New Member- Moo Bounced Last Night

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Mookitty's Mom

Mookitty's Mom

Member Since 2022
Values are back to what they normally are in the morning (430s). Concerned someone in the house fed her a small amount in the 2-hour fasting time frame because she got sick a little. They think about 1 hour 40 minutes before testing so hopefully okay considering her bg is raised and I think she is higher DKA risk than hypo at this point. She immediately ate after getting sick and then the food was removed. Gave 1.25U at 12:08. It was a bit skinny. Have a timer set for +2. She seemed bright-eyed but mellow this morning. No signs of illness and she is eating right now.

@Bron and Sheba (GA)

I'm testing too often to be able to rest and it puts things at high risk of me making an error so I've made a plan of how to proceed:

If at +2 her BG change is like what I saw on the PM cycle of 4/29/22-4/30/22 with rapid drops, I'll have more frequent tests to catch an early nadir.

If at +2, her BG change is a sluggish drop like the AM cycle on 4/30/22 -5/1/2022 at ends up at close to the same value as that date test again at +5 or +6.


If she bounces, no idea what to do really. Still look at +5 or +6.


Prior Thread:
https://www.felinediabetes.com/FDMB/threads/new-member-and-new-diagnosis.262484/#post-2944559
 
About 1/3 of the way down this post is an approximation of what a typical Lantus cycle looks like. Lantus onset generally begins at around +2. The numbers usually drop until nadir (somewhere around +6) and then start to rise.

It would be very helpful if you could get a spreadsheet set up. The instructions are in this post on helping us to help you. I'm tagging Bhooma, @Bandit's Mom in case you need a hand getting a spreadsheet set up.
 
I’m not around for your AMPS. I live in Australia and it’s about5 am around your AMPS so best to tag @tiffmaxee if you have a problem.
You don’t mention it in the thread but in the SS you say that you gave 1.75 units by mistake and add in the remarks column you were using the 1/2 unit syringe for the first time. Can you clarify what happened?
 
Yes. Sorry I'm still monitoring her. I recently got syringes with half markings and I read them completely wrong. I read 1.5 as 1 on the left even though all tick marks are evenly spaced should have noticed i saw a label on the package that made me interpret marks on the left all go up by 0.5 units. So i counted 0.5 then 1.5, as 0.5 then 1. My mind isn't working right.

I went over her dosage by 0.5U. At around 3+ i started to detect she was dropping at a faster than normal rate. I ended up giving some syrup and dried catfood and a little bit of sweet bread as it started dropping hard and hit 107. It was the rate not the level that scared me. I did end up calling the emergency vet and decided if she dropped to 80 despite syrup and what i had at home I would run her in.

I've been monitoring every 20 min since to watch the rate of decrease slow down. I plan to keep watching till she increases for a while.Im no longer giving her anything high carb just watching. I will need advice on how to dose her tonight.

I feel like I'm at the end of my rope.
 
Oh poor you! :bighug: Don’t worry. These things happen. You are not the first and you won’t be the last.
Just go back to the correct dose next time unless you are concerned. Ask for assistance if you are worried.
 
I cant imagine losing her from a mistake like that. I would never get over it.

I'm going to look at the forum's half unit image guide from now on before dosing. Im spooked so i might just use the normal syringes for a while. I was okay at estimating 0.25, i think. If anything a bit conservative.
The images on here should work for any 1/2 unit u100, i hope?

https://www.felinediabetes.com/FDMB...info-proper-handling-drawing-fine-dosing.151/

Looking at the rate of onset at 2 and 3 hours is something Im going to do from now on too. I wouldn't have caught what was happening without it. Advice on here really makes a difference.
 
What time do you shoot? I have to leave early tomorrow morning but might still be around when shoot and should be tomorrow night.
 
@Bandit's Mom

Could you help me figure out a safe dose for Moo tonight (12:00 a.m pacific) if her Bg is lower than usual? I'm not familiar enough with the effects of lantus to predict how this will affect her next cycle. I overdosed her today (unfamiliar with 1/2 unit syringe markings) and avoided a hypoglycemic episode with carbs but i don't know what that did to her system. I heard i can dose her normal amount. Can i be more conservative for tonight?
 
Mookitty's Mom said:
I'm going to look at the forum's half unit image guide from now on before dosing. Im spooked so i might just use the normal syringes for a while. I was okay at estimating 0.25, i think. If anything a bit conservative.
The images on here should work for any 1/2 unit u100, i hope?
Click to expand...
I would stick with the half unit syringes
1.25 units would between the 1 unit line and the 1.5 unit line
49823063143_3437e9e997_o.jpg
 
I have been awake except for two hours this morning before her shot. I can stay up another night but its not a good idea.
 
Let’s see what the BG preshot is. I’d rather she got her normal dose if possible. Are you any good at setting the alarm, testing and then going back to sleep?
 
The preshot is high enough to shoot the 1.25 units. However it is the lowest preshot you have shot and you did increased dose by mistake this morning. **** Just saw you retested and got 309.
I would like to see you give the 1.25 units but you would need to monitor until we are sure she wasn’t going to drop too much. The main reason she might drop is that the depot is fuller from the 1.75 dose you gave this morning.
You would need to get a +1 and a+2 to see how it is going and then go from there. How do you feel about that.? You need to be comfortable doing it.
 
Mookitty's Mom said:
What is the downside of going down to 1 unit?
Click to expand...
1. It is best not to chop and change with Lantus as it likes consistency.
2. With DKA we want to give the best dose to keep those ketones at bay.
3. Whatever dose you give, you will have to monitor for the first half of the cycle anyway because it will be influenced by the previous dose.
However if you are Uncomfortable with the 1.25 units we can do 1 unit. But you will need to get used to shooting lower numbers at some point.
I will be around for the next 6 hours and if you post every hour I will be here. And after that bandits mom is around to help.
Remember you are in control as long as you are monitoring and you can feed the curve to slow it down.
Up to you.
 
Mookitty's Mom said:
Okay. Ill do 1.25.
Click to expand...
Ok. Make sure she eats a good meal before the shot and then get a +1 and we’ll see how she goes.
I will watch for the update.
It won’t always be like this. You have had a rough start to the journey, and the first few weeks after DKA are busy and tiring.
Things will settle down and get much better I promise. :bighug:
 
I jumped the gun and gave it before she finished eating and gave it prior to seeing the message. Hopefully things will be okay.
 
By the time i measured the shot it was 12:12. That's our starting time. First measurement i more like +1.16.
I am keeping her food next to her.
 
Mookitty's Mom said:
By the time i measured the shot it was 12:12. That's our starting time. First measurement i more like +1.16.
I am keeping her food next to her.
Click to expand...
Ok. So next test in just under 1 hour?
Make sure she eats now if you can. I would like to bump up her BG a bit if we can or at least hold it steady.
What carbs is she eating?
 
The food i have available is friskies, the diabetic prescription food (higher carb but she doesnt like that much), and fresh dried meow mix.

As far as sugars: karo, cake, and brioche.
 
Mookitty's Mom said:
Not eating much though. Earlier today when she went close to 100 she did like the dried cat food.
Click to expand...
Ok let’s see how she goes at +2. If she has dropped quite a bit again, and it’s early in the cycle, we will need her to eat something so if it is some higher carb food or dry, that is OK. Number one priority is keeping her safe.
 
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