STALLING Again -NEED DOSING ADVICE / Last Dose 25 hours ago

[Heather and Khouklo]

khouklo has not had a injection of insulin for 25 hours

(last injection yesterday - 10am 1 unit lantus)

*libre sensor stopped working at 8am thiis morning
*didn't have a BG reading for 10am shot
*skipped morning shot

***i now have a a Relion Prime meter

*****i also now have syringe needles therefore i can adjust dosage as needed

***yesterday :

10am - 1 unit lantus , BG at time of injection: 262 (freestyle libre)

10pm - 1 unit lantus, BG at time of injection: 206 (freestyle libre)

***today:
• 8am - BG: 175 (approximately, estimated from freestyle libre graph)

• skipped morning shot

• 5 pm - BG: 143 (Relion Prime)

• 10:03pm - BG: 146 (Relion Prime)
( 2 hours fasting)

• 10:42 pm - BG: 141 (Relion Prime)
(recheck)


attached:
• 24 hour graph Tuesday/Wednesday
• graph marker for 10am yesterday
• graph marker for 10pm yesterdsy
• graph for today 12am-8am before sensor stopped working

 

[Chris & China (GA)]

Did you do a diet change or anything recently?

 

[Heather and Khouklo]

no, nothing has changed. he's been feeling better everyday since starting insulin last Thursday. he's actually eating a bit better today.

 

[Heather and Khouklo]

what do i do?! doesn't he need some insulin in his system to keep him regulated?!

 

[Chris & China (GA)]

If you can test tonight, how about trying .5?

With so little data, I wouldn't go with 1U and I think you have syringes with half unit markings now.

Get a +1 and +2 if you give the shot

 

[Heather and Khouklo]

If you can test tonight, how about trying .5?

With so little data, I wouldn't go with 1U and I think you have syringes with half unit markings now.

Get a +1 and +2 if you give the shot

ok, let me check him again first

 

[Chris & China (GA)]

This is in no way something you need to do right now, but in your signature you have a link to your previous post. That shouldn't be there.

The only link that you should have in your Signature is the link to a spreadsheet for Khouklo. Have you got one set up or do you need some help?

 

[Heather and Khouklo]

This is in no way something you need to do right now, but in your signature you have a link to your previous post. That shouldn't be there.

The only link that you should have in your Signature is the link to a spreadsheet for Khouklo. Have you got one set up or do you need some help?

ok no problem. i will remove it. i will need help with the SS but I've got to get access to a computer first and sleep

 

[Heather and Khouklo]

ok, let me check him again first

he's at 181 now

 

[Chris & China (GA)]

OK.....let's try the .5 for a few days and see if we can get it so you don't have to keep stalling or skipping shots

 

[Chris & China (GA)]

i will need help with the SS but I've got to get access to a computer first and sleep

I'd be happy to set it up for you. Just send me a private message so I can get some information. Click on my name and choose "start a conversation"

As for the sleep part, sorry, can't help you with that!!

You should be able to access your spreadsheet (once it's set up) with a smartphone or tablet

 

[Heather and Khouklo]

OK.....let's try the .5 for a few days and see if we can get it so you don't have to keep stalling or skipping shots

thank you so much!

and... check him at +1 &+2 before i go to bed?

 

[Chris & China (GA)]

I think if you just get a +2, that should be OK.....hopefully he won't have any reasons to keep you up any later than that

 

[Heather and Khouklo]

need more help with measuring syringe....

 

[Heather and Khouklo]

need more help with measuring syringe....

1. the rubber plunger is not pushed all the way down. do i leave it as is or push it all the way down?

2. where is the .5 marking I'm looking for?

 

[Chris & China (GA)]

When you first open the syringe, pull the plunger in and out a few times to distribute the lubricant that's inside.

Then, the very closest line to the needle is the "Zero" line....the first small hash mark between the Zero line and the 1U line is .5

 

[Chris & China (GA)]

Here's what the lines stand for

 

[Heather and Khouklo]

When you first open the syringe, pull the plunger in and out a few times to distribute the lubricant that's inside.

Then, the very closest line to the needle is the "Zero" line....the first small hash mark between the Zero line and the 1U line is .5

ok, that's what i thought.

does this look right?

 

[Chris & China (GA)]

Purrfect!

 

[Heather and Khouklo]

Purrfect!

omg thank you so much!

now what do i need to know over the next 2 hours?

 

[Heather and Khouklo]

Purrfect!

when do i give his shot tomorrow?

i wanted to do it at 11am but 12 hours puts me at 1:30pm and i have to leave the house at noon

would i give .25?

or do i just wait until the evening?

 

[Chris & China (GA)]

I think I'd just wait until evening and then start over at the time you want to choose for your shot schedule

 

[Juls and Billy]

Heather, hopefully, someone who knows Lantus better will advise you. I know with Lantus it's not good to shoot again before the 12 hours is up, because of the depot. This is especially important if you won't be home to monitor. I suggest skipping the dose, or doing a tiny drop dose, if his BGL is high enough to inject. A skipped dose is better than a hypo event. With Lantus I'd err on the side of caution.

 

[Heather and Khouklo]

BG: 148 (+2)
don't know if i wrote that correctly or not?

time for bed

that poor kitty is so mad at me

 

[Heather and Khouklo]

Did you do a diet change or anything recently?

*a thought* he is halfway through his 10 day round of antibiotics for his bladder infection that was dx'd with the DM

 

[Callie & Patches]

If he is on antibiotics, his BG should come down as the infection clears up. Any infections can caus BG to go up.

Get some rest.

 

[Heather and Khouklo]

the vet thinks that the UTI is the the cause of the elevated glucose and he may be a transient diabetic who will go into remission.

 

[Deb & Wink]

Could have been stress hyperglycemia also. Was a fructosamine test done at diagnosis?

 

[Heather and Khouklo]

i will be starting over tonight

Could have been stress hyperglycemia also. Was a fructosamine test done at diagnosis?

yes it was 616

 

[Heather and Khouklo]

i think he had a bladder infection for at least 3 weeks before

 

[Deb & Wink]

At least the Fructosamine test helps a little bit to rule out the stress induced hyperglycemia.
But with that UTI for 3 weeks,..........................

What other symptoms did Khouklo have at diagnosis?

Pick the shot times that will work the best for you.

 

[Heather and Khouklo]

At least the Fructosamine test helps a little bit to rule out the stress induced hyperglycemia.
But with that UTI for 3 weeks,..........................

What other symptoms did Khouklo have at diagnosis?

Pick the shot times that will work the best for you.

he was lethargic

 

[Deb & Wink]

That's it. He was lethargic?

No polyuria? peeing a lot
No polydipsia? drinking a lot of water
No ravenous appetite?
No steady weight loss? despite ravenous appetite
Not constantly begging for food?
No big flakes of dandruff? big ones dime and nickel size
No diabetic neuropathy? walking funny, down on his hocks
Coat condition? dry and lifeless, or soft and shiny
Glucose in the urine?
Ketones in the urine?
Goucose level in the blood was what?
Is your cat overweight?