A Japanese girl (new member) is seeking HELP!- She decided to increase to 1u

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Kako & Tux

Kako & Tux

Member Since 2016
Hi everyone! :bighug:

A new member @Kaori living in Japan is seeking help. We've communicated on messages. She doesn't speak English, and she's using Google translator.

What I know up to now:

- Following a vet's advice Kaori started with 0.5 unit Lantus. Then increased to 0.75, 0.8, 0.9. Now her vet advice to increase to 1 unit.
Kaori has a fear since her kitty's BG drops sometimes. She wants to know if we'd agree on 1 unit.

- She's started to filling out the spreadsheet.
- She wants to follow SLGS.
- She is using a human meter.
- She doesn't know how to update signature.

@Kaori, we need to see your spreadsheet.

Also, is there anything I can do for her?
She also would like more Japanese friends on the board. By any chance are there more Japanese here? (myself I've never thought about it!)
 
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Hello to Kaori and her kitty, Name? Please have her fill out a SS and we will do the best we can to help her. Tell her to post so we can see her and her kitty. So glad that you are here Kako in case we need any translations. :) My kids are Japanese but, I know hardly any Japanese. ( I can sing her a great nursery song or two, though, LOL )
 
As far as updating her signature, tell her to click on her name in the upper right hand corner of the page. It will open up to a window that will give her the option to click on her signature and then she can update it .
 
If there are some things in advance you would like translated, I have a Japanese friend who might be able to help. Would most likely be transliterated. Meaning こんにちは = konnichiwa. If REALLY necessary I can try my best to type it into Hirigana. But am I correct that Kako speaks and write Japanese?
 
Thank you everyone for willing to help Kaori. :bighug:

Yong, yes, I speak and write Japanese.
Somehow Kaori's message is in English using Google translator. I write her back in Japanese with Japanese font, but her response is in English, and Google translator is often very funny...

@Kaori, you need to post to receive advice. Write here to start with. If Google translation works funny, I will re-translate.
Also, you are always to welcome to message me for questions.

And here is how to update your signature. (As Bobbie wrote)
>As far as updating her signature, tell her to click on her name in the upper right hand corner of the page. It will open up to a window that will give her the option to click on her signature and then she can update it .<
 
Kako & Tux said:
LOL こんにちは!

nemure nemure haha no mune ni~~~ 　is this one? I want to hear you singing in Japanese!
Click to expand...
Ami Ami,.. these are phonetically as taught audibly to me by my former Mother -in-law and her best friend. Ami Ami about little children walking through rain puddles.

Another one,
chi chi pa pa chi chi pa. Little birds learning to sing by the sensai ( teacher)

So cute these songs and my adult sons still remember them!!

Do you know either of these?
 
Bobbie And Bubba said:
Ami Ami,.. these are phonetically as taught audibly to me by my former Mother -in-law and her best friend. Ami Ami about little children walking through rain puddles.

Another one,
chi chi pa pa chi chi pa. Little birds learning to sing by the sensai ( teacher)

So cute these songs and my adult sons still remember them!!

Do you know either of these?
Click to expand...
I can't remember Ami Ami but I know "chi-chi-pappa chi-pappa Suzume (sparrow) no gakkou (school) no sensei (teacher) wa~~ :)
 
My son, Jamie just sent this to me after I asked if he remembered either song. I loved this song and sang them to my boys all the time.
 
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Kako & Tux said:
Hi everyone! :bighug:

A new member @Kaori living in Japan is seeking help. We've communicated on messages. She doesn't speak English, and she's using Google translator.

What I know up to now:

- Following a vet's advice Kaori started with 0.5 unit Lantus. Then increased to 0.75, 0.8, 0.9. Now her vet advice to increase to 1 unit.
Kaori has a fear since her kitty's BG drops sometimes. She wants to know if we'd agree on 1 unit.

- She's started to filling out the spreadsheet.
- She wants to follow SLGS.
- She is using a human meter.
- She doesn't know how to update signature.

@Kaori, we need to see your spreadsheet.

Also, is there anything I can do for her?
She also would like more Japanese friends on the board. By any chance are there more Japanese here? (myself I've never thought about it!)
Click to expand...

A big "Welcome!" to Kaori and her kitty! Thanks for helping her, Kako. :bighug:
 
私の名前は香織です。そしてUtyun。
加古さん、皆様、どうもありがとうございました！
私は英語を話せないので面白い文章になります。私を許して。
私はスプレッドシートを作成しますので、助けてください。
みなさんにお礼を言いたいと思います！
 
Kaori said:
私の名前は香織です。そしてUtyun。
加古さん、皆様、どうもありがとうございました！
私は英語を話せないので面白い文章になります。私を許して。
私はスプレッドシートを作成しますので、助けてください。
みなさんにお礼を言いたいと思います！
Click to expand...
Welcome Kaori!:bighug:
 
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かおりさん、Ｇｏｏｇｌｅのトランスレーターがおかしかったんじゃなかったでしたっけ？みんなＧｏｏｇｌｅのトランスレーターが面白い翻訳になることを知ってますから、大丈夫ですよ。
スプレッドシートの作成の仕方はわかりますか？私のシグネチャーにあるTux’s Spreadsheet　と同じスプレッドシート、このサイトのものです。
早く作って、シグネチャーにアップロードしてください。
 
Kaori said:
私の名前は香織です。そしてUtyun。
加古さん、皆様、どうもありがとうございました！
私は英語を話せないので面白い文章になります。私を許して。
私はスプレッドシートを作成しますので、助けてください。
みなさんにお礼を言いたいと思います！
Click to expand...
"This is Kaori and Utyun.
Thank you Kako and everyone!
I don't speak English, forgive my funny sentences.
I will make spreadsheet so please help.
I'd appreciate your help".
 
Kaori said:
私の名前は香織です。そしてUtyun。
加古さん、皆様、どうもありがとうございました！
私は英語を話せないので面白い文章になります。私を許して。
私はスプレッドシートを作成しますので、助けてください。
みなさんにお礼を言いたいと思います！
Click to expand...

ようこそ、カオリとUtyun！私たちはあなたとあなたの子猫を助けることを楽しみにしています。 Utyunは非常にかわいい猫です。私はこの翻訳がうまくいって、うれしいですね、笑！:):):)
 
I think it's safe to increase to 1u. Though I'm not experienced enough to give dose advice.
Let's wait to hear from an experienced member.

@Kaori, please place numbers on the spreadsheet every time you test. ;)
 
Hello!
Thank you so much everyone!
Utyun began insulin after discharge of ketoacidosis.
At the first hospital, he became hypoglycemic at 0.2 units of Levemir.
After that I started Lantus at a different hospital,
I was afraid to raise the dose, so I could not control it.
I thank you for listening to everyone's advice! Thank you very much!
 
Hello and Welcome Kaori and Utyun,

Are you using U100 insulin syringes?

Are all the numbers on the SS with Lantus?
Or are some with Levemir?
When did he go hypo with Lev?
Are you checking his urine for ketones? With a history of ketoacidosis I would recommend that you check for ketones daily if possible.
Is Utyun, feeling ok, eating well?
How much urine is he producing?
Does he drink a lot?
What are you feeding is it all wet food? Low in Carbohydrate?
As kitties are prone to getting dehydrated wet food is much healthier for them and a lot of us here add water to the food as well, In Utyun's case adding water to his food would be additionally helpful as water helps to flush out any ketones, and this can help prevent another episode of diabetic ketoacidosis (DKA).
Can you please add DKA to the signature as a history of DKA alters the approach/advice for a kitty.

I'd like to point out a couple of things, that 590 this morning, makes me think he might be bouncing, bouncing is when a cat BG (blood glucose) drops fast or into lower numbers than that cat is used to, this triggers a reaction which ultimately results in the liver releasing glucose into the blood stream and results in high BG levels, the levels can remain high for upto 6 cycles, though sometimes less.

That 590 this morning looks suspiciously like Utyun, may have dropped lower last night, he dropped 150 points by +4, now that is fast enough that it may have triggered a bounce, but it is also possible that he continued to drop past +4 last night, if he did, we have no way of knowing how far or if he did.
When you find the numbers dropping significantly like that it's always a good idea to follow up with a test later in the cycle, (last night either an hour later, or set the alarm off to get a test say at +6 would have been very informative) , to see if he is still dropping or to see if his BG levels have leveled of.
 
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Hello! Gill & George
thank you for the advice!

>Are you using U100 insulin syringes?
I am using 3/10 ml U - 100 insulin syringe of BD Lords.

>Are all the numbers on the SS with Lantus?
No, at the beginning I did not have a home test meter.

>Or are some with Levemir?
I'm sorry! I do not know for a moment.

>When did he go hypo with Lev?
It was January 2 after discharge.
After that, the first veterinarian could not insulin until abandoning treatment and finding the next hospital.

>Are you checking his urine for ketones? With a history of ketoacidosis I would recommend that you check for ketones daily if possible.
Yes, thank you!

>Is Utyun, feeling ok, eating well?
Utyun eats like starvation!

>How much urine is he producing?
Does he drink a lot?
Drinking water became normal, but I think there are many urine.

>What are you feeding is it all wet food? Low in Carbohydrate?
We changed to canned low carbohydrates.
But in Japan there is no fancy feast, but instead there is monputi but the raw material seems to be different.
There are also Nature's Variety and Jiwi Peak but it is very expensive...

>I'd like to point out a couple of things, that 590 this morning, makes me think he might be bouncing, bouncing is when a cat BG (blood glucose) drops fast or into lower numbers than that cat is used to, this triggers a reaction which ultimately results in the liver releasing glucose into the blood stream and results in high BG levels, the levels can remain high for upto 6 cycles, though sometimes less.

That 590 this morning looks suspiciously like Utyun, may have dropped lower last night, he dropped 150 points by +4, now that is fast enough that it may have triggered a bounce, but it is also possible that he continued to drop past +4 last night, if he did, we have no way of knowing how far or if he did.
When you find the numbers dropping significantly like that it's always a good idea to follow up with a test later in the cycle, (last night either an hour later, or set the alarm off to get a test say at +6 would have been very informative) , to see if he is still dropping or to see if his BG levels have leveled of.[/QUOTE]

Bouncing ···
I would like to test with +6. Thank you very much for your advice!
 
Kaori said:
>Are all the numbers on the SS with Lantus?
No, at the beginning I did not have a home test meter.

>Or are some with Levemir?
I'm sorry! I do not know for a moment.
Click to expand...
@Kaori かおりさん、
Gillの質問を誤解してるところがあるので、日本語で書きますね。答えなおしてください。
>Are all the numbers on the SS with Lantus?
Utyum君のスプレッドシートはランタス（Lantus）インスリンに変えてからのものですか？
 
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Hello and welcome!

I'm so glad that you are here, there are so many wonderful and knowledgable people who can help you and your adorable Utyun manage his FD. Hopefully, they'll have him feeling better soon!

I will leave the detailed discussion to the more experienced people here, but I do have one question after looking at your spreadsheet. You have a lot of fractional doses-- 0.6, 0.7, 0.8, etc.-- that I simply can't imagine myself being able to measure consistently on a U-100 syringe. How are you doing this? Are you using calipers? Just to make sure we're all talking about the same insulin amounts, here is a picture of 0.75U (from the page on "Drawing and Handling Fine Doses"):

upload_2017-4-6_6-18-7.png


Does this look correct to you?
 
Hello,

I have just heard from Kaori about this thread. I am glad she is finally here!
I am in Japan and have also been communicating with Kaori about Utyun and have suggested her to post on the group, too.
I am not active on the board at the moment but I am also happy to do the translation part if she likes the idea :)

Mami and Akane
 
Hello! Nan & Amber
Thank you for your message.
And thanks for the insulin quantity photos!

>I will leave the detailed discussion to the more experienced people here, but I do have one question after looking at your spreadsheet. You have a lot of fractional doses-- 0.6, 0.7, 0.8, etc.-- that I simply can't imagine myself being able to measure consistently on a U-100 syringe. How are you doing this?

I was taught my friend Crack Major. Although it measures with a crack major, it seems that it is small and eyes are going crazy and I think there is some error.
 
dosgatos said:
Hello,

I have just heard from Kaori about this thread. I am glad she is finally here!
I am in Japan and have also been communicating with Kaori about Utyun and have suggested her to post on the group, too.
I am not active on the board at the moment but I am also happy to do the translation part if she likes the idea :)

Mami and Akane
Click to expand...
Hello Mami and Akane! :bighug:
 
Kaori said:
I was taught my friend Crack Major. Although it measures with a crack major, it seems that it is small and eyes are going crazy and I think there is some error.
Click to expand...

I'm afraid I don't understand what this is-- a google search for "Crack Major" redirected me to stories about the former Mayor of Toronto ;). I'm guessing it is actually some kind of caliper????
 
Hi Nan, Hi Kaori,

Kaori said:
I was taught my friend Crack Major.
Click to expand...

Just thought to add a bit more info about what a crack measure Kaori mentioned is.
I am using it for my micro dose kitty Akane and Kaori found it on my blog.
It is a plastic sheet with many scales (originally to measure cracks) and you can use it like calipers.

It is by millimeter. "1.00" is 1.00 millimeter.
FJ310290.jpg
P1010877.jpg

Is my explanation good ..?
 
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dosgatos said:
Hi Nan, Hi Kaori,



Just thought to add a bit more info about what a crack measure Kaori mentioned is.
I am using it for my micro dose kitty Akane and Kaori found it on my blog.
It is a plastic sheet with many scales (originally to measure cracks) and you can use it like calipers.

It is by millimeter. "1.00" is 1.00 millimeter.
View attachment 27419 View attachment 27418
Is my explanation good ..?
Click to expand...

Great explanation. And, that device is fantastic! What a great idea!
 
Hello and welcome.
For people using BD Micro Fine 0.3 ml U-100 syringes, there is a paper printout that can be used to measure the scale. It was developed by the German Diabetes Katzen board. The description of how to use the paper scale is the paper called "Management of Diabetic Cats" which is attached to the Tight Regulation Protocol Sticky Note. There is a section in the paper on administering small doses of glargine.

I used calipers with my BD syringes, and I found that one unit was closer to 1.4 or 1.5 mm.
 
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