8/22 Stinky AMPS=230 new to Lantus...need help

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SaraJaye

Member Since 2010
Sorry to have to ask - but today is Stinky's 6th day of treatment and today's numbers are looking weird to me - jumping up and down by the hour.
Can anyone take a look at his chart (link below) and give opinions on what this means? Newbie very confused.... thanks.
 
Re: weird numbers - why?

I would like to welcome you to the board! So glad you are here. I am hoping that some experienced people can come by and take a look at your SS for you...nice job with getting that linked and working!

I see on your SS that you tested and then fed...then tested again and shot. Is that correct?
The first reading would be your AMBG...(or +12 morning blood glucose) and the number at which you shot, the 230 would be your actual AMPS.
There is a jump in BGs after feeding anything due to a food spike so that is not so strange with the food onboard. Know what I mean?

Perhaps you can help fill in some info for us....
When was Stinky's diagnosis?
Did you start on Lantus...(I am not sure what you mean by the "regular" the first day.)
Does Stinky have any other medical issues or medications?
What food are you feeding and what is the schedule for feedings....

KETONES~ have you tested for them today? You had a trace showing the other day?
 
Re: weird numbers - why?

Thank you Pat...

Yes, I did test/feed/test/shoot... He hadn't eaten too much overnight,and I'd initially expected to shoot at the normal time and not have to wait the extra hour while his numbers went up. Hence, I fed (Merrick and Weruva). Generally, I am testing really frequently trying to establish a real curve with some consistency. That said, I suppose I need to become more regimented with WHEN I feed vs. when I plan to test.

Stinky's diagnosis is clinical diabetes, I believe. Otherwise his other bloodwork showed a healthy cat.

I tested for ketones yesterday and couldn't determine if it was negative or trace.... haven't been able to catch him in his box in enough time to use the strip but will keep trying. In the meantime, I'm waiting for the glucose/ketone meter and strips to arrive from amazon...

Thanks for answering - these #'s are worrisome.... will test again in 35 min for a +6... any further thoughts are welcomed and appreciated.

Pat+Raja+Shadow said:
I would like to welcome you to the board! So glad you are here. I am hoping that some experienced people can come by and take a look at your SS for you...nice job with getting that linked and working!

I see on your SS that you tested and then fed...then tested again and shot. Is that correct?
The first reading would be your AMBG...(or +12 morning blood glucose) and the number at which you shot, the 230 would be your actual AMPS.
There is a jump in BGs after feeding anything due to a food spike so that is not so strange with the food onboard. Know what I mean?

Perhpas you can help fill in some info for us....
When was Stinky's diagnosis?
Did you start on Lantus...(I am not sure what you mean by the "regular" the first day.)
Does Stinky have any other medical issues or medications?
What food are you feeding and what is the schedule for feedings....

KETONES~ have you tested for them today? You had a trace showing the other day?
 
Re: weird numbers - why?

Food raises the BG numbers.....so we do not feed within at least 3 or 4 hours before our AM/PM preshot numbers. I see that you have kept good notes so far as to when you fed ...but it was a little too close to your preshot tests...
We usually test, shoot and then fed both in the morning and in the night.
I see now that you are feeding only canned foods...no dry, right?
What kind of meter are you using? It is very important to do the testing and that is so good that you are doing such a good job of it already! :mrgreen:
 
Re: weird numbers - why?

:mrgreen: Is your name Sarajaye and your male kitty is Stinky? :razz:

You can go ahead and show the AMPS as 230 and notate that it was at +13 off to the side in the note column. Lantus likes consistency so we try to stick with the 12/12 shot times. If you could maybe go back to your first post today and edit the heading to read something like
"8/22 Stinky AMPS=230 new to Lantus...need help" that will get some attention to your thread or as we call it here, your "condo" for the day!

It would be good if some experts come along to look at your dose and all that while I will try to help with the housekeeping so that you are all organized in here, okay?
We post a new condo everyday and everyone can track our kitties' progress that way. It is a big happy family but we do have certain things to do so we don't get lost in the shuffle. More about that later...
 
Re: weird numbers - why?

Welcome to Lantus Land, SaraJaye!

To help the Lantus people out, I'll try to link your threads from the Health board so they can quickly get up to speed with Stinky's story so far. Not everyone here gets over to the Health board so they may not have seen your previous posts.

viewtopic.php?f=28&t=22574#p224839

viewtopic.php?f=28&t=22650#p225518

viewtopic.php?f=28&t=23038#p229797

I'm new to Lantus, so I can't help much, but hopefully some more experienced folks will be along soon! You're in the right place.
 
Re: weird numbers - why?

yep, I am sara and my boy is stinky.

I changed the topic as you suggested but I'm afraid I don't understand how to manipulate his spreadsheet as you mention. Also, I was instructed NOT to shoot at 12 if his AMPS was <170; so I waited until the number came up a bit to shoot, which was one hour after 'usual' AMPS. I would definitely like to get his spreadsheet 'in line' with the rest of the group but I'm afraid it's just not computing.... ugh.

Pat+Raja+Shadow said:
:mrgreen: Is your name Sarajaye and your male kitty is Stinky? :razz:

You can go ahead and show the AMPS as 230 and notate that it was at +13 off to the side in the note column. Lantus likes consistency so we try to stick with the 12/12 shot times. If you could maybe go back to your first post today and edit the heading to read something like
"8/22 Stinky AMPS=230 new to Lantus...need help" that will get some attention to your thread or as we call it here, your "condo" for the day!

It would be good if some experts come along to look at your dose and all that while I will try to help with the housekeeping so that you are all organized in here, okay?
We post a new condo everyday and everyone can track our kitties' progress that way. It is a big happy family but we do have certain things to do so we don't get lost in the shuffle. More about that later...
 
welcome to Lantus Land!

I have another question - did you feed anything at the +1~123 or at the +3~82? And was there anything that didn't feel right at the 82, like too much blood, not enough blood, etc.?
 
Hi -

There is food out which he periodically grazes on - how much and when? I just don't know....

I'm not sure what you mean about 'too much' or 'not enough' blood - does that mean how much blood came out of his ear when I poked? Sometimes I hit it nicely and a great blob comes out, sometimes I have to 'milk' it to get enough. ALSO, I'm not real sure if I ought to be attempting to draw from the long vein that rund along the outer ear edge, or if I should be shooting for the margin and hitting the capillary. Any advice?


Libby and Lucy said:
welcome to Lantus Land!

I have another question - did you feed anything at the +1~123 or at the +3~82? And was there anything that didn't feel right at the 82, like too much blood, not enough blood, etc.?
 
I was just wondering if he ate between the green and yellow. Some cats are carb sensitive enough that even a little low carb food could give a pretty big rise. We'll just have to pay attention to that as we go along to see if Stinky is one of those.

I was asking about the test in case maybe one of the tests was a bad test. Sometimes when I get a real gusher, I don't think the number is as accurate. It probably depends on the meter too. It would probably be something you would notice though, if something seemed off when you were testing. That number doesn't seem to fit with the others, but it's certainly possible.

Can you get another test sometime this afternoon? It might help establish what Stinky's patterns are.
 
Yes - just tested - his +6 is 157...

At least that is kind of middling.

Thoughts Libby?
Libby and Lucy said:
Can you get another test sometime this afternoon? It might help establish what Stinky's patterns are.
 
Sara...there are starred posts at the top of the page.... "
STICKY: LANTUS & LEVEMIR - NEW TO THE GROUP? PLEASE READ..." viewtopic.php?f=9&t=18139
You will find lots of useful information in all the starred posts...there is so much to learn in the beginning.

When we have more data on our kitties, we do shoot when the BGs are <180. We use the gravy from some HC cans that are on the janet & Binky list. We ask that everyone has cans of the High Carb foods on hand at all times. Keep them in a separate place or mark them so you won't feed accidentally...we use the LC for our meals and use the gravy in case our kitty goes into lower numbers.

At first it can be scary, but you will get used to the lower numbers. There is information on a Hypo kit that you should read and make sure you have those things on hand anyway. You will find that info in the stickies, okay? Taking BG tests during the day will add good data to your SS and you will soon see how Stinky is doing. Be sure to always get tests before you give insulin and definitely one test at least at night before you go to bed...any other tests during the cycle are great too!
 
Thank you, yes, I have read everything and am up to speed. Also I have Karo, carby snacks and some dry food in case of Hypo.
I have been working with Dr. Pierson and have been following her instructions insofar as waiting to shoot with low PS's.

As for now, he is only in day 6 so I don't feel that there's enough data for me to make decisions for myself.

And while I don't like the numbers from his last several cycles, at least they made sense insofar as a U curve or a V curve. Today's numbers seem like a W and that scares me.

Do I have any reason to be panicked - or am I okay so long as he isn''t in scary high or low numbers?


Pat+Raja+Shadow said:
Sara...there are starred posts at the top of the page.... "
STICKY: LANTUS & LEVEMIR - NEW TO THE GROUP? PLEASE READ..." http://felinediabetes.com/FDMB/viewtopi ... =9&t=18139
You will find lots of useful information in all the starred posts...there is so much to learn in the beginning.

When we have more data on our kitties, we do shoot when the BGs are <180. We use the gravy from some HC cans that are on the janet & Binky list. We ask that everyone has cans of the High Carb foods on hand at all times. Keep them in a separate place or mark them so you won't feed accidentally...we use the LC for our meals and use the gravy in case our kitty goes into lower numbers.

At first it can be scary, but you will get used to the lower numbers. There is information on a Hypo kit that you should read and make sure you have those things on hand anyway. You will find that info in the stickies, okay? Taking BG tests during the day will add good data to your SS and you will soon see how Stinky is doing. Be sure to always get tests before you give insulin and definitely one test at least at night before you go to bed...any other tests during the cycle are great too!
 
Sara- i dont want to clutter up your thread cuz we're newbies that dont give advice, but if you ever feel frustrated by the learning curve on posting...take a look at our past fiascos and you'll feel like a genius in comparison! Welsome to you and Stinky...these folks are amazing with their knowledge and support!
Celi & Binks
 
no, don't be panicked, the numbers often don't make sense at first. Stinky's body is adjusting to the insulin. He's actually doing really well, for this early in the game. He does seem to be a bit bouncy in his numbers, but that could be the newness of it all.

I'd like to see how the rest of this cycle plays out, and I'll also try to get some more eyes in here before you shoot tonight. My first impulse, though, is that this dose looks pretty good. He might outgrow it soon (by starting to get lower numbers) so please keep posting here and let us help you keep an eye on him.
 
Hi Sara - I'm with Barb on the advice thingy. I'm too new here and inexperienced to give advice. I DO just have ONE piece of advice tho - please don't ever feel the need to apologize for asking questions. ;-)
 
Ha - Celi you rock. I needed that. Badly. These last several days have been a crash-course with little sleep... I want to poke my eyes with forks.
mybuddybinks said:
Sara- i dont want to clutter up your thread cuz we're newbies that dont give advice, but if you ever feel frustrated by the learning curve on posting...take a look at our past fiascos and you'll feel like a genius in comparison! Welsome to you and Stinky...these folks are amazing with their knowledge and support!
Celi & Binks
 
Libby, that gives me a great deal of relief. I guess what I *want* to see is not necessarily what I'm *going* to see insofar as numbers... fortunately I am self-employed so I plan to take some time off to continue to test a lot during the next week or more and find out a real baseline. Until then I see that I have a lot to learn. Hard to believe he was +600 five days ago. Poor Stinky.

Libby and Lucy said:
no, don't be panicked, the numbers often don't make sense at first. Stinky's body is adjusting to the insulin. He's actually doing really well, for this early in the game. He does seem to be a bit bouncy in his numbers, but that could be the newness of it all.

I'd like to see how the rest of this cycle plays out, and I'll also try to get some more eyes in here before you shoot tonight. My first impulse, though, is that this dose looks pretty good. He might outgrow it soon (by starting to get lower numbers) so please keep posting here and let us help you keep an eye on him.
 
Welcome to Lantus Land!

When you have a few moments, could you complete a Profile on Stinky? We won't keep plaguing you with the same questions about food, what meter you're using, etc. There's information in this post that will explain why a Profile is important and link you to the instructions.

Out of curiosity, what meter are you using? And you're right...Stinky's numbers are a bit hard to interpret at this point. The first week really involves shed building and allowing the initial dose to settle. It takes anywhere from 5 - 7 days for a shed to form. Right now, the fact that you've got home testing down, have a spreadsheet, and you're feeding low carb canned food definitely has you on the right track.

Do you know the carb content of the types of food your using?

(I really hope he's not a stinky cat!!)
 
Yes - everything I've bought is <10% carb and around 50% protein: 4 varieties of Merrick, and the chicken flavors of Weruva.
Sienne and Gabby said:
Do you know the carb content of the types of food your using?

(I really hope he's not a stinky cat!!)
 
Well Howdy Again Sara!
Welcome to LL!
I see you're getting all settled in ....
Maybe when you do your profile, you can let us in on what we all want to know
well at least I want to know... :roll:

How Stinky got his name!!!! :lol:

Welcome again!

Caryl, Alex & Jackson
 
Sara:

You may want to make a note in the Comments section of Stinky's SS re. what the actual carb content of the food is. While everything may be less than 10% carb, if you are seeing blues with a variety that is 4% and pink with a variety that's 8%, you may be seeing just how carb sensitive your cat is. There are some cats here who do not need to have high carb food on hand to steer low numbers -- low carb will raise their numbers quite nicely.
 
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