What would you do?

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Lizzysdad

Member Since 2012
Hello!

I took several tests on Lizzy today. Can anyone interpret Lizzy's chart for me and give some ideas on what I am seeing lately? Do I keep the dose, go back to .25, go lower?

Also, where is the info on what a 'bounce' is? Is there an example in Lizzy's chart?

confused_cat

Thanks!

Andy
 
Hi Andy,
Well, when I look at Lizzy's spreadsheet, I'm not seeing a really bouncy kitty, so that's good.

Very basically (and there's lots of longer, better explanations on the board) on what a bounce is.

When a cat's blood glucose goes low, their body will react instinctively by releasing "glucagon", "glycogen" and counter-regulatory hormones into the blood stream. This causes the BG to rise, usually significantly. It usually makes them stay higher for a day or longer too.

By "low", that doesn't have to mean hypoglycemic low. Just lower than what the body is used to. A cat who has been running in high numbers in the 350-400 range can bounce if the numbers drop a couple of hundred points. Because the cat isn't used to BGs in the 100-200's range.

In Lizzy's case, with all those blue numbers and higher green numbers, I don't see any number that would be "too low" and cause her to bounce up higher. I also don't see really high numbers that look like "bounce" numbers. If you saw a 50, and then she went up into the 200s or higher, that would look like a "bounce". Her numbers overnight might be lower than in the daytime, but still, you aren't seeing a much higher (in many cases it's lower) reading in the morning that would make you think she's bouncing.

I think tonight's 165 is still okay. Rather than indicating a bounce, it may just indicate that the dose needs to go back up to .25u.
But before changing anything, let me ask over in the Lantus forum and see if someone with a lot more experience than I have with Lantus specifically can take a look and tell you what they think?

Overall, Lizzy's numbers look great to me.

Carl
 
I agree with Carl, I don't see a bouncy kitty. You want to see a BOUNCY kitty, look at KT's speadsheet....even the last few days...

GOOD JOB!!
 
Maybe fatten the dose up a little.. 0.25 might take her too low and at a low of 84 you don't have a huge amount of wiggle room.. I would like to see a few PMPS +6 and later though. Missing some data there, be nice to do a few spot checks . Love the blues and greens though..
 
Thank you for the replies!

Carl, thanks for the info on a bounce. It is good to hear she isn't 'bouncing'. (Well, yesterday when she wanted my attention she bounced all over me.)

I will see about trying to do a bit over 0.10, but, as you know, it isn't easy too see even on the 0.5 marked syringes. Her numbers seem so 'in between' 0.25 & 0.1 which made me ask my question. Does anyone know if they make syringes with 0.1 marks?

Wendy, i agree there is some missing data in the +6 & + 7 areas. My schedule right now is nuts. I am a teacher & a high school basketball coach. I leave the house most days at 7AM & return home around 6 PM. However, there will be weeks when my practice schedule changes to a later time and I will have to adjust Lizzy's schedule, too. This is why it looks like I go days without many tests and on Sundays I test a lot. I feel very lucky she is where she is number wise.

Thanks again for your help!

Andy
 
I wish they had better marks but I have hunted and googled like crazy and all I could find was these 0.5 ones everyone uses. I did practice with my syringes and managed to get a few doses in between, not sure which of these is 0.1 but maybe it's helpful? But maybe practice will help?

1. The "empty" syringe, (fill it with one unit, empty it out again with normal pressure. Now if u do a firm press you get one drop)
2. Between the end if the syringe and the zero line (0.1?)
3. On the zero line
4. 0.25units (between the zero line and 1/2 unit)
 
When you need need less than 0.5 units and want to be consistent with the dosing, you may need to practice micro-dosing.

Practice squeezing out drops from the syringe until you can get a consistent number of drops per half unit. You may find that twisting the syringe as you press gives you more control over the drop sizes. Use colored water and magnifiers to help you measure as consistently as possible.
 
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