1st Home BG Curve!!!

[Reneemwriter]

https://docs.google.com/spreadsheet/ccc ... 5T0E#gid=0

Just completed my 1st BG Home Glucose Curve. P-h-e-w! Poor VanGogh! Though switching to The Relion Confirm (From Relion Prime) has made it LOTS easier to get the blood sample needed! I cannot get over how mellow VG is! He's much more relaxed than I am! Hoping that now I've gotten one under my belt, it won't be QUITE as intimidating for the next one. Do they need to be done every month?

I promise, tomorrow, I will try to make my ss visible to all w/out having to post link each time. . .

Thanks in advance for any input on this!

 

[BJM]

For once, my phone cooperated and I was able to see your spreadsheet.

Nice job on the curve. The numbers look good.

Some folks do monthly curves.
Some folks do mini curves testing every 3 hours every few weeks.
Some folks test at different times throught the week or on days off rather that doing a curve.

Whatever works best for you and your cat is OK.

 

[Wendy&Tiggy(GA)]

Those numbers are fantastic! Keep getting preshot tests (and another test in 2-3 hours if his preshot is under 100). Reason I say this is that if he goes under 50 at any time you will want to reduce to 0.25. (Or if he stays 50-130 for a week you will also want to reduce to 0.25). I think there is a good chance he will do this and you dont want to miss a 50! Not just because it means a reduction but also because you dont want a hypo. Many vets will say cats cant hypo on such a low dose but I have personal experience with my Bailey and 0.25 units.

keep us updated!

Wendy

 

[BJM]

Here are some glucose reference ranges used for decision making using glucometers. Human glucometer numbers are given first. Numbers in parentheses are for non-US meters. Numbers in curly braces are estimates for an AlphaTrak.

< 40 mg/dL (2.2 mmol/L) {< 70 mg/dL for an AlphaTrak}
- Treat as if HYPO if on insulin
- At nadir (lowest point between shots) in a long term diabetic (more than a year), may earn a reduction.

< 50 mg/dL (2.8 mmol/L) {< 80 mg/dL for an AlphaTrak}
- If before nadir, steer with food, ie, give modest amounts of medium carb food to keep from going below 50 (2.8).
- At nadir, often indicates dose reduction is earned.

50 - 130 mg/dL (2.8 - 7.2 mmol/L) {80 - 160 mg/dL for an AlphaTrak}
- On insulin - great control when following a tight regulation protocol.
- Off insulin - normal numbers. (May even go as low as the upper 30s (1.7 mmol/L){60s for an AlphaTrak}; if not on insulin, this can be safe.

= 150 mg/dL (8.3 mmol/L) {> 180 mg/dL for an AlphaTrak}
- the lowest level pre-shot for ProZinc, PZI, or other non-depot insulins.

> 150 mg/dL (8.3 mmol/L) {> 180 mg/dL for an AlphaTrak}
- At nadir, indicates a dose increase may be needed when following a tight regulation protocol.

200 mg/dL (11.1 mmol/L) {230 mg/dL for an AlphaTrak}
- no shot level for beginners; may slowly reduce to 150 mg/dL (8.3 mmol/L) {180 mg/dL} for long-acting insulins (Lantus, Levemir, and ProZinc) as mid-cycle data collection shows it is safe

180 - 280 mg/dL (10 - 15.6 mmol/L) {may be 210 - 310 mg/dL for an AlphaTrak}
- Any time - The renal threshold (depending on data source and cat's renal function) where glucose spills into the urine.
- Test for ketones, glucose is too high.

>= 280 mg/dL (15.6 mmol/L) {may be >=310 mf/dL for an AlphaTrak}, if for most of the cycle between shots
- Uncontrolled diabetes and thus at risk for diabetic ketoacidosis and hepatic lipidosis
- Follow your insulin protocol for dose adjustments
- Test for ketones; if more than a trace level of ketones, go to vet ASAP.