AUSTRALIA PMPS 6.3 SLGS?

[Deborah Jordan]

Hi!!
It's nearly a week since I switched to the human meter Contour Next so am still getting used to different numbers. I keep forgetting if the readings are lower than the pet Alphatrak2 or higher. Looking at her numbers I'm thinking they're lower but can someone pls confirm that as I want to take a photo so when she's in the green I don't freak out until necessary. I'm OK dealing with low numbers now - I have my hypo kit with higher carb wet food and honey and emergency testing strips (I had only 4 testing strips last weekend and shops are an hours round trip hence I put some aside) and I know what to look for. Emergency vet is 45 minutes away so I'm her vet I.C.E!!!!
Re SLGS as I'm not starting from the beginning - I became active when she hit the red and black zones and vet wanted her on 10U
Lantus/Gliargin ! Switched to FF (I had a lot of trouble sourcing it but when you join the FDMB and FB you get to find it a lot quicker due to so many ppl helping you!!!!!) and despite never testing PS I thought she looked off so tested and she was in the light green!! I did lower the dose but realised I'd still over shot but FDMB & FB to the rescue and I got through it!!
So I'm "starting over" but going down in units not up!!

1st QUESTION
So WHEN do I LOWER her dose? She's lower in the evenings right b4 dinner and has been in the dark green twice this week. I'm running a curve in the next 3 days but don't know when bcoz on one of those days I'll have to go out .

2nd Question
I was told by my vet I had to give insulin with food - dinner and breakfast and no snacks. However when I'm called out in the next 3 days I will leave upto 3 hours b4 dinner and return about an hour after shot time OR the opposite- close to dinner and shot (up to 90 minutes b4) but return upto 2 hours after dinner & shot.
Should and I leave food down given that she will eat hers and her sisters dinner and get no insulin fir between 1 - 3 hours? I could leave high protein treats down bcoz her sister thinks they're revolting and would seriously rather starve (so Sugar would eat only one serve as she'd eat her sister if sister attempted to touch them)
Thank you

 

[Bron and Sheba (GA)]

With SLGS you lower the dose if she falls below 90 (5).
She has dropped below 90 twice in the last few days so I would lower the dose to 2.5u.

Can you get some tests in during the cycles?
Just getting preshot tests in doesn’t tell us much as Lantus dosing is based on the nadir or lowest point in the cycle. At the moment we don’t know what is happening during the cycles or how low she is going.

by my vet I had to give insulin with food - dinner and breakfast and no snacks. However when I'm called out in the next 3 days I will leave upto 3 hours b4 dinner and return about an hour after shot time OR the opposite- close to dinner and shot (up to 90 minutes b4) but return upto 2 hours after dinner & shot.
Should and I leave food down given that she will eat hers and her sisters dinner and get no insulin fir between 1 - 3 hours? I could leave high protein treats down bcoz her sister thinks they're revolting and would seriously rather starve (so Sugar would eat only one serve as she'd eat her sister if sister attempted to touch them)

Always test before every cycle, before you feed. Then give 2 or three snack s of low carb food during all the cycles. What your vet is telling you is old thinking. It is much better to feed during the cycles, as well as the preshot meals.
I don’t quite understand your questions about going out and when you are going to feed and give the shots in the next few days.
Can you explain again please

 

[Deborah Jordan]

With SLGS you lower the dose if she falls below 90 (5).
She has dropped below 90 twice in the last few days so I would lower the dose to 2.5u.

Can you get some tests in during the cycles?
Just getting preshot tests in doesn’t tell us much as Lantus dosing is based on the nadir or lowest point in the cycle. At the moment we don’t know what is happening during the cycles or how low she is going.

Always test before every cycle, before you feed. Then give 2 or three snack s of low carb food during all the cycles. What your vet is telling you is old thinking. It is much better to feed during the cycles, as well as the preshot meals.
I don’t quite understand your questions about going out and when you are going to feed and give the shots in the next few days.
Can you explain again please

 

[Deborah Jordan]

I have to go out tomorrow and now it's definitely going mean I will be an hour late with the shot. Her BG is always lower in the evening than the morning her nadir used to be at +8.
So you've covered that she should have some low carb snacks between meals so that answers it. I'll leave some then do the meal and shot an hour late. I did that accidentally last week and she tolerated it and I brought it back in time by 15 minute increments until she was at normal time.

I haven't run a curve for too long but as she runs when she sees me holding anything I've waited til I got used to the new metre and testing strips so the curve will be on Monday.