Evening injection question.

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Susan and Timmy

Susan and Timmy

Member Since 2017
Timmy's test tonight was 363. I'm not sure what I should do. Do I give him his injection tonight? I'm not clear when I should hold the dose.

This is the first time he has been in the pink at night. I was gone all day today and stressed the whole time leaving him. I even tried to get home to do a quick test, but that didn't work.

I was able to get his urine today, which was normal. Yay!

Susan
 
It's shocking (and good) to suddenly see those lower numbers, but that's what you are looking to have happen.

You have lots of helpful data coming in. Can I suggest you hold his dose at 2 while he's in the pinks to try to get his lows closer to the Renal threshold of 150? I want to see some low yellows and blues popping up now. So glad you lowered from 4.
 
JanetNJ said:
It's shocking (and good) to suddenly see those lower numbers, but that's what you are looking to have happen.

You have lots of helpful data coming in. Can I suggest you hold his dose at 2 while he's in the pinks to try to get his lows closer to the Renal threshold of 150? I want to see some low yellows and blues popping up now. So glad you lowered from 4.
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Thank you for checking in on me. I have really been trying to get a handle on Timmy's numbers. I'm not too sure of myself at all. So I decided to get as much info as I can. I am trying to make the night switch to wet, but I am terrified and stalling because of a hypo event. He is on strictly wet all day and I am leaving the dry RC Glycobalance out at night. I went down to 1.5 because it seemed he dropped a tier and I thought it was because of feeding him more wet. Today was a disaster in that just as I was about to test he ate a few dry pieces. Then I think I did a fur shot. Ugh! Although he did come down a bit at +3.

So I reduced his dose too soon. When should I think about reducing him while transitioning to the wet food.
 
You are correct to be razor focused if you had a hypo event. I don't see it on Timmy's chart, but kudos for making his chart and posting it.

Fur shots. Well I did one a few months ago. Now I'm real careful to get a big tent of skin. Very frustrating. But it could be worse. You could poke yourself with the needle. Now who would I know who has done that! Ouch!:D
 
JeffJ said:
You are correct to be razor focused if you had a hypo event. I don't see it on Timmy's chart, but kudos for making his chart and posting it.

Fur shots. Well I did one a few months ago. Now I'm real careful to get a big tent of skin. Very frustrating. But it could be worse. You could poke yourself with the needle. Now who would I know who has done that! Ouch!:D
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No, thank goodness I have not had a hypo event. I have read enough posts here and seen a few videos via the web, to let me know I don't want any part of one of those. I may be moving too cautious though. I just don't know. I just started home testing last Sunday. Realizing how important that is, I can't believe I wasn't doing it sooner.
 
My normal vet, and our internist vet, and also the SRT vet all told me the same thing. "Keep Leo safe". You are doing the right thing. Cautious and slow is the right way to go.

I had the same realization with testing. And then I too couldn't believe I was dosing without testing.
 
Susan and Timmy said:
Thank you for checking in on me. I have really been trying to get a handle on Timmy's numbers. I'm not too sure of myself at all. So I decided to get as much info as I can. I am trying to make the night switch to wet, but I am terrified and stalling because of a hypo event. He is on strictly wet all day and I am leaving the dry RC Glycobalance out at night. I went down to 1.5 because it seemed he dropped a tier and I thought it was because of feeding him more wet. Today was a disaster in that just as I was about to test he ate a few dry pieces. Then I think I did a fur shot. Ugh! Although he did come down a bit at +3.

So I reduced his dose too soon. When should I think about reducing him while transitioning to the wet food.
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Honestly your lowest numbers are far from too low... I would be very surprised if the transition to wet causes a problem. You aren't going from a dry that's like 30% suddenly down to wet.

Fur shots are so aggravating. Been there.

I'd rather you bee too cautious in the beginning than too aggressive. (4 units was way too aggressive). 2 seems to be having a positive effect.
 
I also like that the 2U dose is bringing Timmy's numbers down, and he's currently got a big safety margin against hypos, which is great. The more you learn now about how the insulin affects him, and (importantly) when the insulin has the greatest effect, the better you will be able to judge his doses. We do eventually want to get those numbers down more-- he'll be feeling much better then, and running for a long time in high numbers comes with its own serious health risks-- but let's keep him safe, too!
 
JanetNJ said:
Honestly your lowest numbers are far from too low... I would be very surprised if the transition to wet causes a problem. You aren't going from a dry that's like 30% suddenly down to wet.

Fur shots are so aggravating. Been there.

I'd rather you bee too cautious in the beginning than too aggressive. (4 units was way too aggressive). 2 seems to be having a positive effect.
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Thank you for your wisdom. I thought about what you suggested and looked closer at Timmy's spreadsheet (still trying to understand the numbers) and he is coming down, and you're right, he is hanging out in the upper yellow. His dose tonight was 2 units. I'll keep it there and keep monitoring. This diabetes journey that Timmy and I are on is something else. I'm so afraid of missing something or making a mistake, kind of like I did today with the fur shot. At the end of the day though he is still Timmy, he likes to play and snuggle and make me laugh.

The transition to wet is rough, although he is doing well on the wet food during the day. The problem is he grazes on dry at night. I requested a sample fromYA and will anxiously wait for it and hope he likes it. It might be the answer to just the overnight feeding. I'm keeping my fingers crossed. :)
 
Nan & Amber said:
I also like that the 2U dose is bringing Timmy's numbers down, and he's currently got a big safety margin against hypos, which is great. The more you learn now about how the insulin affects him, and (importantly) when the insulin has the greatest effect, the better you will be able to judge his doses. We do eventually want to get those numbers down more-- he'll be feeling much better then, and running for a long time in high numbers comes with its own serious health risks-- but let's keep him safe, too!
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I think that before I make any changes I need to post for guidance. At least until I have a better understanding of the numbers. I gave him 2 units tonight and will keep monitoring him. Thank you so much.
 
Hi Susan,
I'm so glad that Timmie is doing so much better. Yellow and blue numbers are a good thing for him to have. I didn't test at first either, there were weeks when I barely did any tests. I commend you for starting testing right away the way you did. I sure wish I had done that too.:bighug::bighug:
 
We're doing pretty good. We're back at the 2 units and Timmy's numbers look okay, as far as I can tell. I want Timmy's numbers to look like Smoky's numbers. We'll get there.:)

Timmy was slow to eat the wet food today. He still ate it, but not as much. He just wants the dry food. I give the Glycobalance dry only at night for now, and he ate the dry food tonight like he hadn't eaten in days. Makes me feel terrible. It is a work in progress though.

Thank you for checking on us and for your encouraging words. They are so appreciated!
 
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