Bella’s new increase part 1

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Bellasmom

Bellasmom

Member Since 2018
well did a +4 and we have a red 434 seems to be going slowly up last couple days, normal? Or maybe something wrong? Little worried, we haven’t seen red in a bit
 
Very frustrating, he gets to feeling better and then here we go again, I know, patience, he .5u has done all it can, so guess we will see what .75 does
 
Bellasmom said:
Very frustrating, he gets to feeling better and then here we go again, I know, patience, he .5u has done all it can, so guess we will see what .75 does
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Yes, very frustrating but stay the course. It'll get better. The L forum people might have a better take on how SLGS progresses.
 
Posted on L forum, see what they say, I’m sure it will get better since the other dosage had done all it could do and I just saw where he went up the first day of lantus and it slowly went down, sometimes I forget to look at the whole pic and just focus on that stupid red number
 
Bellasmom said:
sometimes I forget to look at the whole pic and just focus on that stupid red number
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This is very hard to do but I guarantee it'll save your sanity. I often tell people to sit back and just squint at their SS to see how the colour distribution has changed. I do that from time to time with mine. :)
 
I used to do that with mine and was saddened by the recent colours from the past few months being all pinks and reds with just a few false hope yellows.
 
I love it too- new pic! Such a pretty kitty! I’m glad he’s so good for you! Baby has finally settled but makes this little moan sound when I pick her up. She only occasionally flips out now. Progress. I still think she says to herself, “I thought momma loved me; then why is she poking me like this.” Bad way to look at it so I can’t dwell. I’m sure a lot of us feel like this?? No? Yes? Maybe just me...plus I finally found a dry treat for her after shot/test & it gives her diahpoo. Back to the drawing board!
Good luck on the dose increase, I’m pulling for you Bella!
 
Stumped on what to do, I looked on LL forum and read sticky it gives 3 options at BG 200 no shot, smaller shot, or wait 2 hrs and retest not sure what to do
 
I see you got help on L&L, I just wanted to say that I love the new avatar!!!

ETA I just read that thread and you don’t suck!:D
ETA In case of confusion about my ETA, those were Bellasmoms words, I was just letting her know she did fine this AM, no one on L&L was rude. It was early and no coffee yet. I need to stop commenting before coffee.....
 
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Sharon14 said:
I see you got help on L&L, I just wanted to say that I love the new avatar!!!

ETA I just read that thread and you don’t suck!:D
ETA In case of confusion about my ETA, those were Bellasmoms words, I was just letting her know she did fine this AM, no one on L&L was rude. It was early and no coffee yet. I need to stop commenting before coffee.....
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No, no one was rude everyone helpful, very helpful, I was talking about myself, sorry for using the word
 
Bellasmom said:
+10 346, I should have given the .75 ??
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Possibly, but you have to do what's safest when you can't be home and don't have enough data/experience with the new insulin. Give 0.75 u tonight. Get a before bed test. There could also be a bit of NDW going on. :)
 
Kris & Teasel said:
Possibly, but you have to do what's safest when you can't be home and don't have enough data/experience with the new insulin. Give 0.75 u tonight. Get a before bed test. There could also be a bit of NDW going on. :)
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Ok and ,y hubby will be home tomorrow so if’s it’s around amps 200 I’m gonna give the .75, is that,ok
 
Bellasmom said:
How can it go up that much in 1 hr
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The dose might have warn off a bit early. Does he have access to food all day when you're at work? Some people find that if the kitty eats after the +6 mark it can reduce the duration of the dose. There's also NDW that many say shows up a few cycles after a dose change. Try not to worry.
 
Kris & Teasel said:
The dose might have warn off a bit early. Does he have access to food all day when you're at work? Some people find that if the kitty eats after the +6 mark it can reduce the duration of the dose. There's also NDW that many say shows up a few cycles after a dose change. Try not to worry.
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Yes Dr elseys
 
Bellasmom said:
Yes Dr elseys
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Just something to keep in mind for later. Right now, go back to the 0.75 u dose and follow SLGS. He's only been on Lantus 10 days and it can take a lot longer than that to get him more stable and to pick out patterns in his responses.
 
Bellasmom said:
At what number should I not give a shot if 200 is a maybe what is a NO shot
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It will be what the SLGS guidelines suggest along with a lot of data on your SS that shows you his responses. From the SLGS guide with parts I highlighted for emphasis:
______________________________________________________________________________________________

How to handle a lower than normal preshot number:

In the beginning we suggest following the guidelines in the FDMB's FAQ Q4.4:
Q4.4. My cat's pre-shot level was way below the usual value. Should I give the injection?
A4.4. There's no hard and fast rule, but if you don't have data on how your cat responds to insulin, here are some general guidelines.
  • Below 150 mg/dl (8.3 mmol/L), don't give insulin.
  • Between 150 and 200 (8.3-11.1 mmol/L), you have three options: a.) give nothing; b.) give a token dose (10-25% of the usual dose); c.) feed as usual, test in a couple of hours, and make a decision based on that value.
  • Above 200 (11.1 mmol/L) but below the cat's normal pre-shot value, a reduced dose might be wise.
  • In all cases, if you are reducing or eliminating insulin, it's wise to check for ketones in the urine.
  • Above the normal pre-shot value, give the usual dose, but if the pre-shot value is consistently elevated, it's a good idea to schedule a full glucose curve to see whether a change in dose or insulin is appropriate. In most cases, the target "peak" value should not be below 100 mg/dl (5.6 mmol/L), and for some cats it might be higher.
Keep in mind these are general guidelines, and they should be personalized to your own cat's response to insulin. If your experience is that your cat does not became hypoglycemic with a dose which is close to her usual, then personal experience should be your guide.

With experience, you may find that lowering these thresholds may work well for your cat. When you have reached that stage, the following guidelines are suggested for Lantus and Levemir users following the Start Low Go Slow approach:

If the preshot number is far below usual preshot numbers:
  • Do you need to stay on schedule? Then skip the shot.
  • Do you have some flexibility with your schedule? Then stalling to wait for the number to rise might be a good option. Don't feed, retest after 30-60 minutes, and decide if the number is shootable.
  • Repeat until the cat either reaches a number at which you are comfortable shooting, or enough time has passed that skipping the shot is necessary.
If the preshot number is near usual preshot numbers:
  • Look at your data to see what numbers you have shot in the past and decide what would be a safe, shootable number for your cat. Don't feed. Stall until kitty reaches the preshot number you've decided on and then shoot.
We usually don't suggest or recommend shooting a preshot number less than 90 mg/dL when following the SLGS Method. Remember that with SLGS, your goal is to achieve flat numbers that are greater than 90, so there is no need to push a cat into numbers lower than that.
 
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Right now I think you’re seeing the much slower, gentler action of Lantus. Novolin was able to drop Bella’s BG much more aggressively. You might get to a higher dose before seeing blues and better. The two insulins are like apples and oranges. Hubby doesn’t need to do a lot of tests, just a couple of key ones between +4 and +7 or +8.
 
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