5/25 Pika amps 108, +1 84, +9 81, +10 90 : time for insulin and only 93 help don’t know what to do.

Pika and Shellz

Pika and Shellz

Member Since 2023
So Pika is doing a thing… and staying in low range.. he has been doing this lately. So has he forced me into a form a TR? Since I’ve been shooting at under 150? I’m trying to be as consistent as possible.. and TR was with human meters so I don’t know what numbers to watch for in a modified version of it. Since he has been staying lower for the most part. I’m super proud of him for staying so low but how low does he go.. I don’t know. but I am not testing every hour and I need to get some in the middle of the night to find out how low he could be going) but since I’ve been shooting at 100-110 I feel like I’m being forced into more a TR protocol and that is scary for me .

is anyone using pet meters that can tell me appropriate pet meter numbers? I just know that the human meters show lower numbers than pet meters and that is why it’s okay to go into 60 and 50s…

But I do ask him all the time “you feeling good are you too low” in the night when I check on him. And he does reply with a meow and a stretch saying rub my belly, or he gets up and wants me to cuddle with him. But we have seen some major improvements in Pika. He is now playing and not just laying in the same 3 places.. is isn’t hanging out by the water bowl, his appetite is back to normal. (I was getting used to him eating constantly) he is gaining weight again. His meows are returning to their usual pitch. So Pika is doing amazing at these low numbers.
 
Pika and Shellz said:
But I do ask him all the time “you feeling good are you too low” in the night when I check on him. And he does reply with a meow and a stretch saying rub my belly, or he gets up and wants me to cuddle with him.
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:bighug::bighug:
Unfortunately I never used a pet meter, so can't help with this! Anyway, he is really doing better!
 
Just tested cause he is due for his shot. And only 93. I’m not comfortable giving him insulin basically at his reduction level.. his +10 was 90 and it’s only gone 3 points. And I basically don’t test at night once I fall asleep.

or will be good? Should I test 30 min after to see what sugars are doing? Or delay 1 hour and see?
 
You can stall without food and see if he goes up or down in 30 minutes. With SLGS as data is gathered and if able to monitor you can shoot 90+ but you can’t stay up. So you could shoot a BCS dose of 20% of your dose. Your ss shows +10 is 90. So not going down. I’d see the next test and st least shoot something. Until when can you stay up?
 
tiffmaxee said:
You can stall without food and see if he goes up or down in 30 minutes. With SLGS as data is gathered and if able to monitor you can shoot 90+ but you can’t stay up. So you could shoot a BCS dose of 20% of your dose. Your ss shows +10 is 90. So not going down. I’d see the next test and st least shoot something. Until when can you stay up?
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So he is at 95 after 45 min stall
 
I know I need to shoot now. But I’m not comfortable with the 2 from how low he has been all day and night. I know I did with the 99.. but I am fearful tonight for some reason.
 
So you can stay up until +4? Then shoot what you feel comfortable shooting. It will give you data for next time. 93 and 99 are the same. What you saw today is a nice flat lantus cycle. Lots of healing time.
 
I just started with my cat Xena here, so by no means am I giving you any dosing advice. I completely rely on the mods here for advice, but 10 years ago I was able to get my other cat into remission with help from somebody here with one on one coaching anyway. Just throwing my two cents in looking over.Pika’s chart, I can see that anytime you lowered the dose, his number shut up pretty fast, and especially the time you gave him a fur shot on 5/19, by his next preshot he was in the 600s. So my feeling, if it were me would be, I wouldn’t think it was a good idea to skip completely, probably set an alarm to do some tests during the night… but obviously it’s up to you.
I originally tagged some people in this response, but I see that tiff is on here. And she is.A+
 
Don & Xena said:
I just started with my cat Xena here, so by no means am I giving you any dosing advice. I completely rely on the mods here for advice, but 10 years ago I was able to get my other cat into remission with help from somebody here with one on one coaching anyway. Just throwing my two cents in looking over.Pika’s chart, I can see that anytime you lowered the dose, his number shut up pretty fast, and especially the time you gave him a fur shot on 5/19, by his next preshot he was in the 600s. So my feeling, if it were me would be, I wouldn’t think it was a good idea to skip completely, probably set an alarm to do some tests during the night… but obviously it’s up to you.
I originally tagged some people in this response, but I see that tiff is on here. And she is.A+
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Oh I won’t skip a dose after that fur shot I felt so bad all day for him!! And I was even home to watch him!! I am really working on being consistent with my dosing.. and it’s been working but it gets hard when you’re trying to do SLGS and you’re forced into TR you get scared and want to reduce the dose! But I do believe this is how you get into remission and this is the only thing that has helped him I haven’t cause I’m inconsistent, but with all the help I’ve had on here I’m getting better!
 
tiffmaxee said:
.5.
He dropped under 90 today so he earned a reduction today but you reduced last night.
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Yes I forgot to give the reduction last night so he got it this morning.. and then he earned another tonight. So that is what I had to look at. I gave .25 more at 99.. so giving 2 when he was 95 really isn’t that scary.. I keep telling myself. And I do try to test before I go to bed and if I see it’s too low he gets 2 scoops of gravy lovers. Then my “Pika you good bro” randomly.

but I will keep posted at his +1
 
You are not being forced into TR. With SLGS you don’t shoot if the preshot is under 90 and reduce every time the bg is under 90. With TR you shoot over 50 and reduce if under 50. Because of ketones at diagnosis you don’t want to skip but a reduced dose is okay if needed.
 
Pika and Shellz said:
Oh I won’t skip a dose after that fur shot I felt so bad all day for him!! And I was even home to watch him!! I am really working on being consistent with my dosing.. and it’s been working but it gets hard when you’re trying to do SLGS and you’re forced into TR you get scared and want to reduce the dose! But I do believe this is how you get into remission and this is the only thing that has helped him I haven’t cause I’m inconsistent, but with all the help I’ve had on here I’m getting better!
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I totally totally understand. With my cat Chester 10 years ago his first shot of one unit he dropped from 421 to 65 by his next preshot and I was scared to give him a shot and the guy that was coaching me told me I should give him at least .5 but I was too scared and I didn’t, and of course his number shut up and stayed that way for like a week. After that, I took his advice every time and I shot at numbers that I was a little scared to do, but, it’s what got him in remission. But even after that with my cat now I switched from vetsulin to Lantus and they told me I should start at 2.5 and I was too scared to do that. I started at one and of course I’ve had to go up a couple times already. It’s not easy making these decisions. We want to be careful but we don’t want our protectiveness to inhibit the process. You’re not alone on this for sure. He’s doing better so you got a ride that line while his pancreas start doing the work. It’s no small task. I hope he continues to do well and everything goes good with him tonight, and this is just one of your steps to getting him off the juice.
 
tiffmaxee said:
You are not being forced into TR. With SLGS you don’t shoot if the preshot is under 90 and reduce every time the bg is under 90. With TR you shoot over 50 and reduce if under 50. Because of ketones at diagnosis you don’t want to skip but a reduced dose is okay if needed.
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Oh I see. I think I’m starting to understand the SLGS.. I’ve read it and read it.. but it’s different when you’re actually presented with these low numbers and having to make decisions. But i know I cannot skip that is what I do know!
 
I
Don & Xena said:
I totally totally understand. With my cat Chester 10 years ago his first shot of one unit he dropped from 421 to 65 by his next preshot and I was scared to give him a shot and the guy that was coaching me told me I should give him at least .5 but I was too scared and I didn’t, and of course his number shut up and stayed that way for like a week. After that, I took his advice every time and I shot at numbers that I was a little scared to do, but, it’s what got him in remission. But even after that with my cat now I switched from vetsulin to Lantus and they told me I should start at 2.5 and I was too scared to do that. I started at one and of course I’ve had to go up a couple times already. It’s not easy making these decisions. We want to be careful but we don’t want our protectiveness to inhibit the process. You’re not alone on this for sure. He’s doing better so you got a ride that line while his pancreas start doing the work. It’s no small task. I hope he continues to do well and everything goes good with him tonight, and this is just one of your steps to getting him off the juice.
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Thank you so much! Last night went really well he was trying to bounce but I think it was a small bounce nothing that sent him out of range. That is what I have noticed is that when the Kitties glucose is very high 350 and up the insulin in the beginning causes huge drops as it works to correct things but the lower he goes and longer he’s on it, and getting the proper CONSISTENT dose. im not getting those 100 points or more an hour drops and his nadir went from earlier to later. I keeps asking my self how the freak does insulin work.. cause you get to giving the dose that causes a 200 point drop when they are like at 100 and it only causes a 30-40 point drop. So I am so fascinated by this and how it makes no sense at all! But thank you for your encouragement!! As you can tell I’m new to low numbers. Like 2 weeks in. I thought 180-220 was low numbers! I didn’t realize it was actually like green numbers and under 130
 
I’m so glad to see he did well last night. When I got up and gave Xena her meds. Etc., Right after I picked up my phone to login and the first thing I did is look at Pikas chart to see his #’s and I was happy to see that he was at a decent number.
Yeah, It can make you scratch your head thinking about it. When I was in low numbers with my cat 10 years ago, we caught his diabetes extremely early, so he went right to low numbers, and I was forced to make uncomfortable decisions from the very beginning, and the guy I was working with really earned my trust (after seeing the negative affects when I didn’t take his advice, lol) yes so I just did what he told me and we were lucky to get him in remission in like three weeks. This cat is a different situation, and I’m sure when I get into low numbers (God willing) it’s going to get scary too.
I don’t know how/ when you’re feeding, and you may already be doing this but I feel like feeding at the same time the same amounts every day gives a better idea of what the end zone is doing by taking out the variable of a difference in feeding times, etc.
 
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