Blood glucose meter reads "high" insulin adjustment?

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Holtfam6

Holtfam6

Member Since 2022
So I just checked Chance's blood sugar with relion meter and it reads high. He's on 3.5 units prozinc twice a day. Do I need to do an insulin adjustment? @FrostD @Suzanne & Darcy

I should also say he is asymptomatic.
 
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yes. the libre 2 sensor malfunctioned yesterday and he missed a day dose of insulin. Chance is a stinker. My daughter keeps the dry in a cabinet above the desk and he broke in and ate some hills science diabetic dry that we don't use today. This happened around 2:00 pm Vet recommended when first diagnosed. she saves it as emergency carbs. He prefers dry. He gets about 1/2 cup Dr Elsey's at night to tide over. needless to say, the dry has been moved out of her room to a more secure location.
 
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Holtfam6 said:
yes. the libre 2 sensor malfunctioned yesterday and he missed a day dose of insulin. Chance is a stinker. My daughter keeps the dry in a cabinet above the desk and he broke in and ate some hills science diabetic dry that we don't use today. Vet recommended when first diagnosed. she saves it as emergency carbs. He prefers dry. He gets about 1/2 cup Dr Elsey's at night to tide over.
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Can you add that to your signature ,members need to know that ,
Tap on your name ,a drop down will appear then tap on signature and add Dr Elsey's Dry
That's really not that high of carbs in case he drops really low to bring his BG up or do you mean for emergency carbs you would give the Hills Science Diabetic Dry
What is the low carb wet you're feeding

I see you are feeding Fancy Feast Pates
 
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We do do some fancy feast pates but also bought some more higher protein as he lost a lot of weight when diagnosed. I'm going to recheck him about 10 pm and see where we are.
 
Thanks for adding the Dr Elsey's but you need to say it's the dry
You'll want a hypo kit going. You'll want a mix of wet foods - medium carb 10-15%, high carb 16-20%, and I like to have a few small cans of something like 23% on hand as well
 
Such as
For your hypo kit you want some
Med and High Carb food and some honey



Fancy Feast Gravy Lovers Gourmet Beef Feast in Gravy 20% High Carbs

Fancy Feast Gravy Lovers Gourmet Chicken Feast in Gravy 15% Med Carbs

Fancy Feast Gravy Lovers Turkey Feast in Gravy 15% Med Carbs

Fancy Feast Gravy Lovers Chicken and Beef in Gravy 15% Med Carbs

Good idea to mark the cans with magic marker how many carbs

Or any on the food chart.
https://felinediabetes.com/FDMB/threads/dr-pierson-new-food-chart.174147/

dry is not a good option when trying to bring very low numbers up because it takes too long to work.
 
When did he get ibto the food, today?

Did you by chance double check that 456 last night? If that was legit that's a heck of a bounce, likely from all that time in nice blue. Given AMPS I'd say the 456 was close to legitimate.

If those ketones really are 4.2 please double check. That is DKA-level high
 
yes I did . two separate sites- right and left ear. 484 reading now. ketones per blood 0.4 now. I think the blue was false read from the defective libre 2 sensor. He got into the dry hills science around 2 pm today. I was gone and walked into the room and saw him eating. Hubby was cat sitting.
 
Ok, phew. Scared me.

The dry food obviously won't help, and it may affect things for a few cycles.

Technically per guidelines you'd hold the dose for at least a week. The skipped shot does mess things up a little bit, but you had enough data before it happened (even if it may have been inaccurately low). Even if the Libre readings were good, you still have room for a 0.25U increase.

Can you do me a favor and insert a row (merge columns) above the the 22nd and say something like "Data for 4/22 and 4/23 believed to be inaccurately low and Libre malfunction". That way it's just more obvious to anyone reading, in case they happen to miss it or misunderstand the remarks column.
 
FrostD said:
Ok, phew. Scared me.

The dry food obviously won't help, and it may affect things for a few cycles.

Technically per guidelines you'd hold the dose for at least a week. The skipped shot does mess things up a little bit, but you had enough data before it happened (even if it may have been inaccurately low). Even if the Libre readings were good, you still have room for a 0.25U increase.

Can you do me a favor and insert a row (merge columns) above the the 22nd and say something like "Data for 4/22 and 4/23 believed to be inaccurately low and Libre malfunction". That way it's just more obvious to anyone reading, in case they happen to miss it or misunderstand the remarks column.
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How do I merge columns?
 
Suzanne & Darcy said:
Also, where are we thinking that thibre malfunctioned? What date/cycle? The blues?
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The morning read high per relion blood meter. I think it started malfunctioning the night of the 22nd. He started turning blue for too long of a period for him. I use my mac computer to update but do have phone access. Just did a plus 6 check and he is 354. Still doing good. Sorry for not updating sooner. It's been a busy monday.
 
Holtfam6 said:
The morning read high per relion blood meter. I think it started malfunctioning the night of the 22nd. He started turning blue for too long of a period for him. I use my mac computer to update but do have phone access. Just did a plus 6 check and he is 354. Still doing good. Sorry for not updating sooner. It's been a busy monday.
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No worries. I figured you were working!
 
Holtfam6 said:
no it was the old sensor. That one did well and lasted 14 days. This one not so much.
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Ok just trying to see if those blues were real either. Let's see how he does for a few days but if he doesn't see blues we probably need a larger increase.
 
I did update the spreadsheet? Is it not showing up? 335 right now +5. Better but still have some work to do.
 
Going to do an experiment since we got a new sensor today. First, we applied the new sensor and tried to get the reader to work with it. It kept saying sensor is incompatible with the reader. called technical support. They tried to tell my daughter that the pharmacy sold her an expired sensor. I took the phone and said it was well within expiration date. We debated a little and I voiced my concerns. Didn't tell them it was a cat and they didn't ask. Anyhow, they are sending me another free sensor and now a new free reader. My daughter was able to connect it to her phone so we decided to leave it in. She gets nervous at night with him. anyhow, 8pm blood sugar check with the relion was 332 and the libre 413. Quite a difference. I'm going to post updates comparing the two as I find it interesting.
 
Holtfam6 said:
Going to do an experiment since we got a new sensor today. First, we applied the new sensor and tried to get the reader to work with it. It kept saying sensor is incompatible with the reader. called technical support. They tried to tell my daughter that the pharmacy sold her an expired sensor. I took the phone and said it was well within expiration date. We debated a little and I voiced my concerns. Didn't tell them it was a cat and they didn't ask. Anyhow, they are sending me another free sensor and now a new free reader. My daughter was able to connect it to her phone so we decided to leave it in. She gets nervous at night with him. anyhow, 8pm blood sugar check with the relion was 332 and the libre 413. Quite a difference. I'm going to post updates comparing the two as I find it interesting.
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Glad they helped you at least.

So I'm not too surprised by that, they each have 20% variance. So the ReliOn could technically be as high as 398, and the Libre as low as 330. Of course the opposite is true as well lol the Libre also does read interstitial glucose, one of them lags the other by 15 minutes but for the life of me I can't remember which. I believe interstitial lags the blood.
 
yes I believe you are right interstitial would lag blood. I was surprised as a nurse. Haven't had a lot of experience with libre. If I get bored I'll have to google more on this subject. It's real interesting.
 
When I get a chance I'll dig for some old threads, there were a few recently (last 6 months ish) that had same problem
 
Wondering if any of you wonderful people when you have a moment can look at Chance's blood sugars and provide your great feedback? He's still running in the high numbers. We have had no further dry food break ins. I just checked his blood sugar by blood and it's reading high on the meter. wondering if i should go up to 4 units twice a day or ride out a little more? It makes me nervous with the high by blood. Thoughts?
 
The trouble is I'm not sure what he did on the nights without tests. It's possible he's going lower at night but bouncing daytime, so I'm not comfortable giving the green light.

I would give it another day or two and just be sure to get some night tests in case he's bouncing. Ketone test as well.

Can you add in Remarks section when he got the new libre?

He still won't let you ditch the Dr Elsey's? Reason I ask is he would benefit from following the full MPM, but can't have any dry in the picture for that
 
He's very dry driven. When we rescued him, he had a feeding tube. We couldn't get him to eat anything to get rid of the tube. It took months to get him to eat. He finally ate frisks gravy twirlers dry only. We did eventually broaden his taste to some can but he never really ate much can. We have managed to get him to can only during the day. We have left only can out at night, but he refuses to eat it. Were going to keep working on it though.
 
@FrostD When you have a chance, can you please review Chance's blood sugars? He's still up there and were currently doing blood testing. Thank you so much!
 
Hi there. I see you guys are trucking along. It looks like Chance is approaching time for an increase. How is he acting and feeling? Any better than before? I guess his Libre malfunctioned?
 
Ha! more feisty than ever! He's been climbing on top of the fridge, trying to open closet doors. Looking all over for his dry food. I think he is doing much better. More active and talkative. It's like the old chance. I just wish his blood sugar would come under better control. really praying for a remission. I called libre technical support and they are sending a new reader and sensor as the last two malfunctioned. It should be here later this week or next week. I think we are still going to utilize blood more as the libre reads high at above 400 if I remember correctly but it will make life easier to get a good curve reading in. Do you think it's time to bump him up? I was trying to post a picture of chance on the prowl for his friskies and had to post it as a profile picture.
 
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I do think it is time for an increase. You have been on this 4 units long enough. I do wish there were more night time tests. I hope you can get a functional Libre sensor.
 
He's quite feisty. I put the new libre in tonight. He didn't like the cobain wrap and I think that was why he was pulling out fur. I Tried a new tape method so we shall see how it works and how long it works. Fingers and paws crossed.
 
It really looks like Chance’s doses are being held for too long. He is not getting nadirs that are low at all - only two yellows so far on four units. Also, can anyone scan the Libre a little more frequently- especially during the p.m. cycle? This would be really beneficial information. There are no nighttime numbers on his ss for almost 2 weeks. Is that because of Libre problems? Are you doing backup spot checks with a human meter/ear testing? I’m just trying to get a good picture as to what’s going on. I hate seeing all those black numbers on his spreadsheet.
 
We were taking a break from the libre. Just installed a new one yesterday. Will try to scan more frequently. The other readings were from relion blood. will do back up blood ear checks also as needed and will try to document in comments times with ear checks.
 
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Any thoughts on if I should increase to 4.5 units twice a day? Chance is still running pretty high. Libre 2 reads high so we have been doing blood draws to get a number. Thanks!
 
He’s very high. Are you following TR? I don’t see any dosing method on your spreadsheet so I wasn’t sure. But if you are then you can increase after six cycles (as long as he stays high like this.)
 
4.5. I'm assuming since he's 4.25 now. I can't figure out why he's looking so high lately. Nothings changed that I can put my finger on.
 
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