? 09/29 Need help choosing a dose of Levemir for Piggy

Tatiana and Piggy Russia

Tatiana and Piggy Russia

Member Since 2023
Good day to everyone. Goodbye to everyone.

Yesterday evening Piggy had swelling, we were in the hospital. Now we are at home, the swelling has subsided a little, he himself ate a package of Gourmet liquid, but still this morning we missed the Levimir injection, before the hospital I measured my sugar-175, but I was afraid to give Levimir ,now it’s sugar 272. What should I do, how should the 12th cycle be knocked down, how much should I give it now?
 
On September 28 at 9-15 I gave him an injection, on September 28 in the evening and on September 29 in the morning the injection was missed, 30 hours have passed since the last injection
 
TatyanaS said:
At 4-30
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I live in Australia so 4.30 does not mean anything to me, you to tell me how many hours you are past your normal shot time.
So tell me when you usually give the insulin and then tell me how many hours past this time you just gave the dose..
You have given the dose, yes?
 
Bron and Sheba (GA) said:
I live in Australia so 4.30 does not mean anything to me, you to tell me how many hours you are past your normal shot time.
So tell me when you usually give the insulin and then tell me how many hours past this time you just gave the dose..
You have given the dose, yes?
Click to expand...
Four and a half hours have passed since I was supposed to give the morning dose, that is, after 7 hours I need to give the evening dose, but I gave the morning dose 4 hours 30 minutes later
 
Ok. I will need to know if Piggy has ever had ketones in the urine…has the vet ever mentioned it and do you have any Ketostix to test this urine at home?
 
Hello Tanya, how are you measuring the dose? It is pretty hard to get from 0.35 to 0.25 accurately.
You might need to go down to 0.1 Unit, if the BG dropped to 23 (41) after a skip.

To get back on schedule with giving the insulin, I would give the morning dose, then skip the evening dose, then give the next morning dose which should be about 19 hours after the last given dose. So one missed dose, but because you are so far off schedule, the time without insulin will not be 12 hours but more like 7 hours. Does that make sense?
 
Bron and Sheba (GA) said:
Hello Tanya, how are you measuring the dose? It is pretty hard to get from 0.35 to 0.25 accurately.
You might need to go down to 0.1 Unit, if the BG dropped to 23 (41) after a skip.

To get back on schedule with giving the insulin, I would give the morning dose, then skip the evening dose, then give the next morning dose which should be about 19 hours after the last given dose. So one missed dose, but because you are so far off schedule, the time without insulin will not be 12 hours but more like 7 hours. Does that make sense?
Click to expand...
I skipped the night dose because at +12 he had 7.9 mmol, and in the morning 12.1 mmol before the injection, this is +19 hours from the daytime injection
 
Bron and Sheba (GA) said:
Hello Tanya, how are you measuring the dose? It is pretty hard to get from 0.35 to 0.25 accurately.
You might need to go down to 0.1 Unit, if the BG dropped to 23 (41) after a skip.

To get back on schedule with giving the insulin, I would give the morning dose, then skip the evening dose, then give the next morning dose which should be about 19 hours after the last given dose. So one missed dose, but because you are so far off schedule, the time without insulin will not be 12 hours but more like 7 hours. Does that make sense?
Click to expand...
That is, I got on my time schedule with injections, as before
 
Bron and Sheba (GA) said:
Hello Tanya, how are you measuring the dose? It is pretty hard to get from 0.35 to 0.25 accurately.
You might need to go down to 0.1 Unit, if the BG dropped to 23 (41) after a skip.

To get back on schedule with giving the insulin, I would give the morning dose, then skip the evening dose, then give the next morning dose which should be about 19 hours after the last given dose. So one missed dose, but because you are so far off schedule, the time without insulin will not be 12 hours but more like 7 hours. Does that make sense?
Click to expand...
Lately I've been figuring out that the zero mark is approximately equal to the middle of the piston, so I level the bottom of the piston when it's level with the 0.5 mark - which I count as 0.25. And when a small gap appears between the zero mark and the upper limit of the piston, this is 0.35 for me. I used to feed Piggy chicken puree + pumpkin or carrots or zucchini, for natural intestinal fiber, now for now I only give chicken, but I’ll probably have to add pumpkin again .to poop. I tried to give psyllium - 1 incomplete scoop from under ipakitina with food 2 times a day, but he began to get very dehydrated and drink a lot, pee a lot and I had to take it away. Now he is much better again.
 
Maybe this will help:

Fine dose gradations:
  • 0.5U = exactly half a unit
  • 0.4U = skinny 0.5 touching the line
  • 0.3U = skinny 0.5 with daylight under the line
  • 0.2U = fat zero with daylight over the line
  • 0.1U = fat zero barely touching the line
Pictorial guide using a U-100 syringe marked with half units:
49823504036_be8b19dcbc_o.jpg

49822973598_f0540f7a37_w.jpg

49822973683_0559ae843a_o.jpg
 
Tanya and Ducia said:
Maybe this will help:

Fine dose gradations:
  • 0.5U = exactly half a unit
  • 0.4U = skinny 0.5 touching the line
  • 0.3U = skinny 0.5 with daylight under the line
  • 0.2U = fat zero with daylight over the line
  • 0.1U = fat zero barely touching the line
Pictorial guide using a U-100 syringe marked with half units:
49823504036_be8b19dcbc_o.jpg

49822973598_f0540f7a37_w.jpg

49822973683_0559ae843a_o.jpg
Click to expand...
This is when the upper limit of the piston corresponds to the zero mark, and on our syringes the zero mark is lower, there is not always a space from 0.25 to 0.5 above, and the zero mark is also curved, which is why it is difficult. You have to match the thickness of the rubber on the piston, it is somewhere around 0.5 and therefore, most often 0.25 insulin is placed above the zero mark
 
Tanya and Ducia said:
Maybe this will help:

Fine dose gradations:
  • 0.5U = exactly half a unit
  • 0.4U = skinny 0.5 touching the line
  • 0.3U = skinny 0.5 with daylight under the line
  • 0.2U = fat zero with daylight over the line
  • 0.1U = fat zero barely touching the line
Pictorial guide using a U-100 syringe marked with half units:
49823504036_be8b19dcbc_o.jpg

49822973598_f0540f7a37_w.jpg

49822973683_0559ae843a_o.jpg
Click to expand...
It’s clear that I’m betting from 0.35 to 0.40
 
TatyanaS said:
We rebounded after hypo 2.3 to 17.7, put 0.35
Click to expand...
Tanya, Piggy earned a reduction in dose when he dropped to 2.3 (4.1). Dosing is based on the nadir or lowest point in the cycle, not the preshot BG.
I notice you went back up in dose to 0.35 unit when the preshot went up to 17.7. He is bouncing from the lower BG in the previous cycle (2.3).
Please go back to the reduction dose of 0.25 unit and stay at that dose for 7 days.
 
Bron and Sheba (GA) said:
Tanya, Piggy earned a reduction in dose when he dropped to 2.3 (4.1). Dosing is based on the nadir or lowest point in the cycle, not the preshot BG.
I notice you went back up in dose to 0.35 unit when the preshot went up to 17.7. He is bouncing from the lower BG in the previous cycle (2.3).
Please go back to the reduction dose of 0.25 unit and stay at that dose for 7 days.
Click to expand...
Got it, I'll be back
 
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