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? 12/03/2019 Blackie AMPS 159 PMBG 60 +12.5 75 +14 113

Discussion in 'Lantus / Basaglar (glargine) and Levemir (detemir)' started by Sherry and Blackie, Dec 3, 2019 at 7:46 AM.

  1. Sherry and Blackie

    Sherry and Blackie Member

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    Sep 28, 2019
    Nan & Amber (GA) likes this.
  2. carfurby

    carfurby Well-Known Member

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    Feb 19, 2012
  3. Sonia & Leo

    Sonia & Leo Well-Known Member

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    May 24, 2018
    Surf safe Blackie!! Have a great day Sherry! :bighug:
     
    Sherry and Blackie likes this.
  4. Bellasmom

    Bellasmom Well-Known Member

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    Feb 12, 2018
    Veru nice blue start Blackie
    Have a great day Sherry
     
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  5. Sandra And Buddy

    Sandra And Buddy Member

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    Oct 4, 2019
    Have a wonderful (as you can at work) day!
     
    Sherry and Blackie likes this.
  6. Judy and Boomer

    Judy and Boomer Well-Known Member

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    May 23, 2014
    Nice AMPS!
    Keep it safe Blackie!
     
    Sherry and Blackie likes this.
  7. Sherry and Blackie

    Sherry and Blackie Member

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    Sep 28, 2019
  8. Christie & Maverick

    Christie & Maverick Well-Known Member

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    Aug 1, 2017
    With SLGS it is not recommended to shoot a number under 90. Can you stall for 20 minutes, don't feed and see if Blackie comes up over 90. He is on the end of the cycle, another test will help to see what he is doing.
     
  9. Sherry and Blackie

    Sherry and Blackie Member

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    Sep 28, 2019
    Hi! I can stall but I just feed him. Should I still test in 20 minutes. Sorry I'm still learning.
     
  10. Christie & Maverick

    Christie & Maverick Well-Known Member

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    Aug 1, 2017
    I learn something new here every day ;), I'm sure you'll remember for next time. What % carb did you feed? I see @Nan & Amber (GA) is here too, I need to quickly do my routine with Mav, but depending on the carb, next test will likely be carb influenced. That's why it's good to try and stall without food so we can see that the number is rising naturally, not artificially with carbs :)
     
  11. Sherry and Blackie

    Sherry and Blackie Member

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    Sep 28, 2019
    I will add that to my list . He's eating Friskies pates. Maybe 6%. He doesn't get dry anymore. I'll update my signature. Thank you ! Now I know , stall no food.
     
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  12. Nan & Amber (GA)

    Nan & Amber (GA) Well-Known Member

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    Mar 19, 2016
    Here's your thread from this morning:

    12/03/2019 Blackie AMPS 159

    We try to keep it one thread per day-- easier to keep track of the whole history. You can always edit the title when the situation changes from AM to PM questions.

    Anyway, on SLGS you don't shoot under 90, but let's see where he is on the re-test (accounting for the meal as best we can). Hopefully he doesn't make it tricky for us :).
     
  13. Christie & Maverick

    Christie & Maverick Well-Known Member

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    Aug 1, 2017
    Okay, 6% is still LC, glad there isn't any dry in the mix....was that a fairly recent change? can you catch him 20-30 minutes from the preshot number you took?
     
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  14. Sherry and Blackie

    Sherry and Blackie Member

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    Sep 28, 2019
    Hi! I didn't know that about one thread. I'll remember that too. Thank you . Just tested he is 64. He ate about half a can of Friskies Pate.
     
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  15. Christie & Maverick

    Christie & Maverick Well-Known Member

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    Aug 1, 2017
    That is still not shootable. How far off schedule can you be? can you stall for another 30 minutes? He's staying quite flat at the moment.
     
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  16. Sue and Luci

    Sue and Luci Well-Known Member

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    Nov 3, 2017
    Sherry, could you please update your SS to add a star and a note about Blackie's trip to the ER for a glucose drip the other night when he went down to 20. He may be extra sensitive to insulin still - and Christie has given you some good advice.

    Be very careful...

    I'm not going to be around but it looks like Christie and Nan are going to be with you for a while.
     
  17. Sherry and Blackie

    Sherry and Blackie Member

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    Sep 28, 2019
    I'm only 15 minutes off. I can try again at 8pm.
     
  18. Sherry and Blackie

    Sherry and Blackie Member

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    Sep 28, 2019
    Thank Sue I will.
     
  19. Christie & Maverick

    Christie & Maverick Well-Known Member

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    Aug 1, 2017
    Oh dear...that's exactly true, and he's nowhere near usual preshot numbers. A skip may be required.
     
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  20. Nan & Amber (GA)

    Nan & Amber (GA) Well-Known Member

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    Mar 19, 2016
    Sue makes a really good point about insulin sensitivity after the extreme lo last week. You dropped the dose from 3 to 2.5, but he may need to go down a bit more for you to be able to shoot safely, consistently.

    Given how flat he is so far after his meal, I'm leaning towards a skip tonight and a re-assessment of the dose in the morning, but we can see if he's shooting to the moon on the next test.
     
  21. Sherry and Blackie

    Sherry and Blackie Member

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    Sep 28, 2019
    Ok. I'll post back in just a bit. Thanks !
     
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  22. Sherry and Blackie

    Sherry and Blackie Member

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    Sep 28, 2019
    Hi!
    He's at 75. He's about 30 minutes past evening shot.
    He is snuggling with his brother Popeye.
     

    Attached Files:

  23. Christie & Maverick

    Christie & Maverick Well-Known Member

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    Aug 1, 2017
    75 is still not shootable. And, from my perspective, now seeing that you had recent hypoglycaemia that needed vet intervention, I would not be comfortable saying anything other than you need to skip. That's just my 2 Canadian cents for what they are worth these days :rolleyes:
     
  24. Sherry and Blackie

    Sherry and Blackie Member

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    Sep 28, 2019
    Hi! Your help is invaluable. It's worth millions to me. . I agree we will skip tonight . I'll get a few more tests in before bed. Thank you Christie.
     
  25. Nan & Amber (GA)

    Nan & Amber (GA) Well-Known Member

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    Mar 19, 2016
    Well, that settles it!

    Skip tonight, and Blackie has earned another reduction. It's special circumstances with his history, so I'm going to tag a moderator, @Sienne and Gabby (GA) (I think she's around right now) for dose suggestions for the morning. My recollection was that during the extreme low, a dose of 1.5U was suggested-- maybe that, or something between that and his "official" new dose of 2.25, would be worth a try.

    I think I'd get at least one more test in tonight too, even though you didn't shoot. Just to make sure he's behaving himself :D. Ah, you just posted to say you were doing just that-- great minds, and all that!

    Have a great night, maybe join in on that snuggle-pile!
     
  26. Christie & Maverick

    Christie & Maverick Well-Known Member

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    Aug 1, 2017
    You are most welcome, I try and help where I can. Good idea to keep testing, even with no shot, the depot may continue to affect tonight's cycle.
     
    Sherry and Blackie likes this.
  27. Sherry and Blackie

    Sherry and Blackie Member

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    Sep 28, 2019
    Thank you Nan. That's what we will do. I was thinking that's where he was headed . I'll await dosing recommendations for the AM. And yes it's definitely snuggle time. Have a great evening.
     
    Nan & Amber (GA) likes this.
  28. Jill & Scooter

    Jill & Scooter Well-Known Member

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    Mar 7, 2018
    Blackie sure keeps you busy! Hope you get a good night’s sleep and the reduced dose puts him in nice dark green!
     
    Sherry and Blackie likes this.
  29. Sherry and Blackie

    Sherry and Blackie Member

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    Sep 28, 2019
    Hi Jill ,
    He sure has been a rascal lately. Lol Here's hoping he has a good evening. Maybe he's just ready to head down and get settled.
     
  30. Marje and Gracie

    Marje and Gracie Senior Member Moderator

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    May 30, 2010
    I’ve merged the threads.

    @Nan & Amber (GA) and @Sue and Luci: it’s very doubtful that he’s still insulin sensitive from the lows a week ago.

    @sherry mccormick I’d reduce the dose to 2.25u since he dropped below 90. In reality, if Sherry could have shot late and slowly gotten back on time, she could have shot 2.25u when she got the 113.

    One other clarification for all involved. While SLGS states we usually don’t suggest shooting below 90, remember that for experienced CGs who have data; know their cat’s onset, nadir, duration, and response to food; and are available to monitor, they can determine what preshot is a safe number to shoot, even if it is below 90.

    One other thing, Sherry. You might want to change your user ID to not include your last name and also remove the location from your signature block for security and privacy. We do have scammers that visit this site.
     
    Last edited: Dec 4, 2019 at 8:48 AM
  31. Sue and Luci

    Sue and Luci Well-Known Member

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    Nov 3, 2017
    I agree with the dose reduction - but I wouldn't have been comfortable shooting last night either - so I guess it was up to Sherry - after all she has to weigh how long she would have been able to stay up and after the run to the ER 6 nights ago for a glucose drip I can understand her reluctance to shoot when he was in the 60's.

    It's always good to learn from our experiences and next time weigh all the factors - but with so many IF's at play it's still challenging to know the right thing to do. I didn't want to discount what Christie and Nan were saying - and we all felt that to be conservative last night might be a better option. So just for clarification - how long is a kitty 'sensitive' to insulin after an event like Blackie had the other night?
     
  32. Nan & Amber (GA)

    Nan & Amber (GA) Well-Known Member

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    Mar 19, 2016
    Yes, it's true that the no-shoot-under 90 is a guideline for beginners rather than a hard-and-fast rule under SLGS. But, also for clarification for anyone reading this, we do always want to consider the specific situation. In this case, we had the following:

    PMPS: 60
    (meal)
    PMPS+0.5: 64
    PMPS+1: 75

    With a meal on board, the numbers were staying flat, so there was a possibility that Blackie was still heading down but was getting propped by food a bit (it's hard to say for sure with the food on-board, without the hindsight of seeing numbers later in the night as we do now). In addition, Sherry has never shot a number under 165, so this would not be a gradual working down to shooting under 90.

    I agree that it might have been possible to shoot when she got the 113 at +2, although I don't think I would have done it, either. That's definitely a situational call, balancing the caregiver's tolerance for schedule disruption and a possible late night with the disadvantages of a skip.

    I would also like to know the answer to this question, so that I can give more correct advice in the future.
     

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