Smokey update, continuation from the Hello thread

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Olive & Paula

Olive & Paula

Member Since 2015
Good morning all. First the ss isn't working. Will be on phone with Google, Amazon later today.

Smokey's BS this morning is 302. I'm extremely pleased with this. He has been on 4.5U since August 9. Big turnaround in last 48 hrs because of the hypo episode. Again well done to ALL who helped.

So Ss isn't working. Thought we had it. But could only get it on my phone. Very tiny to work with. I must have clicked a wrong button (fat fingers, miniscule keyboard) and bam it's gone. @Marje and Gracie set it up and attached. But Google closed account because of suspicious activity. Wait till I call them today. I downloaded sheets and drive to my kindle fire. Apps state they are free but I was charged. They credit me then tell me they are paid yet when I try to open I'm told no Google accounts. Hello I'm logged in to Google at the time. So a call to Amazon today to get me going. Desktop, well we won't even go there.

Anyway, Smokey seems stable at this time on 3U Vetsulin 2x day, 1/2 hour after eating. Wow what I learned and we been through in last 48 hrs boggles my mind. So he's not cookie cutter diabetic. Now I will test twice a day, give his little ear a break unless symptoms present (now I know what his symptoms are). Some of you might think it's to soon to cut back on the sticks . But I am confident enough to. His sticks where never the problem. I just didn't know to do them as often. I also didn't know about hypo episodes. His BS always ran so high, vet just kept increasing insulin. What did I know??? I acquired a diabetic cat with no instructions, traveled between states because his owner my mother was sick, work, husband not home 4 days at a time because he works out of state, eventually death of mother, and trying to help my father. Thinking vet knew better it was less stress for me at the time. Dumb on my part.

Off to get ss going I hope. Have a good day everyone. When ss is available I will let you know.
 
Good luck getting Smokey's ss going! Computers can be so frustrating sometimes!

woodsywife said:
Thinking vet knew better it was less stress for me at the time. Dumb on my part.
Click to expand...

Not dumb, at all! Don't kick yourself for that, I think we all believe the vet knows what's best - that's what hey went to school for, and what we pay big $$ for, right? My vet made several questionable calls, and didn't want me to home test at all; I now have a new vet, lol.
 
Yorr spreadsheet is not public. I get this:
You need permission

Want in? Ask the owner for access, or switch to an account with permission. Learn more

You are signed in as my GMail adress@gmail.com.

Request accessSwitch accounts
 
Larry that's a little to techie for me.

Did have permission

Am signed in

Have drive and sheets downloaded however "no Google account exists" yet I'm logged in and reading my emails

Don't know about switch accounts

Actually I thing to many clicks/downloads have been done and it's messed up royally. I need someone on the phone to talk me through. Working with Google an Amazon now.
 
Did you try just going back to your original and choosing Share in the upper RH corner? Then choose "Share with anyone with the link". (Once you get the original back with help from Google.)
 
Here is the one I really like. It should include today's information. I hope I never have to do this again. The process did not follow instructions at all. And I have use firefox, how I hate it so. Can't figure out how to bookmark it or make a shortcut for easy finding. This could be the last time its updated.
 
Can you save it? If you have Google Sheets, that might work.

So we have a small picture of what has been happening. I hope maybe this weekend you can get some numbers in the 5/7/9 range to see where he is lowest and how long it lasts. I am especially curious about last night. He has dropped a lot by +3. I wonder if he continued to drop and this morning was a bounce?
 
Sue, do you mean +5/+7/+9 times at pmps? He seems to be high in the morning. Still fine tuning. Since his pmps was 341 I was afraid 2.5U would cause a very high am BS. If the 3U are working decently today, I hoping he will adjust some. Is that logical thinking on my part? Then it might be possible to lower if indicated. Please please give me your opinion.
 
Here is his newest BS 147. Now what do I do. 3U is to much. Would 2.5 be ok? His morning will be probably be high. This nite time seems to be the problem. I should be giving his insulin in 10 minutes.
 
Sorry I missed your dose question. We suggest new diabetics not shoot under 200. Was 147 your pmps? I am worried you will have a long night. He doesn't have a long ways to drop. Your +1 is probably food related. Be sure to get another test in an hour.

Do you have syrup? Higher carb gravy food?
 
I don't want it under 200 either. But not having anything he will be over 500 in morning. I will test about 9. I have syrup. Would it be good to give him some canned food after stick?
 
Sometimes you have to skip, even if it means a higher number later. I am worried that he could drop low again. If he drops 50% or so by your next test, then yes, I'd give him some of his regular low carb. If you see a 70, then either the gravy off high carb or a little honey mixed in with his wet food. You don't want to give him a whole lot of food at once because you want him hungry enough to eat when you need him to.

He is really moving down, every cycle. I would guess the insulin and food and lack of daily stress is doing its work. The 147 tells you the dose was too high. Anytime the insulin is still dropping them after 12 hours, it's too much insulin. Especially with Vetsulin which doesn't often last longer than 10 hours.

The goal is to have two shootable numbers every day. I think you might be reducing often. You might think about a restart at one unit. You can increase as the testing indicates. It's a safer way to deal with changing pre shots, rather than trying to guess how much less to shoot.

Check out Lucy's Spreadsheet (Squallie's mom). She was on a high dose, did a restart and now is slowing raising. But still a lot less than the dose she was giving.
 
Is it correct that you are using an AlphaTrak2 meter (as noted in your signature)? As the BG ranges at the top of your spreadsheet are for human glucometers.

So just making sure you're aware: We consider AlphaTrak hypo-alert zone at <69 on an AlphaTrak2 meter*. But for someone who is new to this, I would highly recommend that you give higher-carb food if/when you see Smokey hit 80. After feeding, you will test again in about 15-20 minutes to make sure his BG # is rising.

*(Please see the BG reference ranges on the tabs at top of Bat-Bat's SS. We can have someone help you change to those later on ...)
 
woodsywife said:
I don't want it under 200 either. But not having anything he will be over 500 in morning. I will test about 9. I have syrup. Would it be good to give him some canned food after stick?
Click to expand...
Please DO NOT wait to test until +9. Cats often nadir around +4 on this type of insulin - AND he could drop his number early on you. I recommend you monitor at +2, +3 & +4 - and relay those #s to us here as soon as you get them.
 
Sure wish we could highlight the Alpha Trak2 meters in bold red in our signatures like we used to. Totally agree that you will need to watch and test Smokey like a hawk tonight and keep in front of his "could be" low number tonight.
 
Yes, it's showing on your SS; very good - you're doing fine! (Keep in mind that his # is up a little right now because of the food he had @ PMPS.)
What is your first name, btw?:)
 
I'm Paula. Yes using alpha trac2. And Vetsulin. I don't know the range for Vetsulin. My vet would like to keep him at 200-300. I don't enough yet. I do know I don't like below 200 but I'm okay with 150 as long as it's not dropping. I don't like over 400 because then he becomes a quite a problem. I know the ss isn't the right one. Been having trouble getting the thing to work. The instructions here do not help me at all. Can't get it on my tablet or phone. @Marje and Gracie has been working with me. Google even closed my account because of suspicious activity. This is the only one that I could link for now. My desktop will only allow this sheet to work with Firefox which I hate. Ads keep popping up and freezing it and takes forever to load. Marj has come up with another solution but I'm waiting to hear from her on next step before I download and link.
 
I linked the SS I did for you yesterday. Today, I transferred the numbers from the SS you now have linked onto the one I did for you. I've sent you the link to that SS. There shouldn't be any reason why you can't open it and it should then go on your Google drive so you can continue to open it.

Because I don't know anything about your devices or your software, I'm not sure where you are having a problem or why. i can relink the SS I did for you with all his numbers but you have to be able to find it in your devices. You are the owner of it so it's got to be in your Google drive somewhere :)
 
Our range for regulated kitties is around mid 200s for pre shot tests and in double digits for nadir, but not below 50. We think the renal threshold (the level at which the pancreas can heal) is around 250, so any time spent below that is a good thing. I think your vet's range is high, but not surprising - they usually don't have beans who are willing to stay on top of things so they err on the higher side.
 
It takes 10 minutes to plug in the one number then get back to here. I will be so glad when I get a new pc or if I could get this on my tablet. But tablet keeps telling me no google account. I got 2 ?????????
 
You mean 2 on the meter? I hope not! Take another test. Oh, good. You mean 2 google accounts. I stopped breathing for a second there. Never mind about the second test.
 
his normal .75oz proplan can chicken & spinach entree pate. he throws up anything with gravy. certainly don't want that right now.
 
@Sue and Oliver (GA) - No, that's 2 Google accounts. Smokey's last BG was 82.
@woodsywife - Oh, I think Sue can tell you about the problems she's had with Google sheets on a tablet!:rolleyes: Kinda "buggy" from what I've heard.
Just wanted to say: Sorry, Paula, if I sounded a little brusque earlier - was just wanting to get the info re: difference in hypo-alert # on Alpha Trak2/what you need to do to re: monitoring/ steering with food to you as quickly as possible.
And what's happening tonight is a good learning experience, as now you will know exactly how to handle the situation when Smokey drops too low in a cycle. :)
 
@Robin&BB its okay I didn't take it that way. I went through this for the 1st time Sunday night. Look in the intro site titled hello. sorry for inproper typing ettique its this firefox/google. I don't even know where spell check is on here. not that IE is better but I wish i could use it now.
 
What we normally do at AMPS/ PMPS when the BG# is under 200: Withhold food, then test in about 15-20 minutes to see if BG rises on its own (which it often does when a cat is getting agitated while awaiting a meal). And you may need to repeat this test (withholding food all the while) 2 to 3 more times before the # is high enough for you to safely shoot the insulin after feeding. (Which sometimes results in the shot being delayed by an hour; not always possible for someone who works outside the home, though.)

The other important thing to note: Do NOT feed your kitty in the two-hour window before AMPS/PMPS test time (unless, of course, you're in the middle of a hypoglycemia event). The reason we avoid feeding in that 2-hour window (@+10 to +12) is that you don't want his pre-shot blood glucose artificially raised by food before that test is performed.

(Maybe somebody already gave you this info, but I already typed it in before your post #39 showed up on my screen, so here it is anyway!;))
 
Okay ... keep it up & keep us posted. (I am on west coast time - in AZ - so 3 hrs behind you in time; so will continue to hang in with you, Paula.)

ETA: Please test again in 15 min.
 
I'm not sure about how to put them in a single cell; but post them here on the thread anyway, with the actual time you took the test.
Can also list these in the "Comments" section of SS @ right.
 
Robin&BB said:
So just making sure you're aware: We consider AlphaTrak hypo-alert zone at <69 on an AlphaTrak2 meter*. But for someone who is new to this, I would highly recommend that you give higher-carb food if/when you see Smokey hit 80. After feeding, you will test again in about 15-20 minutes to make sure his BG # is rising.
Click to expand...
This statement really concerns me. I know of no place which states below 69 on an Alpha Trak is a hypo alert zone. It's certainly a "pay attention" number. But I'm not sure who the "we" is because most of us with experience don't consider that a "hypo alert" zone.

To stack numbers in a column, just put the cursor in the column and add the numbers using this as an example (let's say you are putting it in the +3 column with the first number being the +3 test:

70; 67 @ 3.25; 55 @ 3.5

You might need to reduce the font so you can see all the numbers.
 
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