Hi! Advice Needed

Status
Not open for further replies.
I did increase the dose a little yesterday AM after noticing his symptoms. I was at about 1.25 units and now I’ve given him three doses of about 1.75 units (right below the 2 unit marker on the syringe). I use U-40 syringes.
 
Ditto what Wendy said about the additional testing to evaluate your current dose. Please don’t get too wrapped up on single high numbers — you need to see numbers from the entire cycle, over time, to determine the ideal dose and whether an increase is warranted.

Also, please be careful about increasing dose too quickly while simultaneously going to low-carb food. Lowering carbs can decrease BG, and thus dosing requirements, noticeably. Also, in general, it’s best practice to increase dose by 0.25 u increments (I think you jumped 0.5 u?) no more frequently than every 3-7 days (depending on dosing method/protocol) and test throughout each cycle to see the impact of that dose before increasing again. Think of it like bungee jumping ... you can be jumping off a very high bridge, but what really matters is how low that rope lets you go ... you don’t want it to drop you so low that you crash.

As for expired test strips ... I’ve used expired test strips with no real negative consequences however I’ve also make a point to compare the results against fresh strips (don’t expect exactly the same numbers -- there’s always a slight variance anyway, which is normal). It’s not just expiration date, by the way. Sometimes it matters how long a vial has been open, etc.

Please just take a deep breath. Sometimes I think vets don’t want us to hometest because we get stressed about the numbers and want a fix NOW. The whole process takes time and insulin dosing is not as simple as “my car is a quart low on oil so I simply need to add a quart.” Sometimes we just have to take a deep breath, remind ourselves that it’s a process, collect the data, and sit on our hands.
 
Thank you so much for the reply and wisdom. Should I stick with the 1.75 unit dose since I’ve given that 3 times now?
Good point about vets not pushing testing for that reason. My vet did suggest at home testing, but did not press it once I voiced concerns about my ability to do so.
 
I have been testing at six hours post shot. Do I need begin testing pre-shot (and/or other times)?
Yes.

Do you have a spreadsheet to track your numbers? If not, there are instructions on this site for setting one up as well as a few people who can help you do it if needed. Maybe someone can post the link (I don’t have it handy right now)...
 
I do not have a spreadsheet yet; I think I’ll have to be on a computer to setup and access it. I am just on my phone now. I always track his daily food and meds as well as abnormalities in my phone.
 
I do not have a spreadsheet yet; I think I’ll have to be on a computer to setup and access it. I am just on my phone now. I always track his daily food and meds as well as abnormalities in my phone.

Hi Olivia,
I have the spreadsheet on my ipad and iphone. I installed the app under sheets but I am logged in to my gmail account also. I hope that makes since
 
I want to echo @JL and Chip,

I too have used expired strips. I found them to be perfectly fine, but I also compared them with non-expired.

and the comment about giving it some time...
Someone on here once told me, FD is a marathon, not a sprint. Early on I found myself trying to fix it all, but it’s more of an illness you manage rather than fix. Collect data by testing, and read and learn and ask questions. You’ll get to where you need to be, in time. :)
 
I think I changed it. It says anyone with the link can view now.

Good job but I see one problem.

Each line across is a full 24 hours. There's the AMPS (AM Pre-Shot...the test you should get immediately before feeding/shooting in the morning) and then there's the + cells. Each + cell corresponds to the number of hours since the shot. After +11, you start the PM cycle with the PMPS and then the + cells start over again.

You've got 9/15 on two lines instead of the AM tests on the left half of the line and the PM on the right half of the line.

Each day should be one line of data.
 
Sorry about that! When I’m looking from my phone, I couldn’t see the PM portion. Fixed it! I will have my first pre-shot BG to record tonight.
It just takes a little getting used to! :) It helped me to give someone else access to line and get a few details fixed, but I’m not good with spreadsheet technology. :p But eventually it will be an automatic habit. :)


Thank you <3 I am so worried about it being high and don’t want it to affect him long term. I can tell he doesn’t feel very good today. He has stayed in his kitty castle/tree all day. I am very much a “helicopter” mom! He probably wishes I’d give him some privacy.

Better high for a day than hypo or worse. And I get what your saying, but FD is a big picture kind of thing. It’ll take a little time to get him regulated. Also, remember that you’re doing above and beyond what the majority of people with FD cats do... he’s getting your best, and that is awesome. :bighug:

Once I started reminding myself insulin is a hormone, not a medicine like antibiotics etc, I think it helped me keep perspective. It’s like I’m helping her with her hormone imbalance, and that takes time to get regulated again! :)


Have also realized that his Hill’s metabolic rx treats are most likely full of carbs. Going to order pure bites and hope he loves them.
Liver! My cat loved the duck liver but she tolerate the beef liver okay too now that she is cut off poultry. Liver is smelly and all cats love smelly.
 
Hi Olivia , looking at your spreadsheet, are you not testing Little Bit at PMPS, it is blank
It's very important to test him at night to see what it is.

Is it possible for your to get some more test in during both cycles

Such as @+3 then @+5 then @+7 both AM cycle and PM cycle
Then the next day @+2 then @+6 then @+8
You want to test at different times to see how the insulin is working
This will help us to determine when you need to increase or decrease

This is really the only way members can give you any advice
You want to see how low the insulin is making Little Bits BG dropping and when it is the lowest

Especially since you are starting to take away the dry food , he can drop very low, so that's why it's so important to test him to make it is safe to shoot.
We like to increase by 0.25 units, do you have syringes with half unit markings
 
Hi Olivia , looking at your spreadsheet, are you not testing Little Bit at PMPS, it is blank
It's very important to test him at night to see what it is.
do you have syringes with half unit markings
Yes ma’am, that is correct. I just started testing yesterday and plan to obtain our first PS this evening before feeding and dosing.
He gets very anxious/upset when I test his BG, so that’s why I’ve taken it easy. Also wonder if him being a bit upset is playing a role in his high numbers. I do have half unit markings on the U-40 syringes we use.
 
Sorry about that! When I’m looking from my phone, I couldn’t see the PM portion. Fixed it! I will have my first pre-shot BG to record tonight.

Yeah, it's a little harder to work with on a phone....the darn screen just isn't big enough!!

Going to order pure bites and hope he loves them.

Does he like plain old chicken? I used to buy it on sale, bake a piece for China and a piece for me (hers of course had no salt or spices). Then I'd chop it up, put some in the fridge and the rest in the freezer to use as needed. Human tuna is another option (in water, no onion/garlic). You want your "testing treat" to be something special that he only gets at test times so it's a high value reward.

China didn't like any of the PureBites type of freeze dried treats (and I think I bought at least 1 bag of every protein source known to man!) but she absolutely loved the Orijen Wild Boar treats.

You can also buy the dog ones....they are cheaper per ounce than cat treats. Just break them into smaller bites.
 
Our kitties fell tension and stress SO WELL. It transfers from your hand to their brain. If you are tense, kitty says, uh oh I need to be tense.
 
He does like chicken! I didn’t know if it was healthy or not to feed him regular chicken, but that’s an excellent idea. I just saw in another thread that someone’s kitty wouldn’t eat the freeze dried treats until they started putting water on them. Genius.
 
He's certainly high enough for insulin but not sure what the history is (this thread's a little long to sort through - mods prefer you to make a new one after 50 or so posts so once you have time it might be best to make a new one and post the link here so everyone can follow you over).

Any ketone history? You said he's not eating well?
 
He's certainly high enough for insulin but not sure what the history is (this thread's a little long to sort through - mods prefer you to make a new one after 50 or so posts so once you have time it might be best to make a new one and post the link here so everyone can follow you over).

Any ketone history? You said he's not eating well?
So sorry! I posted a new thread :)
 
Yes ma’am, that is correct. I just started testing yesterday and plan to obtain our first PS this evening before feeding and dosing.
He gets very anxious/upset when I test his BG, so that’s why I’ve taken it easy. Also wonder if him being a bit upset is playing a role in his high numbers. I do have half unit markings on the U-40 syringes we use.
You are doing a great job, soon you will become a pro at testing.
Every now and then try just rubbing his ears back and forth to get him used to it, then reward him with a treat, soon he will associate that after testing him he will get a treat. By the way he is a beautiful kitty
 
You are doing a great job, soon you will become a pro at testing.
Every now and then try just rubbing his ears back and forth to get him used to it, then reward him with a treat, soon he will associate that after testing him he will get a treat. By the way he is a beautiful kitty
Thank you so much. Honestly. All of you are angels and it feels so much better to have you all on this journey. Thank you for taking me in. That is a wonderful idea to rub his ears throughout the day! Since we had the hurricane today, I couldn’t get to the store to buy neosporin pain relief ointment. I will be purchasing that first thing in the morning. :cat::cat::cat:
 
Status
Not open for further replies.
Back
Top