1/21 Leia AMBG 117 (STALLING - Need Guidance)

[Michelle A]

Hi All,
This is my first time posting on FDMB so please be understanding if I leave something out.
Leia's preshot number at 8am was 130 on the Libre and 117 on the Relion. I've rechecked the libre pretty much every 10 minutes and her number is not coming up. I have only had her back on insulin for a few weeks and I have been steadily dropping the dosage with the past 2 days at approx. 1/8 unit (where you can barely see a little clear line between the plunger and 0 line). I probably could manage to do less (pretty much at the zero line) but I am afraid she will drop too low. Advice?
Regards,
Michelle

 

[Little Man's mom (GA)]

Looking at ss if you can monitor/test today I'd say shoot.

As far as post title the question mark is great helps others see you are asking advice. If you loom at others posts date name and bg number is typically how we do it. This way it's easy to see at a glance what the numbers are.

 

[Michelle A]

Thanks! Do you think I should give the 1/8 unit or even less?
Another question... I know I don't have much data but it looks like she is having her nadir between 3-4 hours. Is that what you are seeing too?

 

[Little Man's mom (GA)]

I would stick with the most recent dose. You have a lot of skips in there that could be contributing to the instability in her numbers that you are seeing. With lantus and similars consistency is the key. I do agree it seems as though her nadir may be a bit early.

Are you feeding any snacks at +1 or +2 to help the drop be a bit slower and more steady?

Also try to remember that you want to see numbers between 50 and 99 that is the goal. So as long as you can monitor these are safe numbers to shoot at

 

[Marje and Gracie]

Thanks! Do you think I should give the 1/8 unit or even less?
Another question... I know I don't have much data but it looks like she is having her nadir between 3-4 hours. Is that what you are seeing too?

You need to stall without feeding until the BG is headed up on the ReliOn. You don’t have enough data to shoot a dropping BG. I would check her Libre every 15 mins and the ReliOn every 30 and shoot the full dose as soon as you see a rising BG.

If you’ve fed her, you should skip because you need to shoot within two hours of normal shot time and if you’ve already stalled, it will be past two hours. It takes two hours for the BG to rise after feeding at the end of a cycle.

 

[Michelle A]

It's been 1 1/2 hours since her "normal" shot time however, I just now fed her and decided to SKIP this dose after all.
Of course the Libre stopped working for the past 30 minutes or so and I am unsure if it will start working again. It may have just pooped out in spite of me...

As you can see, I've only had her back on insulin for 2 weeks. She was treated for an infection (TRIADITIS) with some liquid antibiotics that had SUGAR in them.
I (and my vet both) suspect that she never had a typical case of diabetes, but more so that the high sugar was a result of underlying disease (in her case probably that infection).
Also to note, I have been giving her OMEPROZOLE for the past two weeks for a suspected ulcer and I just read that proton pump inhibitors can help lower BG in humans so I am wondering if there is some correlation there. I mentioned the use of omeprozole on an earlier FB post where I was told antiacids are bad for cats so I only plan to treat her with it for a few weeks and then discontinue them.

 

[Little Man's mom (GA)]

It's been 1 1/2 hours since her "normal" shot time however, I just now fed her and decided to SKIP this dose after all.
Of course the Libre stopped working for the past 30 minutes or so and I am unsure if it will start working again. It may have just pooped out in spite of me...

As you can see, I've only had her back on insulin for 2 weeks. She was treated for an infection (TRIADITIS) with some liquid antibiotics that had SUGAR in them.
I (and my vet both) suspect that she never had a typical case of diabetes, but more so that the high sugar was a result of underlying disease (in her case probably that infection).
Also to note, I have been giving her OMEPROZOLE for the past two weeks for a suspected ulcer and I just read that proton pump inhibitors can help lower BG in humans so I am wondering if there is some correlation there. I mentioned the use of omeprozole on an earlier FB post where I was told antiacids are bad for cats so I only plan to treat her with it for a few weeks and then discontinue them.

I understand with the skip and that is ok. Always better to have a day higher than even 1 minute too low.

I would say personally the relion is probably more reliable (no pun intended haha) at this point. I seen other condos where members have been told that Libre is less reliable at very high and lower numbers. If she allows you to test manually I would do so.

Since you are relatively new to the board and testing in general posting in the main health forum will give you typically faster responses and help you to lean how the board works. The individual support groups can be a bit more fast paced and more advanced. I'm happy to help tag me anytime and I'll keep my eye out for you in future! Have a great Sunday!

 

[Michelle A]

Of course the Libre just started working again...

@Rainbow Conti Any advise on how to change the post title now after the fact?

 

[Marje and Gracie]

It's been 1 1/2 hours since her "normal" shot time however, I just now fed her and decided to SKIP this dose after all.
Of course the Libre stopped working for the past 30 minutes or so and I am unsure if it will start working again. It may have just pooped out in spite of me...

As you can see, I've only had her back on insulin for 2 weeks. She was treated for an infection (TRIADITIS) with some liquid antibiotics that had SUGAR in them.
I (and my vet both) suspect that she never had a typical case of diabetes, but more so that the high sugar was a result of underlying disease (in her case probably that infection).
Also to note, I have been giving her OMEPROZOLE for the past two weeks for a suspected ulcer and I just read that proton pump inhibitors can help lower BG in humans so I am wondering if there is some correlation there. I mentioned the use of omeprozole on an earlier FB post where I was told antiacids are bad for cats so I only plan to treat her with it for a few weeks and then discontinue them.

That’s smart considering all things.

I’m going to move these posts to Main Health for you but please post there for a bit until you can get the meters working, have time to read the stickys at the top of this forum, and feel more comfortable with board posting. It shouldn’t take more than a week or two since she has been in remission.

Also, please check your inbox, click on it in upper right corner when you see a number on it. I am sending you a private message regarding the spreadsheet.

Of course the Libre just started working again...

@Rainbow Conti Any advise on how to change the post title now after the fact?

On your first post, click on “thread tools” and the. “Edit thread”. You can change the title and take down the “?”. Thank you so much for being cognizant of that.

 

[Little Man's mom (GA)]

Of course the Libre just started working again...

@Rainbow Conti Any advise on how to change the post title now after the fact?

Marje covered you on the fix for title she actually did it all as I was posting a message with same info and she moved it so I couldn't post my reply. Have a great Sunday sweetie!

 

[Marje and Gracie]

It's been 1 1/2 hours since her "normal" shot time however, I just now fed her and decided to SKIP this dose after all.
Of course the Libre stopped working for the past 30 minutes or so and I am unsure if it will start working again. It may have just pooped out in spite of me...

As you can see, I've only had her back on insulin for 2 weeks. She was treated for an infection (TRIADITIS) with some liquid antibiotics that had SUGAR in them.
I (and my vet both) suspect that she never had a typical case of diabetes, but more so that the high sugar was a result of underlying disease (in her case probably that infection).
Also to note, I have been giving her OMEPROZOLE for the past two weeks for a suspected ulcer and I just read that proton pump inhibitors can help lower BG in humans so I am wondering if there is some correlation there. I mentioned the use of omeprozole on an earlier FB post where I was told antiacids are bad for cats so I only plan to treat her with it for a few weeks and then discontinue them.

There is a great IBD group on Facebook. It’s called “Raw Feeding for IBD cats” but you don’t have to feed raw to join. If the FB group you are in discouraged anti-acids, it might be that one. Have you ever used slippery elm bark syrup? That can help with acid.

 

[Michelle A]

There is a great IBD group on Facebook. It’s called “Raw Feeding for IBD cats” but you don’t have to feed raw to join. If the FB group you are in discouraged anti-acids, it might be that one. Have you ever used slippery elm bark syrup? That can help with acid.

Thanks, I just submitted my request to join that group and I'll also check out the slippery elm when I have some free time.
I recently purchased some digestive enzymes and those didn't go over well... You would have thought that both cats thought I was poisoning them.
I corrected the title of my post and left the part about stalling just in case this thread could be helpful for someone else. Let me know if I should do otherwise

 

[Little Man's mom (GA)]

Thanks, I just submitted my request to join that group and I'll also check out the slippery elm when I have some free time.
I recently purchased some digestive enzymes and those didn't go over well... You would have thought that both cats thought I was poisoning them.
I corrected the title of my post and left the part about stalling just in case this thread could be helpful for someone else. Let me know if I should do otherwise

Only thing I'd change is AMPS to AMBG...since no shot this am

 

[Marje and Gracie]

Thanks, I just submitted my request to join that group and I'll also check out the slippery elm when I have some free time.
I recently purchased some digestive enzymes and those didn't go over well... You would have thought that both cats thought I was poisoning them.
I corrected the title of my post and left the part about stalling just in case this thread could be helpful for someone else. Let me know if I should do otherwise

I hope they can help you. They were very helpful when Gracie had IBD and SCL.

Adored Beast has some great digestive enzymes. I also really love their Gut Soothe and use both with my cats with no issues. In fact, one thinks they are a treat as I mix them with water and her probiotic and syringe it to her. You have to be sure that what you are giving are digestive and not pancreatic enzymes. Pancreatic enzymes are expensive and can burn if not given correctly. They are only for cats diagnosed with exocrine pancreatic insufficiency via testing.

If you change the AMPS to AMBG as suggested by Rainbow, then others will see that you skipped after stalling.