? Zappa AMPS 138 & 170/+15 & 144/+30

Asking for help. I tested him at 138 and 15 minutes later 170. He did have a very small amount of cat food but I’m withholding his breakfast. He is currently on 2.5 Lantus. I also will be gone for 3 hours to a meeting. Should I give him a regular dose or reduced? Thank you.

@Diane Tyler's Mom
@Bron and Sheba (GA)
@Sienne and Gabby (GA)

 

Previous post discussion about dose and shooting

https://felinediabetes.com/FDMB/threads/zappa-amps-286.273112/

 

I can tag a few other members I'm not that experienced when it comes to dosing
@tiffmaxee

@Suzanne & Darcy

@Bandit's Mom

@Wendy&Neko

 

@Diane Tyler's Mom
@Suzanne & Darcy @tiffmaxee @Bandit's Mom

just tested again 144

recap:
AMPS 138
+15 minutes 170
+30 minutes 144

 

@Wendy&Neko

 

@Zappa’s mom
Can you update your title like you have here


AMPS 138
+15 minutes 170
+30 minutes 144

 

Sorry, I'm only just seeing this. Looks like he has been pretty flat and it's almost an hour since his shot was due? When stalling you want to stall without feeding to see if his numbers are rising without food.

When in the cycle do you have to be gone for 3 hours? Can you get a test 2 hours after the shot?

 

@Bandit's Mom

Thanks!

it’s 90 now minutes after his time to get his shot. I’m guessing the window to shoot has passed. I tested him 3x this morning, and his third test was lower than the second. I have to leave in an hour and I will be gone 3 hours.

 

If you could have tested at +2 (looks like you could have), you could have shot. If he was much lower at +2, you could feed higher carbs to keep him safe for the 3 hours you were gone.

BTW, you might want to start posting on the Lantus forum.

 

@Zappa’s mom
On your spreadsheet you need to enter it like this in your AMPS Block
138/+15 min 170/+30 min 144 then color code it in manually blue
If you didn't shoot put cell
It's important so we know what happened and do the same with your title

 

@Bandit's Mom Thank you! I just got home and tested him - 236. If I were to have given a shot and was going to be home, would I have given his regular dose or a modified dose? I will post on the Lantus side next time.

 

If that was a preshot BG I would have given the full dose. I agree you are ready to go over to the lantus forum. You will be able to get more help over there as everyone uses lantus (or bio similar) or Levemir.

 

@Bron and Sheba (GA)

No sorry for the confusion. 236/+5
(236 was his number after five hours).

His last AMPS was 144. According to the directions, either NS or maybe reduced. But reduced by how much? I feel like it’s better to give something than nothing.

As per Go Slow Method:

• Below 150 mg/dl (8.3 mmol/L), don't give insulin.
• Between 150 and 200 (8.3-11.1
  mmol/L), you have three options: a.) give nothing; b.) give a token dose (10-25% of the usual dose); c.) feed as usual, test in a couple of hours, and make a decision based on that value.

• Above 200 (11.1 mmol/L) but below the cat's normal pre-shot value, a reduced dose might be wise.
• In all cases, if you are reducing or eliminating insulin, it's wise to check for ketones in the urine.
• Above the normal pre-shot value, give the usual dose, but if the pre-shot value is consistently elevated, it's a good idea to schedule a full glucose curve to see whether a change in dose or insulin is appropriate. In most cases, the target "peak" value should not be below 100 mg/di (5.6 mmol/L), and for some cats it might be higher.

 

Hi Suzanne
If you are going to start posting on the lantus board we post a certain way and do a new post each day
You would do it like this
Date Zappa AMPS# and then any additional tests after that, you can then put his PMPS # and any additional tests after
We also link the previous days post to your new ones , in case we want to back to it and take a look