??!?! 1/29 chloe 38!!!?

Discussion in 'Lantus / Basaglar (glargine) and Levemir (detemir)' started by Caseylg89, Jan 28, 2017.

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  1. Caseylg89

    Caseylg89 Member

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  2. Caseylg89

    Caseylg89 Member

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  3. Marje and Gracie

    Marje and Gracie Senior Member Moderator

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    Casey

    If you shoot now, is it a good time to get back on a roughly 12 hour schedule for you?
     
  4. Caseylg89

    Caseylg89 Member

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    Yes it is a good time. And i get a break from work at +4.5 if i give her a shot now to check on her
     
  5. Marje and Gracie

    Marje and Gracie Senior Member Moderator

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    Then I would shoot. Her depot is going to be a bit messed up but you need to get some insulin in her. Are you able to get a +1 or you have to shoot and leave?

    While I don't want to underdose her or leave her high, I also don't want to overdose her without being able to see what kind of numbers she's had at 1u.

    You say you can test at +4.5 but when will you be home after that to monitor her? What do you think about shooting 0.75u as her new dose if you can test her a little more today?
     
  6. Caseylg89

    Caseylg89 Member

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    I can only test her at +4.5 but then i can test again at +11. Then can monitor her for a while at +13. Weekends are hard for me i can get on a schedule better during the week. So should i shoot her now and how much?
     
  7. Marje and Gracie

    Marje and Gracie Senior Member Moderator

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    Did you see my note above? Yes, I would shoot but if you can't monitor her, I might go with 0.5u again.

    When you get home today, we need to find a schedule that gives her more consistency but works for you otherwise, she might end up back in the hospital again. I'm worried that 0.5u is not enough insulin but I also don't want her to hypo.
     
  8. Jill & Alex (GA)

    Jill & Alex (GA) Senior Member Moderator

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    I agree! We rely on data to make dosing suggestions and in this case, we simply don't have it. Sticking with a 0.5u dose right now seems to be the best bet. Please leave plenty of food out for her to nibble on while you're gone.
    Yes! Figuring out some sort of schedule will help us help you.
     
  9. Marje and Gracie

    Marje and Gracie Senior Member Moderator

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    I updated the SS for you. Have a great day.
     
  10. Caseylg89

    Caseylg89 Member

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    Thank you for updating that for me. Im going home now on my break which is +12 i am going to test than can take her food away for 2hrs and come back ans test then maybe shoot. Does this sound like an ideal plan?
     
  11. Caseylg89

    Caseylg89 Member

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    Right now at +12 She tested at 219. I took her food away abd will test again in 2hrs
     
  12. Caseylg89

    Caseylg89 Member

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  13. Caseylg89

    Caseylg89 Member

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    Ok its 235. What should i do???????
     
  14. Caseylg89

    Caseylg89 Member

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  15. Tricia Cinco(GA) & Harvey

    Tricia Cinco(GA) & Harvey Well-Known Member

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    Just got home. Let me catch up on today first. BRB.
     
  16. Tricia Cinco(GA) & Harvey

    Tricia Cinco(GA) & Harvey Well-Known Member

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    Are you staying there tonight or going to your parents' after you shoot?
     
  17. Caseylg89

    Caseylg89 Member

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    Going back but i did give her a dosage. .75 like i did +14 ago. Left her with food. I can go back and check on her +10. But i will be home at +16 for the night and the next 4 days!!!!
     
  18. Tricia Cinco(GA) & Harvey

    Tricia Cinco(GA) & Harvey Well-Known Member

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    That's great. It will really help if we can get her on a consistent schedule. So you shot two hours late? Will you be able to shoot at +12 after that in the morning?

    I have been thinking about your situation and wonder if your budget would stretch to a timed feeder? They run around $40. The one many of us here use is the Petsafe 5 Meal Feeder, available online and at some Petsmarts and Petcos. You can also get an ice pack to put under the tray to keep the food fresher over several hours. You would be able to set it to give Chloe a meal every one or two hours, and have it turn to an empty bowl two hours before shot time, which would enable you to shoot on time with no food influence.

    Have you been able to download Google Sheets to your phone so you can access your Spreadsheet?
     
    Last edited: Jan 29, 2017
  19. Caseylg89

    Caseylg89 Member

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    Yes i will deff invest in one of those!! Yes shot 2hrs late. I will at work at +12 but +10.5 will be the latest i would be able to shoot
     
  20. Tricia Cinco(GA) & Harvey

    Tricia Cinco(GA) & Harvey Well-Known Member

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    It would not be safe to shoot at +10.5. This is the kind of problem you won't have if you do get that feeder (and Chloe is cooperative and uses it). How long is your shift?
     
  21. Caseylg89

    Caseylg89 Member

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    My shift is only 5 hrs
     
  22. Tricia Cinco(GA) & Harvey

    Tricia Cinco(GA) & Harvey Well-Known Member

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    So that would make your shot 3.5 hours late? What about the next shot? Would you be able to shoot 11.5 or 12 hours after that?
     
  23. Caseylg89

    Caseylg89 Member

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    It would be 4hrs late by the time i get out of work. The next shot i will wake up at +12 to make sure i can shoot!!
     
  24. Tricia Cinco(GA) & Harvey

    Tricia Cinco(GA) & Harvey Well-Known Member

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    It would be better to shoot 4 hours late than 1.5 hours early, especially since you won't be there to test.
     
  25. Caseylg89

    Caseylg89 Member

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    Ok ok sounds good i will do that!
     
  26. Caseylg89

    Caseylg89 Member

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    So i shot chloe .75 +19 now, just fasted her for 2hrs and her sugar is 126. What is my next approach i should do, should i shoot now or no? She is now eating though because she was starving lo!
     
  27. Tricia Cinco(GA) & Harvey

    Tricia Cinco(GA) & Harvey Well-Known Member

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    Are you going to be there tonight and able to test her? If so, I would check her no later than 2 hours after the shot. You can check at +1 if you want, but that number could be inflated by food influence. Post what you get and we'll help you figure out how often/if you need further tests tonight.
     
  28. Tricia Cinco(GA) & Harvey

    Tricia Cinco(GA) & Harvey Well-Known Member

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    Have you been able to access the spreadsheet yet?
     
  29. Caseylg89

    Caseylg89 Member

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    Yes i just need to fill it out i have all my tests and results on paper now, and i will be here all night. So should i shot her some insulin now?
     
  30. Tricia Cinco(GA) & Harvey

    Tricia Cinco(GA) & Harvey Well-Known Member

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    Sorry, Casey, I misunderstood and thought you had already shot. Yes, shoooooot! :)
     
  31. Marje and Gracie

    Marje and Gracie Senior Member Moderator

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    Casey

    Sorry to miss your tag. I’m not always on every day. It will help if you can put the numbers in her SS using the examples I left there. If you have any issues, please just PM me and I’ll help you do it.
     
  32. Caseylg89

    Caseylg89 Member

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    Yes i need help i think updated it but very confused...HELP HELP it is now +3 just tested her. 38!!!!!
     
  33. Caseylg89

    Caseylg89 Member

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  34. Caseylg89

    Caseylg89 Member

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  35. manxcat419

    manxcat419 Well-Known Member

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    OK, first thing you need to do is get some carbs into her. Either some gravy from a can of cat food in gravy or a little honey or syrup. Get her to eat that and then test again in 20-30 minutes. Personally, if she's been in the 30s for 15-20 minutes, I'd go with the honey or syrup first and follow it up with some carby food in a bit.
     
  36. MollynSkooter

    MollynSkooter Well-Known Member

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    I would retest to confirm it's not a wonkybtest, if around the same number, get a little Karo syrup and rub on her gums and retest in about 30 minutes.....
     
  37. Lincolns Mom

    Lincolns Mom Well-Known Member

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    casey you there? have you gotten honey / syrup in her or gotten a retest?
     
  38. Caseylg89

    Caseylg89 Member

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    I dont have karo syrup and i only have 2 test strips left until tomorrow
     
  39. Lincolns Mom

    Lincolns Mom Well-Known Member

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    do you have honey? maple syrup? corn syrup? she needs to come up now ... and you will need to start getting a lot more strips... should be some in the hypo kit
     
  40. manxcat419

    manxcat419 Well-Known Member

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    Sorry - I didn't realize that when I first commented...just saw that on your Facebook post. If you've only got 2 test strips left, then I would carb her up. Safer to overdo the carbs than risk her dropping again with no way for you to check. Do you have honey or ice cream or high carb cat food?
     
  41. MollynSkooter

    MollynSkooter Well-Known Member

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    Just curious what the reasoning for shooting the .75 instead of the .50 suggested by @Marje and Gracie ?

    At any rate, I would say you earned a reduction tonight.
     
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  42. Caseylg89

    Caseylg89 Member

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    She doesnt like honey!! I stuck some in her mouth though. Im not sure how much she needs
     
  43. manxcat419

    manxcat419 Well-Known Member

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    Like it or not, she needs it. If you have an oral syringe, you could try getting it into her with that so she doesn't have to lick it up. Do you have any higher carb cat food - Fancy Feast gravy lovers or similar? Without the ability to test she really needs that as well as the sugar from the honey to make sure she stays up...simple sugars don't last long in their system.
     
  44. Lincolns Mom

    Lincolns Mom Well-Known Member

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    rub it on her gums... plus try getting her to eat some higher carb food ... the honey will bring her up but it wont keep her up why you need the higher carb food with it
     
  45. Caseylg89

    Caseylg89 Member

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    I was going off of this post that said .75 her last 2 shoots were .75 also. Yes i have ice cream. How much is she able to have??
     
  46. Caseylg89

    Caseylg89 Member

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    I have ice cream, purina dm wet, purina indoor dry, and how much honey does she need?
     
  47. manxcat419

    manxcat419 Well-Known Member

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    Nothing with chocolate in it - that's not good for cats at all. But if you have vanilla, she could have a couple of teaspoons. If that's what you've got, we'll work with it. And we'll help you figure out a hypo kit so you don't have this happen again once you've got her past this low.
     
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  48. Lincolns Mom

    Lincolns Mom Well-Known Member

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    see if she will eat a tsp and then try some high carb food... right now she needs it so better to get her eating it
     
  49. Tricia Cinco(GA) & Harvey

    Tricia Cinco(GA) & Harvey Well-Known Member

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    Casey, what kind of meter do you have? Could one of your parents run to Walmart or a drug store and get some more strips and some high carb food for you?
     
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  50. Tricia Cinco(GA) & Harvey

    Tricia Cinco(GA) & Harvey Well-Known Member

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    You can also give her some of the purina indoor dry, but not a lot. You don't want to fill her up.
     
  51. manxcat419

    manxcat419 Well-Known Member

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    The DM wet probably isn't going to help. The dry food may keep her higher than you'd like for longer than you'd like, but if that's the only higher carb cat food you've got then you may have to go with it. If you can't get more strips tonight, it might be your safer option anyway.
     
  52. Caseylg89

    Caseylg89 Member

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    Its 12am everyone is sleeping. Didnt think the strips would go that fast i have the confirm
     
  53. Tricia Cinco(GA) & Harvey

    Tricia Cinco(GA) & Harvey Well-Known Member

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    Keep us posted on how it's going. If she seems to be feeling fine, there is no need to panic. We just need to keep her from going lower. Deep breaths.
     
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  54. Tricia Cinco(GA) & Harvey

    Tricia Cinco(GA) & Harvey Well-Known Member

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    Okay, so the strips should be available at Walmart. At least you can easily get some more tomorrow morning.
     
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  55. Caseylg89

    Caseylg89 Member

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    Just gave her a tbs of purina indoor. All i have is pb ice cream! That ok?
     
  56. Caseylg89

    Caseylg89 Member

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    Yes i can easily get more tomorrow and ok deep breaths! Im kinda freaking out!
     
  57. Lincolns Mom

    Lincolns Mom Well-Known Member

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    as long as there is no chocolate should be fine
     
  58. manxcat419

    manxcat419 Well-Known Member

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    PB doesn't show up on the toxic list for cats, but she might or might not like it. I'd guess it's worth a try. If not, you have honey and you have dry food - you have options for keeping her numbers up. She's going to be fine and you're doing a great job. :)
     
  59. Tricia Cinco(GA) & Harvey

    Tricia Cinco(GA) & Harvey Well-Known Member

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    See if she'll lick some off a spoon. A tablespoon should be enough for now.

    How far is the nearest Walmart? Is it 24 hours?
     
  60. Tricia Cinco(GA) & Harvey

    Tricia Cinco(GA) & Harvey Well-Known Member

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    How is it going, Casey? Is she eating the food and/or ice cream?
     
  61. Caseylg89

    Caseylg89 Member

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    She only ate a little honey a tbs of purina indoor dry. I have friskies party mix treats?
     
  62. Caseylg89

    Caseylg89 Member

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    Walmart is 15 mins away. But my daughter is sleeping right now and its now 1am here
     
  63. Chris & China (GA)

    Chris & China (GA) Well-Known Member

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    If she likes them, give her a few....they're high carb and right now, all we care about is getting her up and keeping her safe
     
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  64. Caseylg89

    Caseylg89 Member

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    Ok she lovea them! How many?
     
  65. Tricia Cinco(GA) & Harvey

    Tricia Cinco(GA) & Harvey Well-Known Member

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    How many do you have?
     
  66. Caseylg89

    Caseylg89 Member

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    A bag lol
     
  67. Tricia Cinco(GA) & Harvey

    Tricia Cinco(GA) & Harvey Well-Known Member

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    Give her a handful. You don't want to fill her up, just to keep her BG up.

    Casey, I hate to tell you this, but you're going to need to stay up with her for quite a while. Are you up for this?
     
  68. Chris & China (GA)

    Chris & China (GA) Well-Known Member

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    Where are you on the cycle now?

    I'd start with maybe 8-10 treats and test again when it's been 1 hour since she's had any food/treats (since I know you're almost out of strips).....unless she starts to show signs of crisis
     
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  69. Caseylg89

    Caseylg89 Member

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    Yes its fine i have coffee.
     
  70. Caseylg89

    Caseylg89 Member

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    I am at +4 if that's what you mean about the cycle. And ok just gave her about 10 treats
     
  71. Tricia Cinco(GA) & Harvey

    Tricia Cinco(GA) & Harvey Well-Known Member

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    Ok. Now you can relax and just keep an eye on her. She should be fine for an hour or so. I'd test in 60-90 minutes unless, as Chris said, you see her behaving strangely - walking in circles, shaking, or any signs of distress. Just don't fall asleep without setting an alarm, especially if you might not wake up to the alarm. Once the effects of the treats and other stuff you've given her wear off, she could drop again.

    Don't give her anything else. We don't want her to get sick.

    Did she eat any of the ice cream?
     
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  72. Caseylg89

    Caseylg89 Member

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    Only like 2 licks of it. Abd should i take away her food right now?
     
  73. manxcat419

    manxcat419 Well-Known Member

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    I wouldn't take her regular food away if she normally has it out. Unless you're worried that she might not eat more treats if you need her to.
     
  74. Tricia Cinco(GA) & Harvey

    Tricia Cinco(GA) & Harvey Well-Known Member

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    Only if she ate some and ate her treats. You don't want her to get full or to get sick, but you want enough in her to bring her BG up. How much do you think she ate?

    Most cats will look for food when low, so you could leave it down and just watch her.
     
  75. Red & Rover (GA)

    Red & Rover (GA) Well-Known Member

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    Is there anyone close by - a neighbour, a relative - that is a diabetic. You could call, wake them up if necessary, and borrow their meter.
     
  76. Caseylg89

    Caseylg89 Member

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    I have a meter just out of test strips. No she didnt eat her food recently and ok i left it down. She prolly ate a tsp of honey a tbs of purina indoor dry, and like 10 treats
     
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  77. Caseylg89

    Caseylg89 Member

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    Right now she's snuggled up with me sleeping
     
  78. Tricia Cinco(GA) & Harvey

    Tricia Cinco(GA) & Harvey Well-Known Member

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    That's fine. That should be plenty for now. As I said, you can relax for 60-90 minutes and then test her.
     
  79. Tricia Cinco(GA) & Harvey

    Tricia Cinco(GA) & Harvey Well-Known Member

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    Casey, are you awake? How is Chloe? If you haven't tested, you should do so soon.
     
  80. Caseylg89

    Caseylg89 Member

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    Yeah i passed out. Just tested her its 92. What should i do?
     
  81. Tricia Cinco(GA) & Harvey

    Tricia Cinco(GA) & Harvey Well-Known Member

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    Oh, good! Let's see, if my math is right, we're at +6.5 since the last shot, right? This is all good. Does it look like she's eaten since you fell asleep?
     
  82. Caseylg89

    Caseylg89 Member

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    No were at +6.75. The test prior was just a test only. No don't think she's really eaten. Theres not alot in her bowl anyway. If i fill it up more she will though
     
  83. Tricia Cinco(GA) & Harvey

    Tricia Cinco(GA) & Harvey Well-Known Member

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    Okay. Do you think you can wake up in three hours to take her food away? Then test/feed/shoot 2-2.5 hours after that? When do you have to leave your home tomorrow morning?
     
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  84. Caseylg89

    Caseylg89 Member

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    Have to leave for school in 6 hrs but will be back 2hrs after that. Yes thats possible i can do that
     
  85. Tricia Cinco(GA) & Harvey

    Tricia Cinco(GA) & Harvey Well-Known Member

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    That's perfect. So set your alarm to get up in 2.5-3 hours and take the food away. Test/feed/shoot before you leave (assuming you get a number over 150 - if not, post for help). If you can stop on the way home for more strips (at least two boxes so you have a reserve), you can test when you get home around +2. That would be great!
     
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  86. Tricia Cinco(GA) & Harvey

    Tricia Cinco(GA) & Harvey Well-Known Member

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    Oh, and your new dose will be .5, assuming you get a number high enough to shoot.
     
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  87. Caseylg89

    Caseylg89 Member

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    Yayy ok this turned out better than i thought it would, i was super nervous for a while. Thank you so much for saving my kitties life. Ok i will do that plan. If i could hug you i would❤
     
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  88. Caseylg89

    Caseylg89 Member

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    Ok sounds good
     
  89. Tricia Cinco(GA) & Harvey

    Tricia Cinco(GA) & Harvey Well-Known Member

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    You just did. :bighug:

    I'm glad it worked out okay. Fill her bowl up now and be sure to get up in 2.5-3 hours to take it away so we know her AMPS is not food influenced. You did GREAT!!!
     
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  90. Tricia Cinco(GA) & Harvey

    Tricia Cinco(GA) & Harvey Well-Known Member

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    She'll probably bounce from this, so don't be shocked if you get a super high number. That's normal after going so low so fast and giving her so many carbs.
     
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  91. Caseylg89

    Caseylg89 Member

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    Ok its 252. Should i feed and shoot .5 now?
     
  92. Gill & George

    Gill & George Well-Known Member

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    Hi there,
    do you think you could updated the ss, I'm having a hard time following what's gone on, trying to catch up on the thread, but it's sooooooo long.
    thanks

    Questions
    If you shoot now, what can you do for monitoring the cycle going forward?
     
  93. Caseylg89

    Caseylg89 Member

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    Yes i will try again to figure out the SS to update it and i can shoot and be back in 3 hrs
     
  94. CassAndGordy

    CassAndGordy Well-Known Member

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    I am glad everything worked out Casey and that Chloe is doing well :)

    Walmart carries 20 packs for the Confirm. I ended picking up one of those (along with my regular supply) and put them in my hypo kit. That way I KNOW I have supplies if I run out of my regular ones.

    Its so much at once and you're doing a great job :)
     
  95. Gill & George

    Gill & George Well-Known Member

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    How many hours since the last shot? Did you shoot 0.75u last night, what was pmps last night? When did she last have food?

    She is likely bouncing from the 38 last night, but the depot can still be in play and we can't be sure she won't drop once the insulin onsets at around +2.

    If you can be 100% sure that you can be back for +3 (I'd be happier/more comfortable if it was +2), it's likely OK to shoot the reduced dose.
    If she is dropping at +3, are you going to be able to stay with her?
     
  96. Marje and Gracie

    Marje and Gracie Senior Member Moderator

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    You missed my post #7 which recommended you go with 0.5u since you can't test:
    And Jill agreed with the 0.5u in post 8. I'm glad Chloe is ok. It's hard to keep up with all the info but the intent was for you to shoot 0.5u since you had a busy schedule.
     
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  97. Caseylg89

    Caseylg89 Member

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    Ok did .5 this morning when she tested 252. And it is now +2.5 and she is 209. Thats good right?!
     
  98. Gill & George

    Gill & George Well-Known Member

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    It is good, she seems to be coming down, but not too fast.
    However, you are round about onset of the shot now, and with that number being lower than the amps, if I had to guess I would guess that the cycle may well be active. That means that she may continue to drop as the insulin action increases (as a general rule till around +6, but bear in mind that every cat is different, and other factors can also mean that they continue to drop beyond +6m before the insulin action starts to decrease and the numbers begin to rise).

    So important question are you going to be around now, or do you have to head back to school?
     
  99. Caseylg89

    Caseylg89 Member

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    Unfortunately im back at school until about +6.5
     
  100. Tricia Cinco(GA) & Harvey

    Tricia Cinco(GA) & Harvey Well-Known Member

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    Did you leave her some food, Casey? Please look into getting that feeder soon so you can be sure she has food while you're gone and then no food for two hours before shot time.
     
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