? 6/23 new member need help with dose change

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Wendy Jones

Wendy Jones

Member Since 2020
Tiger has been on Basaglar for about two weeks. Started at 1 unit bid then 6 days ago went to 1.5 unit bid. I saw a slight decrease but still mostly 350 or higher. Is it time to move up to 2 units? He eats low carb wet food but I do let him graze all day because he doesn't eat much at one time. Should dose be adjusted for that? Prior to Basaglar he was on Novolin N for 2 months with no change and eating both wet and dry food. He preferred dry but I've taken him off it.
https://docs.google.com/spreadsheet...VGI5Nth7DbV301GE2V0Mo_Dmgvo/edit?usp=drivesdk
 
Hello Wendy! I'm sorry, but your link to Tiger's spreadsheet is not working for me. If you return to the spreadsheet instructions, and look at the section titled "Instructions for pasting the SS link in your FDMB Signature block:" you might be able to get it sorted.

Until then, I can't really offer any dosing advice. I'd need to see all the test numbers. I will say that in general, when it's time to adjust dose, this board recommends adjusting in .25 of a unit increments. So, when and if the time comes, it means going to 1.75 before heading straight to 2.
 
Hi, looking at your spreasheet I'm assuming you are following ths SLGS protocol ( when you can it could help if you set up your signature ), and in my opinion you do need to increase the dose since the lowest he has gone is around the 200's and according with the protocol that would be giving him 1.75 units.

As a suggestion when possible try to move the mid cycle test a bit one day an hour earlier one day an hour late so that you can get a picture of who he's doing during the day and try to do a curve one day so that we can start filling in the gaps and getting an idea of how he's acting during the cycle

Also I would suggest you start posting in the Lantus/Basaglar forum because there are very experienced people there
 
Juls and Billy said:
Hello Wendy! I'm sorry, but your link to Tiger's spreadsheet is not working for me. If you return to the spreadsheet instructions, and look at the section titled "Instructions for pasting the SS link in your FDMB Signature block:" you might be able to get it sorted.

Until then, I can't really offer any dosing advice. I'd need to see all the test numbers. I will say that in general, when it's time to adjust dose, this board recommends adjusting in .25 of a unit increments. So, when and if the time comes, it means going to 1.75 before heading straight to 2.
Click to expand...

Im not sure why it didn't work. Let me try again.

https://docs.google.com/spreadsheet...uxKS_5WnBqF3qQGCv6QihS-EL5M/edit?usp=drivesdk
 
Veronica & Babu-chiri said:
Hi, looking at your spreasheet I'm assuming you are following ths SLGS protocol ( when you can it could help if you set up your signature ), and in my opinion you do need to increase the dose since the lowest he has gone is around the 200's and according with the protocol that would be giving him 1.75 units.

As a suggestion when possible try to move the mid cycle test a bit one day an hour earlier one day an hour late so that you can get a picture of who he's doing during the day and try to do a curve one day so that we can start filling in the gaps and getting an idea of how he's acting during the cycle

Also I would suggest you start posting in the Lantus/Basaglar forum because there are very experienced people there
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I don't know what that protocol is. Is the curve supposed to be every two hours? Is it just one day? I can do on the weekend but I work mon- fri. My daughter comes over to get me the mid-day test. Thanks for the advice. This is my first time using this forum. I didn't realize there were specific groups here.
 
Wendy Jones said:
Im not sure why it didn't work. Let me try again.

https://docs.google.com/spreadsheet...uxKS_5WnBqF3qQGCv6QihS-EL5M/edit?usp=drivesdk
Click to expand...

Sorry. Still can't see it. All I get is a spreadsheet set-up page, with none of Tiger's information in it.

Maybe you could try to use the directions for putting it in your signature. It would be good for you to get a signature set up anyway. You can look at mine for an example of what goes in it.

To find out what dosing protocols are, you should check out the sticky posts in the Lantus/Basaglar section of the forum. Once you see what SLGS (Start Low and Go Slow) and TR (Tight Regulation) are, you can make an informed decision on what dosing protocol you want to use for your kitty.

Instructions for pasting the SS link in your FDMB Signature block:

1. Login to FDMB and click on your user name in the upper right corner.

2. Select "signature”. The signature block is limited to three lines. If you have a lot of other information in your signature block, please be sure you place the spreadsheet link so it is easily located by other members (i.e. please don’t stick it at the very end of a long, detailed description of medications).

3. Put your cursor in the text box, type in your kitty’s name with the word “Spreadsheet” (e.g. Furbaby’s Spreadsheet), highlight those words, and then click on the “hyperlink" icon above the text box:



4. A text box will open that states "link"; paste your link into the box next to “URL” and click on “insert”.



5. This should result in the highlighted text turning light blue which means it is now a hyperlink to the spreadsheet and anyone clicking on it can see the spreadsheet.

6. Click "save changes" and you're done!! Great job!!!! If you need any help at all, please send me a private message by clicking on “Marje and Gracie” (to the left under Gracie’s photo) and then “Start a Conversation”. I am more than happy to help you or do the Spreadsheet for you.
 
Wendy Jones said:
Im not sure why it didn't work. Let me try again.
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It may be because that's a spreadsheet that was pirated from us and used in a Facebook group that has nothing to do with the FDMB (except to pirate our spreadsheet). They've done something to it that causes it to crash on a lot of our phones/tablets.

The only Facebook group associated with the FDMB is the Feline Diabetes Group, not the Feline Diabetes Support group or Sugarcat Support group or any other groups.

The original FDMB spreadsheet instructions are HERE
 
Juls and Billy said:
Still can't see it. All I get is a spreadsheet set-up page, with none of Tiger's information in it.
Click to expand...

Go here to see the numbers

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Chris & China (GA) said:
It may be because that's a spreadsheet that was pirated from us and used in a Facebook group that has nothing to do with the FDMB (except to pirate our spreadsheet). They've done something to it that causes it to crash on a lot of our phones/tablets.

The only Facebook group associated with the FDMB is the Feline Diabetes Group, not the Feline Diabetes Support group or Sugarcat Support group or any other groups.

The original FDMB spreadsheet instructions are HERE
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Oh I get lots of people from the support group telling me to post here so I assumed you were affiliated. Thank you for the tips!
 
Wendy Jones said:
Oh I get lots of people from the support group telling me to post here so I assumed you were affiliated.
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That's the Feline Diabetes group that I linked above. We ARE associated with the FDMB.....The Feline Diabetes Support Group is a different group and they don't allow any mention of the FDMB there (which I find interesting since the majority of their Admins learned what they know here in the first place!) They totally turned their back on the FDMB when they started their Facebook group.
 
Thank you Chris and China! There it is!

Wendy, I agree with Veronica. You could go up to 1.75, as you haven't had numbers below 200 yet that we know of. Honestly, I would sure like to see a curve. A curve is a BGL test every 2 hours for a 12 hour period. It rocks that you are getting a mid-cycle test in. A curve would just show us exactly how low Tiger is dropping during the cycle. You are getting some big bounce numbers pre-shot BGL test. But you don't have to wait on the dose adjustment to do that if you can't do a curve soon. Going up to 1.75 might get some good results and changing the dose by small .25 of a unit helps keep our kitties safe.

Don't let those big bounce numbers fret you. That 253 you got mid-cycle is lovely, and shows that Tiger is making some progress. Bounce happens when a sugar cat has a lower BGL than they are used to (even if it's still high.) It makes the cat's liver think the BGL is crashing-- even if the BGL is still a perfectly safe number. "Help!" the liver shouts. "We're crashing! Release all the stored sugar!" The liver and pancreas then proceed to release a ton of stored sugar and then bam, you get a high BGL. The thing about bounces is that they will clear themselves over time. It's one of the reasons you adjust dose based on the low numbers, not the high ones.
 
Chris & China (GA) said:
That's the Feline Diabetes group that I linked above. We ARE associated with the FDMB.....The Feline Diabetes Support Group is a different group and they don't allow any mention of the FDMB there (which I find interesting since the majority of their Admins learned what they know here in the first place!) They totally turned their back on the FDMB when they started their Facebook group.
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Oh right. I did sign up for both groups and now get them confused. Sounds best to delete the support group to cut down on my confusion a little. Lol
 
Chris & China (GA) said:
That's the Feline Diabetes group that I linked above. We ARE associated with the FDMB.....The Feline Diabetes Support Group is a different group and they don't allow any mention of the FDMB there (which I find interesting since the majority of their Admins learned what they know here in the first place!) They totally turned their back on the FDMB when they started their Facebook group.
Click to expand...

I just realized you're the same Chris that's replied to most of my post in the fb group. How do you manage so many post! I can't keep two groups straight. :)
 
Wendy Jones said:
I don't know what that protocol is. Is the curve supposed to be every two hours? Is it just one day? I can do on the weekend but I work mon- fri. My daughter comes over to get me the mid-day test. Thanks for the advice. This is my first time using this forum. I didn't realize there were specific groups here.
Click to expand...
That's ok we know there´s a lot of information to take all at once, and posting in the specific forum for the insulin you are using makes it easier for people using the same insulin that you are to help you and there are stickys with information for your specific insulin there

Among other things the protocol that applies in the case of basaglar there are two protocols and those will give you gidelines on what to do , when to adjust dose, and when not to shoot, etc the protocols are Start Low Go Slow (SLGS) and thight regulation (TR) take a look at both of them and see which one suits you better

The link for that forum is http://www.felinediabetes.com/FDMB/forums/lantus-basaglar-glargine-and-levemir-detemir.9/
 
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