05/26 Merlin PMPS 22.2 (400), 15.1 (286)@+1, 11.1 (200) @+2, 10.2 (184),6.8 (122) @+3, 9.6(173) @+4

Merlin’sMama said:
4.6 on contour
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Good.
I would give maybe just a small teaspoon of Low Carb …if he will eat it….don’t worry if he doesn’t.
Otherwise no other food. And let’s see what he is in 1/2 hour on the human meter if that’s Ok with you.
Hopefully he’ll get up on his surf board now and surf for a few hours after having had some diving practice!:rolleyes:
 
If he is still holding his own after the next test, I think we can go to hourly.
Jill, are you able to put in the other tests into the SS, like Bhooma did for you the other day?
It will give a better picture of what happened.
 
Yes, but converting each number into the US slots is too much right now. As soon as there’s more than one number in an hour, the US wont convert. I can do the world for now.
 
Also, we were going to do all Libre readings for the day, but we’ve switched now. Should I keep to libre in the time slots, but note the contour readings in the notes?
 
Merlin’sMama said:
Also, we were going to do all Libre readings for the day, but we’ve switched now. Should I keep to libre in the time slots, but note the contour readings in the notes?
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Yes that’s a good idea. Just put a * in the SS where you did a human reading and then put the human BG into the remarks column.
We can probably switch back to the libre after the next BG if it’s not dropping.
 
Jill should not have to convert the numbers on her spreadsheet, should she? I mean, I thought that happened automatically? I thought that non-US people just enter their numbers in on the World tab and that the US tab automatically converted and entered them for the user? Is this not how Jill’s ss is set up?
 
Suzanne & Darcy said:
Jill should not have to convert the numbers on her spreadsheet, should she? I mean, I thought that happened automatically? I thought that non-US people just enter their numbers in on the World tab and that the US tab automatically converted and entered them for the user? Is this not how Jill’s ss is set up?
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It will convert normally Suzanne but if you put in more than 1 reading in the cell then it won't convert and you have to enter it manually.
 
Suzanne & Darcy said:
Jill should not have to convert the numbers on her spreadsheet, should she? I mean, I thought that happened automatically? I thought that non-US people just enter their numbers in on the World tab and that the US tab automatically converted and entered them for the user? Is this not how Jill’s ss is set up?
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It converts automatically if you only put one BG into it and nothing else. Once you put in more than that you have to go over to the US Ss and put it all in manually. I always found it a real pain to have to do
 
Jill, when you fill in the coloured squares of the SS, use the colour of the lowest BG in that square.
So for example for the one that has the Lo in it, use the lime green colour. Does that make sense?
 
Bron and Sheba (GA) said:
It converts automatically if you only put one BG into it and nothing else. Once you put in more than that you have to go over to the US Ss and put it all in manually. I always found it a real pain to have to do
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That is a pain! So now my other question. Why do I so frequently see people with both World and US spreadsheets… and I am trying to look at the US tab and all I see is a bunch of ### in the cells?
 
Bron and Sheba (GA) said:
It converts automatically if you only put one BG into it and nothing else. Once you put in more than that you have to go over to the US Ss and put it all in manually. I always found it a real pain to have to do
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That is a pain! So now my other question. Why do I so frequently see people with both World and US spreadsheets… and I am trying to look at the US tab and all I see is a bunch of ### in the cells?
 
Also, can we say, as a general (inexact) rule that under 100-ish the Libre starts to be a little unreliable and it’s better to use the human meter?
 
Suzanne & Darcy said:
I would not feed anything now but would scan in an hour. What do you think Bron?
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I agree. I am going to head to bed now because it is midnight here and I need my beauty sleep:eek::rolleyes:
Will you be around now Suzanne?
I think with the next dose you need to reduce it to 0.25 units. I don’t know how accurate that LO was on the libre but he certainly was stubbornly staying at 2.9 for a while and would have dropped lower more quickly without the honey and HC.
 
Bron and Sheba (GA) said:
I agree. I am going to head to bed now because it is midnight here and I need my beauty sleep:eek::rolleyes:
Will you be around now Suzanne?
I think with the next dose you need to reduce it to 0.25 units. I don’t know how accurate that LO was on the libre but he certainly was stubbornly staying at 2.9 for a while and would have dropped lower more quickly without the honey and HC.
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Yes. I am afraid of shooting again, to tell you the truth. It would be great if we could just skip it and repeat in the morning…
 
Bron and Sheba (GA) said:
I agree. I am going to head to bed now because it is midnight here and I need my beauty sleep:eek::rolleyes:
Will you be around now Suzanne?
I think with the next dose you need to reduce it to 0.25 units. I don’t know how accurate that LO was on the libre but he certainly was stubbornly staying at 2.9 for a while and would have dropped lower more quickly without the honey and HC.
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I’m so glad you said that, @Bron and Sheba (GA) because those were my thoughts exactly about .25. I had actually suggested .25 as a possible starting dose - only because of some of the Libre readings before any insulin had ever been started.
 
Suzanne & Darcy said:
That is a pain! So now my other question. Why do I so frequently see people with both World and US spreadsheets… and I am trying to look at the US tab and all I see is a bunch of ### in the cells?
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Yes that right Suzanne, this is what you see on the US spreadsheet if more than 1 reading is entered into the cell and it needs to be filled in manually.

US ss.JPG
 

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Merlin certainly seems to be quite sensitive to insulin. I don’t know if it is just because of the other day or not when he was given too much, but he is responding more than usual to a small amount of insulin,
 
Bron and Sheba (GA) said:
Merlin certainly seems to be quite sensitive to insulin. I don’t know if it is just because of the other day or not when he was given too much, but he is responding more than usual to a small amount of insulin,
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He is. And he was naturally at 10 last night and only 12 this morning. I don’t know…
 
Sorry, I went to go feed and medicate all my cats.

Consistency, whenever possible, is very important when using a depot insulin like Lantus - and on the road to getting them regulated. The depot is what helps to give nice flat cycles - although Merlin is probably going to bounce now. It will take several days for the depot to build. A 50 percent reduction would be to .25 units. That’s a pretty significant reduction. How about seeing where he is later on and at 9:00? I know the stress is killing you!
 
Suzanne & Darcy said:
Sorry, I went to go feed and medicate all my cats.

Consistency, whenever possible, is very important when using a depot insulin like Lantus - and on the road to getting them regulated. The depot is what helps to give nice flat cycles - although Merlin is probably going to bounce now. It will take several days for the depot to build. A 50 percent reduction would be to .25 units. That’s a pretty significant reduction. How about seeing where he is later on and at 9:00? I know the stress is killing you!
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Ok. It is. Another test coming up in 10 minutes.
 
You can’t really get them regulated and into the better numbers unless they get some insulin. Clearly, Merlin does need some amount of insulin to support him. We would like to see him in those “healing” numbers that everyone talks about - where his pancreas can heal. We hope it will start functioning again.
 
Merlin’sMama said:
Yes. But if he bounces he could bounce longer than 12 hours after the AM, as we have seen…
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Jill Merlin hasn't bounced today, he just dropped a bit low, maybe he will bounce tonight or tomorrow only time will tell us that. With bounces you will normally see higher numbers lasting up to 3 days. (6 cycles)
When they drop too low, they can "bounce". Bounces happen when 1. they drop too low, 2. they drop too fast, 3. they drop into numbers their body isn't used to anymore (or any combination of all 3). The liver releases stored sugars and hormones to bring the blood glucose back up (and it usually overshoots it quite a bit)....so the cat "bounces" high. It can take up to 6 cycles for those hormones to clear the body, so you just have to sit on your hands and don't react to them by going back up to the dose that just caused the bounce in the first place!
Stolen post from @Chris & China (GA) :)
 
Ok thanks. I will scan in an hour. I feel really yucky about all of this. I don’t want to do this again and again. I don’t know what choice I have. Does anyone else’s cat react like this? Could it be because of last week still? I don’t want to do this at midnight tonight because why wouldn’t it act the same so soon? Especially since it is a reservoir. Wouldn’t giving him more so soon add to what is already in his system? Does anyone ever dose Lantus once a day instead of twice since it is so long lasting and overlaps like it does?
 
Merlin’sMama said:
Maybe he will need some other type of insulin. Could he possibly just react badly to Lantus? Does this happen?
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Cats can react badly to some insulin but Merlin hasn't reacted badly he's just dropped a little lower than expected with the 0.5 unit.
Tonight he's getting a 50% reduction in his insulin and you go from there. That could be the perfect dose for him.
At the moment it's just a case of getting his correct dose.
All in all he's had a good day with his numbers apart from when he had a little blip and dropped low but you did a fantastic job with Suzanne and Bron and brought him back up brilliantly.
Remember last week it took almost a day to bring him back up after his overdose, today it was a couple of hours and now he's fine in those blues.
You're getting there Jill don't give up.
 
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