14.1. Simba AMPS 119 +1 156 +3 101 +5 92 +7 65 +8 94 PMPS 94 +1 113 +2 76 +3 83 +4 79 +6.5 70 +8 61

Yesterday was very exciting:
https://www.felinediabetes.com/FDMB...-85-4-5-92-5-75-94.241417/page-2#post-2718780

Simba kept me up for a good chunk of the night. But even more so I was up because of a fever, sore throat and nausea+vomiting. OT but I'm going for my second covid test this week. I feel like I've been hit by a truck! I will measure Simba's AMPS in 10 minutes and need some assistance determining what to shoot.

 

Calling for entries for the "Guess the AMPS" contest!

Jokes apart, how are you feeling? Do you think you can keep up testing and feeding him like you had to yesterday?

 

I think I can manage with the help from my mum. My main worry is running out of test strips! I have a mini emergency stash though, and a 24/7 pharmacy next door so that won't be a problem if we actually run out. And 150 strips coming in the mail.

 

What's the verdict on today's dose @tiffmaxee @Bandit's Mom ?

 

We need to take your health into consideration when dosing this morning. Sorry you are sick. I hope It’s not Covid.

 

I would need to run out to the doctors during Simba's +1. Hopefully not too long of a wait and I could be back for +2. Mum can test +1.

 

Do you need a break from testing? We could shoot a token dose so you can rest.

 

Would the token dose be 1unit? I think I would be fine testing in the daytime.

 

Yes. A token dose would be 1 unit.

 

Should I feed Simba MC 12% for brekkie?

 

I'll reserve that option for if I need it more during the night.

 

That sounds fine. Are you going to shoot 1.0? You could feed a little lower then.

 

Hard decision to make. I think Simba's made such good progress I don't want to "ruin" it with a token dose.

 

We cross posted. How about shooting 2.75 so that if you aren’t feeling up to it and need a token tonight the depot won’t be as full?

 

This sounds good. 2.75 and 12% breakfast sound alright?

 

I think he would have earned the reduction last night any way. If you don't want to shoot a token dose now, shoot 2.75U

 

Yes. I hope it’s a nice easy day snd you don’t have Covid.

 

I'm going for it.

Thank you! Me too. Whatever this is I hope it passes soon.

 

Ask your mom to get a +1 and feed 12% if he is flat or only slightly higher. You can get 2 more hours of sleep and wake up for the +2.

 

Okay. She will get a +1 in an hour and follow my instructions (your instructions! )
I have to go to the doctors ASAP so I will be out for at least an hour, depending how long it takes and what other tests they'll do.

The dose MIGHT have been closer to a 2.5 than 2.75. Shaky hands!

 

+1 156. I got back from the doctors and fed Simba 20grams of 12% at +1.5
Should I test at +2.5 or can I wait until +3?

 

I think you can wait till +3

I'm curious to see if he will bounce or he will have a gentle cycle like yesterday AM

 

Lovely. Nap time. Fingers crossed for a gentle cycle!

Side note: I didn't need another covid test as the negative result is from Monday. Got some other tests done and hopefully tomorrow I'll know what I'm dealing with.

 

I was going to ask but I'm on my phone and typing is a pain. Take care of yourself.

 

+3 101. Should I give some LC and check back in two hours? Trying to figure out this thing

 

Yes. He is a late nadir cat. So expect him to dip up to +7. I would feed 12% and check in 2 hours.

 

+5 92. Mum reported. I’m half asleep. Do you think he would surf nicely on some LC?

 

Yes. LC is fine. Get a +7 next.

Feed a little LC at +6 and +7. Test at +7.

 

I read the message before it was edited. He’s got 30g of 7.2% now already. I’ll feed 20g of the same in an hour and test at +7?

 

Yup! See you in 2 hours. Get some sleep. You are going to be up at night!

 

His nan is on feeding duty. I’m on napping duty. Simba’s just happy to eat. Back in two!

 

Amazing that Simba did not go bouncing. Good cat!

Hope is not covid! Get some resy, you deserve it.

 

Good day, Lina! Sorry to hear that you're not feeling well. Looks like Simba is feeling terrific and is turning an important corner here. You're doing such a great job with the help of Elise and Bhooma!

 

Simba is on his best behaviour. Very proud of him!
And thank you, I've been napping all day so far in preparation for an exciting night.

 

Simba is making this sick day worth it! I would be very lost without them

 

+7 65. LC+test in an hour? I'm feeling a bit better after all of the napping and forcing down some toast

 

LC should be fine. Let's not carb him up. We may shoot a token dose tonight.

 

Left side is Simba, right side tap water. Waited approximately 15 seconds to take the test. Does it look like a negative?

 

How about a pic with the reference values?

 

Good point, lol. I rushed to grab my phone and get a picture. Does this do the job?

 

Looks negative to me.
Simba is getting the hang of things awfully quick! I thought he'd bounce from last night and give you a break, but nope!
Make sure you get your rest, Lina, and feel better soon. Glad your mum/Simba's nan is there to help you.

 

Today PM will be one week since the switch to Lantus! I wasn't expecting this good of a response.
Thank you! Both my parents are chipping in to make things easier. They want a healthy Simba

 

I agree!

 

+8 94.

 

Excellent cycle, Lina! Feed him once more around +9 or +9.5 to avoid any last minute dips at PMPS.

 

Wonderful. I'll feed him some LC at +9.5.
I'm wondering should I fix this mornings dose to 2.5 units in the spreadsheet? It was probably a maximum of 2.6ish units, cause of my shakiness.

 

Sure. Mention in your comments that you meant to give 2.75

 

Simba's chomped down on his food. Back in 2 hours to test PMPS!

 

Beautiful cycle.

 

How are you doing health-wise? Up for a night of testing? Would you want to shoot a token dose? It would drain his depot and you can get a good night's sleep. You can continue with 2.75 from tomorrow. It won't affect his progress.

@tiffmaxee what do you think?

 

It totally depends on how you are feeling Lina. I agree a token dose won’t hurt. Simba looks so good on Lantus.

 

Sorry to hear you are not feeling well, I hope you can get some sleep. Simba is looking good

 

I just measured his PMPS, it was 94. His lowest one yet!

Despite all of the napping today I think a token dose is necessary tonight. I could stay up and test all night but I'd probably feel worse tomorrow.

What should I feed him pre-shot? LC?

 

Just to be sure the depot doesn’t cause a lower than wanted cycle feed mc.

 

You need the rest. Am off to bed too.

@tiffmaxee token dose of 1.5U?

 

Alright, he's got a mix of 25grams 12% and 15 grams 14%.

 

I think 1.5 is good.

 

Thanks for today, Bhooma! Goodnight to you

 

Extra careful dosing this after this mornings mishap. Should I check back at +1 to see if he needs more MC?

 

Yes get the +1 and +2 because the depot is in play.

 

Been meaning to ask, your shot time this AM was again 30 mins later than usual and you are shooting at your regular time at PM?
Think this was the case yesterday, too?

 

Yeah it was late again because I was trying to figure out the food and units for the shot for some while. Simba got his shot at 8:15pm tonight, which is his normal time.

 

No problem. Just asking

 

+1 113. Should I feed him some MC now or in an hour? @tiffmaxee

 

Hi Lina, I see you gave a token dose tonight and Simba's had a bit of a food bump. I would wait to see what his +2 is before feeding him any MC. Are you planning to go to bed early?

 

Okay, I thought I’d wait! I can probably manage to test hourly up to +4 and then set an alarm for +6/+7 or as necessary. Actually I’m up for anything Simba throws my way tonight.

 

Good. Hopefully he'll understand that you're sick and give you an easy night. Let's see what he gives you at +2.

 

He's given me a 76. Ohh Simba! I might as well sleep on the couch tonight haha.

 

That's a big drop. Definitely feed him a some MC. If it would make you feel better to test him again at +2.5 please feel free, otherwise he's still within the safe range and you can wait until +3 and feed him a little more MC then.

 

I have to go out for a run for an hour, so if you need help between now and then please tag @tiffmaxee. Hopefully she will be able to see the tag, but I think you will be ok on your own!

 

I fed him 35grams of 14%. Will check back in an hour
Happy running!

 

Sorry that he’s keeping you up.

 

He’s like “hey mum, this is what I can do with a token dose!”

I just hope he doesn’t show off too much and scare me with lime greens. I’ll test in 30mins. The boy has been to the litter tray and had his evening zoomies after watching a nature documentary about birds.

 

The token doe doesn’t always worry that cycle. Hopefully he will flatten soon.

 

+3 83. Flattening out?

 

Is that a pattern I'm seeing? The last two days his nadir has been later on in the AM cycle, and at night it's a few hours earlier. I have to go out to the shops and buy more MC food because LC doesn't seem to be cutting it with this dose

 

Well done, Lina. Looks like he has flattened but to be sure don't feed and see where he goes at +4 and feed if necessary then. He may be going up on his own in which case you'd just need some LC; if he's going down again I'd feed more MC. How does that sound, @tiffmaxee?

 

Hard to say if it's a pattern yet based on two days. He may still surprise you. It took me a few weeks to figure out Ruby's pattern (she reaches nadir usually around +4 or +5) and even so she surprises me sometimes!

 

I am carefully optimistic. but that's true, it's too early on to say for sure! Keeping me on my toes.

 

If flat at the next test, feed a little and I think you will be fine. He did fine last night and he got less insulin so I would feed lc or mc unless he drops and go to bed. Grab a test whenever you wake up if at all concerned.

 

Hope you can get some sleep soon, Lina! it is nice to see kitties doing so well, but caregiver need some sleep

 

Time for sleep. Feel better

 

I'll find out in 5 minutes if sleep is in the books for me tonight!

BTW, I noticed you feed Hercules feringa cans. I bought a pack of 6 to test for Simba, the pure meat rabbit was MC 12% and he devoured it. All the other flavours that came in the pack are LC. Does Hercules have a favourite?

 

+4 79. He seems steady. I will give him some LC, and head to bed. If I wake up for any reason I'll probs test him.

 

On another note - I have some LC kibble (8.9%). Would that be okay to give to make sure he has some longer acting carbs in his system?

 

To use like that it’s probably fine. You just can’t do TR if you feed them dry.

 

Then it shall stay unopened

 

+6.5 70. More LC to prolong the surf? @tiffmaxee

 

Sorry. I was working out. I thought you went to sleep. I sure hope so by now. If not lc and sleep.

 

I kept waking up. Didn't feed him anything then but he's at +8 61. Simba!! Is LC sufficient at this point?

 

Yes. It’s late in the cycle.

 

Cheeky boy... I fed him 20grams of 10%. I hope I can sleep through to AMPS now, that's only 3.5 hours away so should be fine (?)

 

I hope you sleep. We might need to reduce to get you some rest. You won’t be able to help him if you are too sick.

 

Wow. That cycle after a reducie and a BCS! 2.5U from this AM? lower? He did start on a pretty high dose.

 

Yes. Let’s see his AMPS.

 

He was another insulin before Lantus though so he was transitioned to Lantus on 2 units and was on 3 of the previous insulin. Still he’s newly diabetic and we are doing a lot of propping him up.

 

Yes. First shot of Lantus was 2U but then it was upped to 3U from the second. You think 2U might be enough?

 

Either 2 or 2.25. Possibly BCS and then 2.25?

 

New thread: https://www.felinediabetes.com/FDMB/threads/15-1-simba-amps-81.241521/

What is going on with him?!