11/18 Peabody AMPS 165, +4 178 What is our goal?

[Peabody's mom Dorene]

What numbers are we aiming for during the course of the day? Blues and more greens? All green? Is there a range?

I think Peabody's doing well coming down from reds, pinks and yellows but I'm not sure if I'm lowering the dose correctly or too fast?
We started a new vial of Lantus on 11/13 and I think his numbers have improved; prior we were using donated glargine that I got from my vet, who was transferring it to sterile vial (but I have no idea where the donation came from before the vet).

I feel like I'm messing it up with jumping around with dosing but I'm still afraid of giving 3 units when he's in the 170 and below range.

 

[tiffmaxee]

Here is I believe your most recent last post. We link them for continuity.

https://felinediabetes.com/FDMB/thr...ot-blue-numbers-scare-me.238192/#post-2674708

Where are you getting dosing advice? You are jumping around a lot. Lantus likes consistency. If too low to shoot a no shot is warranted. Beyond the I see so many different doses and this is my first time looking at your spreadsheet I’m trying to understand the dosing changes before I reply with my observations.

Normal feline bg is 50-120 roughly in answer to your goals. A reduction of .25 is what is taken if under 90 since you are following SLGS. If you need to skip too often it’s better to find a dose you can shoot e dry 12 hours, even f that means dropping by more than that. It’s very encouraging to see blue and green early on.

 

[Peabody's mom Dorene]

Here is I believe your most recent last post. We link them for continuity.

https://felinediabetes.com/FDMB/thr...ot-blue-numbers-scare-me.238192/#post-2674708

Where are you getting dosing advice? You are jumping around a lot. Lantus likes consistency. If too low to shoot a no shot is warranted. Beyond the I see so many different doses and this is my first time looking at your spreadsheet I’m trying to understand the dosing changes before I reply with my observations.

Normal feline bg is 50-120 roughly in answer to your goals. A reduction of .25 is what is taken if under 90 since you are following SLGS. If you need to skip too often it’s better to find a dose you can shoot e dry 12 hours, even f that means dropping by more than that. It’s very encouraging to see blue and green early on.

Thanks, I couldn't figure out how to link my previous post. Are there directions on that somewhere?

It's my own stupidity for dosing changes -- no ones advice. I am totally scared of giving 3 units when Peabody is 130 considering as noted normal feline bg is 50-120. I have supplies ready if he were to go hypo but I am not prepared to deal with that! Off topic I take care of my 87 year old mother with mid-late stage dementia in my home and work from home for an insurance company full time and am in no shape (mentally) stress wise to deal with a hypo event.

 

[JaxBenji]

I'm glad Elise stopped by - just wanted to add that the range she gave you is for human meters since it looks like you are using AT2. Most of us use human meters to save $$.

Here are the ranges I've come across in the past:

• 50-120 on human meter
• 70-150 on pet meter

I also like reading the info in the The Basics sticky too (these are all human meter references):

'What is Regulation?':

There are different definitions of regulation. As hometesting becomes more common, we've been getting a better understanding of what cats and their humans might be capable of. Janet & Fitzgerald propose the following "regulation continuum":​

• • Not treated - blood glucose typically above 300 mg/dl (16.7 mmol/L), poor clinical signs
  • Treated, but not regulated - often above 300 (16.7) and rarely near 100 (5.6), poor clinical signs
  • Regulated - generally below 300 (16.7) with glucose nadir near 100 (5.6), good clinical signs, no hypoglycemia
  • Well regulated - generally below 200-250 (11.1-13.9) and often near 100 (5.6), no hypoglycemia
  • Tightly regulated - generally below 150 (8.3) and usually in the 60-120 (3.3-6.7) range, no hypoglycemia, still receiving insulin
  • Normalized - 60-120 (3.3-6.7) except perhaps directly after meals -- usually not receiving insulin

Thanks, I couldn't figure out how to link my previous post. Are there directions on that somewhere?

No directions really - you open up your last condo in your browser, copy the URL, and then paste it into your new condo.

 

[JaxBenji]

Also, I just noticed you are using a spreadsheet formatted for Human Meters - if you are going to continue using the AT2, you'll want to use the spreadsheet for pet meters - this will help avoid confusion for anyone looking at your SS - also, the light green coloring is different...light green means "take action" to bring kitty up to a safer number - on the AT2 it's <68 and on a human meter it's <50,

Here are the spreadsheet instructions if you want to download and switch your data to the pet spreadsheet. Just ask if you need help...there are some spreadsheet helpers!

 

[tiffmaxee]

Also, I just noticed you are using a spreadsheet formatted for Human Meters - if you are going to continue using the AT2, you'll want to use the spreadsheet for pet meters - this will help avoid confusion for anyone looking at your SS - also, the light green coloring is different...light green means "take action" to bring kitty up to a safer number - on the AT2 it's <68 and on a human meter it's <50,

Here are the spreadsheet instructions if you want to download and switch your data to the pet spreadsheet. Just ask if you need help...there are some spreadsheet helpers!

Thanks for catching this. The spreadsheet was the human one and I didn’t look at the signature.

Reductions will still be at 90.

 

[tiffmaxee]

Thanks, I couldn't figure out how to link my previous post. Are there directions on that somewhere?

It's my own stupidity for dosing changes -- no ones advice. I am totally scared of giving 3 units when Peabody is 130 considering as noted normal feline bg is 50-120. I have supplies ready if he were to go hypo but I am not prepared to deal with that! Off topic I take care of my 87 year old mother with mid-late stage dementia in my home and work from home for an insurance company full time and am in no shape (mentally) stress wise to deal with a hypo event.

You were right to not give 3 units. That is definitely too high a dose. I’m going to look at your spreadsheet again. I will return.

 

[tiffmaxee]

My mom was not in good health when Max was diagnosed either so I could not be aggressive. I think SLGS is a good option for you right now. Peabody has really been through a lot with the cancer. Was he on steroids? I would stick with the 1.5 dose. If at PMPS he is under 200, stall, don’t feed, and ask for dosing advice. Sometimes the bg will rise in about 20 minutes. If under 150, no shot. You can also stall but don’t shoot until you get advice. There’s an unwritten rule that if anyone tells you to shoot a number lower than you are used to, they will stay with you as long as needed or get someone else to help.