? 3/27 Post DKA Millie PMPS 486 (AT) Dosing still confusing

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Sylvia & Millie

Sylvia & Millie

Member Since 2017
This is also somewhat of an update to my last post:

After the previous thread I was supposed to test Millie some more during the night but I ended up with a flu for several days and unable to barely move. We maintained her 1 u of Lantus and it looked like she was heading for an increase until her 3/26 PMPS bg of 153! I do see a bit of a pattern where her eating does seem to influence her numbers. The day she was low, she hadn't eaten that much prior to testing (nothing unusual, she had eaten two large cans of CORE Wellness throughout the day before). I was ready to up her dose but didn't. She ate last night/this morning and her AMPS bg is 486. She grazes throughout the night and I am trying to balance the giving her enough to eat (esp after her DKA & needing to still put on weight) and her not eating too close to bg testing time (she usually runs out of food about 2 hours before testing which is 5/5:30am).

I think we are back to the drawing board of needing nighttime readings. This might also help with having a better picture of whether it is the food influencing the numbers so much. I guess I am still keeping her dose at 1 u.........



http://www.felinediabetes.com/FDMB/...post-dka-kitty-on-lantus.175331/#post-1925616
 
More mid-cycle tests in the daytime, whenever you can, and you/we need to see those night time tests to see how low this dose is taking her.
She probably went low (for her) last night, and that's why she bounced to red this morning.
I hope you are feeling better. :bighug:
 
My few of her going low is what keeps me from increasing her dose even though lots of readings have been high. Not an easy situation and scary for us.
 
I know. If you had lots of tests for a few days and then a few weeks before that to back it up, and you saw that the 153 was the lowest she went for a few days, then with the DKA history, you would want to increase. Since you don't have very many mid-cycle tests and pretty close to none at night time, you can't tell if she is going into the greens or even low greens and then bouncing. If you want to get better control, you will need more tests. I'm glad her ketones are negative. Keep testing for those twice a day whenever you can. :bighug:
 
Sylvia & Millie said:
The day she was low, she hadn't eaten that much prior to testing
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something I noticed with George was that when his BG dropped into a more normal range, he wouldn't be as hungry.

If he was high (high yellows or higher) he was ravenous, and again got very hungry when his BG dropped fast or if he got into numbers that were low (ie below 50) one time he came to find me while I was busy doing some house work, I had tested him a couple of hours before and he was in a safe range, well he was quite insistent I pay him some attention, so I tested him and found he was at 42. That said not all kitties behave that way.

I agree with Diana, with the 'missing' data we don't know if Millie went lower than that 153, if she wasn't eating much in the lead up to that 153, perhaps she did see green that cycle and the 153 was her on the way up, or maybe she dropped that night???

Hope that now that you are feeling better you'll be able to fill in those gaps, so you can figure out what Millie is doing with the dose.
 
Several times I've gotten the 'brown' indications on the ketone strips which indicate a need to increase, but even those haven't been consistent. I try not to pay that too much mind because it just makes this newbie more anxious. :-)
 
Brown? as in Large? Do you have the strips that measure both the glucose and ketones like below? Or just the ketones?
upload_2017-3-27_9-20-37.png
 
I have the strips that test both. The brown is the glucose and it says 2000+ under it. Is there something I'm doing wrong? Our vet said if we got that 3 days in a row then increase, that has not happened.
 
Sylvia & Millie said:
Several times I've gotten the 'brown' indications on the ketone strips which indicate a need to increase, but even those haven't been consistent. I try not to pay that too much mind because it just makes this newbie more anxious. :)
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These are the ranges for ketone test strip colours:

img5.jpg


Anything over "Trace" is reason to be concerned.
 
As you are monitoring BG levels, and once you are able to get midcycle tests in it is those readings that will guide your dosing decisions, I would not worry about the glucose reading on the strip, for glucose monitoring and dosing decisions the BG measurement is more accurate.

It's good that you have been getting negative results for the ketones, beige is good.:)
 
They have not even reached trace, they've been negative for ketones (I'm familiar with this because I was testing her frequently during her DKA).
 
Sylvia & Millie said:
Several times I've gotten the 'brown' indications on the ketone strips which indicate a need to increase, but even those haven't been consistent. I try not to pay that too much mind because it just makes this newbie more anxious. :)
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Sylvia & Millie said:
I have the strips that test both. The brown is the glucose and it says 2000+ under it. Is there something I'm doing wrong? Our vet said if we got that 3 days in a row then increase, that has not happened.
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You're referring to a brown result on the glucose part of the strip, right? People are getting nervous because they think you meant brown on the ketones part of the strip and that would be very scary.

Most of us who use these dual function test strips pay little or no attention to the glucose part because we're blood testing BG. The meter is a much better way to do that. The ketone strips are for urine ketone indicators only. I wouldn't make dose change decisions based on the colour of the glucose square on the test strip.
 
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