NEW MEMBER NEED ADVICE Spreadsheet Is Set Up

Status
Not open for further replies.
Hello Ladies(above) I am just sitting down now to look at the threads --- I am going to pop in his #'s from today also --- see you in a bit,
 
Sienne and Gabby (GA) said:
Mimi --

Woody's spreadsheet looks good. I suspect what you're reacting to are the bounces. I'm glad you've done some reading. The headache with bounces is that they may clear, and your cat drops back down into lower numbers and because he's not used to the lower numbers, he bounces again. It's understandably frustrating!

I suspect you'll find TR more helpful since you can change/increase doses after a relatively short period. However, I would point out that dose changes are based on your kitty's numbers dropping below 50 (in US numbers). This gets tricky with the Libre since it tends to read lower in the lower range of numbers.

Are you routinely putting in the decimal points on the World sheet (e.g., 5/22 at PM +6). It looks like the 10.9 was read as 109 hence the black color coding on both the World and US sheets.
Click to expand...
Sienne and Gabby (GA) said:
Since you've already given Woody his shot this evening, you'll be able to see where his numbers go tonight. If it were me, I'd likely increase the dose in the AM but I think it's a judgement call and also based on what Woody's AMPS is.

With TR, you want to evaluate the dose every 3 days/6 cycles. In general, you increase if the numbers are not in the normal range although you do need to attempt to take the bouncing into account. You rely on what the numbers tend to be when the bounce breaks. With Lantus, your dosing decisions are based on how low the nadirs are.

Oh.... And you may want to start posting on the Lantus board. I think you'll be able to get more focused information there. Many of the people who have been helping you also post there.
Click to expand...
 
Hello Ladies --- Okay, so I made the change 109 to world 10.9 on the SS for the 22nd -- and I just inputted his #'s for today ( so far) it's 6 PM PST time for us here. Diane, don't know I must have had one of my cats tapping the keyboard ) 85 BG level -- who knows. Yesterday, was a bit crazy with this SS set up. Okay, is there a good read ( here) on what the "bounce break" looks like, perhaps I am not truly understanding that? I was told ( by my vet) this up/down was something completely different. So, I had to "quickie" educate myself last few days on this " bounce" thing --- How would one know when the bounce breaks. Is it when the #'s look a little more even or " not all over the map from low, to mid to high" -- I had Woody on about 5 days at 4U's twice daily and it really looked like his body did not like it. His #'s were HI too often, and he was acting weird, peeing a lot and staring at the walls as if they were talking to him so?
 
I would stay with 3.75 units as that is being him down to low greens. Bounces can last from 1 to 6 cycles so you just have to watch the BGs and see how they are going. When a kitty is coming off the bounce, they start it get lower BGs. That is a heads up for you to test a bit more often. Some cats can come off the bounce quickly and drop low so just be aware of that.
 
I have a quickie Q -- I have read ( varying answers) here and everywhere --- I have been prefilling syringes ) I prefill his AM dose at the same time I draw fresh PM dose - leaving the am dose in the fridge ( of course) I read here "somewhere" a post from lantus saying not do do this because of the lubricant and rubber piece which may interfere with the efficacy of lantus. I just started a few days ago NOT prefilling his am dose. I don't see any difference in effect if it's been prefilled the night before -- I know a few elderly people who get their nurses to prefill their syringes for up to two days and leave in fridge so I am a bit confused I guess.
 
Hello Again,

Woody's #'s ( loaded recent data to SS) went up again -- so I thought I would see how he does ( again) at 4U X twice daily for the next 6 cycles -- based on the input for the last 24 hours do you think it's an okay move to do so? thanks,
 
Mimik said:
Hello Again,

Woody's #'s ( loaded recent data to SS) went up again -- so I thought I would see how he does ( again) at 4U X twice daily for the next 6 cycles -- based on the input for the last 24 hours do you think it's an okay move to do so? thanks,
Click to expand...
I would not go up to 4 units at the moment as 3.75 units is taking Woody down to 54.
Those hi readings today are a bounce, so don’t be lulled into thinking you need to increase the dose. I would go back to 3.75U
 
Evening Bron - I thought I made a mistake taking Woody to 4U today - his #/s are awful (HI) and he looks miserable - so I guess I was fooled ( or not thinking) it through- also, should I be posting “any new” questions or concerns on the lantus board ( you sent a link ) the other day - or should I stay on this forum when asking about dosing advice / okay, and thanks for the response Bron,
 
You should probably start to post daily on the Lantus page about dosing. You will get more people looking over there.
A definition on bouncing is in post 11 above. Have a have at it and then look at the SS and you will see after Woody drops into lovely green BGs, he bounces back up to yellow and pink BGs because his body is not used to the low numbers any more. He thinks he needs to save himself and that is why he dumps the glucose and regulatory hormones into his system causing a bounce. It might take a while for his body to get used to the normal green BGs and until then he will continue to bounce. It’s quite normal, especially in a newly diagnosed cats.
If Woody is dropping into green BGs but bouncing back up high, you don’t increase the dose. You wait for the bounce to break and see where he lands. Does that make sense?
 
Hello Bron, Jees, well it makes sense ( bouncing) it’s just such a weird science — He is not newly diagnosed though — he was diagnosed back Dec 2023 and I’ll bet he was living in it for months — which, probably means it will take longer for him to get regulated ) to whatever degree. I’m really understanding all of this SO much clearer — is there any examples of a spread sheet that shows a cat bouncing ( for however ) many days or cycles that I could study? And one waits till the curve looks steady at green the go from there?
 
Mimik said:
is there any examples of a spread sheet that shows a cat bouncing ( for however ) many days or cycles that I could study?
Click to expand...
Here are the condos of some newly DXed cats who are yet to get regulated.

https://www.felinediabetes.com/FDMB...29-6-98-9-137-pmps-151-hold-or-change.290580/
https://www.felinediabetes.com/FDMB/threads/rudy-amps-178-3-83.290569/

This one has decided to stop bouncing and flatten to greens.
https://www.felinediabetes.com/FDMB...73-2-68-4-70-6-70-pmps-73-2-66-3-5-62.290559/

Like @Bron and Sheba (GA) suggested, you want you want to start posting in the Lantus/Glargine forum for dosing advice and help with lower numbers etc. It's a more active forum of Lantus users:
https://www.felinediabetes.com/FDMB/forums/lantus-levemir-biosimilars.9/
 
Status
Not open for further replies.
Back
Top