6/30 Henry WC. AMPS 326 Ket:0.6

John & Henry

John & Henry

Member Since 2022
Previous: https://felinediabetes.com/FDMB/thr...-264-5-316-6-352-8-241-9-259-pmps-325.265214/

Well, the ketones didn't get as bad as I had anticipated they would during the last cycle. In regards to Henry's weight, I just noticed on the subQ fluid bag it has his weight listed at 2.68kg which is only 5.9lbs :( He's been loving the new food, but I think if you could make an old shoe into a pate he'd eat it with gusto at this point.

Someone (I think it was @Sandy and Black Kitty ) in an earlier post said that he needed about 336 kcal's per day to regain weight. He has been consuming about 5 3oz(15oz or 495 kcal) FF pates per day before I got the new novel proteins yesterday. I've been trying to shoot for the suggested 336 kcals, but it just doesn't seem like enough food for him especially compared to how much he had been eating. I think he got about 424 kcal/s of the novel proteins yesterday and since it's more calorically dense than the FF, he's getting a smaller volume of food.

Still waiting on the vet to get back to me. I'll be calling if I don't hear from her soon.
 
Wendy&Neko said:
Which proteins/foods are you giving now? It still says FF pates on the signature.
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Well I got a few different ones to make sure he'd like them before i bought a whole bunch. So far he's eaten Ziwi peak Venison, Ziwi peak lamb & Koha duck. I'm trying to space out the feedings so he gets something every couple hours but a couple spoonfuls at a time doesn't seem to be cutting it. He's got into the garbage 3 times today (he's never done that in his life). I also have feline natural lamb, Koha rabbit and kiwi kitchen venison he's yet to try. I'll decide on one tomorrow and get a case. I'll remove the FF from my sig for now.
 
John & Henry said:
So Ketones are .6 at AMPS and BG is 326. Normally I would say he needs some R, but I think we're probably going to see a downward trend this cycle if history is any kind of guide. Think some R would be in order? maybe just .1uR?
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Im glad you held off on the R this cycle. It would be nice if you could hold off on the R for the next cycle and see if/how the bounce breaks.
 
Sandy and Black Kitty said:
Im glad you held off on the R this cycle. It would be nice if you could hold off on the R for the next cycle and see if/how the bounce breaks.
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Well, we're slowly going down. We're at 312 right now. I'll hold off on the R in case he drops soon (I've been expecting a drop for awhile now). I'll check ketones at PMPS in 6 hours. I'm trying to rely more on the libre instead of poking him so much. If the number isn't labeled in the SS you can assume it's the nova. If it's a libre reading i'll label it as such.
 
*sigh* I just did a really stupid absent minded thing. Even though I wasn't planning on giving any R at +6 this cycle (and didn't) for some dumb reason I thought it was time for his shot and gave him his nomal dose of Lantus 6 hours early :( I know I know I'm an idiot. Just to be clear, it definitely wasn't the R since the Lantus is in a pen and the R is in a vile, it's also ingrained deeply within my psyche to never draw more than a tiny amount from the vile because I understand how dangerous the stuff is.

I feel so embarrassed. Luckily his numbers are pretty high right now so hopefully this bounce doesn't end any time soon. @Bandit's Mom @Sandy and Black Kitty @Bron and Sheba (GA) What should I do? Just monitor closely and make this the new time for his Lantus shot going foward?
 
At this point there isn’t much you can do except monitor closely. I would test hourly and more frequently if the BG starts to drop. Make sure you have plenty of high Carb food in the house in case it is needed.
Feed as normal at the moment.
Yes your new shot time is 12 hours from now.
post hourly BG please
 
If it was the 1.75 units, please write 1.75uL in the appropriate cell in the spreadsheet. If it was at +6, then put it in the +6 cell, not the PMPS cell. That way we know at a glance that it was early.
 
Wendy&Neko said:
I'd take out the one you have in the PMPS cells, unless you are planning on giving another dose in 6 hours. (not recommended)
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OK, just did that. Thank you

Bron and Sheba (GA) said:
Yes your new shot time is 12 hours from now.
post hourly BG please
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OK, I'll update hourly. I'd prefer to use the libre numbers to avoid the poke unless there's a big drop in which case I can do the poke. Is that OK for the sake of Henry's poor ears?
 
So we're past the nadir from the accidental early dose and the libre is still reporting we're very high (372 @ PMPS +9). I'll do a ketone check at AMPS in 3 hours, but I'm thinking some R is going to be needed at AMPS unless the ketones aren't out of control. Thoughts? @Sandy and Black Kitty or @Wendy&Neko
 
John & Henry said:
So we're past the nadir from the accidental early dose and the libre is still reporting we're very high (372 @ PMPS +9). I'll do a ketone check at AMPS in 3 hours, but I'm thinking some R is going to be needed at AMPS unless the ketones aren't out of control. Thoughts? @Sandy and Black Kitty or @Wendy&Neko
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I think you will find Wendy is asleep now and I'm not sure about Sandy but she did say in post 4 of this thread.. It would be nice if you could hold off on the R for the next cycle and see if/how the bounce breaks.
If you look at his SS, he hasn't bounced for more than 4 cycles since he got back from the vet. And I remember Wendy or Sandy saying you don't want to be giving R on a cycle where the bounce is breaking. Maybe check what the Nova is saying because that is always lower when the BGs are higher.
With a bit of luck, Sandy might come online before AMPS.
 
Bron and Sheba (GA) said:
I think you will find Wendy is asleep now and I'm not sure about Sandy but she did say in post 4 of this thread.. It would be nice if you could hold off on the R for the next cycle and see if/how the bounce breaks.
If you look at his SS, he hasn't bounced for more than 4 cycles since he got back from the vet. And I remember Wendy or Sandy saying you don't want to be giving R on a cycle where the bounce is breaking. Maybe check what the Nova is saying because that is always lower when the BGs are higher.
With a bit of luck, Sandy might come online before AMPS.
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He really hasn't bounced for much more than 2 consecutive cycles since he's been back, so I've been expecting a break anytime now for the last 16 hours or so and have been holding off on the R for that reason. I've been thinking it would be coming in the last few hours (with the libre reading ~300, the actual BG was probably around 250). Not sure why it started going back up at PMPS +9. Seem like the early Lantus shot should have brought it down some too. Guess it'll come down to the ketone reading. I figured Wendy was asleep, but thought I'd tag her just in case she saw it before 6am. I've seen Sandy post at ~5:30am some days, so maybe she'll be around before AMPS. I'm sure the nova will show it's lower, but we're still probably firmly in the 300s. I'll check with the nova shortly and do a ketone check at AMPS
 
Alright BG @ AMPS = 304. Ketones are 1.3 :(

edit: I feel like I gotta do at least .1uR If this run of pinks keep going, the ketones could be up to 2.0 by the end of the cycle. The .1uR sometimes does almost nothing. I think the most I've seen it drop it is 50
 
Not bad.Sleeping in front of the door again, been getting seriously sniff attacked by the dog, ravenously hungry. His walking seems a little stiff in the hinds
 
The only purrs I get out of him is when I get up about 6-8 hours after he's had his subQ fluids. Before his most recent hospital stay and his whole life, i couldn't pick him up without getting non-stop purring action.
 
Sandy and Black Kitty said:
If it’s been 12 hours since the previous Lantus shot go ahead and give the 1.75u Lantus.

do not give R at this time. Effects of that 6 hours Lantus overlap could sneak up on you.
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Alright. Hopefully we get a break from this bounce soon and the subQ brings down the ketones some.

Thank you Sandy.
 
Sandy and Black Kitty said:
Is it possible you drew up and shot 0.1u instead of 1.75u Lantus in 6/30 at AM+6?
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Nope, I definitely drew from the Lantus pen. The R is in a glass vile and it was definitely 1.75u since that's what I'm used to drawing out of the pen. It's very strange it had almost no effect on him. We're still running over 300 at +6
 
In some overdose situations, we see temporary higher numbers, not lower.

The upside of this situation is that now your PS is what I hope is a better time for you.

This morning was a sleep in for me. Celebrating Canada Day by not getting up at 4:30 AM for a workout.:)
 
John & Henry said:
Alright BG @ AMPS = 304. Ketones are 1.3 :(

edit: I feel like I gotta do at least .1uR If this run of pinks keep going, the ketones could be up to 2.0 by the end of the cycle. The .1uR sometimes does almost nothing. I think the most I've seen it drop it is 50
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The .1 R may still help with ketones even though you may not see the BG down as much as you hoped.
 
Wendy&Neko said:
Celebrating Canada Day by not getting up at 4:30 AM for a workout.
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Wow, that's some schedule you keep. I've had aspirations of doing something like that for a long time, but my body just keeps nopeing the idea.

Wendy&Neko said:
In some overdose situations, we see temporary higher numbers, not lower.
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That is... odd. Why would more insulin seemingly not effect the BG at all or even make it go up slightly? Is there some biological mechanism at play here?

Wendy&Neko said:
The upside of this situation is that now your PS is what I hope is a better time for you.
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Well, not exactly as I'm a night owl, but it should help me to get more readings without waking up every 2 hours.

New thread here: https://www.felinediabetes.com/FDMB/threads/7-1-henry-wc-amps-304-4-293-6-302-358.265292/
 
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