12/17. Elmo PMPS 61 +2 67+3 65 +4 74 +5 70 +6 70 +7 79 +7.5 98

Not sure what to do...Elmo earned his second reduction in as many days ...can I stall 30 minutes at PMPS after stalling 30 minutes at AMPS ? Leary ab shooting even new dose of 1.0 with how he drops at night and is not carb sensitive . @carfurby @Nan & Amber (GA)

 

I am not all that experienced at this, but I think you are right to hesitate on giving him a shot tonight if his numbers stay low like they are. Hopefully someone with more experience will be along soon to help you out.

 

Hi Beth, if I understand correctly from your SS, you are at +10 =67? What carbs did you intervene with when you had 42 @ +8.5?

 

Beth, you have to be comfortable with whatever you do. How about feeding Elmo higher carb food out of the gate if BG stays above 50. You want to keep him in those low numbers but I know why you are worrying about him at night. He's been surfing along all day is likely to bounce soon so shooting the lower BG would be ideal to try to keep any bouncing down to a minimum.

 

Thanks, Charity ❤️ Elmo is a special case...he is not very carb sensitive so am extra hesitant at night . I think I have a plan but wanted to check with wiser more experienced heads

 

Hey, Christie .....at 42 I went straight for HC 20 .... it takes a lot to get him to come up....I’m actually at +11 with a 69....waiting to take a +11.5 ....since I stalled this AM for 30 minutes I’m actually just 10 minutes from his normal shot time so will take another check in ab 10 and go from there....

 

That sounds good, Linda ....you know Elmo and his antics especially at night ....he hasn’t eaten since+9 so no food influence going on

 

He's basically holding on his own at this point in time which is great. Let's see what he does next.

 

I like Linda's suggestion of feeding a higher carb food right away. Hopefully he'll come up a little by PMPS.

 

You got this, Beth!

 

Thanks, Nan ❤️ Went ahead and shot a reduced to 1.0 and fed MC 14. Nan, you very well know this boy and his nighttime shenanigans .

 

Ok get another test at +1. That shot won't kick in for awhile and with the higher carb food, Elmo will be fine.

 

From your lips to Gpa Man’s ears , Linda

 

Hey, Carla ❤️ Thanks for weighing in You know how he can throw curve balls

 

..+1 65....MC 14 or go to HC 20 ? @MrWorfMen's Mom @carfurby @Nan & Amber (GA)

 

I'd go with the HC 20.

 

Sounds good , Carla ❤️ 1 t HC 20....checking him again at +1.5

 

Yeah, Elmo's got nothing left to prove, he earned his reduction today already!

 

I'm going to have to sign off soon to go to sleep. I hope Elmo surfs safely tonight.

 

Glad Carla was here to help. Had to go feed the circling tigers here!

 

Curious as to what was going on that Elmo was all in black 3 days ago?

 

Forget it Jake, it's Elmotown....

 

Thank you once again, Carla ❤️ Glad you know this guy’s history and weigh in from that standpoint ❤️ Sweet dreams

 

.....Nan , you are a hoot

 

Judy, if I could figure that out I’d be a rocket scientist. This dude does what he does...he thinks he’s special

 

Do y’all know, is there such a thing as 100 carb ?

 

Nope don't think there is anything that high available but you could share your ice cream with him!

Beth, can you keep the spreadsheet up to date or is the PC out of reach? If that's the case, then can you update the title with readings so we know what's happening without having to rely on memory or scrolling.

 

Beth --

I just want to make sure you're clear on when to reduce the dose. Elmo is a long term diabetic. As such, if you're following TR, you reduce the dose when numbers drop below 40. Once a cat is past the first year since diagnosis, the point at which you reduce the dose is lower

 

+1.5. 64. Hit with HC 20 again ? That’s the plan lest I hear otherwise...next ..test at +2

 

Sienne, Elmo is a bit of a outlier. He's been going from lime green to black in a heartbeat and is not carb sensitive at all so letting him drop below 40 is a bit dicy especially on a night cycle. I encouraged Beth to shoot tonight despite the low pre-shot and taking the reduction seemed a good compromise to see what the unpredictable Elmo will do. I realize he didn't "technically" earn it, but having dealt with Elmo's unpredictability in the past, I think we need to move cautiously with him.

 

Yes Beth, I'd give Elmo a bit more HC 20. He's just surfing now but with all that HC, I was hoping he'd be up a wee bit by now.

 

And we’ve had the Elmo discussion a few weeks ago...hence the Custom Dosing Do Not Copy added in signature ...was and am appreciative of that as Elmo is a special case

 

Probably a good idea to note explicitly when departing from the rules, too, just to make it clear for lurkers. The longterm diabetic rule is always tough to remember.

 

Beth: Have you figured out what caused Elmo to come out of remission?

 

Judy, best we can figure is possibly from a stressful time earlier this year when my mom passed away out of town and we had someone he didn't know care for him . He is use to a daily routine that never changes and our vet thinks the stress played a big part . He's always been a big baby , likes what he likes and doesn't like change . So, here we are .

 

Going with HC 20 again at +2....67

 

Well.... at least it's in the right direction?

 

Since he's still just surfing yes I think I'd stick with the 20.

 

Ah haaa , Nan ❤️ Yes, it is !!! So glad Wendy put me on to Grandmas Soup I believe it is . It's a very thin juice for its gravy that he handles well .

 

Linda, are you able to stay up for a while with Mr. E. until he locates that trampoline of his? I'm hitting my limit right now, so I'll have to sign off soon.

 

Nighty night , Auntie Nan ❤️ So good to see you ❤️

 

Yes Nan, I'll be up and watching Sir Elmo with Beth. Sweet Dreams!

 

OK, night all, hope Elmo starts coming up for real soon so you can go to bed. In the meantime, he's looking great in green-- what a nice run of numbers!

 

Take good care of yourself , Nan ❤️

 

+2.5. 65. Giving HC 20 ...just in case anyone is keeping count, this is teaspoon number 4 of HC 20 for Elmo tonight....glad he’s holding steady but looking for the HC bump up

 

+3. 65. Giving another teaspoon HC 20 gravy ....that's teaspoon number 5 ... waiting for the big kaboom surge when this HC is allowed to hit ...

 

Yup. He's having a grand old time in those 60s!

 

You called him an " outlier"? Is that by chance Canadian for pain in the butt ???

 

Yes that or an oddball!

 

The 60s had great music. Elmo is just dancing to the beat.

 

I think he's constantly doing the twist only it's Beth he's twisting!

 

Paula ...He hasn’t done this in a while so I suppose he thought it was time Hoping that PJ and Olive are better ❤️

 

Olive is for now. PJ is still the same, urgent care tomorrow.

 

+3.5 70.....more HC 20

 

Oh, I’m sorry to hear that ,Paula Sending vines and prayers ❤️

 

Elmo hit 70!

 

Oh yes, oh happy day !!!! I’d do a jig as well ( or a twist as Paula suggested) but I’m all jigged out This cat is cooking my grits

 

@Olive & Paula Give those two beauties of yours some scritches. So sorry to hear about PJs paw and hope Olive continues to improve. Sending more healing vines for them both!

 

+4......drumroll.....74 And adding in some more yummy HC 20 Belly is gurgling so giving a bit of aloe juice too...

 

will do.

 

Yeah!!!!!!!

Ollie just hit 47.

 

OH NO! What timing these furkids have!

 

+4.5. Still 74 ....good ole HC 20 coming up ....think this is teaspoon #6

 

Paula !!!!! 47 !!!! She’s gotten the Elmo-itis

 

+4.5......74

 

not as bad though. She is still 47

 

Well he's not sinking. How about a bit of 14 now and see if he holds?

 

Rats...already have HC ... I'll go with 14 next check ... it's his favorite

 

Paula, does she easily respond to higher carbs or is she like Elmo , the 6 teaspoon dude ?

 

+5. 70....trying MC 14....

 

Normally 6-8% brings her right up. But not tonight, just gave 20% she's at 37 now

 

I know, getting hard to stay awake.

 

Seem to recall Wendy saying something ab mashed potatoes helping for higher carbs . Need to ask her ab that . Needing something in addition to this 20 ...

 

I see Elmo and Olive are up to no good!

 

Some one used potato flakes added to food to keep kitty boosted because it was hard to keep him/her up.

 

Got that right.

 

Olive and Elmo are being 2 peas in a pod tonight.

 

+5.5. Back to 64 .....back to HC ?

 

Yup. HC it is. While that's basically the same BG I wouldn't chance Elmo deciding to drop.

 

Oh yes, Sonia ...Ollie and Elmo are being co pains in the butt long about now

 

How in the world can he ingest this much hi carb and not be boosted ? I am grateful he’s at least steady

 

Linda, do you know anything ab mixing mashed potatoes in ?

 

Thank goodness for his appetite, he's had a lot of food so far tonight!

 

Beth, how does Elmo do with syrup?

 

Pray he can keep it up ...been mostly liquid cos he doesn't want the solid part ... giving him some SEB and aloe in between for gurgling belly

 

Only thing I heard of mashed potatoes was that Grandma Soup food used it as thickener or something to that effect. Never heard of using mashed potatoes mixed into regular food but I don't see why it couldn't help although I'd have to wonder if most kitties would eat them or how much you'd give.

 

Syrup makes him vomit ..he can handle honey but often comes right back down ...stubborn old guy

 

So gravy with a bit of food and hope he doesn't get too stuffed before he decides to come up? Oh boy!

 

I too got out the big gun, syrup added to food.

If I remember the person used instant potato flakes and just mixed in food to keep cat boosted all cycle. Not high, just to surf greens until a reducie

 

+6. 70..... how bout adding in a drop of honey ? What you think , Linda .

 

Paula, how is Ollie ? Coming up ?

 

You can add a drop of honey in as long as it doesn't upset his tummy.

 

Good night (morning) Beth and Linda, I hope Elmo decides to give you a break soon!

 

Ollie is at 35 at +8..... these two cats

Say some prayers for Ollie and Elmo to come up ASAP , Sonia ❤️

 

Done. I hope it works.

 

Linda , just tell me what to do and you go on to bed . You have a big day with Diane switching today. Elmo is currently chasing Ben around the Christmas tree

 

+6.5. 68....HC plus drop honey ? Don’t think honey has had time to effect ....should I give drop more ?ate HC on his own with some meat ...going to give another drop of honey at +7

 

At +6 gave drop of honey ... at +6.5 no honey but he came in and ate HC on his own ... at + 7 going to give another drop of honey if no boost