Elmo AMPS at 162 ...stalling food

Discussion in 'Feline Health - (The Main Forum)' started by Beth 73, Dec 9, 2016.

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  1. Beth 73

    Beth 73 Well-Known Member

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    Kind of a compromise between none and full
     
  2. Beth 73

    Beth 73 Well-Known Member

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    That is true...what r ur thots, Chris...go ahead and skip ??? Or give one drop and have to adjust schedule for days ??
     
  3. Kris & Teasel

    Kris & Teasel Well-Known Member

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    My experience with an in-and-out insulin is that you have more flexibility in adjusting shot times. I use ProZinc and have shifted a dose in a one hour increment with no negative effect at all, eg. daylight saving time, late getting home. I think giving a dose of two drops 2 hours late can be rectified quite quickly, maybe in 2 cycles.
     
  4. Beth 73

    Beth 73 Well-Known Member

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    Ok Kris and Chris...I'm choosing no shoot....I will monitor BG and ketones ....any other advice???
     
  5. Beth 73

    Beth 73 Well-Known Member

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    When I did daylight savings I did no adjustment at all...kept to same schedule with no effect but wasn't dealing post hypo either
     
  6. Kris & Teasel

    Kris & Teasel Well-Known Member

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    He''ll be OK, Beth. My advice is to take some deep breaths and have a sip of something soothing, hot tea or maybe something a bit stronger? Try to get to bed a bit earlier tonight. ;)
     
  7. Chris & China

    Chris & China Well-Known Member

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    An adult beverage (or 2) and an early night!!
     
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  8. Beth 73

    Beth 73 Well-Known Member

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    Amen....one question about tomorrow morning .....do I give the 0.25 as I would have had none of this happened and what is a safe AMPS to do that ???
     
  9. Beth 73

    Beth 73 Well-Known Member

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    You guys r a hoot !!! You better watch it,Chris...I could drive to ur house :D
     
  10. Critter Mom

    Critter Mom Well-Known Member

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    Yes: s-l-e-e-p!!!

    :bighug::bighug::bighug:

    Do you have a timed feeder, Beth? If yes, perhaps put out some mini meals of Elmo's normal grub. The pancreas should pulse some insulin each time he eats. Could possibly help keep numbers tamped down a little till morning.

    Sending prayers for all to be well.


    Mogs
    .
     
  11. Beth 73

    Beth 73 Well-Known Member

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    Aw ohhh....another last question....can I buy u100 at a Walmart or would my vet have them ??? Don't want to wait to order...
     
  12. Critter Mom

    Critter Mom Well-Known Member

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    Use Elmo's recent data as a guide, Beth, and post for help before the AM dose if you need it.


    Mogs
    .
     
  13. Beth 73

    Beth 73 Well-Known Member

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    Same to you Ms Mogs....its very late across the pond right now :bighug:
     
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  14. Chris & China

    Chris & China Well-Known Member

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    WalMart.....Relion brand 3/10cc, 30 or 31 gauge, 8mm insulin syringes
     
    Last edited: Dec 10, 2016
  15. Kris & Teasel

    Kris & Teasel Well-Known Member

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    Your vet should have them if he/she prescribes lantus or levemir. Walmart has them too but you have to make sure they have half unit marks (same for the ones your vet sells).
     
  16. Kris & Teasel

    Kris & Teasel Well-Known Member

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    He might still be extra sensitive to insulin from the hypo so you'll have to be careful. Let's wait to see what his AMPS is.
     
  17. Beth 73

    Beth 73 Well-Known Member

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    Thank you, thank you to the two best Chris/Kris es I am blessed to know !!!! All is well !!!
     
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  18. Beth 73

    Beth 73 Well-Known Member

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    And will start new thread tomorrow...I seem to have amassed another volume here :nailbiting:
     
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  19. Beth 73

    Beth 73 Well-Known Member

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    Last post for the night ....PMPS was 150.....no shot given.....+4 since PMPS is 148
     
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  20. Chris & China

    Chris & China Well-Known Member

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    Go Elmo!!! Surf it buddy!!!
     
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  21. Beth 73

    Beth 73 Well-Known Member

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    Elmo is fine....my heart and prayers are with you all as you work with Tigger's momma....praying for you all....this situation defies with sweet Tigger defies logic...
     
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  22. Kris & Teasel

    Kris & Teasel Well-Known Member

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    Looking good Elmo!
     
  23. Beth 73

    Beth 73 Well-Known Member

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    Good morning! Woke up hour early and took BG after no insulin last night...his BG was 138...sure thrilled you all know what to make of this because I sure don't...will be taking official AMPS here in 30 minutes but wanted to post this heads up now...:coffee::coffee::coffee:
     
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  24. Critter Mom

    Critter Mom Well-Known Member

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    Morning, Beth! I hope that you managed to get a few hours of refreshing and restorative sleep for yourself. :bighug:

    Good job grabbing that extra test just now, Beth. Elmo seems to have held in the normal range for the night. I'm really glad for you because I know how worrying this is for you; I can relate completely. :bighug:

    For info, the +138 (Alphatrak) is nearing the top end of the normoglycaemic range (approx 150 on the pet meter).

    Will pop back in a while to see what your AMPS is like. Go have some :coffee:!


    Mogs
    .
     
  25. Beth 73

    Beth 73 Well-Known Member

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    BG just taken AMPS of 154....
     
  26. Beth 73

    Beth 73 Well-Known Member

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    Holding off feeding til hear further advice
     
  27. Beth 73

    Beth 73 Well-Known Member

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    Usually feed right now
     
  28. Beth 73

    Beth 73 Well-Known Member

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    Right now am stalling eating and testing every 20 minutes per Kris suggestion last night....
     
  29. Beth 73

    Beth 73 Well-Known Member

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    AMPS rising...now at 162...still stalling feeding
     
  30. Critter Mom

    Critter Mom Well-Known Member

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    I'm here, Beth. Keep stalling for a few minutes till I look at Elmo's spreadsheet. BRB ...

    .
     
  31. Critter Mom

    Critter Mom Well-Known Member

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    OK.

    First question: Can you monitor BG through the whole cycle?

    .
     
  32. Beth 73

    Beth 73 Well-Known Member

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    Yes absolutely ...
     
  33. Critter Mom

    Critter Mom Well-Known Member

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    PS:

    Feed Elmo now!

    :)

    .
     
  34. Beth 73

    Beth 73 Well-Known Member

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    Got it !!!
     
  35. Critter Mom

    Critter Mom Well-Known Member

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    FYI - allowing for meter variance the 154 and 162 are essentially the same BG level.
     
  36. Beth 73

    Beth 73 Well-Known Member

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    Elmo says " thank you, Mogs...I was starving :cat:"
     
  37. Critter Mom

    Critter Mom Well-Known Member

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    Right, we've got 30 minutes before giving the dose to decide about strategy for the day.
     
  38. Beth 73

    Beth 73 Well-Known Member

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    Yes
     
  39. Critter Mom

    Critter Mom Well-Known Member

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    You're very welcome, Sir Elmo! Have some scritches with your brekkie! :cat:


    .
     
  40. Beth 73

    Beth 73 Well-Known Member

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    :):cat:
     
  41. Critter Mom

    Critter Mom Well-Known Member

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    Kwestions:

    1. Does Elmo ever start sniffing around looking for a bit of grub BEFORE +2?

    2. What was the carb % of the food you gave him for brekkie?

    3. What have you got in the house in the way of moderate, medium, and high carb foods? (With percentages if possible, please!)

    .
     
  42. Kris & Teasel

    Kris & Teasel Well-Known Member

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    I'm sorry I had to abandon you eventually last night - my eyes were closing and I was brewing a headache. I think that given his slowly rising BG, you might try giving a drop of insulin. You've experimented counting drops in 0.25 u and Mogs gave you another micro dose technique last night. You'll be home to monitor today.
     
  43. Critter Mom

    Critter Mom Well-Known Member

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  44. Critter Mom

    Critter Mom Well-Known Member

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    Another kwestion for you, Beth:

    4. Do you think you could be able to measure up a 0.25IU dose and then squeeze out a small droplet?

    .
     
  45. Kris & Teasel

    Kris & Teasel Well-Known Member

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    Hi Mogs,
    I went to bed fretting about Elmo and another kitty (@Mtrom80) last night. Took me a while to get to sleep and I'm a bit bleary eyed this AM.
     
  46. Beth 73

    Beth 73 Well-Known Member

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    I let him eat/graze for up to an hour after his shot...so he essentially grazes til +1.5........carb content for brekkie is 5( a combo of Wellness and FF chunky turkey, his best favorite)...gave 1/4 ( 1 oz ish) of each...he has eaten about 1/2 of each.....food on hand ranges from 2 carb, 3,4,5, 8, 10 and 12.... just bought friskier with gravey yesterday but not sure carb content
     
  47. Critter Mom

    Critter Mom Well-Known Member

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    Have some extra-special refreshing and soothing hugs:

    :bighug::bighug::bighug: (Kris) :bighug::bighug::bighug:

    .
     
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  48. Beth 73

    Beth 73 Well-Known Member

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    Bless your heart...we were fine...found myself in prayer for Tigger too... sounds like all is better for him this morning
     
  49. Beth 73

    Beth 73 Well-Known Member

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    And you DID NOT abandon us :bighug:
     
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  50. Beth 73

    Beth 73 Well-Known Member

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    Yes I am more comfy with that process than the other...
     
  51. Critter Mom

    Critter Mom Well-Known Member

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    It was quite a stressful night all round for a lot of FDMB kitties. I'm pleased and relieved that they're all OK.

    The moon's nearly at the full. Wondering whether that might be having a partial influence?

    .
     
  52. Beth 73

    Beth 73 Well-Known Member

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    :eek::rolleyes:o_O
     
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  53. Beth 73

    Beth 73 Well-Known Member

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    Elmo has retreated to his " man cave" ( aka the upstairs landing on a cushioned bench).... has eaten a little less than usual...about +ish 1/4 can of 3oz can....behavior is normal ...litter box normal
     
  54. Beth 73

    Beth 73 Well-Known Member

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    Time for shot....so I am taking up a .25 then squeezing out 1 drop??
     
  55. Critter Mom

    Critter Mom Well-Known Member

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    OK.

    Thanks for the food info and "man cave" update. :)

    Here's a possible plan:

    1. When dose is due give 0.25IU MINUS one drop.

    2. Test at +1.5 to see whether onset has started. If Elmo's in safe double digits feed a teaspoon of low carb.

    3. Test again at +2. If his numbers are similar to the recent cycles on the 0.25 dose follow the same feeding/testing routine as you have been using for those cycles.

    4. If +2 numbers are safe but below 90 post for input.

    How does that sound to you and @Kris & Teasel (and Kris, will you be around today? I'm not feeling so good.)

    .
     
  56. Beth 73

    Beth 73 Well-Known Member

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    Sounds great
     
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  57. Critter Mom

    Critter Mom Well-Known Member

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    Needless to say if numbers get down to 68 or lower intervene with higher carbs/honey/karo to steer Elmo back up to safer numbers following the usual drill and post for help.

    .
     
  58. Kris & Teasel

    Kris & Teasel Well-Known Member

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    This sounds like a plan. Unfortunately I'll be going out in about a half hour and will be gone until about+6.
     
  59. Critter Mom

    Critter Mom Well-Known Member

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    Thanks for letting us know, Kris. I hope you have a good outing. :)

    .
     
  60. Kris & Teasel

    Kris & Teasel Well-Known Member

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    Horse duties ... I'm overrun with critters. :)
     
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  61. Critter Mom

    Critter Mom Well-Known Member

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    Good complaint to have. :cat:
     
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  62. Critter Mom

    Critter Mom Well-Known Member

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    REVISION to above!

    4. If +2 numbers are safe but below 90 post for input. ETA - ask for help with steering the curve and what to feed. If in doubt or if you don't get a quick reply give Elmo the food you feel is right. Always err on the side of caution and keep monitoring BG.

    .
     
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  63. Critter Mom

    Critter Mom Well-Known Member

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    I need to pop away for a bit. Will check back in a while.

    You feeling OK with things, Beth?

    BTW any ketone result for this morning?

    .
     
  64. Beth 73

    Beth 73 Well-Known Member

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    I am fine !!! Ketone negative this a.m......
     
  65. Critter Mom

    Critter Mom Well-Known Member

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    Yay!!! :cool:

    Bet that made you feel a lot better. ;)



    .
     
  66. Critter Mom

    Critter Mom Well-Known Member

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    Hi Beth,

    I'm going to try to get some rest now. I have PTSD among other health issues and the last few days have taken quite a toll on me; my adrenal glands have gone into overdrive and I'm feeling very agitated and jittery right now so I badly need to slow down.

    I hope you're comfortable with the plan for the day. Keep testing, feed as needed, post a 911 on FH if you need urgent help. Also, if you don't get a prompt reply to a 911 on FH, post a new thread on the Lantus and Levemir board asking for help; it's a very busy board so you may find someone online there even if there's no-one on FH. Kris should be back by your +6.

    Sending prayers for a safe, uneventful AM cycle. Provided Elmo's in safe numbers towards the end of the cycle, try to get some rest for yourself. If you can sneak in an AM+11 BG test before the PMPS it could provide you with useful info as to whether Elmo's numbers are rising before the next dose is due.

    :bighug:


    Mogs
    .
     
  67. Beth 73

    Beth 73 Well-Known Member

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    Go rest... all is well here ....and I receive and believe for safe numbers and uneventful AM cycle
     
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  68. Critter Mom

    Critter Mom Well-Known Member

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    :bighug::bighug::bighug:

    BTW, Elmo has the loveliest little face! His eyes are very soulful. :) (((Elmo)))

    .
     
  69. Critter Mom

    Critter Mom Well-Known Member

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    PS:

    If you do need to post for help, Beth, make sure people replying understand that you're using an Alphatrak meter.

    .
     
  70. Beth 73

    Beth 73 Well-Known Member

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    Thank u, Mogs....now go rest ur weary body and soul....u cannot keep emptying yourself if u don't take care of yourself...Elmo and I are covered, trust me in that ....so please set us aside and go rest:bighug::bighug::bighug:
     
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  71. Kris & Teasel

    Kris & Teasel Well-Known Member

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    I'm back, Beth. So far, Elmo's numbers look good.
     
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  72. Critter Mom

    Critter Mom Well-Known Member

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    Just popped in quickly to see if all's OK.

    Those little 5% carb snacks seem to have worked well, Beth; a much smoother 'glide' down to nadir. How are Elmo's energy levels today?

    I'm glad to see you here, Kris. I hope you enjoyed 'horsing around' earlier. :)

    I'll try to pop in later - need to go back to the leaba; very tired and I hurt.

    :bighug::bighug::bighug:


    Mogs
    .
     
  73. Beth 73

    Beth 73 Well-Known Member

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    Dear Mogs and Kris....all is well here...the more I experience these bumps in Elmo's road, the more confidence I have, thanks to you both and all the precious kitty mommas( and daddy's) I have been blessed to come to know. We are all truly kindred spirits :bighug:..... Elmo has slept all day ....bit lethargic but that's how he has been since starting this journey....going to take a + 7 BG and post on SS....dreary but peaceful day today !!! Woo hoooooo:D:coffee::coffee:;)
     
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  74. Beth 73

    Beth 73 Well-Known Member

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    If need help at PMPS will begin new thread....
     
  75. Kris & Teasel

    Kris & Teasel Well-Known Member

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    Dreary but peaceful is what you need today, Beth! Will check in for PMPS.
     
  76. Beth 73

    Beth 73 Well-Known Member

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    Amen , Kris....and thank you beyond words :bighug:
     
  77. Kris & Teasel

    Kris & Teasel Well-Known Member

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    Elmo has a Buddha-like quality in his expression. :)
     
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  78. Beth 73

    Beth 73 Well-Known Member

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    Haha:D ... we have had him since a kitten...he is the only one in 30+ years that we actually went to shelter and picked out...all the rest have been what my dear hubby terms " show up cats":rolleyes:
     
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  79. Critter Mom

    Critter Mom Well-Known Member

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    How long till PMPS test is due, Beth?
     
  80. Chris & China

    Chris & China Well-Known Member

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    Ain't that the truth?? It's so dark and gloomy today....but it's a purrfect day for kitty snuggles if you can get them!!
     
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  81. Beth 73

    Beth 73 Well-Known Member

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    Oh yes !!!
     
  82. Beth 73

    Beth 73 Well-Known Member

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    Just took +7.5......BG 133....what the heck ????....PMPS 3 hours from now
     
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  83. Kris & Teasel

    Kris & Teasel Well-Known Member

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    He might be telling you he doesn't want any insulin tonight. It's possible his pancreas is starting to help out. Let's wait and see.
     
  84. Critter Mom

    Critter Mom Well-Known Member

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    Very smooth cycle.
     
  85. Critter Mom

    Critter Mom Well-Known Member

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    Very curious to see what Elmo'll do for PMPS.
     
  86. Critter Mom

    Critter Mom Well-Known Member

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    Beth, remember to get a BG test in an hour before PMPS!
     
  87. Beth 73

    Beth 73 Well-Known Member

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    Mercy.....what did we all use to do with our free time ???........:joyful::joyful::joyful::joyful::joyful::joyful::joyful:?......I crack myself up :woot:
     
  88. Beth 73

    Beth 73 Well-Known Member

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    Yes mam....how r u doing ??? Better rested ????
     
  89. Critter Mom

    Critter Mom Well-Known Member

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    I managed to sleep for a while earlier but I have a touch of fibromyalgia and at the moment most of my body feels inflamed. I'm a complete crock. :rolleyes:


    Mogs
    .
     
  90. Beth 73

    Beth 73 Well-Known Member

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    Ohhhh, no :(.....sending healing , soothing thoughts and prayers to you.:bighug::bighug::bighug:
     
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  91. Beth 73

    Beth 73 Well-Known Member

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    It must be around 11ish there, correct ? Our daughter lived in London for several years a few years ago so we got use to thinking multiple time zones....time for more rest for you....
     
  92. Beth 73

    Beth 73 Well-Known Member

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    BG one hour prior to PMPS.152 .....
     
  93. Beth 73

    Beth 73 Well-Known Member

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    One hour prior to PMPS test got a 152
     
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  94. Kris & Teasel

    Kris & Teasel Well-Known Member

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    You might be able to give the same dose as this AM. Looks like he'll end up at a PMPS that will be high enough for that.
     
  95. Beth 73

    Beth 73 Well-Known Member

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    Will post PMPS in about 30 minutes
     
  96. Critter Mom

    Critter Mom Well-Known Member

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    23:41 GMT here.

    Very steady cycle thus far. Will check back for PMPS.

    :bighug:


    Mogs
    .
     
  97. Beth 73

    Beth 73 Well-Known Member

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    PMPS 127......?????.....will feed in 15 minutes and shoot 30 after that ...I would be totally lost if not for u all...
     
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  98. Beth 73

    Beth 73 Well-Known Member

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    PMPS 127....will feed in 15 minutes and shot/no shoot 30 after that ....
     
  99. Beth 73

    Beth 73 Well-Known Member

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  100. Critter Mom

    Critter Mom Well-Known Member

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    I think you could be looking at a skip again tonight, Beth. BG's falling.

    How long before PMPS was the last time Elmo ate anything, and what carb%/amount did he eat?


    Mogs
    .
     
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