Elmo AMPS ...144

Good morning ......Elmo AMPS is 144. ( after giving .25 minus one full drop and getting a 134 +4 last night before bed)......the dance continues...can't wait to sit down with and read all Lantus stickies and all your great insight and advice , write notes and get ready for vet on Monday...more importantly, dose for the day ???? Or no dose ????

 

PS.....feeding in 15minutes.......shoot in 45....

 

Morning, Beth.

Not sure whether 0.25 minus small or full drop might be better. I see his nibs was back in higher numbers by AM+8 yesterday. What does your gut say?


Mogs
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Good morning , Mogs....my gut says that on Thursday, 12/15, he had an AMPS of 136 ,stall for 15 minutes then had a 140 and we elected a No shoot that cycle....

 

Looking at spreadsheet. BRB ...

 

Would you feel more comfortable skipping?

 

Are you able to monitor today as normal?

 

I am here to monitor...what would be best for Elmo ??

 

Willing to shoot and monitor or skip .....

 

If you can monitor, maybe try 0.25 u minus the fattest drop you can expel without emptying the syringe? You have the food steering down pat.

 

Kris, as I talked with Mogs that is the gut feel I am getting....then not over react as I check BGs.....what number should I not let it get below for +1.5 ?

 

This would have been my suggestion also.

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@Critter Mom your thots on .25 minus fat drop ??

 

Ahh...our technology passed in the airways

 

Cross-post!

 

Great minds ....

 

@Kris & Teasel @Critter Mom ........gets no better than two out of three of Elmo's godmommas agreeing at the same time Giving .25 minus fat drop....start monitor at +1.5 and need to start steering at what BG at that time ???

 

I'd suggest rather than doing 1 fat drop, instead expel two of what you call 'full' drops, Beth (easier to titrate the dose down this way in case you need to tweak it on later cycles - greater chance of successful repeats of the dose measurement).

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Here's a rough guide that I find helpful: Elmo's nadir is usually around +4 and, ideally, you want the nadir BG to be about 50% of PS. So at +2 you'd want it to be about 75% of PS and at +1.5, a little higher than that.

 

Will try ...

 

Maybe at mid-range BG levels, Chris, but at lower preshots the drop needs to be less. (e.g. 50% of 144 is 72. )

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Maybe more coloured water experiments are in order to get you through the dosing challenges until Monday ...

 

Good point. Thank heavens the tag team is on site!

 

Like.

Another trick is to get a piece of paper, coat it with a thin film of oil, wiping off the excess oil so as to make the paper waterproof. Then practice expelling coloured water droplets onto the paper. They should bead up on the paper thus making it easier to determine whether they're consistent in size.


Mogs
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Also slowly and gently twisting the syringe plunger as you ease out the droplets may give you greater control over their size.

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Mercy....I look back months ago when I was winging it and Elmo was close to or in hypo several times because I had no idea .....you all have empowered me, equipped me ....it's a beautiful thing

 

So Mogs, what BG am I needing to see at +1.5 ????

 

Waxed paper could work for this.

 

Thank u beyond measure to you both...having two of the famous FDMB heavy hitters hovering over Elmo is a gift

 

How about 125?

 

Sounds good

 

FYI....my plan is to check hourly unless numbers go south then will do every 30 minutes....will post here first then SS because our desk top can lag on performance...ice /sleet headed our way so don't know how that will affect main computer....ahhh, the joys of rural life

 

125 should be high enough to give you plenty of advance notice for food steering.

 

Agreed ....going to test +1 and +1.5 then from there ...

 

Fools ...


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Looks like I'm gonna have to back off on the cake and bikkies ... again!

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Sending Saturday scritches to the Buddha Kitty of Ol' FDMB Town.

(((Elmo)))



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I give good helicopter parent.

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I absolutely love the word"scratches"

 

BG at + 1...114... eating a bit right now...usually eats off and on til +1.5

 

Yep! Food steering needed. You can do it, Beth.

 

Because of all of you, I know I can

 

Ooh, goodie! I was hoping for this with the reduced dose.

Be sure to test today at +6 and +8 today to see where the dose might be petering out.

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Yes mam ....

 

+1.5...111....steer or leave be ???

 

+1.5 ...111... steer or no steer ???

 

Maybe a little steer, Beth. We had set around 125 as the "safe" number and he's below that and could drop too much before +4.

 

I'm having a crisis here: don't know whether to chance a small tsp or wait a little bit longer ...

Thinking; back in a minute (he's perfectly safe right now, Beth. )

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Looking at spreadsheet.

Did you give him any early snack on PM cycle of 15 December?

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Hello?

 

Is everything OK, Beth???



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Ate a little at +1.5.....+2...118...

 

All is very well...son stayed the night and got preoccupied with him...

 

+ 2....118...going to give 1 small t 5 carb...

 

Phew!

Greetings, son!


Mogs
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Just gave small 1 t 5carb snack ....he is acting so well....makes my heart about burst...

 

Best feeling in the world: a perfect blend of love and joy! (With a large side of relief!)

How is Elmo's coat condition? Any changes there?

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My son, Matt, commented on that very thing..how good his fur looked and healthy he appeared

 

Elmo's little body is able to use his nutrients better.

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Snagged a +2.5.... 110...gave 1 t 5carb snack..

 

Amen and amen and thank you to his fairy godmommas!!!!

 

Please remind me again at what point before + 4 has majority of falling happened ??

 

Will post all this on SS as soon as computer cooperates

 

I'm not sure it's carved in stone, Beth. The nadir is a range, probably quite narrow for Vetsulin. Likely most of the drop has finished by +4 but it wouldn't hurt to keep up the monitoring a bit beyond. Are you checking every 30 minutes?

 

+3....134...no snack since

 

Kris , I have monitored every 30 up til last check at +3 when I got a + 134 which I am comfy with....was going to wait til + 4 for next check unless u advise otherwise

 

Elmo, you little beauty!

Depends on the cat and the day.

Elmo seems to have an early nadir (somewhere between +2 and +4 usually).

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Have asked Santa to fill my stocking with Alpha Trak strips

 

Sounds good to me.

 

If you want to give his ears a break you could wait till +6 or +7, Beth (feeding during this time same as is normal for his schedule).

He has a generous safety buffer (c. 60 points).


Mogs
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Now THAT'S a high end Christmas present!! And some people want diamonds or gold ... pffft!

 

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Seriously .....feel like those suckers need locked in a safe somewhere.....mercy.......how is your weather, Kris?

 

Ohhhhh....a bald eagle just flew across our pond !!!

 

Way !

 

Santa could also throw in a couple boxes of Forti Flora too...that stuff is like gold bars...my boys would eat cardboard if sprinkled with forti flor

 

We began the day with another snow storm. There's a lull now but it's supposed to start up again, maybe with a little freezing rain overnight tonight to jazz things up ...

 

Wow...freezing rain is not my favorite at all...we r supposed to get some of that too later tonight plus single digits ...baby stuff compared to the Cold White North

 

Winter is coming.


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+6.....139...

 

BG again at +7.5 ????

 

+8 would be OK, Beth. See if the dose is pooping out round then.

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Got it ....thank u ,Mogs

 

I see that everything is under control here. I had to go do grocery shopping, etc. Driving conditions are unpleasant to say the least but I don't have far to go. I live smack dab in the middle of the city.

 

Kris, so glad u got home safely

 

You a fan, @Kris & Teasel?

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+8...152...

 

Up 13 points in 2 hours...for what that's worth

 

@Chris & China ....hi Chris...hope u and hrs are all snugged in before it gets much more nasty. I was wondering if u could tell me again the name of the u100 with half markings that u get at Walmart ....misplaced that info . Going to vet on Monday to get Elmo changed to Lantus so will need syringes as well. Thank u, Chris. Stay safe and warm

 

Nasty weather is still nasty even in Missouri!

 

Oh that's right...we've got hills and hollers to drive to get around and not all are always cleared/plowed.

 

"hollers" - love that!

 

Relion insulin syringes....3/10ml, 30 or 31 gauge, 8mm

 

Nasty beat me......woke up to nasty....wasn't supposed to nasty until this afternoon but nasty moved in early....luckily where I live, it's pretty much flat from my house to DM's and WalMart so even when it's bad, I can usually get around if I have to

 

Did you see Frosty the Nastyman on your travels, Chris?

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Steady enough.

I wish you could hit on a dose/early cycle snack combo to enable your little Buddha Kitty to drop a bit slower early on and then coast along for a bit longer under 120 in the middle of the cycle.

Vetsulin schmetsulin.

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Gotta keep at it til Monday