Doing a Curve - Weird Result, What to Do?

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I had no luck with 33 lancets like the hole was just not big enough. The 28's or 30's might look like you're pounding a nail in but usually one poke and you're done. I hold a piece of folded over paper towel behind Noah's ear to keep him from flicking it off. Even after years of doing this Noah will sometimes flinch and his ear gets shredded. It happens to all of us.
 
I hand hold the lancets, never used the pen thingy. To start...it takes a few pokes. I did 2 really close together and then stroked his ear to get the blood to bead up.

A warm ear helps...I always rub Jones' ear before poking to get the blood flowing.
 
"If the nadir is +12 then how can one give the 2nd dose at night?"

It makes for a challenging patient indeed. The answer is carefully. With these "mood" swings in Leo's blood sugar, I established a minimum insulin dose of 2.0. He always gets that unless there is a crisis mode of not eating.

Plus I monitor his intake. If he has eaten well during the day but ends up at PMPS = 200, then I give him 2.5. If his BG goes a bit high while he is sleeping at night, it is better than a hypo. In general, for Leo he gets
4.0 in the A.M.
3.0 in the P.M.

This keeps him safe, yet allows him to retain his energy and weight.
 
I had no luck with 33 lancets like the hole was just not big enough. The 28's or 30's might look like you're pounding a nail in but usually one poke and you're done. I hold a piece of folded over paper towel behind Noah's ear to keep him from flicking it off. Even after years of doing this Noah will sometimes flinch and his ear gets shredded. It happens to all of us.
I think before I was using 30 ga lancets, and I'd have to poke some times 8 times before getting any blood. I can't say that a hole even occurred most of the time because of the way he'd be flinching so quickly. Sometimes there'd be teeny tiny spec of blood but I couldn't get a blood drop. I have 3 different lancets of different colors, can't tell what the gauges are. I can only see that the dark blue ones are 30 ga. I have light blue, and a teal.

Over all it's unpleasant. I have to pick him up and put him on my counter so I can see what I'm doing and that of course makes him tense because he knows he'll get poked a bunch of times. If I was able to make it a quick one poke he'd probably tolerate it better.
 
I hand hold the lancets, never used the pen thingy. To start...it takes a few pokes. I did 2 really close together and then stroked his ear to get the blood to bead up.

A warm ear helps...I always rub Jones' ear before poking to get the blood flowing.
I never have luck stroking his ear to get the blood to come out. I wonder if the fact that he's on a blood pressure med affects his blood flow slowing it down making it harder to get a blood drop.
 
We have to warm Idjit's ear with a rice sock. I draw it over his head, under his chin, as well as warm both ears. Takes a bit longer, but he likes it. He even has started to purr a few times. I think it got easier when I started to relax, then he could relax. Just takes time. Be patient with yourself. :bighug:
 
"If the nadir is +12 then how can one give the 2nd dose at night?"

It makes for a challenging patient indeed. The answer is carefully. With these "mood" swings in Leo's blood sugar, I established a minimum insulin dose of 2.0. He always gets that unless there is a crisis mode of not eating.

Plus I monitor his intake. If he has eaten well during the day but ends up at PMPS = 200, then I give him 2.5. If his BG goes a bit high while he is sleeping at night, it is better than a hypo. In general, for Leo he gets
4.0 in the A.M.
3.0 in the P.M.

This keeps him safe, yet allows him to retain his energy and weight.
That sounds very smart. I don't think Ricky is eating well lately. My difficulty with testing makes it hard to study what is going on well enough to figure out a good plan. I'm going to test him tonight and see if he's dropped again. Today I gave 5 units per my vet's suggestion. But that's still a high dose. He's a big cat but he hasn't been eating well, so it could be another low one tonight. My vet said dropping to 5 units should be maintained for a week before any change to a lower dose. But if his BG is quite low again then I think we might need to try going down to 4.0 or even 3.0 Just wish he'd eat.
 
We have to warm Idjit's ear with a rice sock. I draw it over his head, under his chin, as well as warm both ears. Takes a bit longer, but he likes it. He even has started to purr a few times. I think it got easier when I started to relax, then he could relax. Just takes time. Be patient with yourself. :bighug:
I will try that
 
Also, he gets a treat every time we poke, successful or not. Freeze dried chicken treats, cooked chicken bites. He usually gets to have his meal after a test also. He's food motivated, so it works.
 
I had no luck with 33 lancets like the hole was just not big enough. The 28's or 30's might look like you're pounding a nail in but usually one poke and you're done. I hold a piece of folded over paper towel behind Noah's ear to keep him from flicking it off. Even after years of doing this Noah will sometimes flinch and his ear gets shredded. It happens to all of us.
Tonight I used a light blue lancet that came with the Alpha Track. The bag is not marked as to the gauge but it looked bigger than what I was using before. I got a blood drop on the first poke, so that was a shock ! Maybe the larger is better as you say. Many of the ones I have aren't marked for size. Tonight PS was 355. So that's not so scary. Still don't notice him eating.
 
Also, he gets a treat every time we poke, successful or not. Freeze dried chicken treats, cooked chicken bites. He usually gets to have his meal after a test also. He's food motivated, so it works.
Ricky isn't food motivated, and he doesn't like any treat. Also he's free feeding and only eats dry food. Usually he always ate around the time of the shot any way, but currently he seems off his food. Seems like it's not appealing
 
Still don't notice him eating.
Are there other cats or dogs in the house that could be eating his food. We have six and Noah is really private about eating. Some people here have baby scales, a good investment if you think you're going to have cats around your feet for the next 40 years.
Eventually Ricky is going to have to start eating a diet of some wet food. I've had a lot of cats that just would not do it and we cheat a bit because we leave kibble out. Keep trying.
 
Are there other cats or dogs in the house that could be eating his food. We have six and Noah is really private about eating. Some people here have baby scales, a good investment if you think you're going to have cats around your feet for the next 40 years.
Eventually Ricky is going to have to start eating a diet of some wet food. I've had a lot of cats that just would not do it and we cheat a bit because we leave kibble out. Keep trying.

I did a PS test and the 28 gauge lancet did work better. So you are right about that. His reading was 350. So I will keep the 5 unit dose and try a glucose curve again next week.
I leave the free feeding RC Glycobalance dry food out for Ricky on a coffee table where the dog can't get to it. I have 5 cats in total so any of the cats could eat the same food I leave out for Ricky. Right now I'm just trying to get him stable on the right dose so he can get back in the groove of feeling good. I don't think Ricky would ever eat wet food, even as a 6 wk old kitten he refused. He's very picky. I tried to get him to like YAZ or Epigen but he doesn't like those. All vets say the most important thing for a diabetic is to eat. It's better to eat something, no matter what it is than to eat nothing.

This morning Ricky looked more upbeat and alert. All the Glycobalance dry food was gone from the bowl. I assume Ricky ate his portion. He was asking for more food this morning. Will see how it goes.
 
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I really did not ever want to see a can of Fancy Feast in our house, ever! I thought it was pig slop but it gets Noah to eat and he needs to eat wet food. Our cats are all nuts anyways. They don't want fresh salmon, tuna, sardines etc. They just want a Big Mac everyday.
If you're interested in a scale ask about it in Feline Health. Weight loss can be a scary issue but it might not always be what you thought it was. Life is a mystery.
 
I really did not ever want to see a can of Fancy Feast in our house, ever! I thought it was pig slop but it gets Noah to eat and he needs to eat wet food. Our cats are all nuts anyways. They don't want fresh salmon, tuna, sardines etc. They just want a Big Mac everyday.
If you're interested in a scale ask about it in Feline Health. Weight loss can be a scary issue but it might not always be what you thought it was. Life is a mystery.
I already have a baby scale. Have had that to keep check on my chubby Yorkie ! Most of my cats are older and it has become a struggle just to find foods they will eat. All but Ricky eat wet food, but I give them what ever works. Ricky's weight looks good right now.
 
I already have a baby scale.
All you need now is a baby!
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I read somewhere they poop a lot and need special food. No thanks.:(
 
Just FYI....exercise can actually lower the blood glucose...it makes the insulin more "available" to the cells.
Wanted to thank you for that Chris. I mumbled something Thursday night about activity but did not suggest playing. Nonetheless that line should be a part of the Hypo protocol. I had also suggested not letting him fall into a deep sleep but that's from my neurological knowledge. Do you think that's a good idea? It applies to humans after concussions.
 
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