8/17 Govie amps 246/+4 210/+6 150/ +8 153/ +10 183/ pmps 223

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Govies mom (Karen)

Govies mom (Karen)

Member Since 2017
http://www.felinediabetes.com/FDMB/threads/8-16-govie-amps-261-5-141-pmps-220.182380/

Okay here's my question since I'm using a ReliOn meter, as opposed to the vet strongly suggesting me using the alpha track, knowing that it reads 80 - 100 approximately points lower than the alpha track at higher numbers such as we've been getting, how do I know that I'm giving her the right amount of insulin? Now to me she's been doing good, we're totally off dry almost 2 weeks now and yet she threw up this morning after eating and I'm only giving one unit on the SLGS protocol
 
first....you have a number marked in your +3 for last night. I am assuming that was the time and not an actual reading. When you put time in such as +3.5 put it in the +3 or +4 box and you would have to manually colour the box. Otherwise it gets confusing for people when they look at your spreadsheet.

The protocols and guidelines listed for Lantus and Levemir are quoted in human meter readings so you would follow the guidelines set up for SLGS. Normally after one week on a dose you would do a curve..testing every 2 hours for one cycle (time between shots)

"
After 1 week at a given dose perform a 12 hour curve, testing every 2 hours OR perform an 18 hour curve, testing every 3 hours:
Note: Random spot checks are often helpful to "fill in the blanks" on kitty's spreadsheet.
  • If nadirs are more than 150 mg/dl (8.3 mmol/L), increase the dose by 0.25 unit
  • If nadirs are between 90 (5 mmol/L) and 149 mg/dl (8.2 mmol/L), maintain the same dose
  • If nadirs are below 90 mg/dl (5mmol/L), decrease the dose by 0.25 unit
As your cat's blood glucose begins to fall mostly in the desired range [lowest point of the curve approaching 100 mg/dl (5.5 mmol/L) and pre-shot value around or below 300 mg/dl (16.6 mmol/L)], do lengthen the waiting time between dose increases.

If you decide to change another factor (e.g., diet or other medications), don't increase the insulin dose until the other change is complete (but do decrease the dose if your cat's glucose numbers consistently fall below 90 mg/dl (5.0 mmol/L) as a result of the change).

Don't be tempted to rush the process along by increasing the dose more quickly or in larger increments-- no matter how high your cat's blood glucose is! Rushing towards regulation will cost you time in the long run, because you may shoot past the right dose."

http://www.felinediabetes.com/FDMB/threads/lantus-levemir-start-low-go-slow-method-slgs.129446/


at this point your numbers fall into this range:
  • If nadirs are between 90 (5 mmol/L) and 149 mg/dl (8.2 mmol/L), maintain the same dose

Try regiving the food and see if Govie will eat her breakfast without throwing up. If it stays down then you could give the shot.


ETA Good job on removing the dry food. It can take some time for the effects to clear the body, but hopefully with the change to a correct diet you will start to see the numbers edge downward.
 
I understand how you feel. At first I was reluctant to go against what my vet said. Trusting strangers over my wonderful vet who most of the time was right on although conservative?? All I can say is the protocols here work. The people who give advice and have been doing so for a long time know better than many vets. Think of testing as a way to keep your cat safe especially when you aren't around to check on her rather than getting an exact BG number. We look for trends. Better a day too high than a hypo. Some cats go into remissions just by eliminating dry food. I do think more people are successful using TR and since you have stopped feeding dry that is an option you might consider. Be patient. No matter which meter you use you can't rush the process and keep her safe. :bighug:
 
Okay we have been over a week on the one unit dose so I will do a curve now that her ears are better I got the right lancets and she did eat this morning and was fine. However I must add that I did the amps and got a safe number then I fed her and while she eats Midway through I give her the shot. She threw up a little bit after she ate so she had already had the shot which is why I was a bit worried
 
Tuxedo Mom said:
first....you have a number marked in your +3 for last night. I am assuming that was the time and not an actual reading. When you put time in such as +3.5 put it in the +3 or +4 box and you would have to manually colour the box. Otherwise it gets confusing for people when they look at your spreadsheet.

The protocols and guidelines listed for Lantus and Levemir are quoted in human meter readings so you would follow the guidelines set up for SLGS. Normally after one week on a dose you would do a curve..testing every 2 hours for one cycle (time between shots)

"
After 1 week at a given dose perform a 12 hour curve, testing every 2 hours OR perform an 18 hour curve, testing every 3 hours:
Note: Random spot checks are often helpful to "fill in the blanks" on kitty's spreadsheet.
  • If nadirs are more than 150 mg/dl (8.3 mmol/L), increase the dose by 0.25 unit
  • If nadirs are between 90 (5 mmol/L) and 149 mg/dl (8.2 mmol/L), maintain the same dose
  • If nadirs are below 90 mg/dl (5mmol/L), decrease the dose by 0.25 unit
As your cat's blood glucose begins to fall mostly in the desired range [lowest point of the curve approaching 100 mg/dl (5.5 mmol/L) and pre-shot value around or below 300 mg/dl (16.6 mmol/L)], do lengthen the waiting time between dose increases.

If you decide to change another factor (e.g., diet or other medications), don't increase the insulin dose until the other change is complete (but do decrease the dose if your cat's glucose numbers consistently fall below 90 mg/dl (5.0 mmol/L) as a result of the change).

Don't be tempted to rush the process along by increasing the dose more quickly or in larger increments-- no matter how high your cat's blood glucose is! Rushing towards regulation will cost you time in the long run, because you may shoot past the right dose."

http://www.felinediabetes.com/FDMB/threads/lantus-levemir-start-low-go-slow-method-slgs.129446/


at this point your numbers fall into this range:
  • If nadirs are between 90 (5 mmol/L) and 149 mg/dl (8.2 mmol/L), maintain the same dose

Try regiving the food and see if Govie will eat her breakfast without throwing up. If it stays down then you could give the shot.


ETA Good job on removing the dry food. It can take some time for the effects to clear the body, but hopefully with the change to a correct diet you will start to see the numbers edge downward.
Click to expand...
Ok.. you are right the 3.5 was a plus 3.5 and I did not know how to include it in the Box between the 3 and 4. I know how to manually change the color of the box, but I don't know what color to use. I see some people have both in the same box, one over the other. I'm gonna do the curve now, starting with the +4 I just got which was 210
 
One option for a curve is every 3 hours for 18 hours. It's good to mix up the curves to do a bit into the start of the second cycle, in case the first cycle is a dud (ie. bounce).
 
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