HELP??Jade 7/13/18 amps 64!!!! YIKES!!!!

Discussion in 'Lantus / Basaglar (glargine) and Levemir (detemir)' started by Jill & Jade, Jul 13, 2018.

  1. Jill & Jade

    Jill & Jade Member

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    May 29, 2018
    Well.....what does THIS mean????? What should I do?? I'm feeding her the FF chunky with a bit of gravy...should I be alarmed at this low number?? Because I am!! Zero symptoms.




    Since I am down to just a drop for my girl, is there a need to do a +2? I don't shoot under 90. Can a cat go HYPO from just a drop? I would love for her have just the amps and pmps ear prick.
     
    Last edited: Jul 13, 2018
  2. Jill & Jade

    Jill & Jade Member

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    May 29, 2018
    she’s waiting patiently for a reply...
     

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  3. Wendy&Neko

    Wendy&Neko Well-Known Member

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    Feb 28, 2012
    Skip this morning, and feed her now. But not too much as you don't want to fill her up. I would test again in 1/2 hour to make sure she's up. Note that some kitties off of insulin can test at lower than our "take action" point. We just don't wNt a cat on insulin to be that low.

    Oh, and she's earned a reduction.:D
     
  4. Jill & Jade

    Jill & Jade Member

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    Ok...she’s been on one drop for 3 cycles. I fed her a nice amount. The next reduction is zero, no??
     
  5. Wendy&Neko

    Wendy&Neko Well-Known Member

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    Yes. :)

    You can take off the 911 now.
     
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  6. Jill & Jade

    Jill & Jade Member

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    Will test in 20 minutes. Now that this happened, what do I look for? What should her numbers be? When do I give insulin again? Do I? And when do I know she’s ok for today?
     
  7. Jill & Jade

    Jill & Jade Member

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    And thank you!
     
  8. Jill & Jade

    Jill & Jade Member

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    May 29, 2018
    I'm shocked that she dropped like this from a drop, and am wondering just how low she got in the middle of the night???!!
     
  9. Jill & Jade

    Jill & Jade Member

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    May 29, 2018
    She's up to 148, but I need someone to help me with questions here, please. Is there a chance that she went full Hypo on the night and can they come back up by themselves? Do i have to worry she has some damage from this? And can she still drop back down to a dangerous level today after feeding her and bringing her number back up??
     
  10. Bellasmom

    Bellasmom Well-Known Member

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    Feb 12, 2018
    Now OTJ trial I think?? Someone will answer I’m sure
     
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  11. Jill & Jade

    Jill & Jade Member

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    May 29, 2018
    My main concern is knowing if she's out of the woods today...and how long should I be on high alert.
     
  12. Jill & Jade

    Jill & Jade Member

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    May 29, 2018
    I was doing the SLGS...she's only had one drop the last 3 shoots. She's playing and purring (thank God) Since I didn't shoot, I shouldn't worry about her dropping to that ugly lime green number again, correct?
     
  13. Bellasmom

    Bellasmom Well-Known Member

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    Feb 12, 2018
    Remission: slgs
    Remission is reached when kitty can go 14 days without insulin. Most cats will remain in the range of a healthy cat 50 - 80mg/dL (2.7 - 4.4 mmol/L) with only sporadic higher or lower BG numbers.

    However, some will experience infrequent BG numbers higher than the norm. Continue feeding low carb food. Test the cat's BGs once per month. If BG numbers begin to trend upwards, it's time to bring kitty in to see your vet for a check-up. Common reasons for kitty falling out of remission include dental issues, infection, inflammation, pancreatitis, etc. Just about any illness or disease can do it.
     
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  14. Jill & Jade

    Jill & Jade Member

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    May 29, 2018
    sorry...still kind of panicky...appreciate you!!
     
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  15. Bellasmom

    Bellasmom Well-Known Member

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    I’d say she’s feeling great sooooooooooo happy for you jade! Nice job
     
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  16. Bellasmom

    Bellasmom Well-Known Member

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    Relax it’s ok
     
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  17. Jill & Jade

    Jill & Jade Member

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    Here come the tears.....
     
  18. Bellasmom

    Bellasmom Well-Known Member

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    Happy I hope
     
  19. Jill & Jade

    Jill & Jade Member

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    :):):):):):):):):):)
     
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  20. Bellasmom

    Bellasmom Well-Known Member

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    You have done a fabulous job with her!!!! :bighug::bighug::bighug::bighug::bighug::bighug:I should send you bella and work your magic on him lol
     
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  21. Jill & Jade

    Jill & Jade Member

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    And I would in a heartbeat!!!!
     
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  22. Bellasmom

    Bellasmom Well-Known Member

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    I found this for you it came from @Bobbie And Bubba (hope you didn’t mind)
    I’m sure someone will tell you it’s time, I’m not expert on remission but I’m sure someone will tell you it’s time for trial

    Start the trial on the next green pre shot.
    If he/she is green at your normal test times, no need to test further until the next "PS" time; just feed small meals and go about your day. If he/she is blue at your normal "PS", feed a small meal and test again after about 3 or 4 hours. If his/her number is lower 3-4 hours after a meal, then the pancreas is working!
    Post every day so we can monitor your progress and see if any tweaks are needed. He/she may have a sporadic blue number. Don't panic but post before you decide whether to shoot so we can have a discussion.
    After 14 days of no insulin, we have a party!!

    Sometimes the trial doesn't work the first time and we have to give a little more support in the form of resuming insulin. It's not the end of the world if that happens; we just give him/her the support needed. Our goal is a strong remission and it's better to take our time to get that than to rush into remission just to have it fail later on.
    Good luck with the trial!!!

    Once he/she is through the trial successfully, you enter a new phase. Your cat is still diabetic but has now become diet-controlled. Continue feeding low carb food in the manner successful for your kitty. If you decide to change his/her feeding schedule, let your meter be your guide to the best times to feed. Avoid medications with sugar in them and steroid medications unless they are medically essential. Continue testing blood glucose weekly for the first month and then monthly forever. It's a good idea to weigh him/her monthly. Weight should remain stable. If he/she seems "off" or sick, or is showing signs of diabetes (excessive drinking, eating, urinating, weight loss), test his/her blood glucose right away. Keep the teeth and gums clean and healthy; dental issues can bring a cat out of remission. If you see rising blood glucose numbers, it's time for a visit to the vet!
    During an OTJ trial IF the AMBG or PMBG is blue (not sure there is range but hoping under 120) the next test is suggested to be +3 or +4 to see if they make it to green
     
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  23. Jill & Jade

    Jill & Jade Member

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    Thank you!! I will have to read and reread this many times!! :bighug::bighug::bighug::bighug::bighug::bighug::bighug: and @Bobbie And Bubba
     
  24. JoyBee&Ravan

    JoyBee&Ravan Well-Known Member

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    Feb 17, 2018
    OK Jill , If Bella can come I'm sending Ravan!
    You'll need to be a stay at home mom because I'm sure there are a LOT of people here that will be sending there babies for " "the CURE"! (HA! :) )

    Wonderful News!!!:woot::woot::woot::woot:
     
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  25. Jill & Jade

    Jill & Jade Member

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    I’m in!!
     
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  26. JoyBee&Ravan

    JoyBee&Ravan Well-Known Member

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  27. Amanda & Shmee

    Amanda & Shmee Well-Known Member

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    Great to hear Jade is doing so well :smuggrin::bighug::smuggrin:
     
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  28. Jill & Jade

    Jill & Jade Member

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    May 29, 2018
    She was still at a nice high ( ish ) # when I left for work. I left FF chunky out and am wondering ( because I’m paranoid) about there being enough of a Depot to make her drop to a too low number again this evening? I mean it’s only a total of 3 drops over the last 3 cycles ( didn’t shoot today) but I wouldn’t have thought one drop last night would send her down the rabbit hole this morning...
     
  29. Chris & China

    Chris & China Well-Known Member

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    May 10, 2013
    No insulin=No hypo

    While 64 on the AT is "too low", it's still safe.....of course we wouldn't want you giving insulin at that point!

    A non-diabetic cat can routinely test in the 30's and 40's so don't let those lower numbers scare you. As long as you're not giving "extra" insulin, the pancreas isn't going to send her too low. It knows what it's doing.

    There's a big difference between a "low number" and a "hypo" but they tend to be used for the same thing around here too often.

    As long as there's no symptoms, it's not really a "hypo"...it's just a low number
     
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  30. Jill & Jade

    Jill & Jade Member

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    May 29, 2018
    Ahhhhh! So... how long (approximate) will it take for me to see a number that is not insulin influenced?
    This may be the first time in my life that I’m actually interested in learning something that is complicated. Sad, yes. But exciting too! Thanks to you and the others that have been such good teachers.
     
  31. Mandy & Rex

    Mandy & Rex Well-Known Member

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    Mar 22, 2017
    Congratulations!! No more insulin at this point! Of course if the numbers creep back up, insulin will need to be given. But I think it's time for a trial! :D:D:D
     
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  32. Jill & Jade

    Jill & Jade Member

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    May 29, 2018
    So... when do I test her? Same as before? 11am-11pm?
     
  33. Jill & Jade

    Jill & Jade Member

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    May 29, 2018
    I heave some info, but would appreciate all
    I can get so I don’t
    Mess this up!
     
  34. Chris & China

    Chris & China Well-Known Member

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    May 10, 2013
    Yes, test at your usual times
     
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  35. Jill & Jade

    Jill & Jade Member

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    May 29, 2018
    Ok. Will do. And I will update my SS and wait for advice! Thank you!!!!
     
  36. Jill & Jade

    Jill & Jade Member

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    May 29, 2018
    And still no food for 2 hours pre-test?
     
  37. Jill & Jade

    Jill & Jade Member

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    May 29, 2018
    And.. I’m going to switch to 11:30-11;30 if there’s no need for the tests after the initial tests. Is that correct? I don’t need to ( for now) check every couple hours??
     
  38. Chris & China

    Chris & China Well-Known Member

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    May 10, 2013
    It depends

    If he/she is blue at your normal "PS", feed a small meal and test again after about 3 or 4 hours. If his/her number is lower 3-4 hours after a meal, then the pancreas is working!
     
  39. Jill & Jade

    Jill & Jade Member

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    May 29, 2018
    Every time??? I’m not home 4 hours after the amps.
    And if she’s green, no need to test after 3 or/4 hours?
     
  40. Jill & Jade

    Jill & Jade Member

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    May 29, 2018
    I’m confused. Clearly.
     
  41. CassAndGordy

    CassAndGordy Well-Known Member

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    Im sure if youre not home at the +4, it wont kill anything, but maybe grab a test before you head out of the house.

    And yes, if she is green, no pokes until next main test :D
     
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  42. Jill & Jade

    Jill & Jade Member

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    Ok... so... if she is higher at the +3, what does that mean? And am I giving her the same food and nothing 2 hours prior to test time?
     
  43. Bellasmom

    Bellasmom Well-Known Member

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    feed as normal
     
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  44. CassAndGordy

    CassAndGordy Well-Known Member

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    Keep all the food stuff the same. And yes to the 2 hour - at least until you're done with the OTJ trial ;)

    If she is higher at the +3, she could still be having a good bump. But typically, if a cats pancreas is waking up (so to say), it'll create its own insulin when fed and it should bring her sugar down. But I can be totally wrong on all that.
     
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  45. Mandy & Rex

    Mandy & Rex Well-Known Member

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    Mar 22, 2017
    If you get a PS number like 100-110, don't worry too much about it. Rex had one blue AMPS during his trial and I couldn't test at +3 because of work. Just look for a green PS next time and you're fine.
     
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  46. Jill & Jade

    Jill & Jade Member

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    May 29, 2018
    Ok... so green... no need to test again until next PS, correct?
     
  47. Mandy & Rex

    Mandy & Rex Well-Known Member

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    Correct! 2x a day during the trial unless you see a higher number and can test later that cycle.
     
  48. Jill & Jade

    Jill & Jade Member

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    May 29, 2018
    Woot! Thanks!!!
     
  49. Jill & Jade

    Jill & Jade Member

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    A
    one more while I have ya... if it’s blue, and again blue 3 hours later... then what?
     
  50. Chris & China

    Chris & China Well-Known Member

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    Just test again at the next PS and put it in your spreadsheet

    One "blue" day doesn't mean a failed OTJ trial....especially since you're using the AT
     
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  51. Sue and Luci

    Sue and Luci Well-Known Member

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    Love the pic! It's as if she's reading the boards!:D Careful - I personally think they already know too much!:rolleyes::rolleyes:
     
  52. Bobbie And Bubba

    Bobbie And Bubba Well-Known Member

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    Jun 15, 2015
    Congratulations! Start the trial and post each day with Day 1 OTJ and the number, Day 2 OTJ and the number. We want to cheer you on!!
     

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