1/4...Elmo update

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I think starting at .25 is a good place ....you have to remember that lantus is a gentler insulin for most cats......we're all hoping it helps to stop those fast, steep drops

If that worries you, there's no reason you can't start lower....let Elmo's numbers be our guide ;)

His BG tells us what to do
Chris, going to need ur guidance as to how to draw the .25 on the Relion syringe...going to watch the video on Sticky...I will probably wait til tomorrow morning to start rather than overnight...have many questions I will,post on LL .... will need to get new SS set up and get signature changed too....btw, my son helped me with the coloring in of the squares and texts on SS....haven't had to stack yet but showed me how to do that as well....a real computer whiz , that's what I'm becoming o_O
 
Mogs, Kris, Linda...will keep you posted . Chris , I will start a thread on LL forum with some of my first questions after doing errands tonight....my plan is to skip vetsulin all together tonight and start Lantus tomorrow A.M.....is that a good plan ??? Skipping the vetsulin???
 
Oh Wow! All this excitement! Lantus has arrived and you and Elmo get to start on the next part of your journey. YEAH! Your little darling is definitely on a mission Beth and I am looking forward to seeing his progress from here. I'm with Mogs about Vetsulin tonight. I'd be careful after that 66 last night. I'd be inclined to skip and see what he does. I don't think it's worth/safe trying to skinny up the dose anymore. Missing one shot isn't going to hurt and he is obviously effected by tiny dose changes.

Oh this is sooooo exciting! I will be keeping an eye on you!
 
how to draw the .25 on the Relion syringe

There's no big trick to it.....you just have to try to keep it as consistent as possible

Here's what .25 looks like
.25 unit.PNG


That first long line nearest the hub is the Zero line....the smallest line next is the .5 line.....You want the "top" of the plunger head in between the zero and the .5 line
 
I have noticed the U100 syringes from Relion have the same issue. Even with the lubrication in them, they just don't move as smoothly as the U-40s I had. It will just take some getting used to and a good hand. I figure I'm just going to be wasting insulin and maybe some syringes during the learning curve. o_O
 
I have noticed the U100 syringes from Relion have the same issue. Even with the lubrication in them, they just don't move as smoothly as the U-40s I had. It will just take some getting used to and a good hand. I figure I'm just going to be wasting insulin and maybe some syringes during the learning curve. o_O
Hey Jo !!! So good to hear from u !!! You r amazing handling work and Ozzy, truly amazing !! We just have to do this a day at a time !!!
 
Oh Wow! All this excitement! Lantus has arrived and you and Elmo get to start on the next part of your journey. YEAH! Your little darling is definitely on a mission Beth and I am looking forward to seeing his progress from here. I'm with Mogs about Vetsulin tonight. I'd be careful after that 66 last night. I'd be inclined to skip and see what he does. I don't think it's worth/safe trying to skinny up the dose anymore. Missing one shot isn't going to hurt and he is obviously effected by tiny dose changes.

Oh this is sooooo exciting! I will be keeping an eye on you!
:bighug::bighug::bighug::bighug::bighug::bighug::bighug:.....exciting and a tiny bit scary....can hear u all say" first, breathe !!!"
 
There's no big trick to it.....you just have to try to keep it as consistent as possible

Here's what .25 looks like
View attachment 25436

That first long line nearest the hub is the Zero line....the smallest line next is the .5 line.....You want the "top" of the plunger head in between the zero and the .5 line
Chris, thank u so much for the guidance...the .25 is so close to nothing , at least as it appears to my old eyes...going to go watch the video and will have more questions i am sure
 
I have noticed the U100 syringes from Relion have the same issue. Even with the lubrication in them, they just don't move as smoothly as the U-40s I had. It will just take some getting used to and a good hand. I figure I'm just going to be wasting insulin and maybe some syringes during the learning curve. o_O
Oh boy, I hear you , Jo...I'm standing in my kitchen right now, practicing with u 100s and expired vetsulin...my life is way too exciting for me at this point. :eek:
 
I think starting at .25 is a good place ....you have to remember that lantus is a gentler insulin for most cats......we're all hoping it helps to stop those fast, steep drops

If that worries you, there's no reason you can't start lower....let Elmo's numbers be our guide ;)

His BG tells us what to do
Chris, how the heck would I start lower than " top of plunger head in between zero and .5 ??? I know it's done...I know u know how to do it but for me, at this point, that sounds beyond imagining
 
Practice in U100 syringe with coloured water Beth.
Thanks for reminder, Kris.....still it's a teeny weeny space...you all are rocket scientists crossed with chemists to know/understand this stuff
Enjoy, Beth! I'm sick of snow and winter already.
Kris, u know I'd take it off ur hands if I could...Even I can see how it could get monotonous.
 
how the heck would I start lower than " top of plunger head in between zero and .5 ???

Same way you were doing it before...drawing up the dose and then carefully squeezing out a small drop!

What you can do when you're practicing is to draw up a "known dose" of something like water or colored fluid....then practice twisting gently to produce a drop at the end of the syringe....try to make the drops the same size.....then count the number of drops you get in 1U

If you get 12 drops, then .25 would be 4 drops....if you wanted a dose less, you'd expel one more drop for a 3 drop dose
 
Better to stick with the Alphatrak tonight, Beth so you can compare how he does with the skipped dose compared to the 0.25-drop dose of Vetsulin. (If you change meters you won't get a valid comparison.)

.
Thanks Mogs...will do next checks on AT...he has just eaten..should I grab a quick measure with AT ??
 
Do you have a magnifying glass at home? I know Mogs mentioned a jeweller's loupe.
Ordered the loupe and is coming tomorrow , Kris. Your words on doing best u can and don't dwell on the small stuff is resonating in me....thank u for wisdom :bighug:
 
@Chris & China .....hey Chris, I have several crazy switching questions...should I post them here or on Lantus ...don't want to clog things up over there with my overly detailed questioning when people r needing dose advice
 
I'd start posting on the Lantus forum

We post daily there with the subject line with the Date/Cats name/AMPS ##....then as the day goes on when you get new tests, you edit the subject line and add them. Use the ? prefix if your post contains a question (or 6) and when your question(s) are answered, remove the ? icon

Put the link to the prior post into the body and then give your "report" for the day and ask your questions!!
 
I'd start posting on the Lantus forum

We post daily there with the subject line with the Date/Cats name/AMPS ##....then as the day goes on when you get new tests, you edit the subject line and add them. Use the ? prefix if your post contains a question (or 6) and when your question(s) are answered, remove the ? icon

Put the link to the prior post into the body and then give your "report" for the day and ask your questions!!
One thing I do need info on before tomorrow morning is feeding and when to test BGs ....Elmo's day begins with PMPS at 6:30 , eats for 30 minutes then gets his insulin at 7......does that change with Lantus as far as timing ? As far as BGs I read for first few days to take a +3, + 6 and +9.... is that correct ( Elmo's BG schedule has been at +1.5, +3 and maybe one later in cycle) ......also, Elmo tends to eat most of his meal in first 10-15 minutes, maybe comes back in 30 minutes or so then sleeps rest of afternoon. Read on Sticky that they need to eat several small meals thru out the day....is there flexibility to that ??? That was the stuff most wondered about for tomorrow a.m......thanks in advance for all your help, Chris. Hope ur momma is better...as a fellow daughter I totally relate.
 
One thing I do need info on before tomorrow morning is feeding and when to test BGs ....Elmo's day begins with PMPS at 6:30 , eats for 30 minutes then gets his insulin at 7......does that change with Lantus as far as timing ? As far as BGs I read for first few days to take a +3, + 6 and +9.... is that correct ( Elmo's BG schedule has been at +1.5, +3 and maybe one later in cycle) ......also, Elmo tends to eat most of his meal in first 10-15 minutes, maybe comes back in 30 minutes or so then sleeps rest of afternoon. Read on Sticky that they need to eat several small meals thru out the day....is there flexibility to that ??? That was the stuff most wondered about for tomorrow a.m......thanks in advance for all your help, Chris. Hope ur momma is better...as a fellow daughter I totally relate.
@Chris & China
 
With Lantus, it's not as important that they eat before the shot....as long as they're willing to eat, it usually doesn't "kick in" for 2-3 hours, so most of us Test/Feed/Shoot, all in 5-10 minutes

You want to Test (to make sure he's high enough), Feed (to make sure he's not sick and at least willing to eat) and Shoot....most of us shoot while their head is in the food bowl

Now for the first 5-7 days, you're going to be "filling the depot", so you may not see the full impact of the dose until the depot is full (although some cats will respond on their 1st shot)...Think of the depot like a "timed release" medication.....out of each shot, a little goes to work now and the rest goes "in the depot" and is released slowly over the rest of the cycle....but until the depot is full, it won't release the amount of insulin equal to the dose (does that make sense?)

ECID, but we've seen a lot of times when the +2 can act like a crystal ball as to where they're going later.

If the +2 is about the same as the PS, it's usually going to be a pretty normal cycle....with a gradual decrease in numbers to the nadir and then gradually back up to the next PS

If the +2 is higher than the PS, that can be an indication that you're starting a bounce and those are the cycles where it's probably safe to take a pokey break

If the +2 is lower than the PS, that's your early warning that he might be going a lot lower later in the cycle, so those are the cycles you want to get more tests in

Now in some cats, the +3 is a better indicator.....testing will help to nail down which one Elmo is though

Plan on sprinkling tests in different point throughout the cycle....one day do +3,+6,+9, another day do +2,+5,+8....etc.....if you see a big blank white space on your spreadsheet, that's a good time to grab a test!!

Most of us feed mini-meals but this is another one of those ECID things.....some cats do fine getting small meals throughout the cycle (up to +10 anyway...you want to take food up after that) and some cats do better if they don't get much in the way of food after they nadir (it can "slam the brakes" on the insulin since it's already starting to wear off after nadir)....little pure protein snacks are OK if small meals cause problems after nadir (like baked chicken)
 
Beth- did you see Marge's advice on how to dose with calipers. Talk about scientific!! When I get on my laptop, I will send you the link.
 
Ok Beth- I officially hate these new syringes! Stabbed myself in the finger after putting the cap back on after dosing Ozzy. Damn thing pierced straight through the lid and poked me in finger! Bleeding like crazy! And OUCH!!! Poor kitties!!:blackeye::banghead::(
 
Ok Beth- I officially hate these new syringes! Stabbed myself in the finger after putting the cap back on after dosing Ozzy. Damn thing pierced straight through the lid and poked me in finger! Bleeding like crazy! And OUCH!!! Poor kitties!!:blackeye::banghead::(
oh, Jo.. i am crying and laughing all at once....:):D:smuggrin:....which syringe is it ??
 
Chris is wonderful!!!! We are SO lucky to have such amazing support and guidance here!! xoxo:bighug::kiss:
Oh, Jo, where would we be without them ...I shudder to think...Chris is the first person I had contact with here(and Linda, Mr Worfmens mom) and she was up with me til wee hours of the morning getting Elmo thru his first and worse hypo...saved his life :bighug:
Beth- did you see Marge's advice on how to dose with calipers. Talk about scientific!! When I get on my laptop, I will send you the link.
Yah, my brain can officially NOT take that info in tonight o_O
 
Yeah!!!! Yippeee!!! Yahoooo!!!!! Just picked Lantus up from post office and put in our frig !!!
Just logged online on my laptop (been reading from my mobile) and saw THIS!!! Ya! So exciting! I can't wait to see little Elmo's progress on his new journey! So excited for you both!!!! Congrats!!:D:p:woot:
 
Oh, Jo, where would we be without them ...I shudder to think...Chris is the first person I had contact with here(and Linda, Mr Worfmens mom) and she was up with me til wee hours of the morning getting Elmo thru his first and worse hypo...saved his life :bighug:
Wow!!!! I truly believe the advice I received here saved my kitty's life, too! We were told to start Ozzy on 2U and we never gave him that much due to folks here advising against us starting at such a high dose of VESTULIN. As you know with vestulin, it causes rapid drastic drops in BG. And I went back to work the first week where I could not monitor Ozzy......could you even imagine if I had been consistently giving him the 2u dose???!!! I shudder to think!!!

Yah, my brain can officially NOT take that info in tonight o_O
I hear you...I read that thread and it was a lot to take in....Not that I don't think I could do dosing with calipers if I decide to later on...but it's just a lot for that much precision.

My last day off before work, I literally spent the ENTIRE day reading Lantus stickies..... So sad, I need a life! Hahah!:woot:
 
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