Walk me through hometesting for Phoebe please phase 4"

Nice drop. Looking at her SS, I wonder if she didn't see a green today...

 

+3 197

 

+6 88
Woo hoo!

 

Green!!!!

 

Yes!

 

+10 68
Look at those numbers!!!

 

Beautiful! Go Phoebe!!!!

 

I LOVE IT !!!!! That's a really late nadir and she will likely bounce higher. You have shot a 188 on this dose so hope she gets to at least there for PMPS. Are you going to be able to monitor tonight?

 

PMPS +78

 

Ok I've never been 78 at PMPS what do l do?

 

Wow, okay, you are going to skip the PM dose. And tomorrow morning decrease her back to 2 Units. The idea is to get two shootable doses AM and PM. She will likely be higher in the AM because of this skipped dose so don't be surprised. Again skip tonight.

 

That's good news l would think!?!

 

This is great that she is starting to respond to the insulin and the new lower carb food. Since you shot a 188 with the old dose of 2.25, maybe we can lower the no shot to around 150 IF you are able to monitor. Let's see what this dose does. I am very happy to see her progress. I was sort of expecting that she wasn't going to come up for you. Go ahead and feed her like normal and see you in the AM

The good news is you get a night off from testing and her little ears get a break.

 

Eric, put a NS in the box for the units so peeps will know that you did not shoot.

 

Woo Hoo Phoebe!

 

Do l do that on Phoebe's spread sheet?

 

Wow Phoebe! That's awesome!!!

Yes, put NS in her SS. That way we know you didn't forget to put how many units you shot.

 

Awwww...her poor little ears.

 

Have you tried Neosporin cream with pain reliever? I used that on Bubba's ears in the beginning then they just toughen up.

 

Wow Eric - she's really made progress but now when she starts getting into the greens, the nail biting can start. Bobbie, is right, you want to get two shootable numbers if at all possible - especially with her history of DKA It's good you are cutting back on the dose tomorrow morning

 

Ugly red this AM, but that's to be expected with no insulin last night. She'll get back on track. Maybe start another thread next time you post, this ones getting long.
Try to get a ketone test in today

 

@Sue and Oliver (GA) , considering Phoebe's DKA history, should I am had Eric shoot a BCS dose? I am second guessing myself now in retrospect.

 

Good Morning Eric ~ just looked at your SS and it says you shot 2.25. Is that correct? She should have had a reduction down to 2 units since the 2.25 gave you an unshootable number last night. The idea is to have a dose that allows you to shoot AM and PM and the 2.25 did not.

Can you test today? She was high this morning because of a skipped dose and lower numbers that she isn't used to being in. The bounce can take up to 3 days or 6 cycles to clear.

 

I think this am was a bounce too, and yes, I would have reduced a bit. She didn't drop so low she "earned" a dose reduction (under 50) but that pmps was a clear indication of too much insulin, lasting too long.

I hope you will be around today and keep an eye on her, Eric.

It is much easier to figure out when she needs a dose increase than when she needs a reduction. I personally like to err on the side of caution, but, as always, it is not my cat. Today will let you know whether less is warranted, and you are great at testing, so you can stay on top of things. And it might be that, since the amps is higher than she has been running, the dose may be just what she needs.

 

Wow, I just now looked at the SS, what a nice green surf!

 

@Sue and Oliver (GA) , was skipping last night the correct thing even in light of the recent DKA history? Or would a BCS dose have been okay?

 

I would have skipped. That number was too low. Even a drop could have sent her down into hypo territory

 

@Bobbie And Bubba what does BCS mean?
And I'm with Sue on this one, that number was too low to give a drop.

 

Thanks Sue, I think my Lantus brain was giving me doubt, LOL. @Ruby&Baco BCS Big Chicken S--t dose or a token dose, it's another one of the forums slangs.

 

HAHAHAHAHAHAHAHAA LOL! This word is making me laugh sooooooooooooo hard! BCS, HAHAHAHA

 

Interesting question Bobbie. A past DKA episode is always something I worry about when thinking about a dose skip.

Totally agree with Sue, in spite of the past history of DKA.


Perhaps with the DKA having been 1 1/2 months ago and no more occurrences since, as well as hitting better numbers it does not come into play as much??? Maybe a topic for the Think Tank ?????????

 

That's a great idea ! The lower number concerned me as it wasn't clear whether she was going to continue to go lower or not since 68 and 78 are basically the same number. Then this AM I started second guessing the DKA part.

 

Giving advice with a DKA kitty has always worried me.

Would you like to start a topic in Think Tank. You word things much better than me

 

Your wording is perfect. I have to run some errands, so I will post on TT later.

 

Before posting on TT, I did a search and it looks like you did post about DKA and here is the thread. I was glad to find it and look through it but still, there is not a "one size fits all " answer and most looked like it was geared to L & L. Most older experienced members all agree to shot even if it's a token dose.

http://www.felinediabetes.com/FDMB/...ka-prone-cats-having-low-hypo-numbers.154055/

This is a good read, @EricH.

ETA: Or another solution would be to stall shoot later after numbers have come up but that said, not always necessary to do when you work and you need to keep on your shooting schedule.

 

As always, most things boil down to "ECID". But I would not advise a cat on ProZinc to get a shot at 60 - ever - as one poster said. With the depot insulins, those options change.

I like the idea that waiting is always an option. And I would say, the farther away from DKA the cat is, the easier it is to think about skipping.

 

+10 299
I forgot to scale her dose back to 2.0 from 2.25. Should l shoot her again today at 2.25?

 

Since she isn't too low right now and I am assuming she won't be at PMPS, could you "skinny the dose "? Something in between of 2.o and 2.25.

 

Yes that won't be a problem.

 

I'll be starting another thread when l post Phoebe's PMPS at 530pm central standard time.