? PMPS 32? 1/8 Thomas AMPS 357

@Jenn ~ Thomas
Jenn in your title when you have a question you need to do it like this
? Dose advice 1/8 Thomas 357
To change it look to the right of your post you will see the work Thread Tools tap on that then tap on Edit Title tap in that and change it to what I suggested ,then tap save .

I'm no expert but to me it looks like you need to do a curve

EDIT I see you did a curve yesterday
 
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Jenn ~ Thomas said:
https://www.felinediabetes.com/FDMB/threads/1-7-thomas-amps-378.285380/#post-3140990

Back up to pink. Im thinking because of the blues yesterday I wouldn't increase, correct? If I should have I will tonight.
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Under SLGS, it’s 7 days at a dose, unless he falls below 90, and then do a curve. Today is the 7th day at this dose. Since you did a curve yesterday, unless you see some really lower numbers today (below 150), you can increase by 0.25u tomorrow.

Also....if you could please respond to my PM, I’d appreciate it very much. Thank you.
 
Ok so I probably screwed everything up. I got home 15 minutes late for Thomas's BG. I took it and it said 32, I panicked and gave him food because it was so low and no insulin. Then I thought about it and didn't think it could possibly be that low..... He already ate a can of food. I took it again and it was 289. Arrrrgh, now what?

@Suzanne & Darcy
 
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Marje and Gracie said:
Under SLGS, it’s 7 days at a dose, unless he falls below 90, and then do a curve. Today is the 7th day at this dose. Since you did a curve yesterday, unless you see some really lower numbers today (below 150), you can increase by 0.25u tomorrow.

Also....if you could please respond to my PM, I’d appreciate it very much. Thank you.
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Sorry I actually PM'd to make sure you and your email were legit!! I was having issues signing in and my post wasn't getting any replies so I was worried that something was wrong. I will reply to your message.
 
There isn't anything you can do. He has already eaten. It is okay. Stuff happens. Just check his bgs when you can this evening and give him his usual PM dose when it is time.
 
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.
It doesn't hurt to revisit these after you have stopped panicking.

Good job on your curve yesterday.
 
He was due for shot at 6:00 EST. I didn't get home until 615 and then all the above happened. It is now 740. Should I give him his insulin? The latest I can do insulin tomorrow morning is 630, right before I walk out the door. @Basic's Mom
 
A couple of things: how much later after the 32 was the 289? What % carb did you feed? It is possible that the 32 was a wonky strip, something to perhaps keep in mind for next time if you get a test that may be out of place, retest right away to see if it is accurate.
 
Christie & Maverick said:
A couple of things: how much later after the 32 was the 289? What % carb did you feed? It is possible that the 32 was a wonky strip, something to perhaps keep in mind for next time if you get a test that may be out of place, retest right away to see if it is accurate.
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it was about 20 minutes later after he ate his a can of fancy feast classic. Maybe it was wonky ....
 
Basic's Mom said:
@Christie & Maverick
Should she still give him insulin?

Make sure you are able to give him his AM shot 12 hours from the time you dose this evening, if you do. I don't know your schedule for tomorrow.
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I have to leave at 630 am. so it would be impossible. My previous vet said as long as I am in a 2 hour window it is fine otherwise skip. He also wasn't being monitored and was getting 12 units 2x a day
 
Yeah, that isn't advice I would follow. Nowhere here have I read a 2 hour window for dosing with any insulin. Doesn't mean it hasn't been said. I have only read the advice to dose every 12 hour.
 
Is there anyway you can run home at 8 or 8:30?

If not, there really isn't anything you can do that I know of. Someone may tell you something different.
 
If you fed lc it’s not likely he would be that much higher in 20 minutes. We would only suggest shooting 30 minutes early every 24 hours and not 2 hours. How late are you now?
 
Jenn ~ Thomas said:
I have to leave at 630 am. so it would be impossible. My previous vet said as long as I am in a 2 hour window it is fine otherwise skip. He also wasn't being monitored and was getting 12 units 2x a day
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@Basic's Mom
@tiffmaxee

Although Jenn skipped tonight, if she hadn’t, she easily could have shot two hours early tomorrow morning if the BG was high (e.g. above 350) and had gone up since the cycle before to get back on schedule. I wouldn’t do it if the BG was coming down from the previous cycle. It’s a technique we’ve used around here for a very long time but I’m afraid that most members who have the knowledge of it have moved along. It doesn’t address this in SLGS or TR but many of us oldtimers have done it many times.

Jenn—two things
1. Since you skipped tonight, you can shoot at whatever time you want in the morning. That means if you think the 6/6 shot time isn’t working for you and you want to move it to earlier to 5:30 or later to 6:30 or 7, the morning would be the time to do it. Then it would be every 12 hours.
2. We don’t know if the 32 was an actual reading or a wonky strip but, to be safe, you should reduce the dose to 1u at the next shot.

I also want to throw out the reminder that, under SLGS, if you skip a shot because the BG is below 90, then you would reduce the dose.

Marje and Gracie said:
Under SLGS, it’s 7 days at a dose, unless he falls below 90, and then do a curve. Today is the 7th day at this dose. Since you did a curve yesterday, unless you see some really lower numbers today (below 150), you can increase by 0.25u tomorrow.

Also....if you could please respond to my PM, I’d appreciate it very much. Thank you.
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It’s ok. I haven’t posted to you before but if someone with a Moderator title PMs you, it’s safe :):) but I do understand.
 
I know every cat is different but anything I should expect in the morning? I think everyone else is still sleeping when I am leaving for work except Suzanne.
 
Marje and Gracie said:
@Basic's Mom
@tiffmaxee

Although Jenn skipped tonight, if she hadn’t, she easily could have shot two hours early tomorrow morning if the BG was high (e.g. above 350) and had gone up since the cycle before to get back on schedule. I wouldn’t do it if the BG was coming down from the previous cycle. It’s a technique we’ve used around here for a very long time but I’m afraid that most members who have the knowledge of it have moved along. It doesn’t address this in SLGS or TR but many of us oldtimers have done it many times.

Jenn—two things
1. Since you skipped tonight, you can shoot at whatever time you want in the morning. That means if you think the 6/6 shot time isn’t working for you and you want to move it to earlier to 5:30 or later to 6:30 or 7, the morning would be the time to do it. Then it would be every 12 hours.
2. We don’t know if the 32 was an actual reading or a wonky strip but, to be safe, you should reduce the dose to 1u at the next shot.

I also want to throw out the reminder that, under SLGS, if you skip a shot because the BG is below 90, then you would reduce the dose.


It’s ok. I haven’t posted to you before but if someone with a Moderator title PMs you, it’s safe :):) but I do understand.
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6 is usually good for me any earlier would be risky to be home by that time in the evening.

Ok I will give 1 unit in the morning. Since he didn't get insulin tonight will his numbers be high in the morning? I figured you were safe but since hackers are smart they would use the moderator title..... I just wanted to be sure. :) did you get everything that you needed?
 
Jenn ~ Thomas said:
6 is usually good for me any earlier would be risky to be home by that time in the evening.

Ok I will give 1 unit in the morning. Since he didn't get insulin tonight will his numbers be high in the morning? I figured you were safe but since hackers are smart they would use the moderator title..... I just wanted to be sure. :) did you get everything that you needed?
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6 it is! I just wanted you to know you had options. Yes…his BG will likely be high in the morning. And the 1u might not work for him but we don’t mess around with potential numbers like 32 by continuing with a dose that potentially got him there.

I know what it feels like to come home to a BG that low. As Christie said, you always want to retest quickly. Then, if it’s a valid number, get some honey or syrup into him and some higher carb food. Retest in about 20 mins after he has eaten to be sure he is coming up and then feed accordingly. Because you have to feed HC or give syrup to get that kind of number up, you are not going to be able to shoot within that 2 hour window as it takes a good two hours to know if the bag is stable on its own or if it’s because of the food.

Jenn ~ Thomas said:
I figured you were safe but since hackers are smart they would use the moderator title..... I just wanted to be sure. :)
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I understand. Just FYI, any titles you see like “Moderator” or “Webmaster” can only be added by the webmaster. Even as a moderator, I can’t add titles to anyone’s user name.
 
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