8/31 Elmo . AMPS 361 + 2 199 +3 148 +4 132. +6 69 + 7 58 + 9 72 PMPS 201 + 2 326 + 4 311

Good Morning AMPS 361. Day 2 1.25 units

 

Hope Elmo gets some more yellows today!!
Have a beautiful day, Beth!

 

Many thanks , Lyane Things are starting to get more of a rhythm ...getting back in the FDMB saddle after 2 years and all y'alls help has not been as challenging as I had thot Scritches to Ti-Mousse !

 

Much nicer start today. Show us what you can do Elmo!

 

Go Elmo! We will be watching you change colors until you are all blue and green
Beth - sorry you are back here again, but you knew where to come!

 

I hope Elmo slides down today and doesn't bounce.

 

Yes yes yes !!! Agree with you, Carla ! No bouncing !

 

+2. 199. Giving SQ and ABs with food

 

Make sure you feed some LC to slow the drop.

 

Test again in an hour.

 

Thank you , Carla He got 2 t food with ABs mixed in . Alarm set to test @ + 3

 

+ 3 148. More LC ??

 

Yes but just a tsp or so. Don't want to fill him up in case he continues to be frisky. Retest in an hour.

 

Frisky Retest at + 4 . Extra strips in my Holy Crap kit

 

+ 4 132. Is this frisky , Linda ???? Giving thyroid meds with food. Usually give livershake with thyroids ...would this be enuf ? Or is this " surfing" ? @carfurby @MrWorfMen's Mom

 

I'd call that a surf now, YAY! Go Elmo. I think you're probably be OK with the liver shake. Don't think he needs anymore food right now.

 

He's giving me those Kitty Cuss Word looks when I wake him That's the old sassy Elmo coming out . Additional good report is that for first time in over a month he went upstairs, looked around and came back down

 

I have HC food on hand but what is a good MC that I can easily get at local grocery and/or WM ??? Needing to replenish hypo kit ...

 

FF has some grilled and sliced versions as well as some that are MC. Check the food list HERE for flavours Elmo likes in the 11 to 15% range.

 

Next test ??

 

Nice surfing Elmo.

 

I think I'd check around +6.

 

+6. 69 gave 1 teaspoon. MC ?? @MrWorfMen's Mom @carfurby

 

Testing again in 20 minutes

 

+ 69 again....gave teaspoon MC ...go for HC next ??

 

Don't want to panic and over give ...years ago I over did and sent him into DKA

 

Oh wow, once it happened to Macka, after giving him fluids, it brought him in the lime greens. I wonder if depending on the location of the needle, it flushes the depot sometimes?

Please stay safe Elmo!!!

 

You can give him a spoon of HC if he accepts it? Then test again in 20 minutes

Is it a human meter? The panic limit is 50, you're at 69.

 

10 minutes til next test ...if still 69 give another MC or a little HC ??!!

 

Hey Beth-- you're doing great! Give me a second to review today's history some more, just wanted to pop in first... brb

 

Thank you thank you ...human meter but don't want him falling any further

 

I think we can call this "frisky", eh?

 

Oh dear Lord !! We are both too old for this

 

Gave him science diet a/d ...1t at +6 and then 20 minutes later ...think it's a high MC ...this gets calmed down and I'm going to grocery store !'

 

I think you're OK with MC still, unless he keeps dropping at the next test. You can make an emergency MC by mixing a little honey into his favorite LC, if you are running out of stuff he likes. Hopefully he'll start coming back up soon though.

I think what we may be seeing is a combination of a bounce (maybe from the night of the 27th?) breaking and the increased dose giving it a little extra "oomph", but you're still in safe territory as of now.

 

Thank you thank you !! Next test now

 

+68

 

Another t of MC ??

 

OK, he's floating along nicely. These are good numbers! You can do either MC or LC now, since he seems to have calmed down on the funny business.

Normally, we would have been doing LC throughout because he hasn't gone all that low, but this is new behavior for Elmo on this go-round, and he's been dropping fast all day, so I think the MC was a good move.

 

69 is a safe # and he is at the back end of the cycle. Get a +7 and see where he is at. Yay Elmo

 

God bless you both for coming to our rescue❤️

 

Going with MC one more time then test in 20

 

I had HC all ready in a dish just in case and he was fighting me to get at it Had to put it in cabinet !

 

Nice!

Remember to shoot low to stay low. Maybe a long night but he will probably bounce since he isn't used to these numbers. I would be sure you had some HC gravy on hand just in case

 

So, just to get the sequence in one place, story so far is:

AMPS: 361 (1.25U)
+2 199 (here's where we had the first hint that he was planning something!). SQ and AB given. LC given
+3 148, LC given
+4 132, LC given
+6 69, MC given
+6:20, 69, MC given
+6:40, 68, MC given, Elmo restrained from getting at HC

So glad you were monitoring and knew to give the LC-- it probably slowed him down some and helped keep him in safe numbers. You're doing great!

 

Lizzie, I had Friskies with gravey but it's a challenge to get just the gravey ! Going to store later for some FF MC and HC ....MC is 10-15 and HC is above 15 , correct ? Sadly been dealing with our office kitty who seems to have had mild stroke today so was over there helping him ...may bring him here to save time

 

Thank you for talking me off The Ledge !!!!

 

Next test in 10 minutes.....will be +7

 

+7.58

 

Now what y'all ??!!

 

Give little HC in with MC ???

 

This is your first green - welcome to the lagoon! Try not to freak out...he's in a great place. Is he eating?

 

Stick with MC unless you get <50

 

Yes but also little lethargic

 

On the human meter this is - although on the low end - a perfect number. When you say lethargic, do you mean sleepy and relaxed or unable to stand, staggering, drooling?

 

It's OK, Beth, try to breathe! He's still doing well, just a little lower is all.

Lethargic is always worrying, but let's take this one step at a time. It's likely just the boomeranging numbers making him feel a bit off.

 

Giving MC now ....

 

Lazy not stumble

 

Definitely relaxed not disoriented ...

 

Possible he's just enjoying getting hand-fed unusual yummy food every 20mins?

 

Thank you all so much ...it's been 3 years since this last happened and he was on vetsulin which slams them around ...so reacting to low numbers with Lantus is new deal for sure

 

Seriously, the old spoiled Gpa Man

 

For you, terrifying, heart in mouth, nerve-wracking, mountain of stress.

For Elmo? Spa Day.

 

While we have a lull in the action , how do I record this on the SS ?

 

Nan, how is Amber doing ? She was OTJ for ab two years also , wasn't she ?

 

You can "stack" numbers in Google Sheets by holding down the "option" key (on a mac, I think it's "alt" on non-mac keyboards) while hitting return. You can then color the cell by hand-- usually I use the lowest point to pick the color, which in this case would be dark green.

Amber's doing great, thanks for asking! She's been back on the juice for over a year, and even got up to almost 5U at one time, but has very recently started showing signs that she may be tiring of insulin again. Cross fingers!

 

So for:
+6 69, MC given
+6:20, 69, MC given
+6:40, 68, MC given, Elmo restrained from getting at HC
+7.58

In the +6 box do: 69 MC; 69@+6.3 MC; 68@+6.6

If you look on my sheet, 7/02 PM cycles has some greens with an example

 

That would be awesome !!!

 

Thank you , thank you Justin !! My tech support ( aka adult son) is moving today and is out of pocket for a bit . He helps with my tech inadequacies but feels he owes me cos I'm a small person and he weighed 10 lbs at birth

 

By the way, Elmo has earned a 0.25U reduction with the drop under 90.

 

Elmo is sitting here right next to me , eyeing the food for his hopes for next treat

 

So I'm back to 1.0 tonight ?

 

Next test coming up in a few ....

 

Yes, although if he's bouncing back up really high, you have the option to "shoot through the bounce", one last shot of the old dose. But let's see where he is tonight.

 

57 .....what the heck ??? Couple of days ago it was black and now lagoon time ?!?!?

 

Now what do I feed him ??? Continue with MC ??

 

Yeah I'd continue with the MC. You're coming up to the point where the first batch of MC is going to start wearing off, so ideally if you can just keep a steady level of carbs coming in, hopefully it'll just ease down the drop and he'll stay around this level. Though it kinda looks like he's a late nadir so you might have to keep at it for a bit. I also think I'll revise what I said earlier, if he gets <50 I'm thinking maybe do a MC/HC mix instead of going straight HC so you try to avoid too much of a spike

 

Good thot , Justin ...was thinking same thing ab MC + HC

 

I think I would do a little MC again, yes. It's a bit unusual to be administering so many carbs when he hasn't yet even dipped below 50, but whatever he's doing, he's not reacting really strongly to the carbs he's getting.

The AB he got today, is that a new-ish prescription? I'm just wondering if anything has changed in his overall health, something that was pushing his numbers up that has suddenly improved.

 

He has an infection in his mouth that ABs were upped by 1/4 yesterday ....that's only different....is on 3/4 100 Amox 2x daily ...not a candidate for dental ...only a candidate for making me crazy

 

That could definitely do it. Infection will jack the numbers up and if that's starting to clear they'll drop back down

 

Hmmm.... wonder if increasing the ABs allowed them to finally break through and make some headway on the infection?

 

Oh , wow y'all ...that would be awesome if true . We have pulsed low dose ABs for several months now cos he can't get a dental. We have walked a fine line with thyroid , aging kidneys, aging heart and being in diabetic remission ...it's a delicate balancing act .

 

Don't I know it. We just got a dental for Sebastian because he had infection markers and his BG was pretty high and not dropping even after dose increases. BG a bit better after the dental but we had to go back to the vet for some additional medication because he didn't bounce back right away and was getting ketones. And at his yearly physical a month ago we decided to pass on the rabies vaccine because he never goes outside, isn't around other animals besides our other cat, and we didn't need anything more than necessary in his system.

 

Could y'all please refresh my memory as to MC and HC carb numbers ...I'm itching to get to the store after this

 

Pretty sure MC is like 8-10% carbs and then HC is gonna be gravy at around 15-20% carbs

 

Just checked Dr Lisa chart and the a/d I'm giving is 12 carbs ...it's all I currently have on hand . Was on my way to store when found our office kitty had a light stroke and DH is not here

 

+8. 56 Now what ????

 

Getcha one of these and a small Rubbermaid with a lid. Dump the food and gravy and let it drain. Saves a bunch of headaches.

Oh no! Poor baby. Hope you can get him better .

 

Keep doing what you're doing. That's only a 2 point drop, which is exactly what you want. Keep giving MC at the same volume and frequency

 

Looking at some of Elmo's past numbers, it looks like he's got a late nadir sometimes, so you might have to keep at it for a bit. But it looks like the MC is controlling the drop really well so I'd stick with that unless you get a big drop. Even if you happen to get below 50 after a few more hours, if you've still been only getting like 2 point drops per hour I wouldn't switch to HC. If the drop is that slow you're gonna be coming up real close to nadir and it should come up on its own.

 

FF changed and don't have super high carb any more. I added honey to MC gravy when needed.

10-16% =MC
17+%= HC

Weruva Grandma's Chicken Soup is 20%
https://weruva.com/product/grandmas-chicken-soup-5/
https://weruva.com/nutrition-landing/wcc-ni/

 

Also I think you might already have, but you're probably okay to do tests every 30 minutes instead of 20 until you start to see the rise

 

And you are doing great. Many scritches and kisses to dear Elmo

 

Thanks ,Justin I hadn't gone to 30 minutes and will right now . I'm filling him up big time with this rich a/d so 10 more minutes will help

 

So , Justin, do I just test every 30 but not give teaspoon of food ?? Also, Sebastian is a stunner !! I had a grey named Pooh ...he was a super cat !

 

From your lips to God's and Elmo's ears, Justin