Spreadsheet thoughts?

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Vanlora Light

Vanlora Light

Member Since 2021
Could anyone take a look at my cats spreadsheet, any thoughts?
I also showed this to my vet and she said not to give insulin if his glucose is 10mmol(180) or below that.
I'm not sure what to do since I'm afraid if I don't give him any insulin his glucose is going to rise really high and from experience it's very hard to get it down again.

https://docs.google.com/spreadsheet...KSr3uwBLdnyRw_YrzoLHc_WLgos/edit?usp=drivesdk

Also overall how are his numbers lately, good/bad? Are they still considered high?
 
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Hi. I am new to FD and wouldn't have been able to help with your question.
But, I couldn't access the spreadsheet via the link. I received a notice stating that I did not have access.
A technical fix might be needed if it happens to others, too.
 
We cannot see your spredsheet
To set spreadsheet sharing permission:
* At the top right of the spreadsheet screen click on Share.

* In the pop-up dialog box click on the Get Link section.

* Change link access from 'Restricted' to 'Anyone with the link' and make sure that the permission on the right hand side is set to 'Viewer'.

* Click Done to save the changes.


Can you also list info for your cat Tap on this link
Here is a link helping us to help you link. If you noticed, our members have some basic information about their cat's in their signature. This helps us to not pester you by asking the same questions (your cat's name, insulin type, date of diagnosis, etc.) repeatedly. We also have a link to our spreadsheet in our signature. We are very numbers driven. The spreadsheet is a record of your cat's progress. By linking it in your signature, we can follow along and provide feedback should you need the help

If you need help just ask will contact Bhooma
@Bandit's Mom

Thank you Bhooma :cat:
 
Diane Tyler's Mom said:
We cannot see your spredsheet
To set spreadsheet sharing permission:
* At the top right of the spreadsheet screen click on Share.

* In the pop-up dialog box click on the Get Link section.

* Change link access from 'Restricted' to 'Anyone with the link' and make sure that the permission on the right hand side is set to 'Viewer'.

* Click Done to save the changes.


Can you also list info for your cat Tap on this link
Here is a link helping us to help you link. If you noticed, our members have some basic information about their cat's in their signature. This helps us to not pester you by asking the same questions (your cat's name, insulin type, date of diagnosis, etc.) repeatedly. We also have a link to our spreadsheet in our signature. We are very numbers driven. The spreadsheet is a record of your cat's progress. By linking it in your signature, we can follow along and provide feedback should you need the help

If you need help just ask will contact Bhooma
@Bandit's Mom

Thank you Bhooma :cat:
Click to expand...

Damn I don't know what's wrong bc I checked and it's already set on "anyone with the link".

https://docs.google.com/spreadsheet...KSr3uwBLdnyRw_YrzoLHc_WLgos/edit?usp=drivesdk
 
Vanlora Light said:
Damn I don't know what's wrong bc I checked and it's already set on "anyone with the link".

https://docs.google.com/spreadsheet...KSr3uwBLdnyRw_YrzoLHc_WLgos/edit?usp=drivesdk
Click to expand...
Now I can see it even though you have what insulin , meter , you are using please fill out your signature, that's the first thing members look at, and please pick a dosing method
Tap on your name and a drop down will appear, tap on signature and add all the info then hit save

I'm going to tag a few members for you, but first please fill out your signature, the members here need to know the info about your kitty, and link your SS to it

You don't have what dosing method you are following for lantus, you need to choose one.
This will let you know when you need to increase or decrease the dose, plus you should be shooting the same dose in the AM and PM, lantus likes consistency.
The dose is not based on the pre shots, they are based on how low your kitty goes in the cycle

@Bandit's Mom

@Sienne and Gabby (GA)

@Wendy&Neko

@tiffmaxee

@FrostD

Thank you ladies

One thing in your intro post you said Missy was diagnosed April 1st 2021 , on your spreadsheet it says Nov 2021 , which one is it?
https://felinediabetes.com/FDMB/threads/low-glucose.256340/#post-2887047

Here are the 2 dosing methods
https://felinediabetes.com/FDMB/thr...-low-go-slow-slgs-tight-regulation-tr.210110/
 
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Diane Tyler's Mom said:
Now I can see it even though you have what insulin , meter , you are using please fill out your signature, that's the first thing members look at, and please pick a dosing method
Tap on your name and a drop down will appear, tap on signature and add all the info then hit save

I'm going to tag a few members for you, but first please fill out your signature, the members here need to know the info about your kitty, and link your SS to it

You don't have what dosing method you are following for lantus, you need to choose one.
This will let you know when you need to increase or decrease the dose, plus you should be shooting the same dose in the AM and PM, lantus likes consistency.
The dose is not based on the pre shots, they are based on how low your kitty goes in the cycle

@Bandit's Mom

@Sienne and Gabby (GA)

@Wendy&Neko

@tiffmaxee

@FrostD

Thank you ladies

One thing in your intro post you said Missy was diagnosed April 1st 2021 , on your spreadsheet it says Nov 2021 , which one is it?
https://felinediabetes.com/FDMB/threads/low-glucose.256340/#post-2887047

Here are the 2 dosing methods
https://felinediabetes.com/FDMB/thr...-low-go-slow-slgs-tight-regulation-tr.210110/
Click to expand...


Yeah he was diagnosed April 1st 2021 and I didn't really use a spreadsheet then(I wrote it all down in my notebook) but now in November decided to make a spreadsheet.
I don't really understand the dosing methods?
I just give him lantus insulin twice a day(12 hours apart). And the unit amount is what my vet told me to try, he went from 2-3 units to 0.50-1 unit. Depends what his glucose is pre-shot so from that I decide what is best to hold off insulin or give half a unit if it's over 10mmol.

Also when I first started to give him insulin months ago I only followed the vets advice, back then I wasn't aware of any sites like this one or fb groups for diabetic cats. My vet started him on 1 unit of lantus twice a day, there wasn't like going from lower dose to higher and then when that 1 unit wasn't working the vet increased it to 2 units, just like that. But now recently I've lowered the insulin myself when the vet told me to go from 2-3 to 1 unit.
 
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Vanlora Light said:
Yeah he was diagnosed April 1st 2021 and I didn't really use a spreadsheet then(I wrote it all down in my notebook) but now in November decided to make a spreadsheet.
I don't really understand the dosing methods?
I just give him lantus insulin twice a day(12 hours apart). And the unit amount is what my vet told me to try, he went from 2-3 units to 0.50-1 unit. Depends what his glucose is pre-shot so from that I decide what is best to hold off insulin or give half a unit if it's over 10mmol.

Also when I first started to give him insulin months ago I only followed the vets advice, back then I wasn't aware of any sites like this one or fb groups for diabetic cats. My vet started him on 1 unit of lantus twice a day, there wasn't like going from lower dose to higher and then when that 1 unit wasn't working the vet increased it to 2 units, just like that. But now recently I've lowered the insulin myself when the vet told me to go from 2-3 to 1 unit.
Click to expand...

Ok I would go to your spreadsheet and change the Nov diagnosis to April like in your signature.
We don't base the units on the pre shots
We base them on how low Missy's BG is dropping ( nadir).
Part of that process is getting a feel for basic concepts:
  • 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
We don't increase by whole units, we increase or decrease by 0.25 units at a time

Do you have the U-100 syringes with half unit markings, these make it easier to dose
the cycle

Ladies I gave her the link about the dosing methods she doesn't understand them
Can one of you explain it to her please, I'm not that good at explaing it, and please take a look at her SS Thank you

@Bandit's Mom

@Sienne and Gabby (GA)

@Wendy&Neko

@tiffmaxee

@FrostD

@Katherine&Ruby

@Suzanne & Darcy

Thank you ladies
 
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Do you have the U-100 syringes with half unit markings, these make it easier to dose
49823063143_3437e9e997_o.jpg
 
Welcome!

The others would be better to advise on dose since this is pretty low dose, but given those 30s/40s/50s a few days ago, that's an automatic 0.25U reduction. So you'd be looking at 0.75U....but since the depot is disrupted right now with all the different doses, you could also choose to hold the 0.5U for at least 5 days and see how he does.

Tight Regulation:
- Reductions are below 68 on an AlphaTrak. So any time you see under 68, next shot is reduce by 0.25U. Alternatively, you can try a reduction if they are in mostly green numbers for 7 days. Once you get to lower numbers, it goes 0.25U to 0.1U, to a drop dose sometimes.
- Doses are held for 3-5 days. Once you see green like you are, you hold a dose for at least 10 cycles from when you got the green.
- Target BG range is 68-99 ish, what we call the pancreas-healing numbers. Best chance of remission between the two methods.
- 4 tests minimum per day. The two preshots (should be fasting for 2 hrs), and then at least 2 more each cycle (non fasting). You want to vary the times of testing - so a +2 here, a +5 there, etc. In lower numbers, the amount of trying typically increases Now, with the numbers you're getting, I do think remission is very possible. The "downside" is that can mean a lot more testing to keep her safe.
- no customization

SLGS
- 0.25U reductions any time below 90, or the mostly green mentioned above
- Doses are held for a week, at which point you do a curve and decide whether to increase. Downside is this can take longer to get better numbers.
- Testing - the two preshots, plus the weekly curve. Obviously, any extra testing is always helpful.
- Target BG range is 90-120- ish. This is because of less testing, you need a cushion to keep them safe. The higher BG range is also reason the chance of remission lower with SLGS.
- You can customize and change reduction point, but if you do that we will push for extra testing
 
Diane Tyler's Mom said:
I'm glad it was just his tail. Did you read the post from Melissa about the dosing methods, when you decide to pick one add it to your signature.
You should also read all the yellow sticky's about lantus
Here is the link
https://www.felinediabetes.com/FDMB/forums/lantus-levemir-biosimilars.9/
Click to expand...

Yeah, but apart from dosing, how are his numbers looking overall? Because I most wanted thoughts/opinions about that. For months I've been stressing over his numbers, and they were really high for months where I felt like giving up because his glucose was constantly 18-28mmol (324-504). It took a lot of time and patience to get the numbers down. I wonder if remission for him is possible.
 
He's relatively newly diagnosed, so these numbers at this low of a dose is encouraging. Possible, yes. But we always say aim for regulation first, remission is a bonus.

I'm not trying to be a Debbie Downer, just setting realistic expectations. Many people view diabetes as a transitory, temporary problem to be solved - when more often than not it is a lifelong condition to be managed. And even those of us fortunate to achieve remission are aware that can change at any time as they get older and develop other health issues.
 
FrostD said:
He's relatively newly diagnosed, so these numbers at this low of a dose is encouraging. Possible, yes. But we always say aim for regulation first, remission is a bonus.

I'm not trying to be a Debbie Downer, just setting realistic expectations. Many people view diabetes as a transitory, temporary problem to be solved - when more often than not it is a lifelong condition to be managed. And even those of us fortunate to achieve remission are aware that can change at any time as they get older and develop other health issues.
Click to expand...
Yes, I've been trying to get him regulated for so long now and in the beginning I didn't aim for remission first but now seeing these low numbers I'm more optimistic. It's been a tough 10 months.
 
I also agree you need to reduce the down from 1 unit with those numbers in the 30, 40, and50s. They are all very low for an alphatrak meter. Anything below 68 and you need to give high carb food to bring the BG up higher. And please test again to see the BG is rising.
If you decide to follow SLGS you reduce the dose at 90.
I agree… I would stay with 0.5 units for now since you have reduced to that and see how he goes.
 
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