11/9 Charlie amps:478 4u,4:339,6:388,8:345,10:410,pmps:371

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Charliemeow

Charliemeow

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Amps:478 4u

Yuck again. Funny how he has decent pms but crappy ams. We'll figure this out! Today is curve day. I thought I'd get my normal +4.5/5 then do +6,7,8, and maybe 10.5 if anyone thinks that particular reading would be helpful... I'll probably deliver the ss to the vet tomorrow for her input.
 
Re: 11/9 Charlie amps:478, 4u

Claudia generally a curve should be every 2 hours over a 12-24 hour cycle.

I often think of it as trying to plot numbers on a graph because I want to see the slope of the line it forms.
 
Re: 11/9 Charlie amps:478, 4u

I'll do +4,6,8,10 then. I'm never able to do a +2 after his an shot, but I got a +2 last night to give a general idea of what happens at that time. Checked for ketones:negative.
 
Re: 11/9 Charlie amps:478, 4u

+4:339, nice 140 point drop.
+5:food
+6:388
+8:345
+9:food
+10:410
pmps:371, 4u
 
Re: 11/9 Charlie amps:478, 4u

yes, quite nice drinking11, you can keep the running curve on your subject.
+4 +6 etc.
or when you recap just edit and do it on the same page so it's easier to 'see' the curve.
oh, i know...we won't know you posted again........well, just keep us abreast.

and FWIW tom is ALWAYS 100 points or so higher in the amps than the pmps. always has been. i think its' not eatting at night, he sleeps thru the night, so the pancreas is not stimulated. i tried getting up once and giving him a 3am snack. the next morning he was definetly lower.

i am not capable of doing that as a rule----bad mommy!
 
Re: 11/9 Charlie amps:478, 4u

i'm betting charlie is a late nadir...any takers?
 
Re: 11/9 Charlie amps:478 4u,4:339,6:388

That's what I'm hoping, Lori! I'll edit the subject line with each test, and put them in my previous post.
 
Re: 11/9 Charlie amps:478 4u,4:339,6:388,8:345

so do you think 6 was a food spike?
 
Re: 11/9 Charlie amps:478 4u,4:339,6:388,8:345

I think so. His spikes seem to last really long. I wonder what time his nadir is at then? Am I masking it at +6 with a food spike? Maybe I'll try feeding him at +4, then testing at +6... Or I could stay up all night trying to find it....yeah right. Or maybe it's at +7? I'm testing again soon, so we'll see if the tells us anything.
 
Re: 11/9 Charlie amps:478 4u,4:339,6:388,8:345

nailbite_smile waiting anxiously....
 
Re: 11/9 Charlie amps:478 4u,4:339,6:388,8:345

Sorry. I was moving slowly...too much curried peas for dinner!
 
Re: 11/9 Charlie amps:478 4u,4:339,6:388,8:345,10:410

HORRORS!
this stinks. ugggg. did he eat before it?
 
Re: 11/9 Charlie amps:478 4u,4:339,6:388,8:345,10:410

yeah but that was 2 hours ago.
 
Re: 11/9 Charlie amps:478 4u,4:339,6:388,8:345,10:410

ok, still not thrilled with this curve.
can you do another one in a couple of days?
 
Re: 11/9 Charlie amps:478 4u,4:339,6:388,8:345,10:410

Yeah. In a couple days I'll focus on "odd" hours to get all pre-food values especially at 5,7,9. What should i do about dose? Hold at 4? Increase to 4.2,4.4, or 4.5 tomorrow?
 
Re: 11/9 Charlie amps:478 4u,4:339,6:388,8:345,10:410,pmps:3

I would be inclined to bump .4u and hold it at least 4 cycles, maybe 6. and don't do the full curve the first day.

He is too used to pinks and reds, and we need to start letting him get used to yellows as OK /safe numbers. He hasn't ever responded with anything remotely scary (mid greens)(that I'm aware of) so I think we need to keep bulling forward, and I truly don't think .4u is going to do anything scary for him, I think he's a long way off.... He may bounce if he gets to a yellow number, but IMO that will not be a reason to back down -- or he will never get to safer numbers.

Other opinions?
 
Re: 11/9 Charlie amps:478 4u,4:339,6:388,8:345,10:410,pmps:3

I'll go with Nancy. Is there still any lingering doubt that charlie is a big gulper?
anyone think he's being over dosed? anyone think we are missing something?
i at this point would only like it if anyone could get their pz into him for one shot to prove the insulin is good.
 
Re: 11/9 Charlie amps:478 4u,4:339,6:388,8:345,10:410,pmps:3

Nancy- he's never (as far as my tests show) had anything below a yellow. So for a small increase I'm not too concerned about hypo. Plus, 4.4 is only .2u above where I was before we did the rebound check. So 4.4 tomorrow sounds good. I'll get more numbers on cycle 3 or 5 of that dose.
Lori- unfortunately, no one who posts here in pzi is from Cleveland, apparently. But I'm stopping by the vets tomorrow to drop off his ss, so I'll ask if they can give me a dose. If they can, can it sit in a syringe (cap on, in the fridge) until the following day? I'd be a little paranoid about shooting it at night just in case that is the problem here.
 
Re: 11/9 Charlie amps:478 4u,4:339,6:388,8:345,10:410,pmps:3

you can bring a syringe or two and have them prefill it for you!
 
Re: 11/9 Charlie amps:478 4u,4:339,6:388,8:345,10:410,pmps:3

OMG you just said that did'nt you. yes you can..remember to roll the syringe before shooting.
beg them for it if you have to.
 
Re: 11/9 Charlie amps:478 4u,4:339,6:388,8:345,10:410,pmps:3

On that thought, the 2 things that supposedly kill the insulin are freezing or exposure to light.

Before I knew that, I used to set my filled syringe on the window sill to keep it out of harms way while I rounded Cody up. :oops: It is also, now, why I wrap my vials with paper elastic tape- (like vets use to hold an IV needle in place) to avoid light.

I also said to myself last winter, that this year, I would be stocking up on insulin before the COLD months arrived, so that I reduced the chances of receiving insulin that had been exposed to freezing temps. Last year I seriously wondered about 1 or 2 of my vials...

So it IS possible,

however, it is not an issue until she starts a new vial at some higher dose.... whatever happened with asking the vet if it could be bad...

Oops sorry dd skyped me so I got distracted.
 
Re: 11/9 Charlie amps:478 4u,4:339,6:388,8:345,10:410,pmps:3

I did that once when taking H on road trip and although I was traveling over mountain passes [pressure changes] I ended up with less in the syringe than I had filled it with. LUCKILY, I was smart and OVERFILLED the syringe so I could push out the unneeded. I actually overfilled because I was shooting variable/scale so I did not know how much I would ultimately need. So I filled to a theoretical max dose which it turned out I needed way less. Point is - overfill the dose +little extra in the syringe. Also you should bring it home in a cooler on a frozen gel pack or ice.

Also, your vet might fight with you about filling up a U-100 syringe with U-40 insulin? Sometimes they will get quite unfriendly about that. Just depends on how good your relationship with the vet is.
 
Re: 11/9 Charlie amps:478 4u,4:339,6:388,8:345,10:410,pmps:3

Nancy and Cody said:
however, it is not an issue until she starts a new vial at some higher dose.... whatever happened with asking the vet if it could be bad...
Click to expand...

Claudia, I hope you see this before going to the vet.

If you are using u100 syringes the vet might question it. Maybe have the conversion formula or chart with you. It will show you have a handle on what you are doing and may reduce the rigors of the "questioning." They get crazy about the syringe stuff because in a busy vet office it is not uncommon for techs to mess up the syringes...even with color coding them. Call it crazy, but I've heard reports of dumb stuff like that. So, you walking in with a u100 syringe to be filled might trigger the "safety talk" response. If possible, don't ask a tech to fill the syringe...ask the doctor.

Sounds like it is going to be vet day in Cleveland. Atlas is going to see Dr. Price today at the Strongsville Animal Hospital. Funny all the time I shuttled him back and forth to the vet at the shelter...last night he went and hid when he saw the carrier. :lol:

Well, I have to get all the paperwork together for him this morning. They don't use Lantus, but as usual she is a great vet and willing to work with where we're at. For dear Attie my biggest concern is getting some chronic loose bowel issue under control.

Good Luck to you and Charlie today!
 
Re: 11/9 Charlie amps:478 4u,4:339,6:388,8:345,10:410,pmps:3

Thanks gator and blue for the tips! I am planning on bringing u40 syringes and getting 4.5u of insulin then squirting a tiny bit out.
Blue: I hope Attie's appointment goes well! Loose bowels are no fun for anybody! Hopefully they can fix him up!
 
Re: 11/9 Charlie amps:478 4u,4:339,6:388,8:345,10:410,pmps:3

@ Claudia,
Why don't you bring the chart, the U100's, and the U40's, and play it by ear. Switching syringes mid stream makes me a tiny bit uncomfortable, as they are not perfectly precise/equivalent as shown by some old post I read forever ago.

@Blue,
For dear Attie my biggest concern is getting some chronic loose bowel issue under control.
Click to expand...
chronic diarrhea- Have you tried Fortiflora? It's a probiotic powder packet that is YUMMY, by Purina, should be available at the vet, and also online.
 
Re: 11/9 Charlie amps:478 4u,4:339,6:388,8:345,10:410,pmps:3

Nancy and Cody said:
On that thought, the 2 things that supposedly kill the insulin are freezing or exposure to light.
Click to expand...

Don't forget that I think syringes also have a coating on the inside of the barrels, too. So, if the insulin sits in the barrel for long, it may break down the insulin rendering it useless. I'm not sure if they've changed the inside of the barrels or not because of this. Just a thought to keep in mind, is all.
 
Re: 11/9 Charlie amps:478 4u,4:339,6:388,8:345,10:410,pmps:3

I also wondered about this. I know over in the lantus stickies (or somewhere) they say not to preload syringes.

When I complained that my new vial suddenly stunk up Cody's numbers, and called B-I, they actually replaced the vial, through the vet. Now I always wondered, if the "replacement" was shipped (and frozen), right next to the first vial that I was having trouble with, because the new vial wasn't really much different, as I recall. WAs it "Cody" or was it the insulin- still cant say.
 
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