Help for Molly #3

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Adrienne Vanderhoning said:
It jumped and she wasn’t a happy kitty
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That's a bounce number with possibly a bit of kibble influence. you can leave her alone now until PMPS. This exercise is also showing us how bouncy Molly is - ie., prone to rebounding higher after a big drop. We'll take that into account when we decide on the back to work dose. It's good info to have.
 
Kris & Teasel said:
That's a bounce number with possibly a bit of kibble influence. you can leave her alone now until PMPS. This exercise is also showing us how bouncy Molly is - ie., prone to rebounding higher after a big drop. We'll take that into account when we decide on the back to work dose. It's good info to have.
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So she is a bouncing Kitty? She wasn’t happy with the last test. She’s sleeping now
 
Adrienne Vanderhoning said:
So she is a bouncing Kitty? She wasn’t happy with the last test. She’s sleeping now
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It seems so on the basis of today's numbers. Time will tell. Her food switch isn't complete and we're not sure of her dose yet. It's possible to figure things out even if she's bouncy. Teasel is an Olympic level bouncer! o_O That's why he can go from pink to green in 12 hours.
 
Kris & Teasel said:
It seems so on the basis of today's numbers. Time will tell. Her food switch isn't complete and we're not sure of her dose yet. It's possible to figure things out even if she's bouncy. Teasel is an Olympic level bouncer! o_O That's why he can go from pink to green in 12 hours.
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I picked up the new monitor. But I’ll start using it after the other strips are gone. They look the same though?
Same testing for tomorrow as today? She hasn’t had an kibble since this morning. She doesn’t seem hungry this afternoon.
 
The strips are the same but the ones packaged as AT2 strips have been batch tested to determine which code to use on the AT2 meter. The other strips will work but the results won't be as accurate because you don't know what code to use on the AT2 meter.

Testing for tomorrow will depend on what Molly's AMPS is. If it's like today or higher, then yes......if it's lower then an earlier test might be in order. This is the type of decision that usually can't be made way in advance at least until you hone in on the best dose. She is probably tired from the bounce. I always found it interesting that my girl would be very hungry at high and very low numbers but in the range in between she would eat if food was offered but she wasn't trying to chew my leg off for it!:woot:
 
Adrienne Vanderhoning said:
She’s in the red
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Don't worry. Ups and downs like this are normal and it's possible the kibble is part of the reason. Because it's high carb, when she eats it in the cycle and how much she eats can have quite an impact on BG. Another possibility is that she dropped lower in the night and was on her way up into a bounce.

I suggest you try to reduce the kibble even more - maybe 1/4 cup total per day - because it'll be harder to stabilize her if it's involved.
 
Kris & Teasel said:
Don't worry. Ups and downs like this are normal and it's possible the kibble is part of the reason. Because it's high carb, when she eats it in the cycle and how much she eats can have quite an impact on BG. Another possibility is that she dropped lower in the night and was on her way up into a bounce.

I suggest you try to reduce the kibble even more - maybe 1/4 cup total per day - because it'll be harder to stabilize her if it's involved.
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Ok, I’ve only given her 1/4 cup today. There’s still some in her dish. She had some FF for lunch.
 
Adrienne Vanderhoning said:
9.7 this morning do I still give her insulin?
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Wow! First, I need to know if this number is from the Alpha Trak meter or your new meter. These ups and downs recently tell you that we're in the good dose range but the fine tuning can be stressful. Here are your options:
  • don't feed her, retest in another 30 minutes and if her BG has gone up you can try giving the 1.5 u dose but be prepared to track her BG starting at +2 and give very small snacks of FF as needed
  • drop her dose to 1.25 u - that has to be eyeballed on your syringe but with half unit marks it's not too hard.
We're trying to find the dose level that is both safe for Molly given what she eats and while you're at work starting Tuesday but also lowers her BG to a better range. This AM's pre shot BG is one where a person experienced with giving Lantus would give the usual dose. However, you're still learning how Molly responds and there's still that tricky kibble in the mix. ;)

How does that sound? @MrWorfMen's Mom ?
 
Kris & Teasel said:
Wow! First, I need to know if this number is from the Alpha Trak meter or your new meter. These ups and downs recently tell you that we're in the good dose range but the fine tuning can be stressful. Here are your options:
  • don't feed her, retest in another 30 minutes and if her BG has gone up you can try giving the 1.5 u dose but be prepared to track her BG starting at +2 and give very small snacks of FF as needed
  • drop her dose to 1.25 u - that has to be eyeballed on your syringe but with half unit marks it's not too hard.
We're trying to find the dose level that is both safe for Molly given what she eats and while you're at work starting Tuesday but also lowers her BG to a better range. This AM's pre shot BG is one where a person experienced with giving Lantus would give the usual dose. However, you're still learning how Molly responds and there's still that tricky kibble in the mix. ;)

How does that sound? @MrWorfMen's Mom ?
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Test is from the Alpha track meter
She only wanted her kibble, not she’s eating the wet
So test her still in a half hour?
 
Adrienne Vanderhoning said:
Test is from the Alpha track meter
She only wanted her kibble, not she’s eating the wet
So test her still in a half hour?
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If she's already eaten the kibble so the waiting without feeding isn't going to be useful nor is the test in a half hour. How about reducing her dose to 1.25 u and test again at +2? Do the best you can eyeballing that dose. If you have to give that 1.25 u dose for a while you might want to make up a "reference" syringe with coloured water up to the 1.25 u mark and use it as a comparison every time you draw up insulin. It's more important to be consistent dose to dose than to be completely accurate.

Remember - the goal is to find a dose that will be good when you're back at work. It's bit tricky but we'll get you there. :)
 
Kris & Teasel said:
If she's already eaten the kibble so the waiting without feeding isn't going to be useful nor is the test in a half hour. How about reducing her dose to 1.25 u and test again at +2? Do the best you can eyeballing that dose. If you have to give that 1.25 u dose for a while you might want to make up a "reference" syringe with coloured water up to the 1.25 u mark and use it as a comparison every time you draw up insulin. It's more important to be consistent dose to dose than to be completely accurate.

Remember - the goal is to find a dose that will be good when you're back at work. It's bit tricky but we'll get you there. :)
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I just tested her she’s at 4? So I’m thinking a shot is a no?
 
If she's at 4 after eating kibble, definitely no shot. How much time went by between her eating the kibble and you testing her again? Exactly how much kibble did she eat?
 
Kris & Teasel said:
If she's at 4 after eating kibble, definitely no shot. How much time went by between her eating the kibble and you testing her again? Exactly how much kibble did she eat?
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She didn’t eat very much. I have to give her something or she won’t stay still. Tested her at 6 when she ate a little. Tested her at 630 again and now it’s lower.
 
I have to leave in about 30 minutes and will be gone 6+hours. I hope @MrWorfMen's Mom can look in on you. If she's busy, here's a plan for you:
  • no shot this AM
  • feed Molly a snack of FF or even wet S/O soon
  • test again at +2 to see where she is because the 1.5 u dose can still be having an effect
  • put all those test numbers on your SS as soon as you get them
You need to do a bit more testing - maybe +2, +3 to see if she's levelling out. If she gets lower than 3 you need to give her wet S/O and maybe a TINY bit of kibble.
 
Kris & Teasel said:
I have to leave in about 30 minutes and will be gone 6+hours. I hope @MrWorfMen's Mom can look in on you. If she's busy, here's a plan for you:
  • no shot this AM
  • feed Molly a snack of FF or even wet S/O soon
  • test again at +2 to see where she is because the 1.5 u dose can still be having an effect
  • put all those test numbers on your SS as soon as you get them
You need to do a bit more testing - maybe +2, +3 to see if she's levelling out. If she gets lower than 3 you need to give her wet S/O and maybe a TINY bit of kibble.
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Ok I’ll test her again at +2
What if she doesn’t want to eat?
 
She's coming up a bit and that may be from the kibble. Roughly how much kibble did she eat?
When you say hyper......in what way......is she wanting food? If so give her a bit of FF low carb.
 
MrWorfMen's Mom said:
She's coming up a bit and that may be from the kibble. Roughly how much kibble did she eat?
When you say hyper......in what way......is she wanting food? If so give her a bit of FF low carb.
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I gave her 1/4 cup of kibble in her dish. There is some left.
Hyper as in running from room to room, literally trying to climb the wall.
 
I take it this is unusual behaviour for Molly. Did she ever race around before she was diagnosed with diabetes? Perhaps she is just feeling frisky due to the those lovely low BG numbers. The high numbers can make them feel sluggish and when the numbers drop, sometimes they feel so much better they let loose.
 
MrWorfMen's Mom said:
I take it this is unusual behaviour for Molly. Did she ever race around before she was diagnosed with diabetes? Perhaps she is just feeling frisky due to the those lovely low BG numbers. The high numbers can make them feel sluggish and when the numbers drop, sometimes they feel so much better they let loose.
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I have found lately she’s been hyper. She use to be like that before the diabetes. It’s good see her like that again. :)
When’s the next test?
 
I think you can give Molly a bit of a rest from testing now. She is safe. She is likely to bounce high for tonight due to those lower numbers this AM so don't panic. She will get back on track. Test her again around +10 and we will decide what dose is best for tonight.
It would be really helpful if you could get a test in every night before you go to bed so we can see what she is doing during the night cycle. It appears she may have gone lower last night later in the cycle.
 
MrWorfMen's Mom said:
I think you can give Molly a bit of a rest from testing now. She is safe. She is likely to bounce high for tonight due to those lower numbers this AM so don't panic. She will get back on track. Test her again around +10 and we will decide what dose is best for tonight.
It would be really helpful if you could get a test in every night before you go to bed so we can see what she is doing during the night cycle. It appears she may have gone lower last night later in the cycle.
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Ok, I will test her at the +10 and I will do a test before bedtime tonight.
 
Even though I expect Molly will be well over 250 BG at PMPS tonight, I think you should reduce the dose down to 1.25u (half way between the 1 and 1.5u marks on the syringe). You will have to eyeball it but just do the best you can. It doesn't need to be precise.....just something you can do consistently and a bit less than the current dose. The 4.9 reading this morning earned Molly a reduction according to the SLGS (Start Low Go Slow) dosing method used here and we usually only make dose changes of 0.25u at a time.
Then get a test at +2 and again before bed if there is still time before you hit the sack.
I have to leave the house shortly so I wanted to give you this before I leave as I am not sure just when Kris will be back online.:)
 
MrWorfMen's Mom said:
Even though I expect Molly will be well over 250 BG at PMPS tonight, I think you should reduce the dose down to 1.25u (half way between the 1 and 1.5u marks on the syringe). You will have to eyeball it but just do the best you can. It doesn't need to be precise.....just something you can do consistently and a bit less than the current dose. The 4.9 reading this morning earned Molly a reduction according to the SLGS (Start Low Go Slow) dosing method used here and we usually only make dose changes of 0.25u at a time.
Then get a test at +2 and again before bed if there is still time before you hit the sack.
I have to leave the house shortly so I wanted to give you this before I leave as I am not sure just when Kris will be back online.:)
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Ok, thank you! I’ll get the tests done as suggested. Probably start using the other monitor tonight ;)
 
I'm back. I have family visiting from out of town and was occupied longer than I anticipated. I'm glad Linda was here to help. I agree with her suggestion to drop the dose to 1.25 u. It might be better to wait until tomorrow morning to start using the new meter. That way you can finish up today's numbers with the AT meter so they relate to each other better. The human meter will read lower so it's best to switch on a new day.
 
Kris & Teasel said:
I'm back. I have family visiting from out of town and was occupied longer than I anticipated. I'm glad Linda was here to help. I agree with her suggestion to drop the dose to 1.25 u. It might be better to wait until tomorrow morning to start using the new meter. That way you can finish up today's numbers with the AT meter so they relate to each other better. The human meter will read lower so it's best to switch on a new day.
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Ok, I gave her 1.25 u. I hope that it was right . I only have one strip left for the alpha left. Do I test her at +2 or before bed?
I don’t need to set up the new monitor do I?
 
Adrienne Vanderhoning said:
Ok, I gave her 1.25 u. I hope that it was right . I only have one strip left for the alpha left. Do I test her at +2 or before bed?
I don’t need to set up the new monitor do I?
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When is bedtime? If it's around +3 you could wait until then.

Re new meter: is it a Freestyle Lite? Check the instruction book. There's no code to set on it like the AT but you can set time, date, loudness of the beep it makes when testing, etc. If it's this meter, the strips and the way they work are the same as for the AT meter.
 
Kris & Teasel said:
When is bedtime? If it's around +3 you could wait until then.

Re new meter: is it a Freestyle Lite? Check the instruction book. There's no code to set on it like the AT but you can set time, date, loudness of the beep it makes when testing, etc. If it's this meter, the strips and the way they work are the same as for the AT meter.
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Probably around +3 or +4 for bedtime tonight!
Yes it’s a freestyle lite
 
Adrienne Vanderhoning said:
Probably around +3 or +4 for bedtime tonight!
Yes it’s a freestyle lite
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That's what I use. All human meters read lower than pet meters like the AT. The difference will be larger at high BG levels and less at low BG levels. For example, if your AT meter reads 400 the FS meter might read 300. If your AT reads 65 your FS meter might read 50. There's no way to convert FS readings to AT readings. You just learn by using it what too high, OK and too low is on the FS meter.

On average the Freestyle Lite meter tends to read on the low side compared to other human meters too. That's not a bad thing when Molly drops lower. What you see on the FS meter is probably a little lower than another human meter would give you so it's a bit of a cushion. It's preferable to reading a little too high when BG has actually dropped low.
 
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