03/10 Babulica AMPS 118 (+16.5) +4 125, +17 77

Babulica playing on slide.

see post 199 for current info

 

Whoa!!!! Did you test again to make sure it wasn't a meter error?????

 

no, but I'll test now again

 

+10:10 62 . I give him some LC & MC food

 

Well, that was a speedy bounce-breaking, well-done Babulica!

I wouldn't worry too much about managing the low at this point of the cycle-- at +10 he's not likely to drop into the danger zone, I don't think. Since it is +10, you probably don't want to feed too much more because you want the PMPS to not be food-influenced (of course, if you get another test and find that he has made me a liar by dropping much lower, this advice will change!).

It's very good that you caught this number now, this way you'll be able to tell at PMPS if he's moving upwards.

 

I gave wet food 40g LC and MC. Blood test in 10 minutes

 

arrrggghhh!!! no rest for Babulica's ears!.

 

+10:35 59

 

Test right before you shoot but before you feed. (so at +11:45) - post that number before you feed or shoot.

ETA - tagging @Wendy&Neko for more experienced eyes.

 

OK. Anyway I test again at +11

 

+11 61

 

Well, he's certainly got the surfing down-- yesterday blue, today green! He is really keeping you on your toes!

 

Just noticed something-- your signature says that you use a human meter for testing, is that correct? I ask because the color scheme on your spreadsheet corresponds to the AlphaTrak (pet meter) ranges. It's important because where Babulica is right now (low 60's) is fine for a human meter, but too low if you are using a pet meter.

 

Yes, I use human meter . I removed from my ss the AlpfaTrak row, 2 weeks ago. What else should I do?

 

Urgh.... depends how tech-savvy you are! The colors are done using conditional formatting, and the only ranges that change are the dark green vs. light green, with the number separating them being 50 for the human meter and 68 for the pet meter. So if you feel comfortable doing that kind of thing you can go in and change it yourself for the BG-input regions of the spreadsheet. If you aren't comfortable doing it yourself, then you can tag Marje+Gracie, who is our expert at doing these things.

 

@Marje and Gracie may be able to fix it. For now, can you put a blank line in between the last day you used the AT and the first day you used the human meter and type in that you changed meters?

 

OK. I have changed now

 

Ah, great! Now I don't get that "yikes!" feeling when I see today's numbers!

 

I do not understand . From the beginning I used only human meter

 

It's just a matter of which spreadsheet template you used initially. It may still need some tweaking from Marje (sorry Marje, I might have given bad advice)-- I just checked and the "World" readings aren't synced to the US measurements, not sure if what I told you to do messed that up or if it was always like that.

 

+11:45 69

 

Oh, I see, so you just accidentally used the SS for an AT. Marje could still fix it for you, I'm sure.

 

Goodness, Babulica is not fooling around!

Tricia, I'm not experienced enough to give dose/shot advice in this situation--what do you think????

 

If is wrong, there is no problem . I just changed 2 numbers . But I think you're not wrong

 

Should he shoot 1U? I don't feel comfortable giving advise on shooting that low of a number. But boy, what a drop from AMPS!

 

it is better to wait half an hour, or an hour?, like I did yesterday morning

 

Maybe edit the subject to put a "?" tag and ask for dose advice, to get some more eyes?

 

When did you feed last?

 

Well, I'd say definitely stall (don't feed) for a little while, until some experts stop by to help advise. How much monitoring do you think you can do tonight if you shoot?

 

an hour and 45 minutes ago , 40g MC & LC

 

I can stay with him, no problem. ALL NIGHT if must.

 

Hopefully it won't come to that.

I would say don't feed yet, and test again 30 minutes after the last test. If he is the same or higher, you can shoot. If lower, we'll re-evaluate.

 

Thank @Tricia Cinco(GA) & Harvey

 

Ok. next measurement at +12:30

 

In the case that BS is rising, what you say, to give it 0.75u as I gave yesterday morning?

 

Are you feeding any dry kibbles at all?

 

NO , today no, yesterday I gave little , at morning(when was +1 98). I panicked a little because I gave the injection on descent.

 

Have you determined whether you are following Tight Regulation or Start Low Go Slow? If you still give kibble, you need to follow SLGS, as TR does not allow dry food. So, under SLGS guidelines, Bubulica earned a reduction in dose to .75 with his drop under 90. You just took a reduction yesterday, so this one may not hold (you may have to increase the dose again soon), but if I were you, I would shoot the .75 tonight.

 

I have not yet chosen a method. These numbers not let me to choose now. I'll post the BG test at +12:30 and will see.

 

The reason I ask is that for TR you wouldn't reduce the dose until he goes under 50, but with SLGS you reduce for anything under 90. At this point, since you are still giving some kibble, I suggest you follow the SLGS guidelines for reductions. You can always switch to TR later if you want to.

 

Babulica eat only wet food from a while. Just yesterday morning I gave a few grains

 

+12:30 92 .

 

Well, then, it's up to you whether you want to reduce the dose or not. I will say that it is best if you pick a dose and stick to it for at least six cycles (unless he goes low again). So if you want to shoot .75 tonight, that should be your new regular dose and you should continue shooting that amount until the BG numbers tell you otherwise.

I would say you should go ahead and feed and give insulin now.

 

I give 0.75u

 

So that is your new dose amount, and you should shoot that same amount tomorrow morning.

 

No more kibbles! Wet LC unless he needs MC/HC wet for low BG numbers!

Surf it Babulica! Surf it.

 

ok. next test +2 or +1?

 

I will follow these general guidelines again


The + 2 test can give you an idea of what might happen in the cycle:

1. If the +2 is quite a bit lower you might have an "active" cycle where you should monitor more.
2. If it's about the same as the pre shot the cycle should be "normal" - not too much excitement.
3. If it's higher than pre shot there might be some bouncing starting and you won't have to test much.

 

Sorry. I had workmen here and had to go talk to them. Yes, a +2 would be good.

 

+2 137

 

Nice.

 

+3 132

 

Looking good!!!

 

next test +5

 

We're watching.

 

Very nice so far.

 

+5 120

 

decreased slightly. what to do, to give him something to eat?

 

Does he normally eat about now? If so, yes, go ahead. If you're concerned about his dropping lower, he's in safe numbers now and I don't think he'll drop a lot more

 

No. Usually Babulica not eat at these hours. He's sleeping now . So I do not give food.

 

next test +7

 

I want to ask you: with these bounce, the liver does not have too much stress?

 

+7 118

 

next test +10

 

Pretty flat low blue. Keep up the good work. Get some rest

 

No it doesn't. Not something to worry about. We've had cats that bounced for years before with no discernable damage.

I think you can leave some food out and go to bed. Nice work!

 

I woke up and I took BG at +9 97

 

+9 97 I gave him a little wet food LC

 

Although it's a drop, it's not a big drop. Nice catch.

 

+11 91 within an hour I must give the injection

 

How much will you be able to monitor today?

 

We can monitor him. If not me, then someone else. But I'll try to stay with him

 

Well, let's see where he is at shot time. It would be nice to be able to shoot a lower number like that and see how he does I'd hate to see him lose momentum after the great numbers he's been having.

 

Ok, I'll post here the +12 numbers .

 

+12 78

 

ARGH. This is a tough one. If you were following TR and could monitor, I'd tell you to go ahead and shoot. If you were following SLGS, you would skip the shot, because you don't shoot anything under 90.

I think you are going to have to make this decision, based on your ability to monitor (or have someone else monitor), your confidence that Bubulica will eat, and what your goals are.

You could, if your schedule allows, stall for 30 minutes (WITHOUT FEEDING) and test again to see if Bubulica comes up on his own.

 

Ok. I'll do like we did last night. I Wait another half hour

 

Okay. I'll check back to see where you are.

 

+12:30 69

 

I'll wait another half hour as I did the other day

 

Babulica, what game are you playing???

 

What you say, there is too much 0.75u?

 

Not necessarily. The depot from the previous 1.0 dose could still be affecting the numbers. Once that is adjusted to the new dose, .75 could turn out to be just right.

It just makes it harder to determine what to do when Babulica is dropping at shot time.

 

+13 67

 

What do you want to do? Shoot, stall more or skip?

 

... probably in an hour to begin to rise

 

Stall more, i test again in 30 min

 

Just remember that, whatever time you do shoot (if you shoot), your next shot needs to be no less than 11.5 later.

 

OK. I'll keep that in mind. But as Bubulica go, i think his cycle's are going to be over 12 - 13 - 14 hours

 

That is possible, although unusual. If your schedule is flexible enough to accommodate that, it's wonderful.

Are you comfortable handling this by yourself? I have to get up early in the morning and really need to get to bed. But I will stay with you if you need me to.

 

Good . Thanks for the help . I'll wait until I am are sure that BG climb, and then I give the shot. I'll test again in 15 minutes. If you're still here, write me. If not - Good night.

 

Okay. I have my tablet in my room, so I'll probably check in one more time before I crawl in bed.

Babulica, be a good kitty, please!

 

+13:30 64

 

It looks like the dropping has slowed down quite a bit.

 

I check again at +14:30, I hope to climb in one hour. But if passes under 50 then i give to eat.

 

Okay. I'm sorry I can't stay with you longer but if you have questions, add the ? and something like "Should I shoot?" to your subject line and hopefully someone will be around to see it.

 

Thank you for the help . Good night and sweet dreams

 

I am up. But have way less experience. Let's hope he is in the rise.

 

Hi. Now is playing. In 25 minutes new test.