? 30/12 Glen PMPS 205 +2 45

http://www.felinediabetes.com/FDMB/threads/29-12-glen-amps-243-pmps-117.170415/#post-1856114

thinking I shouldn't have skipped last night...
AMPS 583

 

It's good data to have and if you can't monitor shooting that low it's safer to skip. Better too high then too low even for a minute. One thing I can guarantee is there's always a another chance with FD.

He'll get back on track but it can take 4-6 cycles for the depot to stabilize again. Hope he comes down soon for you.

 

He will come down after the bounce.

 

You did what you needed to do to keep Glen safe. Like Karen said, he will get back on track and it is waaay better to be high than too low.

 

I hope so too. I work all day and won't be home to monitor

 

Well, it's like everyone is saying safety first and if you can't monitor it's always best to be cautious. He will come back down soon.

 

He will, we promise but it will take a few cycles. It's a combination of a bounce and skipped shot. We've all been there

 

Thanks everyone.

I had a bad start to my morning thinking Glen was having a seizure but he stepped on a sticky fly trap which was under my bed for some reason. He freaked out of course and had me flying out of bed!

 

OMG!! It's funny thinking about what it must have looked like to you but I know it wasn't funny witnessing him flailing around. Glad it was just a sticky trap!

 

OMG it was funny! He was trying to get up the stairs LOL
It freaked me out because my other cat has epilepsy and I initially thought it was him - but he had a seizure yesterday so he's usually good for a month.
But of course it was dark, all my cats are black and I didn't have my glasses on!

 

I'm glad all is well. You did the right thing by skipping although I know it doesn't seem right to you right now. Just remember how long it took to get him back up the other day when you were steering with food and honey. There is a saying around here, it's a marathon and not a race.

 

PMPS 205!

 

Well now there is nice bounce clearing!! Get a +2 to see how active the cycle is going to be.

ETA: A I forgot that you skipped last night.

 

Will do!

 

Nice after a skipped shot! And a bounce clear. I can feel and see your smile! How fast some of these kitties turn around!

 

I am very happy! And Glen's automatic feeder arrived today so all good!

 

This is all good.

 

+2 45...I don't understand

 

What food do you have on hand? Anything with gravy?

 

If so, open up the can, press the lid down, and feed 1 tsp of gravy.

 

I suggest the gravy because you don't have a lot of numbers to go by yet and it's early in the cycle. He could drop further.

 

Did you give him some gravy?

 

Can you take another test about 20 minutes after you took the +2 (45)? This will give you and everyone watching this thread an idea of what's going on.

 

How's it going @Islandmomma ? (I'm sorry, I don't know your name. I grew up in Qualicum Beach just north of you.)

 

Sorry - yes just gave him some gravy

He has also been picking at his canned food from dinner.

I also just realized I have 5 strips left!

 

Great. How much? And can you take another test? It's been 30 minutes since the +2 45.

 

43 at 45 minutes +2

 

How is he acting? Stumbling, drunk, lethargic?

 

Do you have any Karo on hand? You can give him a couple of drops of Karo mixed in with the gravy, if he'll eat it that way (Squallie thinks it's a real treat, lol).

 

Smokey loved maple syrup off the spoon.

 

Like himself...seems totally normal

 

Karo is what we Canucks call corn syrup. If you don't have corn syrup, honey or maple syrup works as well.

It's still early in the cycle. You want him over 50 (preferably higher since it's all new) but you want to keep him slightly hungry so that he'll eat for you.

 

They say cats can't taste sweet, I say bs. At least two of mine have sweettooths, if you will!

 

I have honey....I'll give him some of that

 

I'll try syrup. He doesn't like honey LOL

 

Anyway, to get more strips?

 

He just ate a whole pouch of this stuff..

 

Not much open past 10 around here

 

I'm not familiar with those.

 

If you have a Walmart near you, you may need to run out and get test strips.
If he doesn't want to eat the honey or syrup, you can try rubbing a bit of it on his gums.

 

Are we low on strips?

The Shoppers Drug Mart in the plaza on the Island Highway near Bowen Road is open until midnight, west coast time, according to their website.

 

Already getting dressed and heading there now...

 

He ate the syrup with some gravy

 

It's Whiskas (Hartz) but a list of ingredients is not on the website I found. http://www.hartz.com/Hartz_Products...56_hartz_delectables_bisque_tuna_chicken.aspx

 

Only has 5 strips left.

 

My meds kicked in, seeing double. You guys okay? I need to go.

 

Eating is good. You can add honey to the food. That is quite a drop in 2 hours. I wonder if there was a bad strip?

 

Haven't taken my meds yet. I can stay up for awhile, but not all night. 1.30 EST for me. Cat is on west coast time - 3 hour time difference.

 

Oh … litterbox deposit.

 

I used 2 different strips and got 2.4 & 2.5 45 minutes apart

 

You need to give some honey now. Rub it onto his gums.

 

East coast too.

 

I don't know how long it takes for you to get to that store and back, but if it's more than 30 minutes I'd take him with you, along with your glucometer. He shouldn't go more than 30 minutes at this point without being tested and given more gravy if needed.

I'm going to leave the advice to others here - it helps a person if there is a lead person giving advice rather than too many, so maybe you folks helping can decide on 2 people to help and others can watch and be ready to step in if needed.

You are early on in the cycle. You may have to do this for a while. Don't overdo the sugar syrup because you don't want to get him vomiting from too much of it. Doling it out a teaspoon of gravy at a time, alternating with some of the meat to help it sustain the blood sugar longer, will help prevent that.

Tammy, I'd encourage you to use US mg numbers instead of mmol.

 

Are you back already from getting strips? If not, is there someone you can send?

 

I can't stay on now. Meds kicked in and seeing double now.

 

On my way home

 

G'night.

 

66.6 +almost 4

 

How he last had any gravy or Karo?

 

Close to an hour, maybe 45

 

Okay, test again in another 30 or so minutes.

 

The 66.6 is a food/syrup influenced number. Your cat could easily head down once the food and syrup wears off and it can wear off quickly.

 

You are doing great so far. That must have been one fast drive.

 

100km/h down the street LOL

 

Should I keep feeding him?

 

How much was in the pouch that you fed earlier?

 

As long as his BG is over 50 I would not feed him any more. Test again 30-45 minutes after your last reading.

 

Here is the link to treating hypos (you are learning by fire btw). http://www.felinediabetes.com/FDMB/threads/how-to-treat-hypos-they-can-kill-print-this-out.15887/

The readings need to be above 50 and stay above 50 for 2 hours without the influence of food and syrup. Because he dropped so early in the cycle, it could be some time before you are able to go to bed. The next reading will tell us more.

 

They are 1.4 oz

 

I am doing the best that I can. I'm a nurse and worked a full shift and I've been up since 5am

 

I don't even know why he dropped so much? He ate well at dinner and grazed for a bit before he went to bed. I don't get it

 

He's not regulated yet. You are still trying to find the dose that works for him. It could be that his pancreas is kicking in and out again.

 

you go girl!

Great job Tammy, I agree that you want to keep testing every 45 minutes or so. The shot typically onsets around +2, so you could have several hours of this because you need to get him past the nadir of this shot. I would want him to be over 75 and staying there for at least 1 hour (or more) after you've stopped giving carbs. If you need to sleep, make sure you'll wake up to an alarm. If I was in this situation I slept on the sofa in the living room with the light on and the cell phone alarm turned up loud. Don't go to sleep if you aren't confident you'll wake up.

Make sure you reduce the dose to 1.25u. The 1.5u is too much now.

 

I used to sleep sitting up against the bookshelves.

And I have driven that same stretch of highway at 100 km myself - think it was almost the speed limit then.

 

I went on uplands to Rutherford LOL
Speed limit is 70-80km depending on which section. Around the lake it's 70

 

I worry that even 1.25u is too much!

 

I'll leave this for more experienced eyes. It depends on how long he stays low, what the depot is, how much you can test tomorrow. Do you work tomorrow?

I keep forgetting about the new highway. I like the old curvy one.

 

You can reduce further if you want.

What is your situation tomorrow? Will you be home or gone?

 

I'm home for most of the day but of course it's New Year's Eve and we are going out!

I'm thinking if anything he is going to be high after he bounces...again!

 

Coming up to the next test time, I think.

 

Since you're going to be home, and since he came up pretty easily tonight, I'd probably go with the 1.25u or 1.0u. I personally wouldn't decrease more than that, but it's up to you.

 

121!

 

Fabulous. That's roughly +5?

 

Yes, I put it in my spreadsheet as +5

 

Tammy, I'm wanting to head for bed now. Red & Rover is going to be up for a little bit longer with you.

I think you've got the basics down - great job! This is a "lather, rinse, repeat" process - we call it the "poke-carb-poke" dance. You just want to keep Glen over 50.

Congrats on your first pj party, too!

See you tomorrow.

 

G'night, Julie. Thanks for all your help. You are fantastic.

 

Thank you everyone for everything!

 

I think I am good from here Red & Rover if you want to go to bed.
I'll check him in another 45. He should be close to his nadir by then. If he is still up I'll check one more time and then get some sleep.

 

Here are the ingredients of that pouch of treats
Important Information
Ingredients
Water, Tuna, Shrimp, Natural Poultry Flavor, Modified Tapioca Starch, Tuna Extract, Guar Gum, Annatto Extract, Carmine

Directions
Feed up to 2 pouches per day for an average size adult cat

Nite..

 

Thanks, Les.

 

Sorry, had to make a trip downstairs to raid the leftover Christmas baking. Needed the sugar. It's after 3 a.m. for me. I'll need to take my bedtime meds very soon. The room is starting to spin a bit.

If the number stays the same or has gone up at the next test, I think you are good. It will have been about two hours since you last fed? You might want to leave a little low carb food out just for your own piece of mind. No food after +10. You don't want a food influenced number when it's time to make a morning dosage decision.

Now, because of the syrup and because your cat hit a number that was low for him, his numbers may continue to rise and by morning he might have bounced to the moon. That's okay. Bounces are temporary. It might take a couple of cycles to come down from the bounce. Please do post tomorrow morning, asking for dosing advice.

If you run into trouble or have questions, do holler. Loud, if you have to. I think the east coast has gone to bed (except for me). There should be people on the west coast around. And just as they are going to bed, Europe and the UK wake up.

You did a fantastic job tonight. Well done.

I'll be here until I've finished the sugar stash I brought upstairs.

 

@Wendy&Neko Are you up for awhile? Just to check the next number?

 

Aw thanks! Yes, I am hoping he has come up. I will test him in 30 minutes. He last ate about 2 hours ago.
And thank you thank you for all of your help!

 

Here is the sticky regarding a Hypo Tool Box.
http://www.felinediabetes.com/FDMB/threads/jojo-and-bunnys-hypo-tool-box.2354/

It's always good to have plenty of strips on hand just for these situations. And some canned food with gravy. Fancy Feast Gravy Lovers are High Carb (HC), inexpensive and the carb count is known. (No one recognized the one you fed tonight and we stand in pet food aisles a lot). The Fancy Feast Grilled is considered Medium Carb (MC). It too has its place when you want the cat up, but not way up.

 

I thought I had more strips, I blew through 50 in just over a week.
I do have lots of canned food with gravy...
They have the Hartz treat I have at Walmart and some grocery stores.

And I will make sure I have a seperate kit all ready to go! I found this wonderful place last Sunday. It has been so great for Glen and I. I am completely overwhelmed right now because the vet sent us home on 2 u bid and said testing was optional. It's a lot to take in but I will get there. Thank you everyone

 

It's a steep learning curve, and you've figured out a lot of it so far. There are a lot of experienced people here more than willing to help. As you saw tonight, testing is not something that is optional. You'll most likely go through a lot more strips while trying the find the best dose. One CDN on the forum has a postal box just across the border in the US and uses that to order strips from the States. Strips are much cheaper in the States than here. On the other hand, the US pays 5 times more for Lantus.

Test time?

 

Yes...112

 

I am going to check into the mailbox. I am a 2 hour ferry ride away ($200 round trip with a car) from the border but next time I go over I am totally bringing some home!

 

Okay, if you squint and allow for metre variance, +6 could be roughly the same number as the +4. Or the syrup could be starting to wear off.

Feed a decent meal of low carb. Add a bit of medium carb if you have worries. And grab a couple of hours sleep. Just because we don't know which way Glen is going to go, to be extra cautious, set an alarm for +8. Do a quick test and hopefully hop straight back into bed. Occasionally, a cat will continue to drop.

I can't stay up any longer. I've chronic vertigo. There are a few people on the forum right now if you need help. I hope the rest of you and your cat's night is simple.

 

Thank you! He isn't interested in any food at the moment but I'll keep trying