How to Record on the spreadsheet

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beachbean24

beachbean24

Member Since 2012
Hi Everyone,

I'm starting a new thread as suggested. Thank you again for all the great advice. I have added the link to Bebop's SS to my signature, however looking at it, I have no idea how to fill it out. These are the numbers that I've gotten from testing her today and last night:

8/7/12 11pm: about 296 (but not exactly sure)
8/8/12 11 am: 264
8/8/12 11 pm: 298

I've given her 2 units of PZI this morning and this evening, although based on these preliminary numbers it still seems a bit low. Also, she has begun taking amoxycillin for her infection and she's at a very low dosage of 1 mL, two times a day. I will try to get some mid cycle numbers tomorrow or this weekend, but can anyone help explain how to fill this SS out?

Many thanks!
Jane
 
Easy peasy!
Each row represents one day, or two 12 hour cycles.
AMPS - that is where you record her AM preshot test result number

U - whatever dose you gave, put it there

+1 thru +11 - how many hours after the morning shot you happened to get a BG test done. Rather than use normal clock times, since we're all in different time zones, we think of everything in 12 hour cycles, and measure "time" from the time we give the shots. So, if using your data, you shot at 11am, you'd just think of that as AMPS. If you got a test done at 3pm that day, you would put that result in the +4 box, and so on, up until 11PM. At 11PM, you would enter the meter reading in the PMPS column, and if you got tests overnight, you'd just put them in the correct box depending on how many hours past the PMPS they were done.

Next day when you give the morning dose, you just start all over on the next row down.

The comments box is used to put anything you want in. It can be notes about food, about something you observed during the day, whatever you want to put there.
You can put remarks about the antibiotic dose and what time she got it for instance.

Does that help?

Carl
 
Congrats on getting the spreadsheet up. Now just get those number plugged in.

Just for a baseline. If a kitty is in the 200s at preshot and 100s or lower (but not down in the 40s which is approaching too low) at nadir, we consider them regulated. If you get some midcycle info, your cat might be close. So I don't think your dose seems low.

We consider a cat in remission if they range from the 40s to 120s, OFF INSULIN, with the majority of the time in double digits, for 2 weeks.

Once you get some midcycle numbers, you can better adjust the dose. For example, if she is flat during the cycle, staying in the higher 200s, then just an adjustment up might be needed. But just .25 units more or so. If she dips down in the 50-70 range at midcycle, then a small adjustment down in dose would be good.

The other complication here is the UTI. The infection can raise the glucose level in many cats. Once the infection is gone, the levels can go down pretty fast. Be watching for that possibility.
 
Thank you for all the help. I didn't have a chance to get online in the last few days, but I started to track her BG manually on paper. I will transfer those over on to the spreadsheet when I get home tonight.

She's been having a few accidents because of her urinary tract infection and I'm sure that's what's keeping her BG levels pretty high. I haven't seen her go below 200 yet and at times she is still above 300. For the most part, she has ranged from 250 to 350 throughout the day. I have her at 3 units of PZI, twice a day and am also giving her 1ML of amoxycillin twice a day. She's on a very low dose of amoxy because it had upset her stomach before but she seems to be doing fine now. I'm wondering if I should up her amoxy to hopefully speed up clearing the infection and may call her vet to ask.

Will get her numbers up asap!
 
Great job getting the numbers plugged in:-)
What will help you now is if you can get one or two tests between shots so you can see what might be happening when the insulin is most effective. Sometime between 5-7 hours after the shot is when the BG is at the low point (nadir).
I would definitely consult the vet before adjusting the amoxy dose, especially if it might upset her belly.

Carl
 
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