Some advise please

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Terry and Casey

Terry and Casey

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I have not given Casey insulin in 3 days because I was afraid to shoot. The last two days she has been in the 160's at amps. On 7/20 when I gave her one drop she dropped 100 pnts. She is dropping into the 80's at +5 with no insulin. I learned that I need a prescription here in lovely NJ to get u100 syringes and my vet will not ok it...ugh. The vet gave me a alphatrak that was donated to them but I was not going to use it due the cost of strips...I've been using relion. my vet ( who is actually very nice) wants me to test on the alphatrak since she doesn't feel she can properly advise me regarding human glucometer results. She also suggested we might want to take her off the insulin for awhile. My concern is that 160 is too high and I am harming her. Any thoughts/ advise?
 
160 is a littler higher than our "standard" which is under 120, but I certainly understand your reluctance if a drop takes her down 100 points, Terry.

You might put 180 as your target and try a drop then - although she hasn't been there for quite a few cycles. It is very encouraging that she drops down into the greens on her own.

How low is her carb food? Sometimes people have dropped down to a lower carb (even from 5 to 3%) and it has been enough to get lower ranges.

Or just wait her out....she is in very safe ranges, her pancreas is clearly working a good part of the time.
I wouldn't want her to sit in the 160s for months, but it hasn't been that long.
 
Sue and Oliver (GA) said:
160 is a littler higher than our "standard" which is under 120, but I certainly understand your reluctance if a drop takes her down 100 points, Terry.

You might put 180 as your target and try a drop then - although she hasn't been there for quite a few cycles. It is very encouraging that she drops down into the greens on her own.

How low is her carb food? Sometimes people have dropped down to a lower carb (even from 5 to 3%) and it has been enough to get lower ranges.

Or just wait her out....she is in very safe ranges, her pancreas is clearly working a good part of the time.
I wouldn't want her to sit in the 160s for months, but it hasn't been that long.
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Thanks Sue. She is eating ff turkey and giblets which according to the chart is 3% carbs. Tonight she was 110. I am hoping she continues to stay low.
 
Drop dosing

Using a colored liquid, so you can see it more easily, fill a syringe to 0.5 units (1.0 units if you have no half unit marks).
Slowly squeeze out equal-sized drops, maybe by twisting the plunger, until you can get the same number of drops per 0.5 (or 1.0) units every time.

Now, you can draw up more than the amount you need, and squeeze out drops to the dose you want.
You discharge the excess into the sink.

Decreases may be done a drop at a time.
 
It is good to have a game plan, just in case. So, try for a +2 to see if there is a chance of activity early - if he drops fast.

If he is at 50 at some point, give him a little snack of regular food. Test again in 20 minutes to be sure he is rising, not falling. If he is still dropping and in the 40s, give him a tablespoon of the gravy off higher carb food. Test in 20 minutes. If he's holding steady or decreasing, maybe a little more gravy. If rising, then a little regular food. The idea is to let his body use the food to increase the levels, a little bit at a time, so he will keep eating for you, if you need him to.

If he continues to drop, then you can mix a teaspoon of honey in the gravy or food. Test in 20 minutes. I wouldn't anticipate that happening. You've made slow careful adjustments and he is looking good. But he is a cat and it's always good to be prepared.

You want three rising numbers before you relax.
 
Sue and Oliver (GA) said:
It is good to have a game plan, just in case. So, try for a +2 to see if there is a chance of activity early - if he drops fast.

If he is at 50 at some point, give him a little snack of regular food. Test again in 20 minutes to be sure he is rising, not falling. If he is still dropping and in the 40s, give him a tablespoon of the gravy off higher carb food. Test in 20 minutes. If he's holding steady or decreasing, maybe a little more gravy. If rising, then a little regular food. The idea is to let his body use the food to increase the levels, a little bit at a time, so he will keep eating for you, if you need him to.

If he continues to drop, then you can mix a teaspoon of honey in the gravy or food. Test in 20 minutes. I wouldn't anticipate that happening. You've made slow careful adjustments and he is looking good. But he is a cat and it's always good to be prepared.

You want three rising numbers before you relax.
Click to expand...

Ok, thanks a lot Sue. I appreciate your help.
 
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