? Trying to help a Spanish speaking person on FB

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Meridith and Zeke

Meridith and Zeke

Member Since 2017
Here is her style sheet. She is getting advice from someone who hasn't a clue. Hopefully she will be able to get onto the FB page for this board for help getting advice.

I don't have the experience with Lantus, but i'm thinking way too high of a dose, too much dose changing and not enough testing. So she should drop to what dose? And for her test of 94, what size of dose should she give for that?

https://docs.google.com/spreadsheet...heQMMEw9VZvxSJPe6x8s_s/edit?ts=591c6e0f#gid=0
 
I agree with all 3: too high dose, too much changing, and not enough testing. Lantus is a depot insulin so she needs to stay with one dose for at least 6 cycles and get at least 2 tests per cycle. I'll let the pros weigh in on what dose that kitty should get as the amount varies so much.
 
I wish this board was more accessible to those who aren't english speaking, she is getting such horrible advice. :( The person giving her the advice is even telling her to not come to this board because no one knows what they are doing. The person also said that she was told by some here to stop giving advice, which I can see why considering she doesn't seem to know what she is talking about.
 
Maybe a pep talk from you may help, just like ecid, each person's experience is different. Please encourage her to join.

What is the first language? Maybe there are some dual language members on fdmb.
 
What language does this person speak? Maybe we have someone who can help in her language.

I disagree on the way too high a dose. She shot 6 cycles on 7 units, which would build the depot, and got green the next day. She didn't see good numbers until 5.5 units. I might go back to 6.0 units and stick with it for at least six cycles. And she needs to get a preshot test every time, plus at least one night time test each day. Plus test for ketones regularly. Do you know what type of meter she is using?

I am curious who is "advising" her, but I can guess.
 
Accu Chek performance for the meter and she is Spanish. Would there be someone here that could help her with getting onto the board? She is having difficulty in testing which is why only the PS tests, tried giving a few pointers to hopefully help ease that a little, treats for her and kitty etc. Also she knew nothing on ketone testing, so hopefully she will get some strips soon to start that with all those high numbers.

How would she shoot with the green PS's? That is one of those that I have to learn on too. :)
 
She can read many of the posts without an account. Maybe suggest she does a copy/paste of the stickies into a language translator as a starting point?

Does she speak another language? With being world wide, maybe her second language matches another's first?
 
She is still having difficulty due to the language barrier for getting here to the board, but she has posted on the FDMB fb page if there is anyone here that can check in there for her.
 
I am not sure but I think @Veronica & Babu-chiri speaks Spanish. If she is able to help and doesn't have a FB account we could copy over the FB posts from Fernanda and paste the reply back on FB.

Also @Gill & George speaks Spanish so maybe we can get one of them to connect with Fernanda.

Here is her FB post:

Hola, somos de Argentina; me recomendaron este grupo para consultar sobre la diabetes; necesito ayuda con mi gato Han Solo, no se su edad ya que hace 9 meses vive conmigo, es un gato adulto que en marzo de 2017 fue diagnosticado con diabetes. Hubo muchos cambios con su dosis empezamos con 1 u de lantus cada 12 horas pero actualmente está en 5,5 u. Sus valores varían mucho, hace unas semanas empezó a bajar sus valores al fin y acá es donde yo no se que hacer. Por ejemplo anoche pre shot +12 84 así que no lo inyecté con insulina por lo tanto hoy a la mañana estaba en +0 385, así le pasa siempre así que entiendo que algo no está bien con su dosis.
El es un gato muy muy difícil de medir, no se deja, muerde, rasguña, grita, hay que sostenerlo entre dos personas para hacerlo como mínimo por eso es que no tiene más controles ya que es muy difícil y estresante. Necesito ayuda para saber que hacer con su dosis cuando el baja tanto su valor. Muchas Gracias!
Ya descarté vif, vilef, hemobartonella, todo dió negativo, su ecografía dió bien y sus análisis de sangre también sólo albúminas altas y está tomando denamarín que logré traer de EE UU. Tiene gingivitis.

Hi, we are from Argentina; I was recommended this group to consult on diabetes; I need help with my cat han alone, I do not know about age since 9 months ago live with me, is a adult cat that in March 2017 was Diagnosed with diabetes. There were many changes with your dose starting with 1 u of lantus every 12 hours but is currently in 5,5 u. Their values vary greatly, a few weeks ago began to lower their values at last and this is where I don't know what to do. For example last night pre shot + 12 84 so I didn't inject him with insulin so today morning was in + 0 385, so it happens to him always so I understand that something is not right with his Dose.
He is a very difficult cat to measure, not leave, bite, scratch, shout, have to hold it between two people to do it at least that's why he has no more controls since it is very difficult and stressful. I need help to know what to do with his dose when he lowers his value. Thank you very much!
I already ruled out vif, vilef, hemobartonella, all negative, his ultrasound gave well and his blood tests also just and he's taking denamarín that I managed to bring from America. He has gingivitis.


ETA Here is her spreadsheet:

https://l.facebook.com/l.php?u=http...eXEiv8b6Xwm_3Pry9d3kc7e9Ww2DXyAA1YoQhxleQXJvE
 
Her computer may have an ADA feature if it's a global market brand.

She would turn on the ADA feature for visually impaired and change the language to Spanish. When she mouses over the text field, the computer would read the text to her.

That may help to add first language audio.
 
I think the only computer she uses is at her work, so possible that she don't even have access to settings like that.

Thanks Mary Ann for adding her post.
 
Hi everyone, sorry for not answering earlier, tough day and I just got connected, but I will be more than glad to help her and translate if necessary, just need to contact her does she has a e-mail twitter or FB account I could use to contact her? I'm not in the FB group ( I don't do FB much but I do have an account so I could join if that helps, how do I find the FB group?
In FB I appear as Veronica Hernandez maybe she can look me up and send a message

@Meridith and Zeke
@Tuxedo Mom
 
Hi I just contacted her, so if you would like to ask her something please let me know and I'll post her answer here.

So far what she has told me is she is using a Human meter (Accu Check) she is feeding raw she gives him chicken, chicken harts and chicken liver, some beef and some tuna, all with no fats since he suffered fatty liver in april and she is still giving him denamarin for that.
 
Her main question she has been asking has been on shooting low numbers. Her ss is at the beginning of this post. I tried to explain the sticky to her and I think she tried a translation of the shooting low sticky, but still not understanding it.
 
I think she does have a lot of questions but right now the most pressing one is shooting low, actually she just told me his PMPS was 110 and she did shoot 2.5u because she didn't wanted him to be high again tomorrow morning it appears is close to +3, I asked her to test as soon as possible

This is the link to her SS with out the FB and her kitty name is actually "Han Solo"
https://docs.google.com/spreadsheet...heQMMEw9VZvxSJPe6x8s_s/edit?ts=591c6e0f#gid=0
 
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Wendy&Neko said:
What language does this person speak? Maybe we have someone who can help in her language.

I disagree on the way too high a dose. She shot 6 cycles on 7 units, which would build the depot, and got green the next day. She didn't see good numbers until 5.5 units. I might go back to 6.0 units and stick with it for at least six cycles. And she needs to get a preshot test every time, plus at least one night time test each day. Plus test for ketones regularly. Do you know what type of meter she is using?

I am curious who is "advising" her, but I can guess.
Click to expand...

I think we need to figure out a dose she can shoot regularly, she has been adjusting her dose depending on the preshoot test and with the idea that he won't go too high again but wasn't taking into consideration any kind of bouncing or depot and her reductions have been on a lot of different amounts I guess depending on how scared she was on both accounts going to low or him going to high

It seems she is on her own , since the vets where she lives just told her they haven't ever treated a diabetic cat
 
Three things:
1. Thanks to those that are contacting and helping her. That is very kind.
2. Poor thing, no local vet support ........
3. Food for thought.....we are an open board, maybe take her fb info down now that contact has been made. I worry about that kind of thing.

You guys rock!
 
She finally was able to test and he's 104 it is more o less +3.5 I asked her to give him more food and lets see if she can get another test in a while.

Hoping he doesn't go to low and tomorrows AMPS is shootable ( and given her situation I think shootable should be over 200) any suggestion on what dose she should give?

It's hard to tell which is the good dose since she has been changing doses a lot.
 
apple said:
Would it be any easier to try testing his feet?

Does she have a hypo kit/ supplies?
Click to expand...

I don't know seems he is a difficult kitty, she will have to start trying different approaches, and her hypo supplies are a little bit scarce since he is on a special diet so she didn't thought about having different types of food MC or HC she does have some Karo I'm really scared right now for them:nailbiting:
 
Veronica & Babu-chiri said:
I don't know seems he is a difficult kitty, she will have to start trying different approaches, and her hypo supplies are a little bit scarce since he is on a special diet so she didn't thought about having different types of food MC or HC she does have some Karo I'm really scared right now for them:nailbiting:
Click to expand...
Well hopefully she can get some, thinking if she mixes crumbled bread into food maybe will make it HC? Marvin used to love pasta
 
If she doesn't have karo, does she have honey, maple syrup, corn syrup, or can she make a syrup with sugar/water? Can you ask her to update her spreadsheet with the data she has tonight? If she absolutely can't test, she needs to leave food out for him, maybe with sugar/honey added.

She needs to find a dose she can shoot all the time. But she needs to get some more mid cycle data so we can see if the dose is enough/too much. Since she's skipping quite frequently with 6.0 units dose, maybe try 4.0 units? It's probably too low a dose, but I'd rather she be able to shoot twice a day and work her way up once we have some mid cycle data to say it's safe to do so. Try to get her to understand she need to shoot the same dose all the time, either until he goes low enough to earn a reduction, or if she needs to increase. Without consistency, we can't help with dosing. If she can monitor this weekend and is home, she could shoot over 150.

Can she get more mid cycle tests this weekend? A before bed test would also help us see how a dose is doing.
 
She does have Karo, is pretty much all she has, so I'll give her your suggestions about mixing it with the food and the pasta or bread.

She works on Saturdays but it appears I will be able to contact her through her messenger, I'll try to work with her during the weekend, and help her a little with her testing, and supplies and explain her the protocol, in Spanish because I think even though she has read them some important points got lost in the translation
 
Thanks as an update last night history is PMPS 110 +3 (104) +7(137) AMPS 175 and she did shoot the 4 units

I'll pass her the link thanks, her cat is on a very low fat raw diet that she home mades for what I understand, since he had fatty liver a few months ago
 
Veronica & Babu-chiri said:
She does have Karo, is pretty much all she has, so I'll give her your suggestions about mixing it with the food and the pasta or bread.

She works on Saturdays but it appears I will be able to contact her through her messenger, I'll try to work with her during the weekend, and help her a little with her testing, and supplies and explain her the protocol, in Spanish because I think even though she has read them some important points got lost in the translation
Click to expand...

Thank you so much for helping her Veronica. I found very quickly that things weren't translating well which was making it very hard for me to explain things to her since I don't speak a lick of spanish. I know she read the sticky on shooting low at least 2 times but she still had no idea how to shoot since the page obviously wasn't translating well. Google translate can only do so much.
 
Meridith and Zeke said:
Thank you so much for helping her Veronica. I found very quickly that things weren't translating well which was making it very hard for me to explain things to her since I don't speak a lick of spanish. I know she read the sticky on shooting low at least 2 times but she still had no idea how to shoot since the page obviously wasn't translating well. Google translate can only do so much.
Click to expand...
It's okay glad I could help and yes those translations are good for simple texts but not very precise in delicate maters
 
I just realized the doc is in English.....won't work for her......nevermind..
Veronica & Babu-chiri said:
Thanks as an update last night history is PMPS 110 +3 (104) +7(137) AMPS 175 and she did shoot the 4 units

I'll pass her the link thanks, her cat is on a very low fat raw diet that she home mades for what I understand, since he had fatty liver a few months ago
Click to expand...
 
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