Rachel and Jasper
Member Since 2022
Would anyone be able to look over our spreadsheet and give me advice. I feel like his bg is still too high. I was a member of the feline diabetes support group on Facebook and feel like that was a setback for us.
9/2 Jasper AMPS 424 +6 426
- Thread starter Rachel and Jasper
- Start date
Kimmy & Ginny
Member Since 2022
You're definitely in the right place for advice on dosing. It won't be long before someone more knowledgeable than I comes along 
Just wanted to say welcome!
Just wanted to say welcome!
Rachel and Jasper
Member Since 2022
Thank you I am feeling hopeful that we can get him to a better blood glucose number. They have been very high lately..
Welcome to FDMB! While we ask all new members to start in Main Health, since you’ve been using Glargine for some time and already know the testing and feeding basics, I’m going to leave his thread here. I would ask you to please change the title by going to your first post here and clicking “thread tools” at the right and then “edit thread”. That will allow you to change the title to our standard which is:
9/2 Jasper AMPS XXX +2 XXX
Since I don’t know when the 426 was taken....which is really important, I don’t know where to put it in above but you can see what the example is and how others’ condo titles look.
I’m really sorry he’s gotten set back especially in light of his DKA. You’ve done a good job lately of getting in tests that help us know he’s on too low of a dose and the 1.75u has been held a little too long. While it’s possible he could have come down a little later in the PM cycle, it’s unlikely based on the BGs and it’s also likely he wouldn’t have come down much. Insofar as dosing, it varies by whether you are doing TR or SLGS which are both explained in the stickys at the top of this form. Stickys are very important info and it’s best for you both if you are able to start reading those as soon as possible and asking questions.
Under TR, his dose should be increased by 0.5u at each shot (also known as “bid”) to 2.25u because his nadirs are above 300 and he’s pretty flat. Under SLGS, the increase would just be 0.25u bid for a dose of 2u bid. Only you know which method is best for Jasper and also considering your lifestyle (whether you work, if you have kids or parents for whom you are caring, how much you can test, etc). TR will get him to a better dose faster as we reassess the dose after every six cycles or, if he drops below 68 on the AT, you’d decrease the dose immediately. With SLGS, we hold the dose for a week (unless he drops below 90) and then do a curve so that means if 2u is still not enough, he’s going to stay at higher numbers for a week. The decision is yours and we will support whatever you choose to do. Just as a quick note: if he is eating any dry food at all, it would preempt you from being able to follow TR as a requisite is a slowly wet food diet (e.g. canned or balanced raw).
When I look at his history, I do see BGs that warranted a reduction in dose; however, without more data (not a criticism), we can’t really tell if the dose was too high or he bounced and dropped lower when clearing the bounce. Bounce-clearing cycles can be very, very active ones with BGs dropping quickly and if you aren’t feeding the curve as the BG drops, then it can fall into reduction “territory” even though the dose itself could be fine. However, we are always cautious and if he drops below 68 (TR) or 90 (SLGS), we generally have you reduce with a few exceptions (e.g. back-to-back drops below those BGs). Keep in mind a dose that worked in the past might not be enough presently especially if he’s needed more insulin and hasn’t gotten it.
One thing you could do while you are adjusting to being on this forum, reading all the stickys, etc, and until you decided TR vs SLGS, is to increase to 2u bid for six cycles and then reassess. That’s a more conservative approach than increasing to 2.25u and gives you a bit of time to get your feet on the ground with this and get some more info. Up to you.
We are glad you and Jasper found us. Please let me know what questions you have.
9/2 Jasper AMPS XXX +2 XXX
Since I don’t know when the 426 was taken....which is really important, I don’t know where to put it in above but you can see what the example is and how others’ condo titles look.
I’m really sorry he’s gotten set back especially in light of his DKA. You’ve done a good job lately of getting in tests that help us know he’s on too low of a dose and the 1.75u has been held a little too long. While it’s possible he could have come down a little later in the PM cycle, it’s unlikely based on the BGs and it’s also likely he wouldn’t have come down much. Insofar as dosing, it varies by whether you are doing TR or SLGS which are both explained in the stickys at the top of this form. Stickys are very important info and it’s best for you both if you are able to start reading those as soon as possible and asking questions.
Under TR, his dose should be increased by 0.5u at each shot (also known as “bid”) to 2.25u because his nadirs are above 300 and he’s pretty flat. Under SLGS, the increase would just be 0.25u bid for a dose of 2u bid. Only you know which method is best for Jasper and also considering your lifestyle (whether you work, if you have kids or parents for whom you are caring, how much you can test, etc). TR will get him to a better dose faster as we reassess the dose after every six cycles or, if he drops below 68 on the AT, you’d decrease the dose immediately. With SLGS, we hold the dose for a week (unless he drops below 90) and then do a curve so that means if 2u is still not enough, he’s going to stay at higher numbers for a week. The decision is yours and we will support whatever you choose to do. Just as a quick note: if he is eating any dry food at all, it would preempt you from being able to follow TR as a requisite is a slowly wet food diet (e.g. canned or balanced raw).
When I look at his history, I do see BGs that warranted a reduction in dose; however, without more data (not a criticism), we can’t really tell if the dose was too high or he bounced and dropped lower when clearing the bounce. Bounce-clearing cycles can be very, very active ones with BGs dropping quickly and if you aren’t feeding the curve as the BG drops, then it can fall into reduction “territory” even though the dose itself could be fine. However, we are always cautious and if he drops below 68 (TR) or 90 (SLGS), we generally have you reduce with a few exceptions (e.g. back-to-back drops below those BGs). Keep in mind a dose that worked in the past might not be enough presently especially if he’s needed more insulin and hasn’t gotten it.
One thing you could do while you are adjusting to being on this forum, reading all the stickys, etc, and until you decided TR vs SLGS, is to increase to 2u bid for six cycles and then reassess. That’s a more conservative approach than increasing to 2.25u and gives you a bit of time to get your feet on the ground with this and get some more info. Up to you.
We are glad you and Jasper found us. Please let me know what questions you have.
Last edited:
Diane Tyler's Mom GA
Member Since 2018
Diane Tyler's Mom GA
Member Since 2018
You can read all about lantus and like Marje said you need to pick a dosing method ,they will tell you when an increase or decrease is needed
We don't base the the number of units of insulin you give by the pre shot numbers we base them on how low the kitty is dropping, that's where the dosing metod you choose comes in.
https://felinediabetes.com/FDMB/forums/lantus-levemir-biosimilars.9/
When posting on the lantus board here's how to do it
Date Jasper AMPS# and any additional tests you do after that, you can continue with Jasper's PMPS # and any tests after that
To add then look to the right you will see the word Thread Tools tap that then tap on Edit Thread add your tests for example +2 then the BG number you got
Then tap Save
We do a new post each day and you would link your previous days post to your new one
Your previous days post can be found up top that's above that pic of the cat on the left hand side, it's in that long line above it
Just copy and paste it to your new post where you would begin to write whatever you want
Is it possible for you to get more tests in during the day , mix up the times you test like one day test at +3 ( three hours after giving insulin) the maybe a +5, then a +7
Next day get a +4, then a +6
Mix them up
Night cycle you need to be getting at least another test in after the PMPS text before you go to bed cats usually drop lower at night
If possible I would get a few more in during the night cycle
The note the better, mix the times also
We don't base the the number of units of insulin you give by the pre shot numbers we base them on how low the kitty is dropping, that's where the dosing metod you choose comes in.
https://felinediabetes.com/FDMB/forums/lantus-levemir-biosimilars.9/
When posting on the lantus board here's how to do it
Date Jasper AMPS# and any additional tests you do after that, you can continue with Jasper's PMPS # and any tests after that
To add then look to the right you will see the word Thread Tools tap that then tap on Edit Thread add your tests for example +2 then the BG number you got
Then tap Save
We do a new post each day and you would link your previous days post to your new one
Your previous days post can be found up top that's above that pic of the cat on the left hand side, it's in that long line above it
Just copy and paste it to your new post where you would begin to write whatever you want
Is it possible for you to get more tests in during the day , mix up the times you test like one day test at +3 ( three hours after giving insulin) the maybe a +5, then a +7
Next day get a +4, then a +6
Mix them up
Night cycle you need to be getting at least another test in after the PMPS text before you go to bed cats usually drop lower at night
If possible I would get a few more in during the night cycle
The note the better, mix the times also
Last edited:
Diane Tyler's Mom GA
Member Since 2018
@Bron and Sheba (GA)
Thought you might want to add anything since Rachel's cat had DKA and treatment on 2-23-22 noted in her signature
Thought you might want to add anything since Rachel's cat had DKA and treatment on 2-23-22 noted in her signature
Rachel and Jasper
Member Since 2022
Thanks so much, i think at this point we will do tight regulation. I am home a lot to test the only thing is I am pregnant so I am trying to avoid waking up in the night to test but I am also teaching my husband to test too so he can take over everything once the baby comes. I think right now tight regulation does make sense for us though because i want to try to get his bg down as quickly as I can, hopefully without dropping too low though as I am just a nervous person in general. Thanks for your thoughtful response and I am so so glad I finally found my way here. I just absolutely adore Jasper, he is theost wonderful cat and I only want the very best for him!
Sounds like a plan. Thanks for fixing the title
One thing to help you all is the +2 test. If you test at +2 and the BG is similar to or less than the preshot, it’s likely the BG will come down so you’ll want to test again. When depends on where the +2 is and how much it’s dropped. If it’s pretty close to the PS and still above 300 or even high 200s, you can wait until +4. But if the PS starts out lower or the +2 drops from the PS, you should check at +3. Once you build some data and can see patterns, you’ll know when you have to test if you see a similar or lower +2.
Until he gets into much better numbers, I’m sure you are carefully watching him for any signs of DKA. I would strongly suggest you test his urine ketones every single day.
We all want the best for Jasper and congrats on your forthcoming baby!
Rachel and Jasper
Member Since 2022
Thanks so much! This all makes sense, I will do my best to get all the information I can. I will test for keytones today but he has had none for a long time every time I test and despite the high numbers clinical signs are all great wich is somewhat confusing but I am very greatful for.
I can’t stress how important it is for you to test ketones every single day u til his BG is down. I did this on my kitty and she never had DKA. You want to catch them when they are trace as ketones can move into DKA fast and once you are seeing symptoms, it’s a race. However, if you see trace or a bit more than trace, you can start giving extra food and water and we can increase the dose. Better that way than an expensive vet bill.
Also…it’s super important to keep his SS current. That means entering a BG as soon as you take it. Lastly, we can offer the most help when you post everyday. You don’t have to be super chatty but we can’t give advice if we don’t see a post.
As an example, if you raised the dose to 2u last night and, after four cycles, he’s done nothing and is still high, I would urge you to raise the dose to 2.25u but I can’t do it if you haven’t posted as we cannot advise via a PM.
Rachel and Jasper
Member Since 2022
This makes sense, i will test for keytones this afternoon and also do think the increase to 2.25 is most likely warranted. Are you seeing my updated spreadsheet on my signature, i didn't realize but two members helped make two spreadsheets abd I am not certain that I linked the correct one. I am updating one every time i test but now I am confused if I linked the correct one to my signature. Sorry I feel like I made this more complicated by accident.
Yvonne & Leo
Member Since 2022
The spreadsheet that is linked to your signature shows the last data being entered on September 1st.
Rachel and Jasper
Member Since 2022
Oh gosh well I have been updating every test so I am not sure whats happening. Maybe I linked the wrong one or maybe there is something wrong with the one I am using. Honestly I am terrible with this stuff.
Yvonne & Leo
Member Since 2022
You're fine, you just need to switch out the links. It's linked to your old one. Replace it with this link: https://docs.google.com/spreadsheets/d/1zgsf_qVoKKGr4EMlWjjKnrrMUyJPzd_-lw6wlOAzPa0/edit?usp=sharing
It looks like the current one that you are using is titled:
Jasper FDMB US 12/12 Insulin Spreadsheet Template for PET METERS
And the one linked to your signature is titled:
Jasper's Spreadsheet
Rachel and Jasper
Member Since 2022
I think I linked the new one in my signature?
Yvonne & Leo
Member Since 2022
Yep! I see it now and it's current to todays date
Rachel and Jasper
Member Since 2022
Oh gosh that is great news!
Good morning!
It’s time to start a new thread. We do one per cat per day and don’t post in an old thread. That way, we can all stay on top of what is current. Thanks so much.
Edited to add: did you give a dose today? It doesn’t have one in his unit column for AMPS.
It’s time to start a new thread. We do one per cat per day and don’t post in an old thread. That way, we can all stay on top of what is current. Thanks so much.
Edited to add: did you give a dose today? It doesn’t have one in his unit column for AMPS.
Rachel and Jasper
Member Since 2022
Yes he got 2 units I will check that now.