Below 200 (190) after holding for 30

Discussion in 'Prozinc / PZI' started by NoahFL, Jun 27, 2020.

  1. NoahFL

    NoahFL Member

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    Oh Max.... you really like to stress me out. So he was 165 (pet meter) this morning, then 30 mins later was up to 190. I decided to feed then shoot full dosage. Did I do the right thing?

    I hate second guessing myself, but I also don’t want any setbacks. I will be home most of today so can check him at +2 then at +6.

    @Panic @JanetNJ @Deb & Wink

    Thank you!
     
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  2. Panic

    Panic Well-Known Member

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    Overslept this morning from last night's pajamas party, sorry. Let's see what that +2 says.
     
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  3. JanetNJ

    JanetNJ Well-Known Member

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    Guess we will find out. As long as you can stear today.
     
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  4. NoahFL

    NoahFL Member

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    246 (+2), not bad. Will check again at +6
     
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  5. JanetNJ

    JanetNJ Well-Known Member

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    Great!
     
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  6. Deb & Wink

    Deb & Wink Well-Known Member

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    Yup, that is what I would have recommended.
     
  7. NoahFL

    NoahFL Member

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    I’m learning. :) He did pretty good today. His numbers were pretty steady all day, but I would have liked to see a little lower.
     
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  8. Deb & Wink

    Deb & Wink Well-Known Member

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    Hey, he had that suspected fur shot only 4 cycles ago. Takes time to recover from that.

    Do you need to borrow another pair of patience pants?;)
     
  9. NoahFL

    NoahFL Member

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    haha! Yes please, I do need a pair. I just want my little man healthy.
     
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  10. NoahFL

    NoahFL Member

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    @Deb & Wink @JanetNJ Do you think Max is ready for a .25U increase to 2.75U? He’s been pretty stable since his near hypo event, just not low enough at nadir.

    thank you :)
     
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  11. Deb & Wink

    Deb & Wink Well-Known Member

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    Yes, I do think Max is ready for that dose increase to 2.75U. Probably better to do that when you are home to monitor, and will be awake for a while. If you want to increase for the PM cycle, that is fine. But if he drops too low, you need to stay up and monitor and bring his BG levels up with food.

    Yellow patience pants for you, to match Max's yellow nadirs today. Might be a bit baggy, but baggy feels cooler to me when it's hot out.
    Yellow patience pants.jpg
     
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  12. NoahFL

    NoahFL Member

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    haha! Thank you for the patience pants! I prefer baggy as well. I will wait until tomorrow morning to increase. I will be teleworking so can monitor him. I’ve been patiently waiting to get a urine sample, but he’s been a bit bashful.

    Thank you! He’s had a great day. He loves his baked chicken treats too!
     
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  13. NoahFL

    NoahFL Member

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    @Deb & Wink Just checked Max and he’s 154. What do I do?? Stall 30 and re-test? What about the dose increase? Happy to see a lower reading, but he really likes to confuse me.
     
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  14. Deb & Wink

    Deb & Wink Well-Known Member

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    Yes, stall without feeding and retest him in about 20-30 minutes from your first reading.

    p.s. I think Max just told you he cleared the bounce, so no increase.
     
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  15. NoahFL

    NoahFL Member

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  16. Deb & Wink

    Deb & Wink Well-Known Member

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    Stall once more. Then think about a token dose, 10-25% of the regular dose if his BG isn't up above 150.
     
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  17. NoahFL

    NoahFL Member

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    @Deb & Wink , we’re at 81. I’m guessing no insulin now? Feeding him now.
     
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  18. JanetNJ

    JanetNJ Well-Known Member

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    Wow! That's amazing. Totally skip
     
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  19. NoahFL

    NoahFL Member

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    This is so confusing. We were just discussing an increase, but since we are below 90, do we go to 2.25 tomorrow morning if above 150?

    Can he go hypo without a shot tonight?
     
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  20. Deb & Wink

    Deb & Wink Well-Known Member

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    You think you know what is going on, and then your cat hands you a curve ball, or perhaps 4 running chain saws, and expects you to know what to do.
     
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  21. JanetNJ

    JanetNJ Well-Known Member

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    No he won't go hypo with no insulin shot tonight
     
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  22. NoahFL

    NoahFL Member

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    Great analogy! I don’t know what I’d do without this group! Y’all rock!
     
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  23. NoahFL

    NoahFL Member

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    Gah! He’s 486 this morning. I increased to 2.75, Will recheck in 2 hours.
     
    Last edited: Jun 29, 2020
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  24. Shelley & Jess

    Shelley & Jess Member

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    Hi Rebecca,

    Remember it's the lows that determine the dose changes, not the pre-shots.

    If he's in the middle of a bounce cycle(s) the nadir is inflated because of the bounce. You need to wait until the bounce clears to see where the current insulin dose really takes him.

    He's high this morning because he didn't get insulin last night and probably bouncing off those late cycle greens yesterday.

    Last time you skipped (AM - June 24) he shot up to 487 at PMPS, you increased to 2.75 and that's the cycle you got your first early green.

    Have you gotten your +2 yet?
     
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  25. NoahFL

    NoahFL Member

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    Hello! He’s at 250 (+2). I just reread the thread and Deb did say no increase. Will watch him closely today just in case.
     
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  26. Shelley & Jess

    Shelley & Jess Member

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    That's almost a 50% drop. Have you fed lately?
     
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  27. NoahFL

    NoahFL Member

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    Not yet. He usually gets lunch between +5 and +6. Should I recheck in an hour and feed?
     
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  28. Shelley & Jess

    Shelley & Jess Member

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    I'd feed him a bit now to try and slow that drop and recheck in 30 minutes.
     
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  29. JanetNJ

    JanetNJ Well-Known Member

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    The high this morning was expected from skipping yesterday and bouncing from those lows that he's not used to.
     
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  30. NoahFL

    NoahFL Member

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    Kicking myself for increasing the dose. Thankfully it was only .25. Will recheck in 15 min. At least I’m prepared today should he go hypo (LC, HC).
     
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  31. NoahFL

    NoahFL Member

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  32. Shelley & Jess

    Shelley & Jess Member

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    A bit more food. What kind of HC do you have? Gravy? I'm thinking mix some gravy in with the low carb to get MC.
    I'm looking back at what you did last time and how it worked.
     
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  33. NoahFL

    NoahFL Member

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    Based on some feedback I got from this group, I have both MC and HC:

    FF gravy turkey - 15% - MC
    FF gravy beef - 20% - HC

    Fed MC
     
    Last edited: Jun 29, 2020
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  34. NoahFL

    NoahFL Member

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    He’s down to 70 (+3.5).
     
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  35. Shelley & Jess

    Shelley & Jess Member

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    Did you feed at +3? LC? MC?

    EDIT - Just seen MC, didn't see your previous post.
     
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  36. Shelley & Jess

    Shelley & Jess Member

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    You're where you were at last time when you used Karo.
    HC this time.
     
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  37. NoahFL

    NoahFL Member

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    Yes, just fed a TBS of MC. Will give HC now.
     
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  38. Shelley & Jess

    Shelley & Jess Member

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    Copying Deb's post from your last thread so we have it handy. You're doing good. (I'll be honest US numbers throw me, I've got the calculator going full whip! :facepalm:)

    So when you have a lower number, the first thing you reach for is LC (low carb) food. Next step is MC (medium carb) food. Third step is HC (high carb) food. Fourth step would be bringing out the simple sugar like honey, corn (karo) syrup, pancake syrup, ice cream, or whatever you have on hand that is very high in sugar and putting some in the mouth. You don't "break out the candy (dry food) and sweets (simple sugars)" until the cat is in really low numbers, under 68 on an Alphatrak. Or you have to go somewhere or do something important, like get some sleep for the night. :)

    Next time, before you reach for the karo, you want to use your lower carb options first, to see if you can bring the BG levels up. LC, MC, HC.
    If you can't be home, have to step out, or something similar like you are working from home and have a meeting, then you could go to step 2, the MC food.

    If the BG levels don't respond, you bump up the level of carbs to help bring them up more. Always try the LC food first, a teaspoon or so and see what it does before you reach for the next higher carb level food.
     
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  39. NoahFL

    NoahFL Member

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    Thank you @Shelley & Jess for hanging with me during this little party. I appreciate you.
     
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  40. NoahFL

    NoahFL Member

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    69 (+4). Same as 30 mins ago. He’s still acting normal and purring.
     
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  41. Shelley & Jess

    Shelley & Jess Member

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    You've stopped the drop. Another test +4.5
     
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  42. NoahFL

    NoahFL Member

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    107 (+5) (10 mins shy of +5, was in a work meeting but had daughter watching him). Still acting normal.
     
  43. Shelley & Jess

    Shelley & Jess Member

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    Thanks!! That's a good bump. You probably know what I'm gonna say.....keep testing, make sure he's stays surfing or rising on his own.
    We're still before the expected nadir (+6). He might need another snack to bump him up again.
     
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  44. NoahFL

    NoahFL Member

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    Thanks again. Will keep testing. I have much more confidence this time around. The previous possible hypo had me in tears and my nerves were shot.
     
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  45. Deb & Wink

    Deb & Wink Well-Known Member

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    Confidence. :cat: What a difference a bit of confidence makes, when you are afraid for your kitty Max and those low numbers.:)

    p.s. Only able to drop in for a few minutes, but watching @Shelley & Jess guide you. You're doing great! Both of you!
    "Too many cooks spoil the broth" and too many people commenting while those lows are going on gets confusing. So staying out of the fray.

    p.p.s. Max "earned" a dose reduction back to 2.5U by the way.

    p.p.s.s. Expect a bounce tonight, at PMPS, with Max dropping to those low greens and blues.:D
     
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  46. NoahFL

    NoahFL Member

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    Thank you SO much for chiming in.
     
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  47. JanetNJ

    JanetNJ Well-Known Member

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    Great job steering!!!
     
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  48. NoahFL

    NoahFL Member

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    Like a bouncing ball.... 518 PMPS. Decreasing back to 2.5U.
     
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  49. NoahFL

    NoahFL Member

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    We got some blues this morning. Where is the bounce?? (Not complaining though). After 30 mins of stalling he went from 158 to 181. Fed, shot full dose. Going to take some advice and give a little food around +2. *feeling hopeful*
     
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  50. JanetNJ

    JanetNJ Well-Known Member

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    You may have to reduce. :). Doing great max, but slow down a bit, buddy.
     
    Last edited: Jun 30, 2020
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