Bam's Spreadsheet - just tested low at 66

Status
Not open for further replies.
66 is a safe number on the Relion. Typically we feed high carb ifnthey are under 50.

I am not sure if you are following Tight Regulation or Start Low Go Slow for dosing, but I think I would lower his dose to 0.75 units tomorrow morning. I think 1 unit might be a bit too much insulin at this point in time.
 
Wendy&Neko said:
66 is a safe number on the Relion. Typically we feed high carb ifnthey are under 50.

I am not sure if you are following Tight Regulation or Start Low Go Slow for dosing, but I think I would lower his dose to 0.75 units tomorrow morning. I think 1 unit might be a bit too much insulin at this point in time.
Click to expand...
So even though his numbers have been high in the morning we would lower the dose? He was at 447 this morning and that is higher than usual. we are following SLGS.
 
Could you add SLGS to the signature? That'll stop us asking all the time. :)

We determine the dose by how low it takes the cat. If Bam goes below 90, you lower the dose by 0.25 units. He has probably been seeing some lower numbers mid cycle and bouncing, resulting in those higher numbers at the beginning of the cycle.
 
Wendy&Neko said:
66 is a safe number on the Relion. Typically we feed high carb ifnthey are under 50.

I am not sure if you are following Tight Regulation or Start Low Go Slow for dosing, but I think I would lower his dose to 0.75 units tomorrow morning. I think 1 unit might be a bit too much insulin at this point in time.
Click to expand...
Wendy&Neko said:
Could you add SLGS to the signature? That'll stop us asking all the time. :)

We determine the dose by how low it takes the cat. If Bam goes below 90, you lower the dose by 0.25 units. He has probably been seeing some lower numbers mid cycle and bouncing, resulting in those higher numbers at the beginning of the cycle.
Click to expand...
We will lower the dose tomorrow AM. I added the SLGS to my signature, as well as some other info on Bam. I just tested him a few minutes ago and he was at 198. My husband will test him again before bed time. Thank you for all your help.
 
Since you didn't shoot tonight, try not to worry if he's high tomorrow morning. That is to be expected. Stick to the 0.75 units.
 
Wendy&Neko said:
Since you didn't shoot tonight, try not to worry if he's high tomorrow morning. That is to be expected. Stick to the 0.75 units.
Click to expand...
Here's my new problem. I have syringes with 1 unit markings or 1/2 unit markings. Do they even make a syringe with 1/4 unit markings? What do I do tomorrow AM?
 
Jill A said:
Here's my new problem. I have syringes with 1 unit markings or 1/2 unit markings. Do they even make a syringe with 1/4 unit markings? What do I do tomorrow AM?
Click to expand...
No, they don't. You'll have to do your best to eyeball a level between 0.5 u and 1.0 u. Try to be as consistent in your eyeballed estimate from dose to dose.
 
Kris & Teasel said:
No, they don't. You'll have to do your best to eyeball a level between 0.5 u and 1.0 u. Try to be as consistent in your eyeballed estimate from dose to dose.
Click to expand...
Oh boy, this will be challenging. I better invest in some reader glasses. I've always used the 1 unit syringes. My friend from DCIN gave me some 1/2 unit syringes. I'm assuming the lines on the right are the whole units and the ones on the left are half units? Seems obvious but it can't hurt to ask. Thanks.
 
I have the same problem. Aurora was on a 1/2 of a unit of insulin and has gone down to 1/4 unit now. It always feels to me like the syringe is totally empty thought I have tested this and drew up some and squired it out in the sink just to see and it's literally just a drop. Many members here use a caliper but I just can't wrap my head around how that would work so I haven't ventured there yet. You're not alone, it's very hard when you're in between a marked line.
 
Jill A said:
Oh boy, this will be challenging. I better invest in some reader glasses. I've always used the 1 unit syringes. My friend from DCIN gave me some 1/2 unit syringes. I'm assuming the lines on the right are the whole units and the ones on the left are half units? Seems obvious but it can't hurt to ask. Thanks.
Click to expand...
Yes, that's usually the arrangement. I bought a pair of drugstore readers in a power higher than I need for measuring out insulin doses. It also helps to have a bright light behind the syringe.
 
Nicole Z said:
I have the same problem. Aurora was on a 1/2 of a unit of insulin and has gone down to 1/4 unit now. It always feels to me like the syringe is totally empty thought I have tested this and drew up some and squired it out in the sink just to see and it's literally just a drop. Many members here use a caliper but I just can't wrap my head around how that would work so I haven't ventured there yet. You're not alone, it's very hard when you're in between a marked line.
Click to expand...
Wow! A 1/4 unit? Oh my.
 
If it helps - what I do is fill syringe to the one unit mark and count the drops in one unit as I squeeze them out. Eg I get 4 fat drops to one unit. So if I want 0.75 I fill to one unit and squeeze out a drop. Voila 0.75.

At one point Silver was down to only one drop insulin twice a day.
 
Juliet said:
If it helps - what I do is fill syringe to the one unit mark and count the drops in one unit as I squeeze them out. Eg I get 4 fat drops to one unit. So if I want 0.75 I fill to one unit and squeeze out a drop. Voila 0.75.

At one point Silver was down to only one drop insulin twice a day.
Click to expand...
I will try that. Might be a bit more accurate than eyeballing it. Thanks!
 
There are a couple of ways to manage the tricky doses. What Juliet suggested is one method. I was never good at getting consistent drops even when I twisted the plunger (vs pushing). You can also use a colored liquid (or add color to a liquid) and make a sample syringe to compare your actual Lantus dose to. Another option is to buy digital calipers. These are the ones I used. There are instructions on the Board as to how to use them. They allow you to be very consistent with your dosing.

Remember that with SLGS, a drop in numbers below 90 is when you reduce. So, given the 60, Bam's dose is reduced. It also helps to remember that Lantus dosing is based on the nadir -- the lowest point in the cycle. So even if he's bouncing to the moon, the nadir is telling you how low this particular dose is taking Bam's numbers -- hence, the reduction like Wendy noted.
 
It's really too bad they don't make a syringe with 10 units. They could make 1/4 markings. A lot (maybe most) felines get less than 5 units.
 
Status
Not open for further replies.
Back
Top