BG is 34

Discussion in 'Feline Health - (Welcome & Main Forum)' started by Squalliesmom, Aug 5, 2015.

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  1. Squalliesmom

    Squalliesmom Well-Known Member

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    Trying not to panic, gave him some high carb food and a little honey, what should I be watching for and what do I do next?
     
    Last edited by a moderator: Aug 5, 2015
    Reason for edit: Situation handled and handled well. Removed 911 icon.
  2. Mogmom and Goofus

    Mogmom and Goofus Well-Known Member

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    Test again in about 30 minutes.
     
  3. Squalliesmom

    Squalliesmom Well-Known Member

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    okay
     
  4. Mogmom and Goofus

    Mogmom and Goofus Well-Known Member

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    A human meter reads lower than the AlphaTrak that I use, but I think you did the right thing.
     
  5. Squalliesmom

    Squalliesmom Well-Known Member

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    How much honey should Igive him? I just scooped up a fingerfull and shoved it in his mouth.
     
  6. pevsfreedom

    pevsfreedom Well-Known Member

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    Do you have any gravy lover food? If so squeeze out a tbsp of gravy and give to her and test again in 15-20 mins to make sure she's on the rise. Keep testing about every 20 and giving carbs if she's not rising.

    As for honey perhaps a teaspoon drizzled on some wet food if she'll eat. (will she eat?).
     
    Last edited: Aug 5, 2015
  7. Mogmom and Goofus

    Mogmom and Goofus Well-Known Member

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    Should be good with that, it'll take a little time tho.
     
  8. Squalliesmom

    Squalliesmom Well-Known Member

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    Yes, he is eating some high carb dry food right now, probably a quarter of a cup. Should I give him more honey?
     
  9. pevsfreedom

    pevsfreedom Well-Known Member

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    Probably wait for your next test to give anything else on top of the honey you already gave I think. I'd do 15 minute intervals for testing.
     
  10. Squalliesmom

    Squalliesmom Well-Known Member

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    Test at 18 mins down to 29
     
  11. pevsfreedom

    pevsfreedom Well-Known Member

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    Give honey again since you just tested - test every 10-15 since so low. If still same/dropping give more honey each test.

    If you have gravy food squeeze some gravy on whatever she'll eat.

     
    Last edited: Aug 5, 2015
  12. Elizabeth and Bertie

    Elizabeth and Bertie Well-Known Member

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    That is way too low.
    I'd suggest you rub some honey/syrup onto his gums/cheek now.

    How long since you gave the shot?
     
  13. Squalliesmom

    Squalliesmom Well-Known Member

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    No gravy food on hand but I have dry kitten food, giving him that,he likes it and is eating it. He's acting okay, drinking, grooming cleaning up the honey, seems to be walking okay.
     
  14. Laura & Heffernan

    Laura & Heffernan Member

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    The dry food will take too long to impact the BG. You need honey, karo syrup or high carb gravy.
     
  15. Squalliesmom

    Squalliesmom Well-Known Member

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    About four hrs
     
  16. pevsfreedom

    pevsfreedom Well-Known Member

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    Give some more honey, about tsp, if you haven't already, and check again 10 mins after your last test. Gotta get #'s on rise fast. Honey/gravy act quick, dry food takes about an hour or more like Laura mentioned.

    Once this clears I'd go grab some hearty gravy-lover cat food.
     
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  17. Squalliesmom

    Squalliesmom Well-Known Member

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    Gave him some honey, will give more if necessary
     
  18. pevsfreedom

    pevsfreedom Well-Known Member

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  19. Squalliesmom

    Squalliesmom Well-Known Member

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    Sill dropping, BG at 22
     
  20. pevsfreedom

    pevsfreedom Well-Known Member

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    Give honey on gums. Put "22" into thread title please so everyone can see. If nobody more knowledgable then me replies by next +10 min test I'd consider going to vet personally, giving honey on gums while on the way.
     
  21. julie & punkin (ga)

    julie & punkin (ga) Well-Known Member

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    Scoop your kitty up and run for the vet - give some more honey - not too much or you'll have vomiting. That's really low.
     
  22. julie & punkin (ga)

    julie & punkin (ga) Well-Known Member

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    just making sure you see this - at 22 you need to go to the vet immediately. If someone else can drive, take your glucometer and the karo/honey and just go.
     
  23. julie & punkin (ga)

    julie & punkin (ga) Well-Known Member

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    YES! good advice john.

    Squallie may need a glucose drip. Please let us know how things go.
     
  24. Squalliesmom

    Squalliesmom Well-Known Member

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    i cant get to the vet, no car
     
  25. Jill & Alex (GA)

    Jill & Alex (GA) Senior Member Moderator

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    Neighbor, friend, cab, relative? Can anyone take you?
    Continue rubbing syrup on his gums.
     
  26. Julia Rae

    Julia Rae Well-Known Member

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    Call a CAB please
     
  27. Squalliesmom

    Squalliesmom Well-Known Member

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    no, i live out in the middle of nowhere. I just tested him agsin hes up to 48 should I give more honey?
     
  28. Squalliesmom

    Squalliesmom Well-Known Member

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    God I wish I could, no cabs out here
     
  29. pevsfreedom

    pevsfreedom Well-Known Member

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    That's great. More honey on the gums with your finger if you can't make to vet. Get another test in 10 mins.

    Remember honey is short acting and will only raise BG's for 10-20 mins I believe. Going to have to keep giving at intervals (give some real food too, dry food, etc.).
     
  30. Jill & Alex (GA)

    Jill & Alex (GA) Senior Member Moderator

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    48: how long ago was the shot given?
    offer a little food. dry if that's all you have.

    is there any human food that's high in carbs that squallie likes? if so , let him have some.
    we want to get his numbers up no matter what you have to feed him.

    retest in 20 minutes.
     
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  31. pevsfreedom

    pevsfreedom Well-Known Member

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    Last shot was 4 hours ago. Squallie ate some dry food a bit ago she said.
     
  32. julie & punkin (ga)

    julie & punkin (ga) Well-Known Member

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    You're in Jill's capable hands, so I will bow out. :bighug:

    And just to make sure you know, this dose is too high, so don't give it again tonight.
     
  33. Jill & Alex (GA)

    Jill & Alex (GA) Senior Member Moderator

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    depends on the cat and where you're at in the cycle... syrup could last around an hour.
     
  34. pevsfreedom

    pevsfreedom Well-Known Member

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    Good to know. That was just what someone told me a few days ago.

    Yeah me too! :bookworm:
     
  35. Jill & Alex (GA)

    Jill & Alex (GA) Senior Member Moderator

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    According to what I see on his ss, it appears Squallie usually nadirs around +7.
    Looks to me like like you'll have to simply keep on doing what you've been doing for the next several hours or until you're seeing a substantial rise in numbers.


    Edited to add:
    you're doing a really good job!
    how are you feeling?
    do you have a good supply of test strips on hand?
     
  36. Squalliesmom

    Squalliesmom Well-Known Member

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    Shot was about four hrs ago. I don't know what human food that's high in carb sthat he might eat
     
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  37. pevsfreedom

    pevsfreedom Well-Known Member

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    Fruit, crackers, or cereal maybe? Luna would wolf them down but I'm not sure about Squallie.
     
  38. Jan Radar (GA)

    Jan Radar (GA) Well-Known Member

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    A TV dinner maybe with gravy on some kind of meat?
     
  39. Libby and Lucy

    Libby and Lucy Senior Member Moderator

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    honey ham is popular. Yogurt maybe. You could drizzle some honey on lunch meat or something.
     
  40. Julia Rae

    Julia Rae Well-Known Member

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    My first low sugar bout I ended up mixing a bit of honey with his normal wet food.
     
  41. Squalliesmom

    Squalliesmom Well-Known Member

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    He might eat that. He's not real thrilled with the honey, tho. We're both a sticky mess. Tested again at 2:35, he was up to 61.






























     
  42. julie & punkin (ga)

    julie & punkin (ga) Well-Known Member

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    you're on the right track, Lucy. Keep it up. the dry food you gave him will also help.
     
  43. Jill & Alex (GA)

    Jill & Alex (GA) Senior Member Moderator

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    awesome! update the time frame, please. how long ago was the shot given now?

    let him be for now and retest in 30 minutes, please.
     
  44. Julia Rae

    Julia Rae Well-Known Member

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    Sticky can wash goal is to stabilize blood sugars.. your doing ok and Oh ya breath!
     
  45. Squalliesmom

    Squalliesmom Well-Known Member

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    Thank you. I'm a mess. I just bought a new pk of test strips so I'm okay there.
     
  46. pevsfreedom

    pevsfreedom Well-Known Member

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    Good work!
     
  47. Jill & Alex (GA)

    Jill & Alex (GA) Senior Member Moderator

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    you can breathe a little easier for the moment, but let's stay on top of this ok?
    you have lots of help here & eyes on this thread...
    and everybody's cheering you on!
     
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  48. Laura & Heffernan

    Laura & Heffernan Member

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    You are doing great!!!!
     
  49. pevsfreedom

    pevsfreedom Well-Known Member

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    Maybe she meant LITERALLY a mess, as in covered in honey! :p
     
  50. Libby and Lucy

    Libby and Lucy Senior Member Moderator

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    is this right, more or less? I'm just trying to keep track of where we are in the cycle.

    AMPS - ???? gave 6 units
    +3.25 ~ 34 (gave high carb and finger full of honey)
    +3.5 ~ 29 (dry food and honey)
    +3.75 ~ 22 (honey)
    +4 ~ 48
    +4.25 ~ 61
     
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  51. Squalliesmom

    Squalliesmom Well-Known Member

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    Yes, except it was 7 units. Tested again at 2:48, back down to 59, gave him a little more honey. My son is trying to leave work early so he can bring me some gravy food and we can get Squallie to the vet if we need to.
     
  52. pevsfreedom

    pevsfreedom Well-Known Member

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    Good job with the honey - Can anyone say what kind of dose Squallie should get tonight? I'm assuming 7 units is too much.
     
  53. Squalliesmom

    Squalliesmom Well-Known Member

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    Thank you, I'm terrified.
     
  54. Squalliesmom

    Squalliesmom Well-Known Member

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    That too!
     
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  55. pevsfreedom

    pevsfreedom Well-Known Member

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    You're doing great. Proof is in the pudding (or honey?). Got her up to 60 (safe) real quick. Just keep doing what you're doing.
     
  56. Libby and Lucy

    Libby and Lucy Senior Member Moderator

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    hang in there!

    If he hasn't eaten any food recently, try getting him to eat something. Whatever he'll eat - his regular food or something else. Not too much because you don't want him to vomit, but some food should help keep his numbers up. Syrup for a quick rise, food to kick in slower but help hold it longer.
     
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  57. Squalliesmom

    Squalliesmom Well-Known Member

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    Thanks, I'm so scared.
     
  58. Julia Rae

    Julia Rae Well-Known Member

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    Lucy your doing wonderful breath and keep testing....
     
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  59. Squalliesmom

    Squalliesmom Well-Known Member

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    He ate some dry kitten food, figured it was probably high in carbs, and I've been giving him fingersfull of honey. Last test at 3:10 showed him up to 81, although I really panicked for a moment because I didn't see the 1, only the 8.
     
  60. Jill & Alex (GA)

    Jill & Alex (GA) Senior Member Moderator

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    Yes, 7u is too high of a dose.
    Personally, I like to see how the cycle plays out and then assess the degree of difficulty in keeping numbers up throughout the cycle before suggesting a dose for the next shot... presuming a shot tonight will be recommended. I do not have hands-on experience with vetsulin. In this case, I'd prefer Lucy's vet or those well versed in the use of vetsulin suggest a dose.
     
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  61. Libby and Lucy

    Libby and Lucy Senior Member Moderator

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    Been there, done that. LOL!

    it has been about an hour and a half since you posted the 34, right? So we're getting close to +5. I think you're getting there.
     
  62. Squalliesmom

    Squalliesmom Well-Known Member

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    Thank you, funny because I have very bad lung problems and when I get upset I literally cannot breathe! Last test his BG came up a little more, and my son is on his way with gravy food and transportation to the vet.
     
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  63. Squalliesmom

    Squalliesmom Well-Known Member

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    Yes, almost two hours now. Should I still take him to the vet if his BG stays up now?
     
  64. Julia Rae

    Julia Rae Well-Known Member

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    I would but I'm being cautious
     
  65. Libby and Lucy

    Libby and Lucy Senior Member Moderator

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    I would at least call the vet and see what they think. They should know about this anyway, and you'll need to make a dose adjustment.

    Usually after seeing very low numbers, cats will "bounce" back into high numbers. That's what I'm waiting for, to see how long it takes for that to happen and so we can breathe a sigh of relief. From your spreadsheet, it looks like Squallie has been doing some dropping and bouncing before, though maybe not dropping this low.
     
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  66. Libby and Lucy

    Libby and Lucy Senior Member Moderator

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    and as Jill pointed out, it looks like Squallie tends to nadir around +7. That means that unless a bounce starts before then, he could keep wavering around until at least +7. The insulin is probably still working right now, that's why he keeps going up and down a bit. If you've given that much honey, you would think the numbers would be even higher than 81 right now.
     
  67. Jill & Alex (GA)

    Jill & Alex (GA) Senior Member Moderator

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    Sorry, we have storms in the area and I lost my internet connection.

    I think you have things under control for now, but I encourage you to do whatever feels comfortable to you. IMO, you'll have to continue monitoring carefully possibly over the next few hours.

    If Squallie were mine I (at this point) would stay on alert, monitor closely, and only take him into the vet if he starts dropping and you are having trouble keeping his numbers up, but that's me. If you're too frazzled to continue (no one would blame you) and would like someone else to take over... then take him to the vet. It's up to you.


    Just saw Libby's post...
    I agree with calling your vet to let them know what's been going on...
     
  68. Squalliesmom

    Squalliesmom Well-Known Member

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    BG is 95 at 3:25 using the Relion, 148 with the Alphatrak (need for vet). Squallie absolutely hates my guts at the moment and is hiding under my bed, the hardest place in the house for me to get him, of course
     
  69. Jan Radar (GA)

    Jan Radar (GA) Well-Known Member

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    I am a vetsulin user and with the tiny bit of experience I have on just my cat I would be inclined to go see the vet in this case.
    My main reasons would be
    1. Looking at the ss it appears that Squallie is not at the typical nadir time in the cycle of +6 and
    2. I think I would want a vets professional opinion while seeing the cat who went so low to help me adjust the dose so it doesn't go that low again... Not tonight, not tomorrow or the next day, not Ever

    Sending good thoughts to you both
     
  70. Squalliesmom

    Squalliesmom Well-Known Member

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    If I can keep his numbers up I will probably hold off on the vet visit, he is scheduled for one tomorrow anyway. But if he drops again I'll go ahead and take him today.
     
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  71. Julia Rae

    Julia Rae Well-Known Member

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    Doing good, as for hating you... don't worry he will forgive you and all will be good.
     
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  72. Jill & Alex (GA)

    Jill & Alex (GA) Senior Member Moderator

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    Close the door to the bedroom?
    I'd let him be for about 45 minutes before retesting.
     
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  73. pevsfreedom

    pevsfreedom Well-Known Member

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    I would discuss with the vet switching to Lantus perhaps. See what they think? It's not as 'rough' of a ride if I'm not mistaken, and vetsulin seems to be pretty sporadic with Squallie.
     
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  74. Julia Rae

    Julia Rae Well-Known Member

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  75. pevsfreedom

    pevsfreedom Well-Known Member

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  76. Jan Radar (GA)

    Jan Radar (GA) Well-Known Member

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    Hang in there Lucy, you've done a great job. I've been where you are and understand the sheer terror. Breathe and .......breathe again.
     
  77. Squalliesmom

    Squalliesmom Well-Known Member

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    Just tested him again, the Relion said he was back down to 35, but the Alphatrak says 156. How can this be, it went down with the Relion but up with the Alphatrak?
     
  78. Julia Rae

    Julia Rae Well-Known Member

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    Hugs Lucy I believe we have all been where you are and for me like you I was never more scared. You are doing great :bighug: :bighug: :bighug:
     
  79. Julia Rae

    Julia Rae Well-Known Member

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    I dont know perhaps other eyes can explain???:confused: :confused: :confused:
     
  80. pevsfreedom

    pevsfreedom Well-Known Member

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    That's weird. Were they reading similarly earlier? Any way to use calibration solution on either of them or check yourself with the Relion to ensure #'s are trustworthy?
     
  81. Jill & Alex (GA)

    Jill & Alex (GA) Senior Member Moderator

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    Every once in awhile bad tests happen.
    When it happens to me I test again.
    I'd retest using the ReliOn.
     
  82. Cat Ma

    Cat Ma Well-Known Member

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    I agree with Jill. Do another test with the ReliOn.
     
  83. Squalliesmom

    Squalliesmom Well-Known Member

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    I must have gotten the sample contaminated, maybe with the alcohol prep pad, because now it's reading 103.
     
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  84. Cat Ma

    Cat Ma Well-Known Member

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    Much better. You're doing a great job.
     
  85. I've been watching for a while since Jill and Libby flagged me. You're doing great!

    I didn't use Vetsulin, but rather compounded PZI so I understand the "how" part in how the insulin works.
    From looking at your SS, my thought is that the dose is too high, and it has been for weeks. I suspect he has been dropping pretty low most every cycle, and the high pink, red and black preshots are due to big bounces following those lows.

    I would definitely show the vet what has been going on, and I would expect the vet to advise a lower dose going forward. If I saw these numbers with my cat, I would have tried lowering to 3 or 4 units for a couple days, and continued testing around +6 or so as well. That might still give you good nadirs, and also result in lower preshots. You aren't going to get a "flat cycle" like some people see with Lantus for instance. But lower preshots is a good start. Lower preshots with good nadirs is what you want, and theoretically, as he improves, it will take lower and lower doses to achieve that. That is how things went for Bob and he ended up going OTJ a month or so after I started lowering his dose.

    See if that makes logical sense to your vet?

    Carl
     
  86. Jill & Alex (GA)

    Jill & Alex (GA) Senior Member Moderator

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    or sometimes the strip gets under or overfilled without throwing an error code. meters are inexpensive little gadgets and every once in awhile... they malfunction. any time you get a questionable result, test again.

    looking good here! i'd give him a little something to eat... whatever he'll eat.
    Please retest in another 45 minutes.
     
  87. pevsfreedom

    pevsfreedom Well-Known Member

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    Can alcohol and/or vaseline contaminate a reading? I've been wondering about that myself. I sterilize the lancets with alcohol and was wondering if that would fluctuate #'s at all?
     
  88. Squalliesmom

    Squalliesmom Well-Known Member

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  89. Squalliesmom

    Squalliesmom Well-Known Member

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    Thank you so much!
     
  90. Jill & Alex (GA)

    Jill & Alex (GA) Senior Member Moderator

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    hmmm, never had that problem because i never used either. i would imagine they could.
     
  91. pevsfreedom

    pevsfreedom Well-Known Member

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    Guess I'll have to experiment on myself if I get real bored :D
     
  92. julie & punkin (ga)

    julie & punkin (ga) Well-Known Member

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    Lancet are meant to be one-time use. A few years ago someone had pics showing how they degrade and the metal actually frayed out with each use. That was enough to convince me never to reuse them after a testing. They are the cheapest part of dealing with FD.
     
  93. pevsfreedom

    pevsfreedom Well-Known Member

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    I clean it before and after I use it and I don't use 1 for more then a day. I did a decent amount of research and this seemed like a safe practice. I even read most 'human' diabetics prefner re-using sterilized needles as they become more comfortable with each use.

    I know syringes look nasty after 1+ use though: http://vignette2.wikia.nocookie.net...Needles.jpg/revision/latest?cb=20090907192204
     
    Last edited: Aug 5, 2015
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  94. Cat Ma

    Cat Ma Well-Known Member

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    There is no need to clean the lancet before or after use. And they should be disposed of after a single use.
     
  95. Julia Rae

    Julia Rae Well-Known Member

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    Lucy how did your fur baby come by his name???
     
  96. Jill & Alex (GA)

    Jill & Alex (GA) Senior Member Moderator

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    Funny thing is some human diabetics prefer using lancets more than once... some use them for a few days before discarding. It's been said they hurt too much if they're not "broken in".

    Awhile back someone was circulating pictures of lancets, but they were actually pictures of syringe needles, not lancets. Syringe needles are a whole different story. Those things deteriorate quickly. They're a mess after a single use.

    On this board you'll hear lancet advice vary from one extreme to the other. :D
     
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  97. Just my opinion. But I think it is premature to think about switching insulin. Vetsulin might not be ideal, but ECID. It doesn't work well for some cats. But it seems to be working in this case. Working a little "too well" at times. I think I'd explore a lower dose, or maybe your vet can concoct a "sliding scale" before deciding that another type of insulin is the best move.
     
  98. pevsfreedom

    pevsfreedom Well-Known Member

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    That's basically what I've noticed. Over ~5 months re-using a syringe a day saves about $50, and $50 is $50. I found many people on this board re-use them while many others adamantly won't. I could not find any magnified images of lancets but there's plenty of syringe pictures. Didn't meant to shift focus of the thread.
     
  99. Squalliesmom

    Squalliesmom Well-Known Member

    Joined:
    Jun 26, 2015
    He was born here, so he's been with me all his life. When he was a kitten he would "squall" at the top of his lungs at his brother, or if he wanted something, so he just became Squallie. He's 16 now and my very best friend.
     
  100. Julia Rae

    Julia Rae Well-Known Member

    Joined:
    Jun 11, 2015
    When was his last sugar test??
     
    pevsfreedom likes this.
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