Dose reduction? 2.75u or 2.5u? 12/26 AMPS 154 /+5.5 79 /+10 151 /PMPS 307

Discussion in 'Prozinc / PZI' started by Emily Tuomey, Dec 19, 2020.

  1. Emily Tuomey

    Emily Tuomey Member

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  2. Shelley & Jess

    Shelley & Jess Member

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    What did you shoot 12/18 am cycle?
    and yes keep stalling for now.
     
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  3. Emily Tuomey

    Emily Tuomey Member

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  4. Shelley & Jess

    Shelley & Jess Member

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    Let's see what his number is at the next test.
     
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  5. Emily Tuomey

    Emily Tuomey Member

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    Got it. I’ll have that in about 10 mins for you.
     
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  6. Emily Tuomey

    Emily Tuomey Member

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    +13 163.
     
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  7. Shelley & Jess

    Shelley & Jess Member

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    I like 2.75u. He's got a good rise going. Are you home to test today?
     
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  8. Emily Tuomey

    Emily Tuomey Member

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    Yes.Which intervals would be good to test at today? Thinking like 4-5, 7-8, 10 (if needed)..
     
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  9. Shelley & Jess

    Shelley & Jess Member

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    When shooting full doses on lower pre-shots for the first time I like to see a +2 to start with and depending on the number go from there.
     
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  10. Emily Tuomey

    Emily Tuomey Member

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    Okay. I’ll update this thread throughout the day. 2.75u given.
     
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  11. JanetNJ

    JanetNJ Well-Known Member

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    Let's try it
     
  12. Emily Tuomey

    Emily Tuomey Member

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  13. Emily Tuomey

    Emily Tuomey Member

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    Think we made the right call.
     
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  14. Shelley & Jess

    Shelley & Jess Member

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    How about a +4? Let's see if he's heading towards a big bounce or hopefully, fingers crossed, we haven't caught the onset of the insulin yet.
     
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  15. Emily Tuomey

    Emily Tuomey Member

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    Fingers crossed indeed! Historically he doesn’t see onset until +4, at least. Will let you know after we test in two hours. Thank you for all your help today.
     
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  16. Emily Tuomey

    Emily Tuomey Member

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    Almost no movement in two hours... +4 323. :( Still possible he could move downward, his lower numbers tend to sit in the +5-+7 range. But, I’m nervous about it at this point. Planning on a +6. Will be in touch— please let me know any thoughts!!
     
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  17. Emily Tuomey

    Emily Tuomey Member

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    @Shelley & Jess +6 265. I’m gonna leave him be now until PMPS. I don’t think we are in any danger of falling too low. Not sure what’s going on honestly. Sometimes I think it might be operator error but every test today I’ve done two in a row and same range so I know it’s not me or the monitor or the strip. Just when you think you know... upload_2020-12-19_14-41-25.png
     
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  18. Shelley & Jess

    Shelley & Jess Member

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    If I had a dime for every time I thought this.....
     
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  19. Emily Tuomey

    Emily Tuomey Member

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    I mean we’re new to this, but RIGHT??! Happy we chose to gamble on the 2.75u this morning. Maybe it’s not too high..
     
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  20. Shelley & Jess

    Shelley & Jess Member

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    I see big progress on your spreadsheet. Gosh only a month ago, look at all that black - you (and Nico:)) are doing an amazing job!
     
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  21. Emily Tuomey

    Emily Tuomey Member

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    SO MUCH BLACK. I was so scared, especially with all the talk of potential ketones when all I was getting was “HI.” So many sleepless nights. We are making progress, just wish his body wasn’t so unpredictable— although that’s precisely what all bodies are, unpredictable. I never know where or when he will be up or down or middle of the road, whether he’s bouncing or not, or even what his next dose is gonna be LOL I am starting to kind of see it in his eyes when he’s gonna read high though, he just gets a look, again like all bodies get. I work in pediatric medicine so I’m used to “the look,” just not in feline form. Until now. Anywho.. I’ll be back before dinner time to check in, but I’m anticipating his full 2.75u dose this evening.
     
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  22. JanetNJ

    JanetNJ Well-Known Member

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  23. Emily Tuomey

    Emily Tuomey Member

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    Yea. Definitely not. I kept retesting expecting them to be wrong. Nope. Lol
     
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  24. Emily Tuomey

    Emily Tuomey Member

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    @Shelley & Jess Certainly not. He didn’t look good this evening, so I knew it wasn’t gonna be pretty tonight. PMPS 433. I feel so badly for him, that he feels so crappy. Hoping he’s alright overnight and well into tomorrow. :oops:
     
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  25. Shelley & Jess

    Shelley & Jess Member

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    How's Nico doing today?
     
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  26. Emily Tuomey

    Emily Tuomey Member

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    Whoa my ears must’ve been burning.. I was just coming to update! Just tested a +6, he’s at 96. Want to leave him be until PMPS today, since we tested so frequently yesterday, unless I see an immediate need for it like extreme lethargy or food aversion, etc. Do you think that will be okay? I’m feeling like I should try to ride out these waves without constantly increasing or decreasing doses to accommodate unless he’s in immediate danger just to see if he will flatten out a little lower than his usual 200s-300s on 2.75u. I’m home, for the most part, so am able to monitor closely if needed. Let me know your thoughts! @JanetNJ & @Chris & China (GA) too!! upload_2020-12-20_13-6-35.png
     
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  27. Shelley & Jess

    Shelley & Jess Member

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    :D!!!!

    I'd do a late cycle test, say around +10 or +11. That way if PMPS is on the low side we'll know if he's on the rise when the time comes and it'll help give us an idea of duration too.

    That's one gorgeous boy you've got there!
     
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  28. JanetNJ

    JanetNJ Well-Known Member

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    Great number!
     
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  29. Emily Tuomey

    Emily Tuomey Member

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    Awe. Thank you! I’ll get a test when I pull his food up for pre-shot test, so +10. Be back in a bit!
     
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  30. Emily Tuomey

    Emily Tuomey Member

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    @Shelley & Jess @JanetNJ I'm backkkkkk. And a good thing we decided a +10 was a good idea. He’s just tested at 79. :woot: Fasting him now for PMPS. But am assuming we are gonna wind up stalling this evening..but I’m apprehensive to lessen his dose because it seems to just be sending him around and around in circles. Thoughts (before it gets too late)??
     
  31. Shelley & Jess

    Shelley & Jess Member

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    Let's see what the next test brings.
     
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  32. Emily Tuomey

    Emily Tuomey Member

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  33. Shelley & Jess

    Shelley & Jess Member

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    I'd do a 30 minute stall to be absolutely sure.
     
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  34. Shelley & Jess

    Shelley & Jess Member

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    I'd like to see him over that 150 at the very least. This is new territory for Nico, we want to be safe.
     
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  35. Emily Tuomey

    Emily Tuomey Member

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    Ok. So retest in about 20 mins now then I’ll be back. I’ll just update here and tag y’all, if that’s okay? << here’s hoping >>

    UPDATE @Shelley & Jess @Deb & Wink @JanetNJ @Chris & China (GA): he’s now 118 @+12.5. :confused: Crap. I really don’t want to set him up for another bounce by reducing to 2.5u though. I feel like we keep going in circles by doing that, but I know no one is gonna be comfortable with me shooting his full (2.75u) dose at 118 for sure. :( What to do...
     
    Last edited: Dec 20, 2020
  36. Shelley & Jess

    Shelley & Jess Member

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    Another 30 minute stall or consider a token dose, trying to figure out what to give him. Looking at your spreadsheet.
     
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  37. Emily Tuomey

    Emily Tuomey Member

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    +13 122. I’d really like to give him his full dose, he’s close to 150. But he’s been going up then dipping, up then dipping. Not sure.
     
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  38. Shelley & Jess

    Shelley & Jess Member

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    I'm going to re-post what Deb said in your previous thread for us to re-visit.

    118 and 122 are basically the same number. I don't recommend shooting 2.75u.
     
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  39. Emily Tuomey

    Emily Tuomey Member

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    So are we recommending 2.5u then?
     
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  40. Shelley & Jess

    Shelley & Jess Member

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    If he were my cat I'd do no more than 2.0u and I'd be monitoring all night :nailbiting:
    I'm looking at 12/13 PMPS @ 113 mg/dL, you shot 1.0u. You hold the syringe. What do you think the next step up would be?
    I can't stay up with you (it's 11:30pm here)
     
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  41. Emily Tuomey

    Emily Tuomey Member

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    I know it’s late, thank you for staying up for us. I’m prepared to stay up throughout the night— I’m on a pain medicine schedule myself anyway. I have supplies for a potential hypo. It’s just never been his mo to drop super low. I’m nervous if I decrease too much it’ll just set him back up for this same cycle. Luckily I’m working from home so I can nap tomorrow if I’m up with him tonight. Every 2 hours test?
     
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  42. Shelley & Jess

    Shelley & Jess Member

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    We expect him to bounce but can never assume he will bounce. Plan on testing every 2 hours just to be safe. The numbers will guide you.
     
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  43. Emily Tuomey

    Emily Tuomey Member

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    Is there a point where he’s high enough to not test and get some sleep, or not really? I’ll do every 2 hours until at least +6 regardless.
     
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  44. Shelley & Jess

    Shelley & Jess Member

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    See what way the numbers are trending. If he's dropping, look at the percentage of the drop or the momentum the drop has and ask yourself if he keeps dropping at the same rate where will he be in 30 minutes, 1 hour, or 2 hours from now. Look at where you are in the cycle. Are you at the point in the cycle when the insulin is just kicking in or starting to wear off?
     
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  45. JanetNJ

    JanetNJ Well-Known Member

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    Interesting night
     
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  46. JanetNJ

    JanetNJ Well-Known Member

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    Looks like you are getting a good 13-14 hours in duration and a late nadir. Makes dosing tricky. Looks like you didn't get much sleep
     
  47. Emily Tuomey

    Emily Tuomey Member

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    No, no sleep at all really. And we’ve come back full circle. AMPS 304. :( I was really hoping he’d be lower than that this morning. Oh well..
     
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  48. Shelley & Jess

    Shelley & Jess Member

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    Em, that's not bad at all, just squeaking over the yellow line to barely pink. Look at your last blue AMPS 12/19 - he gave you a red PMPS that cycle. Progress!!
     
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  49. Emily Tuomey

    Emily Tuomey Member

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    Trying! I did a +4 on him and he’d come down a bit, 262, planning to get a +7 here shortly before I head out to an appointment just to be sure he’s okay— but I’m suspect of higher numbers, I don’t know why. Just a feeling. I’ll be back soon with a new number! (Oh, and still no sleep. I’ve never really been a very good napper.. early to bed tonight, hopefully; if his numbers are play. :coffee:)
     
    Last edited: Dec 21, 2020
  50. Emily Tuomey

    Emily Tuomey Member

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    @Shelley & Jess @Deb & Wink @JanetNJ

    .....we are down to 89 within the last 3 hours (+7).. I have an appointment from 3:15-5:30pm today, but he will be okay if I just leave a little bit of food down probably, yes? It’s not critically low.
     
    Last edited: Dec 21, 2020
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  51. Shelley & Jess

    Shelley & Jess Member

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    Oh my goodness, huge drop! Is a quick test before you leave possible?
     
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  52. JanetNJ

    JanetNJ Well-Known Member

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    Your cat does like those late nadirs
     
  53. Emily Tuomey

    Emily Tuomey Member

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    Certainly does!
    Just ran another quick test. +8 79. Will leave him some food down while I’m gone. Should be okay, I won’t be gone long. 2 hrs max.
     
  54. Deb & Wink

    Deb & Wink Well-Known Member

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    If Nico is too low, and you have to leave, you can always leave out some MC (medium carb) food for him.
    He might bounce a bit on the higher carb food. But the alternative, a hypo, is not something you want to see.
     
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  55. Emily Tuomey

    Emily Tuomey Member

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    I should be home in about 15 minutes. I did leave some food out for him before I left, just in case. I’ll pull it up once I’m home for his fasting bg PMPS (which he didn’t eat any of anyway). Will let you know!
     
    Last edited: Dec 21, 2020
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  56. Emily Tuomey

    Emily Tuomey Member

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    @Shelley & Jess @Deb & Wink @JanetNJ his official PMPS is 193. I just gave him a full dose of 2.75u. I’m fairly confident we can get a little more rest tonight though, which I’m grateful for— mama is tired. I do plan to get a +7 or +8 (where his nadir generally lies) overnight, I’m setting an alarm now :) Sound okay to everyone??
     
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  57. Emily Tuomey

    Emily Tuomey Member

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    @Deb & Wink @JanetNJ @Shelley & Jess Think we’re looking at a dose reduction here.. his +8 overnight was 68, then he just tested at 80 for his amps. Stalling at the moment. What are we thinking? I’ll be back with a retest number in 20ish minutes.
     
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  58. Emily Tuomey

    Emily Tuomey Member

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    @Deb & Wink @Shelley & Jess @JanetNJ UPDATE: we’re on the way up +12.5 116. +13 138.

    (side note: he gets “poke treats” —Dr Elsey’s dry food, chicken— about 5 kibble per poke so I think this may be influencing his rises when his pre-shot tests are initially low. How can I overcome this? I’m nervous we aren’t getting accurate tests for him for those pre-shot +12.5 & +13 values.. thoughts??)
     
    Last edited: Dec 22, 2020
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  59. Shelley & Jess

    Shelley & Jess Member

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    That's a good 40% rise in 30 minutes. I'd like to see a reduction in his regular dose to see if we can even out the cycles a bit.
     
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  60. Shelley & Jess

    Shelley & Jess Member

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    Having said that in my last post....
    After the stall cycles are you shooting at your regular times the next cycle? I'm thinking you are, but want to be sure. Shooting a bit early can act like a dose increase or are we getting longer cycles because of the stall the cycle before? @JanetNJ @Deb & Wink ?
     
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  61. Emily Tuomey

    Emily Tuomey Member

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    Yes, we are still shooting 7am & 7pm (PST) if we stall that hour per-shot. But if it surpasses one hour then I’ll usually ask then adjust his schedule accordingly. The past few days have all been as given in his ss (noted if given @+13). What are we thinking we need to reduce to? I gave his full this morning, well a smidge under so closer to 2.5u. Let’s connect @Shelley & Jess @Deb & Wink @JanetNJ later today.
     
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  62. Shelley & Jess

    Shelley & Jess Member

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    Things are changing quite quickly the last few days. Want to rule out any anomalies. Don't know if what I'm thinking came out the right way when I worded it. Hoping Janet or Deb can read my mind and what I'm trying to say....as my husband would word it "Are you picking up what I'm putting down?" o_O:)
     
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  63. Emily Tuomey

    Emily Tuomey Member

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    I’m gonna leave it to the professionals, just let me know what I need to do!
     
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  64. Emily Tuomey

    Emily Tuomey Member

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    There’s a note in his ss, but in case you missed it I should probably call attention to the fact that previous to Saturday we had him on Friskies pates, he was transitioned to FF pates fully by Sunday morning. Could also be contributing to the drastic changes we’ve been seeing in the past ~3 days.. ?
     
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  65. Emily Tuomey

    Emily Tuomey Member

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    @Shelley & Jess perhaps the insulin being shot at +13 is effecting that later nadir. I just did a +5/6 (not sure if on the ss it should be put under +5 or +6, given the delayed am insulin dose) and he was 266. I’m planning to grab a +9/10 as well to see where we go from there. I doubt he’s hit his nadir yet. I’ll try to get back with you before his PMPS. Let me know what you guys have come up with.
     
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  66. Shelley & Jess

    Shelley & Jess Member

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    The + entries on your spreadsheet should be recorded as the actual amount of time from when the insulin was shot.
    If you stall and shoot 1 hour late your 'usual' +6 test is really +5 and should be recorded as +5 (or 5 hours after you shot insulin.)

    If you shoot 1 hour 'early' to get back on schedule after a stall cycle your +11 becomes your AM/PMPS - the number you actually shot on.
     
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  67. Emily Tuomey

    Emily Tuomey Member

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    Okay. I’ll try to change it this evening when I get back home. Just did a +7 on him, 264. So pretty much the same.
     
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  68. Deb & Wink

    Deb & Wink Well-Known Member

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    Definitely! Those Fancy Feast (FF) pates are lower carb than the Friskies pates. So yes, even that food change could be contributing to the drastic changes in the BG numbers.

    I think it's time to try Nico back on the 2.5U dose. Especially since you completed the food change on Sunday morning to the lower carb FF.

    I would not worry too much about those yellow range BG numbers at mid-cycle today. BG levels can be a bit erratic, especially when your cat has had some lower green or blue BG numbers. That is Nico to a T right now. Erratic. Doing his own thing. Making your life complicated.
     
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  69. Emily Tuomey

    Emily Tuomey Member

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    :nailbiting:
    It seems the erratic continues... +11 (PMPS) 350. :banghead: 2.75u given. Should I look to change his dosage to 2.5u in the morning?? :nailbiting:
     
  70. Emily Tuomey

    Emily Tuomey Member

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    @Shelley & Jess @Deb & Wink @JanetNJ I know it’s barely a day left until Christmas (and tomorrow is my birthday :joyful:) and hopefully y’all have wonderfully, cheery things to look forward to in the coming few days. I just wanted to tag you today, so as you have time you can follow Nico’s progress. This morning he tested just under 150, AMPS 133 (then after stalling 30 mins tested 143), I gave him his full dose. We just did a +6 and he’s just under 100 at 99. So we are doing GREAT, after a not so fun night last night, poor guy looked so sad— but his snuggles were top notch! I’ll continue to update as I am able. As of right now I plan on getting a +8 and his PMPS then will go from there. Merry Christmas Eve eve!! upload_2020-12-23_13-22-3.png
    upload_2020-12-23_13-22-20.png
     
  71. Deb & Wink

    Deb & Wink Well-Known Member

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    Nico does not want to let your hand go! How cool is that?!?!?

    That mid-cycle 99 was low, but not too low.
    In my mind, it's a bit of a tossup, to stay at the 2.75U dose or lower to 2.5U.
    You say that Nico didn't look so good, per the Remarks on your SS.
    So I'm thinking you should stay at the 2.75U for now.
    It's your call Em, as you are there to observe Nico's behavior.

    Happy Holidays to you both!

    p.s. Big storm coming my way Thursday into Friday. Predictions of widespread power outages with the high winds. Hope that doesn't happen, but if it does I won't be able to sign on to the message board and respond. Otherwise, I'm "Staying home for the holidays."
     
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  72. Emily Tuomey

    Emily Tuomey Member

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    Not a great start to our day over here today.. AMPS 451 :( Do we think this is some sort of bounce, or is his body just being wonky?? I’m continuing him on 2.75u as much as I am able. Not sure what to anticipate later in the day, but gonna try to enjoy my birthday as much as I can today— here’s hoping Nico feels much better a little later today! upload_2020-12-24_7-43-23.png
     
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  73. Shelley & Jess

    Shelley & Jess Member

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    Bounce, big, ol' bounce. Could be from the green during the AM cycle 12/23 but I'm guessing he went low overnight. It's going to be really important to get a test or two in the PM cycles from now on, now
    that he's showing you greens. Cats generally go lower at night. At the very least try and get a before bed test every night, he may be earning dose reductions in the PM cycles and we won't know if you don't test.

    Try not to fret too much when he gives you higher than ideal numbers because of a bounce - that's why we need patience, to wait out those bounce cycles to see how the insulin is actually working when the bounce finally clears. And, we do know for a fact that the insulin is working, look at all those lovely greens popping up on your spreadsheet! It's going to take time for Nico to get used to those low/normal numbers. Think of it this way, the highs (bounces) are not because the insulin is not working but rather the opposite. It will take time for his body to relearn that the lower numbers are safe. As Nico gets reacquainted with a more normal BG he won't bounce as high and those higher readings will lessen. Remember, a bounce is simply a natural reaction to what the cat's system perceives as a BG value that is "too low".
     
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  74. Shelley & Jess

    Shelley & Jess Member

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    Happy Birthday!!!


    [​IMG]
     
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  75. JanetNJ

    JanetNJ Well-Known Member

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    How sweet and pretty he is. He's doing so much better than a month ago. He's lucky to have you.
     
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  76. Emily Tuomey

    Emily Tuomey Member

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    Thank you for this. I realized this morning that I haven’t tested overnight in a few days, I think mostly because I felt like we all needed the rest, but I will do better going forward. I know his lows do usually happen in the middle of the night, and are generally lower than his daytime cycle lows. I think my biggest problem though is that he (as Janet says) “likes his late nadirs,” and it can be hard to be up that late with him every night. +6, 7, or 8 depending.. especially when I have to be up just 2-3 hrs later to pull up the food, then 2 hrs after that for amps routine/work. I guess it can just seem like a lot, especially when you’re tired. Anyway, may you have tips that I haven’t thought of and could pass along. But, I will do better. I promise.


    Awe thank you. But, I think maybe that’s backwards— I’m lucky to have HIM. <3
     
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  77. Emily Tuomey

    Emily Tuomey Member

    Joined:
    Oct 1, 2020
    Just a quick update @Shelley & Jess @Deb & Wink @JanetNJ tested a +5 for Nico and he’s dropped to 199, which is quite large considering he’s coming from 450+ just a couple hours ago. I’m planning on getting a +8, so will be bank then. — looking like okay need a new thread tomorrow too!


    Hoping this isn’t the calm before the storm for you— power outages suck! It’s BEAUTIFUL here today, crisp and sunny. Already been out for two walks, gonna do a bit of baking now. Thankful for al of you, and such a good day with my sweet babies.
     
  78. Shelley & Jess

    Shelley & Jess Member

    Joined:
    Jan 23, 2020
    I am in no way saying you're not doing an excellent job. I've got 'slept thru alarm' notes and many nights when I should have tested but didn't. We've all been there. We know exactly what you're going through.

    A before bed test is a good habit to get into, as he settles in and you learn his patterns you'll have a better idea if you need to set an alarm to get a test later in the cycle. Take care of yourself and test when you can on a schedule that works for you. :)
     
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  79. Emily Tuomey

    Emily Tuomey Member

    Joined:
    Oct 1, 2020
    @Shelley & Jess @Deb & Wink @JanetNJ +5 185. We should be in good shape for PMPS but I’ll get an update or two in his ss overnight regardless!

    Merry Christmas from us, my new sugarbaby family! - Em, Nico, and Brooklyn
    upload_2020-12-24_16-31-4.png
     
  80. Emily Tuomey

    Emily Tuomey Member

    Joined:
    Oct 1, 2020
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  81. JanetNJ

    JanetNJ Well-Known Member

    Joined:
    Jun 8, 2016
    Why do you think he will go low? That's a bouncy boy you have there.
     
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  82. Emily Tuomey

    Emily Tuomey Member

    Joined:
    Oct 1, 2020
    I’m not sure, I guess I just figured higher highs mean lower lows (though again I realize it’s unpredictable..). No? Maybe I don’t need to test that much then. I guess I just figured if he was pretty high at PMPS then I didn’t need to test for a nadir overnight, but then heard that’s precisely why you would want to test for a nadir overnight.. to look for a bigger bounce. Maybe I misunderstood..
     
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  83. JanetNJ

    JanetNJ Well-Known Member

    Joined:
    Jun 8, 2016
    I think he will be fine. Get some sleep.
     
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  84. Emily Tuomey

    Emily Tuomey Member

    Joined:
    Oct 1, 2020
    THANK YOU!! Merry Christmas Eve.
     
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  85. Emily Tuomey

    Emily Tuomey Member

    Joined:
    Oct 1, 2020
    @Shelley & Jess @JanetNJ @Deb & Wink we aren’t having a great day over here today— my first clue was Nico sleeping on the kitchen floor by his water fountain. We had an alright amps of 235, but now at +5 we are pretty elevated at 345. I’m nervous for the second half of his cycle today.. hope it doesn’t go the way I think it’s gonna go— don’t want to see him in the blacks by nightfall. We shall see. Hope you all are having a wonderful holiday.
    upload_2020-12-25_12-36-35.png
     
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  86. Emily Tuomey

    Emily Tuomey Member

    Joined:
    Oct 1, 2020
    Wait I think I caused it!! His holiday Purebites contain sweet potato!!! Fudggggggge. Pulled them up, no more(!), fasting two hours and retest to see. I can’t believe I did that!!!
    upload_2020-12-25_15-59-8.png
     
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  87. Deb & Wink

    Deb & Wink Well-Known Member

    Joined:
    Jan 31, 2013
    Well H E double hockey sticks!
    At least you traced the problem to those new holiday treats.

    Even if Nico is higher in the red or black range at PMPS, you know that you can keep him at the higher 2.75U dose that he has been on for 9 cycles now.
    If you thought you would be able to monitor more tonight, you could try giving him 3U if he's really high.
     
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  88. Emily Tuomey

    Emily Tuomey Member

    Joined:
    Oct 1, 2020
    PMPS 417. So high, but not sure it warrants 3.0u. I gave 2.75u. His behavior is already markedly better (though his numbers are lagging a bit behind that it seems), so I’m hopeful his numbers will follow suit shortly. I plan to get a +4 for him around 11pm PST, and go from there. I was just happy to see him perk back up about 3 or so hours ago, preen himself, eat well, and CUDDLE. Such a difference from mere hours before when he looked terrible and was sleeping in strange places, which for him screams “I feel like crap, mom.” — I can see it in him now, (with some training) it was extremely odd that he, almost immediately after eating some of those holiday treats early this morning, was sleeping on the kitchen floor right next to the water fountain and didn’t move for nothing! Even at the time I remarked how weird it was. I guess hindsight is always 20/20... Hope your holiday was lovely. Hoping you’ll check in again at some point tomorrow in case we are in need of a dosing adjustment. Thanks for all you do!
     
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  89. Emily Tuomey

    Emily Tuomey Member

    Joined:
    Oct 1, 2020
    We’re well on our way back down— HUZZAH!!! +5(ish), 217! :cat: Goodnight, and sweet Christmas dreams!
     
  90. Emily Tuomey

    Emily Tuomey Member

    Joined:
    Oct 1, 2020
    Last edited: Dec 26, 2020
  91. Deb & Wink

    Deb & Wink Well-Known Member

    Joined:
    Jan 31, 2013
    Yeah! Nico did come back down. It can take time to get the BG levels back down after they spike, but you waited and the BG's are looking good right now.

    Again, don't be surprised if Nico bounces up high at PMPS tonight, 12/26/20, after that low green at mid-cycle today.
     
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  92. Emily Tuomey

    Emily Tuomey Member

    Joined:
    Oct 1, 2020
    He’s certainly one bouncy, little boy! Will the bouncing end at some point? Or, how do we know changes need to be made to his current dosing? Just curious (for the not so distant future)..
     
  93. Deb & Wink

    Deb & Wink Well-Known Member

    Joined:
    Jan 31, 2013
    Some cat's bodies do learn to adjust to the lows, and not bounce so much.
    Some cat's bodies never learn to adjust, and bounce and bounce and bounce.

    You kind of get a feel for the waves of action of the SS readings noted on the SS. Looking at the trends over several cycles, looking at what happens over several days to a week or longer.

    Right now, it's looking to me like Nico may be due for a dose reduction soon.

    After seeing that low blue AMPS on 12/26/20, then the low green at +5.5, Nico will probably bounce.
    But I'm getting the feeling that he could do ok with a dose reduction to 2.5U soon. Very soon. Perhaps tonight, if he doesn't bounce.
     
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  94. JanetNJ

    JanetNJ Well-Known Member

    Joined:
    Jun 8, 2016
    Oooh a green!
     
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  95. Deb & Wink

    Deb & Wink Well-Known Member

    Joined:
    Jan 31, 2013
    Hey Em! @Emily Toumey
    This thread is getting super long. It's about to go to a second page.

    Would you start a new thread here, in the Prozinc forum and link this old thread in at the top? Please.
     
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  96. Emily Tuomey

    Emily Tuomey Member

    Joined:
    Oct 1, 2020
    +10, 151. Could go either way at this point— a little, or a lot. Time will tell!
     
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  97. Emily Tuomey

    Emily Tuomey Member

    Joined:
    Oct 1, 2020
    I’ll get that going at PMPS tonight, thanks for the reminder!
    @Deb & Wink UPDATE: we bounced (PMPS, 307), so staying at 2.75u tonight. Fingers crossed for tomorrow!
     
    Last edited: Dec 26, 2020
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