3/11 Callie AMPS 129; shot half dose; +2 114; +3 141; +7 183; PMPS 381

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Glennie

Glennie

Member Since 2016
I started using this vial on 1/12/2017. Its expiration date is 4/2018. I know they say it only lasts a month, but with care it can last longer. It's never been out of the frig more than 5 minutes at a time. I'm ordering my Lantus from Marks tomorrow. I was waiting till the weather was more mild. Callie is having lots of pinks. (I used to love pink, but not so much now.) I was out of town all day yesterday and so couldn't test. I'll test more mid-cycle today and hope to see something besides pink.
 
Actually, Lantus can last way more than a month. I've used a pen for over 100 days. Since you've been storing it in the refrigerator, I suspect the insulin is just fine.

Looking at Callie's SS, what you're seeing are pink pre-shot numbers. The nadirs are largely yellow with some blue and an occasional pink. I think the issue is more that you're holding the dose too long. Depending on which approach to dosing you're using, you don't want to hold a dose longer than one week if the numbers aren't in a better range.

 
Sienne and Gabby (GA) said:
Actually, Lantus can last way more than a month. I've used a pen for over 100 days. Since you've been storing it in the refrigerator, I suspect the insulin is just fine.

Looking at Callie's SS, what you're seeing are pink pre-shot numbers. The nadirs are largely yellow with some blue and an occasional pink. I think the issue is more that you're holding the dose too long. Depending on which approach to dosing you're using, you don't want to hold a dose longer than one week if the numbers aren't in a better range.
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I had wondered about holding the dose too long, but I read that if your nadirs get below 150 the dose is right. So I ran a curve 2/25 and got some blues and even a green so I thought the 1U was still a good dose. I need to run another curve, but I have to confess that neither Callie or I love the testing. Of course I'll do it, but it's on my most dreaded list of things to do. Hers too, even with extra loves and treats.

I'll do some mid-cycle tests today, see what happens, and then ask for dosing advice. I know about the .25 increases. Those awkward .25's huh?

Thanks so much for your Lantus input. I've been so careful with it because it's so expensive. So it's good to know it's probably fine.
 
Glennie said:
I had wondered about holding the dose too long, but I read that if your nadirs get below 150 the dose is right. So I ran a curve 2/25 and got some blues and even a green so I thought the 1U was still a good dose. I need to run another curve, but I have to confess that neither Callie or I love the testing. Of course I'll do it, but it's on my most dreaded list of things to do. Hers too, even with extra loves and treats.

I'll do some mid-cycle tests today, see what happens, and then ask for dosing advice. I know about the .25 increases. Those awkward .25's huh?

Thanks so much for your Lantus input. I've been so careful with it because it's so expensive. So it's good to know it's probably fine.
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You are correct about holding the dose since you are following SLGS. I used both vials I had for 5-6 months. My pens were used to the last drop.
 
So here's my perspective. If your cat's nadirs are consistently around 150 and your goal is regulation, then hold the dose. If, however, you are hoping for remission, you want to see your kitty's numbers in the normal BG range (50 - 120). It's all a matter of what your goals are.
 
Sienne and Gabby (GA) said:
So here's my perspective. If your cat's nadirs are consistently around 150 and your goal is regulation, then hold the dose. If, however, you are hoping for remission, you want to see your kitty's numbers in the normal BG range (50 - 120). It's all a matter of what your goals are.
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I would be thrilled for Callie to go into remission, but I am scared of a hypo event. So remission is my goal, although that seems too much to hope for. It's seems like some of the kitties do go into remission on the SLGS protocol? I haven't checked up on percentages of remission with both protocols. Any thoughts?
 
tiffmaxee said:
You are correct about holding the dose since you are following SLGS. I used both vials I had for 5-6 months. My pens were used to the last drop.
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It's good to know the vials can last that long. Thank you. So mine is probably okay then. I'm ordering pens tomorrow from Marks since it seems like good shipping weather.

I am following the SLGS as you noted in my sig, but I am wondering about rates of remission with SLGS. Just bouncing ideas here...
 
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I don't believe anyone has attempted to figure out remission rates on SLGS. It was in use before TR and it was pretty much trial and error since it was what the people here just "did." There are any number of cats who have gone into remission. The reason we know more about remission rates with TR is because the data were published in a veterinary journal.

FWIW, everyone is afraid of their kitty having a symptomatic hypoglycemic event. However, the fact that you test, learn how your cat responds to insulin, get a feel for what happens when numbers run low, etc. gives you a set of powerful tools. You'll also bet experienced at what to do when numbers are low so you don't freak out. One of the nicest complements that someone paid me was that when Gabby's numbers plummeted (and this happened with regularity as you can see from her spreadsheet), all I did was post her numbers in her subject line and proceeded to do what it was I needed to do to get her numbers back up. Of course, she gave me a lot of experience doing this (and it didn't hurt that I wrote the instructions on how to handle low numbers). My point is that you get to know your cat and how to respond. It's not an overnight process, though.

 
Sienne and Gabby (GA) said:
I don't believe anyone has attempted to figure out remission rates on SLGS. It was in use before TR and it was pretty much trial and error since it was what the people here just "did." There are any number of cats who have gone into remission. The reason we know more about remission rates with TR is because the data were published in a veterinary journal.

FWIW, everyone is afraid of their kitty having a symptomatic hypoglycemic event. However, the fact that you test, learn how your cat responds to insulin, get a feel for what happens when numbers run low, etc. gives you a set of powerful tools. You'll also bet experienced at what to do when numbers are low so you don't freak out. One of the nicest complements that someone paid me was that when Gabby's numbers plummeted (and this happened with regularity as you can see from her spreadsheet), all I did was post her numbers in her subject line and proceeded to do what it was I needed to do to get her numbers back up. Of course, she gave me a lot of experience doing this (and it didn't hurt that I wrote the instructions on how to handle low numbers). My point is that you get to know your cat and how to respond. It's not an overnight process, though.
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Oh, I know everyone is afraid of the hypo thing happening to their kitty (I think it's the stuff of many of our nightmares), but I think most people handle it better than I would. And I don't want to find out, although I probably will. That's great you wrote the guidelines on handling low numbers. I often carry those papers around with me. And I did take a peek at Gabby's spreadsheet. You're a brave lady! Your quote (it's really beautiful) made me cry, and I'm sorry you lost her.

What does FWIW stand for? Thanks! You gave me lots to consider.
 
Glennie said:
Oh, I know everyone is afraid of the hypo thing happening to their kitty (I think it's the stuff of many of our nightmares), but I think most people handle it better than I would. And I don't want to find out, although I probably will. That's great you wrote the guidelines on handling low numbers. I often carry those papers around with me. And I did take a peek at Gabby's spreadsheet. You're a brave lady! Your quote (it's really beautiful) made me cry, and I'm sorry you lost her.

What does FWIW stand for? Thanks! You gave me lots to consider.
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FWIW = "for what it's worth"
 
A green ! Glennie, can you get some later test during the PM cycle? It could be that Callie is going lower some PM cycles and bouncing . See 2.27 where she was 124 @ +3? She could have gone into some greens that night and the next morning she was starting with a red. It could be that she needs a little more juice but, I would want some nadir test through the PM cycle before I would increase . Just my opinion .
 
Bobbie And Bubba said:
A green ! Glennie, can you get some later test during the PM cycle? It could be that Callie is going lower some PM cycles and bouncing . See 2.27 where she was 124 @ +3? She could have gone into some greens that night and the next morning she was starting with a red. It could be that she needs a little more juice but, I would want some nadir test through the PM cycle before I would increase . Just my opinion .
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If I could figure what her nadir is, that would be good. From looking at her SS what time do you think would be good to test?
 
Bobbie And Bubba said:
A green ! Glennie, can you get some later test during the PM cycle? It could be that Callie is going lower some PM cycles and bouncing . See 2.27 where she was 124 @ +3? She could have gone into some greens that night and the next morning she was starting with a red. It could be that she needs a little more juice but, I would want some nadir test through the PM cycle before I would increase . Just my opinion .
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I know! A green, huh?!
 
Glennie said:
If I could figure what her nadir is, that would be good. From looking at her SS what time do you think would be good to test?
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Glennie said:
If I could figure what her nadir is, that would be good. From looking at her SS what time do you think would be good to test?
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Try starting with a PM +6 or 7. It might mean setting your alarm clock. A lot of cats run lower at night so it'll be interesting to see what is happening then.
 
It would be helpful if you could put Callie's numbers in your subject line. That's a big drop between your AMPS and +6. I hops you've gotten some additional tests.
 
Bobbie And Bubba said:
Try starting with a PM +6 or 7. It might mean setting your alarm clock. A lot of cats run lower at night so it'll be interesting to see what is happening then.
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Okay, will do. I'll do a +6 or +7. I'll set my alarm and hide the insulin before bed. Who knows what I'll do at that time?! Obviously my initial question was answered--the Lantus is working. So that's good. Thanks for your input.
 
Sienne and Gabby (GA) said:
It would be helpful if you could put Callie's numbers in your subject line. That's a big drop between your AMPS and +6. I hops you've gotten some additional tests.
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No, unfortunately I haven't. I had a meeting I had to make, and I had to go to the store to get test strips and more FF. (I can't believe how many cans of FF we go through a day with 6 cats. I didn't have enough to get through the evening.) Getting ready to do her PMPS in just a few minutes. Will post numbers in subject line. P.S. I know Callie is more important than a meeting, but I guess I wasn't thinking...but I really needed to get the food for her and the others.
 
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Sienne and Gabby (GA) said:
Just a thought...

I order my cat food online through Chewy's. It's less expensive and you can set up a delivery schedule.

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Thanks. I'll try to check into it within the next few days. :) Just got on and checked. Thanks! It is cheaper. I'll order from here. And free shipping too. I love free shipping! I told my daughter someone on here had mentioned a place to buy cheaper food, and she says, "Is it Chewys?" Yep. So how does she know about Chewys, and why hasn't she told me about it? LOL Appreciate the tip, Sienne.
 
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Okay, the PM +6 was 186. Her AMPS was 521. The 98 must have caused a big bounce. Any ideas?
 
Bounces just stink and that is for sure Glad you got the +6 last night and wonder if she even went lower after that thus this big bounce today or today's AM could be a delayed bounce .
 
Bobbie And Bubba said:
Bounces just stink and that is for sure Glad you got the +6 last night and wonder if she even went lower after that thus this big bounce today or today's AM could be a delayed bounce .
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I agree--bounces stink! :(:eek:o_O Callie didn't act like she felt well yesterday, and she doesn't seem to feel well today. With the 521 that's understandable, but yesterday?? I wish I could figure her out; she wishes I could figure her out. Hope she evens out soon. She could easily have gone lower last night. I need a little harness or collar I can put on her that records a constant BG. One of my fantasies. Thanks for your ideas and input. :bighug:
 
This morning Callie's AMPS was 128, 124, 129 so I tried to start a new thread, but I couldn't post it due to a message saying there was a posting error since I had an invalid post. Has that ever happened to anyone? And is there a way to correct it to allow me to post? I had to crash Kris's post which she so graciously allowed me to do. Is there some way to contact someone for tech help since I am a total techie illiterate? Or to see if I did something wrong?
 
Posted on tech support, but no answer yet so I'm reposting on an old post that Kris posted for me. LOL I'll retest at +2 since I poked Callie's ears way too many times this morning when I was failing to get a good test. Everything that could go wrong with a test did, each one separately and at a different time. She even growled at me which is really unusual for her.
+2 114 I'll test again at +4
 
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Glennie said:
I agree--bounces stink! :(:eek:o_O Callie didn't act like she felt well yesterday, and she doesn't seem to feel well today. With the 521 that's understandable, but yesterday?? I wish I could figure her out; she wishes I could figure her out. Hope she evens out soon. She could easily have gone lower last night. I need a little harness or collar I can put on her that records a constant BG. One of my fantasies. Thanks for your ideas and input. :bighug:
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I feel your pain! :confused:
 
Kris & Teasel said:
I feel your pain! :confused:
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These kitties, huh?! :eek: And this would happen the day I can't start a new thread and just when we were getting the time change adjusted with testing and shots! I know I'm going on and on here, but thanks again.
 
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+3 141 so she's going back up. I am sure I'll be seeing hot pinks soon. :banghead::blackeye::facepalm: Now begins the kicking myself part about not shooting a full dose. Thanks for being available in case I needed help. :):bighug::D
 
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