? 9/5 KARAMELLE AMPS 45/73/64 +1 79 +2 35/112 +3 170 +4 94 +6 131 +9 180 PMPS 131 +1 105 +2 87 +3 92

HI Jo, just saw your post. Hope this helps. Keep us posted.:bighug:

Here is from the sticky on handling what to do:

https://www.felinediabetes.com/FDMB/threads/dont-panic-or-how-to-handle-low-numbers.210109/

If your cat is testing in low numbers and you are not getting a quick response to your post, there are several things you need to do. (Low numbers are under 50mg/dL or 2.8 mmol/L.)
  • Depending on how carbohydrate sensitive your cat is, feed approximately a teaspoon or less of gravy from high carb food or high carb food only. (If you have a cat with GI issues, using a couple of drops of syrup plus low carb food is an alternative.)
  • Test again in 15 – 20 min. Depending on the numbers, give more HC food.
  • Repeat the above steps every 15 – 20 min. until your cat tests in the 50 mg/dL (2.8 mmol/L) or above range for 2 consecutive tests. Continue to feed in small amounts to keep numbers in a safe range.
  • Test in 30 - 40 min. and repeat the test and feed process until there are 2 consecutive tests where numbers are stable or rising.
  • Test in an hour and follow the same steps.
DO NOT become complacent. If numbers have risen after one or two tests, it’s important to continue testing. Numbers may bobble up and down as the HC food and/or Karo wear off. DO NOT get one test where your cat has risen from low numbers into the 50s and go to sleep or leave the house. You are putting your cat in a risky situation. When in doubt, leave HC food out. A good example of why this is important is in this post from an experienced member (now Moderator) who was struggling to get her kitty's numbers to rise.

In the case of an accidental overdose or should there be symptoms of hypoglycemia, even if you have caught this in the early stages, you may need to monitor for literally 16 or more hours. Lantus, Levemir, and Biosimilars are long acting types of insulin. This means if your cat is over dose, you will need to stay alert for hours in order to closely monitor and to keep your cat safe.

Please post your numbers. Those people who are helping you will not abandon you. In fact, they are staying up with you. The experienced people will even work in shifts to make sure your cat is safe and you have the support you need. Remember to refresh your browser to see new posts and keep posting so we know all is well.
 
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Thanks @Staci & Ivy I really appreciate this. I thought I had all this printed out, but couldnt find it. The honey really brought it up as she just tested at 112. I will test again in about 30 minutes or so.
 
JoM said:
Thanks @Staci & Ivy I really appreciate this. I thought I had all this printed out, but couldnt find it. The honey really brought it up as she just tested at 112. I will test again in about 30 minutes or so.
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I know, when in a panic, it's hard to think straight! I hope that helped, Jo. I am glad she came up for you:bighug:
 
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Your subject says AMPS of 45/73/64. Which was it, or were they separated by time? The 73 and 64 you can shoot right away, the 45 would mean a delay.

With the drop from 327 to a +2 of 177 last night, that was a clear signal she was going to drop hard and fast last night. Meaning getting a later test or leaving higher carb food out so she could stay safe. That fast drop, besides signalling a possible low to come, could cause a bounce, as could any low number. So I'm not surprised she heading for a bounce.

That response to honey was a bit extreme. You might want to note how much you gave this time, and give a little less next time.

Good luck with the new dose.
 
Wendy&Neko said:
Your subject says AMPS of 45/73/64. Which was it, or were they separated by time? The 73 and 64 you can shoot right away, the 45 would mean a delay.

With the drop from 327 to a +2 of 177 last night, that was a clear signal she was going to drop hard and fast last night. Meaning getting a later test or leaving higher carb food out so she could stay safe. That fast drop, besides signalling a possible low to come, could cause a bounce, as could any low number. So I'm not surprised she heading for a bounce.

That response to honey was a bit extreme. You might want to note how much you gave this time, and give a little less next time.

Good luck with the new dose.
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Sorry, I didnt put the times, but they were all AMPS, just separated by time. 45 was the first (fed regular lc food), 20 mins later - 73, 15 min later 64.
+2 numbers were 30 mins apart.
I knew that the 177 last night most likely would mean she was dropping. I do leave out food, but I dont think she eats any overnight.
And it doesnt appear as tho the 170 is a bounce since shes now dropped back to 94. It must have been from the honey. I will definitely give less next time.
 
The detail you put on timing you can put in the Remarks, or put in the spreadsheet cells. In the +11 you can put 45@+12, 73@+12.6, then put the 64 in the AMPS cell as 64@+12.5. Close enough. Did you feed between the 45 and the 73?

JoM said:
So I assume I will be decreasing the dose tonight?
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Always decrease when they go below 40.
 
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Wendy&Neko said:
The detail you put on timing you can put in the Remarks, or put in the spreadsheet cells. In the +11 you can put 45@+12, 73@+12.6, then put the 64 in the AMPS cell as 64@+12.5. Close enough. Did you feed between the 45 and the 73?
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I put everything in the Comments section. Yes, I fed right after the 45, took 2 more readings about 15-20 apart and gave her shot. Should I not have fed her after the 45? Just trying to get this right for next time. I also fed again after +1, but it didnt seem to make any difference because she dropped to 35 on +2. Thats when i gave the honey, because I wasnt sure, one, that she would even eat anything, and two, I wasnt sure if it would bring the numbers up enough.
 
From the Sticky Note on Handling Low Preshots:

Some general rules when stalling (ECID):
  • 50s or higher – don’t feed. The number will bump up on its own soon due to the insulin wearing off.
  • 40s or lower – you have a couple of choices.
    • When 40s occur at the end of the cycle, it can be beneficial to withhold food and test in 15-20 minutes to determine if kitty is on the rise or hasn’t reached nadir yet.
    • If they are hanging in the 40s for a while, or if they are still dropping, it is ok to feed a tsp or two of LC and retest. This is very tricky. You want to avoid feeding too much while you’re waiting for them to go over 50, because you don’t want to artificially inflate the number with food.
      • Example: if kitty is 43 and you feed a whole meal, or feed some HC, and the number bumps up to 52, is that the cat’s natural end-of-cycle rise, or is it food spike? What if it is food spike? Then if you shoot the 52, when the food wears off he might drop back to the 40’s (and when insulin kicks in a couple of hours later, you might have a problem). If the 52 is the cat’s natural rise, then he will probably keep rising for the next few hours until insulin kicks in. If you can’t tell whether the number is food spike or natural rise, it’s safest to wait. Your data will help you here. Study the spreadsheet. How much food spike does the cat usually get? How many hours after the shot does the insulin’s onset usually occur in this cat? At what number is the cat likely to be when onset occurs? If the cat does drop, how easy/hard is it to regain control of the numbers? How carb sensitive is he?
  • Test often (every 15-20 minutes, or at most every 30 minutes). You want to catch the rise the minute it starts. With most of our cats, once they start to rise they will really zoom. You want to get the insulin in as soon as possible, because it will be another 2-3 hours before the insulin kicks in and you don’t want to let the cycle get too far ahead of you.
 
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Somethings happening at PMPS. Looks like it might drop again. I am decreasing tonight so maybe that will help.
 
Could be either a Lantus double dip, where they do a smaller downward cycle at the end of the main cycle, but not as low as the main nadir. Or maybe she's learning to get over bounces quickly. Hoping it's the latter. The next test will tell the tale.
 
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Wendy&Neko said:
Could be either a Lantus double dip, where they do a smaller downward cycle at the end of the main cycle, but not as low as the main nadir. Or maybe she's learning to get over bounces quickly. Hoping it's the latter. The next test will tell the tale.
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I will do a +3 and see how it goes, but its clearly headed downward. Just not sure how far it will go and when it will come back up.
 
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