01/24 MISSY PMPS 286, +1.5 221, +3 167, +4 149, +6.25 149, +8 140, +11 136, AMPS 178, +1 178, +2 102

Discussion in 'Lantus / Basaglar (glargine) and Levemir (detemir)' started by Missy & Tammy, Jan 25, 2021.

  1. Missy & Tammy

    Missy & Tammy Member

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    Dec 8, 2020
    Good evening,
    Didn't get a chance to post today. Missy was pretty good today. I decided to change her diet from Fancy Feast Pate to Wellness NO grain Pate. Trying to avoid fish and see if we can eliminate or reduce the amount of times she is throwing up hairballs. The vomiting hairballs almost every morning started about 10 days ago. The dry heaving has stopped but now the hairballs have started.

    She was quite high this AM cycle. The PM cycle looks like she is heading downward. Thankfully it doesn't seem to be a drastic dive. At +4 I just gave her little LC Wellness Pate Chicken so we'll see if that keeps her nicely in the blues tonight. I guess I will be up testing throughout the night to make sure she's safe.

    At what number would I need to give MC food? She is not very carb sensitive and it takes approx 90 min for the carbs to actually show a raise her BG.

    Hope you all have a great night. :)

    https://felinediabetes.com/FDMB/threads/01-23-missy-pmps-349-2-5-176.241971/
     
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  2. Bandit's Mom

    Bandit's Mom Well-Known Member

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    Hi Tammy,

    Why do you think she needs MC tonight? I think LC should be fine.

    Btw, per TR, you are long overdue for a dose increase. Are you ready to see more green? :D
     
  3. Missy & Tammy

    Missy & Tammy Member

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    Hi Bhooma

    I’m still getting used to seeing the blues and greens and figuring this all out.

    My concern with Missy is she’s not carb sensitive. So if I see a low number I don’t want to wait too long to assist in raising BG. For her it’s over an hour before I see it start to rise BG and I don’t want her to get into a danger zone if I want too long. Even after MC she still continues to drop for one hour.

    I’ve been afraid to even ask about the dose increase. :nailbiting: I feel like I’m constantly having to watch her now. Wont a dose increase just make these drastic drops even worse? Why would I want to do that? :(
     
  4. Bandit's Mom

    Bandit's Mom Well-Known Member

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    Why do you say she is not carb sensitive? Give me a specific example?

    Well, the normal range is 50-99, as you know. The current dose is taking her to around 80. But with MC intervention at lower levels, we don't know how low she is actually going on this dose. Let's hold back on the MC and see how low she actually goes on this dose?
     
  5. Missy & Tammy

    Missy & Tammy Member

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    Ok. I will hold back any MC tonight unless she gets really low. This is an example of what I mean with her not responding to MC right away.

    On Jan 19th
    - her PMPS 221
    +1 153 - gave 1/4 can FF pate beef
    +2 104 - gave 2 tbs 15% MC FF gravy lovers
    +2.75 81
    +3 81
    +4 79
    +5 100

    I don’t know but don’t you think that took a bit long for her BG to raise? My concern is if she ever got close to 50 and I just left her it would likely continue to drop. If I gave her MC she would very likely continue to drop for at least another hour putting her below 50 and in a danger zone.
    It take a good one hour for her BG to start rising once she’s eaten MC food.

    There are other days like this. I just picked this one as an example. :)
     
  6. Bandit's Mom

    Bandit's Mom Well-Known Member

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    In this particular cycle, the 15% at +2, helped break the fall/dive. She started going up after her nadir which is usually what happens in insulin cycle.

    When she falls below 50, you can always use HC with a higher carb% or honey/karo to bring her up if HC isn't enough. Like you are getting used to high greens, you will get used to lower greens and limes with time :)
     
  7. Missy & Tammy

    Missy & Tammy Member

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    So do you want them to fall below 50’ or is the goal to have them surf above 50?

    Also her NADIR isn’t always consistent. Sometimes it’s +6 but other days like today she’s still dropping going into PMPS. Some days I find her very unpredictable.
     
  8. Bandit's Mom

    Bandit's Mom Well-Known Member

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    The goal is to have them spend as much time as possible in greens.

    Nadirs are later in bounce breaking cycles. Also keep meter variance in mind :)
     
  9. Missy & Tammy

    Missy & Tammy Member

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    Just tested +7 and she seems to be holding steady. She tested 144.

    :)
     
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  10. Missy & Tammy

    Missy & Tammy Member

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    Morning,

    Missy is 50min away from pre shot.... 7am (PST). She is the lowest right now then she's been all night. So what was NADIR?? She surfed the blues all night:cool:. BG was nice and stable. Not a lot of movement. I did not feed her at all as we wanted to see how low she would go. She also was asleep all night and didn't wake up for little food until just now.

    I will test her again for her pre-shot but so far as of just a little while ago she is 136. I have NEVER given insulin with BG this low before. I know this is a good thing... this is what we want to see but I am a little nervous what to expect. :nailbiting:

    I take my son to school and am gone for approx. 1 hour. What can I do to ensure she doesn't dive while I am gone. Again never shot with a pre shot so low at 136. I will test her at +1 and I should be back just before +2.

    Are we making progress?:)
     
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  11. Bandit's Mom

    Bandit's Mom Well-Known Member

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    Has she eaten nothing all night?!

    You are gone between +1 and +2 but can get both tests?
     
  12. Missy & Tammy

    Missy & Tammy Member

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    Yes. Her last meal was at +4. She was sleeping all night. Slept through me poking her every hour.

    so now food since +4
     
  13. Missy & Tammy

    Missy & Tammy Member

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    And at +4 it was just a little bedtime snack. The new food Wellness no grain pate may be a little more substantial and maybe she’s not as hungry. FF pate seems to have a lot of fillers in it
     
  14. Bandit's Mom

    Bandit's Mom Well-Known Member

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    OK. Since you can monitor, I would give the full dose. She has been quite flat all night (considering meter variance). A pretty unusual cycle for her!
     
  15. Missy & Tammy

    Missy & Tammy Member

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    I know. This is what I don’t like. I feel like she’s unpredictable. Which is why I tested every hour.

    Do you think it could be the different food? It’s the only thing that has changed.

    I’m feeling a little nervous. Now I don’t know what to expect. Any guesses???
     
  16. Bandit's Mom

    Bandit's Mom Well-Known Member

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    Why the food change? Was the earlier food not agreeing with her? Has there been a change in carb% in the food.

    She had a similar all-blue cycle the night of Jan 13th as well.

    There is no need to be nervous. You are going to be home and testing and can always intervene if she drops low :)
     
  17. Missy & Tammy

    Missy & Tammy Member

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    The reason for the food change is because she had been throwing up hairballs almost every morning for the last week. She had her abdominal ultrasound on Friday. Everything looked good with pancreas. The only things noted were some very mild inflammation in her small intestine and also slightly enlarged lymph nodes. So vet said change food to hypoallergenic kibble. I knew again this was wrong info. Vet suspected maybe food allergy or IBD.
    I was talking quite a bit to Wendy&Neko because her cat had IBD. I just didn’t know what to do. She agreed no kibble.
    The carb % on Wellness pate may be 1-2% higher but Wendy said it’s ok to feed. She lives very close to me so she is familiar with the food I’m feeding and could confirm if it was safe to feed as LC.

    I started feeding FF pate when I found out she was diabetic. She seemed to enjoy it but was always pretty hungry and never left anything on her plate. She wasn’t starving just seemed to enjoy her food. Wellness seems to satisfy her more and longer.
    The other reason I changed food was Wellness pate is what I used to feed. I’m trying to stay away from fish as Wendy said that can be an allergen.

    I’m really hoping to see some improvement with the hairballs as it’s concerning to me. Wendy said small cell lymphoma also looks like IBD so I’ve been a little worried about this all weekend. So far this morning she hasn’t thrown up any hairballs.

    Shes due for her shot in 10 min. I guess like you said before I go ahead and give her full 1 unit???
     
  18. Bandit's Mom

    Bandit's Mom Well-Known Member

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    Thanks for explaining that. Hope the food change works out. :)

    Yes, full shot. She may continue to drop lower since she hasn't had food since +4.

    Btw, your SS says 136 @+10 and no +11
     
  19. Missy & Tammy

    Missy & Tammy Member

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    Ok I will fix that on spreadsheet.

    Thanks. I will also give her full shot. ;)
     
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  20. Missy & Tammy

    Missy & Tammy Member

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    I have fixed the spreadsheet.. thanks for bringing that to my attention.

    So I tested her this morning at +11 and she was 136. Seeing she had slept all night and hadn't eaten since +4 I gave her a little bit of food. Not a lot but enough to stop her from staring at me o_O and bugging me to be fed. I gave her just a bit so she would still want a bit more just before her AMPS. I believe her food is 4% carbs. So many different brands and types on this list I am pretty sure I have the right one. I am really just confirming this with what Wendy said. She knows what I am feeding and lives in the same city as I do and she says Wellness No Grain is LC.

    so at +11 she was 136
    at AMPS she is now 178

    I just gave her her full dose of 1 unit. I will continue to monitor her closely today. This is still a low preshot for her so I am assuming she is making progress?
     
  21. Bandit's Mom

    Bandit's Mom Well-Known Member

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    Next time. When she doesn't eat for most of the cycle, make sure you feed her a little but at +9 or so. We ask that no food be fed 2 hours before the shot so that you don't get a number artificially raised by food.
    Give her a little more to eat now and again at +1. Let's see where she is at +1!

    She is indeed making progress! :)
     
  22. Missy & Tammy

    Missy & Tammy Member

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    Me again... ok I really double checked this time. The new food I am feeding her is Wellness No Grain Pate COMPLETE HEALTH and it is 4% carbs. This is 100% correct now.

    The Fancy Feast Pate I "was" feeding her was between 2% and 3% depending on flavour. So that may explain why she is more stable. Maybe she needs a tiny bit more carbs.
    Guess we will find out today.
     
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  23. Missy & Tammy

    Missy & Tammy Member

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    I do always fast her 2 hours prior to her shot. The reason I didn't today was because it had been so long since she had food and I got a BG on her at +11 and I also got one at AMPS so I felt it was safe. But yes I will try not to do that again. Like you said this was an odd cycle so I wasn't quite sure how to deal with it. I am happy she is making progress! :)
     
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  24. Missy & Tammy

    Missy & Tammy Member

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    Ok +1 she is 178.
    I will be back in one hour or less. :)
     
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  25. Missy & Tammy

    Missy & Tammy Member

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    Ok so I am back and I tested her at +2 now and she has dropped. She is now 102.

    AMPS 178
    +1 178
    +2 102

    When do I intervene. Like I was mentioning last night it takes her a good hour to respond to MC food. So keep that in mind.
    Thank you :)
     
  26. Missy & Tammy

    Missy & Tammy Member

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    What do you think I should do @Bandit's Mom ? just want to make sure we talk before you leave for the night.
     
  27. Bandit's Mom

    Bandit's Mom Well-Known Member

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    Do you have something in the 10-12% carb range? If yes, give her a tsp of that. Better to feed higher carbs earlier in the cycle than later.

    Although I feel like you could just feed her LC and test in an hour.

    Am tagging @tiffmaxee
     
  28. Missy & Tammy

    Missy & Tammy Member

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    Yes I do have some 12%. I would be curious to see where she goes without MC as well. Maybe I’ll hold off and see where she is at in 30 min.

    I know you want to know how far she’s dropping so we can accurately decide if she needs dosage increase.
     
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  29. Bandit's Mom

    Bandit's Mom Well-Known Member

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    Do feed her some LC now though. I think testing at +3 should be sufficient.
     
  30. Missy & Tammy

    Missy & Tammy Member

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    Ok will do.
     
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  31. tiffmaxee

    tiffmaxee Well-Known Member

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    Nice to see the 102. Green coming next.
     
  32. Missy & Tammy

    Missy & Tammy Member

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    Ok so green is here. At +3 she is now at 3.1. sorry for 911 but I needed attention ASAP. I will edit once I hear back.
    @Bandit's Mom
    @tiffmaxee
     
  33. Missy & Tammy

    Missy & Tammy Member

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    I gave low carb at +2.5 and it did nothing
     
  34. tiffmaxee

    tiffmaxee Well-Known Member

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    Please add the reading to your ss and remove the 911. What is that in US numbers?
     
  35. Bandit's Mom

    Bandit's Mom Well-Known Member

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    56 at +3. Not surprising. They say flat cycles are followed by cycles with action. Time for some of that 15% a spoon or two.

    And deep breaths, Tammy. I will be here till somebody else takes over. Don't worry! :)
     
  36. Bandit's Mom

    Bandit's Mom Well-Known Member

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    Elise, good you are here! Will you take over? Will sign out. Can hang around a while if needed. It's 11:30pm here. So not really late.
     
  37. Missy & Tammy

    Missy & Tammy Member

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    Oh sorry. 55. I removed 911

    ok thank you Bhooma
     
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  38. Missy & Tammy

    Missy & Tammy Member

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    She’s eating.... when should I test next
     
  39. Bandit's Mom

    Bandit's Mom Well-Known Member

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    It's eerie how a threat of a dose increase almost always works!
     
  40. tiffmaxee

    tiffmaxee Well-Known Member

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    I can’t stay on right now continuously. I can check in periodically. See if anyone else is around.
     
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  41. Bandit's Mom

    Bandit's Mom Well-Known Member

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    In half an hour. It will take that long to affect her BG.
    What did you feed her? 15%? How much?
     
  42. tiffmaxee

    tiffmaxee Well-Known Member

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    I’m here for 45 minutes or so.
     
  43. Missy & Tammy

    Missy & Tammy Member

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    I know... it is scary :nailbiting:
     
  44. Missy & Tammy

    Missy & Tammy Member

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    Yes 15% about 2 spoons
     
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  45. Bandit's Mom

    Bandit's Mom Well-Known Member

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    So you can check Tammy's +3.5 and let her know what to feed?
     
  46. Missy & Tammy

    Missy & Tammy Member

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    So in the past she’s not really responded to 15% carb for approx one hour or even longer and has continued to drop in the past.

    If she continues to drop at what point do I reach for corn syrup? How much?

    At present time Her behavior is fine.
     
  47. tiffmaxee

    tiffmaxee Well-Known Member

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    How long until next test? If she’s still low 50’s do you have any 20+%?
     
  48. tiffmaxee

    tiffmaxee Well-Known Member

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    Yes.
     
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  49. Missy & Tammy

    Missy & Tammy Member

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    I just tested again. It’s been 20 min. 55 still.
    Yes I do have higher carb.
     
  50. tiffmaxee

    tiffmaxee Well-Known Member

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    Give a little higher carb food, a couple teaspoons and test in 30 minutes. I will be back then ok?
     
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  51. Missy & Tammy

    Missy & Tammy Member

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    Ok thank u
     
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  52. tiffmaxee

    tiffmaxee Well-Known Member

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    I won’t leave you unattended. All will be fine.
     
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  53. thebigfuzz

    thebigfuzz Well-Known Member

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    I am around for a bit today too :) I’ll be away though for an hour from 11:30-12:30 pst. :bighug:
     
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  54. Bandit's Mom

    Bandit's Mom Well-Known Member

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    And a couple of more times of this and it will be just another green number for you ;)

    I'm off to bed. You are in good hands with @tiffmaxee and @thebigfuzz :)

    ETA: take off the PM numbers from the thread title and update the latest AM numbers.
     
  55. Missy & Tammy

    Missy & Tammy Member

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    Thank you everyone... she just ate up the tablespoon of 20%.

    and @thebigfuzz...we are practically neighbors. I live in Maple Ridge.
    I will keep you posted.
     
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  56. Missy & Tammy

    Missy & Tammy Member

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    Thanks Bhooma
    I appreciate all your help today. I’m learning and relaxing a little more each day and through each low BG situation
     
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  57. tiffmaxee

    tiffmaxee Well-Known Member

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    Time to remove the 911. We have you covered.
     
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  58. Missy & Tammy

    Missy & Tammy Member

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    Sorry about that. I did edit it right away when you first mentioned but I guess I forgot to save changes.
     
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  59. thebigfuzz

    thebigfuzz Well-Known Member

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    We are :) Port Moody/Anmore :bighug:
     
  60. Missy & Tammy

    Missy & Tammy Member

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    I just tested her again at +3.5 she is up a little bit to 61 now.

    Just before I tested her at +3.5 she finished the HC and I will test again at +4 which is in 25 min. She has now perked up and is cleaning herself. :)
     
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  61. Missy & Tammy

    Missy & Tammy Member

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    Yes I heard that. I have been taking to Wendy&Neko. So nice to know someone here so close to home :bighug:
     
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  62. tiffmaxee

    tiffmaxee Well-Known Member

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    I think she’s going to either surf green or go about from the higher carbs. I like to prop up early in the cycle if in the 50’s. I save syrup for under 50 and above 20% as well.
     
  63. Butters & Lyla

    Butters & Lyla Well-Known Member

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    Missy is really working that juice!! Nice to see those greens:D:D:D.
     
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  64. Missy & Tammy

    Missy & Tammy Member

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    I will test again in 20 min at +4. Right now I’m going to update her spreadsheet.

    Thank you EVERYONE for your support through this again. One day I may be able to do it on my own. ♥️
     
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  65. thebigfuzz

    thebigfuzz Well-Known Member

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    What time do you have to leave @tiffmaxee ? If @Butters & Lyla can cover +4.5 to +5.5, that would cover me for my conference call :)
     
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  66. Missy & Tammy

    Missy & Tammy Member

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    Yes she is... ♥️:)
     
  67. Missy & Tammy

    Missy & Tammy Member

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    Ok gang.... making progress here
    +4 she is now 81. :joyful:

    Should I be doing anything else at this point?
     
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  68. tiffmaxee

    tiffmaxee Well-Known Member

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    No food. Test in an hour. I’m not sure she doesn’t react to carbs. ;)
     
  69. Missy & Tammy

    Missy & Tammy Member

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    Gotcha...
    ♥️;)
     
  70. thebigfuzz

    thebigfuzz Well-Known Member

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    I would grab a +5 :)

    You can also update your SS and thread title with the new numbers on the AM cycle. If you need to delete your yesterday PM numbers, you should have space :)

    Good job Tammy! Don’t forget to exhale a bit now ;)
     
  71. Missy & Tammy

    Missy & Tammy Member

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    Thank you I will do that. You guys are all absolutely amazing!!! ♥️
     

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