? Rambo's PMPS is 155 do I still give him insulin?

Discussion in 'Lantus / Basaglar (glargine) and Levemir (detemir)' started by Karrie Molitor, Oct 4, 2021.

  1. Karrie Molitor

    Karrie Molitor Member

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    Aug 10, 2021
    I am still not sure what number I do not administer Rambo's insulin. Tonight he tested at 155 on an alphatrak 2 meter. Do I still give him insulin at 8:30 pm tonight? What is the number range cutoff that I do not administer insulin?
     
  2. Chris & China (GA)

    Chris & China (GA) Well-Known Member

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    May 10, 2013
    Here's your previous post. We ask that you put the link to your previous post in your new one so it's easy to go back and see what's been going on.

    How long until 8:30? We all live in different places in the world so when you ask a question like that, let us know how much time until shot time.

    If he's still 155 at PMPS, stall. DON'T feed and test again in 20-30 minutes

    Also, are you able to test as long as may be necessary tonight? You may not have to test more than a few hours, but IF necessary, could you test longer?

    Do you have plenty of strips and supplies like high carb food, Karo/honey/syrup?
     
  3. Karrie Molitor

    Karrie Molitor Member

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    Aug 10, 2021
    oh sorry, I always forget that. Central time, Minnesota. I give him a shot in 15 minutes. What is the range cutoff that I do not administer?
     
  4. Karrie Molitor

    Karrie Molitor Member

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    Aug 10, 2021
    I can test him more/as long as needed and yes I am well supplied with everything for hypo emergencies.
     
  5. Chris & China (GA)

    Chris & China (GA) Well-Known Member

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    May 10, 2013
    OK....test him again at 8:30....if he's still over 150, you can go ahead and feed/shoot the scheduled dose. Get a +1 and +2 to start with.
     
  6. Karrie Molitor

    Karrie Molitor Member

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    Aug 10, 2021
    Welp, now he tested at 444 so I will give him his insulin. Man, he sure is jumping alot.
     
  7. Chris & China (GA)

    Chris & China (GA) Well-Known Member

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    May 10, 2013
    I have to think that one of those tests was probably a wonky test strip or not enough blood
     
  8. Karrie Molitor

    Karrie Molitor Member

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    Aug 10, 2021
    Yeah, I am not sure. He has tested weird all day. I will check him again tonight before bed but it seems like he's a normal number and then an hour later he's super high again.
     
  9. FrostD

    FrostD Well-Known Member

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    May 27, 2020
    Are you using the actual alphatrak strips? How old are they/how long have they been opened? Are you getting a big enough blood drop?
     
  10. Karrie Molitor

    Karrie Molitor Member

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    Aug 10, 2021
    Yes, I am using the alphatrak strips with the butterfly. They are brand new and I just opened it last week. I believe I am getting a big enough blood drop. I usually poke him twice if I don't think its enough for the meter.
     
  11. tiffmaxee

    tiffmaxee Well-Known Member

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    Nov 15, 2013
    On LLB please post a new condo each day. I see you did shoot which is good. Have you picked a method yet?
     
  12. Karrie Molitor

    Karrie Molitor Member

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    Aug 10, 2021
    I do not know what the methods mean. I need to learn about that still.
     
  13. tiffmaxee

    tiffmaxee Well-Known Member

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    Nov 15, 2013
  14. Karrie Molitor

    Karrie Molitor Member

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    Aug 10, 2021
    It sounds like he falls into the SLGS method. My vet has never mention ketones.
     
  15. tiffmaxee

    tiffmaxee Well-Known Member

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    Nov 15, 2013
    Which method you choose does not depend on ketones. If feeding dry people follow SLGS. TR gives the best chance of remission but a little more testing is needed. You would need to follow SLGS unless you can get another test each cycle and more if an active cycle. You aren’t getting the extra tests at night when many cats have lower bg. He’s bouncing today from being at 133 yesterday. That can take as many as 4-6 cycles to clear. With SLGS you would continue with 1.25. With TR you could increase. Overall he’s pretty high too much of the time.
     
  16. tiffmaxee

    tiffmaxee Well-Known Member

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    Nov 15, 2013
    I should add that many vets never mention ketones or that you should test for them. I remember my vet saying Max did not have ketones and that it was a good thing but he never suggested I test for them and he’s a very careful vet! When in high bg a lot of the time it’s important to test. You can get strips to check the urine. Just because no ketones were found at diagnosis does not mean they never will occur.
     
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