Walk me through hometesting for Phoebe please phase 5"

PMPS 307

 

Hi Eric, yeah, I would just skinny up the 2.25 and let's see if that will give her a nice nadir and two shootable cycles. It would be a good idea for you to get a +2 to see how this cycle will go and a test before you go to bed also.

 

Bobbie l listed the skinny as 2.15u on Phoebe's spread sheet. Is that ok?

 

That's fine. Just try to remember what that dose looked liked visually so you can recreate it.

 

+2 248

 

Glad you got the +2 which is lower so means this could be an active cycle. Could you get through her nadir which looks to be around +6? If she starts to drop lower and fast, give her some YA. If she gets too low ( getting towards 50) then add a few drops of honey or syrup on top of the YA. Usually dry food does not bring them up as fast as wet but the honey or syrup will help. If you need help and no one responds in ProZinc (not as active at night ) post in Health.

 

+6 won't be a problem.
You mentioned l should give her YA if her numbers start to drop. I let Bobo and Phoebe free choice feeding as people have mentioned in this group as well as YA. Should l not be doing this?

 

The YA instructions do say to let then free feed, that they will self adjust. But, if she is going low quickly, just make sure she is eating . The only problem with free feeding is that if she has eaten within two hours of you doing a pre shot test the number is being influenced by carbs.

 

I've been picking her food up 2 hours before the PMPS. I prefer the free feedings. Before when Phoebe was on the vetsulin the vet had her on a 1/2 cup per day of the purina diabetic food. Phoebe seemed constantly hungry.

 

+6 197

 

AMPS 360

 

That's good, Eric Let's see where that dose brings her today

 

+4 166

 

Great! She might hit the Lagoon today! Are you able to test through the nadir at least to see how low she goes?

 

+5.75 117

 

I have too leave the house for a few hours. I feel like I'm neglecting her by doing that.

 

You are anything but neglectful Eric! You're a great bean to Phoebe and Bobo!

 

A few hours and she'll be fine. just grab a test when you return. Then is she is going up, you'll know approximately when her nadir was compared to the last test you got before you left.

 

+8.75 116

 

Thank you Sharon!

 

Looks like a late nadir today nice numbers

 

PMPS 253

 

We all have to leave sometimes. Grocery shopping, other errands...heck even getting out and having fun sometimes! You test all the time and take good care of Phoebe...give yourself a break sometimes.

 

Eric, we all know how you feel - once the cat starts responding to insulin like Phoebe has, it can be almost paralyzing to plan your life. After more than a year with Murphy doing this sugar dance, I am starting to realize that I have to have a life. you are doing an amazing job, and we are all SO happy for you
Go out and have fun

 

Thank you Rachel and Carol.

 

How much testing should l do and when is enough enough? I went from September 2015 to July of 2016 without never testing. That was because l never knew any of this. ie. The vet had her on vetsulin and just said thats all you need. How wrong that was! I guess after almost losing Phoebe last month of afraid of a relapse. This is all still new to me.

 

I think it's fine to get two pre shot tests (always) and a nadir( whenever you can). Then a curve every so often

Getting more tests is an option, good data, but as others have said, you get to have a life!

 

Yep, preshots are needed...nadirs are good. Curves are more of an every now and then thing.

 

Eric, you do what you can to keep Phoebe safe and anything more is extra. I was very lucky that I was home all day taking care of my 89 year old mother so I could test often and run Bubba really low but, I understand that is just not possible for everyone. So, keep on doing the best you can and that is all you can ask for. Phoebe is lucky that you are her bean.

 

+3.5 208

 

That's a nice recovery after a food hike. Looks she will have a blue surf tonight for sure.

 

I'm hoping!

 

+9.5 218

 

AMPS 245

 

Almost last night's pmps - she's really stabilizing on prozinc, Eric. You're both doing great

 

Awww...thank you Carol!

 

+6 83

 

okay, you are going to want to get in more tests this afternoon, Eric, to make sure she doesn't get too low. If it were me (and I am a chicken plus I always wanted to avoid a bounce if possible) I'd feed a little either now or if she continues to drop, but others may say just watch her.

 

Yes l planned on checking her in an hour.

 

How am l supposed to avoid the bounce?

 

Hi Eric,

I'm a new member to FDMB as of last Wednesday. I went for 6 months of never testing AMPS and PMPS, running a full BG curve once a week and following my vet's recommendation after she looked at the curve data. It was better than no testing but I feel that I would have made better, faster progress with my cat, Teasel, if I had been on here doing things the FDMB way from the beginning. Oh well, better late than never.

Like you, I have a cat that is starting respond to the ProZinc and have had a few (scary-ish) low numbers. I knew I'd need to be coached and supported through this phase so I became a FDMB member. I also worry about what impact each shot is having and whether I should leave the house to do other things. It's easier when they're high and not straying much from there. THIS is when it gets tense. However, I see that we're on the way to better numbers so I'll do what it takes. Hang the $$$ cost of the test strips! A stay in the hospital for a hypo episode would be much more expensive.

 

+7 120

 

I'll respond too this. House duties at the moment lol

 

Wow, Phoebe is looking good today! Did you steer with food or is that +7 test just a normal heading back up?

 

Did you feed Phoebe between +6 and +7? In any case, it's good you don't have to worry about anything this afternoon
Regarding avoiding bounces, I don't think there is really anything you can do, but by keeping them in higher green numbers, maybe her liver won't freak out and thus you can avoid the bounce - the lower they go, the higher the likelihood of a bounce

 

WOEEHOOEEEEE GO PHOEBE!!!Show how it's done little mama! 83!

 

+9 218

 

Since Phoebe and Bobo started eating YG I'm letting them FCAF. But l was thinking about getting them back on a schedule. What's everyone think of that? She did eat between +6 and +7 l noticed.

 

She's doing great!

 

Rachel that's just a normal since brought her dosage down from 2.25 too 2.15 or in that neighborhood.

 

Hi Kris! My Phoebe went DKA on July 2nd. That's when l found this wonderful group. I never knew it existed nor did l know it was necessary! Phoebe is alive and doing great now thanks to everyone here! I wasn't prepared or educated too feline diabetes. My Vet told me in September 2016 just give her 4.0 units of vetsulin once a day and that was it. WRONG. I'm lucky Phoebe survived that horrible advice. I'm lucky l found this group. I'm WAY MORE prepared now.

 

Yes, this is a great group! BTW, Phoebe is a very cute girl - reminds me of my two female orange tabbies I had some years ago, Ginger and Cinnamon. It's obvious that you love her a lot. Yeah, I know, guys don't like to talk that way ...

 

Oh Phoebe and Bobo mean the world to me. I'm not embarrassed too admit it! They're family.

 

PMPS 292

 

+3 200

 

Nice drop!

 

She's just doing so great

 

AMPS 307

 

Not too bad, almost yellow. I'm sure she was at least blue last night, so it's all good!

 

+10 233

 

Wow, I just looked at your spreadsheet. You're doing such a great job with her!

 

Thank you Aby!

 

Ugly red preshot, but she's coming down nicely @+3.5.

 

AMPS 328

 

Her SS looks great, Eric. Don't worry about a couple of higher numbers. I wish Teasel would respond as well as Phoebe does. I've been all over the map with him!

 

+10 101

 

Thanks Kris! Good luck with Teasel! I wish l could get her to eat wet food again. But l'm happy with the results from the Young Again.

 

PMPS 258

 

Nice day, she may have hit green @nadir!

 

That's what l was thinking. I think I'll keep doing what I've been doing with her.

 

+5 152

 

Phoebe was 404 at AMPS this morning! Nice cycle.

 

+7.5 166

 

PMPS 367

 

+4 212

 

Come on down Phoebe, you look much nicer in blue and green! Do you see a difference in how she feels when she's blue/green vs pink/red?

 

Looks like we posted at the same time! Glad she's coming down- She looks so good!

 

Even though she hit pink/red today she was doing great. She was playing with her toys and smacking Bobo hahaha! She's one of the most playful cats I've ever had even as she gets older.

 

AMPS 338

 

Good Morning Eric ~ Glad Phoebe is playing and doing well. She should have cleared the bounce from the 21st. Maybe a little more juice? @Sue and Oliver (GA) and @Rachel what do y'all think?

 

I think she hit green on the 23rd too. Eric wasn't home to get a nadir test, but the 101@+10, hints at it.

 

You might be right.

 

Interesting that she doesn't gradually lower the preshots, but every so often you get a nice yellow. I agree she is likely a bouncy cat.

You could try a little higher dose for the higher preshots. -maybe above 350 - and keep your present dose for preshots below that? See if that brings her down a little lower overall without making the bouncing worse? Maybe 2.25 for the higher preshots.

 

277 @ +9.5

 

Should l up her too 2.25 at 530pm

 

PMPS 335

 

I see you increased to 2.25. Will be interesting to see how that does. Remember if she is lower @PS time give the lower dose, like Sue said above.

 

+4 244

 

AMPS 221

 

Nice AMPS! According to Sues recommendations, give the previous dose of 2.15

 

I gave her 2.25 this morning

 

+9.75 177

 

PMPS 285

 

AMPS 163

 

Nice! You shot this dose at 188 on 8/15. Are you going to skinny the dose ? And can you test today?

 

Good morning Bobbie. Should l shoot her at 2.0u or 2.15u?

 

Can you monitor her today?

 

Yes

 

Good, I think I would try the 2.15 as long as you have plenty of supplies higher carb food on hand if you should need it and get a +2 and see how the cycle will go.

 

Doesn't matter what l have when the only thing she'll eat is YA. That's the scary issue here with her. So maybe l should just give her a dose of 2.00u too be safe.