6/3, Binie AMPS 428, +8 121 - back from the vet

Heike & BInie

Heike & BInie

Very Active Member
Last post: https://www.felinediabetes.com/FDMB/threads/6-2-binie-amps-400-6-147.290712/

Good afternoon,

last night it seems Binie had a massive bounce. The whole evening after the shot she was in the higher reds and for one hour the libre even showed HI - which is over 500. She just went slightly down but the whole night was red. After the injection yesterday I checked the fur and felt quite cofident, everything went in. So can this be really a bounce? And why is she bouncing so hard? She saw some blue during the day but not that low and she went down nice and gentle. This is quite confusing. Or is it more likely, I did a fur shot and didn't notice?

I thought about going on with 3.0 IU and hold it for some more time. She saw some good numbers below 150 with it. And after she developed more appetite again I thought about making a few changes and erasing (if possible) everything high carb from her diet the next days. Does this make sense?
@Wendy&Neko

We went to the vet today. First of all Binie was super brave and calm today. It started at home when she went into her box without any struggle. She even had her nadir in the car in front of the vet office. The visit itself must have been quite stressful for her but she managed well. The wound looks good from the outside but the pockets are still deep and nothing changed to the better since friday. The vet rinsed the wound canals and inserted new leucase cones. She also tried to extract some of the loose threads inside the pockets with a tweezer, which must have been quite unpleasent for Binie.

She said the half-life of the threads is three month, so this is a longer term issue. :( She also said that usually prednisolon is the treatment of choice but with a diabetic cat it is worth trying without. She thought the boswellia is quite a good option, as long as Binie is well like she is now. Another surgery is not an option because she couldn't guarantee, that it is not happening with other material as well. She said we should come every week as long as the wound still looks like that. This is all something I didn't like hearing, especially the long duration of the threads. On the other hand I am still optimistic the boswellia helps.

Hope everyone is having a nice start in the new week!
 
If you sniff the spot that you shot the insulin, you can tell if it's a fur shot. Lantus is a very distinctive smell. It does seem like blues are still causing her to bounce.

I do like the idea of gradually reducing the high carb food from her diet. What time of day has she been getting it? Just wondering if that's an explanation for higher numbers too.

Sounds like a pretty good vet visit, except for the part about having to go there regularly for a while.
 
Hi Heike, I'm glad Binie was so well behaved for your vet visit. That's good for her and for you.
I'm sorry to hear the healing may be more long term.

Let's hope the boswellia will help. Paws crossed. She's being so brave.
I do hope her bouncing is reduced, but you know I am too familiar with the bouncing.

By the way, I double checked the Abbott website about the HI readings on the Libre 3 and this is what it says: (so the HI reading you are seeing is above 400, (not 500), so maybe not as bad as you think). Maybe this will help you feel a bit better.

What do HI and LO results mean?
The HI and LO are symbols that indicate when results are beyond the reportable range. HI will be displayed when the result is above 400 mg/dL. LO will be displayed when the result is below 40 mg/dL. If you see "HI" or "LO" please check your blood glucose on your finger with a test strip.

Wishing you a gentle cycle tonight and good sleep ahead for you and Binie :bighug::bighug::bighug:
 
Wendy&Neko said:
If you sniff the spot that you shot the insulin, you can tell if it's a fur shot. Lantus is a very distinctive smell. It does seem like blues are still causing her to bounce.

I do like the idea of gradually reducing the high carb food from her diet. What time of day has she been getting it? Just wondering if that's an explanation for higher numbers too.

Sounds like a pretty good vet visit, except for the part about having to go there regularly for a while.
Click to expand...

Thank you Wendy! There was no Lantus smell yesterday evening. So she really seems to bounce, I just don't understand the pattern at all. I gave the high carb the last weeks usually before the shots when she did not wanted to eat. Yesterday evening I also gave a little but not much because during the day she was eating quite good and I thought she was just still full and would eat the lc later, what she did. I really like to reduce the kibble. Even though I have really low carb options (3.5 %, 4.5 % and 5 %) I feel they spike her more than wet food. But it is still a struggle....

Yes, the vet visit brought some clarity and I am happy she likes the idea of the boswellia. Just hope it works...
 
Feeding food after nadir can shorten the insulin duration, causing numbers to zoom up to preshot. Reduce carbs or reduce the amounts after nadir if you can.
 
The libre where you have to physically scan for a reading, did read numbers in the 400s and said HI when over 500. At least the one we had did.
The Libre3 where it reads automatically only gives a number up to 400 and anything over 400 I reads HI.
Not sure why they’re different but when we switched, the Hi scared me at first.
 
Staci & Ivy said:
Hi Heike, I'm glad Binie was so well behaved for your vet visit. That's good for her and for you.
I'm sorry to hear the healing may be more long term.

Let's hope the boswellia will help. Paws crossed. She's being so brave.
I do hope her bouncing is reduced, but you know I am too familiar with the bouncing.

By the way, I double checked the Abbott website about the HI readings on the Libre 3 and this is what it says: (so the HI reading you are seeing is above 400, (not 500), so maybe not as bad as you think). Maybe this will help you feel a bit better.

What do HI and LO results mean?
The HI and LO are symbols that indicate when results are beyond the reportable range. HI will be displayed when the result is above 400 mg/dL. LO will be displayed when the result is below 40 mg/dL. If you see "HI" or "LO" please check your blood glucose on your finger with a test strip.

Wishing you a gentle cycle tonight and good sleep ahead for you and Binie :bighug::bighug::bighug:
Click to expand...

Thank you Staci for your support! Yes, I try to learn from your bouncing experience and I am so happy, Ivy already became better. Thank you for the Abbot research! This seems to be different in the US and the European version. I already saw in Tigers SS that there are no exact measurement above 400. If you look into Binies SS you will see, that there are many exact numbers between 400 and 500. Just when she crosses 500 it changes to HI. So unfortunately, she was really high yesterday... It is interesting they change their product for different markets. I don't know if I understood it right but it seems that in the US you can not turn off the alarm and you can not decide when the alarm starts? Here you can turn off the alarm completely and you can decide in which range you want to be alarmed. Maybe regulations are different.

I think tonight she will let me sleep. She is going down nicely but nothing dramatic. I would like to wish you a calm night as well but looking at Ivys SS I would not be surprised, if you see some :D:D:D tonight. So I wish you all the best and safe and gentle surfing tonight with sweet Ivy. :bighug::bighug::bighug:
 
Deb and Tiger said:
The libre where you have to physically scan for a reading, did read numbers in the 400s and said HI when over 500. At least the one we had did.
The Libre3 where it reads automatically only gives a number up to 400 and anything over 400 I reads HI.
Not sure why they’re different but when we switched, the Hi scared me at first.
Click to expand...

Thank you Deb! I just wrote it in my answer to Staci, this seems to be different in Europe. The libre 3 here reads HI above 500. But I already noticed in Tigers SS that there seems to be a difference. And yes, the HI also scares me. Hope we don't see it that often anymore. I saw tiger is below HI most of the time. I am happy about that! :bighug::bighug::bighug:
 
Wendy&Neko said:
Feeding food after nadir can shorten the insulin duration, causing numbers to zoom up to preshot. Reduce carbs or reduce the amounts after nadir if you can.
Click to expand...

Ah, I didn't know that! That makes so much sense, thank you Wendy! We really have room for improvement there. Hope you have a nice evening! :bighug::bighug::bighug:
 
Heike & BInie said:
Thank you Staci for your support! Yes, I try to learn from your bouncing experience and I am so happy, Ivy already became better. Thank you for the Abbot research! This seems to be different in the US and the European version. I already saw in Tigers SS that there are no exact measurement above 400. If you look into Binies SS you will see, that there are many exact numbers between 400 and 500. Just when she crosses 500 it changes to HI. So unfortunately, she was really high yesterday... It is interesting they change their product for different markets. I don't know if I understood it right but it seems that in the US you can not turn off the alarm and you can not decide when the alarm starts? Here you can turn off the alarm completely and you can decide in which range you want to be alarmed. Maybe regulations are different.

I think tonight she will let me sleep. She is going down nicely but nothing dramatic. I would like to wish you a calm night as well but looking at Ivys SS I would not be surprised, if you see some :D:D:D tonight. So I wish you all the best and safe and gentle surfing tonight with sweet Ivy. :bighug::bighug::bighug:
Click to expand...
Oh darn, Heike. I didn’t realize about the difference in how the products read in different countries. But you are right.
Yes, here over 400 just says Hi. So you don’t know an exact number.
And we cannot turn off the Low alarm completely. It’s a regulation that the alarm must alert you if found too low. (Apparently you can disable that alarm completely).
I think I’m ok with it staying on, since it would tell me if Ivy was at the lowest end of the readings.
However, I now wrap the phone in a thick towel at night because the alarm is so very loud.
I can still hear it, but it’s not screeching all night long when she’s in a low cycle. It was making me crazy since she now is in lower cycles, many times through the night.

I agree, she may be active tonight. I wouldn’t be Surprised :facepalm:
 
Staci & Ivy said:
Oh darn, Heike. I didn’t realize about the difference in how the products read in different countries. But you are right.
Yes, here over 400 just says Hi. So you don’t know an exact number.
And we cannot turn off the Low alarm completely. It’s a regulation that the alarm must alert you if found too low. (Apparently you can disable that alarm completely).
I think I’m ok with it staying on, since it would tell me if Ivy was at the lowest end of the readings.
However, I now wrap the phone in a thick towel at night because the alarm is so very loud.
I can still hear it, but it’s not screeching all night long when she’s in a low cycle. It was making me crazy since she now is in lower cycles, many times through the night.

I agree, she may be active tonight. I wouldn’t be Surprised :facepalm:
Click to expand...

So good you are taking care of your nervous system with making the alarm less annoying! No need for this extra stress.... :bighug::bighug::bighug:
 
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