+6 34?

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Chris S

Chris S

Member Since 2020
Hi!

been a bit but we have been working on getting regulated in the mix of the pandemic. The ss aren’t up to date but ...

we got our first green as in under 50 reading at +6.

Harley started at 500+ in Jan/feb

she has great appetite ( not ravenous, just regular), finally gained weight, looks and acts herself.
Anyways.... 34 at +6? I know you all have said “don’t worry” but what should I look for if she were to be having any low sugar issues? She’s up and out and just ate her dinner and is washing herself and purring.

Next shot is several hours from now; she will get a snack at shot time if her numbers read to give to her.
Her am was low too but still near 190 so I was surprised to see 34. I actually took it twice -one per ear-to be sure I read it right lol.

I have a second sugar cat and his is 117 at +6 so I know the meter is functioning.

should I be celebrating or freaking out?

Thanks for the feedback.
 
Ps she gets 3 units lantus twice a day. I never moved up again because I truly felt the 3 was doing ok for her and just gave time for meds and food changes etc to all work thru and see where we were (w vet assistance of course)
 
One more - since being locked In at home, I am able to get her shots, food, etc on a much better 12 hr schedule than when I was commuting for work. So her numbers had begun to get better for a bit ( but I just hadn’t been putting on the sheet )
 
OK, that's after dinner, right?

Chris S said:
I’ll test again In 30 min; gave her some Purina gravy/seafood stew proplan I had on hand. She licked it up (it had to be like candy after all this time).
Click to expand...

Good, even if she's not under 50 now, she earned that treat with a 34!!!
 
Your kitty has earned a reduction in dose down to 2.75 units. I notice there are no tests or number of units written in the PMPS column for the past week, a few other spots where you are not testing Preshot and very few tests done during the cycles.

Are you still giving the insulin twice a day?

I would encourage you to get at least one test in during every cycle both am and pm cycle. Otherwise you have no idea how low he is dropping every cycle. And if he is dropping low and not getting the reductions he’s earned, you are risking him dropping too low and having a hypo. And by the time symptoms of a hypo appear, the BG is dangerously low.
Getting a before bed test in every might is a good idea. If the before bed test is lower than the Preshot BG than it will most likely be an active cycle and it would be a good idea to get up and test again later.
 
Bron and Sheba (GA) said:
Your kitty has earned a reduction in dose down to 2.75 units. I notice there are no tests or number of units written in the PMPS column for the past week, a few other spots where you are not testing Preshot and very few tests done during the cycles.

Are you still giving the insulin twice a day?

I would encourage you to get at least one test in during every cycle both am and pm cycle. Otherwise you have no idea how low he is dropping every cycle. And if he is dropping low and not getting the reductions he’s earned, you are risking him dropping too low and having a hypo. And by the time symptoms of a hypo appear, the BG is dangerously low.
Getting a before bed test in every might is a good idea. If the before bed test is lower than the Preshot BG than it will most likely be an active cycle and it would be a good idea to get up and test again later.
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Thanks! Yes I haven’t logged my shot and readings while functioning at home during corona. I have them, just not on the sheet. I gotta get back to logging.

we have 2 sugar cats (9 total cats), a 5 year old and such and trying to work so I get the data -just got away for the time from logging it. I’ll update it as i can; I’ll def be doing it for the current days to log for clear record

it’s funny-I do test and never saw a +6 on her under 90. Glad we are in the habit to test.

And def I’ll be watching for tonight.-do we think 2.75 or what if the level comes in only at 175 or something crazy-would I skip tonight ? Ugh getting regulated has its ups and downs ...
 
Chris S said:
Thanks! Yes I haven’t logged my shot and readings while functioning at home during corona. I have them, just not on the sheet. I gotta get back to logging.

we have 2 sugar cats (9 total cats), a 5 year old and such and trying to work so I get the data -just got away for the time from logging it. I’ll update it as i can; I’ll def be doing it for the current days to log for clear record

it’s funny-I do test and never saw a +6 on her under 90. Glad we are in the habit to test.

And def I’ll be watching for tonight.-do we think 2.75 or what if the level comes in only at 175 or something crazy-would I skip tonight ? Ugh getting regulated has its ups and downs ...
Click to expand...

take a look at this link:

http://www.felinediabetes.com/FDMB/...-low-go-slow-slgs-tight-regulation-tr.210110/

I’m assuming you’re using the SLGS method so look at these guidelines. It really helped me at first before I had enough data:
“Until you collect enough data to know how your cat will react, we suggest following the guidelines in the FDMB's FAQ Q4.4:
Q4.4. My cat's pre-shot level was way below the usual value. Should I give the injection?
A4.4. There's no hard and fast rule, but if you don't have data on how your cat responds to insulin, here are some general guidelines.
  • Below 150 mg/dl (8.3 mmol/L), don't give insulin.
  • Between 150 and 200 (8.3-11.1 mmol/L), you have three options:
    • a.) give nothing
    • b.) give a token dose (10-25% of the usual dose)
    • c.) feed as usual, test in a couple of hours, and make a decision based on that value
  • Above 200 (11.1 mmol/L) but below the cat's normal pre-shot value, a reduced dose might be wise.
  • In all cases, if you are reducing or eliminating insulin, it's wise to check for ketones in the urine.
  • Above the normal pre-shot value, give the usual dose, but if the pre-shot value is consistently elevated, it's a good idea to schedule a full glucose curve to see whether a change in dose or insulin is appropriate. In most cases, the target "peak" value should not be below 100 mg/dl (5.6 mmol/L), and for some cats it might be higher.
Keep in mind these are general guidelines, and they should be personalized to your own cat's response to insulin. If your experience is that your cat does not became hypoglycemic with a dose which is close to her usual, then personal experience should be your guide.

With experience, you may find that lowering these thresholds may work well for your cat. When you have reached that stage, the following guidelines are suggested for Lantus, Basaglar, and Levemir users following the Start Low Go Slow approach:

If the preshot number is far below usual preshot numbers:
  • Do you need to stay on schedule? Then skip the shot.
  • Do you have some flexibility with your schedule? Then stalling to wait for the number to rise might be a good option. Don't feed, retest after 30-60 minutes, and decide if the number is shootable.
  • Repeat until the cat either reaches a number at which you are comfortable shooting, or enough time has passed that skipping the shot is necessary.
If the preshot number is near kitty's usual preshot numbers:

Look at your data to see what numbers you have shot in the past and decide what would be a safe, shootable number for your cat. Don't feed. Stall until kitty reaches the preshot number you've decided on and then shoot.
We usually don't suggest or recommend shooting a preshot number less than 90 mg/dL when following the SLGS Method. Remember that with SLGS, generally speaking, your goal is to achieve flat numbers that are greater than 90 mg/dL. However, let experience, data collected, knowledge of your cat, and availability to monitor help in making the best decisions for your cat.
 
At her pmps, 134. So I am skipping tonight. That’s lower than she’s ever been (190++ is typical).
I see how we are in am and work with a reduction in amt given (expecting her to be higher in am near 250+ w a skip) and see where we go.
I am cautiously optimistic now that maybe, just maybe, corona will be for something good (meaning getting Harley that much closer to regulation).
 
Chris S said:
At her pmps, 134. So I am skipping tonight. That’s lower than she’s ever been (190++ is typical).
I see how we are in am and work with a reduction in amt given (expecting her to be higher in am near 250+ w a skip) and see where we go.
I am cautiously optimistic now that maybe, just maybe, corona will be for something good (meaning getting Harley that much closer to regulation).
Click to expand...
It’s all about silver linings! :bighug:
 
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