Oliver is “HI”on meter

[Shelley & Oliver]

Morning! Started using the Relion meter this morning and Oliver registered “HI” I had never seen that before so I tested him with the meter I am accustomed to (Alpha Trak) and it also read “Hi”. Is there anything special I should do or just give him his shot after eating.

 

[SashaV]

@tiffmaxee can you help?

 

[FrostD]

Hi, just linking your previous post for history, given his scary hypo a few days ago.

I'm not comfortable advising since I know a few mods and others had plans for your doses to make sure he recovered safely from the hypo. You might want to tag some of the people who were helping you (by typing @ followed by the username, no space...like this @FrostD )

The HI just means he's above the range the meter can detect...in the case of the AlphaTrak I believe it's 750+, and the ReliOn is 600.

 

[Shelley & Oliver]

Ok, thank you!!!

 

[tiffmaxee]

His body needs to adjust have the lows and skipped shots. All you can do is wait it out. Check for ketones. How’s he acting? Eating and drinking?

 

[Shelley & Oliver]

He is eating and acting more like his mischievous self than he has in awhile. Noticeably more active.

 

[tiffmaxee]

That’s great. Were you advised to skip the night if 2/1?

 

[Shelley & Oliver]

Yes. I never started the night shots until just last night. This was the advice given.

 

[tiffmaxee]

Right. That was by the vet. He needs to adjust to dosing every cycle. He will probably need more than .50 but give him a little time first.

 

[Shelley & Oliver]

Not the vet. If I was following the vet I’d be giving him a lot more. I am liking this slow approach better.

 

[tiffmaxee]

So who advised one shot a day? I’m bringing others in to help figure out what to give tonight. The 3.0 was definitely too much but I think .50 is too little. We will figure this out for tonight.

 

[Shelley & Oliver]

@Wendy&Neko
@Chris & China (GA)

 

[tiffmaxee]

I need to finish reading to why the skip that night. I guess because of the hypo and yellow. The depot needs to build like I thought. I’m just wondering if you need to hold the .50 for 6 cycles. Others will be on before tonight to advise.

I’m going to link the previous condo for continuity.

https://felinediabetes.com/FDMB/threads/oliver-post-hypo-2-2.242479/#post-2732694

 

[Shelley & Oliver]

Right. That was by the vet. He needs to adjust to dosing every cycle. He will probably need more than .50 but give him a little time first.

Sorry to be confusing, it was his twice daily shots at a higher dose that caused his horrible hypo incident. I tagged Wendy and Chris for now. I was talking to Wendy last ...

 

[Marje and Gracie]

I need to finish reading to why the skip that night. I guess because of the hypo and yellow. The depot needs to build like I thought. I’m just wondering if you need to hold the .50 fir 6 cycles. It gets will be in before tonight.

I’m going to link the previous condo for continuity.

https://felinediabetes.com/FDMB/threads/oliver-post-hypo-2-2.242479/#post-2732694

Elise

Shelley didn’t have enough test strips. We wanted to be sure Oliver didn’t clear a bounce and come down drastically without testing supplies to keep him safe.

Shelley....if you have testing supplies now, we want to start increasing the dose but, since he is getting nadirs in the 200 range, we want to be a little more cautious. If you don’t see any BGs below 200 today, I’d increase his dose to 0.75u tonight provided you can test him at +2 and before bed.

If you are using the ReliOn from now on, I will convert his SS formatting for a human meter. All of his AT data will stay right where it is so we can all see it.

 

[Shelley & Oliver]

Yes, will be using the Relion from now on. Thanks for updating his spreadsheet.

 

[tiffmaxee]

@Marje and Gracie. Thank you.

 

[Marje and Gracie]

Yes, will be using the Relion from now on. Thanks for updating his spreadsheet.

@Marje and Gracie. Thank you.

You’re both welcome.

 

[Marje and Gracie]

I updated his SS for you. Wendy suggested, and I agree, that it’s better if you post on the Lantus/Basalgar/Levemir ISG as there are more Lantus users there to keep a watch out.

thank you!