? Dweezil survived the cattery! Strange BG patterns sometimes?

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monty_dweezil (GA)

monty_dweezil (GA)

Member Since 2014
He ate Fancy Feast the whole time but was ok, though anyone who is interested, please take a look at SS for the time in the cattery. Mainly the prolonged hypo one day and then bounces afterwards. Also afterwards, it almost seems as if his body reacted backwards to the insulin for a while and his BG went up after it and went down many hours afterwards.

Right now, he is off the FF and on his normal (supposedly low carb) food but is currently even higher than before. He seems nice and relaxed and happy to be home though.
 
Your last post on the forum

http://www.felinediabetes.com/FDMB/threads/09-26-dweezil-amps-324.184479/

Is the implanted monitor pet specific??

The colour coding on your ss is a little confusing, different in the green range to what everyone else uses.

If you look at other ss you see that after blue we have emerald green(50-199) then lime green (below 50) those figures are for human meters.


On pet meters 68-199 is emerald below 68 is lime green.

This is so we can differentiate from numbers that are hypo territory and numbers that are normal green.

Eg the normal BG range on a human meter for a non diabetic cat is 50-80. With a pet meter that's more like 68-120.

Are the numbers from the implanted meter comparable to a regular pet or human meter?

It's hard to make a comment on the patterns of numbers because you are doing different am and pm doses. With lantus being a depot insulin everyone you adjust the dose the depot also adjusts, and typically takes about 6 cycles of consistent dosing for the depot to settle. with different am and pm doses, the depot is in constant flux and this disrupts the patterns that we are used to seeing, it can make the numbers 'Wonky'.

Regarding when he was at the cattery, when they shot 1u, which by the way even though he wasn't eating, was a good choice given the Dka history. Again would have drained the depot, this followed by the skipped shot two Cycles later would have further drained the depot, so may well have been responsible for the higher numbers that followed, at least in part, he probably bounced from those greens too.


NB
If your meter is a pet meter those 54 would call for a reduction in dose in the TR protocol, that said, I'm guessing you are following your vets advice regarding dosing since you are not dosing in the way we typically do on this site, so I would suggest you share those low numbers with your vet and discuss dosing. You describe those green events as 'prolonged hypo' I'm not sure if that's entirely accurate, did he have a symptomatic hypo?? But if the range on your implanted meter is such that these BG levels are considered unsafe, I have a question, do you think it's sensible to continue giving a dose that has got him into an unsafe range??

(Again I'm not familiar with the ranges for this implanted meter so please discuss this with your vet)
 
Any chance of getting the morning "cat staff" to shoot 1.3 units so you are shooting the same all the time? Remember, dosing is based on how low the dose can take the cat, which most likely isn't at shot time (preshot). Some shots were skipped at the 1,4 unit dose and with his history of DKA, it's best not to skip. Instead, pick a slightly lower dose (1.3) that you both can shoot so he always gets insulin. Skipping shots also messes with the depot and leads to higher numbers.

@Gill & George The implant is a human Freestyle Libre.
 
Gill & George said:
Your last post on the forum

http://www.felinediabetes.com/FDMB/threads/09-26-dweezil-amps-324.184479/

Is the implanted monitor pet specific??

The colour coding on your ss is a little confusing, different in the green range to what everyone else uses.

If you look at other ss you see that after blue we have emerald green(50-199) then lime green (below 50) those figures are for human meters.


On pet meters 68-199 is emerald below 68 is lime green.

This is so we can differentiate from numbers that are hypo territory and numbers that are normal green.

Eg the normal BG range on a human meter for a non diabetic cat is 50-80. With a pet meter that's more like 68-120.

Are the numbers from the implanted meter comparable to a regular pet or human meter?

It's hard to make a comment on the patterns of numbers because you are doing different am and pm doses. With lantus being a depot insulin everyone you adjust the dose the depot also adjusts, and typically takes about 6 cycles of consistent dosing for the depot to settle. with different am and pm doses, the depot is in constant flux and this disrupts the patterns that we are used to seeing, it can make the numbers 'Wonky'.

Regarding when he was at the cattery, when they shot 1u, which by the way even though he wasn't eating, was a good choice given the Dka history. Again would have drained the depot, this followed by the skipped shot two Cycles later would have further drained the depot, so may well have been responsible for the higher numbers that followed, at least in part, he probably bounced from those greens too.


NB
If your meter is a pet meter those 54 would call for a reduction in dose in the TR protocol, that said, I'm guessing you are following your vets advice regarding dosing since you are not dosing in the way we typically do on this site, so I would suggest you share those low numbers with your vet and discuss dosing. You describe those green events as 'prolonged hypo' I'm not sure if that's entirely accurate, did he have a symptomatic hypo?? But if the range on your implanted meter is such that these BG levels are considered unsafe, I have a question, do you think it's sensible to continue giving a dose that has got him into an unsafe range??

(Again I'm not familiar with the ranges for this implanted meter so please discuss this with your vet)
Click to expand...


The Freestyle Libre implanted meter that Dweezil has on is a human meter, not a pet-specific meter. It's only meant to be implanted once for a two week period and it gets more inaccurate as it gets closer to that two-week deadline. Girlie had one on for two weeks and it was highly inaccurate. My vet was very clear that any suspicious readings or low readings must be double-checked against a manual test.

I'm not sure how long Dweezil has had this latest implant on.
 
He has only had it on for a week and as for the readings at the cattery, it had only been 3 days.

In any case, it no longer works at all now. It kept giving the error message saying to wait 10 minutes and try again and then although it said it still had 6 days left, it suddenly then said it was dead and to get a new one put on.

Sigh. No more readings for a while.
 
We have been trying to test him at home for almost 3 years. He just will not let us do it. It is a source of anguish for me everyday.
 
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