9/11 Kirby need help dosing.

https://docs.google.com/spreadsheets/d/11X3jQ5iCMJnZW9MicKDJOCXrSx7D5M74sHfYnRkr3x8/edit[/url]

 

I cant give dosing advice but those are pretty darn good numbers.

 

Will you help her set up a signature please? Kirby has been on Lantus for a few months.

 

https://www.felinediabetes.com/FDMB/threads/help-please.235064/#post-2632384

 

Signature
Go to the dark blue bar above the forums list. Click on your name from the drop down click signature then follow these instructions:

• On the left, under Settings, Click on Signature. This is where you will put information that helps us give you feedback.
  • There is a limit of two lines which may include two links; you may separate pieces with commas, dashes, | etc. This is where you paste the link for your spreadsheet, once it is set up.
  • Add any other text, such as
  • Caregiver & kitty's name (optional)
  • DX: Date
  • Name of Insulin
  • Name of your meter
  • Diet: "LC wet" or "dry food" or "combo"
  • Dosing: TR or SLGS or Custom (if applicable)
  • DKA or other recent health issue (if applicable)
  • Acro, IAA, or Cushings (if applicable)
  • Spreadsheet link. Please put the signature link on the bottom line of your signature information, on its own, so it is easy to find.
  • Please do not put any information about your location in the signature for security reasons. If you wish to add your country location, please add it to your profile.

Be sure to click the 'Save Changes' button at the bottom. If you need help urgently it is important we know these things at a glance. We don’t want to waste valuable time finding out information.

Thank you!

 

I did my signature. Can you tell me if I did it correctly. Ty.

 

I know. I was afraid to proceed with the next shot.

 

Hello can you tell me if a did it correctly thanks

 

Looks good to me!

 

Yeah lol I would be too.
I havent had a diabetic kitty since 2010. Just payin it forward!
Thats why I dont give dosing advice. too many years

 

Yes. So my signature is ok . And yes I’m learning to home test now with diet change.

 

Did you read the two methods?

https://www.felinediabetes.com/FDMB...-low-go-slow-slgs-tight-regulation-tr.210110/

 

Not yet. I see the link above. Is that it. I will read it. Can I get back to you please after I’m done. .

 

Yes. Read SLGS. I suggest that you start with that one.

 

Hi I’m reading and slgs is something I want to try. Message me when you can. Thanks.

 

Good. Do you have any test results taken at your vet since diagnosis? It’s hard to know f this dose will be too low without any past history. I think it’s probably best to try it for a week and then decide in the next dose per SLGS. Questions?

 

yes i can get his test results to you in a couple hours. is that ok?

 

Of course. Add it to your ss. Just tests over the last two weeks. Also start a new condo for today. Change the title to 9/12 Kirby AMPS ### Decided On SLGS

 

the only tests i have are from may his full blood work is that ok for now ?also i dont know how i can add it to my ss until at least monday. would you like to still see it?

 

Don’t bother. We will just start from now. Let’s see what the tests show over the week. Don’t worry. I’m glad you started testing and posting.

 

can i message you later? i can make a post later also?

 

Yes. Of course. I haven’t been able access the site. Hope all is good.

 

Hello just got in. I decided on slgs. My cats been on 1.25 units lantus for a couple days I was planning On holding the dose. I tested him at +10 hours he is at 136. Again that’s low for me. Any thoughts. I’m gonna test him at +11 and +12 Ty

 

That’s a nice safe bg. At this point it’s a nice nadir. You will hold unless he drops under 90 at which point a reduction is earned. The take action number where you need to intervene is 50 say and it’s time for high carb food. If you happen to test and he’s under 90 just post. Add it to your title. The site was down and none of us could post. If that ever happens and you are in trouble send a pm.

 

Send a private message to you if he goes below 90. And so hold the 1.25 . .

 

+11. 170

 

Since the site is working you don’t need a private message. I bet he’s been earning decreases but since you weren’t testing you didn’t know. Good thing you are testing. The diet change is also why. Kudos. Did you ever see signs that he might be too low? Was he acting strange?

 

Get a +11. At PMPS don’t feed and post it.

 

He’s never acted strange. Or any signs. I just switched his food it may be ten days now. No more kibble. I did not change his diet until I started home testing. I knew that’s not safe.

 

Good job. The impact is clear.

 

Thank you. I feel really good about this. I didn’t feel good feeding him dry food and giving 3 units of insulin. My dr recommended 4 un.

 

We have seen that way too much and then thru come here frantic. Good for you for posting so that won’t happen.

 

Frantic ? Why’s that

 

The cat drops too low and the vet hasn’t told them how to handle so they are scared. This will never happen to you. We are here to prevent that. We have members from all over the world so help is just a click away.

 

Hi Chrissy!

Just popping in to say 'hello' to you and Kirby.

Great job safely changing Kirby's diet to low carb. I'm glad it's having such a positive impact on his blood glucose levels.


Mogs
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BTW, I'm one of the 'all over the world' members (based in the UK).


Mogs
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I’m sorry my cats
+9 was 136
+10 was 170
+11 was 215.

 

Thanks. And I sure hope it’s helping his bg. Nice to chat with ya. Is your cat on lantus currently ?

 

Thank you that’s great. I’ll admit taking these steps are scary. But it has to be done.

 

I’m sorry he did eat a bit at 11 +. Tomorrow I’m going to do a curve. I’ll make sure he doesn’t eat before his checks.and I’ll post results.

 

Please remember not to feed two hours before insulin. Here’s why. You don’t have enough data to predict yet what he will do and the PMPS will be food influenced. Can you be off schedule by an hour? If so you would not feed and two hours from when he ate test again. Then the result won’t be food influenced.

If he’s high you might not need to stall.

 

Yes I can do that.

 

Good. I would feel best with a test not food influenced.

 

Will definitely do.

 

Coming up. How long until you shoot?

 

I did almost two hours ago.

 

Ok. Good. I dint see a PMPS so thought you didn’t.

 

No I did shoot. Sorry I didn’t get a Pmps.

 

Hello Im doing some testing today. I think He’s doing great. Tell me what you think. Ty.

 

LOOKS GOOD!

 

Very nice going on 1.25. I like it.

 

Thank you.

 

Thank you. Do you feel this dose is good to hold for the rest of the ten days

 

Ooh! A little bit of a sunbathe in the morning, followed by a lovely long swim in the blue lagoon today. Well done, Kirby.

Great job with the testing today, Chrissy.


Mogs
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I would hold and do a curve in 7 days unless you get a test under 90. Tgat would earn a reduction to 1 unit if it happened.

 

Ok I will keep you posted.

 

Thank you so much.

 

Think so. Thank you.

 

140 at+ 10.

 

Feed a little mc and then test in 2 hours. Please change the date on title And write your results if +11 and pmps. Then when you get pmps stall? DON’T feed and post result.

 

Make a new thread you mean ? But stall after the pmps?is something wrong ?

 

No. Simply change your subject bar. Tomorrow start a new thread. The bg is still going down You want to see a rise.

 

Will you see the thread bc I don’t want advice from too many. Things get very confusing. And now I’m a bit worried

 

You have 2 hours until PMPS, correct? Feed a teaspoon of food if correct and tgen test in 2 hours and post results BEFORE you feed. If not over 150 wait for advice before insulin and before you feed canyiu monitor as long as needed if he hasn’t raised his bg?

 

Don’t worry. Just answer my questions. I’m home.

 

He’s due for a pmps in one hour.

 

Okay. Post PMPS. I will check in one hour. Hold off on food and insulin until I see the number. He’s fine but we need a test that’s not food influenced. I need to know if you cam keep testing for up to 6 hours just in case. He might rise and it won’t be necessary but you don’t have a lot of data so we need to be cautious. He’s looking very good.

 

I just tested him twice. +11. He was 180 then 170. Not that much climb

 

Yiu have an hour. He should be over 150 and that will be safe to shoot. If not follow the above.

 

Ok I’ll test again 50 mins. No food no insulin.

 

Until you post and get an answer, ok?

 

Yes. His numbers seem so steady for almost the whole cycle what does that suggest ? I’m seeing a lot of other cats spreadsheets with very high numbers and fluctuations.

 

Do you think he needs a reduction ?

 

What a lovely cycle, Chrissy.

 

No. It looks like this is a good dose for now. If he were continuing to slide down going into PMPS you would want to stall and not feed and recheck in 20-30 minutes until you have enough information to know whether it’s safe to shoot lower numbers. You should be just fine tonight. He looks great.

 

Flat blue and green cycles are great. Thank goodness you reduced and started testing. Kudos to you.

 

ok. I’ll mess you soon. I’ll test again. Ty.

 

He’s gone up so unless he has dropped under 150 you can feed and shoot.

 

Some cats do get big fluctuations, and some are 'bouncier' than others. There are members here who would give their eye teeth for numbers like Kirby is seeing at the moment.


Mogs
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Hello my cat amps was 121 today. As I’m new I’m scared to shoot ?

 

Hello Kirby amps was 121.what do you think Thanks.

just making sure his + 10 is 121. What can I do

 

Hi Chrissy,

Don't give insulin for now. You were right to wait and post for help instead.

Have you given Kirby any food since you took the 121 reading? If not, please do not feed him yet. Instead wait 20 minutes and test his BG again just to see whether his BG is on the rise at all.

Also, please can you come back to me straight away to confirm that you are stalling, so that I get a clear understanding of what's happening at your end.


Mogs
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Sorry. Cross-posted.

Can you confirm please that Kirby was 121 at +10 and that there is another two hours to go before the next dose is due.


Mogs
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I can take another test in an hour. He has two hours until dose time. I’m nervous this is low. What are my options.

 

I fed him after his test.

 

Will post again in a minute, but I just want to reassure you that 121 is a perfectly safe number for Kirby.

I see from your signature that you're using a human meter. 121 is right at the very top of the normal, safe range.

You can breathe now.

BRB...


Mogs

 

OK.

Please don't give Kirby any more food between now and your AMPS test (it needs to be a fasting BG reading). You need to time the two hours to AMPS from the time when he finished his food, so you might be a few minutes late IF (IF!!!) it proves safe to give the next dose.


I need the following info:

* Did Kirby eat much, or was it just a small snack?

* Was it Fancy Feast low carb food?


Mogs
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He ate half a can of fancy feat only.

 

Thank you. We ask these questions so that we can make sure we understand properly where Kirby's at.


Recap and Next Steps:

* +10 - 121 (human meter) - Fed 1/2 can Fancy Feast low carb food after test.

* Make sure that any remaining food is lifted straight away.

* If you wish, you can test again in an hour but note that the reading will be food-influenced.

* Do the AMPS BG reading two hours from when Kirby finished eating (even if it is a bit later than the normal AMPS time - has to be a fasting BG, especially for a kitty in better numbers).

* When you have taken the AMPS reading, DON'T FEED KIRBY. Post the result here straight away and we'll take it from there.

* While you're waiting to do the next tests, if you have any other BG tests from last night's PM cycle (PMPS in particular, plus any other mid-cycle tests), please can you add them to your spreadsheet so we can see them at this end. (I see you've already added the 121 at +10, thank you!).

-------------

Please confirm that you're clear on what to do next. (If you're not sure about anything, please ask and I'll try to explain better. )


Mogs
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Yes. Thank you. Will message back with results. On amps

 

Thank you for confirming you're clear on what to do next.

Can you please let me know how much time (in hours and minutes) till your AMPS is due, Chrissy. I want to set an alarm to tell me when to look out for your post.


Mogs
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One hour.

 

Chrissy wrote:

As long as there are 2 hours clear from the food to the AMPS, all should be fine.

Sometimes it may be necessary to feed a cat later in the cycle (e.g. if feeding mini meals when chronic pancreatitis is an issue). If you do need to feed Kirby that bit later, if you give him his meal at +9.5 that will give him time to finish the food well before the +10 cut-off.

Setting my alarm now. Will check back with you in an hour.


Mogs
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Hello. I fed him hour and a half ago. Took a reading he was 170 then 190. I check twice. Ty.

 

I am leaving for work in and hour and a half. Should I proceed with full dose or part of the dose. I’m gonna try and get another test in 20 mins

 

Those numbers will be food-influenced, Chrissy, so they can't be used to assess whether it's safe to give the next dose. The test you need for AMPS is the next one, a full 2 hours after the food. Please post the result as soon as you get it.

Did you take a reading for PMPS last night? If yes, then please post it here while you are waiting to do the next test.


Mogs
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Also, can you tell me whether Kirby has ever tested positive for ketones or has had any history of diabetic ketoacidosis (DKA).

Also, how well is Kirby eating?


Mogs
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No I stopped at 11+. He was 175. It will be a full 2 hour in fifteen mins.