11/15 - Dolly - AMPS 86 - TR What do I do

Need advice, I may have messed up, I gave her a few bites of food. How to proceed? 23 minutes later tested 84. Can I feed her?

https://www.felinediabetes.com/FDMB...-306-286-3-285-5-272-7-whats-going-on.238577/

 

Hi Adrienne,

just seeing your post...and bumping.

Have you fed already? I don’t give shot advice, but am assuming with a history of ketones, that might factor into your decision.

 

Was the 86 before or after you fed her? If before and following TR you can feed and shoot if you have supplies and an monitor. I will be around for about three hours.

 

86 was before. Ate a few bites and tested 23 minutes later BG 84. She’s only had trace ketones 0.3, highest 0.9. Feed her and give full dose? Scares me.

 

@thebigfuzz will you be around if help is needed today?

 

How’s her appetite? Feed her.

 

I am off work today, but have a few things to take care of this morning. Should be around once you need to leave.

 

Adrienne, with TR we shoot anything over 50. I would shoot and get a +1 and +2. Let me know when you shoot and I will be back to help at +1 with feeding suggestions.

 

Thanks. I will stay with her until you get what you need to do done. Don’t rush. Thanks, Tanya.

 

I am not the expert here, but I have been at this for as long as you. I would shoot. After looking at your spreadsheet, I feel that there's a good chance that that 84 will cause a bounce. BUT I do not see any significant food bump either & you have to be prepared for another drop in any case. Have your MC food/hypo kit ready if there is a drop below 60. Test at +1 &/or 2, monitor throughout the day. As you normally do.

As the saying goes (especially in TR land)....Shoot low to stay low.

I can check in on you today, if needed.

 

She's eating.

I am going to shoot her new dose of 1.75u right now. She's 45 minutes late.

 

Great! See you in an hour.

 

She's eating.

I am going to shoot her new dose of 1.75u right now. She's 45 minutes late.

T

Thank You

 

So....for the 45 mins late.....just adjust your pmps 20 mins later than usual and amps tomorrow at regular time. ( I apologize, if you already knew that! )

Nice job shooting!

 

Perfect. Thank you. Never quite sure how to make the time adjustments. TR is all new to me even though I've probably read it a hundred times, no exaggeration. (No apologies needed ever)

 

I struggle sometimes, too....same on the reading.

 

Time for a +1 test.

 

85 @+1 I will check her at +2, correct?

 

Yep, for sure. You have more than a few hours until nadir.....I would nearly every hour. Does Dolly have an afternoon mini meal?

 

Feed her some mc food, a few teaspoons and get a +2.

 

Adrienne, please check back after you receive guidance. Did you feed her?

 

She pretty much free feeds Fancy Feast pate. She is a grazer. Although in the past few weeks she has been eating better than ever (7 years) in regards to wet food. Eats a lot more at one time.

 

You need to let her have higher carb ff when green this early in the cycle and not low carb. That’s how we keep her safe.

 

She will be happy about that. She just ate more of her normal FF. Give her something like 11% or is that too high?

 

Yes, 11%. We may need higher after her next test. That will let us know if she’s going to have an active cycle or bounce.

 

She is at 74 @+2. I will give her some high carb food.

 

Yes. Give a few teaspoons and recheck in 20 minutes please. I’d add a little honey or karro.

 

Gave 12% and some Karo syrup

 

What is the highest carb food you have in case we need higher carbs?

 

12% is really mc.

 

Looking for your next test.

 

14%. She’s up to 83.

 

Give her 14% and a few drops of karo and test in 20. You are doing great.

 

I will run to the store. I forgot I used some of her higher carbs. Guess I haven’t been on top of my high carb food.

 

We can use mc and karro. Give mc with about a teaspoon of karro if she drops. For now just add a little.

 

She had 14% plus Karo syrup. Will check in 13 more minutes. What is the number we are looking for? Safe?

 

We want to keep her over 50 Her nadir seems to be around +6 so we want to keep this nice flat cycle going.

 

Looking for the next test.

 

She’s at 104

 

Good. She can eat a little lc and check in 30 .

 

Keep her hungry for now in case she drops. Just a little food. See you in 30.

 

Thank you so much!!

 

I think she is over eating for the moment.

 

Ok. Let’s see the next test.

 

10 more minutes to be at 30 minutes

 

She’s at 130
She’s over eating and over me.

 

She’s at a good place. No need to feed. Check in an hour.

 

I was being extra cautious in having you feed her karo since it was your first time shooting green and there was a question as to whether to shoot. We still need to check on her in an hour and if not dropping again in two hours as she still could drop.

 

Will do. Thank you. I will stay on top of it.

 

She’s at 134 @+4 (gone up 4 points in the last hour). Will check in another hour.

 

Elise got you to a good place, where if Dolly decides to drop between now and +6-8 you have some wiggle room with food & whatnot. Nice job both of you!

 

When you are on next please change your subject to say AMPS instead of AMBG. Also add the +4 and +5 when you get it. I’ll look in on you. Good job. I’d replenish your supplies of hc and higher mc. We used Karo instead which was fine but it’s good to have lots of choices.

 

All of you are so caring. Elise has been there for me many times, so incredibly patient. I have so much gratitude for this forum and all of you. Thank you.

 

Will do, can’t believe I had so few choices. I’ve fixed the title and added +4. Thank you and have a beautiful day.

 

Dolly is hiding, poor kitty. I’ll find her and get her +5.

 

Nice surf going. I think you can let her be for a couple hours. Let her eat lc if she wants but no need to push her.

 

I am here if you need to run @tiffmaxee I can check in on Dolly

 

Did you see her 117 @+6? Can I stop testing for a couple hours?

 

She’s still coming down a little. When did she last eat? If she will eat!

 

Will you take over now please?

 

She is eating her regular food right now.

 

That’s good. I would test in an hour only because she’s still going down a little. I’ll check back then if Tanya hasn’t. Really nice cycle.

 

Yes, sure

 

Hi Adrienne!

Nice cycle so far! Good job

I see we will test in 1 hr...I will check back in a bit

 

Hello @Our Dolly Girl

Just checking in on your next test is it time for +7?

 

She is 118 @+7, I running to the store to get more high/higher carb food.

 

Sounds good I am not sure if she will be hungry, but you could put down a bit of LC and test in an hour or so..or when you are back, if later than an hour

 

4:00. Thank you. Just got back from the store to get more high carb food.

 

She’s at 114 @+8. She free feeds for the most part her Fancy Feast Chicken pate. She always get stuck on one flavor until she tires of it. Should I continue to let her eat until fasting time? She got her shot an hour late so I am going to move her back around 15 minutes today, 7:45. Should I have her do the usual 2 hour fast pre shot?

could this be an all nighter?

 

Hi Adrienne,

Did you happen to feed a bit at +7? Lets give a little MC or HC.

You will still want to fast 2 hrs prior to shot, as long as you aren’t seeing low numbers. We can figure that out. We will want a good +9-9.5 snack to help through the fast. Not sure if it will be LC or a slightly higher carb yet.

 

You are in safe numbers. This is a good test of how the food impacts the cycle. I would enter some notes in your SS of what you fed and when. Always helpful to refer back later.

 

I need to step away for a bit...Cosmo decided to take a nosedive

 

I hope he’s ? okay.

 

Was she willing to eat? What did you feed her?

 

I will add to spreadsheet. I haven’t sat down all day. New greatgrandson born yesterday so lots of posts and pictures and texts. Thank you for all of your help. Hope kitty is okay.

 

Congrats on the new grandson.

 

I am giving her 15% or should I do lower? This is all pretty new to me so I have to look up carb content for each.

 

Thank you. It’s exciting but taken a back seat today with Dolly matters.

 

She’s been eating her low carb off and on. She just turned her nose up on the 15%. She’s just not hungry. I will try again in awhile. She starts her fast at 5:45.

 

She’s been flat. I would give her the usual lc and see what she does. You need to pick up food 2 hours before PMPS. I would test at +11 so we know if she’s on her way back up at PMPS. It’s interesting that she didn’t bounce. She’s eaten more than usual today, right? She might not be so hungry tonight.

 

We posted at the same time. Don’t push her to eat. She’s at a safe place. If she doesn’t eat, grab a test before picking up the food.

 

She ended up eating the high carb (15%) food. Just a few tsps. She is so over me. She went up to 129 @+8.

 

I give insulin, correct. This is my first time on TR and just my second day. Yesterday I was posting because her numbers overall were higher than they’ve ever been.

 

Yes, you give insulin. It is SO hard to shoot those green & blue numbers. You still have your pmps.and you have choices if Dolly is below or at 50. Otherwise shoot & monitor. The MC seemed (+karo) to do the trick to keep her #s (if not rising) in line today. Take this s a learning episode today. HC does the same thing as Karo. When surfing the greens, you want to add as little or enough MC/HC to keep them surfing at healing numbers. My Nova is carb sensitive, it doesn't seem as if Dolly is. So, take what you did today as a guideline for the future.

 

That 129 was at + 9 not 8. Do I put out any lc food now?

 

Let her be until PMPS. Nice work today. I would not feed any more.

 

As a rule (unless my Noves drops to below 50 @ pmps--which she is really close to) I will always NOT feed from +10 on and let her body dictate what I do.

p.s. it always changes, you have options when at or below 50 (BSC etc....)....you will always be on your toes until you and Dolly come to an understanding.....and that never happens, because......cats.

 

Missed this post but it made me really laugh, needed that, felt good. It's hard to poke your kitty so many times. It's even harder because she is so good about it.

 

Just checked her and she bounced (?) to 157 @+11. Just do the normal test, feed and shoot at 7:45?

 

Yes. It should give you both a break.

 

I agree. take a bit of a break and get a before bed test @ +3ish. It's still lower than your normal bounce, so maybe set an alarm for a +6/9 too. Use the MC to your advantage.

 

Feed her medium carb for dinner?

 

I gave her lc. Her PMPS 166

 

I would do your regular meal, and after +2, if dropping, use MC (a couple tsp) added to her grazing food. I think she will rise on her own, but she may have her own agenda, so test before bed too and see what's up. MC is a very handy tool to keep those numbers at a nice flat rate. Have HC at the ready if needed. The depot is still in play.

 

We are both exhausted. My husband has an early dr appt tomorrow and he no longer drives. I just hope there are no curve balls in the am. Not so long ago, 2 months, I did a 36 + hours with Dolly but at 75 it’s not so easy anymore. I will do a plus 3 and go from there. I will do whatever I need to.

 

I was spying on you as I could today while at work - nice shooting and such a beautiful surf

I hope you’re having a well earned fabulous sleep tonight.

 

Strangest day ever with her numbers. Not much rest. Have a good rest yourself although I don’t know your time zone so maybe rest time comes later. Thanks for spying on me and caring.