Help!!! Bg 47

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Is this using a human meter??

I would feed him a teaspoon of high carb and retest again in 20 minutes.
 
Did you do a retest?? Sometimes meters can give a bad reading or the strips can be wonky. That 57 doesn't "fit" with the rest of the numbers.
 
Also when you get a chance could you update your spreadsheet with the dose sizes you are giving. Thanks


ETA Also I see you went from hard to all wet about 1 1/2 weeks ago. Are you suing all wet now or still giving some dry food?
 
Tuxedo Mom said:
Also when you get a chance could you update your spreadsheet with the dose sizes you are giving. Thanks


ETA Also I see you went from hard to all wet about 1 1/2 weeks ago. Are you suing all wet now or still giving some dry food?
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I'm doing another test right now to be sure and he still gets a Lil hard food I'm the afternoons but it's a very small amount still doing 3u every 12 hours he's now 68.4 now after 10min of getting food
 
Ross's mom said:
I'm doing another test right now to be sure and he still gets a Lil hard food I'm the afternoons but it's a very small amount still doing 3u every 12 hours he's now 68.4 now after 10min of getting food
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OK Then the numbers are correct. With removing most of the dry food from his diet that can cause glucose numbers to fall quite a bit with some kitties. The 68 is a safe number but it will be food influenced so you want to keep him at or above 68. You should retest in about 20 minutes and repost your number. Also if you could put the numbers in the title as well that will give information to others that could give advice.

What type of food did you give him? Was it a high carb food?
 
Oooh, that is a fast drop... Good catch!
(When Caninsulin drops it can really drop fast....)
But Caninsulin also usually (but not always) has quite short cycles. So, hopefully, you will get through this fairly soon. Hang in there...

As Mary Ann asked:
Tuxedo Mom said:
What type of food did you give him? Was it a high carb food?
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Elizabeth and Bertie said:
Oooh, that is a fast drop... Good catch!
(When Caninsulin drops it can really drop fast....)
But Caninsulin also usually (but not always) has quite short cycles. So, hopefully, you will get through this fairly soon. Hang in there...

As Mary Ann asked:

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Thanks for stopping by. Do you have some suggestions on how much the dose should be reduced tonight? It is about 8 days since the dry food was cut back although he still gives a small amount through the day.
 
Tuxedo Mom said:
Do you have some suggestions on how much the dose should be reduced tonight? It is about 8 days since the dry food was cut back although he still gives a small amount through the day.
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With the data we have so far, Mary Ann, I'm not sure.... I'm guessing that this was a 3u dose (?) but it's not clear from the SS.
Caninsulin can be tricky, one of the reasons being that it can drop the blood glucose like a proverbial stone. For that reason some of us here feel that, as a general rule, caregivers with cats on Caninsulin/Vetsulin should not 'aim' for nadirs of less than 5mmol/(90mg/dL). Therefore, on that hypothetical basis the dose here should be scaled back dramatically... At this moment (providing there's no history of ketones) I'd suggest cutting the dose by maybe half of the current dose and see what happens (maybe that will level things out a bit)... Tagging @Critter Mom , who has also used Caninsulin...
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Elizabeth and Bertie said:
With the data we have so far, Mary Ann, no I don't. I'm guessing that this was a 3u dose (?) but it's not clear from the SS.
Caninsulin can be tricky, one of the reasons being that it can drop the blood glucose like a proverbial stone. For that reason some of us here feel that, as a general rule, caregivers with cats on Caninsulin/Vetsulin should not 'aim' for nadirs of less than 5mmol/(90mg/dL). Therefore, on that hypothetical basis the dose here should be scaled back dramatically... At this moment (providing there's no history of ketones) I'd suggest cutting the dose by maybe half of the current dose and see what happens (maybe that will level things out a bit)... Tagging @Critter Mom , who has also used Caninsulin...
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Thanks for the input and thanks for tagging Critter Mom. I forgot she used Caninsulin as well.

From what Ross's Mom said the dose is still at 3 units twice daily...she just did not fill out the spreadsheet. quote from above "still doing 3u every 12 hours "
 
Elizabeth and Bertie said:
@Ross's mom , please do give us an update.
Are you OK? Is your kitty OK?
We all worry. And some of us chew our fingernails....:nailbiting:

Eliz
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Elizabeth and Bertie said:
@Ross's mom , please do give us an update.
Are you OK? Is your kitty OK?
We all worry. And some of us chew our fingernails....:nailbiting:

Eliz
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I'm so sorry I thought I hit post!! I checked him again at 4 and again now he's at 170 @4:00 pm and 171 right now I'll be monitoring him all day and I will update my spreadsheet asap... Also should I reduduce tonight's shot I've never adjusted units before
 
Thank you for your update!!

The lower numbers may be from cutting back on the dry food. It can take a while for the effects of dry food to clear the system.

Eliz had suggested cutting the dose in 1/2 because of the low numbers and the type of insulin. She is more familiar with Caninsulin/Vetsulin than I am since she is from the UK where it is always the first type of insulin used. She has also tagged another member who is familiar with Caninsulin to see what her thought are.

It would be a great help if you could bring your spreadsheet up to date with the doses for every day and all the numbers you got from today as well.

Thanks :)
 
Tuxedo Mom said:
Thank you for your update!!

The lower numbers may be from cutting back on the dry food. It can take a while for the effects of dry food to clear the system.

Eliz had suggested cutting the dose in 1/2 because of the low numbers and the type of insulin. She is more familiar with Caninsulin/Vetsulin than I am since she is from the UK where it is always the first type of insulin used. She has also tagged another member who is familiar with Caninsulin to see what her thought are.

It would be a great help if you could bring your spreadsheet up to date with the doses for every day and all the numbers you got from today as well.

Thanks :)
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I've updated my spreadsheet also called the vet as well he also recommended to lower the dosage to 2u and monitor him very close but as of right now 7pm he was just a 383.4 so his numbers are back up but I'm still going to reduce the units for today I think that's the best idea please correct me if I'm wrong in anyway thanks so much
 
Ross's mom said:
I've updated my spreadsheet also called the vet as well he also recommended to lower the dosage to 2u and monitor him very close but as of right now 7pm he was just a 383.4 so his numbers are back up but I'm still going to reduce the units for today I think that's the best idea please correct me if I'm wrong in anyway thanks so much
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Since the 3 units brought Ross down too far reducing to 2 units would make sense. Even if the numbers seem higher for awhile this is very normal after hitting such low numbers earlier. The body produces counter-regulatory hormones which cause the glucose levels to rise when it "thinks" the numbers are too low. Since Ross has been in higher numbers for awhile it will take a bit of time for the body to "accept" the lower numbers are normal.

Even with dropping the dose to 2 units you will still need to monitor carefully. Please check the before shot number and then again at about +1.5 or +2. Since Caninsulin hits fast and hard you want to catch any big drops before they get too low. Ross may not drop as much tonight but since our kitties never let us know what they have planned we need to test.;)


ETA Also you may be seeing what removing most of the dry food just over a week ago, is doing to drop the glucose numbers. I know you said you only give a little during the day, but if you could try a few days without ANY dry food and see how that goes :)
 
Only just saw the tag (been tough going with Saoirse over the last week or so).

I think Eliz's dosing suggestion is a good one. Looking at the spreadsheet I did ask myself whether those blacks might have an element of bounce influence in them because of too high a dose. Bounces aren't as easy to recognise with Caninsulin because of the cup-shaped response patterns it typically produces.

@Ross's mom - Is there any difference in your kitty's clinical signs between the beginning and end parts of a cycle and the middle part of a cycle when the Caninsulin is at its strongest period of effect?


Mogs
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PS: As soon as I would see a nadir under 100 for safety I would reduce the dose if it were my cat: Caninsulin's more unpredictable than the likes of Lantus when it comes to guestimating the kind of drop one is going to see on the next cycle.


Mogs
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Thank you all so much for your help! I'm so glad I found this site and did home testing or I wouldn't of known the difference at all!! I'll have to work tomorrow and leave the testing up to my husband he's only started to learn today
 
Critter Mom said:
PS: As soon as I would see a nadir under 100 for safety I would reduce the dose if it were my cat: Caninsulin's more unpredictable than the likes of Lantus when it comes to guestimating the kind of drop one is going to see on the next cycle.


Mogs
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Critter Mom said:
Only just saw the tag (been tough going with Saoirse over the last week or so).

I think Eliz's dosing suggestion is a good one. Looking at the spreadsheet I did ask myself whether those blacks might have an element of bounce influence in them because of too high a dose. Bounces aren't as easy to recognise with Caninsulin because of the cup-shaped response patterns it typically produces.

@Ross's mom - Is there any difference in your kitty's clinical signs between the beginning and end parts of a cycle and the middle part of a cycle when the Caninsulin is at its strongest period of effect?


Mogs
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So far he's not showing and change at all when his numbers are sky high he's loving and comes to play and even when he was at that 47 this morning he was still the same his eyes look great he's eating drinking and using thy box! If not for home test I wouldn't even know! Before bed tonight just a. Few mins ago he was way up there again 496 but I still only gave 2 units of insulin instead of 3 I hope that was the right way to go!
 
That 496 maybe a bounce from the low of 47 earlier today. I'm glad to see you reduced the dose tonight. Is it possible for you to get another reading sometime within the first 2-3 hours the night cycle tonight just to be on the safe side. That was quite the drop on the day cycle today and a reading at 2-3 hours post shot tonight will tell you how fast Ross is dropping on 2 units.
 
MrWorfMen's Mom said:
That 496 maybe a bounce from the low of 47 earlier today. I'm glad to see you reduced the dose tonight. Is it possible for you to get another reading sometime within the first 2-3 hours the night cycle tonight just to be on the safe side. That was quite the drop on the day cycle today and a reading at 2-3 hours post shot tonight will tell you how fast Ross is dropping on 2 units.
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Yes I'm waiting to Do another test to see his level tonight I don't want him dropping in my sleep! I'm hoping he will level out sometime soon this up and down is very stressful
 
Ross's mom said:
he went really really high last night
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Ah, he's found one of these ...

tumblr_lre8d1ZKl21qctkcl.jpg



;)

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Well all seems to be a Lil better with Ross he's of course not in the good numbers much and kinda high now after his drop but I'm still going with 2u for now the vet said he could of been getting to much I'm thinking I'm going to look into a different insulin for him. I just wanted to update my spreadsheet and give everyone a Lil update thanks for everything again
 
A longer-acting insulin could help Ross a lot toward smoother regulation. :)

I've just had a look at Ross' spreadsheet. I see a note that he dropped to 3.8 at 3:20pm. When was that in '+' notation? AM or PM cycle and how many hours after the insulin was given?

If that 3.8 is in the current cycle then monitor Ross' BG closely.


Mogs
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Critter Mom said:
If that 3.8 is in the current cycle then monitor Ross' BG closely.
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And if that 3.8 isn't a typo I'd suggest reducing the dose a bit more, given that this is Caninsulin.
IMHO, with Caninsulin/Vetsulin it's prudent not to 'aim' for a nadir of less than 5 mmol, just so there's some buffer of safety. When it drops, it can drop fast.

Please do give us an update as soon as you can.
We care about ya! :bighug:
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PS:

If you're using an Alphatrak meter that 3.8 is too low and you DEFINITELY need to reduce the dose.

As soon as you can, please add details of your meter to your signature line. Members replying to your posts need to know which meter is in use in order to correctly understand the BG test results.

(Meant to post this last night but clicked on the wrong part of the screen. :banghead: Again. :oops: :oops:)


Mogs
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