? 66 BG reading, should I give night dose?

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TracieLLL

TracieLLL

Member Since 2018
Doing the curve today. Goofy's latest reading was 66. Before that it was 81. The vet recently up his dose from 1 ml twice a day to 2 ml twice a day. 66 seems low. I'm concerned about giving him 2 ml tonight. Any advice is welcome. First time posting here thank you
 
TracieLLL said:
Doing the curve today. Goofy's latest reading was 66. Before that it was 81. The vet recently up his dose from 1 ml twice a day to 2 ml twice a day. 66 seems low. I'm concerned about giving him 2 ml tonight. Any advice is welcome. First time posting here thank you
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What insulin? When was this reading? How long after the last shot? What meter is it?
 
Lantus, 5pm reading (hour & half ago),his shot was 9 hours ago, glocometer (not sure of brand)
 
Hi Tracie, I don't usually give dosing advice so I will try to see if anyone more experienced is on the board right now to help. Maybe @Chris & China???
Aw perfect , just saw Janet's post re. what type of meter and other important info to help guide you.
 
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I would not give him 2ml tonight and am wondering what others think about giving him any insulin at all for his pm shot. Without having a lot of testing history to go on, might skip to be safe, but keep testing and see where he's headed.
Another important consideration, does Goofy have a history of DKA?
 
I dont know what DKA is...
I was also thinking about not giving 2 ml tonight and just keep testing his blood sugar

(Thank you all for your prompt replies. I really appreciate it)
 
It stands for Diabetic KetoAcidosisis. It's a serious complication that can occur from diabetes. If Goofy has had that condition diagnosed along with his diabetes, you would know because he would have had to be treated for it! I was just asking because cats that have had DKA are in danger of getting it again if they're insulin requirements are not met.
Sounds like that is not a concern for Goofy, which makes it bit less complicated if you decide to skip the pm shot. My kitty never had DKA, and i definitely skipped a few times when he was going too low.
 
Alpha track 2 is the meter. Goofy was dx’k about 4 weeks ago. I’ve been giving him 1 ml lantus twice a day for 2 1/2 weeks. After I gave the vet the results from a curve I did after two weeks of lantus, he raised his does to 2 ml. Goofy has been on 2 ml for only about 5 days. Today is our first curve on 2 ml

I just tested his blood, and it reads 159

I’m so confused how it can go from 66 to 159 in 2 hours

Our readings today were every 2 hours
223, 277, 170, 81, 66, and now 159
 
Tracie, please let is know the type or brand of meter you are using. We don't want Goofy's numbers to drop any lower if you are using an AlphaTrak II
 
TracieLLL said:
Alpha track 2 is the meter. Goofy was dx’k about 4 weeks ago. I’ve been giving him 1 ml lantus twice a day for 2 1/2 weeks. After I gave the vet the results from a curve I did after two weeks of lantus, he raised his does to 2 ml. Goofy has been on 2 ml for only about 5 days. Today is our first curve on 2 ml

I just tested his blood, and it reads 159

I’m so confused how it can go from 66 to 159 in 2 hours

Our readings today were every 2 hours
223, 277, 170, 81, 66, and now 159
Click to expand...
Ok, if you are using the Alphatrak 2, the 66 is too low and if that happens again, give some high carb food or a drop of honey to get the blood sugar level up over 68.
By the way it is 1unit or 2 units not mls. Just FYI.
Where are you up to now with the cycle?
 
He earned a reduction because he went below 68 today. So, you were giving 1 unit and the vet increased to 2 units., right? We raise the dose by increments of .25 of a unit. We are at a little bit of a disadvantage because we can't see the dose and numbers in a linear fashion. We use a Spread sheet here to record all data. Could we get you to set one up and put all data that you have in it? The instructions are Here

PMPS is Pre shot PM test.


Here is an explanation of the way we talk in hours after the insulin is given. Since we are all from all over different parts of the US and world, this helps us to understand where a kitty is in a cycle.


On the spreadsheet... It's really not hard!

AMPS is the AM Pre-shot test (always test before shooting to make sure they're high enough to give insulin)...then the U column is for "Units" (how much you gave)

The +1, +2, +3, etc are for how many hours since shooting...so +2 is 2 hours after the AM shot, +9 is 9 hour after, etc.....Since we're all over the world here, saying "he was at 148 at 8pm" doesn't tell us anything...we need to know how long since his last shot

At the end of a 12 hour cycle, it's PMPS time! (PM Pre-shot) and the whole thing starts over
 
Bobbie And Bubba said:
He earned a reduction because he went below 68 today. So, you were giving 1 unit and the vet increased to 2 units., right? We raise the dose by increments of .25 of a unit. We are at a little bit of a disadvantage because we can't see the dose and numbers in a linear fashion. We use a Spread sheet here to record all data. Could we get you to set one up and put all data that you have in it? The instructions are Here

PMPS is Pre shot PM test.


Here is an explanation of the way we talk in hours after the insulin is given. Since we are all from all over different parts of the US and world, this helps us to understand where a kitty is in a cycle.


On the spreadsheet... It's really not hard!

AMPS is the AM Pre-shot test (always test before shooting to make sure they're high enough to give insulin)...then the U column is for "Units" (how much you gave)

The +1, +2, +3, etc are for how many hours since shooting...so +2 is 2 hours after the AM shot, +9 is 9 hour after, etc.....Since we're all over the world here, saying "he was at 148 at 8pm" doesn't tell us anything...we need to know how long since his last shot

At the end of a 12 hour cycle, it's PMPS time! (PM Pre-shot) and the whole thing starts over
Click to expand...
Wow, ok, thank you. I’m checking out your link to the spread sheet now
 
Bobbie And Bubba said:
He earned a reduction because he went below 68 today. So, you were giving 1 unit and the vet increased to 2 units., right? We raise the dose by increments of .25 of a unit. We are at a little bit of a disadvantage because we can't see the dose and numbers in a linear fashion. We use a Spread sheet here to record all data. Could we get you to set one up and put all data that you have in it? The instructions are Here

PMPS is Pre shot PM test.


Here is an explanation of the way we talk in hours after the insulin is given. Since we are all from all over different parts of the US and world, this helps us to understand where a kitty is in a cycle.


On the spreadsheet... It's really not hard!

AMPS is the AM Pre-shot test (always test before shooting to make sure they're high enough to give insulin)...then the U column is for "Units" (how much you gave)

The +1, +2, +3, etc are for how many hours since shooting...so +2 is 2 hours after the AM shot, +9 is 9 hour after, etc.....Since we're all over the world here, saying "he was at 148 at 8pm" doesn't tell us anything...we need to know how long since his last shot

At the end of a 12 hour cycle, it's PMPS time! (PM Pre-shot) and the whole thing starts over
Click to expand...
Error on the link
 
The cycles are in 12 hours increments so if it's 10 hours since his AM shot, then he is at AM +10. Can us post the number you get at 12 hours or PMPS?
TracieLLL said:
Wow, ok, thank you. I’m checking out your link to the spread sheet now
Click to expand...
I just realized that the link has been broken. I need to serve my family their dinner. Anyone following along.....can you find the SS instructions and link for Tracie.

I am imagining that Goofy, will only be higher then. If it were my kitty, I would take him to 1.25 dose and track that for a few days. The jump from 1 unit to 2 units was too big and we might have missed his dose.

What do others think of the dose to go to 1.25? Or even 1.5?
 
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Bobbie And Bubba said:
The cycles are in 12 hours increments so if it's 10 hours since his AM shot, then he is at AM +10. Can us post the number you get at 12 hours or PMPS? I think

I just realized that the link has been broken. I need to serve my family their dinner. Anyone following along.....can you find the SS instructions and link for Tracie.

I am imagining that Goofy, will only be higher then. If it were my kitty, I would take him to 1.25 dose and track that for a few days. The jump from 1 unit to 2 units was too big and we might have missed his dose.

What do others think of the dose to go to 1.25? Or even 1.5?
Click to expand...
Bobbie, I agree with the 1.25 dose amd see how it goes.
 
Bobbie And Bubba said:
The cycles are in 12 hours increments so if it's 10 hours since his AM shot, then he is at AM +10. Can us post the number you get at 12 hours or PMPS? I think

I just realized that the link has been broken. I need to serve my family their dinner. Anyone following along.....can you find the SS instructions and link for Tracie.

I am imagining that Goofy, will only be higher then. If it were my kitty, I would take him to 1.25 dose and track that for a few days. The jump from 1 unit to 2 units was too big and we might have missed his dose.

What do others think of the dose to go to 1.25? Or even 1.5?
Click to expand...
I really appreciate your concern, knowledge , and advice. Thank you
 
TracieLLL said:
I’m so confused how it can go from 66 to 159 in 2 hours
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Here is an explanation and the most likely cause, very common!

"Bouncing is simply a natural reaction to what the cat's system perceives as a BG value that is "too low". "Too low" is relative. If a cat is used to BGs in the 200's, 300's, or higher for a long time, then even a BG that drops to 150 can trigger a "bounce". Bouncing can also be triggered if the blood glucose drops too low and/or too fast.The pancreas, then the liver, release glucogon, glycogen and counter-regulatory hormones. The end result is a dumping of "sugar" into the bloodstream to save the cat from going hypoglycemic from a perceived low. The action is often referred to as "liver panic" or "panicky liver". *Usually*, a bounce will clear kitty's system within 3 days (6 cycles).
Bounces are a temporary condition that a lot of cats do and we don't change the dose if kitty is just bouncing due to see a number lower than it is used to."
 
Tracie, do you have syringes with half unit markings on them?
To get the 1.25 units of Lantus that Bobbie and I both think would be the best dose to give, you draw up the insulin half way between the 1 unit and the 1.5 unit markings on the syringe. Does that make sense?
Below is a copy of syringe markings.
 

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Bron and Sheba said:
Tracie, do you have syringes with half unit markings on them?
To get the 1.25 units of Lantus that Bobbie and I both think would be the best dose to give, you draw up the insulin half way between the 1 unit and the 1.5 unit markings on the syringe. Does that make sense?
Below is a copy of syringe markings.
Click to expand...
I have the whole unit scale syringe
 
TracieLLL said:
Update...I'm still figuring out the spreadsheet. Just tested his blood sugar. He is a 206
Click to expand...
Okay, he is in bounce mode from going into those lower numbers today.

At PMPS TIME( 12 hours from the AM Shot) I think you will be fine shooting 1.25. As Bron said, you’ll need to eyeball it using her graph.

From your profile, looks like you are in FL? I use the Relion syringes from Walmart. They are super cheap , 100/ 13 bucks. They have the 1/2 unit markings on them.

I like the 3/10 ml 31 gauge 8 mm ( short needles).

It will be extremely helpful to have the syringes with the 1/2 unit markings for all the doses in between on unit to the next. We have pictorials to help with dosing.

I’ll go to my tablet and get one for .25 of a dose.


ETA: to add 13 bucks
 
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