Mermelada surfing high 400-500 mg/dL

Mermelada & Andrea

Mermelada & Andrea

Member Since 2020
Hi guys, still don't getting any low number, should I raise to 4.5U? Or wait a couple of days? :( all this is super odd to us, cus Merme woke up this morning like a happy bullet!!, he played more than usual, a lot more! But still 509

Yesterdays blood test:
AMPS 509
+2 / 554
+6 / 516
PMPS 516
+4 / 441
Today AMPS 481
+3 / 509

His thirst is the same (still very frecuent)

Also his loose stool got worse and now is having diahrrea since yesterdays night till today went like 4 or 5 times, tomorrow has a new appointment with vet to see again into microscope

Besides that, Mermelada is looking healthy, loveling and playfull most of the time
 
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Because you are feeding dry food, you need to follow SLGS. Your situation is complicated due to the history of cortisone injections and food limitations. I will get back to you later about the dosing. We do need to break the cycles of high bg so will need to think outside the box.
 
Hola Andrea y bienvenida :)

I know sometimes it can be hard to wait and see for improvement in the numbers, they really do seem to be stuck up there, don't they? The dry food does stay in the system longer, so that makes it a bit more challenging. You are testing very well, and even though the jump up from 3u was a bit quick, it may be that 4u isn't quite enough insulin.
 
Hi. This advice is ONLY for this situation and this cat if anyone is lurking. I think you need to increase by .50 because the bg is not coming down. You will need to monitor carefully in case it causes a big drop. We need to break the string of high numbers. Do you have plenty of test strips, honey or karro syrup, and high carb food? Can you monitor as often as needed in the event that there’s a big drop?
 
tiffmaxee said:
Because you are feeding dry food, you need to follow SLGS. Your situation is complicated due to the history of cortisone injections and food limitations. I will get back to you later about the dosing. We do need to break the cycles of high bg so will need to think outside the box.
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Hi, sorry but, what is SLGS?
 
SLGS is our dosing method used if feeding any dry food. Normally you would increase slower than I am suggesting but we need to get him into better numbers. So I suggest you increase to 4.5 snd hold that for 4 days unless he drops under 90. S as the you testing for ketones?
 
tiffmaxee said:
Hi. This advice is ONLY for this situation and this cat if anyone is lurking. I think you need to increase by .50 because the bg is not coming down. You will need to monitor carefully in case it causes a big drop. We need to break the string of high numbers. Do you have plenty of test strips, honey or karro syrup, and high carb food? Can you monitor as often as needed in the event that there’s a big drop?
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Hi, thanks @Christie & Maverick and @tiffmaxee I have condensed milk, I'll be buying honey too, and I think his hydrolized food can help too controling a hypo, I'll be trying with 4.5 U today morning, wish me luck <3
 
I'd also like to add some additional information perhaps, for clarification. While there are other approaches and methods available out there (internet, etc), we have two dosing methods that we follow here on the forum. I believe the information was linked in a previous post, but I will attach it again for you here:

Dosing Methods: Start Low, Go Slow and Tight Regulation (TR) (<-click to open the info page)

Much of how we approach dosing is tied to understanding how low the dose is taking the kitty, and making adjustments based on the test data that we see. In order to do that, it is important to get a sense of how your own cat responds to insulin, and the carbohydrates from their food; no two cats respond exactly the same way. How my cat reacts to insulin and carbs may be completely different than how your cat responds. That is why we often say "know thy cat".

You can do this by learning how YOUR kitty is responding to insulin:
  • Onset - the length of time before insulin reaches the bloodstream & begins lowering blood glucose
  • Peak/Nadir - the lowest point in the cycle
  • Duration - the length of time insulin continues to lower blood glucose
  • How to do a Curve - a simple explanation
I think it was mentioned in a previous post to try and get some tests at different times each cycle, and fill in some gaps where you don't normally test. So perhaps today, now that you have increased, you might try and get a +2 and then test again around +4 or +5. Then for this evening, along with your preshot test, maybe check him at +2 and then see if you can catch a test somewhere around +8 or +9, since he seemed to have shown some lower numbers in the evenings when he was at the vet's office. Then maybe tomorrow mix it up a little, perhaps try a test at +3 and +7 in the morning cycle, and so on. What you are trying to do is get a feel for how he is responding to the insulin, by testing at different times.

With Lantus, we often like the +2 because it can sometimes be a good indication of how the cycle will go. If the +2 is higher than preshot, it usually indicates that not much movement will occur in the blood glucose levels. If the +2 is the same and certainly significantly lower, then that could signal more testing is required as the numbers may drop a little more quickly. By taking additional tests, that will allow you to monitor and feed to help slow down the drop.

Hope this helps, please do ask any questions you may have, we are happy to try and help you along in this process.

Buena suerte
 
I didn’t post the above because we need to get those numbers down which will require being aggressive despite the dry food being fed. Once we break through that you can follow SLGS as long as you feed dry food. NOBODY ELSE SHOULD FOLLOW THE DOSING ADVICE GIVEN HERE.
 
Andrea, since Elise has given you advice that is only pertinent to you and Mermelada (cute name btw)...please copy and paste that into the comments section of your SS - otherwise folks will come along later and think that's the thing to do...or will ask you why you did that...It's so helpful to have notes in your comments about unusual dosing patterns - this is a one-off.

Thank you!
 
Hi there Andrea and welcome :cool:

I believe it has been mentioned that with Lantus, dosing decisions are made based on nadir. Knowing how low Mermelades BG goes with any given dose is very important in keeping your kitty safe. This applies for both SLGS and TR.

It’s important to know that nadir is different for each kitty. It’s also important to know that nadir does not strictly happen at +6; some kitties nadir earlier and some nadir later. Also know that nadir can change over time. That’s the nature of the “Sugar Dance”; your kitty leads and you follow.

Looking at the data you have collected so far, what caught my eye is that early on most of the lowest numbers, including a 37 :eek: happened between +7 to +9. In the interest of safety recommend that you get at least one test per cycle (both AM and PM) in that timeframe. For example a +7 one cycle and a +9 on the next and a +8 on another cycle. In general if you step back from your screen and have a look at the spreadsheet as a whole and see large areas of white (no data) it’s best to get some testing done during those times.

One of the (many) important time honored maxims we have here is “Know thy Cat”.

Hang in there and hang in here :cool:
 
Thank you so so much!! I'm so glad that the forum didn't die, it showed me that it was down some days ago:arghh:, I have been testing more during this days but some changes happend, I'll be posting on a new one to see what do you think guys

Hope everyone is doing well, sending love to you all!
 
I’m so glad you are back. I was worried. The site has been so funky lately and down for hours at a time. It’s not going away to keep trying periodically when you can’t get on.
 
Sue and Luci said:
Andrea, since Elise has given you advice that is only pertinent to you and Mermelada (cute name btw)...please copy and paste that into the comments section of your SS - otherwise folks will come along later and think that's the thing to do...or will ask you why you did that...It's so helpful to have notes in your comments about unusual dosing patterns - this is a one-off.

Thank you!
Click to expand...

I think I didn't see that Elise post :confused: sorry so much :( what should I paste in my comments?
And thank you so much! Now his name is kinda ironic since mermelada has a lot of sugar hahaha
 
Sandy and Black Kitty said:
Hi there Andrea and welcome :cool:

I believe it has been mentioned that with Lantus, dosing decisions are made based on nadir. Knowing how low Mermelades BG goes with any given dose is very important in keeping your kitty safe. This applies for both SLGS and TR.

It’s important to know that nadir is different for each kitty. It’s also important to know that nadir does not strictly happen at +6; some kitties nadir earlier and some nadir later. Also know that nadir can change over time. That’s the nature of the “Sugar Dance”; your kitty leads and you follow.

Looking at the data you have collected so far, what caught my eye is that early on most of the lowest numbers, including a 37 :eek: happened between +7 to +9. In the interest of safety recommend that you get at least one test per cycle (both AM and PM) in that timeframe. For example a +7 one cycle and a +9 on the next and a +8 on another cycle. In general if you step back from your screen and have a look at the spreadsheet as a whole and see large areas of white (no data) it’s best to get some testing done during those times.

One of the (many) important time honored maxims we have here is “Know thy Cat”.

Hang in there and hang in here :cool:
Click to expand...

Thank you so much, I have been testing more since then and trying to do even more. Those low numbers were at the DermVet during his curve and I really think he wasn't eating and caring well, they put him and intravenous, also I'm sure those vets were bad options since they didn't thought for diabetes until a month later... gave me a bad diagnosis and treatment that made him lose almost 2 kilos in just one month, also they were very rude to me
 
tiffmaxee said:
I’m so glad you are back. I was worried. The site has been so funky lately and down for hours at a time. It’s not going away to keep trying periodically when you can’t get on.
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Thank you for always help me, you're awesome and right, I should try more, din't feel that so many days have passed omg, this cuarentine time is getting in my brain :banghead:
 
I posted a new thread with some updates

And again thank you all for the support and time, I'll be donating soon to the forum, this is a great place and I'm so thankful that find it:bighug:
 
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