Bouncing numbers kinda worried

Discussion in 'Caninsulin / Vetsulin and N / NPH' started by trapnurse, Jun 11, 2017.

  1. trapnurse

    trapnurse Member

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    Last edited: Jun 11, 2017
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  2. JanetNJ

    JanetNJ Well-Known Member

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    If it were my cat I would do a few days at 2 units to stop some of the bouncing. Once the numbers have settled we can see more clearly if the dose should be raised. I don't think it's the insulin that's the problem, I think you haven't found the right dose.

    As far as foods, look at the list and pick something that is under 10% carb. Many of us on here feed fancy feast classic or Friskies pate.
    http://catinfo.org/docs/CatFoodProteinFatCarbPhosphorusChart.pdf
     
  3. trapnurse

    trapnurse Member

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    I can do two units I did four today cause he was at 390 at 10:30 am but I'll update my spreadsheet tonight. I'm just nervous of him having a super high blood sugar for too long. And it getting him sick. Not sure how much damage his BG being super high for a few days would do to him.
     
  4. JanetNJ

    JanetNJ Well-Known Member

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    Why? Does he have a history of dka?

    Can you update your spreadsheet?

    Would you rather try 2.5 for a few days?

    I think the high doses you are giving are causing the bouncing. Sometimes too much can look like not enough.
    It could very well be that the dose may need to be raised but you won't know until the bouncing settles.
     
  5. JanetNJ

    JanetNJ Well-Known Member

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    A few days of readings in the 200-300's won't cause damage.... It's when it's high for months.
     
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  6. MrWorfMen's Mom

    MrWorfMen's Mom Well-Known Member

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    Found you! :D I'm with Janet. I think the dose definitely needs to be reduced and 2 units is a good place to start.

    I wouldn't monkey with diet right now as that could potentially lower his need for insulin even more and when you already think he's on too much insulin, a diet change could cause an unsafe situation. Until the bouncing stops or at least lessens, and you are closer to honing in on a more appropriate dose, I'd stick with his current diet. Once you have a little better control, then the diet change can be undertaken.

    Dosing with insulin should not be determined solely on pre-shot numbers. When a cat is bouncing, the pre-shot numbers may be abnormally high and mid cycle numbers too but the bounce can break suddenly and the higher dose you've given could then cause an unsafe situation or set off the bouncing again. It's difficult but patience is key. You can't throw a hammer at this. The BG needs to be coaxed down so Cloud's body stops panicking even when his BG goes down to safe lower ranges. The extreme lows he hit the other night can also make a cat more sensitive to insulin for a bit. I'd stick with 2u for a few days and see if his cycles don't flatten out a little so that his pre-shots numbers aren't so high and his drops aren't so dramatic.

    Better for his BG to be too high for few days than too low for a moment.
     
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  7. trapnurse

    trapnurse Member

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    I'll start on 2u tonight then , if I may ask is there a number I should deffinatly be worried about on the higher end? Thank you janetNJ for the info on high numbers and I'm going to maintain 2 units for at least 4 days promise!
    I apologize if I come off skittish about all this I work at a job that has me gone 3 afternoons and two all night grave yards so I can't test if it's going low or not but if high won't hurt him for a few days I can happily maintain it to stop the bouncing. The hypoglycemic scare is what I think has me so skittish. He was so miserable!
     
    Last edited: Jun 11, 2017
    Reason for edit: Added to response
  8. Meridith and Zeke

    Meridith and Zeke Well-Known Member

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    I would listen to them on the lowering of dose. We were on a higher dose before we came to this forum and right now only at 1u and doing much better! @MrWorfMen's Mom has been a great help with our Zeke!
     
  9. MrWorfMen's Mom

    MrWorfMen's Mom Well-Known Member

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    Your "skittishness" is totally understandable. Most if not all of us have been there, felt the same way and understand completely.;)

    I wouldn't worry about any number if it is sporadic. He hasn't been extremely high (black on spreadsheet) since you started your spreadsheet so I doubt less insulin, given the low readings you got the other night, is going to shoot his numbers up that much even if the dose ends up being slightly less than he ultimately needs. He may be a bit higher mid cycle but that is ok. I expect his pre-shots and in turn, his mid-cycle numbers will come down.
     
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  10. JanetNJ

    JanetNJ Well-Known Member

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    No no definite number on the higher end. Well with your work schedule you can be less worried about a hypo on this lower dose. We can reevaluate the dose in a few days to see what to do next.
     
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  11. JanetNJ

    JanetNJ Well-Known Member

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    Crossing fingers
     
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  12. Yong

    Yong Well-Known Member

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    Yes to what the others said :). Don't let the high PS numbers determine your dose because we don't want to drop him down to hypo territory while you are at work:bighug:. Let's see if the lowered dose helps him from bouncing back so high on the trampoline :cat:. Keep in mind insulin is a hormone, not a medicine that works like ibuprofen so more is not always a good thing. We are here with you :bighug:
     
  13. trapnurse

    trapnurse Member

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    I updated my spread sheet right now as I got home and checked him before his shot, i just got off work. Im concerned as his blood sugar was high thigh morning and it seems as if he hasn't really eaten any thing out of his food dish, or if he did it was very Little food he ate. I have a second cat who is also eating that food. since its just better for them. any advice about this Not eating ordeal? Hopefully this 2 units ever single time two times a day will balance him out. But Im still concerned about the no eating and he's drinking a LOT of water. like constant water dish visit. at least as Ive noticed while being home.

    Edit:: He's eating a bit. nibbling on warmed up wet food. I am less concerned.<3
     
    Last edited: Jun 12, 2017
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  14. JanetNJ

    JanetNJ Well-Known Member

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    I'm glad he started eating! You can add a little warmed water to the food too to get extra water in him.
     
  15. Kris & Teasel

    Kris & Teasel Well-Known Member

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    Great advice for you here. I agree with the others on dropping his dose. :)
     
  16. MrWorfMen's Mom

    MrWorfMen's Mom Well-Known Member

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    I notice Cloud was way down pre-shot last night. If you get a reading close to or under 200, then we recommend not feeding and stalling for 20 minutes and retest to see if BG is rising on it's own. If it is rising as of the second test, you can then decide depending on how much he's risen, whether to give a full shot or a reduced one. If BG has stayed the same or is lower, then skipping the shot may be the best choice. If there are any questions about what to do, please post for assistance. Right now we don't know how far 2u is going to push Cloud's BG down, so getting mid cycle tests when possible will help you make dosing decisions going forward. I'm sure you were heading for bed when you got home but if you can get a test in even +2 post shot, it will give you a clue as to how fast BG may drop in that cycle and it's the drops (difference between pre-shot and mid cycle readings ) that should determine dosing.
     
  17. JanetNJ

    JanetNJ Well-Known Member

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    Wow nice pm preshot!!
     
  18. trapnurse

    trapnurse Member

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    I got a test in before bed, I'll update the sheet as often as I can usually before work or after work. But at breakfast today pre shot he was at 391. His eating fine now .
     
  19. MrWorfMen's Mom

    MrWorfMen's Mom Well-Known Member

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    Chances are good that Cloud went a little lower than he's used to last night since he was already down at pre-shot so he's bouncing a bit this morning. Nothing unexpected. Will be watching to see how things go in the next couple of days.
     
  20. trapnurse

    trapnurse Member

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    The 2U twice a day is actually making me extremely hopeful right now. He's eating regularly and drinking regularly. his numbers are starting to seem consistent. I wanna keep him on this for a few more days maybe a week? to really get a good handle on this but he's acting MUCH happier today. Spread sheet updated to tonight before work~
     
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  21. MrWorfMen's Mom

    MrWorfMen's Mom Well-Known Member

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    Cloud is looking good. Holding that 2u dose barring any really low numbers (which I don't anticipate) as long as pre-shot is 200 or more is a good plan. :) Glad to hear he is acting happier. Just seeing them improve a bit does the heart good! :joyful:
     
  22. JanetNJ

    JanetNJ Well-Known Member

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    Hold it a good 5 days at least so the bouncing will stop, then we can reevaluate and raise it in small (0.25-0.5) increments if needed. So glad he's feeling better!!!!!
     
  23. Kris & Teasel

    Kris & Teasel Well-Known Member

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    I like what the 2 u is doing!! :)
     
  24. Yong

    Yong Well-Known Member

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    Looking better and glad he is happier :)
     
  25. trapnurse

    trapnurse Member

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    Spread sheet updated. I think his numbers are slowly going down a bit? which is possibly good?
     
  26. MrWorfMen's Mom

    MrWorfMen's Mom Well-Known Member

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    Definitely looking much better. :joyful: No worries about the pink PMPS tonight...it's still lower than it has been. It's likely a little bounce from the 169 mid day and not unexpected. Stay the course for another few days on the 2u barring any PMPS below 200 or mid cycle tests below 90 and then re-evaluate. If you get a PMPS below 200, don't feed him and post in Health for assistance because there are several possible options to follow in that situation and we can walk you through them. In the event that you don't get a timely response, (the board is sometimes very quiet at night), you can always skip the shot just to be on the safe side as long as Cloud doesn't have any history of ketones.
     
  27. JanetNJ

    JanetNJ Well-Known Member

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    Looks good! It's awesome you already got a blue number on the reduced dose!
     
  28. Yong

    Yong Well-Known Member

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    Looking good Cloud :cat:.
     
  29. Kris & Teasel

    Kris & Teasel Well-Known Member

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    Very nice! :smuggrin:
     
  30. trapnurse

    trapnurse Member

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    Updated My cats spread sheet. His BG tonight worries me. its very low. Due to that I am not giving him his shot because i don't want to give him a hypo episode. Im not sure what to do from there...but he seems fine...so Im jsut being a bit jumpy im sure but he read at 176 tonight PMPS. :(
     
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  31. JanetNJ

    JanetNJ Well-Known Member

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    Good call,... No sad face about a blue preshot!!! That a great thing! That's what we want to see!! Holding steady all day like that may indicate his pancreas kicking in on its own! Good!!!!
     
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  32. JanetNJ

    JanetNJ Well-Known Member

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    In the future what you can do when you get a lower than expected preshot test is stall the shot without feeding for 30 min and retest. If it's the same or lower no shoot. If it's rising give a reduced dose (like 0.5).
     
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  33. MrWorfMen's Mom

    MrWorfMen's Mom Well-Known Member

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    Turn that frown upside down.:D That pre-shot was beautiful!! Much better to have that than to be battling back pink numbers.

    I think Cloud is coming out of a bounce and is just now starting to show you what the 2u can really do. I know it can be scary when you start seeing lower numbers all of a sudden. It's happened to all of us! Soon you will learn to appreciate them instead of worrying. Monitoring when you can is now key so that you can keep Cloud in those better numbers as long as possible through each cycle without having him go too low. A further adjustment of dose may be needed in not too distant future or 2u may be his ideal dose. Hold the dose and see what he does today.
     
  34. trapnurse

    trapnurse Member

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    It's 10:30 am can't give him his shot., he was st 33!!! I gave him honey I'm testing every thirty minutes I don't understand what I could be doing wrong!!! I didn't put the wet food bowl down last night and I'm starting to worry, I don't have money for a vet right now.
     
  35. MrWorfMen's Mom

    MrWorfMen's Mom Well-Known Member

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    Ok Breathe! We'll help you,

    Give him some high carb food with some honey mixed in. Is he showing any symptoms of Hypo like stumbling, strange head motions?
     
  36. trapnurse

    trapnurse Member

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    No, he's acting normal. I gave him some honey and he's eating his food pretty happily ( I put it down incase he would be enticed to eat. the only thing he's done is pee on the floor when I held him but thats kinda normal for him if he's scared. Im updating my spread sheet now. But i dont understand why he went from 200 some thing to 33 like this...like how does that even happen.
    added:: he is going at that food like its air. I am pretty sure He'll pull right up and i still have a window till 11 30 am to give him his shot if thats even suggestable? but im not sure if I should and He's acting fine so Im way less nervous, its sad how used to this situation im getting.
    SS updated Ill keep updating it like every hour.
     
    Last edited: Jun 15, 2017
  37. MrWorfMen's Mom

    MrWorfMen's Mom Well-Known Member

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    Good to know he's not having any other symptoms and is eating. Retest him now. Maybe it was a bad strip. ??

    With no shot last night, it may just be that his pancreas has kicked back into action but that's just a guess.
     
  38. trapnurse

    trapnurse Member

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    I regret to embarrassingly say it was a bad strip now that Ive fed Him he's at 438 and i gave him his 2 units but ive also fed him honey after that initial thought that he was hypo...I feel really embarrassed right now, that slight worry for nothing....now all i have to worry is do I hold 2 units or up it to 3 after having given him honey on the reaction to hypoglycemia. :banghead:
     
  39. MrWorfMen's Mom

    MrWorfMen's Mom Well-Known Member

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    :D No worries! The first time is always hair raising. That high number now is probably compliments of the honey and food so just keep an eye on him because you've now shot on an artificially raised pre-shot. Don't give more than 2u. Retest again in about an hour to see what Cloud is up to. :bighug:
     
  40. trapnurse

    trapnurse Member

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    who knew diabetes could be so insane to monitor and handle. I can't imagine how hard this would be is he had ketones....ill keep my SPread sheet updating frequently today Im off work and relaxing at home today.
     
  41. MrWorfMen's Mom

    MrWorfMen's Mom Well-Known Member

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    Not a good start to what was supposed to be a relaxing day! :rolleyes: Got some chocolate to soothe those frayed nerves? :woot: No doubt it would be a bit more complicated if ketones were involved but we all get to a point where we take it in stride. I remember the first time I got a low reading from my girl and I didn't think to retest immediately either! Practice makes perfect and these little furballs can throw curveballs sometimes so use this as a learning experience because you will laugh about it in the future. I'll check on you guys a bit later. :)
     
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  42. JanetNJ

    JanetNJ Well-Known Member

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    Well the good news is it's not a hypo! Lol. Better to be too high rather than low.
     
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  43. MrWorfMen's Mom

    MrWorfMen's Mom Well-Known Member

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    Just checking in. Have you tested Cloud again lately? It's been a couple of hours and the honey should have worn off a while ago.

    On your spreadsheet, I'm not sure but I think you might have somehow copied the 33 you originally had in the Pre-shot box for the 16th into the +1 box on the 12th. Can you please put the 438 into the pre-shot box so we know that's the number you shot even if it after your usual shot time. Just keeps it clearer as to how far out from the shot you are and how much he has dropped. :)
     
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  44. trapnurse

    trapnurse Member

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    Just updated his spread sheet and yeah sorry I think I got a little confused while doing the thing but I corrected it and he's seemingly jsut fine now. so to be sure. blue numbers is good yes?
     
  45. MrWorfMen's Mom

    MrWorfMen's Mom Well-Known Member

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    He's looking fine considering the extra carbs he consumed. Yes blue numbers are good! :)
     
  46. trapnurse

    trapnurse Member

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    I found out a few minutes ago how the strips could have been damaged. I had 3 left in that container and my room mate accidentally place the container on the stove for a while after having baked some fish. the container says ' keep out of heat' . I think i found the wrench in the machine! those last two in that container are no longer going to be used.
     
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  47. JanetNJ

    JanetNJ Well-Known Member

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    Good thing it wasn't a full bottle!
     
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  48. trapnurse

    trapnurse Member

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    spread sheet updated. Things seem to be getting back to good after last night and this morning. Hoping for blue numbers tomorrow. Ill know before work mid cycle if he's blue numbers but i can't update his cycle till after my work lets me out at 11 pm.
     
  49. MrWorfMen's Mom

    MrWorfMen's Mom Well-Known Member

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    It can take a few cycles to get back to those blue numbers so be patient. Looks like Cloud will get there soon. :)
     
  50. trapnurse

    trapnurse Member

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    updated spread sheet for the last time tonight, time for some sleep but he's back in the blue as for tonight. heres to hoping he doesn't go TOO low before i wake up and check him.
     
  51. MrWorfMen's Mom

    MrWorfMen's Mom Well-Known Member

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    I see Cloud went full tilt boogey to green last night. While 70 is a great number it is also a bit lower than I recommend having him go when you cannot monitor him and because that low number at this point in time is likely to set off another bounce. I'm glad you checked him again to catch that lower reading and hope you gave him some food to boost his BG back up a bit and slow down the drop. You'll likely have a higher AMPS again this morning which is totally expected and nothing to worry about.

    Cloud dropped more than 50% of his pre-shot last night so if I were you, I'd definitely reduce his dose today to 1.5u because you will be at work and unable to monitor him and he's still coming down too fast/much to stop the bouncing. Ideally the goal at this point should be to try to keep Clouds' BG at 90 or above just to be safe.
     
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  52. Kris & Teasel

    Kris & Teasel Well-Known Member

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    I'm amazed at what the lowered dose is doing! :)
     
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  53. Yong

    Yong Well-Known Member

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    Indeed! Very glad Cloud's momma was open to our thoughts :) and he's earning himself another reduction :cat:.
    I like aiming for nadir of 90 for when you are not home, trapnurse, and as he doesn't get pushed too low for nadir, we might see less bouncing and the preshots gradually coming down on their own :D. Wow, that was a run-on sentence, don't tell my old English professor o_O

    ETA: It doesn't look like Cloud spends a lot of time on the trampoline (anti-jinx), so that's good!
     
  54. trapnurse

    trapnurse Member

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    Updated spreadsheet, I'm literally blown away with how much more this place and all of you have helped me with cloud! My vet well.... he's good for other things but he never seemed to grasp what's going on here. Maybe lack if diabetic patients? But thank goodness I found you guys, I'd be out of my mind by now if not.
     
  55. Kris & Teasel

    Kris & Teasel Well-Known Member

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    Looking really good!! :D
     
  56. JanetNJ

    JanetNJ Well-Known Member

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    Whooohoo! Love that preshot!
     
  57. MrWorfMen's Mom

    MrWorfMen's Mom Well-Known Member

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    Another Hip Hip Hooray for that pre-shot! :joyful: Anxious to see what tonight's pre-shot is!
     
  58. trapnurse

    trapnurse Member

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    Updated before work he was at 147 i have high hopes for his pre shot though I'm curious if I still give 1.5 or 1 if he's at 140 or about still.
     
  59. JanetNJ

    JanetNJ Well-Known Member

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    It has lots of time to go up. I would be very surprised if it were 140 at preshot. If it's under 200 post for advise. If it's close to 200 we may suggest a reduced dose. If it is indeed 140 we would say to stall without feeding for 30 min and retest. From that you would skip if still low or shoot a reduced amount if it's going up. .
     
    Last edited: Jun 16, 2017
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  60. MrWorfMen's Mom

    MrWorfMen's Mom Well-Known Member

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    Ditto to Janet's comments! Whoo Hoo for that 147! :joyful:
     
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  61. Yong

    Yong Well-Known Member

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    Blue looks good on you, Cloud :cool:
     
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  62. trapnurse

    trapnurse Member

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    I am nearly able to go home, currently onbraak got to read updated alerts. I'm hoping he didn't just shoot down while I was at work. he still had some food left from his breakfast serving this morning when I left so here to hoping but this advice really does help. I'll update spreadsheet asap. In maybe tops 30 minutes.
     
  63. trapnurse

    trapnurse Member

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    Report back! updated spread sheet he's in the 200's and I feel confident about this at least! Im getting a grip on this so i can leave for work with out worrying about coming home to worst case scenario. :joyful:
    Im hoping his blood sugar doesnt drop to 70 like it did last time. I can stay up fairly late but i try to sleep by midnight or 2 at the very latest.
     
    Last edited: Jun 17, 2017
  64. MrWorfMen's Mom

    MrWorfMen's Mom Well-Known Member

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    Not sure why you decided to give him 2u again tonight but assume it was because of the higher PMPS??? If you stick with the same dose (1.5u) then it should smooth out the bouncing and actually bring the pre-shot numbers down. When you change the dose around like that while trying to find the best dose, it can muddy the waters and actually slow the process down rather than speed it up. Sliding scales can work with a regulated cat, but you are still in the early days and I think that will just confuse the situation more than necessary. I'd hold the 1.5u for a few days unless the pre-shot is too low or his nadir is lower than ideal.
     
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  65. trapnurse

    trapnurse Member

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    I think I read your advice wrong. I thought you meant to just give him a lowered dose that one time because of the crazy low readings. I'm sorry. Ill will reduce it to 1.5 in the morning and stick with that from now on. I'm pretty sure I just got confused is all. hopefully this wont throw him Off too much! Sorry!! :arghh:
     
  66. JanetNJ

    JanetNJ Well-Known Member

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    The pmps was close to 300... I think the 2 units will be fine. :). Much better numbers recently! I have high hopes for your kitty. 70 wasn't a dangerous number. A little low for the preshot, but safe overall.
     
  67. JanetNJ

    JanetNJ Well-Known Member

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    I might suggest 1.75 in those higher 200's, and 1.5 in the lower 200's. I'm interested to see what the amps is.
     
  68. trapnurse

    trapnurse Member

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    I will start on the 1.5 tomorrow and keep an eye on his levels. I am staying up late to watch his glucose till at least an hour now. Then if I wake up middle of the night I'll do it again. I just wish I had read mr.worfmens advice better!
     
  69. JanetNJ

    JanetNJ Well-Known Member

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    No biggie..... 2 will be fine. It's a marathon go to sleep if it's late. Lol she was suggesting lower to even out bounces, not that 2 was unsafe at this point.
     
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  70. MrWorfMen's Mom

    MrWorfMen's Mom Well-Known Member

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    NO apologies required. :) Cloud is your cat and you need to do what you are comfortable with. Cloud never reached any dangerous levels on 2u so you made a sound decision. My suggestion was more about trying to keep those pre-shots down and keep the drops from being quite so dramatic until Cloud gets more used the lower numbers and to offer that little extra piece of mind when you can't monitor to be sure he doesn't drop any lower than 70. You made a decision based on what you saw and understood and Cloud is fine so all is good!:D
     
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  71. trapnurse

    trapnurse Member

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    I'm feeling good about this morning. He's got 90 but he's doing good! I'm hopeful for tonight's preshot.
     
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  72. MrWorfMen's Mom

    MrWorfMen's Mom Well-Known Member

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    Yeah a green BG! It's early in the cycle though so if you just took that reading I would give Cloud a small snack of low carb food to slow any further drop. Are you home to monitor the rest of this cycle today? If not then at what point in the cycle do you have to leave for work?
     
  73. JanetNJ

    JanetNJ Well-Known Member

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    Awesome! You may want to reduce a little bit tomorrow
     
  74. trapnurse

    trapnurse Member

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    I'm leaving for work in ten minutes but I gave him some more wet food. He's at 67 now. I'm not sure if this is good or bad but he's seeming to need less and less insulin?
    Also not sure if it has any effect on his insulin or diabetes condition but it is in the hundred degrees outside for the next week and a half here. It's 80 in my apartment and too expensive to run ac but we leave the fans on high. Cloud seems to be eating quite a bit of his food though if that's a good sign?
     
  75. trapnurse

    trapnurse Member

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    Jun 10, 2017
    After his reading tonight I'm not sure what I should give him it could he in the 100s.
     
  76. MrWorfMen's Mom

    MrWorfMen's Mom Well-Known Member

    Joined:
    Feb 18, 2015
    Ok before you go to work, please put down some high carb food with a bit of honey or karo syrup mixed in and get his numbers up a bit. 67 on Novolin N is cutting it close and you don't want him dropping anymore while you are gone. The honey/karo will raise BG quickly and the high carb food will last longer. Also leave some more food out for him so he has something more to eat if he needs it. We will need to reduce again tonight. Will post suggestion but want to get this off now.
     
  77. Kris & Teasel

    Kris & Teasel Well-Known Member

    Joined:
    Aug 17, 2016
    If he's below 200 this evening, I'd opt for no shot. You need more data on your SS before you can try reduced doses, etc. He's doing so well on the smaller doses.
     
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  78. MrWorfMen's Mom

    MrWorfMen's Mom Well-Known Member

    Joined:
    Feb 18, 2015
    @Kris & Teasel I don't see Trapnurse online now so I hope she left some food for Cloud. I wanted to get my note off quickly. Now I am worried about Cloud! :nailbiting:You're so right about not shooting if he's below 200 and needing more data but I think it's safe to say even at 200 I think the dose should be reduced to 1u to keep Cloud safe.Thoughts?
     
  79. MrWorfMen's Mom

    MrWorfMen's Mom Well-Known Member

    Joined:
    Feb 18, 2015
    Ok trapnurse is still online. Hope she/he sees the message. Now with that being said, @trapnurse, it would be nice if we had a name to call you other than Trapnurse! :)
     
  80. JanetNJ

    JanetNJ Well-Known Member

    Joined:
    Jun 8, 2016
    Definitely reduce to 1 unit after today. This is awesome improvement in a short time.
     
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  81. Kris & Teasel

    Kris & Teasel Well-Known Member

    Joined:
    Aug 17, 2016
    Yes, I agree that the dose should drop to 1 u after today's results. Also, no shot tonight if BG is below 200.
     
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  82. trapnurse

    trapnurse Member

    Joined:
    Jun 10, 2017
    I can be on here at work my room mate is at home I can contact him to give him some more high carb crunchy food now with a bit of honey over it. So 1 unit tonight if above 200 and none at all if below? Or less then 1?
     
  83. trapnurse

    trapnurse Member

    Joined:
    Jun 10, 2017
    If my room mate would answer the phone that'd be great but he's not so I'm crossing my fingers he's not ignoring me. Also you can call me Allie! I just thought we were supposed to go by the username !
     
  84. MrWorfMen's Mom

    MrWorfMen's Mom Well-Known Member

    Joined:
    Feb 18, 2015
    What name you use is entirely up to you Allie but most of use our first names and it just makes it a bit easier in the long run. I'm Linda BTW.:D I take it you are a nurse? If so we have that in common although I am long retired. Cloud is doing beautifully but we need to keep him safe. We kind of virtually adopt all the kitties who cross our path here so forgive us if we get a bit frantic when kitty throws a low number at an inconvenient time.
    Probably a stupid question but any chance your roommate can test Cloud?
     
  85. trapnurse

    trapnurse Member

    Joined:
    Jun 10, 2017
    Cloud won't let him touch him very much and goes into full out run and hide when he tries to do sadly no. But he's leaving for work soon. And no actually it's a username relating to a favorite horror video game as a child :oops:.
    Room mates currently trying to get him to eat a bit of honey. But it's stressful on both parties. He got him to eat one treat drizzled with honey.
    I'm actually a security gaurd going into phlebotomy.
     
  86. MrWorfMen's Mom

    MrWorfMen's Mom Well-Known Member

    Joined:
    Feb 18, 2015
    Not familiar with the video game. Probably just too old! :woot: So you are heading into a medical profession! Close enough! :D Too bad your roommate can't test but that's OK. Get him to leave a good portion of food out for Cloud to munch on should he need it before he leaves for work. No need for the honey if he leaves enough food and we don't want to taint the food if Cloud doesn't like it with the honey on it!
     
  87. trapnurse

    trapnurse Member

    Joined:
    Jun 10, 2017
    The game is silent hill. The name refers to the bubble head nurses that always wait around the corner to ambus me! Creepy stuff. My room mate managed to get him to eat like 4 crunchy treats rolls in honey and left his wet food out for him if he gets hungry. Not sure why cloud dislikes him touching him but loves me. He has sneaky ways to make cloud do what he needs to though ( feeds then insulin. Sneak from back while he's eating if I am not home to give it. Or have been held after work. ) he should be okay now that he's eaten some honey drizzled treats though I think.
     
  88. MrWorfMen's Mom

    MrWorfMen's Mom Well-Known Member

    Joined:
    Feb 18, 2015
    He's still got some room to drop before any problem would occur but you want to head them off early rather than later. The fact that he has food and has had some honey coated treats should keep him up. That was totally unexpected but it happens sometimes. Glad you have your roommate to help out. Will be looking forward to seeing what his PMPS looks like. He'll likely bounce again with that 67 so I would definitely decrease his dose to 1u for now. :)
     
  89. trapnurse

    trapnurse Member

    Joined:
    Jun 10, 2017
    Preshot for the night done! It's at 202!! Lowered dosage to 1 unit! Let's see how this works out...
     
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  90. trapnurse

    trapnurse Member

    Joined:
    Jun 10, 2017
    updating spread sheet but he dropped to 40 BG after two hours after his shot of 1 unit. im at a loss here as you why he always goes crazy low....
    addition:: i imeadiatly gave him honey and crunchy food. He'd not showing any signs of hypo he seems Okay. I jsut am getting really worried about how i could be going wrong with this. i don't want to keep Torturing him. Ill be staying up again tonight to try and monitor him.
     
  91. MrWorfMen's Mom

    MrWorfMen's Mom Well-Known Member

    Joined:
    Feb 18, 2015
    He's at 40 now? Please give him some honey or karo syrup immediately. Do you have any high carb food available? If so follow the honey/karo with either the gravy off high carb food or a tsp of the food. If you have already done this, please retest again to see if he is coming up.
     
  92. MrWorfMen's Mom

    MrWorfMen's Mom Well-Known Member

    Joined:
    Feb 18, 2015
    Cloud is obviously on a mission and you are going to have to monitor him very closely for awhile because he is no where near nadir. You need to get his BG up to 100 ASAP. Please post the next reading. Is there an emergency vet in your area?
     
  93. trapnurse

    trapnurse Member

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    Jun 10, 2017
    He's at 96 now! just retested him. what does Nadir mean? and yes there is but im so broke from the last time I could never afford another vet.
     
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  94. MrWorfMen's Mom

    MrWorfMen's Mom Well-Known Member

    Joined:
    Feb 18, 2015
    Breathe! You didn't do anything wrong and you are NOT torturing him! He is throwing you curve balls and the fact that you caught him dropping means you can keep him safe! How long his shot now? Have you retested him? If so what was that reading and how long after his shot was it taken?
     
  95. MrWorfMen's Mom

    MrWorfMen's Mom Well-Known Member

    Joined:
    Feb 18, 2015
    Seems unlikely you will need the ER vet if his BG is up now but that could just be a temporary rise due to sugary stuff so you are going to have to monitor and keep him there. Do you have any high carb wet food available? Right now you want to keep his numbers where they are and not push him up too far but the sugary stuff will wear off quickly. The crunchies will stick with him awhile though so that's a good thing. How long since his shot now?
     
  96. trapnurse

    trapnurse Member

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    Jun 10, 2017
    its 1:45 am now. I gave him his shot at 11:30 Pm. it was 202. I gave him one unit. I checked him again in two hours after that at 1:30 and it was 40. I checked jsut minuts ago it was 96.
     
  97. trapnurse

    trapnurse Member

    Joined:
    Jun 10, 2017
    I dont have any high carb wet food no. I have a lot of crunchy food. but he's not eating his wet food right now either. he might have a full tummy. I have dental crunchy treats they are what ive been using . I also have dry food thats ' grain free' but it always rose his bg.
     
  98. MrWorfMen's Mom

    MrWorfMen's Mom Well-Known Member

    Joined:
    Feb 18, 2015
    Ok. Summary
    Shot 11:30pm
    +2 - 40
    +2.25 - 96

    How many of the crunchies did you give him? The trick is to give the cat something that is less filling so he will eat when you need him to. Will he eat a bit of the dry food? We want to keep his numbers up but not push them too high either. If you give him dry food just give a little.
     
  99. MrWorfMen's Mom

    MrWorfMen's Mom Well-Known Member

    Joined:
    Feb 18, 2015
    Please retest at 2am your time and post the reading.
     
  100. trapnurse

    trapnurse Member

    Joined:
    Jun 10, 2017
    I give him like 5 little crunchy treats. getting him to eat his wet food with out force feeding in this situation would be impossible. he'll have to want to eat..
     

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