https://docs.google.com/spreadsheet/ccc?key=0Al1VQVRfQncPdEZmLWNtQXVyaGJwNkE1U1FIaU9Nbmc#gid=1
let me know if this worked.
let me know if this worked.
updated spread sheet lantus to high?
- Thread starter sammy34
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MommaOfMuse
Member Since 2010
Yep the link works but it would be helpful if you would put the dose that you shot under the U colunm on the spreadsheet...the U stands for units shot.
Mel, Maxwell, Autumn & The Fur Gang
Mel, Maxwell, Autumn & The Fur Gang
BJM
Member Since 2010
The one thing I see about your spreadsheet is the size of the dose increases you made initially - 0.5 unit jumps. Generally, we suggest only increasing 0.25 units at a time when the dose is low, ie typically when starting out at around 1 unit. Otherwise, it is possible to miss the optimal dose. If you start seeing swings between very low numbers and then very high numbers, that can occur if you've missed the optimal dose. I don't see them at this time.
It does appear you are waiting long enough between dose changes.
If you find that you have to skip doses due to low pre-shots, one of two things is true:
1) you may be able to lower the no shot level, so long as the nadir (lowest point mid-cycle) remains above 50 US / 3 international. If your no shot limit was 200 US / 11.111 international, you might lower your no shot limit to 180 US / 10 international
OR
2) the dose is too high and needs to be reduced so the same amount may be shot both at AM and PM
It does appear you are waiting long enough between dose changes.
If you find that you have to skip doses due to low pre-shots, one of two things is true:
1) you may be able to lower the no shot level, so long as the nadir (lowest point mid-cycle) remains above 50 US / 3 international. If your no shot limit was 200 US / 11.111 international, you might lower your no shot limit to 180 US / 10 international
OR
2) the dose is too high and needs to be reduced so the same amount may be shot both at AM and PM
sammy34 said:
The sheet looks fine..... as already mentioned, if you put the dose into the U column, every day and for am and pm, it will be easier to see how long you have been on a dose, and people can better advise you...
OK you are at 4.25u Lantus now, yes? You are getting some lower numbers in the front end of your cycle, so would you be able to tell us a bit about what you are feeding, how much, and when?
Some people find their cats go lower overnight, so it's good you are getting some tests in the pm cycles, but it's really hard to say much on the days like 2/6 and 2/9 because the dose is not marked in the U column..... did you skip any shots? If you skip a shot in the am because of a low number, it would explain a high ps number in the pm.... you put a comment on 2/6 - no shot at 930am.... if you skipped that shot because of a low amps, just put 0 or skip into the U column for dose. That way, people will know why your cat's BG rose all day long.
On another comment on 2/2, you stated the pm shot was at 11pm instead of 930pm, so that was a shot at +13.5. That's OK to shoot late or even early, lots of people have off times for shots, but what time did you shoot in the next morning? Shots need to be 12hrs apart, so if your am shot on 2/3 was at 930am, you gave that shot at +10.5, and it would be like a dose increase for your cat because it was 90minutes early.
You can shoot off the 12/12 schedule but it will disrupt how your cat reacts to the insulin.
When I gave late or early shots, I put the time into the U column with the dose...my usual shot times were 6am/6pm, but if I gave a shot off that time, my U field would have something like 4.25 6:30am and in the U fields where the shots were on time, I just put the dose.
Without knowing what doses you are giving each day, all I can do is guess.
If you can fill in the doses you gave each day, and also put the time if shots were not given at your 930am/pm schedule, it would be a great help to others when looking at your sheet.
ok i will fix the sheet tonight or tomorrow when i get time. she is eating ff tender liver and chicken, evo 95%, and tc feline raw. and where the sheet says i skipped the shot i did not give insulin because of low numbers. and yes she is on 4.25 twice a day at 9:30. and i did give shot late at +13 but next morning i shot at 10:00 instead of 9:30 so i moved her a half a hour. thanks for your help.
Crystal & Sam
Crystal & Sam
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