11/8 JuJu AMPS 349/+2 307/+6 273/ PMPS 307/+2 327/+5 271

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Re: 11/8 AMPS 349

Please continue with the 0.1u. This is a bounce off of the numbers in the 30s. A bounce is expected -- annoying, but predictable.

With Lantus, you base your dosing on the lowest number in the cycle and not on the pre-shot number. So, be patient and get a +2 test to make sure that Juju doesn't decide to throw you another big surprise.

(Also, please put his name in your subject line since most of us are keeping an eye on your condo given how "exciting" things have been!)
 
Re: 11/8 AMPS 349

Ok, continuing with 0.1u.

My apologies about forgetting the name. I'm not awake yet...
 
Re: 11/8 JuJu AMPS 349

Morning Matt and Ava and JuJu!!

The other day, I put "AMPS 28" instead of 382 and freaked everybody out :lol: :lol: :lol: yes, I shoot low but I'd never shoot that! :-D :-D

Bounces are hard to sit back and watch but we've seen kitties bounce for 8 cycles (usually it's six max but every cat is different) and then be solid green. We will watch and be sure and let you know when we think he should go back up...if he needs to. Just remember that even though it is a small amount of insulin, he's still getting some.

Hope you take advantage of the break and sleep.
 
Re: 11/8 JuJu AMPS 349

+2 307

Just to clarify, it's okay to keep feeding him small (1-1.5oz) amounts of LC as long as it's not past +6? He's underweight and recovering from DKA and FHL. I've been adding water and a pro biotic. He has been eating 2-2.5oz PS.

Yes, things being less eventful are welcomed. Also, I will work on getting the Ketone test.
 
Re: 11/8 JuJu AMPS 349/+2 307

Hello Matt and Ava - quite the 24 hours you've had! :shock:

Nice to see Juju coming down a bit at that +2. Go ahead and give him his mini meals until +6. Some people just free feed their cats, but it depends how they eat. Mine is a hoover. :roll: If he gets hungry after +6, you can always give some zero carb food. Some people boil a chicken breast and cube it up and give pieces of that.
 
Re: 11/8 JuJu AMPS 349/+2 307

Yes it has. The last two weeks have been a roller coaster. Thankfully, the LTR ISG has helped us keep our heads on straight.

Thanks for the zero carb tip.
 
Re: 11/8 JuJu AMPS 349/+2 307

Matt

If you have time today, look back over my post yesterday about how many calories he should be getting. That should help him. If he's eating well, less worries about DKA.
 
Re: 11/8 JuJu AMPS 349/+2 307

I remember you saying in the neighborhood of 8oz with the particular food he has been getting. He actually had a bit over 10oz, yesterday. I will review your post to get the formula.

I'll post a +3 and if you think it's safe, we would like to run out for about an hour, maybe two. We've been going 24hrs between work and caring for Junior.
 
Re: 11/8 JuJu AMPS 349/+2 307/+3 291

+3 291

He should be safe for a couple hours, yes?
 
Re: 11/8 JuJu AMPS 349/+2 307/+3 291

He didn't come down much from +2 to +3 so you should be good for a couple of hours, maybe even three. :smile:
 
Re: 11/8 JuJu AMPS 349/+2 307/+3 291

+6 273

Thrift store had a 50% off sale. We're bargain shoppers :smile: We got 9 articles of clothing for $28!

So, Junior is displaying a somewhat normal "curve". Numbers are high but he seems to be hitting a nadir at the +6 mark. I'll be off to work in about a hour. Ava will be here all night to test and shoot. I'll be home around 3am. Are you all thinking continue with the 0.1u?

I'll see if I can clean up JuJu's SS.
 
Re: 11/8 JuJu AMPS 349/+2 307/+3 291/+6 273

Yep, as Sienne mentioned earlier, you do want to stick with the 0.1U, since JuJu is in the midst of a bounce. Bounces can take up to 72 hours to clear, so you want to stay on course with the dose until either the bounce clears, or if JuJu drops really low again. Lantus does like/need consistency in dosing, although with JuJu's crazy drops, you've experienced anything but consistency!
 
Re: 11/8 JuJu AMPS 349/+2 307/+3 291/+6 273

A well deserved break for you all!!!

Amy is spot on with the dose information. Hang in there!!!

I'm not going to be around much the next couple days as I have company coming in but will try to check in. There are many experienced members to help you all so just give a holler. thanks for continuing to post his numbers in the subject line as several of us cruise the board looking at those numbers and posting if we have questions or think you need help.
 
Re: 11/8 JuJu AMPS 349/+2 307/+3 291/+6 273/+10 326

+10 326

Thank you all for keeping an eye on us. Ava will continue with the 0.1u.

Marje, since you've been "on call" and have family in town, Ava and I decided to give you a couple days off. Enjoy them! We expect you to be back bright and early Monday morning. ;-)
 
Re: 11/8 JuJu AMPS 349/+2 307/+3 291/+6 273/+10 326

:lol: good of you to give Marje a couple of days off! ;-)

nice to have a bounce day to give you a bit of a break.
 
Re: 11/8 JuJu AMPS 349/+2 307/+6 273/+10 326 PMPS 307

The break is nice. We've been so busy and stressed for the last two weeks we haven't slept much and the house is a disaster. :YMSIGH:
We should be able to get caught up Tomorrow. :smile:

So, because Junior's numbers are remaining flat, the idea is that once he clears the bounce his numbers should start to naturally drop and remain flat? With out increasing his dose?
 
Re: 11/8 JuJu AMPS 349/+2 307/+6 273/+10 326 PMPS 307

Hi there :cool:

You guys are doing great - it helps to have a partner willing and able to help handle FD. I could not have managed Black Kittys journey alone. I took care of the day shift and my DBF took care of the overnight (and became known around LL as "The Nightwatchman" :lol: )

JuJu09 said:
We've been so busy and stressed for the last two weeks we haven't slept much and the house is a disaster.
The words of the late Erma Bombeck come to mind at times like these -
if it''s not on fire or blocking the fridge, it can wait ;-)

JuJu09 said:
So, because Junior's numbers are remaining flat, the idea is that once he clears the bounce his numbers should start to naturally drop and remain flat? With out increasing his dose?
Once the counter-regulatory hormones clear Jujus system you will be able to see what the current dose is or is not doing and be better able to determent next steps.

With all the activity around the unexpected lows, we haven't had a chance to tell you about the 'whole cat report' or 'WCR'.
The foundation of the WCR is the '5 Ps' - purring, playing, preening, peeing and pooping. If one of the 5 Ps is off or missing - heads up.
The convention here is to include the WCR in your daily 'condo' - a simple 'all Ps are in place today' or ' WCR good'
For a kitty with a recent history of DKA, the most recent ketone test results should be included as well...

I was re-reading your initial post from the Health forum where you mentioned Juju had a slight fever. Is that still the case or has it resolved?
I ask because infection/inflammation is a key ingredient in the formation of ketones.
I can't stress enough the importance of vigilance with a kitty so fresh from an episode of DKA - they are vulnerable to recurrence.
My BK had his first go round with DKA on 05/22/2008. Slightly over 1 month later, on 06/26/2008, he was hospitalized second time for DKA.
He would not have survived a third bout.
 
Re: 11/8 JuJu AMPS 349/+2 307/+6 273/+10 326 PMPS 307/+2 327

Yes sir! I'll be reporting for duty early Monday morning...uh, early AZ time that is. ;-)

Actually, I probably won't be able to stay away :-D

Have a great night.
 
Re: 11/8 JuJu AMPS 349/+2 307/+6 273/+10 326 PMPS 307/+2 327

We had a bit of a scare yesterday, 37. I took him to the hospital and the doc said his exam was good. Good energy, put on some weight, didn't mention a fever. I should have asked but I was still in shock from the 37. He's been eating really well since I gave him the 1/4 of Mirt.

We did get the Ketostix but haven't gotten a test yet. I'll stay up tonight and get one. I feel like he's improving everyday. 5 P's are good. The doc said DKA is obviously very serious but Junior *BG* getting a bit high overnight should be okay. I'm a little nervous that his *BG* has been high for 24hrs now. However, I'm practicing patience and understand that everyone here absolutely wants what is best for JuJu.

Since I've gotten comfortable testing and shooting, no reason I can't take his temp at home, right? Not sure if there's a particular thermo for it?

*Edit: It could have been interpreted as his temp, when I meant BG.
 
Re: 11/8 JuJu AMPS 349/+2 307/+6 273/+10 326 PMPS 307/+2 327

I suspect the vet would've checked his temp yesterday when you ran him in, don't you think? our techs always do that first thing. I don't think you have to check it at home, but you might give them a call and ask if his temp was normal yesterday.
 
Re: 11/8 JuJu AMPS 349/+2 307/+6 273/+10 326 PMPS 307/+2 327

I'll be off work in about 15 min. I'll call then.
 
Re: 11/8 JuJu AMPS 349/+2 307/+6 273/+10 326 PMPS 307/+2 327

+5 271

The good news:
Junior's temp was 100.8 at the vet
Ketone negative

The bad news:
I was so stressed thinking about, what if the Ketone test is positive?
I prepaid for $40 gas...pumped $20, then started to leave! @-)
 
Sleep depravation and worry causes us to do strange things. :roll: :lol: I'm glad the results were good though.
 
Re: 11/8 JuJu AMPS 349/+2 307/+6 273/+10 326 PMPS 307

Sandy and Black Kitty said:
Hi there :cool:

You guys are doing great - it helps to have a partner willing and able to help handle FD. I could not have managed Black Kittys journey alone. I took care of the day shift and my DBF took care of the overnight (and became known around LL as "The Nightwatchman" :lol: )

That's awesome! Ava has really stepped up. While I do get the job done when it comes to testing and shooting, she's a total pro! I'm much better at recording/organizing all the work. As well as, communicating with you all.

Sandy and Black Kitty said:
The words of the late Erma Bombeck come to mind at times like these -
if it''s not on fire or blocking the fridge, it can wait

So true!

Sandy and Black Kitty said:
The convention here is to include the WCR in your daily 'condo' - a simple 'all Ps are in place today' or ' WCR good'
For a kitty with a recent history of DKA, the most recent ketone test results should be included as well...

Thank you, will do.

Sandy and Black Kitty said:
I was re-reading your initial post from the Health forum where you mentioned Juju had a slight fever. Is that still the case or has it resolved?
I ask because infection/inflammation is a key ingredient in the formation of ketones.
I can't stress enough the importance of vigilance with a kitty so fresh from an episode of DKA - they are vulnerable to recurrence.
My BK had his first go round with DKA on 05/22/2008. Slightly over 1 month later, on 06/26/2008, he was hospitalized second time for DKA.
He would not have survived a third bout.

A few members have let me know the importance of testing for ketones and that DKA kitties are vulnerable. I think because it was really hard seeing Junior in the hospital for a week, I've been concentrating on moving forward. I don't ever want him to go through that again. I guess I have been trying to avoid the thought...

That's terrible BK and you had to go through it twice. I'm happy he bounced back strong and eventually went OTJ.
 
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