Yosh is at 134 preshot

Discussion in 'Prozinc / PZI' started by Stressedcatmom, Apr 12, 2017.

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  1. Djamila

    Djamila Well-Known Member

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    Oh, totally missed that! Yes, Yong is right, don't push the number up. It's completely safe, and the insulin is worn off anyway. This is a natural number.
     
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  2. Stressedcatmom

    Stressedcatmom Well-Known Member

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    If it's high I just have to wait till tomorrow to shoot right? I'm going out for a bit. He ate well and is rolling around loving every minute of this
     
  3. Djamila

    Djamila Well-Known Member

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    No shot until normal time tomorrow - no matter what number you get later. His numbers are low enough right now that missing a shot shouldn't be a big deal. He might be a little higher in the morning, but I doubt it will be terrible.
     
  4. Yong & Maury GA

    Yong & Maury GA Well-Known Member

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    Correct, don't shoot later tonight. Just wait until AM time. :)
     
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  5. Stressedcatmom

    Stressedcatmom Well-Known Member

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    If he's super high in the am I'm going to put a for sale sign on him. We were doing so well!
     
  6. Stressedcatmom

    Stressedcatmom Well-Known Member

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    I'm kidding but man, this cat...
     
  7. Djamila

    Djamila Well-Known Member

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    Lol...look around at a few other spreadsheets and it'll make you feel better!
     
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  8. Stressedcatmom

    Stressedcatmom Well-Known Member

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    I did push the strip in, didn't get blood, pulled it out and put it back in again when I got blood. But I only put the strip to the ear when there was blood. Could taking the strip out and putting it back in mess up the reading? :nailbiting:
     
  9. Djamila

    Djamila Well-Known Member

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    oops. On my meter that would mess up the reading. Honestly, at this point I think you should just let it go. He's already had dinner and his numbers aren't that bad. Just think of tonight like a fur shot. Plus, 108 isn't that surprising given his other numbers, so it very well may have been a legit reading.
     
  10. JanetNJ

    JanetNJ Well-Known Member

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    Me too. :)
     
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  11. Stressedcatmom

    Stressedcatmom Well-Known Member

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    Hmmm. I need to find out about the test strip thing, I do that sometimes. Not often, just when I don't get blood initially. I think I read it was ok as no blood was on the strip. Bah.
     
  12. Stressedcatmom

    Stressedcatmom Well-Known Member

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    This is awesome! What do you teach? I teach Freshman in college. Sometimes it's worse than Yoshi.
     
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  13. Djamila

    Djamila Well-Known Member

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    Meters vary, so it might be just fine on your meter. College Freshmen! What a pivotal year in our lives! That transition from childhood to oh-crap-I'm-a-grownup?!?! Bless your heart for doing that! It must be a tough group to teach!
     
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  14. JanetNJ

    JanetNJ Well-Known Member

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    Elementary art and my partner teaches high school English.
     
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  15. StephG

    StephG Well-Known Member

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    College freshman?! I was there once but took a freshman history class in my senior year because I just did not want to take it. History is my least favorite subject. The freshman were like out of control 14 year olds! I never behaved that way for a class and could not believe those little jerks were acting like fools when they were paying to be there!!! Teachers are a special kind of human! I
     
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  16. Kris & Teasel

    Kris & Teasel Well-Known Member

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    I'm a teacher too! High school physics and chemistry - high school junior/senior as you say in the US or Grade 11/Grade 12 as we say in Canada. I've been retired quite a while and volunteered for 4 years as an "English as a Second Language" tutor to a young Vietnamese woman. I got her English skills up to the level where she could take the Canadian Citizenship exam and I attended her citizenship ceremony. Very proud moment for her - and me! :)
     
  17. Stressedcatmom

    Stressedcatmom Well-Known Member

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    How crazy that we're all teachers! Kudos to all of you even more than before.

    Going for the preshot test now...
     
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  18. Stressedcatmom

    Stressedcatmom Well-Known Member

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  19. Stressedcatmom

    Stressedcatmom Well-Known Member

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    Thoughts?
     
  20. Stressedcatmom

    Stressedcatmom Well-Known Member

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    That's really amazing! I can barely teach native speakers English. I wouldn't even know where to begin with an ESL student.
     
  21. Kris & Teasel

    Kris & Teasel Well-Known Member

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    It was a challenge but she was a very intelligent and motivated young woman. Don't ever let anyone say English is an easy language to learn! I found out that it's absolutely crazy-making for learners and the pronunciation was very difficult for her. She spoke Chinese and Vietnamese and they're both tonal languages.
     
  22. Stressedcatmom

    Stressedcatmom Well-Known Member

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    Kris what do you think I should do with a 132 preshot?
     
  23. Stressedcatmom

    Stressedcatmom Well-Known Member

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    Oh, I know it's super hard to learn!
     
  24. Kris & Teasel

    Kris & Teasel Well-Known Member

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    I'd try 0.5 u if you can monitor. You haven't seen any green yet.
     
  25. Stressedcatmom

    Stressedcatmom Well-Known Member

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    Hmmmm. What about.25
     
  26. Stressedcatmom

    Stressedcatmom Well-Known Member

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    I'm going to feed him and think. He's getting so tricky.
     
  27. Djamila

    Djamila Well-Known Member

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    If you can't monitor, I would go with .25

    And just seeing your other post come through - always remember that you hold the syringe and need to go with the dose that you feel comfortable with (ugh - sorry for ending my sentence with a preposition!)
     
  28. Stressedcatmom

    Stressedcatmom Well-Known Member

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    Lol! I'm just scared my vet will yell at me when see sees I'm shooting this low.
     
  29. Djamila

    Djamila Well-Known Member

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    Just don't tell her! :p:D
     
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  30. Kris & Teasel

    Kris & Teasel Well-Known Member

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    If you're more comfortable giving 0.25 u then that's what you should do. :) He hasn't had insulin in 24 hours and his AMPS is a lovely blue. Go with your gut!
     
  31. Stressedcatmom

    Stressedcatmom Well-Known Member

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    I went with .25. I have to eyeball it so it may have been a little less or a little more. Is it bad to jump from .5 to nothing to .25? Or is it worse to skip? I was reading about consistency in dosing and now nervous
     
  32. Kris & Teasel

    Kris & Teasel Well-Known Member

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    Your situation is a little tricky. He's hovering in near-remission numbers while you've been going between 0 u and 0.5 u. You could try giving a steady 0.25 u for a few cycles to see if anything changes. Some midcycle numbers are important so we can really evaluate a dose. You knew I was going to say that, right? ;)
     
  33. Djamila

    Djamila Well-Known Member

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    Prozinc is dosed two different ways. The recommended approach is to be as consistent as possible. The second approach is a sliding scale. If consistency isn't working, you try the sliding scale. However, when numbers are low, the sliding scale becomes the necessary approach in order to keep the cat in safe numbers. If you're starting with a number above 250ish, there is a lot more room to stick with the same dose and still be safe. When you're starting with a number around 150 however, you have to use a bit more finesse with the whole thing.

    When Sam was moving toward remission (last time I was here), he went from 1u to .75 to .5 to .25 to .1 before going to zero. And there was some back and forth depending on his pre-shot and nadir readings.
     
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  34. Yong & Maury GA

    Yong & Maury GA Well-Known Member

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    I think the consistency is more for unregulated kitties / higher numbers. His safety is prioritized with these nice low blues, don't want to consistently give him 0.5 if it will drop him to an unsafe level :cat:
     
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  35. Stressedcatmom

    Stressedcatmom Well-Known Member

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    Gah! Yes, I did. #wehatemultipleearpokes
     
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  36. Yong & Maury GA

    Yong & Maury GA Well-Known Member

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    Ring around the rosie, we all post at once! :D
     
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  37. Stressedcatmom

    Stressedcatmom Well-Known Member

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    Thank you for this info. His shot time got pushed back about a half hour with all the commotion. Can I go back to my regular shot time tonight?
     
  38. Kris & Teasel

    Kris & Teasel Well-Known Member

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    Your recent SS data shows that 0.5 u lowers BG to low double digits and keeps him there - NS last night. The 0.25 u dose both AM and PM on Apr 14 kept him coasting near the mid 100s. I think you should try 0.25u AM and PM today to see if the data looks like Apr 14. It's possible that the "good dose" right now is between 0.25 u and 0.5 u.
     
  39. Kris & Teasel

    Kris & Teasel Well-Known Member

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    Yes, you can.
     
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  40. Stressedcatmom

    Stressedcatmom Well-Known Member

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    What would you say the lowest pretest number should be to do the .25? Like what if he's at 120 or something else strange tonight?
     
  41. JanetNJ

    JanetNJ Well-Known Member

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    I probably wouldn't shoot under 125. With Alphatrak "normal" cats not on insulin is between 68-150... so really anything under 150 is normal.
     
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  42. Kris & Teasel

    Kris & Teasel Well-Known Member

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    I like Janet's advice.
     
  43. Djamila

    Djamila Well-Known Member

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    This is a great question, and one I'm wrestling with right now as well. On a human meter, a normal, non-diabetic cat would be 50-120. So personally, I wouldn't shoot anything below 120. After that there is some variation by cat, and by how much the cat is reacting to the insulin. I would say this morning's 132 is about as low as you should shoot. As long as you're being very careful with diet, anything below that is still in "healing" numbers and I would say doesn't really require insulin, but does require monitoring at the pre-shot times to make sure it doesn't start creeping up.
     
  44. Kris & Teasel

    Kris & Teasel Well-Known Member

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    Phasing a kitty into remission is tricky. You've been through it once, Djamila, so I defer to you in dosing advice.
     
  45. Rachel

    Rachel Well-Known Member

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    Just to jump in, I used to be a high school English teacher as well! I swear, we all congregate here. :joyful:
     
  46. Stressedcatmom

    Stressedcatmom Well-Known Member

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    Oh wow I had no clue 150 was normal. Thought 68-100
     
  47. Kris & Teasel

    Kris & Teasel Well-Known Member

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    What's up with all the teachers, ex and otherwise?! I know! We all like feeling in control! :D
     
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  48. Stressedcatmom

    Stressedcatmom Well-Known Member

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    Now you sit down and get rid of this diabetes, kitty! And stay off your cellphone!
     
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  49. Kris & Teasel

    Kris & Teasel Well-Known Member

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    :D:D:D:D
     
  50. Rachel

    Rachel Well-Known Member

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    Haha I've said THAT plenty of times!
     
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  51. JanetNJ

    JanetNJ Well-Known Member

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    68-150 on alphatrak, 50-120 on a human meter.

    If you look at my ss at the bottom you can see my cats remission numbers.
     
  52. Stressedcatmom

    Stressedcatmom Well-Known Member

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    Your chart is awesome. I see now. You switched low doses quite a bit and shot under 150 but with reason.
     
  53. JanetNJ

    JanetNJ Well-Known Member

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    At the end I was aiming for those high greens at the lowest point. 75-90. I had very few surprises and predicted what it would hit fairly accurately because of all the data. Each preshot I would literally study the past 3-4 days to figure out exactly where each dose would take her. The ya food helped me with that because there were no food induced blood spikes to throw off my numbers.
     
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  54. Stressedcatmom

    Stressedcatmom Well-Known Member

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    Janet, I think I saw on another post of yours that you used to give your cat B 12 methyl. I've been giving yoshi zobaline, but his neuropathy is not getting any better (sometimes it's worse). So I ordered the B 12 but then I just realized that zobaline has 3 mg of B12. Are they pretty much the same thing?
     
  55. JanetNJ

    JanetNJ Well-Known Member

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    Zobaline is b12. It's a different brand. The only difference is zobaline also includes folic acid into the pill. Neuropathy takes sometimes weeks to months to resolve with a combo of the b12 and controlled blood glucose . How long have you been giving the zobaline?


    Ps I get so excited every time I look at your spreadsheet.... You are SO headed for remission soon.
     
  56. Stressedcatmom

    Stressedcatmom Well-Known Member

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    About a week after diagnosis, so about a month
     
  57. JanetNJ

    JanetNJ Well-Known Member

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    Ok.... Well really it's just in the last week that she's been in those low healing numbers, so hopefully you will see progress soon. Do you give the whole pill at once or half in the morning and half in the evening? If one a day I might split it so she doesn't pee it all out and then it's out of her system half the day.
     
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  58. Stressedcatmom

    Stressedcatmom Well-Known Member

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    Oops. I give a pill in the am and pm
     
  59. JanetNJ

    JanetNJ Well-Known Member

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    That's OK. She'll just pee it out. Lol
     
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  60. Stressedcatmom

    Stressedcatmom Well-Known Member

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    He's at 134 pmps. Story of my life. I also poked straight through his ear. Testing is not my friend. Suggestions on dose based on this morning's readings and the dose I gave?
     
  61. JanetNJ

    JanetNJ Well-Known Member

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    I'd
    stick with 0.25
     
  62. Djamila

    Djamila Well-Known Member

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    Poking through the ear is no biggie. I do it all the time. It's pretty hard to not go all the way through with how thin their ears are. As for dose, it's hard to say since we don't know how he responded to the morning's dose. What do you think?
     
  63. Stressedcatmom

    Stressedcatmom Well-Known Member

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    Ok. I thought so. I also posted in the main health just to see what other people have done. I feel like he's doing so well I just want to be so careful
     
  64. Stressedcatmom

    Stressedcatmom Well-Known Member

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    I don't know. I couldn't be home to test because of Easter, and I want to try to save his ears. I'm thinking if it's bad to just stop then maybe I should give a little. I'm thinking...
     
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  65. JanetNJ

    JanetNJ Well-Known Member

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    With 0.25 you could sleep soundly. If you did 0.5 id suggest you grab a test at +5.
     
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  66. Djamila

    Djamila Well-Known Member

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    We can't stay locked in our houses just to get tests. It's okay to not always have data - I hope that didn't make you feel bad! I'm so so sorry if it did. I didn't mean it that way. I think you can probably either skip or go with the .25 again - I just can't really base advice on anything, and at times like that, I think your mama-sense, and the expertise you've collected over the past couple of weeks, is the best way to make the decision.
     
  67. Stressedcatmom

    Stressedcatmom Well-Known Member

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    I just looked at your spreadsheet for similar numbers. I'm going to give .25. Thank you. I'm always in the throws of a panic attack after the test and immediately post
     
  68. Stressedcatmom

    Stressedcatmom Well-Known Member

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    Oh no you didn't make me feel bad at all!!
     
  69. Stressedcatmom

    Stressedcatmom Well-Known Member

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    :bighug:
     
  70. Djamila

    Djamila Well-Known Member

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    I'm so glad. I feel like I'm suffering from foot-in-mouth disease today. :oops::rolleyes:
     
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  71. Stressedcatmom

    Stressedcatmom Well-Known Member

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    I've been reading some posts from some of the other people that freak out. I do it to learn as much as I can. You guys are always wonderful and matter of fact in a REALLY good, kind way.
     
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  72. Stressedcatmom

    Stressedcatmom Well-Known Member

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    O
    ops I think I responded to you below. Insulin time...
     
  73. JanetNJ

    JanetNJ Well-Known Member

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    You can't really go by what other people give.... Cats react differently.... But looking at your chart I think it would get him to around 95-100 and be very safe. If you did 0.5 it would get him down to the 70-90 range.... Which is fine when you are around to steer but a person's gotta sleep.
     
  74. Stressedcatmom

    Stressedcatmom Well-Known Member

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    Oh Id never shoot .5 at this. I was debating skipping or .25. I'm going to go give .25 now. You guys have a great night!
     
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  75. JanetNJ

    JanetNJ Well-Known Member

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    Of course you are low enough that skipping is a totally valid option as well.
     
  76. Stressedcatmom

    Stressedcatmom Well-Known Member

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    I gave him .25. He was 128 this am, so I skipped.
     
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  77. Yong & Maury GA

    Yong & Maury GA Well-Known Member

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    Let's see how he does come PMPS time :)
     
  78. Yong & Maury GA

    Yong & Maury GA Well-Known Member

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    Might want to start a new thread soon :cat:
     
  79. Stressedcatmom

    Stressedcatmom Well-Known Member

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    Ok. I didn't know the "rules" for that. If he is tricky this evening, I will start a new thread. Thank you.
     
  80. Rachel

    Rachel Well-Known Member

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    There's no real rules...but once we hit about a page, we usually start a new thread.
     
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  81. JanetNJ

    JanetNJ Well-Known Member

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    Sounds good
     
  82. JanetNJ

    JanetNJ Well-Known Member

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    What do you predict? I say it will be 138.
     
  83. Kris & Teasel

    Kris & Teasel Well-Known Member

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    Let's start a Yoshi's BG pool! :)
     
  84. JanetNJ

    JanetNJ Well-Known Member

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    We can also guess when the last shot before remission will be. Like a baby pool.
     
  85. Stressedcatmom

    Stressedcatmom Well-Known Member

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    That is hysterical!
     
  86. Stressedcatmom

    Stressedcatmom Well-Known Member

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    I'm thinking 135 or 10,000.
     
  87. Rachel

    Rachel Well-Known Member

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    Hahaha that's quite a range of guesses there!!!
     
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