Curve Test Results

Status
Not open for further replies.

Outcast

Member Since 2016
Glucose Check
7:25am = 243
10:25am= 81
1:25pm = 67
4:25pm = 81
7:25pm = 158

She gets 1 unit of Vetsulin now for a week 1 unit in am at 7:30am and then again at 7:30pm. Performed the curve Satuday 1/9/2016 after being diagnosed 1 week earlier on 1/2/2016. She is at 158...So, perhaps VEtsulin wore off, or wearing off... 7:25pm, I do not know if I should give her a unit or not? Vet is not open...so, I was going to wait till a few hours later after feeding and then re-test again...if high, over 200, I can give a unit? or half? Not sure. Any help?

Thanks,
 
Last edited:
That is a terrific curve! The last number, the pre-shot test, suggest reducing the dose so you can shoot twice a day is appropriate.
Your options are:
- skip
- stall 30 minutes to see if it comes up over 200 mg/dL to shoot
- shoot a very reduced dose (ex 0.5-1.0 units) if you can be home to monitor
 
Glucose Check
7:25am = 243
10:25am= 81
1:25pm = 67
4:25pm = 81
7:25pm = 158

She gets 1 unit of Vetsulin now for a week 1 unit in am at 7:30am and then again at 7:30pm. Performed the curve Satuday 1/9/2016 after being diagnosed 1 week earlier on 1/2/2016. She is at 158...So, perhaps VEtsulin wore off, or wearing off... 7:25pm, I do not know if I should give her a unit or not? Vet is not open...so, I was going to wait till a few hours later after feeding and then re-test again...if high, over 200, I can give a unit? or half? Not sure. Any help?

Thanks,
 
I had that happen as well. I waited a half hour and rechecked and the levels had come up. That's a bonus with home testing!
 
This morning she was 242. I gave her half unit. I monitored for 5 hours and went out for shopping...is that bad that we are out and not monitoring? She has a few tbs of moist and dry food out and is in her own room.
 
I know that you already got a lot of information and are doing great in home testing. I am going to give you a few more. Hopefully you will want to set a spreadsheet so we all can see it. Data collection is the "key" to getting the most efficient and correct dose for Outcast. Also I see that you mentioned dry food. You curve showed that Outcast has some pretty good numbers. Just thinking that if you eliminated the dry food all together you would get even better results. What food are you feeding?

I monitored for 5 hours and went out for shopping...is that bad that we are out and not monitoring?

Heck no - not bad because you have things to do and both of you need breaks from each other. The only time when I changed my schedule (if I could) was when I was trying a new dose and I felt that Merlin could go potentially low. Leaving out food for them when you are gone is good because they sometimes will sense that they are going too low and will want to eat ... which is good.

Good Reading: This is a must read. It is an excellent 18 page informative document that covers feline health and nutrition. Don't take short cuts and read it all. www.catinfo.org Also read other postings and their spreadsheets. You will learn a lot more from others.

Spreadsheets: Our spreadsheet instructions are here. If you look at the signatures of the members here, you will see a link to their kitty’s spreadsheets. We keep track of all our tests. This is basically a place to collect data and help you to determine patterns, doses, etc. It also aids those that may be helping you to better understand your kitty. To further my knowledge on diabetes, I would make it a habit to read other kitty’s postings and spreadsheets. Even though they are all different and will be different than your kitty, it was still invaluable information.

Food: There are many reasons why we are here but one is due to feeding dry cat food which is high in carbs. You will want to consider changing your food to wet, low carb food. It is recommended to feed food that is under 10% carbs and I found with Merlin that right around 4-5% worked for him. Here is a list of cat food to choose from food chartyou will note that the food with fish are lower in carbs however it is recommended that you only give fish once a week due to its mercury content. Many use Fancy Feast, 9 Lives, Friskies, Wellness, Werurva etc. This list can also be found in www.catinfo.org If you are already giving insulin and you have not transitioned to wet, low carb cat food, be sure to test while you are transitioning. This is because by changing to low carb food, it could decrease your kitty’s number by 100 points or more. One last thing, many of us add water to the wet food so your kitty is getting plenty of water to flush out the toxins and to keep them hydrated.

Hypo Kit: Always good to be prepared for possible hypo events (low blood sugar) which means that your cat has reached dangerously low numbers. It can be fatal, hence, the importance of home testing and collecting data in a spreadsheet. In each of the Insulin forums are stickie’s labeled Hypo Links. Here is one: How to Handle a Hypo. Please print and post on your refrigerator so everyone in your household is aware of hypo symptoms. You will want to create your hypo kit that would include and not limited to; extra testing strips, honey/karo/maple syrup, high carb food, medium carb food, vet information, etc. Hopefully you will never need it but probably at some point in time, you will need to deter from going too low.

Ketones: Diabetic cats are susceptible to diabetic ketoacidosis (DKA). It is best to buy testing strips that will measure (if any) ketones in the urine. One brand is Ketostix which can be found at Walmart or any pharmacy. You will want to test periodically unless you continue to get high numbers, then it is suggested to test more frequently. Ketostix typically costs around $10 for 100.

Treats: It is always nice to have treats available for your kitty especially when testing or when they decide not to eat. I like using Pure Bites. I have found it at Petsmart and other pet stores. It is freeze dried and the only ingredient is the meat i.e. chicken, duck, etc. If your cat likes it, then I would go to the dog section where it is cheaper than the cat package. It is bigger chunks but no problem in breaking it up. Another option is to use Bonita Flakes where you can find at your local Asian market. There is a link here somewhere in this site that has a list of low carb treats.
 
I give her welness chicken and turkey pate...confirmed 1.94 carbs from company ND she is on d/m purina...I give her about 80% moist and 20% dry...and over 100% loves. I have Caro syrup on hand...I have a spreadsheet I use in excel. I don't yet understand your Google spreadsheet with what plus 1 or +2 +3 even means...I see this as too confusing. Help? Oh...my 18yr old beauty is pictured with my wife's hand in pic and she is Patches
 
Check out these instructions. If you follow the instructions along with someone's spreadsheet, then it will start to make sense. It is really worth setting it up so you can see trends and patterns. It is also helpful for those that need to help you with dosing questions. Data collection is a key and if others can see it, then they may be able to point out an adjustment, suggestion, etc.

How to Read a Spreadsheet


The colored headings at the top are the ranges of glucose values. They are color-coded to clue you in as to meaning and pattern.

Each day is 1 row. Each column stores different data for the day.

From left to right, you enter the Date in the first column; the AMPS (morning or AM pre-shot test) in the 2nd column and the Units i.e. the dose given in the turquoise column.

Then, there are 11 columns labeled +1 through +11. If you test at +5 (5 hours after the shot), you enter the test number in the +5 column. If you test at +7 (7 hours after the shot), you enter the test number in the +7 column and so on.

Halfway across the page is the column for PMPS (evening or PM pre-shot test). To the right is another turquoise column for Units i.e. the dose given at the evening shot.

There is second set of columns labeled +1 through +11. If you snag a before bed test at +3, you enter the test number in the +3 column. It is suggested that you test before you go to bed to ensure your kitty is safe for the night.

We separate day and night numbers like that because many cats go lower at night and we want to see the pattern.

The nadir (mid-cycle or somewhere usually between +5 and +7) is the lowest glucose between shots. There is a general period when it will happen which is specific to the insulin being used and testing then helps make sure your cat doesn't go too low. Some insulins like Novolin, Caninsulin and Vetsulin nadir may be at +4.
 
Status
Not open for further replies.
Back
Top