i have a problem...glucose too low

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She dont like me anymore :( usually she has the lowest number about 5 hours after insulin. Do you think i must still monitoring til the evening? i think she is a little bit stressed out right now....
 
mucacopatarica said:
We have food in gravy...Like whiskas, kitekat, gourmet itd. Is this ok? i have hony at home.
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Any food in gravy could be helpful, but if you have the 'Gourmet Gold' (the tiny little tins) in gravy those are particularly high carb and are good to keep on hand in case of emergencies.

'Simple sugar' carbohydrates, like honey for example, will raise the blood glucose really quickly, but they also wear off relatively quickly.
The carbs in thickened gravy (from cat food) may act a little more slowly, but they tend to stay in the system for longer.
Sometimes one or other of these are needed, and sometimes both. But sometimes ordinary low carb (or medium carb) food will do the job. It all depends on the situation...:rolleyes:

You're doing brilliantly, Sara. Well done. :bighug:

Eliz
 
mucacopatarica said:
She dont like me anymore :( usually she has the lowest number about 5 hours after insulin. Do you think i must still monitoring til the evening? i think she is a little bit stressed out right now....
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If you know her lowest number is around +5 then maybe one more test in an hour or so will be enough. I have 2 diabetic kitties and one HATES being tested so I understand what you mean.

My girlie kitty "hates" me when I have to test more often but she always forgives me when I give her extra cuddles and a nice brushing...which she loves ;)
 
mucacopatarica said:
She dont like me anymore :( usually she has the lowest number about 5 hours after insulin. Do you think i must still monitoring til the evening? i think she is a little bit stressed out right now....
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Oh, (((Sara))), our kitties don't always know when we're trying to help them...:rolleyes:

Ideally, you want to know that you are past the peak (lowest number) of the cycle, and are sure that the blood glucose is definitely rising. (With my own cat I like to see 3 rising numbers in succession).
Sometimes Lantus can drop the blood glucose quite late on in the cycle (in some cats).

I am known for being 'cautious'.... ;)
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+6 4,00 mmol/l. I think now it will not drop lower. I really need to get out for 2-3 hours. Do you think it will be okay?
 
i forget to tell you that Tačka was at vet yesterday because she has symptomes of urinal tract infection. It has been shown that no bacteria was in urine. But vets gave her antibiotics and painkiller. The symptoms stopped in a hour. And general examinaton showed that she is healthy (ok body temperature, not dehidrated, normal heart beat itd)...
 
Hi Sara. It looks like Tacka is surfing very nicely right now. If she were mine, I think I'd take one more reading at +7 before going out just to be sure she is still surfing/rising. If she is still surfing or up a bit at +7, I think it's safe to leave her for a couple of hours but I'd leave a little bit of food out for her to have if she needs it.
 
Hello its me again. Tačka is doing fine. Now she wants to eat. I have a question: should i gave her food at the same tima as insulin (as usual) or should i gave it earlier?
 
mucacopatarica said:
Hello its me again. Tačka is doing fine. Now she wants to eat. I have a question: should i gave her food at the same tima as insulin (as usual) or should i gave it earlier?
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Glad to hear Tačka is doing well. Those were some very nice numbers she had today!!

You should always have at least 2 hours with no food before testing and then shooting. If you feed within the 2 hours before testing it can show the glucose numbers as higher because of the food influence.

If it is less than 2 hours until Tačka's shot time, wait until the usual time test, then feed and shoot. If you have any questions about the numbers or dose please post here before shooting if the numbers are low.
 
It s more than 2 hours until she ate last meal. Usually i gave her insulin between 7.30 and 8.00. Now it is 7.15 in Slovenia. But i was at least 1 hour late this morning. Is this important?
Btw i bought earlier Gourmet Gold in gravy if i will need it.
 
mucacopatarica said:
It s more than 2 hours until she ate last meal. Usually i gave her insulin between 7.30 and 8.00. Now it is 7.15 in Slovenia. But i was at least 1 hour late this morning. Is this important?
Btw i bought earlier Gourmet Gold in gravy if i will need it.
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It is best to keep the insulin shots at every 12 hours. This would mean that your evening shot should be done at the earliest at 8:30 your time. If this will work for you so that you can still do some testing tonight before you go to bed then wait without feeding and do the testing and shot at 8:30.

I am not familiar with Gourmet Gold, but if it has gravy then it would be a higher carb food and would be fine if Tačka's numbers should drop too low.

If Tačka's numbers are low when you test you can post back for advice :)
 
ok i will wait. Elizabeth and Bertie suggested Gourmet. I think it will be ok because i call this food fast food for cats ;)

out of the topic: do you understand me well? Because earlier this week i tottaly burned in a job interview because of my english knowledge. In our country is it expected to know english very well but this is not my virtue at all...
 
mucacopatarica said:
ok i will wait. Elizabeth and Bertie suggested Gourmet. I think it will be ok because i call this food fast food for cats ;)

out of the topic: do you understand me well? Because earlier this week i tottaly burned in a job interview because of my english knowledge. In our country is it expected to know english very well but this is not my virtue at all...
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If it is "fast food" for kitties then it will be high in carbs :)

I am not having any problem with understanding your English. I have seen people with English as a first language that are much worse than you are ;)
 
grrrr i have gourmet rabbit and carrot flavor and salmon with chicken flavor. I think it will be fine to ;) Btw what do you think about Power of nature food? Do you know this food?
 
Sara, while we're waiting for Lantus people...

That number is really too low to shoot, so the advice may be to 'stall' (don't feed, but see if she comes up to a number where insulin may be given in a little while). ....In some cases the advice will be to skip the insulin shot. A lot depends on whether you'll be around to monitor, and I'm guessing you really need some rest.....
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i must feed her because she is really hungry...yes i absolutely need some rest but i m affraid that her glucose level will go really really high if i skip shot. Now i dont know what to do but she must eat.
 
Summarizing:

Lantus 3.0 units Human meter: Possible UTI started antibiotics yesterday.

PS 4.9 (88US)
+1.5 6.0 (108 US)
+3 4.2 (76 US)
+3.5 4.5 (81 US)
+4.5 3.6 (65 US)
+5 3.8 (68 US)

PMPS 6.3 (118 US)


You shot a lower number than the PMPS this morning....BUT...you were able to monitor for 5 hours afterwards.

You also mentioned that there was a possibility of a UTI and your kitty was on antibiotics. If there was a UTI that could cause glucose numbers to be higher than usual and the antibiotics could cause the numbers to drop as the infection clears up.


IF YOU ARE ABLE TO MONITOR tonight for 5 or 6 hours then shooting the 3 units should be okay with the data you have provided. If you are unable to monitor that long then you could look at either skipping or giving a reduced dose of 1.5 or 2 units. Skipping would be a shame with the nice numbers, but you have to make sure that you are comfortable with the decision and your kitty is safe. I personally would lean towards a reduced dose if you cannot monitor for a long time tonight. With a reduced dose you would still need to monitor for 3-4 hours to be safe.

This is only my thought....I would rather have some others weigh in on this situation.

 
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Hi Sara.

I just sent a message to some of our veteran Lantus people, asking them to look in and see if they can help you. You did a great job with the dropping numbers. If you won't be able to monitor, your choices are to skip the shot or to give a reduced dose. Yes, her numbers will go up if you skip, but it's better than if you shot the full dose and she went too low while you were sleeping. Hopefully someone will stop by soon with more advice, but if not, a reduced dose is a good choice.
 
mucacopatarica said:
Oky! I need to sleep a little tonigt so i will reduce dose on 1,5 unit and maesure for next 4 max 5 hours. Is this ok?
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If you need to sleep then that should be fine. You should still try and do a +2 and +4 test even with the reduced dose. If you are able to test that long you could do a higher dose though.
 
She is asking for help for your evening dose.

BTW, your English is very good. I have relatives in Slovenia, and you do as well with English as they do, and I never have a problem understanding them.
 
With the reduced dose the numbers may be higher in the morning. However since there is a possible UTI that is just starting to be treated and because you need some sleep tonight I think this was the best choice.

Please post when you get your +2 test...as you can see the people here all worry about everyone's kitties. ;)
 
I see. Even about old Slovenian kitty :D Thats very nice! I dont know about UTI because urine test did not show anything. They said that can be inflammation of the nerves of the urethra or something like that. And if i understood right there was no glucose in urine and that should be great. I dont know...
 
mucacopatarica said:
I see. Even about old Slovenian kitty :D Thats very nice! I dont know about UTI because urine test did not show anything. They said that can be inflammation of the nerves of the urethra or something like that. And if i understood right there was no glucose in urine and that should be great. I dont know...
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Without knowing for sure whether there was a UTI, it is always safer to err on the side of caution. With no glucose showing in the urine that means the glucose numbers are in a decent range, which is great!
 
+3,5 hours 8,8 mmol/l (158 mg/dl)
i spoke her just once because i feel really sorry for her because of today. now i m going to bed (i m really tired) ind i hope it will be all right till morning. Good night everybody! :bighug:
 
Tačka is a sweetie! What a lovely photo of both of you, Sara. :) How do you pronounce her name? My cat is called Saoirse (Irish for 'freedom'). Phonetically it sounds like 'Seer-shuh'.

I'm delighted that you both did so well today. Wishing you both a safe and restful night. (And your English is excellent, BTW; a lot better than that of many native speakers!)

:bighug:


Mogs
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Hello! Good morning :) Thank you for positive words Critter mom. Your cat has beautiful name :D Tačka is pronunced as it is written (our neighbors Croatians says piši šta kao govoriš-write as you speak). But we have letter č which is pronunced as ch (like much)

Tačka report: i think she has higher glucose level this morning which is expected. I will measure it in 30 minutes and than i will need your advice if anybody is here right now.
 
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