Missy's spreadsheet

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Vanlora Light

Vanlora Light

Member Since 2021
Hi, I'd like to hear your opinions on his glucose results. I changed his food few days ago to Sheba fine flakes in jelly, and even tho it's higher in carbs than the previous wet food I gave him, Catessy and applaws it's giving me better results somehow.
Usually he gets small meals throughout the night 4 times, last time being at 8:30 and then I give insulin and food at 10am.
Yesterday I wanted to know what his glucose is 2 hours before first insulin dose next day so he got fed at 4:30am and 7:30am only(today).
Then when I took his glucose at 10am it was 16mmol, I gave him 1 unit of insulin and 3 hours later it was 4mmol, is it a big drop? His high glucose in the morning probably was due to a bounce. How could I prevent that from happening?
He is on lantus insulin.

https://docs.google.com/spreadsheet...KSr3uwBLdnyRw_YrzoLHc_WLgos/edit?usp=drivesdk
 
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Copied from Bron from your previous post which I added

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
 
Diane Tyler's Mom said:
Previous post
https://www.felinediabetes.com/FDMB/threads/spreadsheet-thoughts.259037/#post-2911131

You say you are following TR , it seems like looking at your SS you are changing the doses based on the BG and not nadir. Can you add TR to you spreadsheet also
Let's see what the members have to say
Also Lantus likes consistency , same dose both AM and PM

@Bron and Sheba (GA)

@tiffmaxee

@Wendy&Neko

@FrostD

@Bandit's Mom
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The 2 unit that I gave one time was because I was freaking out, but the dose is pretty consistent the same 1 unit twice a day now but it's unclear to me when to reduce it. I'm trying to do TR now recently, last time when I shared the spreadsheet I was told to choose a method.
 
I would test again at +4, I don't think he's finished dropping yet. That 47 a few days ago is really low on AT2, regardless of the dosing method you are following, it earned a reduction to 0.75u. While I understand it takes time to learn the dosing methods we follow here, you really should take the reduction tonight to 0.75u that was earned with that low number, and hold that 0.75u for at least six cycles, and assess based on how those cycles go. It is really important to take the reductions when they are earned, especially at such a low reading that you got on AT2.

I really do suspect he'll go lower again today, so please test and intervene with carbs until you are sure his numbers are rising.
 
I'd truly encourage you to check back on the comments on your thread when you have a question that may influence your dosing decision for the day.

As others have noted, the 47 on 2/16 indicated that a dose reduction was needed. The 72 at +3 today, given the large drop from AMPS, is an indication that your cat's numbers may have continued to drop. Getting a test at +4 would have been helpful to know where the numbers were heading.
 
I absolutely agree with Sienne to check back when you have a question that would influence the dosing your dosing decision for the day. Like Christie and Elise said you should have reduced his dose on 2-16 when you got that 47.
I also see you have in your signature that you cat has CKD, do you know what stage she is in? what are you feeding her?
Do you have a hypo kit for Missy , meaning med and high carb foods to bring Missy's BG up when she drops too low
 
Sienne and Gabby (GA) said:
I'd truly encourage you to check back on the comments on your thread when you have a question that may influence your dosing decision for the day.

As others have noted, the 47 on 2/16 indicated that a dose reduction was needed. The 72 at +3 today, given the large drop from AMPS, is an indication that your cat's numbers may have continued to drop. Getting a test at +4 would have been helpful to know where the numbers were heading.
Click to expand...

Good thing I fed him right after seeing the low number 3 hours later, now in the evening pre-shot he was 133, he will have food in the automatic feeder for today's night, I'll see what his glucose is in the morning, If I have to reduce the dose still then I have to figure out how to draw 0.75 units since I only have half unit syringes.
 
Diane Tyler's Mom said:
I absolutely agree with Sienne to check back when you have a question that would influence the dosing your dosing decision for the day. Like Christie and Elise said you should have reduced his dose on 2-16 when you got that 47.
I also see you have in your signature that you cat has CKD, do you know what stage she is in? what are you feeding her?
Do you have a hypo kit for Missy , meaning med and high carb foods to bring Missy's BG up when she drops too low
Click to expand...
Few weeks ago he was stage 3 CKD but recently when we went to the vets his kidney values came back reduced and according to the creatine level he should be late stage 2.
I do have a hypo kit, I have a lot of different wet foods to give him from high to low carb. Right now I'm giving him Sheba fine flakes in jelly and he is also getting a phosphorus binder(last time his phosphorus level was ok at the vet).
When I showed my vet the spreadsheet and the hypo she just told me to keep giving the 1 unit of insulin. Sometimes I get so confused like what people say here vs vet. I didn't want to make any changes I was unsure about.
 
Vanlora Light said:
, If I have to reduce the dose still then I have to figure out how to draw 0.75 units since I only have half unit syringes.
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They only make half unit markings , you will have to eye ball 0.75 units
49823063143_3437e9e997_o.jpg

0.75 will be in between the 0.5 and 1 unit mark
 
Vanlora Light said:
Few weeks ago he was stage 3 CKD but recently when we went to the vets his kidney values came back reduced and according to the creatine level he should be late stage 2.
I do have a hypo kit, I have a lot of different wet foods to give him from high to low carb. Right now I'm giving him Sheba fine flakes in jelly and he is also getting a phosphorus binder(last time his phosphorus level was ok at the vet).
When I showed my vet the spreadsheet and the hypo she just told me to keep giving the 1 unit of insulin. Sometimes I get so confused like what people say here vs vet. I didn't want to make any changes I was unsure about.
Click to expand...

@Christie & Maverick

@tiffmaxee

@Sienne and Gabby (GA)

Her vet even told her to stay with the 1 unit after seeing her SS and the hypo
 
Vanlora Light said:
I don't get any notifications so I missed few posts before I gave the insulin tonight, it's now 1am here.
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@Vanlora Light
 
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Vanlora Light said:
I'm from Finland, but I'm also following a UK diabetes cat group on fb, bc they recommend foods we have here in Finland too. We don't have something like Fancy Feast.
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Hi Vanessa in case you want to take a look at this link, UK INFORMATION it also lists types of food
https://www.felinediabetes.com/FDMB...-vit-b12-and-other-need-to-know-stuff.137376/

You might want to add to your signature Find land so we know :cat:
Tap on your name and then tap on signature add Finland ,then hit save
Missy is a cutie, is she holding a toy in her pic
 
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tiffmaxee said:
Is it possible to give insulin any earlier so yo7 dint have to stay up so late?
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I actually go to sleep really late, sometimes at midnight so it's not a problem for me:)

I took his glucose now in the morning and it was 277. I wonder why cuz he gets fed same thing and same amount at same time as during the day with same unit of insulin.
 
Blood glucose (BG) numbers vary for any number of reasons. It helps to remember that insulin is a hormone and it doesn't act like an antibiotic or pain medication does -- the effect of the dose isn't the same since blood glucose varies. Activity and stress are frequent factors that can have an impact on BG levels. What is also common is what we refer to as a "bounce." If BG numbers drop into a low range (like the 47), drop into a range your cat has grown unused to, or drop fast, the liver and pancreas respond with a safety measure that causes a stored form of glucose along with counterregulatory hormones to be released. This action caused BG numbers to spike upward.

Given that Missy dropped from 227 at AMPS to 104 at +4, I would have suggested getting a a +5 or +6 test. It's likely that Missy's nadir (lowest point in the cycle) is around +5 or +6. When you see a lower number early in the cycle, it helps to get additional tests to make sure the numbers aren't falling into a dangerous range.
 
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