Sorry quick question! I shot BEFORE taking a BS!! worry?

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You're doing great!

I would not test him in 15-20 minutes since he's rising. I'd wait 30 minutes from the time he finished eating. Then test and see where he is. If he's still coming up, don't give any more karo....give him some LC food so you tell whether he's going to go up on that instead of dropping back down as the karo/honey wears off.

Just a couple other things, too. My kitty has been in the 20s (not that I want her there but she has been) with not one, single sign....and that includes acting like she's hungry. That is why testing is so important. Some cats do not show any signs at all that they are low and do not necessarily ask for food or act hungry so, in the future, don't assume because he's acting ok, you don't need to test.

BJM said:
We want them to eat before shooting to make sure food will be on board to match the insulin. Since he is eating for you, I think you'll be OK.
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This is not true with lantus. Unlike PZI or one of the other insulins like Humulin N or R, lantus does not onset for a couple hours so it's ok to test and shoot without them eating before the shot. Most of us feed with the shot just because the kitty is paying attention to eating and not the shot. It's definitely good to have food on board before he onsets but even if he eats 30 mins after you shoot, it's usually ok with lantus. Also, and this is important and you saw it tonight, some cats do not get a food spike at +1 or +2.. You cannot count on the fact that he will always have a food spike and go up before he comes down. Some cats do, some don't, some do occasionally. You'll have to see how his patterns develop,

Good job getting him up.
 
I can stay up until your next test results, then I'm going to have sign off for the night.

He's going in the right direction so far, just stay on him.

Mastering blood testing in a crash course tonight, huh?
 
Do you think it is safe to do the next test at 1 vs 1230?
He is sleeping and I feel so bad and rather wait til the hour then I can do 1am, 2am, then maybe if both are still ok w/out honey I can get some sleep
 
Clarification - if you have a cat with a reduced or erratic appetite (which was mentioned earlier today), or vomiting issues, you do want to be sure they eat, because shooting on an inappetant or vomiting cat can result in hypo. Been there, had that with Spitzer, so I watched him eat 1st, then shot. Generally, it was within 15 minutes of eating.

And I'm thinking any food spike might have been masked by shooting so low.
 
Moosmommy said:
Do you think it is safe to do the next test at 1 vs 1230?
He is sleeping and I feel so bad and rather wait til the hour then I can do 1am, 2am, then maybe if both are still ok w/out honey I can get some sleep
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It'll be my 2 am and thats last call for me, this pub is closing for the night!

(On a button I have: "Sleep is for wimps. Happy, healthy, well-rested wimps, but wimps nonethess." ... call me a wimp ) ;-)
 
I'm at the west coast so just checking in to see how you are doing. Have his numbers continued to rise? If he drops from the sugar spike, there might be some other hi carb things in the house that would last longer to raise his bg - things like a bit of cheese, a little square of bread (half inch or so) in a tsp of warm milk. Did you have turkey dinner? A few bits of turkey? Just a few ideas if you need them.
 
Thanks for all of the help and ideas everyone!!

Happy to report we made it through the night fine.

I tested his BS before shooting this AM at 7.

He was at 199. So just to be safe I only gave him .5 instead of his full 1.0

I hope that was the right decision?!

Well... naptime for me!!!

Thanks again everyone!
 
That was fine; erring on the side of caution. You can't get it out once its in! He may bounce from being low like that and it may take 3-5 days for those high numbers to clear. Just grit your teeth and wait it out.

Take home lessons:
1) Always test before you shoot.
2) Always pack your hypo kit when traveling.
 
Wow! You certainly had a ride last night.

It will be helpful when you get home if you could post his spreadsheet and attach it to your signature. This way, everyone will have quick/easy access to it and see what's going on.

As I mentioned, typically a reading of 50 or lower (and yes 55 and 53 count) gets a dose reduction. So, shooting 0.5 (1/2 unit) this morning is a smart idea. Especially because you will be traveling and may not get enough tests in.

Now, if he appears higher for PM, don't change the dose and give more insulin. Or you will have a cat with BG's bouncing all over the place.

I realize that this is scary, especially when it happens outside the home. But you handled it well and made do with honey in lieu of higher carb foods. Good job.

Please get that spreadsheet up, go to the Lantus board - where the lantus experts hang out and they will be happy to help you further.
 
How do you post a spreadsheet?
I just started a spreadsheet so there is VERY little to go by on it.
But I will gladly post what I have.
 
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