So Ginger was 70, and Romeo was actually reading Lo on the Alphatrak, which means below 20! I gave treats and food, and by 2 hours past, it was over 160 for both of them. But it is now 2 hours past normal shot time, do you skip it altogether or give a half dose? Once it's skipped, then the glucose will be over 400 by the morning. Never sure what I'm supposed to do when this happens.....
If pre shot test is below 70, but raises above 160....
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Elizabeth and Bertie
Member Since 2010
Yikes! 
Re Romeo.... Is he OK...? Clearly that dose needs to be reduced. And he may be even more sensitive to insulin after those hypo numbers, so great care needs to be taken...
Re Ginger.... That 70 is fine, in and of itself, but we don't know if he actually dropped lower than that. It may be that his dose needs to be lowered also...
It would be good to see some mid-cycle test results. Preshots are only part of the picture. And Lantus is dosed according to the lowest number of the cycle.
What insulin doses are you giving at the moment?
Eliz
Hmmm..... The difficulty is that we don't know how much the current blood glucose level has been elevated by the food and treats. We don't have a 'true number'. And giving insulin on a preshot that's skewed by food can be dangerous...
Re Romeo.... Is he OK...? Clearly that dose needs to be reduced. And he may be even more sensitive to insulin after those hypo numbers, so great care needs to be taken...
Re Ginger.... That 70 is fine, in and of itself, but we don't know if he actually dropped lower than that. It may be that his dose needs to be lowered also...
It would be good to see some mid-cycle test results. Preshots are only part of the picture. And Lantus is dosed according to the lowest number of the cycle.
What insulin doses are you giving at the moment?
Eliz
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Critter Mom
Member Since 2014
Heaven forbid but if you were ever to see a reading like that again I think you should give honey or karo immediately to get the BG up as fast as possible. Then you need to test very frequently (every 15 minutes) and feed appropriately to keep the numbers up.
How to treat Hypos - PRINT THIS OUT!!!
Hypo Toolkit
Eliz is right; the dose needs to be reduced and you need to get mid-cycle tests as well as preshot tests to keep your little ones safe.
Mogs
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Yikes!
Hmmm..... The difficulty is that we don't know how much the current blood glucose level has been elevated by the food and treats. We don't have a 'true number'. And giving insulin on a preshot that's skewed by food can be dangerous...
Re Romeo.... Is he OK...? Clearly that dose needs to be reduced. And he may be even more sensitive to insulin after those hypo numbers, so great care needs to be taken...
Re Ginger.... That 70 is fine, in and of itself, but we don't know if he actually dropped lower than that. It may be that his dose needs to be lowered also...
It would be good to see some mid-cycle test results. Preshots are only part of the picture. And Lantus is dosed according to the lowest number of the cycle.
What insulin doses are you giving at the moment?
Eliz
Many thanks for your feedback on this. I was never told how Lantus is dosed according to the lowest number! I will be doing a home curve tomorrow and get all those important mid cycle numbers. I've done one before, but my vet dismissed it as not correctly done. I am giving 2 units of Lantus for Ginger, and 1 unit for Romeo. I think Romeo is going into remission and I have to find out how to manage that too.
I have read so much about this disease and the information is just too scattered with conflicting opinions. I still haven't figured out how to adjust the feeding schedule. Not even my vet has informed advice on this.
Yes, I am going to this page and will print this out. Many thanks. This was too close for words...
Critter Mom
Member Since 2014
I'm really glad that Romeo is OK.
Mogs
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Mogs
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Lisa and Witn (GA)
Member Since 2009
If he drops low again and then raises after treats, I would recommend skipping the shot. It will be safer for him. He will most likely be higher than normal when the next shot is due, but that is expected.
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