9/17 Orion AMPS 227, +6 39, +6.2 67, +6.4 216, +6.7 149, +7 206

His AM shot was 6 hours ago.
At the first sign of a problem - 39
After Karo and 10 min later - 67
After some higher carb food and 10 min later - 216
20 min later - 149
He's still grazing on food.

 

From your other thread http://www.felinediabetes.com/FDMB/threads/122-do-i-give-insulin.164717/#post-1780106

 

So it's been about 45 minutes since the 39 which was about 5.25 hours after the shot? (so +5.25)?

 

The 39 was at +6. We are nearing +7 now. Last reading was 149.

 

OK...if he's at 149 and still eating, take his food up now and test again in 30 minutes.....if he's still going up at that point, you can wait an hour to test

 

Ok, I will report back then. Orion and I thank you.

 

You can remove the 911 now....that way if something should happen, you can put it back and we won't think it's the same one

It will help for you to put today's tests in as your subject line....Like 9/17 Orion AMPS 227,+6 39,+6.2 67,+6.4 216,+6.75 149.....and then whatever the next test is

 

He's at 206 now. I'm also getting an F3 error on the Relion Confirm. This isn't listed in the manual with other codes so I don't know what it means.

 

OK...you can relax until PMPS time.....you might want to get a +11.5 so you have time to get some opinions on tonight's dose before you shoot though

Not sure what the error is

 

OK....On the "error code".....if it starts with an F (and not an E) it's not an error code

It should match the F code on the back of the bottle of strips

 

At +11.5 Orion's sugar is 320. What insulin dose do I give him tonight?

He just puked again too. Looked like undigested food from earlier.

 

He definitely earned a reduction today, so his new dose would be 1.75...BUT....if you're up to it, sometimes when they bounce really badly from a low, we'll give ONE last shot at the higher dose to help with the bounce

It's called "shooting through the bounce".....With Orion so high, I think you could choose to do the 2U one more time, but you want to make sure to reduce in the morning

If you want to relax and not worry so much about it tonight, just go ahead and reduce to 1.75

Edited to add....I'm used to Lantus.....with ProZinc, you can't always do those .25 unit changes so you'd go to 1.5U

I'd just reduce to 1.5 tonight

 

He has puked several times in the last 20 minutes. There isn't much coming out anymore.

 

with the vomiting, I'd go ahead and reduce then

When did he eat?

 

He ate about 4 hours ago. Normally he would get a meal before I go to bed but not sure if I should give it.

 

You might try giving him just a small snack....see if he holds it down....if he does, give him a little more in about 20 minutes and just keep that up until he's eaten his meal

 

maybe some baby food??

 

I hope Orion feels better very soon. I feel for you both; eating issues are a nightmare. Glad to see he came up well from the lower reading earlier. You did great looking after him.

Sending prayers and healing thoughts.




Mogs
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He's not interested in food. I gave him a reduced dose of insulin. Tried to eyeball 1.75 units but may have been closer to 1.5. He's puking stomach acid now.

 

Have you got any Pepcid? (famotidine is the generic name)

You might try giving him 1/4 of a 10mg tablet to help with the tummy acid

 

Following on from Chris's post, it needs to be the Pepcid famotidine without any other stuff added to the mix. (I think it's Pepcid AC but wait for other members to confirm this.)

If you do give him some of this medicine, make sure he drinks something to chase down the tablet. Syringe water sideways into his mouth (vital in order to avoid his accidentally aspirating the fluid into his lungs) if he won't drink under his own steam. (Last thing needed here is a 'stuck' tablet causing oesophagal irritation.)


Mogs
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I do have Pepcid and I thought of that. He is terrible to pill though. Usually I crush pills and mix with food to avoid getting bitten. He isn't interested in food right now. The good news is no puking for about 40 minutes.

 

That's good but since you did shoot tonight, you want to monitor his BG until you're sure he's safe tonight

 

He's 459 now. I'm not sure how much longer I can stay awake.

 

Looks like he's going to bounce tonight....not a big surprise considering how low he went today

Maybe set an alarm for +6 or so (just for the extra data) and go ahead and get some sleep

 

How's Orion this AM?

 

He's acting like Orion should be. No puking. I haven't checked his BG but will before giving any insulin in an hour. I will report back. Thank so much for checking up on him, and thank you to everyone for your help.

 

He was at 106 this morning so I didn't shoot

 

Such a handsome boy!

 

Beautiful!!!