4PM major dose concern/low glucose

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Corky's glucose is 340 see spread sheet he feeds/and doses in 3 hours what do I do about his dose should I dose when is that high AIM AFRAID TO DOSE HIM WITH SUCH HIGH Corky's glucose is at 349 at this moment and moving up slowly, There'snothing to do to stop this????? I am freaking out he feeds in less than 3 hours

can I get advise on the dosing for Corky with the number posted on spreadsheet ?5
his doses have been 2.5 1.75 1.25 and 1.0 due to low glucose,

May I get advice on what would the 4PM dose be ??????
 
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Suzanne & Darcy said:
I’m just checking in on Corky’s spreadsheet. So far so good this morning. Last night he actually had a really great cycle (just talking about the numbers here). He never dropped into lime green so he was safe the whole time. Those green numbers, while safe, are a little lower than the target range for BG when following SLGS (start low go slow) dosing method. Although I believe he is eating medium to high carb food that should be saved for times when you need to raise his blood glucose up. I am very sorry if there’s been confusion about what to feed him. I’m sure that Meow Mix is also high in carbs because I believe it’s full of grains and is a dry food. He could be slowly transitioned to any of the Fancy Feast Classic pates (no gravy). I say slowly transitioned because feeding lower carb food will result in lower BG numbers. There are other low carb and affordable pates that can be fed, including some of the Friskies pates. But I understand if you bought a three week supply and need to feed that. A lot of stores will allow you to return unopened cat food. You should keep some of those cans in reserve for your hypo kit. As Diane suggested, it’s a good idea to write the number of carbs on each can in the hypo kit with a Sharpie permanent marker.

the Meau Mix It was wet, but he is now eating
Fancy Feast Classic beef and poultry no gravy / could you please check Corky's spreadsheet his glucose is sky high and he feeds/dose at 4PM we had changed the dose 1.25 does he needs more? less?

On your spreadsheet, I see a lot of Karo syrup being used also at times. Karo syrup shbe reserved for times when your cat drops below 50 (human meter). That isn’t a criticism. I understand the fear of hypo especially when everything is so new. We can help you with what to feed and when also.
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Bron and Sheba (GA) said:
Maria, I would continue with the 1.25 Unit dose unless he drops under 90.
And it doesn’t look like he will. It looks like he is on the way back up now.
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Hi, just in case you didn’t see it, wanted to pop in and say the above message is the answer you got from this morning and it still applies. So if, at 4 PM, his number is:
  • 90 or higher—give 1.25u
  • 89 or lower—give 1u
If he is still in the 300s, definitely give him 1.25u. Don’t change it.
 
It is normal for the BG to start rising at the end of a cycle so don’t be concerned about that.
plumsteal said:
  • 90 or higher—give 1.25u
  • 89 or lower—give 1u
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If the Preshot is below 90 you do not give the insulin. You can stall, don’t feed and see if the BG rises high enough to give a dose otherwise you skip the dose. And remember any BG under 90 means you reduce the dose.

It is normal for the BGs to fluctuate during a cycle. Have a look at other cat’s spreadsheets and you will see this happens.
 
Bron and Sheba (GA) said:
It is normal for the BG to start rising at the end of a cycle so don’t be concerned about that.

If the Preshot is below 90 you do not give the insulin. You can stall, don’t feed and see if the BG rises high enough to give a dose otherwise you skip the dose. And remember any BG under 90 means you reduce the dose.

It is normal for the BGs to fluctuate during a cycle. Have a look at other cat’s spreadsheets and you will see this happens.
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thank you , but as expected Corky's glucose is beginning to decrease 180 now and spiraling down quickly / see spreadsheet, it will be most likely in the 2 digits by 10 PM if not sooner I will not feed the in-between meal . I gave the dose you suggested 1.25 he eat very well as always another sleepless night
 
mayte said:
thank you , but as expected Corky's glucose is beginning to decrease 180 now and spiraling down quickly / see spreadsheet, it will be most likely in the 2 digits by 10 PM if not sooner I will not feed the in-between meal . I gave the dose you suggested 1.25 he eat very well as always another sleepless night
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It is normal for the BG to drop after giving insulin.
Are you giving him a good snack around +2? That is 2 hours after you give the insulin.
You could also give another snack at +3. That is 3 hours after the dose. That will help the BGs from dropping too fast.
 
mayte said:
thank you , but as expected Corky's glucose is beginning to decrease 180 now and spiraling down quickly / see spreadsheet, it will be most likely in the 2 digits by 10 PM if not sooner I will not feed the in-between meal . I gave the dose you suggested 1.25 he eat very well as always another sleepless night
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just as I predicted Corky's glucose is spiraling down very quickly, right now eating a high carb meal down to 65 second reading from 7:56 @ 97 to 8:07 @ 65 going down ADVISE PLEASE
 
Bron and Sheba (GA) said:
It is normal for the BG to drop after giving insulin.
Are you giving him a good snack around +2? That is 2 hours after you give the insulin.
You could also give another snack at +3. That is 3 hours after the dose. That will help the BGs from dropping too fast.
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Yes I am I do feed him 3 time a day right now I pray that with this meal high on carbs will help, it scares me such drastic changes and so quick that right now his graph on the monitor is red., most likely or for sure, after the 4:AM dose the same thing will happen or skytises
thank you for answering so quickly, God Bless you, if the number is 90- again I'll give a high carb meal if the numbers continue this low can I give him Karo, and I'm assuming, that if it stands under 90 I will not doses?
 
Maria there is no need to feed a high carb meal when the BG is 97. That is a safe number. A low carb snack is sufficient. I would test again in an hour from the last BG test
 
mayte said:
just as I predicted Corky's glucose is spiraling down very quickly, right now eating a high carb meal down to 65 second reading from 7:56 @ 97 to 8:07 @ 65 going down ADVISE PLEASE
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Maria, what is the current reading. I don’t understand what you are saying.
Is the last reading 97 or 65?
 
Bron and Sheba (GA) said:
Maria there is no need to feed a high carb meal when the BG is 97. That is a safe number. A low carb snack is sufficient. I would test again in an hour from the last BG test
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ok about the food, I have been checking on an hourly basis and even every half hour for a while now because of the drastic ups and downs
 
mayte said:
97 @ 7:56 took another reading at 8:07 and it is 65 going down
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If that was on the freestyle libre, they can be unreliable in lower numbers. Do you have a hand held meter to do a test?
I would feed some higher carb food if you have not already ( I think you already have) and test again in 20 minutes from the last test.

corky has earned another reduction in dose down to 1 unit at the next dose as long as the BG is high enough.
Please post the next test in 20 minutes.
 
Bron and Sheba (GA) said:
If that was on the freestyle libre, they can be unreliable in lower numbers. Do you have a hand held meter to do a test?
I would feed some higher carb food if you have not already ( I think you already have) and test again in 20 minutes from the last test.

corky has earned another reduction in dose down to 1 unit at the next dose as long as the BG is high enough.
Please post the next test in 20 minutes.
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i tried dosing with the ReliOn and I couldn't get a speck of blood, he's ear is dark and i even used a small flashlight and I was not successful, I watched TikTok tutorials on how to do and the diagram as well I must of pinched him 3 time. I do have ro try harder on the ReliOn, I also called the FreeStyle cust Svcs and I should get a new monitor in 3 days, I'm beginning to suspect this monito is no good, the daily graphs, the limes noticed are broken up
have a great long weekend, will you be available or should I send mssgs open
 
Post here with any updates. I will be around for several hours but may not see your post but someone else will.
Can you keep the SS updated please and tell me what the latest reading is now please ?
 
Don't forget to fill in how many units you gave tonight in your SS
One suggestion instead of telling us times such as when you say 7:00 or 10:00 can you for example tell us his BG then @+5 that means 5 hours after giving insulin
We are all in different time zones so telling us the time means nothing to us :cat:
 
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Diane Tyler's Mom said:
Don't forget to fill in how many units you gave tonight in your SS
One suggestion instead of telling us times such as when you say 7:00 or 10:00 can you for example tell us his BG then @+5 that means 5 hours after giving insulin
We are all in different time zones so telling us the time means nothing

new thread named 4 PM dose concerns/low/high BG
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