Previous Thread: http://www.felinediabetes.com/FDMB/...-13-2-newly-home-testing.213156/#post-2361597 Tony and I are in need of sleep badly, but rumpy's +4 reading was low (i think) at 107. He is eating Tiki Cat Chicken the best and is refusing all wet food I had went out and bought for 10-15% carb range. Still eating his dry food 17.5% off and on as I am not leaving much down. Currently he is under my bed and un interested in eating.
We will try that, his reading at +5 was at 107, he did eat dry food as a treat. He is now relaxing in the room, not under the bed. Would you suggest another test at +6 or a different spot?
I think you could leave it til +7 and hopefully he will be surfing around the 107 mark. Just leave out some dry for him while you sleeping until +7. If he is still around 107 at +7 you could leave it til +9 to test again. , but if he is dropping more than 10 points I would test at +8. Does that make sense and are you happy with that?
Yes that sounds good. Will set alarm for +7 Thank you for the guidelines. It really helps. Gonna take a nap!
Update: at +7 he is now 136! We gave him a small amount of dry food and now he currently has a little bit of his wet food in front of him.(Tiki Cat wet food). Do you suggest we test again at +9 like you mentioned before? I removed the dry food and I'm going to leave the wet food down until +10.
Alarm set for +10 and will pick up the rest of the food for the 2 hr no feed. And re test at. +12 for amps.
Rumpy was tested at +10, his number read 218. What do you suggest I do from here on out?( this is tony, shelly's boyfriend. She will be at work all day today and I'll be with Rumpy)
Hi Tony, Test at +12 and unless the number drops under 150, feed him and hopefully he will eat. Then give 0.75 unit insulin. In that order. Always check the BSL then feed,then give the insulin. If the BSL is up around 218 then you could leave testing after the shot until +3 I think. If it is lower then you might like to get a +2.. If the preshot number is under 150 when you test just before the insulin, stall, don't feed and post and ask for help. Put a help in the subject line of the post. Then you will test 20 minutes after that to see if the BSL is going up at all.......but I don't think this will happen. I think the AMPS will be around the 218 or higher. Does all that make sense? I'm heading to bed now that is why I am telling you this now. Hopefully Chris who has also been helping will pop her head in at some stage to see how you are going. But if you get stuck there will be others there to help....you just need to ask. If you are unsure of anything always ask and we will help you. If you can keep the SS updated as you go along that would be a great help as we always look at that when we help you. Because of the recent DKA it is really important Rumpy eats well and gets plenty of fluids as well.. giving the dry food at this stage is fine as we need him to eat. Once things settle down we can address the issue of low carb food. Bron
Thank you Bron for the amazing information. I really appreciate it, I'm going to make sure I take it all step by step and ask for help if needed. This all makes sense, thanks again. Tony T.
You are very welcome. I did mention this last night to Shelly but there was a lot going on... if you are wanting to bring the shot time back to your original times, you can do it by shifting the time 15 minutes earlier a cycle or 30 minutes earlier a day. So if you like you can shift it 15 minutes earlier this morning and 15 minutes each cycle until you get back to your best time or you can do it 30 minutes earlier this morning and then 30 minutes tomorrow morning and then you should be back on track. Hope that makes sense. It will all get much easier once Rumpy recovers fully from the DKA. It is hard for a couple of weeks until they start eating properly again and things get back to normal. You have all had a very rough time and have managed really well...including Rumpy who has been a real trouper through all the testing.
Hello, I tested Rumpy at +12 and his bsl were at 269, I gave him wet food and then .75 insulin. I'll retest at +3 but, with the bsl being at 269, is that a bad thing? Thank you for the help again!
Hello, just a quick update. I just tested rumpy and he is at 129, I just updated the ss and as you'll read, we're having a thunderstorm. He's hiding from the storm only, other than that he's acting himself. Do you suggest I test in another +3? thanks.
Just tested Rumpy and he was at 106, I've updated the ss, with notes. What do you suggest we do from here? Testing wise, and insulin? His bsl did the same thing yesterday, around the same time also. thank you for helping me out!! Shelly is back home from work. thank God!!
Tony -- you'll get the hang of this! Promise!! I think giving Rumpy a bit of low carb food would be a lovely mid-cycle snack. You're seeing great numbers. There's nothing scary about how the cycle is progressing. The low carb should keep the cycle in these numbers.
Hi Shelly and Tony You did a great job looking after Rumpy while Shelly was at work Tony. It makes things so much easier when there is more than one person who can test and give insulin. Rumpy is a lucky boy. How is Rumpy’s appetite today? Were you able to get a urine ketone test? All that information in the SS remarks column is great by the way.
It does make things so much easier. Rumpy is still eating here and there on his tiki cat chicken and some dry food. He took morning tests really well. Afternoon tests he was scared for (it was storming) and since that he has been laying under my bed. No ketone test yet. However, it looked like he may have peed in his bed, it smelled like pee and was sticky but wasn’t a puddle if that makes sense? Almost like a spray.. I feel like he’s mad at us for testing and disrupting his comfort. He’s always been kind of sensitive. He’s purring when we pet him and alert. Just seems irritated with us. He a small portion of chicken about an hour ago when I set it by him under the bed. It took him awhile to actually eat it.
Here is the link to the other post you started http://www.felinediabetes.com/FDMB/threads/4-13-rumpy-pmps-328-help-dosing.213208/ We only start one per day. Don’t give more insulin, just mark the dose as a partial fur shot. He is bouncing now, hence the higher numbers. They will pass.
No worries, it just helps if we keep all info for the day in one spot. Th important thing was that you don’t give more indulin if not all went in. We never know for sure how much made it in.
I put the rest in before I got your response. He seems okay. I am rechecking at +2. Is there a way to delete the post?
No...once there's been a response, you can't delete it....Don't worry about it. You're not the first and you won't be the last!
.25 there wasn't that much left in the syringe, I don't think the full .75 went in as some came out when I realized the syringe plunger didn't push through
I could set an alarm and test at +4? Or should I do +3? He’s currently grooming himself on the couch with me. He nibbles at the tiki chicken just now too. (Hardly any though)
He's not dropping too quickly....If you want to grab a +4 and then as long as he's still doing OK, you could probably call it a night and catch up on some sleep! The way I understand it, you didn't give another shot, correct? You just gave what was left in the original syringe?
Okay. Alarm set for +4 And we were going to put the same needle back in, but was afraid to cause a problem. We gave him a different shot with .25 cause that’s all that was left in the initial one. We did this before getting the messages, I hope I didn’t mess something up for him but we could easily tell how much it was left. And I know we still were under .75
OK....next time, if something like that happens, just call it a furshot and don't try to "make up the difference" I had a few times when I'd shoot China where she moved a little and I didn't get the whole shot in, but I'd just quickly re-insert the syringe and give what was left. We can never know for 100% sure how much went in, so we don't re-shoot.
No worries.....we all have to learn and that's why this message board is such a Godsend! Lots of people who've been where we've been and can help us learn how to take care of our "extra-sweet" kitties!
Thank you! You are so right. This page has helped me so much. I am going to nap for an hour and test at +4. Is there a range or trend I should be looking for?
If he were to drop into the blues, I'd probably want you to get another test in later, but I doubt that's going to happen. Hopefully our good friend @Bron and Sheba will be able to check in later too
Thanks @Bron and Sheba !....I'll leave the "night shift" to you!! Hopefully Rumpy (and Shelly and Tony) will have a quiet night and everybody can get some sleep!
There seems to be three threads going for Rumpy at the moment. Maybe if we stick to this one it will stop any confusion. Is that ok with you Shelly/Tony? Would you be able to put ‘recent history of DKA ‘ in your signature please? .....As it makes a difference in the way we help with dosing and overall care. Thx
Don’t apologise. It’s fine. I think you need to increase to 1 unit at AMPS.( morning dose) Are either of you home to test tomorrow?
ketone test was just negative too. Are these numbers because I didn't do the shot correctly? Increasing dosage because he has more sugar that needs to be controlled? Just trying to understand and interpret better so I can eventually make the decision myself. Thank you so much for being here. This number scared me and I felt terrible for oversleeping. yes Shelly works mid morning and Tony will be home. When to test next?
That’s great the urine test is negative. You gave the rest of the insulin didn’t you? So he got the full dose most likely. Even this last cycle I was thinking he probably needed an increase. The reason the BSL has increased is probably a combination of two things. 1. The depot from the 1.5 dose has depleted after we reduced the dose back to 0.75 units. And now the current dose is not enough. 2. Rumpy is probably eating more than two days ago. This happens in all cats when you reduce the dose. The depot can last for a few cycles after the reduction. If this new dose is enough the BSL won’t go back up. This is pretty normal for this to happen after DKA kitties come home. They start to eat better, and they need a bit more insulin. Because of the DKA we don’t want to see higher numbers so that is why we are very proactive with increases when DKA is in the picture. With a kitty which just has diabetes and no DKA we increase the insulin more slowly. Don’t feel bad for oversleeping. There is nothing you can do about the 413. No need to test now til AMPS.
Okay thank you for explaining that. It all makes sense! Going to try and get some sleep! I’ll start a new 4/14 AMPS thread and link this one.
