09/20 Blaze AMPS 5.6/100

Discussion in 'Lantus / Basaglar (glargine) and Levemir (detemir)' started by Blaze and Paola, Sep 20, 2020.

  1. Blaze and Paola

    Blaze and Paola Member

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    https://felinediabetes.com/FDMB/threads/09-18-blaze-amps6-4-115.235562/

    @Critter Mom @tiffmaxee

    Good morning everyone,

    This morning Blaze is the lowest he has ever been at a AMPS.

    As soon as I saw that number my gut told me to feed but not shoot. I really feel his pancreas is starting to work a bit...fingers crossed. I am home all day today and can monitor though.

    My thought is when I skipped yesterday and the day before, he stayed pretty flat, flatter than when I gave him the drop at PM time yesterday...

    Should I SKIP again this cycle?
     
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  2. Critter Mom

    Critter Mom Well-Known Member

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    How's this for a speedy response! Your ESP must have been working.

    Morning, Paola! Will look at SS and BRB...


    Mogs
    .
     
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  3. Blaze and Paola

    Blaze and Paola Member

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    He is eating well this morning
     
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  4. Blaze and Paola

    Blaze and Paola Member

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    Holy cow!! Faster than lightning lol
     
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  5. Sue and Luci

    Sue and Luci Well-Known Member

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    Beautiful blue AMPS!

    Not sure why the pause on feeding, but not shooting...guess I missed something on this one.

    Have a great day!
     
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  6. Critter Mom

    Critter Mom Well-Known Member

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    No flies on the Mogster. :p


    Was just about to ask. :)

    How are you fixed for monitoring today? Blaze kept you busy last night. How tired are you?


    Mogs
    .
     
  7. Blaze and Paola

    Blaze and Paola Member

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    I can monitor today, I feel ok, I slept for 5 hours straight. He woke us (bf stayed over) up at 5:30 for cuddles and then I couldnt go back to sleep but 5 hours are in the books
     
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  8. Critter Mom

    Critter Mom Well-Known Member

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    Awww! (((Blaze)))

    From the early morning cuddles am I correct in deducing that Blaze's behaviour was normal last night?


    Next question:

    * Do you have Fancy Feast Gravy Lovers foods and any high carb treats in the house? (I've a feeling I asked you this recently but I can't remember the answer. :oops: I know you've got test strips and meter batteries!)


    Mogs
    .
     
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  9. Blaze and Paola

    Blaze and Paola Member

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    Yes Blaze was completely normal last night and this morning too.

    Yes I have all of the above
     
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  10. Critter Mom

    Critter Mom Well-Known Member

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    Also honey/karo. (Just doing a status check here. :) )


    Mogs
    .
     
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  11. Critter Mom

    Critter Mom Well-Known Member

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    Ok. Need to think for a minute. BRB...


    Mogs
    .
     
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  12. Blaze and Paola

    Blaze and Paola Member

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    Yes I have honey, maple cyrup and glucose gel packets
     
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  13. Blaze and Paola

    Blaze and Paola Member

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    Should I risk to have him go way too low even though I am home? That's my dilemma...
     
  14. Blaze and Paola

    Blaze and Paola Member

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    7 minutes left in the shooting time window :nailbiting:
     
  15. Critter Mom

    Critter Mom Well-Known Member

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    Typing...

    .
     
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  16. Critter Mom

    Critter Mom Well-Known Member

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    Considerations:

    * Last night on drop dose was safe cycle. Good numbers.
    * Blaze's behaviour last night and this AM normal.
    * Would be better for Blaze to spend a bit more time in safe, lower part of reference range.
    * You're well positioned to monitor.
    * Well-stocked with testing and hypo kit supplies.
    * Assistance available at FDMB.
    * Not clearing a bounce.
    * Difference between PMPS and PM nadir last night was less than 1mmol (<18mg/dL).

    I think you should be OK today. If it was my cat I would give the drop dose.

    What do you think, Paola? You hold the syringe. Your call.


    Mogs
    .
     
  17. Blaze and Paola

    Blaze and Paola Member

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    I am 20 minutes past the usual shooting time, but syringe is ready, I will give him the drop
     
  18. Critter Mom

    Critter Mom Well-Known Member

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    (Anti-jinx! I'm very superstitious. :rolleyes: )

    .
     
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  19. Critter Mom

    Critter Mom Well-Known Member

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    Finest.

    Sorry for delaying you but I wanted to think things through properly. Safety first.

    You need to check at +1. If Blaze were to get quite hungry of a sudden, check sooner (unlikely, but something to be aware of as a precaution).

    .
     
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  20. Blaze and Paola

    Blaze and Paola Member

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    Done, I gave him the drop, gonna monitor closely. He did eat well this morning too...and the points you listed are 100%, all of them
     
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  21. Blaze and Paola

    Blaze and Paola Member

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    No worries at all! I will check at +1 and post. I am still ok if I shoot tomorrow to shoot 10 minutes later than usual and then work my way back up. Thank you for helping me through everytime. I am learning as I go through these decisions.:bighug:
     
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  22. Blaze and Paola

    Blaze and Paola Member

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    Gonna go back and lay down for 1 hour. Will be back. thanks again Mogs :bighug:
     
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  23. Critter Mom

    Critter Mom Well-Known Member

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    You can move the time of the dose back by 15 minutes on every cycle, or by 30 minutes on every second cycle.

    Assuming it is safe to give insulin again tonight, you can do your PMPS 15 minutes early and then you'll be pretty much back on schedule.

    Check back with you at +1. Don't go back to sleep (or make sure BF stays up just in case you might accidentally doze off).

    :bighug:


    Mogs
    .
     
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  24. Critter Mom

    Critter Mom Well-Known Member

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    Hi Paola,

    Just saw the 5.8 on the SS.

    Questions:

    * How much did Blaze eat this morning, and what carb %?

    * How long is it (HH:MM) since he finished eating his brekkie?

    .
     
    Last edited: Sep 20, 2020
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  25. Blaze and Paola

    Blaze and Paola Member

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    Gonna do a +2 next. He is asleep and peaceful
     
  26. Blaze and Paola

    Blaze and Paola Member

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    He ate over 1/4 of a small FF can. Carb % is 4%.
    Breakkie: Exctely 2 hours. He ate at 06:50 am.
     
  27. Critter Mom

    Critter Mom Well-Known Member

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    As an extra precaution, I'd suggest testing in 30 minutes (+1.5). It's been a while since he's eaten, and his SS data shows he typically has early onset.

    Is that OK with you?

    .
     
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  28. Blaze and Paola

    Blaze and Paola Member

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    Yes will test in 15 min, at +1.5
     
  29. Critter Mom

    Critter Mom Well-Known Member

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  30. Blaze and Paola

    Blaze and Paola Member

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    He is at 5.5 at +1.5
     
  31. Blaze and Paola

    Blaze and Paola Member

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    Test again at +2
     
  32. Critter Mom

    Critter Mom Well-Known Member

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    Yep.

    Looks like he might be starting to drop a little with dose onset now (making a bit of an allowance for meter reading variance here).

    The reason I asked about when Blaze last ate and to get the additional test was that there was no strong evidence of a food rise at +1 (again, taking meter variance into consideration).

    Since it had been two hours since he ate I thought it prudent to do the extra +1.5 test because this is the first time you've given insulin in this BG range and Blaze typically has quite an early dose onset: I wanted you to get 'ahead of the curve'. (Sorry 'bout the pun. :oops: )

    See you at +2. :bighug:


    Mogs
    .
     
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  33. Blaze and Paola

    Blaze and Paola Member

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    getting lower...but still in safe waters
     
  34. Critter Mom

    Critter Mom Well-Known Member

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    Surf's up!

    Just looking at some of Blaze's other cycles. BRB ...

    .
     
  35. tiffmaxee

    tiffmaxee Well-Known Member

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    I’m you did the drop dose. What was the +2?
     
  36. Blaze and Paola

    Blaze and Paola Member

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  37. Critter Mom

    Critter Mom Well-Known Member

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    Hi Elise,

    +2: 5.1/92

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  38. Critter Mom

    Critter Mom Well-Known Member

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    @tiffmaxee -

    It's quarter past three of the afternoon and I have yet to break my fast. Are you free for a little bit, Elise, to provide cover? I'd be back in about an hour.


    Mogs
    .
     
  39. Critter Mom

    Critter Mom Well-Known Member

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    I'm still here, Paola. :) Won't step away unless there's cover for you two.

    .
     
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  40. Critter Mom

    Critter Mom Well-Known Member

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    Oops! Forgot to suggest you grab a test at +2.5.

    I'm trying to help you see where Blaze is going early in the cycle when he doesn't eat in the couple of hours after the dose was administered, but I don't want to make any assumptions about where his numbers might go, and I want you to be ready to steer the curve if required. For that reason I'd prefer you checked before +3.

    .
     
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  41. tiffmaxee

    tiffmaxee Well-Known Member

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    I’m here. Just fed girls and coffee is brewing.
     
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  42. Critter Mom

    Critter Mom Well-Known Member

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    Elise, you're a star! :bighug:

    Are you happy with the plan outlined above? I was thinking of the following (subject to change at a moment's notice depending on BG readings and Blaze wanting to be fed at any time):

    +2.5 - Check BG. If numbers safe, don't feed.
    +3.0 - Check BG. Feed a little.
    +3.5 - Check BG for any drop after the food. Feed if required.
    +4.0 - Ditto.
    +4.5 - Ditto.
    +5.0 - Check BG. Feed. (Most typical time for nadir, BTW.)

    BG tests / feeds later in cycle as readings and Blaze's appetite dictates.

    If you can think of a better plan, I'm all ears.


    Mogs
    .
     
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  43. Blaze and Paola

    Blaze and Paola Member

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    Gonna feed a little, will follow above plan. I just tested at +3
     
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  44. tiffmaxee

    tiffmaxee Well-Known Member

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    Plan is purrfectly good to me. Nice and flat so far. If holding after +3.5 keep testing every 30 but maybe see if feeding hourly works?
     
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  45. Critter Mom

    Critter Mom Well-Known Member

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    So far, so steady. (((Blaze)))

    OK, peeps. Off in pursuit of caloric intake. Back in a little while.

    :bighug::bighug:


    Mogs
    .
     
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  46. Blaze and Paola

    Blaze and Paola Member

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    He just ate quite a bit, he was hungry, gonna test in 10 min
     
  47. Blaze and Paola

    Blaze and Paola Member

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    Girls, I have a piano lesson in someone's home from 12:30-1 pm. They live 4 min drive from my house. I forgot today is Sunday and I teach piano. I have another lesson from 2-2:30 pm today but virtual and I am home for it.
     
  48. tiffmaxee

    tiffmaxee Well-Known Member

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    That’s fine. You will feed before you go to be safe. Let’s see this test.
     
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  49. tiffmaxee

    tiffmaxee Well-Known Member

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    What was last test?
     
  50. Blaze and Paola

    Blaze and Paola Member

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    Last test at +3.5 was 5.2/94
     
  51. Blaze and Paola

    Blaze and Paola Member

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    testing in 15 minutes for a +4
     
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  52. tiffmaxee

    tiffmaxee Well-Known Member

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    Nice and flat like we want.
     
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  53. Blaze and Paola

    Blaze and Paola Member

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    +4 test is 5.4/97
     
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  54. tiffmaxee

    tiffmaxee Well-Known Member

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    Super! I’d feed a little before you leave. So I know what time will you be back?
     
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  55. Blaze and Paola

    Blaze and Paola Member

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    Yes i will feed a bit. Are we un the same time zone?
    I am leaving at 12:20 pm and will be back at 1:10 pm. So basically leaving in 30 minutes. I will do a +4.5 before going as well
     
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  56. tiffmaxee

    tiffmaxee Well-Known Member

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    I’m 3 hours earlier. He’s fine and you don’t need to speed back home, lol. I just wanted to now when to check my emails.
     
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  57. Blaze and Paola

    Blaze and Paola Member

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    Yes np! I love that i have help and caring friends to look after my boy. Forever grateful :bighug:
     
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  58. tiffmaxee

    tiffmaxee Well-Known Member

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  59. Critter Mom

    Critter Mom Well-Known Member

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    +5.5 - 5.4 (Alphatrak)



    [​IMG]


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  60. Blaze and Paola

    Blaze and Paola Member

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    Yes it's surfing time! Go Blaze! :bighug:
     
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  61. Blaze and Paola

    Blaze and Paola Member

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    I have the virtual piano lesson coming up! Will be done at 2:30 pm :) Blaze is surfing in his dreams right now...
     

    Attached Files:

  62. Critter Mom

    Critter Mom Well-Known Member

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    Suggestion for tonight:

    Test at +11 and then again at PMPS. It might show whether Blaze's BG is rising or falling prior to making tonight's dosing decision.


    .
     
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  63. Critter Mom

    Critter Mom Well-Known Member

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    Too cool for school! :cool:

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  64. Critter Mom

    Critter Mom Well-Known Member

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    Advance warning that I can't be around this evening. Lúnasa is due at the vets first thing in the morning (cystocentesis and blood draw) so I'll be knocking myself out early.


    Mogs
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  65. Critter Mom

    Critter Mom Well-Known Member

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    When are you planning to test again, Paola?

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  66. Blaze and Paola

    Blaze and Paola Member

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    Testing again in 10 min...at +7.5.
     
  67. Blaze and Paola

    Blaze and Paola Member

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    I hit a wall...i am exhausted all of a sudden. I finished the second lesson and sat on the couch and couldn't move. He was sleeping, he is up and I just tested him.

    5.2/94@+7.5
     
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  68. Red & Rover (GA)

    Red & Rover (GA) Well-Known Member

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    Feed Blaze his regular food. Make sure he has food on board then have a nap for 60-90 minutes. Set an alarm.
     
  69. Blaze and Paola

    Blaze and Paola Member

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    I just took them outside in the back for a little bit. Gonna stay here for a few minutes then will do that.
     

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  70. Critter Mom

    Critter Mom Well-Known Member

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    Blaze: "I see cat people!"

    :D

    .
     
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  71. Critter Mom

    Critter Mom Well-Known Member

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    Anxiety will do that to a person. ;)

    :bighug:

    .
     
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  72. Blaze and Paola

    Blaze and Paola Member

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    Lol!! Yep thats his "freak mama out " face
     
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  73. Blaze and Paola

    Blaze and Paola Member

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    this is ash high on nip...
     

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  74. Critter Mom

    Critter Mom Well-Known Member

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    Nip junkie! :D

    .
     
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  75. tiffmaxee

    tiffmaxee Well-Known Member

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    Paola, I’m not going to be around as much tonight and neither will Kel or Mogs. I will be around at shot time but can’t guarantee when after your +1. And in the morning your shot time is 4:00 a.m. here so I can’t be here. So I’m not sure who will be available to help. Maybe Susanne if you need extra eyes tonight and we aren’t around at the time you need help. . @JaxBenji Will you be around tonight? Dosing suggestions will be already decided to if she shoots it would just be guiding food and tests.
     
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  76. JaxBenji

    JaxBenji Well-Known Member

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    Eastern time, right? 7:30ish PMPS? I should be around until at least 11PM Eastern...so till +4ish. If I need to stay on longer, I will try - I didn't know what Jax was doing last night so I didn't sleep well (spoiler, he did nothing but hang out in the 60s longer than usual lol).
     
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  77. Blaze and Paola

    Blaze and Paola Member

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    PMPS is at 6:30 pm here, then feed at 6:45 pm then shoot at 7:15 pm.

    Update...blaze just ate some food. before doing that he pooped and it was kinda diarrhea...soft stool...i heard a little explosion sound when he was in there...then i checked and it was soft with liquidy initial explosion
     
  78. tiffmaxee

    tiffmaxee Well-Known Member

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    Yes. She’s in your time zone. If she doesn’t shoot it won’t be necessary. Thx :bighug: I just have a Lakers date and might not be available when needed. :oops: Game starts 7:30 your time.
     
  79. JaxBenji

    JaxBenji Well-Known Member

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    Okay - I'm on a similar schedule - I shoot at 6:45 and keep an eye on Jax till at least +4 so I'll check in here too.
     
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  80. Blaze and Paola

    Blaze and Paola Member

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    He went again...he has diarrhea :(
     
  81. tiffmaxee

    tiffmaxee Well-Known Member

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    Wonder why. No new food ? Tuna wouldn’t cause it I would think.
     
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  82. Blaze and Paola

    Blaze and Paola Member

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    Not sure...hd has been eating the same flavour of FF since I changed the food 3 weeks ago...maybe the tuna? I have occasionally sprinkled some water on his food when he wasn't eating or when i really need him to eat but not often
     
  83. tiffmaxee

    tiffmaxee Well-Known Member

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    I guess anything is possible. Did he eat grass or just the nip?
     
  84. Blaze and Paola

    Blaze and Paola Member

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    He had a couple of leaves of the nip, but he has had it many times before and it never upsets him. He hardly ate any grass today, he was chasing crickets. When he eats it he just throws it up, never diarrhea
     
  85. Blaze and Paola

    Blaze and Paola Member

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    I am going to try to have a nap, I am exhausted. Blaze was being aggressive to Ash (usually Ash is the instigator) so I tested to see if he was low or something, but he is blue actually at +9. Gonna lay down for a bit and I hope I can have a short nap. I suffer from anxiety and everything that is happening is taking a toll on me. I have 1 little pouch of the feline flora powder to sprinkle on the food when they have upset stomachs, I am gonna give it to him tonight and I hope he eats the food with that in it.
     
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  86. Critter Mom

    Critter Mom Well-Known Member

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    Sorry to hear about Blaze's tummy upset, Paola. (((Blaze)))

    Did you notice anything else odd or a bit different in him today (good things or not-so-good things - both can be helpful), even if it's something as simple as his eating more than usual. For example, did he eat much more than usual for brekkie today?


    .
     
  87. tiffmaxee

    tiffmaxee Well-Known Member

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    Im thinking with diarrhea it might be best not to shoot tonight.
     
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  88. Critter Mom

    Critter Mom Well-Known Member

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    I empathise greatly.

    :bighug: ((((Paola)))) :bighug:


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  89. Blaze and Paola

    Blaze and Paola Member

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    Yes today he ate more at breakkie, he also ate with gusto and quite a bit when i offered food during the cycle today He usually does not eat this much
     
  90. Blaze and Paola

    Blaze and Paola Member

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    I think tonight isnthe night i will take a lorazepam
     
  91. Blaze and Paola

    Blaze and Paola Member

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    Actually what am i thinking...i can't, i have to be alert.
     
  92. tiffmaxee

    tiffmaxee Well-Known Member

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    I worry about both of you tonight. I think you need to get sleep and gear up for the week. If he has an upset tummy that will be near impossible.
     
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  93. Critter Mom

    Critter Mom Well-Known Member

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    The better numbers might be boosting his appetite.

    I would be very much inclined to agree.

    I also think, Paola, that you really need a good night's rest. It has been quite an intense 24 hours.

    What say you, Paola?


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  94. Blaze and Paola

    Blaze and Paola Member

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    I know...i will be ok i just need to breathe and, relax a little now while they sleep
     
  95. tiffmaxee

    tiffmaxee Well-Known Member

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    Skipping tonight and tomorrow morning won't impede his progress.
     
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  96. Blaze and Paola

    Blaze and Paola Member

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    I think i do need to sleep longer tonight...i am worried for work too...i deal with children and i need to be alert
     
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  97. Blaze and Paola

    Blaze and Paola Member

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    I really really hope so...i don't want him to regress because of me
     
  98. Critter Mom

    Critter Mom Well-Known Member

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    This has echoes of Blaze's two fretty nights (plus none of us tend to be a joy to have around when we've got an upset tum).


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  99. tiffmaxee

    tiffmaxee Well-Known Member

    Joined:
    Nov 15, 2013
    He's on the tiniest of doses. He's come so far. In my humble opinion it will be best for both of you to skip tonight and unless sky high which I bet my condo on he won't be, I would not shoot in the morning either. Even if sky high I wouldn't shoot in the morning and go to work because it could be a bounce. Maybe all the food was too much and if he hadn't eaten as much he would have dropped lower. Too many variables for me.
     
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  100. Critter Mom

    Critter Mom Well-Known Member

    Joined:
    Jun 16, 2014
    Agree.

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  101. Critter Mom

    Critter Mom Well-Known Member

    Joined:
    Jun 16, 2014
    Also agree, although I don't have a condo to wager. ;)

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