11/15 ASAP...Dosage advice,Read current thread below

Debra and Yoyo

Debra and Yoyo

Member Since 2018
Ii am VERY CONCERNED. Dropped from 336 to 114 in 3 hours. Just fed him again.

Above was from earlier today when he dropped 222 points within 3 hours.
Presently his +11 level is 199. Should I give 2nd dosage of insulin. I worry that he will drop a lot again and go into hypoglycemia. Please advise.
 
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Yes, feed some more and retest in 20 mins. He is still in safe numbers. You just want to slow him down a bit.

This is a duplicate thread. We use one thread a day so that all information is together to make it easier to follow along.

Here is your Earlier thread .
 
Idjit's mom said:
Test him again in about 15 - 20 minutes
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Thank you again for being here!
He went up to 118, up 4 points. Inbetween I did give him food again. He ate most of it. Probably not hungry anymore.
He is acting NORMAL. I am the wreck. But I didn't let him know how nervous I was. I will keep checking, hopefully he will surf now. Hope I am using the word surf correctly. Trying to learn.
Thanks again for being here, it really means so much to have people like yourself and everyone on this site respond to my concerns. You don't know how much it means to me.
 
Bobbie And Bubba said:
Yes, feed some more and retest in 20 mins. He is still in safe numbers. You just want to slow him down a bit.

This is a duplicate thread. We use one thread a day so that all information is together to make it easier to follow along.

Here is your Earlier thread .
Click to expand...
Debra and Yoyo said:
Thank you again for being here!
He went up to 118, up 4 points. Inbetween I did give him food again. He ate most of it. Probably not hungry anymore.
He is acting NORMAL. I am the wreck. But I didn't let him know how nervous I was. I will keep checking, hopefully he will surf now. Hope I am using the word surf correctly. Trying to learn.
Thanks again for being here, it really means so much to have people like yourself and everyone on this site respond to my concerns. You don't know how much it means to me.
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Sorry about different threads. It is new to me. But I will try and be more careful.
Thank goodness his BG reading was 118, up 4 points at the +4 time.
I fed him more even though he didn't really want it.
I will keep checking again in about a half hour. Hope his number stay constant and don't get lower again.
Thinking of changing dose to 1/2 unit. Will ask Vet.
Any thoughts on dosage.
 
Debra and Yoyo said:
Trying to learn.
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GOOD for you! :joyful: Learn as much as you can,it will make it so much easier to understand everything about Diabetes & how the Insulin works. There's a LOT of information in the Yellow sticky notes. Take your time & read as much as you can. I printed out information & keep it in a folder by my computer so I can refer to it a LOT.
Especially the SLANG they use here :)

You can also go on anyone's' SS (Spread Sheet) & see what other kitties are doin ,how much insulin they get & what their BG is at different times of the day. You can read other posts & ask a bunch of questions.

One very important thing I learned, Take several deep breaths when ever you get stressed out. It really does help ! Someone is here 24 7 to help you.

If you have an Important Question ,put a ? first & "Dose Advice Please" on you post Once someone answers your question you need to just remove the question mark.( only one post per day)

The people that have been here a long time really do know more about insulin & dosage than Most vets. As you start testing more & filling in the SS (Spread Sheet ) it will get easier for you to see how YOYO reacts to the insulin & for people to advise you on dosage.
Don't change the dose without getting advice first! Insulin is a very powerful Hormone & you need to be careful.

Many people have money issues & it can get Expensive using the meter & strips the Vet recommends. Most of use a Human meter. I bought my meter & strips from Walmart ,Relion Prime Meter $15 &
$18 for 100 test strips A lot less money than the Alpha TraK ! It's up to you . There are some people that do use the Alpha Trak.

Best of luck to you & YOYO! We're all here to HELP you to Help your kitty! ( YOYO is Beautiful! How did he lose his leg?)

Hope your day is GREAT!:) :bighug:
 
Take a look at the sticky on Shootiog & Handling LowNumbers. There are instructions on what to do when numbers are dropping. The information is geared to the Tight Regulation Protocol but the principles still apply.
 
JoyBee&Ravan said:
GOOD for you! :joyful: Learn as much as you can,it will make it so much easier to understand everything about Diabetes & how the Insulin works. There's a LOT of information in the Yellow sticky notes. Take your time & read as much as you can. I printed out information & keep it in a folder by my computer so I can refer to it a LOT.
Especially the SLANG they use here :)

You can also go on anyone's' SS (Spread Sheet) & see what other kitties are doin ,how much insulin they get & what their BG is at different times of the day. You can read other posts & ask a bunch of questions.

One very important thing I learned, Take several deep breaths when ever you get stressed out. It really does help ! Someone is here 24 7 to help you.

If you have an Important Question ,put a ? first & "Dose Advice Please" on you post Once someone answers your question you need to just remove the question mark.( only one post per day)

The people that have been here a long time really do know more about insulin & dosage than Most vets. As you start testing more & filling in the SS (Spread Sheet ) it will get easier for you to see how YOYO reacts to the insulin & for people to advise you on dosage.
Don't change the dose without getting advice first! Insulin is a very powerful Hormone & you need to be careful.

Many people have money issues & it can get Expensive using the meter & strips the Vet recommends. Most of use a Human meter. I bought my meter & strips from Walmart ,Relion Prime Meter $15 &
$18 for 100 test strips A lot less money than the Alpha TraK ! It's up to you . There are some people that do use the Alpha Trak.

Best of luck to you & YOYO! We're all here to HELP you to Help your kitty! ( YOYO is Beautiful! How did he lose his leg?)

Hope your day is GREAT!:) :bighug:
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Back in December of 2017 I found a lump on his left front paw and unfortunately it was cancer. I didn't want to remove his leg but the Vet said that it would save his life. So I chose the surgery. It was a hard time for Yo but he is a champ and he recovered several months later but at least he is still with me and he does have a good quality of life. He is a pampered kitty and he loves his 2 doggie companions.
 
Debra and Yoyo said:
Back in December of 2017 I found a lump on his left front paw and unfortunately it was cancer. I didn't want to remove his leg but the Vet said that it would save his life. So I chose the surgery. It was a hard time for Yo but he is a champ and he recovered several months later but at least he is still with me and he does have a good quality of life. He is a pampered kitty and he loves his 2 doggie companions.
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Bubba lost his eye to cancer and it was the hardest decision I ever made. I had anxiety attacks in the middle of the night to think of what it would be like for him with one eye. He also came through like a champ! He was outside in 10 days and brought a mouse back to me. :rolleyes:

They are much more resilient than us, I think ( cats have 9 lives) :p

About 30 years ago, I was driving along a road and all of a sudden I saw a cat in a heap in the middle of the road. I pulled over and I saw his head pop up. He was alive! He's leg had a compound fracture and the bone was poked through and dangling. I scooped him up and rushed him to my vet, they were not opened yet. , I had a basket of dirty laundry in my car. I made a bed for him and left him at their door with a note and my phone number and I had to go to work.

They called me later and ask if I would take financial responsibility for the cat . There was no way, I was a divorced single mom living pay check to pay check. I told the receptionist that I did the right and humane thing and rushed him to a place that I thought would help him and they would have make that same decision for themselves.

She called me back a bit later and said that one of the new vets would do the surgery ( the leg had to come off) give him ABs pain medicine and all vaccines for free if I would find a home for him. So, I did. He went to live on a friends horse ranch and ran around with the horses and other barn cats and lived a nice life. We named him Tripod.

I am very glad you were able to save your baby's life. :bighug:
 
Bobbie And Bubba said:
Bubba lost his eye to cancer and it was the hardest decision I ever made. I had anxiety attacks in the middle of the night to think of what it would be like for him with one eye. He also came through like a champ! He was outside in 10 days and brought a mouse back to me. :rolleyes:

They are much more resilient than us, I think ( cats have 9 lives) :p

About 30 years ago, I was driving along a road and all of a sudden I saw a cat in a heap in the middle of the road. I pulled over and I saw his head pop up. He was alive! He's leg had a compound fracture and the bone was poked through and dangling. I scooped him up and rushed him to my vet, they were not opened yet. , I had a basket of dirty laundry in my car. I made a bed for him and left him at their door with a note and my phone number and I had to go to work.

They called me later and ask if I would take financial responsibility for the cat . There was no way, I was a divorced single mom living pay check to pay check. I told the receptionist that I did the right and humane thing and rushed him to a place that I thought would help him and they would have make that same decision for themselves.

She called me back a bit later and said that one of the new vets would do the surgery ( the leg had to come off) give him ABs pain medicine and all vaccines for free if I would find a home for him. So, I did. He went to live on a friends horse ranch and ran around with the horses and other barn cats and lived a nice life. We named him Tripod.

I am very glad you were able to save your baby's life. :bighug:
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I know what you mean by making that decision. I listened to what other people's thoughts were and then I made my own decision. As long as he is happy and his quality of life is good, I know I made the right choice.
Wow, what a story about that kitty. You have a good heart. Not many people would stop and rescue an animal.

Are you familiar with Lantus and how it works? Is Yo at his peak now or can it drop more? I am going to test his BG now and I'll put it on his spread sheet.
I wonder if I should lower his dosage for tomorrow to a half unit instead of 1 unit.
Let me know your thoughts.
Many thanks!
 
Cat's typically nadir around +4 +7 so I would wait and get another test about +7 since he is nice a flat right now.

As far as lowering the dose, you want to hold this initial dose for 7 days and let the depot fill. It can takes 3 days or 6 cycles for the depot to get stable. You would only decrease if Yoyo earns a reduction and goes under 68 since you are using an AT2 meter and if you are following TR.

Chances are that he is going to bounce tonight from the fast drop from AMPS to +2. But, you'll know soon enough. If for some reason, he is under 150 by PMPS, stall and do not feed and ask for help.

ETA: If help is needed, change the thread title with a ? mark and something like Dosing advice needed ASAP.
 
Bobbie And Bubba said:
Cat's typically nadir around +4 +7 so I would wait and get another test about +7 since he is nice a flat right now.

As far as lowering the dose, you want to hold this initial dose for 7 days and let the depot fill. It can takes 3 days or 6 cycles for the depot to get stable. You would only decrease if Yoyo earns a reduction and goes under 68 since you are using an AT2 meter and if you are following TR.

Chances are that he is going to bounce tonight from the fast drop from AMPS to +2. But, you'll know soon enough. If for some reason, he is under 150 by PMPS, stall and do not feed and ask for help.

ETA: If help is needed, change the thread title with a ? mark and something like Dosing advice needed ASAP.
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What does let the depot fill mean? What is the depot? What does following TR mean. Sorry, I don't know the abbreviations.
Thanks for the advice for tonight. I will definetly ask for help.
 
This will explain what the Depot is
http://www.felinediabetes.com/FDMB/threads/what-is-the-insulin-depot.150/

There are 2 methods of giving your cat insulin TR is tight regulation SLGS is start low go slow You need to read about these 2 methods & decide which one would best suit your life style.

Go Here http://www.felinediabetes.com/FDMB/threads/need-help-deciding-on-slgs-or-tr.193582/

Once you read someone's comments it's a good idea to click on "Like" on the right side of the page. This just lets everyone know you read it.

It's a LOT to learn, but we all were new like you at one time. And as for me I've been here 9 months & am still reading & learning every day.

It really does get easier , baby steps, a little at a time :):bighug:
 
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I just looked at YOYO's SS He's doing VERY GOOD! AS you can see his BG has gradually gone up a bit but it's still in Blue #'s.
As you get more tests in you'll see more clearly how the insulin affects his BG (blood Glucose).
It would be helpful to add a bit more info. What time zone are you in & what time do you "Shoot" ? ( give him insulin)

There are 2 12 hour cycles in a day. Am & PM. You need to be consistent & give the shot at the same time each day. It's also necessary to get some tests in at night.
Yes , we set our alarm to get up & test. Especially in the beginning the more information on his SS the better.

Hope this info is helpful Keep asking questions! :cat:
 
It is so much to learn! Read all the stickies at the top of this forum. It gives you a lot of information to help you understand. And as I said before ask when you are confused or don't understand anything. We are here to help each other.

JoyBee linked the reads to help answer your questions. And like she said, baby steps. It's impossible to absorb it all right away. As you go along , it starts to click.
 
JoyBee&Ravan said:
This will explain what the Depot is
http://www.felinediabetes.com/FDMB/threads/what-is-the-insulin-depot.150/

There are 2 methods of giving your cat insulin TR is tight regulation SLGS is start low go slow You need to read about these 2 methods & decide which one would best suit your life style.

Go Here http://www.felinediabetes.com/FDMB/threads/need-help-deciding-on-slgs-or-tr.193582/

Once you read someone's comments it's a good idea to click on "Like" on the right side of the page. This just lets everyone know you read it.

It's a LOT to learn, but we all were new like you at one time. And as for me I've been here 9 months & am still reading & learning every day.

It really does get easier , baby steps, a little at a time :):bighug:
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Thank you for the information. I really hope it does get easier.
 
JoyBee&Ravan said:
I just looked at YOYO's SS He's doing VERY GOOD! AS you can see his BG has gradually gone up a bit but it's still in Blue #'s.
As you get more tests in you'll see more clearly how the insulin affects his BG (blood Glucose).
It would be helpful to add a bit more info. What time zone are you in & what time do you "Shoot" ? ( give him insulin)

There are 2 12 hour cycles in a day. Am & PM. You need to be consistent & give the shot at the same time each day. It's also necessary to get some tests in at night.
Yes , we set our alarm to get up & test. Especially in the beginning the more information on his SS the better.

Hope this info is helpful Keep asking questions! :cat:
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Thanks for looking over Yoyo's Spreadsheet. At what BG level does one not give an insulin injection. Yoyo is do at 7:40pm but readings are still low. Can I give an insulin injection past the 12 hr time as when his BG levels are higher than 170?
 
So where are you now? +10? A lot can happen between now and PMPS. If you could post again at +11 we'll have a better idea of whether you should shot or stall. But, to answer your question, you can shoot late if your schedule permits you to shoot 12 hours later.
 
Bobbie And Bubba said:
So where are you now? +10? A lot can happen between now and PMPS. If you could post again at +11 we'll have a better idea of whether you should shot or stall. But, to answer your question, you can shoot late if your schedule permits you to shoot 12 hours later.
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Bobbie And Bubba said:
So where are you now? +10? A lot can happen between now and PMPS. If you could post again at +11 we'll have a better idea of whether you should shot or stall. But, to answer your question, you can shoot late if your schedule permits you to shoot 12 hours later.
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I just posted to Yoyo's Spreadsheet. He is at 199.
I am afraid to give him his insulin for fear it will drop so fast and it will be night time - which makes it more nerve wrecking.
 
I am not sure about Hill AD and the carb count. What is the flavor? Did you get a PMPS number yet? If your schedule can be off by how ever late you are you could still shoot since he is up over 150 at +11. I won't be able to stay on with you tonight , but maybe someone will be. Try adding a ? mark to your thread title to get more eyes on your thread.

He is all ready trending upwards and he won't necessarily drop the same amount tonight as he did today, but monitoring will be important if you see that he is dropping again by onset which is usually around +2.
 
As far as I could find out the Hill AD is about 13% carbs That would be considered Med Carb.
My cat Ravan has dropped into the 30's & I gave a spoon of Med Carb cat food every 2 hrs & he did just fine.
 
You need to put a question mark then Dose advice Needed . What is YOYO's PMPS his preshot BG ?

What time do you Shoot? & what time zone are you in?
 
JoyBee&Ravan said:
@Bron and Sheba

Debra & Yoyo need dose advice & it doesn't look like anyone's around ?
Can you help?
I haven't been here long enough to give dose advice.
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Thank you for being here. I did not dose him tonight. Last reading was 199. I need to monitor him throughout the nite and I might sleep through it. I will give 1 or half a unit in am depending on AMPS.
 
When was Yoyo first tested? Why did you bring him to the vet? Was he drinking a LOT of water & Very Hungry? What was his BG (blood Glucose) The first time he was tested?There's information that would be helpful that you need to provide.
Did you ever feed him Dry cat food? I'm wondering if you did feed dry Kibble & stopped? Some cats Glucose will come way down just by eliminating dry food.
His BG looks very good on just one unit.Try to stay calm. You need to understand that Lantus insulin doesn't work right away It can take a few hrs before you see what it's going to do
 
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Debra and Yoyo said:
I will give 1 or half a unit in am depending on AMPS
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You need dose advice from someone with a LOT of experience. If you provide more information it will be helpful. What was his PMPS BG? The most important times to test are at AMPS & PMPS

You should try to get a test in tonight at +2 or +3. Lantus insulin works slowly. The shot you gave him at AMPS is still working in his body for 24 hrs. That's why it's important to get some night time tests.
 
I'm sorry I am just seeing the tag now. I've just read through your post and see that you have skipped the dose tonight.
It can be scary in the beginning, but looking at Yoyo' s SS he is doing very well. As @JoyBee&Ravan has said, can you get a couple of tests in this evening to see how he is going. If you can get a +11 ( that is 1 hour before AMPS) test in, that will give you a heads up to what he will be at AMPS and you will be able to post and ask for assistance.
It is not a good idea to chop and change with the dose as it messes up the depot. As long as you are testing and have some Higher carb food and honey or kero in case of a very low number, you are in control.
It is only early days for you.....don't look too far ahead...one day at a time.
You are doing well.
Keep asking lots of questions and if in doubt always ask!
 
Bron and Sheba said:
I'm sorry I am just seeing the tag now. I've just read through your post and see that you have skipped the dose tonight.
It can be scary in the beginning, but looking at Yoyo' s SS he is doing very well. As @JoyBee&Ravan has said, can you get a couple of tests in this evening to see he is going. If you can get a +11 ( that is 1 hour before AMPS) test in, that will give you a heads up to what he will be at AMPS and you will be able to post and ask for assistance.
It is not a good idea to chop and change with the dose as it messes up the depot. As long as you are testing and have some Higher carb food and honey or kero in case of a very low number, you are in control.
It is only early days for you.....don't look too far ahead...one day at a time.
You are doing well.
Keep asking lots of questions and if in doubt always ask!
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Thanks for the reply. I did skip last nights dose but I did post everything to his spreadsheet this morning.
His AMPS was 478. I fed him and then gave him 1 Unit of Lantus at 7:15am.

The part that scares me the most is hypoglycemia. I don't know what number to react with. Yesterday he got as low as 110 from 336 in 2 hours and I got So Nervous! I don't know what to expect and the unknown is a terrible feeling. I read where they only drop 50-100 points and here Yoyo dropped over 200 points!

When do I start testing 15-20 minutes-at what number do I BECOME ALERT of a problem?
And can you please tell me at what number do I become ALERT and start feeding Kero Syrup with High Carb Canned Food?

I also don't understand how Yoyo gets a constant 1 Unit when some mornings say he is only 225 AMPS. If he dropped 200 points he would be in such trouble. That's something I don't understand either.
Anything you can share with me will be appreciated.
 
JoyBee&Ravan said:
When was Yoyo first tested? Why did you bring him to the vet? Was he drinking a LOT of water & Very Hungry? What was his BG (blood Glucose) The first time he was tested?There's information that would be helpful that you need to provide.
Did you ever feed him Dry cat food? I'm wondering if you did feed dry Kibble & stopped? Some cats Glucose will come way down just by eliminating dry food.
His BG looks very good on just one unit.Try to stay calm. You need to understand that Lantus insulin doesn't work right away It can take a few hrs before you see what it's going to do
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Yoyo has always been tested as he is hyperthyroid and gets frequent blood testing. His blood glucose has been running high in the 200's but Vet did not see glucose in urine so told me not to worry. I believe his glucose levels increased with having hyperthyroidism.
I recently brought him to vet as he lost 1.5 pounds. He was eating and drinking normal. But he started crying during the night and I could'nt understand why. Perhaps he was telling me he was hungry. I started feeding him almost double the amounts of fancy feast classic pate but wieght continued to come off.
Took him to Vet and found out that now there was glucose +3 in urine and glucose blood level was around 345.
So I tested his blood glucos levels at home for abut a week. Anywhere from high 300's to low 200's.
I discontinued giving him DRY Y/d food immediately for his thyroid control but his readings didn't change any from not having the dry food. He has always ate fancy feast classic pate as that is all this finicky cat will eat. Very hard to get him to eat. He likes company and will not eat without me!
 
Hi Debra, I am commented here as I didn't see a thread for today.

As I mentioned above, he won't necessarily drop the same amount from one cycle to the next. Also, some kitties have a strong reaction the very first time they get Lantus.

Your take action with HC food and or Karo is 68 with the AT2 meter. But that said, you can steer him during a cycle by doling out small amounts of LC food if you are just trying to get a kitty to surf. Depending on the number you get and where it is in the cycle, you might give MC food or HC food. It is all an experiment as Every Cat Is Different ( ECID) . Something you could do is to record the amount of food and the % to help you know how it effected the numbers.

Debra and Yoyo said:
When do I start testing 15-20 minutes-at what number do I BECOME ALERT of a problem?
And can you please tell me at what number do I become ALERT and start feeding Kero Syrup with High Carb Canned Food?
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He was very far away from you yesterday having to test every 15 -20 minutes. He was quite higher this morning from skipping last night and from some bouncing also for being in lower numbers than he is used to being in.

If you have all the things in your hypo kit needed and you test through the day, you are equipped and ready and you will soon get used to seeing him in better lower numbers and not be so afraid of them. If he ever starts to get into hypo numbers someone here will stay with you and help you.
 
Bobbie And Bubba said:
Hi Debra, I am commented here as I didn't see a thread for today.

As I mentioned above, he won't necessarily drop the same amount from one cycle to the next. Also, some kitties have a strong reaction the very first time they get Lantus.

Your take action with HC food and or Karo is 68 with the AT2 meter. But that said, you can steer him during a cycle by doling out small amounts of LC food if you are just trying to get a kitty to surf. Depending on the number you get and where it is in the cycle, you might give MC food or HC food. It is all an experiment as Every Cat Is Different ( ECID) . Something you could do is to record the amount of food and the % to help you know how it effected the numbers.



He was very far away from you yesterday having to test every 15 -20 minutes. He was quite higher this morning from skipping last night and from some bouncing also for being in lower numbers than he is used to being in.

If you have all the things in your hypo kit needed and you test through the day, you are equipped and ready and you will soon get used to seeing him in better lower numbers and not be so afraid of them. If he ever starts to get into hypo numbers someone here will stay with you and help you.
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Thank you! Trying to understand all the information. Lots to learn and digest. Thanks for your patience. My fear is just giving the same dosage, 1 unit, when his pre insulin BG levels will be lower. I have the fear of that dropping number of 200. But like you mentioned, first time can hava a strong reaction. I hope I learn some more today and the next day and so on. If you have time, please monitor Yoyo's spreadsheet. I value your input.:)
 
Yoyo is really looking very good even the drops yesterday and today are not that big (I know that for the first time it was scary but he's doing just fine) and you are monitoring him closely so I think everything is just ok.

Debra and Yoyo said:
I also don't understand how Yoyo gets a constant 1 Unit when some mornings say he is only 225 AMPS. If he dropped 200 points he would be in such trouble. That's something I don't understand either.
Anything you can share with me will be appreciated
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The drops are not always going to be by 200 points, as the depot forms and he keeps getting insulin regularly odds are his numbers are going to be more consistent and he will probably drop just a few points every time most of time, you will start learning how he reacts, and well you will also learn if he's a diver ( a cat that likes to drop a lot very often, Babu is one of those he really tried to get the title of champion diver) but even if he is then you will eventually get the hang of it

Debra and Yoyo said:
I have AD food by Hills Prescription. Not sure if this is high Carb. He is a finicky eater.
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Hills A/D is around 13% carbs so it would be like mid carbs, you could get some food with a lot of gravy ( they usually love this ones ) the ones with gravy are usually high carb to have as part of your hypo kit
 
Each morning you need to start a NEW Post. Put the date first then the kitties name then amps & the test reading. i.e. 11/15/YoYo/amps478/+2 377/+3 229/+4 147/ Each time you test add the reading to the post title

I need to emphasize you need to get some tests in during the night. Some cats BG goes down the lowest during the night. You don't know what the insulin is doing after pmps unless you take tests at night.

Yoyo is doing Great! Keep reading & learning & ask questions. You have experienced, caring people here helping you. It just takes time & a LOT of Patience . Hang in there.:) :bighug:
 
JoyBee&Ravan said:
Each morning you need to start a NEW Post. Put the date first then the kitties name then amps & the test reading. i.e. 11/15/YoYo/amps478/+2 377/+3 229/+4 147/ Each time you test add the reading to the post title

I need to emphasize you need to get some tests in during the night. Some cats BG goes down the lowest during the night. You don't know what the insulin is doing after pmps unless you take tests at night.

Yoyo is doing Great! Keep reading & learning & ask questions. You have experienced, caring people here helping you. It just takes time & a LOT of Patience . Hang in there.:) :bighug:
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Tonight will be the first night that I will give Yoyo his insulin dosage. I haven't posted yet for help, but perhaps you can help me. At 7:15 it will be 12 hours. I know I need to do a +11 reading and I will post it. I am not comfortable giving him 1 Unit at night. I was thinking of giving him 1/2 Unit. At 7:15pm I don't expect his count to be as high as it was AMPS 478 so I am scared if he drops fast it will go into the GREEN NUMBER AREA on the spreadsheet being 99 and less. I have gravy food for him and Karo Syrup but I fear the thought of having this happen especially during the night!
Your thoughts?
 
Veronica & Babu-chiri said:
Yoyo is really looking very good even the drops yesterday and today are not that big (I know that for the first time it was scary but he's doing just fine) and you are monitoring him closely so I think everything is just ok.


The drops are not always going to be by 200 points, as the depot forms and he keeps getting insulin regularly odds are his numbers are going to be more consistent and he will probably drop just a few points every time most of time, you will start learning how he reacts, and well you will also learn if he's a diver ( a cat that likes to drop a lot very often, Babu is one of those he really tried to get the title of champion diver) but even if he is then you will eventually get the hang of it


Hills A/D is around 13% carbs so it would be like mid carbs, you could get some food with a lot of gravy ( they usually love this ones ) the ones with gravy are usually high carb to have as part of your hypo kit
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Thank you for your support. Tonight will be the first time that I will be giving Yoyo his insulin dosage. I don't feel comfortable giving him 1 Unit and I was thinking of giving him 1/2 Unit. He won't be as high as his AMPS of 478 and I fear the sudden(dive) drop that he takes during the +1 & +2 time slots.
Please let me know your thoughts.
 
JoyBee&Ravan said:
Each morning you need to start a NEW Post. Put the date first then the kitties name then amps & the test reading. i.e. 11/15/YoYo/amps478/+2 377/+3 229/+4 147/ Each time you test add the reading to the post title

I need to emphasize you need to get some tests in during the night. Some cats BG goes down the lowest during the night. You don't know what the insulin is doing after pmps unless you take tests at night.

Yoyo is doing Great! Keep reading & learning & ask questions. You have experienced, caring people here helping you. It just takes time & a LOT of Patience . Hang in there.:) :bighug:
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Does the new post go under Lantus or the Main Health Forum?
 
Debra and Yoyo said:
Thank you for your support. Tonight will be the first time that I will be giving Yoyo his insulin dosage. I don't feel comfortable giving him 1 Unit and I was thinking of giving him 1/2 Unit. He won't be as high as his AMPS of 478 and I fear the sudden(dive) drop that he takes during the +1 & +2 time slots.
Please let me know your thoughts.
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What Zone are you in?
 
I'm sorry I do not give dose advice. I leave that to the people that have been doing it for many years. But I can tell you that my cat Ravan is a BIG bouncer He can go from over 400 to 40 in several hours. Over time He's gotten better But he still drops sometimes.
Remember Every Cat is Different. Some never drop that low. When I first started I thought I Can't do this! (i'm 74 yrs old) I thought how can I get up in the night & test him I need to sleep! But I realized very quickly that if I wanted to Help my Ravan it was necessary.
There are nights that I'm up many times to test him. The only way to get him regulated Or even into remission is to get him into the green numbers. I'm committed to do whatever it takes to help him.
That's why I keep advising you to learn how the insulin works. I've given him his shot when his BG was 54 & his Nadir (the lowest reading in a cycle (12 hrs) went down to 83 6 hours later.83 is good not scary at all!

Lantus Insulin works slowly. It's scary at first but if you do a lot of testing & fill up the spaces on Yoyo's SS (not all at once but a little at a time, like a puzzle) you'll be able to look at it & see how the insulin is affecting her BG.
I know it sounds frightening but if you have the high carb food & some honey or Karo it will be OK . If you look at Ravan's SS you'll see that he's gone down even to 30's. I've never had a problem bringing his BG up with food. I've never even resorted to giving him Honey.
I give a spoon of MED OR high carb food & retest in 30 mins. It has always come up.

Debra and Yoyo said:
t will go into the GREEN NUMBER AREA
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The green is GOOD! The high numbers in the Pink & red are not good for kitties body. My Ravan had high BG for months & now he was recently diagnosed with Kidney Disease. I'm convinced it's from him being in the High BG for too long.

Right now put the question ? on your post & ask for dose advice. You always need to test at amps & pmps to make sure Yoyo is in a safe number If you were told to shoot 1 unit then you need to listen to that advice. I do know it's not good to change the dose from one shot to the next.
It messes with the insulin depot. See what you are advised to do. But remember you do need to start testing at least a few times during the night.

It takes time to get comfortable with all this. But you are in the Right place to get help! Take a few deep breaths & remind yourself You can do this. I believe I heard there are 11,000 people from all over the world,of all ages registered to this web site.
You can handle it! You've got a BUNCH of caring people to help! :):bighug::bighug::bighug:
 
Debra and Yoyo said:
Thank you for your support. Tonight will be the first time that I will be giving Yoyo his insulin dosage. I don't feel comfortable giving him 1 Unit and I was thinking of giving him 1/2 Unit. He won't be as high as his AMPS of 478 and I fear the sudden(dive) drop that he takes during the +1 & +2 time slots.
Please let me know your thoughts.
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You need to give insulin every 12 hours for it to work properly and reach the goal of getting him regulated if you skip a shoot his numbers will raise a lot and the depot won't form also you need to be consistent with the dose and keep it for 7 days, you would lower it only if he goes under 90

Remember that the idea is to keep him in nice low numbers (blue or green) and for that to happen you do not want him going high because you skipped a dose that is why we prefer not to skip shoots if possible obviously keeping him safe.

You can test him at +2 after his night shoot to see how he's doing

And he's already in his way up so you will probably have a comfortable number in his preshoot test
 
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Debra and Yoyo said:
Thank you for your support. Tonight will be the first time that I will be giving Yoyo his insulin dosage. I don't feel comfortable giving him 1 Unit and I was thinking of giving him 1/2 Unit. He won't be as high as his AMPS of 478 and I fear the sudden(dive) drop that he takes during the +1 & +2 time slots.
Please let me know your thoughts.
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I looked at your spread sheet for Babu. Did you start with the start low go slow method.
I saw that you started with .25 Unit then went to .5 Unit and then .75 etc...
My dosage for Yoyo was to start with 1 unit. I feel that is too strong!
Please give me your thoughts. I know you don't give dosage answers, just want some feedback on how you started with the dosing for your cat.
 
Debra and Yoyo said:
I looked at your spread sheet for Babu. Did you start with the start low go slow method.
I saw that you started with .25 Unit then went to .5 Unit and then .75 etc...
My dosage for Yoyo was to start with 1 unit. I feel that is too strong!
Please give me your thoughts. I know you don't give dosage answers, just want some feedback on how you started with the dosing for your cat.
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Usually you would start with 1 unit but with Babu we started with 1 unit of another insulin and he actually dropped from over 500 to under 70 (as I said he is a serious diver) so we changed to lantus and took a more conservative approach that's why we started with 0.25 and 0.5 but Yoyo seems to be doing fine on 1 unit
 
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Hi Debra,
You've gotten lots of good advice from so many people here. You are definitely in good hands. I don't feel comfortable giving dosing advice, but I did want to share my experience with you.

My vet wanted me to start Bailey on 1 unit twice a day. I was scared, so I just did it once a day. Then I found this forum and got advice from all of these wonderful people. I started giving her .5 units twice a day.

One of the things that helped me in the beginning was a better understanding of the depot. Every time you give Yoyo a shot, part of that insulin goes to work in that cycle to lower the BG. The other part goes into the depot, which is kind of like a bucket to hold the extra insulin for when Yoyo needs it. If you keep skipping shots, the depot can't get filled and Yoyo's numbers will be erratic. Consistency is very important so insulin twice a day at the same time every day will go a long way towards seeing regular numbers. At the same time, I expect we aren't really seeing what Yoyo will do at 1 unit because the depot hasn't had a chance to fill so it's possible that .5 could be a better starting point, as long as you don't skip.

Whatever you decide to do, don't worry. I'm a testaholic so I am up with Bailey through the night. I will be available tonight for support and advice, and to seek out help from the more knowledgeable folks if Yoyo decides to get too adventurous. :bighug:
 
Looks like you reduced to 0.5. With his +11 and PMPS number going up I think you could have shot the 1 unit. Let's see how he does tonight. Get a +1 and +2 since this is the lowest you have shot. If the +2 is the same or lower than the PMPS, it could be an active cycle and you might have to continue to monitor.


What time did you shoot ? I will try and circle back and check in on you and Yoyo.
 
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