Fred 4/16/15 staying at 1.5U

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Jamye and Fred

Jamye and Fred

Member Since 2015
I will try and do the spreadsheet but here's Our first curve: I finally got a day off and we did it. 5:30 am 323/ ate 1/2 can FF/ 2 u /11:30 89/ some turkey bacon / 12:15 144/ 5:00 pm 395 1/2 can FF 2u/ 7:15 319 /9:30 pm 159 :-) Your thoughts ?
 
It's really hard to see much with just one curve. The 89 is a really good nadir and it looks like he probably "bounced" from being that low. His body has gotten used to living at higher numbers so even though the 89 is a good, safe number, his body reacts like it's too low and his liver releases large amounts of stored sugar and hormones to bring him back up.

Looks like he's clearing the bounce pretty well tonight though!

How long has he been on Lantus? I'm concerned that 2 units may be a little much but without seeing more data, there's just no way to know for sure
 
AM PS 323 2U Lantus
+6 89
+ 6 3/4 144
PM PS 395 2 U?
+ 2 1/4 319
+4 1/2 159

Pretty good curve. Based on the 89 a slight reduction in does may be in order.
 
Thanks for the replies. Diagnosed 2/19/15. Started @ .5 U then went to 1u on 3/1 and 2 u on 3/15. I've sent the curve to vet.
 
Jayme....I think it's very possible that 2 units is too much. We do our increases in .25 unit increments because even that tiny amount difference can make a huge difference in our kitties numbers.

We wouldn't ever increase from 1 unit to 2 units....instead, if the numbers indicated an increase was needed, we'd go to 1.25, then 1.5, then 1.75....when you increase in whole units, you can go past what could be the "best dose" for Fred.

It would help a lot if you'd start keeping track of your test results on our spreadsheet. The spreadsheet we use here is a very valuable tool in spotting the patterns we look for in Lantus dosing. Here's some Instructions on Starting our spreadsheet. Let us know if you have problems with it!

Fred is still very new to the sugardance, so has a good chance of possibly going into remission. Please let us help you learn how best to dose with Lantus. It's not that your vet is necessarily a "bad" vet...it's just that no vet can keep up with the latest treatments for every type of disease in every type of animal they see. If they tried, they'd never have any time to see real patients! The people here do nothing but deal with feline diabetes and the diseases that tend to come with it, so have many years of experience with it to share with you.
 
Understanding the spreadsheet/grid:

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

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 pre-shot test) in the 2nd column
the Units given (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 pre-shot)
To the right is another turquoise column for Units 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.

We separate day and night numbers like that because many cats go lower at night.

It is merely a grid for storing the info; no math required.
 
Chris & China said:
Jayme....I think it's very possible that 2 units is too much. We do our increases in .25 unit increments because even that tiny amount difference can make a huge difference in our kitties numbers.

We wouldn't ever increase from 1 unit to 2 units....instead, if the numbers indicated an increase was needed, we'd go to 1.25, then 1.5, then 1.75....when you increase in whole units, you can go past what could be the "best dose" for Fred.

It would help a lot if you'd start keeping track of your test results on our spreadsheet. The spreadsheet we use here is a very valuable tool in spotting the patterns we look for in Lantus dosing. Here's some Instructions on Starting our spreadsheet. Let us know if you have problems with it!

Fred is still very new to the sugardance, so has a good chance of possibly going into remission. Please let us help you learn how best to dose with Lantus. It's not that your vet is necessarily a "bad" vet...it's just that no vet can keep up with the latest treatments for every type of disease in every type of animal they see. If they tried, they'd never have any time to see real patients! The people here do nothing but deal with feline diabetes and the diseases that tend to come with it, so have many years of experience with it to share with you.
Click to expand...
Thanks for the replies. I'll work on the SS as soon as I can.
Todas results : 5:45 433 ate 1/2 can/ 2 U, 11:45 180 / 1/2 can, 6:00 pm 438 hasn't eaten much this evening so I haven't given Shot. 9:15 pm 409. Urine output seems normal. Ketones last week were trace for 3 days straight. My vet was off today. Should hear from her tomorrow.
 
Ps. I've read that Lantus is a 24 hour insulin. Is that part of the problem? I'm giving 2u 2x day ! He's eating now. Should I shoot ? Man I'll be glad when I figure this out. He seems fine. I've read it's better to be high for a day than two low for a minute. He's never been below 69. I really appreciate yall.
 
Lantus is best when you can find a dose that you can give every 12 hours, so twice a day is best, but only by testing to see how he's doing will help decide what dose works best for him.

As for shooting tonight, if you do, can you shoot 12 hours from now? ....and then 12 hours after that? If not, it's better to just skip the dose and get back on schedule tomorrow morning.

If you CAN, you can work your way back to the times you want 15 minutes per cycle until you're back on the schedule you want to be on

You want to always get a Pre-shot test and then at least 1 test mid-cycle on the AM cycle and at least a "before bed" test on the PM cycle. Most cats go lower at night, so it's important to get that "before bed" test in so if they're going low, you can set an alarm to wake up and get more tests in if you have to.

There's really no such thing as too much data though, so if you can get more tests in, that's even better!
 
Thank you ! And BTW I love your pic. We both have white cats. I'm going to skip shot tonight and get back on schedule in the morning. At 9:15 tonight, he was at 409. We are heading to bed. Thanks again.
 
It's nice to have another white kitty!! China's been the only one for quite some time (at least that I know of!)

Fred is a beautiful kitty too!
 
Fred woke me @ 3:45 a.m. Hungry. BS 365. Gave can FF. Set alarm for 6:00 BS 399 he didn't eat much of the FF but was meowing from starvation. Gave 1/4 c dry diabetic and 1.5 U. BS at 12:00p 354. 7:45 p 380. He didn't eat much of the FF I gave him, so do I shoot? We are a little off schedule but I can shoot tomorrow anytime.
 
Stall 30 minutes without feeding and re-test.

Can we get you started using our grid to record your glucose tests? It will help us give you better feedback. Instructions are here.

Understanding the spreadsheet/grid:

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

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 pre-shot test) in the 2nd column
the Units given (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 pre-shot)
To the right is another turquoise column for Units 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.

We separate day and night numbers like that because many cats go lower at night.

It is merely a grid for storing the info; no math required.
 
It's important that he gets a shot every 12 hours. Lantus works best when given consistently

If you can get rid of the dry, that will help bring his numbers down too...dry foods are too high in carbs for our sugarcats.

When shooting, you have to remember that the onset for Lantus isn't for a couple of hours, so it's not terribly important that they eat when you shoot...but you do want them to be willing to eat, so if he ate some, he's probably fine to shoot

If he's at 380, I'd shoot the 1.5 now
 
Jayme...please try to get our spreadsheet up and running as soon as you can.

We really rely on it to help us to help you!

If you have trouble with it, let us know and we can find someone to get it set up for you and transfer it to your name
 
Please report numbers as elapsed time since shot.
AMPS = morning (AM) pre-shot test
+# = a test taken # hours since the shot
Ex
+2 would be a test 2 hours post-shot
+5 would be a test 5 hours post-shot
PMPS = evening (PM) pre-shot test
 
The spreadsheet template isn't there. I've got Google Drive and Sheets. Idk what I'm doing wrong. I may have to get my laptop down out of the closet. I'm on my iPad. Any help is appreciated.
 
I don't know anything about using an iPad, so I'm not much help there, but I know if you have the spreadsheet, when you sign into Google Drive, it should be listed there

It may be easier to pull that laptop out of the closet until you figure out how to use the iPad

Wish I could be of more help with the iPad, but it took me awhile to figure out how to use my Android too!
 
SS done. It's empty. Will update soon. Thanks..... I had to upload from laptop....no biggy. iPad Mini is apparently the problem with SS.
 
Can someone please look at SS ? He's @ 89. I was just able to do a few tests yesterday but it's looking good except for the 300's he's been having. He's been eating just FF and warm turkey bacon for treat. I took away his Blue Buffalo Wilderness treats after reports of lawsuits. Your thoughts?
 
My syringes are marked in .5, so I guess 1.0 will be our shot , starting tomorrow. I gave him his 1.5 while he was eating, tonight.Thanks !
 
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