Question about post format in Lantus/Levemir section

Status
Not open for further replies.
Emma and Maggie

Emma and Maggie

Member Since 2023
I see that everyone titles their post "AMPS +1 +2 +4...." and all the numbers like they've just done a curve.

Are we only supposed to post if we have done a curve? I was sent here by the facebook group a few months ago because I was told questions about dosing belong here. I have already posted a couple of times but have not used this post format. I just want a dose review, whether to stay at 0.1u or go back up to 0.25 where we were, and to find out whether we need to do a curve or not.
 
It is up to you if you post in the Lantus/Levimir ISG. If you do post there, details about subject heading are in this post:
POSTING GUIDELINES PLEASE READ Some people post every day, some just when they need help.

But if you want a review of dosing, you can also post here, and put something like "dose question or dose review" in your subject line. Actually, you can add that to the end of the subject line in the Lantus ISG too. It helps people identify what type of help you need so that people who can answer your question respond. It also helps if you change the subject prefix to a "?" so people know you have a question.

People will be interested in which dosing method you are using. Since you are feeding kibble/dry food, that means following SLGS, not TR as your signature says. TR requires an all wet or raw low carb diet. The answers you get about what to do with the dose will differ based on dosing method. There are also differing requirements for the amount of testing that must be done for the two dosing methods. That 65 you got today would mean reducing the dose to a drop dose since you have to be following SLGS for dosing.
 
As Wendy said, with kibble in the mix you’d be following SLGS not TR. Unless you stopped feeding her that? If you are, and SLGS is your method, she’d have earned a dose reduction down to 1 drop yesterday. Do you know how to measure that? And did you test last night and this am? Can you add those to the spreadsheet please?

You could do a curve if you want, but her numbers are looking really good so I’m not sure it’s needed. I’ll let Wendy correct me if I’m wrong. I’d try to get an evening +2 or +3 daily. It’s helpful to see where she’s headed overnight. I see you so it sometimes, but not every day.
 
@Emma and Maggie
Hi Maggie like Ale and Wendy said if you are still feeding kibble like your signature says you need to change TR and replace it with SLGS and also change it in your spreadsheet
You would reduce to a drop dose now if following SLGS because Maggie dropped below 90

To get a drop you press down the barrel of the syringe and put the needle into the bottle. Then let go of the barrel and it should draw up a drop. You will need to test it out a few times before giving. To be sure you got the drop squirt it in the sink
 
Wendy&Neko said:
It is up to you if you post in the Lantus/Levimir ISG. If you do post there, details about subject heading are in this post:
POSTING GUIDELINES PLEASE READ Some people post every day, some just when they need help.

But if you want a review of dosing, you can also post here, and put something like "dose question or dose review" in your subject line. Actually, you can add that to the end of the subject line in the Lantus ISG too. It helps people identify what type of help you need so that people who can answer your question respond. It also helps if you change the subject prefix to a "?" so people know you have a question.

People will be interested in which dosing method you are using. Since you are feeding kibble/dry food, that means following SLGS, not TR as your signature says. TR requires an all wet or raw low carb diet. The answers you get about what to do with the dose will differ based on dosing method. There are also differing requirements for the amount of testing that must be done for the two dosing methods. That 65 you got today would mean reducing the dose to a drop dose since you have to be following SLGS for dosing.
Click to expand...

Thanks for the info. I forgot to change that signature, however, I will explain the situation. We have 10 cats. We are trying to get everyone off kibble onto canned food, but we have not been that strict about it so far, so some of them get kibble some of the time. We do our best to make sure no kibble is left out where Maggie can get it, but the reality is that maybe once or twice a week, she gets a few crunchies before we catch her eating them.

So SLGS or TR?
 
Thanks for the replies everyone. I want to clarify something. I don't feed Maggie any meals of kibble. What we were doing up until about a month ago is occasionally using it as a topper when she wouldn't eat her wet food. We don't do that anymore.

What does happen is that one of us may forget to put away a bowl of kibble that another cat in the house was eating. This means Maggie might get a few pieces of kibble once or twice a week. We don't put a lot in the bowl to begin with, I do not think it would be more than 5 or 6 pieces. And the kibble we give them is pretty small.

If that means I have to do SLGS instead of TR, I will.....but it just seems a little extreme, to change the entire measuring/dosing based on something that minor.
 
In the meantime, I wasn't sure what to do, so I have been giving her "some insulin" (less than 0.1, more than a needle drop dose) and can change that or not based on whatever advice is given here. Spreadsheet is updated.
 
If you can note on the spreadsheet Remarks column when you think she got a few pieces of kibble, that might help us decide if it's impacting her.
 
Updated spreadsheet. She got a little bit of kibble on Sept. 29 at 6:15pm and that is noted. I also found a note in my paper book that she got some on the evening of the 19th.

Yes, some days we didn't get additional numbers other than AMPS/PMPS. I will get a number tonight.

Maggie is my parents' cat. After we were not happy with the advice from our veterinarian (mainly how we were treated when we said we did not want to give her "prescription" food with meat by-products and soy in it), I did the research on my own and found this group. My parents are grateful that I'm managing Maggie's diabetes, but they're not always totally on board with the protocol, despite me explaining it. My mother worries about hurting Maggie's ears and also traumatizing her with all this repeated testing. She thinks it is excessive. And then I start to feel guilty about hurting the cat. There is some legitimacy to that concern - it seems harder now for us to get a blood drop, can take 3 or 4 tries - she used to not feel it (or at least not react) and now she meows when poked.
 
Are you feeding Maggie several small meals a day now? I'd like to see if you could lower that AMPS number. One way to do that might be to give her a 2-3 tsp snack around +8 or +9 overnight. If you have an autofeeder, it can do that for you instead of you getting up.
 
Wendy&Neko said:
Are you feeding Maggie several small meals a day now? I'd like to see if you could lower that AMPS number. One way to do that might be to give her a 2-3 tsp snack around +8 or +9 overnight. If you have an autofeeder, it can do that for you instead of you getting up.
Click to expand...

Yes she gets several small meals a day, but there's about 8 hours between her last meal of the night and the first the next morning. I was aware that she should get another meal overnight, but we have 10 cats, another cat could eat it even with an autofeeder. So either we get her microchipped + a microchip activated feeder ($$) or one of us gets up. I'll see what we can do.
 
Status
Not open for further replies.
Back
Top