9/9 Elmo PMPS 427+ 2 285 +3 204 + 4 254 +5 216 +5.5 165 +6 156+6.5 163+7 116+ 7.5 67+8 141+8.5 173

Yesterday

Happy Monday Elmo ate very well over night . He is a grazer so food is available to him for whenever he wants it . Increase dose to 1.5 ....Negative ketones ( will put on SS later)

 

Oh good, you did get a later night test last night. Awesome. Kind of a weird wave, maybe he's not bouncing as hard now?

 

Good morning , Justin and Sebastian He wakes me up to stir his food so I grabbed a test . With him eating small bits thru out the night I'm wondering ab reliability of during the night tests ? Just a thought .

 

Sebastian does the same, free feeds at night. With it being low carb food and just eating a little bit at a time I don't really expect it to throw off the numbers that much. Maybe a little bit at the start or end of the cycle but once the insulin kicks in for the cycle it should be overpowering the food during the middle part of the night.

 

Good to know

 

Elmo is currently attempting to rumble with civvie brothers ....they are very gentle and tolerant and look at him as if to say " what is your problem , old man?"

 

Now let's see what he does with that new dose! It can just be better!
Have a great Monday, Beth!

 

Good luck with the new dose. I'm glad Elmo is feeling so good.

 

+ 2 386. Appy awesome ....Giving ABs with little snack

 

I think Elmo heard you that "bounce" is now a bad word.

 

Boy howdy !!! You betcha, mister

 

Next test at +4 when give thyroids

 

It's fine for him to free feed during the night, but I would pick up the food at +10 so that when you get amps you know the number is not food influenced.

I used an auto feeder for that purpose, I would have it turn and hide the food at +10, that way I would know the PS number was not influenced, probably not too important when he's giving you numbers in high reds and blacks, but more important when you start getting lower PS numbers.

 

Gil, the little turkey refuses to eat from an auto feeder...old and stubborn I will pick it up at around + 10...he usually wakes me then anyway Like having babies again

 

Especially when he's sick and I'm covered in food or some bodily fluid most of the time.

 

LOL I have a civie cuddling up on me just now suckling my arm, weirdo.
so I'm going to have to go and feed the darlings as I think they are trying to tell me something

 

+4 386 Giving Thyroid meds plus small snack

 

you cant get much flatter than that!

 

@Gill & George Gil, that's awesome that George is 20 !!! Elmo is not a candidate for dentals snd was wondering if George is snd if not what do you do for his guns/teeth ? Or what would you suggest I could do other than pulse antibiotics once a month ( he is currently on 2 weeks of amoxicillin for inflamed gums ...most likely the culprit in our current situation)

 

Interesting question.
He had a stack of teeth removed 5/15/2018. has just his canines and a couple of other teeth left. (you can see how than went on his ss

The story with that was, his vet said he wasn't a candidate for dental, too old, diabetes, ckd......
He got very ill at the end of april, he was having seizures, liquipoo, runny eyes and sneezing and went completely off his food (he's always had and has a great appy?). Anyways took him to same vet, BW normal for him she wouldn't give him anything, asked me just to monitor him...... he kept getting worse. BG started to go up, and I restarted insulin.
After a few days I had enough of it, and I was starting to suspect his teeth, he wanted to eat but we could see it hurt. so I took him to another vet, he's experienced with cats and locally has a good rep as vet surgeon. So vet diagnosed severe gingivitis, some of his teeth were wobbly, and his mouth smelt bad. He was given AB's for 10 days to clear up infection then he went in. He was under for as long as the vet dared, he worked quickly removing the bad teeth and giving the others a good clean.

Dr M was like well we either sort his mouth out or he'll be dead at the end of the month, so it was a do or die kinda situation, and was also like why haven't you done something sooner, well errr his vet said nothing we can do..... We weren't even given the option of pulsing AB's by his previous vet, I can't tell you how angry I was.

Thankfully he pulled through that and has been doing great. His teeth look clean and he hasn't had any problems with his mouth since, he got the all clear with respects to his mouth a couple of months ago, and Dr M didn't think it was necessary to do anything about the other teeth just at this moment.

Have you sought a second opinion?

If we'd been with Dr M from the start we would have never ended up in such a critical situation. He would have done a dental before George got so sick.
Pulsing the AB's as you are doing is an option. But I would investigate with some other vets, I think folk her on the forum have had senior kitties have dentals, their age in itself shouldn't really be an obstacle, however, if he has other health issues, then the risks increase. I'm guessing his hypert, might be complicating things.

 

Yes...iffy kidneys...fragile thyroid ...have gone locally and 45 min away to specialist.... all say the same thing ..dental too risky ...so we are vigilant about gums/teeth health .Meanwhile he is once again trying to get one of his civvie bros to wrestle

 

Next test time suggestions?

 

what do you think?

He's pink, flat as a pancake at +4 so does this look like an active cycle?
If it were active, we would have expected to see a downward trend with onset at around +2 and further downward movement by +4.

This looks like a bounce cycle, I suspect he is bouncing of that more than 200pt drop he had yesterday am, he didn't drop very low, but he did drop a lot in that one cycle, enough to elicit a bounce.
Bounce cycle= break for you and your boy.
When I had this I would give George a rest midcycle and grab a test at +10 or +11, just in case he decided to start breaking the bounce just before the next PS. (he seems to be clearing his bounces after 3 cycles/ so tonight he might see some downward movement)
Personally I liked getting that +10 or +11 because I liked to know where his numbers were heading at PS. Was he flat, rising, or dropping.

 

Many thanks , Gil, for " fighting our corner".... we fellow senior kitty moms need to stick together He is being a bit lethargic but also coming in to grab a few bites more often which makes me, as my little nephew says, " very hoppy"

 

And FYI, Gil, I like your approach of caution.... I am a slow and steady kinda gal...like to ponder , get quiet and give time to make most decisions . I am definitely not a knee jerk kind of person in any area .....except maybe shopping

 

My Senior boy has been chasing his whippersnapper civies tonight

He must be feeling good, I worry about him hurting himself though, silly cat.
Got to go get them all their supper, they're hungry and it's time for bed here.
Night Night.
Hope you can get a good nights sleep. Tomorrow morning is three cycles since his last bounce enough said.

 

So so appreciate you giving of your time /wisdom to Elmo and I . Makes it extra special that our boys are ab same age/stage in life . Sleep well (what are y'all, 6 or 7 hours ahead ??). Our DD lived in England for several years and I always had to keep track of time difference .

 

+ 10 402 ...Elmo be pancake man today ...I will gladly take it Good report : eating more and more on his own ..gums looking much better

 

I sure hope Elmo slides down soon...work the juice Elmo - some nice blue would look wonderful on your adorable face

 

Good luck with the increase Beth!! Work that juice little Elmo!!

 

Thanks , Amanda It's been a bit harrowing after 2 1/2years remission but we will be fine . We have banned the "b" word here at our house ( aka bouncing) ...

 

PMPS 427 ....hmmmm... and a great appy ...added in Zobaline today ...had been letting that lag....and Pancake Man rides off into the sunset of today

 

Lizzie , that's hilarious . Are you back home to " cool" Houston ? How is your sweet aunt ? Does she have family out there ? Praying big time for her and you ❤️

 

Yes! Only about 95 here today. Much better!

As well as expected.

Yes. Her daughter lives only a couple of blocks away but has been living with her the past few months to help her with the chemo for her lung cancer. Her daughter had a quick 5 day trip for her God-sons birthday but she cut it short and is back "home"

Had a dead battery in my car this morning. Niece had her first baby today after 3 days of labor (mama and baby doing good). Found out my stepson is engaged tonight! Been quite a homecoming

 

+2 285 ...Giving SQ and Thyroid meds ...what about this drop from PMPS ??? Any thoughts , guidance ? Has Pancake Man left the building ? Mercy Next test ??

 

@MrWorfMen's Mom ???? So much for pancakes ! @Nan & Amber @Chris & China (GA)

 

Oh, Elmo! You couldn't do this in daytime?

How about a small snack to try to slow the drop?

 

Thank you thank you Nan !!! My thot but feels good to be confirmed ...1 t LC coming up !

 

Next test ? In 30 minutes ?

 

Is that +3? That sounds fine.

 

So when a + 2 or 3 is same or lower than PMPS , feed 1 t LC and test in 30 minutes ...repeat until see numbers going up ?

 

Yes ...+3

 

He's still quite high, its just the large drop that's concerning. The hope is that getting a little more food onboard at this time will help slow him down when the PM shot starts working.

No need to go to every 30mins just yet, usually that's for when he's close to or over the lime green line. He's nowhere near that, and hopefully won't go there tonight.

You hear that, Elmo?

 

Good decision on the snack and test in 30 minutes.

 

Yah , you hear that Gpa Man ?!?!

 

So in general how often do you test in a situation like this when trying to slow his roll ?? Not when green headed for lime ?

 

Beth, Nan is right. Elmo is still high enough that you really don't need to resort to testing every 30 minutes based on that 285. However on a night cycle, when the last thing you need is a PJ party, I would check in 30 minutes to see if the food has propped him up or if he is still dropping and how fast. I think he might need more than a tsp to keep him from dropping more but we'll see.

 

I do in fact have on my pjs BUT I do NOT in fact want to party

 

+ 3 204. Feed 2t LC ?

 

Yes but before you do, how much does Elmo usually eat at a meal? I know his appy has improved but....... . If he keeps dropping we don't want him filled up. Not sure if you should up the carbs is why I'm asking.

 

I'm syringe feeding this

 

He just nibbles multiple times during the day ...

 

Add a little MC or 2 t LC ...have to give food with thyroid meds anyway

 

Ok then give him the 2tsp.

 

You can add a little MC to boost the carbs up a wee bit.

 

Test at + 4 ?

 

Yup. I'll check back in then.

 

Come on Elmo, flatten out a little more! Nice and easy, there!

 

Ha ! I keep wanting to send y'all a bitmoji

 

+ 4 254 ....are we in the clear ? Maybe ? Hopefully ?? Pretty please

 

Ok he's up a bit and if he will nibble overnight he should be fine. Can you retest again to see that he's holding in 30 minutes and then hopefully you can call it a night.

 

Yes indeed I can ..you go to bed too !!! We are all cool here , Linda Looks like he's not the only one diving tonight ...Blaze and Ti-Mousse are at it too ! Thank you again , Linda and Nan ...you are our heroes

 

And yes he does nibble overnight ...and wakes me with each time he does ... this dude is aging me

 

Oh I still have to go get Myster more steak for overnight and scoop some litter boxes so I'll stop back to see what Elmo does in half hour. Gonna check on Blaze and Ti-Mousse too.

 

+ 4.5 228 ....ahhhhhhh....feed little 1 t LC plus smidge MC again ?

 

Ah yes...the scooping of the litter boxes ...they laugh at me when my cart is full of just litter at the store .

 

Hmmm... that's more or less steady from the +4 (considering meter variance), and still fairly high. He's doing well!

 

Will check him again at +5 ...gave 1 t LC smidge of MC

 

Lurking on Blaze's thread... learning that once numbers are up you don't feed, test in 30 to see if they're able to go it alone without food help ...correct ??

 

What a great Elmo report today.

You want two rising test in a row, without carbs, before deciding it’s safe to go to bed.

 

+5 215 ?????

 

Yes, that's basically adapted from the procedure when they go lime green. Bring them up with food (HC in that case), then once they're up see if they can hold it on their own. In that case, you're doing it for safety, in this case it's more of a peace of mind so you can sleep thing-- neither Blaze nor Elmo is close to the hypo zone, but you want to be able to sleep without worry.

Of course, since Elmo likes to wake you for middle-of-the-night snacks anyway...

 

Ahhhhhhh....

 

What should I do next ? With a 215 at +5 ...gave 1 t LC MC ....test at + 5.5 ??

 

Plan : test at + 5.5 ...if rising then no food ..test at + 6 ..rising then no food and test at 6.5 ?

 

Still surfing along in low-mid yellows!

Maybe try without the snack this time, see how he does on his own.

 

Well poo doo...already gave 1t LC MC ..will not feed at next test

 

No problem, that's fine. We're coming up to mid-cycle now, I'm guessing that he'll be heading up on his own any time now anyway. You have a good plan in place.

I'm glad Wendy is checking in, and I think there are a couple of other folks around now. I'm going to have to duck out now-- will be very interested to see how this turns out!

 

Night night, Nan

 

@Wendy&Neko + 5.5 165 ????Give 1t MC ???

 

@MrWorfMen's Mom

 

Gave 1 t MC ...test at +6

 

Sounds good. Sorry going in too many directions right now.

 

+6 ( after 1t MC). 156 ..right now it's not ab sleep but mitigating the drop to hopefully keep from bouncing ...gave 2 t MC

 

@Wendy&Neko @MrWorfMen's Mom

 

It's HC time. He just isn't stopping. Do you have anything with gravy that he might lap up himself? Just the gravy.

 

Yep ...how much ? Teaspoon ??

 

Just gave almost 2 t MC

 

Yes try a tsp. and retest in 30 minutes.

 

Ok if he just had 2tsp of MC, give him 1/2 tsp hc gravy and retest in 30 minutes.

 

He is loving this food ...cleaning himself like no tomorrow

 

Glad he has a good appy!

 

So sorry we are keeping you up ..

 

As my Gma would say " we won't be worth shootin' tomorrow"

 

That's OK. My middle child just scared the daylights out of me. There is a hassock with a removable top in my bathroom that he loves to sit on while I shower or brush my teeth. Today for some reason, he's been laying on the hassock even when I'm not in there. He just came tearing down the hall and hid behind the TV looking like something was chasing him. I went to check and I guess the top went flying either when he jumped onto it or off it. Poor little guy is such a chicken!