? BG 81, should I be worried tonight?

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JanetNJ said:
the last few days the pm numbers have been odd... You haven't dosed 3 out of 6 of the days. another one of those days you got a weird reading and then underdosed to be safe. Lets give it a few more days, keep to the chart being sure to dose a little at those lower numbers that were skipped and see what happens. then you can decided if you need to change the dosing.
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What days r us talking about, there were some blues ( under 200) during the PMPS so I didn’t give any insulin

* when u say “ dose a little at those low numbers” would that be under 200? Would that still be a small dose of 0.05u, I thought we weren’t supposed to dose under 200

* the only day that I missed was the 23rd that I can see, another day, the 22 reading, i retested at 7p instead of 6
 
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What is going on with marmalades numbers, can anyone explain. I know no number will never be the same, but will I ever get to regulation
 
JanetNJ said:
the last few days the pm numbers have been odd... You haven't dosed 3 out of 6 of the days. another one of those days you got a weird reading and then underdosed to be safe. Lets give it a few more days, keep to the chart being sure to dose a little at those lower numbers that were skipped and see what happens. then you can decided if you need to change the dosing.
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,I understand now. Just took more BG readings, per SS, and can’t figure out which sliding scale to use, old or revised
 
Hi Mary,

I think Janet means that in the PM between Dec 20 and yesterday, you didn't give insulin three times. Twice it was because his PMPS was below 200 and once you were at work and the decision was made to skip because the shot would have been too off schedule.

If Marmalade is well under 200 at PS (like the 122 on Dec. 21) skipping is what you have to do. However, when he's very close to 2oo like the 192 last night you can either:
  • stall for 15 minutes without shooting, retest and if he's at or above 200 give the full dose from that part of the sliding scale Janet designed for you.
  • OR drop the dose a little bit lower to the next rung on the sliding scale.
It can be hard to get a kitty settled and regulated. A lot of it is trying safe doses and logging data to build up a history of his responses. If you have a bouncy kitty like Marmalade it's even harder.

At some point you might try another insulin but use the Vetsulin while you have it and keep getting BG data.
 
Kris & Teasel said:
Hi Mary,

I think Janet means that in the PM between Dec 20 and yesterday, you didn't give insulin three times. Twice it was because his PMPS was below 200 and once you were at work and the decision was made to skip because the shot would have been too off schedule.

If Marmalade is well under 200 at PS (like the 122 on Dec. 21) skipping is what you have to do. However, when he's very close to 2oo like the 192 last night you can either:
  • stall for 15 minutes without shooting, retest and if he's at or above 200 give the full dose from that part of the sliding scale Janet designed for you.
  • OR drop the dose a little bit lower to the next rung on the sliding scale.
It can be hard to get a kitty settled and regulated. A lot of it is trying safe doses and logging data to build up a history of his responses. If you have a bouncy kitty like Marmalade it's even harder.

At some point you might try another insulin but use the Vetsulin while you have it and keep getting BG data.
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Do u think I should go to the revised sliding scale that janet posted for me, if marmaladevwas your kitty what would u do?
 
mary hornbeck said:
Do u think I should go to the revised sliding scale that janet posted for me, if marmaladevwas your kitty what would u do?
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If you are too nervous to shoot under 200 then don't yet. The new scale is the same as the old one except a few suggestions for lower numbers. So if you aren't ready for that yet then keep doing what you're doing. :)
 
K, janet. I apologize for being repetetative. I was so happy about being 82 today then I gave him some cat food +2 later and he was at 340, go figure. This is really hard for me because it’s like you are in the boat or out of the boat. Is there a reason why I got that jump today? Would it be better to skip that noon meal time? Maybe my feeding schedule is making matters worse. My work schedule is as follows:

Monday- 10a-3:30p
Tuesday and Wednesday 9a-12p
Thursday- 9a-3p
Friday- 9a-12p break inbetween then from 2:30-3:30 latest

* any suggestions for a better feeding schedule are welcomed. He has been getting between 3-4 cans per day
 
mary hornbeck said:
K, janet. I apologize for being repetetative. I was so happy about being 82 today then I gave him some cat food +2 later and he was at 340, go figure. This is really hard for me because it’s like you are in the boat or out of the boat. Is there a reason why I got that jump today? Would it be better to skip that noon meal time? Maybe my feeding schedule is making matters worse. My work schedule is as follows:

Monday- 10a-3:30p
Tuesday and Wednesday 9a-12p
Thursday- 9a-3p
Friday- 9a-12p break inbetween then from 2:30-3:30 latest

* any suggestions are welcomed. He has been getting between 3-4 cans per day
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It's OK to feed mid day. You are only feeding fancy feast classic, right? Nothing with gravy?
 
Hi everybody: (stalling)
Marmalades BG was 218 tonight. Should I do 1.25 per janet’s sliding scale or should I do 1 unit since it’s just over 200? Need some direction. Thank you
 
why am I all of a sudden in the purple for the AMPS and PMPS., losing my motivation to see the light at end of tunnel. No matter how much insulin BG shows no major change, just how I am feeling. Getting discouraged, again
 
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Slowly creeping up to 400bg in the AMPS, how does everyone feel about decreasing to 2.5 units vs 2.25 units per sliding scale
 
I am literally confused everyday. It seems like no matter how much insulin he gets I can’t get out of the purple for the AMPS or PMPS
 
Yes, they drive us nuts and after all marmalade is a hard nut to crack, literally. Have you ever had a cat like him as far as numbers
 
mary hornbeck said:
I am literally confused everyday. It seems like no matter how much insulin he gets I can’t get out of the purple for the AMPS or PMPS
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You've got a bouncy kitty there. It looks like it lasts awhile, but as soon as it wears off its like a light switch and just shoots back up.
 
mary hornbeck said:
In a case like this does a cat like mine ever get regulated?
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Sometimes yes sometimes no. All we can do is the best we can do and hope it works. It's easy too early to tell. Whether she ever gets completely regulated or not you are helping her feel better and keeping her healthy. :)
 
Look how much better she's doing from even 3 weeks ago! So many more blues and greens! You're doing a great job!
 
JanetNJ said:
Look how much better she's doing from even 3 weeks ago! So many more blues and greens! You're doing a great job!
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Thank u janet I so needed to hear that. I am so disappointed at the numbers lately even though I know the number varies. I don’t mind the variation if it was more consistent, below 300 bg
 
mary hornbeck said:
How do u think about 3 units AMPS and PMPS, do u think it would be too much, just curious.
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Not sure. My guess is too much. Don't get hung up on the preshots.... Just work on tweaking to get that lowest number down. Aim for 80-90. The hope is as she gets used to being in those lower numbers that over time she will bounce less and the preshots will slowly come down.
 
JanetNJ said:
Not sure. My guess is too much. Don't get hung up on the preshots.... Just work on tweaking to get that lowest number down. Aim for 80-90. The hope is as she gets used to being in those lower numbers that over time she will bounce less and the preshots will slowly come down.
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K, thank u for the encouragement
 
Marmalade is lucky to have you Mary. Keep up the good work and try not to get frustrated. You are doing a great job!
 
JanetNJ said:
Up to you. Whatever is easiest. Don't forget to sleep. ;)
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Janet got more numbers through the night. I think that’s as close t a curve as I’m going to get. Missed 2 am data though. Sorry about SS I somehow messed u my rows and don’t know how t fix.
 
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