever the first test was, was a reasonable number in consideration of her other numbers today and did not need to be retested.

    Insofar as your question, if you didn’t do all that retesting, what would you say the answer would be? There’s no reason to worry about failed reductions. If they fail, they do. Then you just go back up.

    I mean this sincerely and not in a critical way at all but you are making this harder than it needs to be with the retesting. It would be reasonable to have retested immediately if she’d gone from 300 to 70 in an hour. One of those numbers would be off. But she didn’t.

    If you had gotten a 47 at +10, you would have retested in 20 mins to see if she was coming up, and if not, fed a small LC snack and retested in 30 minutes after eating.

    I wouldn’t feed at +10 when she’s in the 70s and has been fairly flat the last half of the cycle.
     
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  10. Mimis mom

    Mimis mom Well-Known Member

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    Ok thank you..
     
  11. Krystina & Nelli

    Krystina & Nelli Well-Known Member

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    Rosa, you are doing a very good job. Gosh you have only been on this forum LET'S THAN two months.
    For whatever it's worth, I had very similar anxiety as you when Nelli and I first joined- I would retest often, get "wrapped around margin of error", thought more than once, "I think my insulin it's bad"...
    Keep posting questions and concerns- they are valid. This is all a life changing event when we find out our little buddies are diabetic!!! :woot: :nailbiting: an event that 'just happens one day'-
    Most of us are unprepared, confused yet know we need to do the best for our little buddies...
    We join this forum :joyful:... dang everything NOW is moving SO fast...:woot:
    Overwhelmed and confused, we've ALL been there.
    Hang tough, hang tight... Keep asking questions and posting confusions! There are SO MANY caring and skilled at FD peeps, so much valuable knowledge shared here... Mimi is lucky to have you as her mom :cat:
    Hang tough, hang tight... Keep asking questions and posting confusions!
    :bighug:
     
  12. Mimis mom

    Mimis mom Well-Known Member

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    Oct 12, 2019
    I just retested out of curiosity. I don’t know why it was just a feeling
     
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  13. Mimis mom

    Mimis mom Well-Known Member

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    I’m testing to learn more than anything. Now her number is 55.. :nailbiting:
     
  14. Penelope and Mačka

    Penelope and Mačka Well-Known Member

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    It's scary, but looking good at the same time! I'm curious to see what experienced members will say.
     
  15. Mimis mom

    Mimis mom Well-Known Member

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    Well, see this is why I get caught up with testing.. if her number tested right after 55 was 65 - is that still a low to shoot number? If specific numbers weren’t so important then why do we have them to earn reductions at? For example below 50 earns a reduction-
    but what about saying “below 50-60”. Does that make sense? I don’t know, I’m still learning! I’m sure my excessive questions and knowledge will help others in the future! Better know more than know less?
     
  16. Mimis mom

    Mimis mom Well-Known Member

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    Oct 12, 2019
    Also, still no shot... times a tickin.. do I shoot? I just tested and she got 67... but what if I tested again and she got say “59” is she going down or was the 67 just a round about number. How quickly do they actually increase when it’s supposed to matter? (Well not “quickly” per say- more like what kind of increase is a notable one) What kind of increase increments should I see and can say “ok she’s going up- it’s not just - that number would have come up if it was subsequent to the lower scarier PMPS number”
    Does this make sense?
     
  17. Crista & Ming

    Crista & Ming Well-Known Member

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    Rosa, sorry I don’t have the mental capacity to answer your questions above right now (tired and overworked) but when was the 55? Can you stall for 20 mins and see where Mimi is?

    And do you have plenty of strips, HC and time to test tonight?
     
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  18. Mimis mom

    Mimis mom Well-Known Member

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    Oct 12, 2019
    Yes I do.
    It’s ok. My brain is hurting too..I’ve just been looking at all of these SS from other members and I see people continuing to dose even when they’ve showed green for days and days. I’m like-
    The first couple of days I see green consistently I’m thinking she’s heading towards bring OTJ!! I’m paranoid- I can’t have her be in ICU again- this is where my anxiety stems from
    And I’m also a highly anxious person to begin with
     
  19. Si am cat mom

    Si am cat mom Well-Known Member

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    Nov 11, 2019
    Just for reference....I reread too

    Some general rules when stalling (ECID):
    • 50s or higher – don’t feed. The number will bump up on its own soon due to the insulin wearing off.
    • 40s or lower – you have a couple of choices.
      • When 40s occur at the end of the cycle, it can be beneficial to withhold food and test in 15-20 minutes to determine if kitty is on the rise or hasn’t reached nadir yet.
      • If they are hanging in the 40s for a while, or if they are still dropping, it is ok to feed a tsp or two of LC and retest. This is very tricky. You want to avoid feeding too much while you’re waiting for them to go over 50, because you don’t want to artificially inflate the number with food.

    You look okay- seeing how the lowest was (55) about 25 minutes ago...?
    I know the insulin dose is different now but on 12/2 it looks like you shot greens - in the 90s- and the next test was in the blues +2 I think ( maybe +1).

    How are you doing?
     
  20. Penelope and Mačka

    Penelope and Mačka Well-Known Member

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    I was in the same crisis this very morning. I shot 1/2 dose to play it safe but could have shot the full dose. He is bouncing to the sky tonight. I don’t know if you should shoot or not because Mimi is even lower though, but I feel you.
     
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  21. Crista & Ming

    Crista & Ming Well-Known Member

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    Can you retest now?
     
  22. Chris & China (GA)

    Chris & China (GA) Well-Known Member

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    The people you see doing that have lots of experience and data on their cats and understand how Lantus works.

    If you're this worked up over it, I'd suggest giving a reduced dose to see what happens. Get a +1 and +2 in tonight …..it's all good data for the "next time" she gives you a green pre-shot.

    It's best not to skip with a recent DKA in the picture....How do you feel about giving 1U? Do you have plenty of HC food if you need it? Plenty of test strips and the ability to test as long as necessary tonight?
     
  23. Mimis mom

    Mimis mom Well-Known Member

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    My fear without shooting is risking her being exposed to ketones because she was DKA before and almost died
     
  24. Mimis mom

    Mimis mom Well-Known Member

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    She’s been dosed. 10 pm- 30 minutes past usual time. bought to get ready to stay awake!
     
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  25. Si am cat mom

    Si am cat mom Well-Known Member

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    I think Chris suggested you shoot a reduced dose- closer to one you have given before -so you have more of an idea of what to expect....
    How does that sound? If you are shooting late , doing that can sometimes act like a reduction also so
     
  26. Penelope and Mačka

    Penelope and Mačka Well-Known Member

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    I understand, same situation with Mačka, which is why I did not skip the shot.
     
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  27. Mimis mom

    Mimis mom Well-Known Member

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    Oct 12, 2019
    Dannnnnggggit. I shot her usual dose. Shttttt... did I mess her up?
     
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  28. Mimis mom

    Mimis mom Well-Known Member

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    Oct 12, 2019
    I see a members named on here called stressed cat mom-
    I should be called something of that sort...
     
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  29. Si am cat mom

    Si am cat mom Well-Known Member

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    I don't think so. You shot later...you are prepared to test , have food on hand and have seen similar numbers before- just not this low
     
  30. Penelope and Mačka

    Penelope and Mačka Well-Known Member

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    As I was told this morning, the shot with influence the later part of the cycle, which is when they go up, and she might also bounce.
    Take a +2 to see if BG is higher!
     
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  31. Mimis mom

    Mimis mom Well-Known Member

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    I’m not really worked up-
    I kind of think her number was low because she was hungry.. I’ll be neurotically testing her after this.. I think my girl will give me good signs. Also the free style machine always reads lower than other machines...
     
  32. Penelope and Mačka

    Penelope and Mačka Well-Known Member

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    Did you feed her meanwhile? :p
     
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  33. Si am cat mom

    Si am cat mom Well-Known Member

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    As someone else posted...you can grab a +1 and +2 so you can see the trend and anticipate any action you might need to take.
    Congrats on shooting low to stay low !!!
     
  34. Mimis mom

    Mimis mom Well-Known Member

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    She always has such a good appetite (a little too good at times which is why I think she was a little chubster for some years. (I also wasn’t aware that my seemingly good food which was no byproduct and “grain free”, came up with 30% carbs on Dr Lisa’s chart!!!! It was drenched in broth. Soulistic was the name
     
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  35. Mimis mom

    Mimis mom Well-Known Member

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    Oh yes!!!! I did!! Lets get her little pancreas learning again!
     
  36. Chris & China (GA)

    Chris & China (GA) Well-Known Member

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    "Grain Free" doesn't mean "low carb"....the manufacturers just took out the grains and added potato, sweet potato, peas and chickpeas.

    Soulistic has quite a few canned foods that are low carb. There are a couple that are 20-24% but there are lots of choices that are fine for diabetics. Where are you seeing 30%?
     
  37. Marje and Gracie

    Marje and Gracie Senior Member Moderator

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    May 30, 2010
    No, you didn’t. I would have shot the full dose. Shooting a reduced dose is for you, not her. Just be sure you get a +1 and +2.
     
  38. Mimis mom

    Mimis mom Well-Known Member

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    It was some chicken one. I haven’t fed them that in years. At least 5. I did see some weren’t super high but at the time I only knew “byproducts bad. Grain free good”. Which is still true but not the whole picture. I always thought her weight gain was just her breed because I didn’t feed them garbage. Now they’re on raw and their coats are beautiful- their teeth look great and their poop is consistently the same- It doesn’t smell and it looks almost like a peanut (the shell)haha
     
  39. Mimis mom

    Mimis mom Well-Known Member

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    Thanks!!!
     
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  40. Chris & China (GA)

    Chris & China (GA) Well-Known Member

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    Isn't it amazing?? I didn't used to believe all the claims I heard from people who fed raw until I tried it myself!!
     
  41. Mimis mom

    Mimis mom Well-Known Member

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    Oct 12, 2019
    I first tried them on it when they were 3 and 2 years old (Mimi is 10, Batman 9) after staying up half the night reading catinfo.org. So I’ve known about Dr Pierson for years!! Then when we lived in NYC it was too difficult to keep the raw cold with train rides, etc. so I switched to their canned... (oh it was natures variety)
    Now I’m on Vital Essentials and it’s incredible! Also really great company- their customer service is amazing- I called with a question and got a good 20 minute conversation! Personal and caring.
     
  42. Wendy&Neko

    Wendy&Neko Senior Member Moderator

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    Feb 28, 2012
    Looks like a nice blue night.

    When your question has been answered and you have decided what to do, could you change the subject line and remove the “?” prefix. That way we know by a glance at the board that you have been helped.
     
  43. Sienne and Gabby (GA)

    Sienne and Gabby (GA) Senior Member Moderator

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    And, can you please make sure to keep the date and your cat's name in the subject line?
     
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