12/6 Yoyo AMPS 275,+2 228,+4 163,+5 146,+6 123,+7 144,+11 198, PMPS 236,+2 173,+3 103,+4 97,+5 105,

Discussion in 'Lantus / Basaglar (glargine) and Levemir (detemir)' started by Debra and Yoyo, Dec 6, 2018.

  1. Debra and Yoyo

    Debra and Yoyo Member

    Joined:
    Nov 10, 2018
    Day 14 .75Unit Lantus http://www.felinediabetes.com/FDMB/...-amps-386-2-222-3-5-155-5-234-7-5-156.207529/

    I have been comparing test strips....Alphatrak2 test strips vs Freestyle InsulinX test strips
    Using code 38 on meter for Freestyle InsulinX test strip.....sometimes difference of 20 numbers....higher the BG count the larger the difference in numbers. When BG in 200 range approx difference 20-30 numbers.
     
  2. carfurby

    carfurby Well-Known Member

    Joined:
    Feb 19, 2012
    I hope Yoyo slides down and surfs today. You'll drive yourself crazy comparing numbers. I'd pick on meter and stick with it.
     
  3. Rosie & Bailey

    Rosie & Bailey Well-Known Member

    Joined:
    Sep 4, 2018
    Nice start Yoyo! With a start like this, you have to give us some green.

    I'm considering trying out Pet Advocate meter. Reviews on Amazon say it's right on target with the AT meter. I'll let you know how it goes.
     
  4. Debra and Yoyo

    Debra and Yoyo Member

    Joined:
    Nov 10, 2018
    I looked into that also. I think Sue told me about it. The test strips are expensive! Let me know what you find out.
     
  5. Debra and Yoyo

    Debra and Yoyo Member

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    Nov 10, 2018
    I know you are right, but you know when you trust one thing or you start with one thing; it is so hard to change to something else and have the trust that the numbers will be correct.
     
  6. Rosie & Bailey

    Rosie & Bailey Well-Known Member

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    Sep 4, 2018
    I want to try to buy 2, get one free, which brings the price down. I also like that the strips are individually wrapped so if I get lucky, those strips could last me straight into 2020. I'll only use the PetAdvocate strips for very low numbers.
    For day to day, I plan on continuing the Prime meter, or possibly switching to OneDrop. I am looking at how many strips I use to see if I can save money with OneDrop's unlimited plan.
    Good luck on your meter quest. You do have to choose one, but I agree, it's best to thoroughly research so that you are confident with whatever you are using and you can stick with it.
     
  7. Debra and Yoyo

    Debra and Yoyo Member

    Joined:
    Nov 10, 2018
    Hi,
    I just checked Yoyo at +11 and he is 198. Is this too low to shoot if he is still at that number in about 50 minutes? He i due for insulin at 7:10pm. Please advise.
     
  8. Debra and Yoyo

    Debra and Yoyo Member

    Joined:
    Nov 10, 2018
    Hi Carla, just tested Yoyo at 6:15pm and his +11 is 198. He is due for insulin at 7:10pm, if he is still at 198, do I give him his insulin or wait until he goes over 200? Please advise.
     
  9. Rosie & Bailey

    Rosie & Bailey Well-Known Member

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    Sep 4, 2018
    Hi Debra,
    For the most part, 198 is considered the same as 200 due to the 20% variation. I will be here, and I can help you, but I would feel more comfortable if one of the more experienced members responds though so that they can provide better guidance. The first question is are you prepared with supplies should he go low tonight? Medium and high carb foods, karo syrup or honey, printed instructions for reference in case internet access is lost, etc.

    Tagging some experts that I see online now.
    @Bobbie And Bubba @MrWorfMen's Mom
     
    Last edited: Dec 6, 2018
  10. Rosie & Bailey

    Rosie & Bailey Well-Known Member

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    Sep 4, 2018
    Here are the SLGS guidelines. I notice they don't mention stalling, but that is an option. Stall with no food to see if he comes up above 200.


    Q4.4. My cat's pre-shot level was way below the usual value. Should I give the injection?
    A4.4. There's no hard and fast rule, but if you don't have data on how your cat responds to insulin, here are some general guidelines.
    • Below 150 mg/dl (8.3 mmol/L), don't give insulin.
    • Between 150 and 200 (8.3-11.1 mmol/L), you have three options: a.) give nothing; b.) give a token dose (10-25% of the usual dose); c.) feed as usual, test in a couple of hours, and make a decision based on that value.
    • Above 200 (11.1 mmol/L) but below the cat's normal pre-shot value, a reduced dose might be wise.
    • In all cases, if you are reducing or eliminating insulin, it's wise to check for ketones in the urine.
    • Above the normal pre-shot value, give the usual dose, but if the pre-shot value is consistently elevated, it's a good idea to schedule a full glucose curve to see whether a change in dose or insulin is appropriate. In most cases, the target "peak" value should not be below 100 mg/dl (5.6 mmol/L), and for some cats it might be higher.
     
  11. Debra and Yoyo

    Debra and Yoyo Member

    Joined:
    Nov 10, 2018
    I
    I'll check him soon. But what would be a reduced dose for Yoyo? 10-25% of usual dose would =?
     
  12. Rosie & Bailey

    Rosie & Bailey Well-Known Member

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    Sep 4, 2018
    Mathematically, it comes out to .1875. I'm guessing in practice you could try .25.
    He's doing so well, though, I'd hate to have you give him so little. Still hoping someone weighs in.

    Maybe change your title to say "Need help-dosing for PMPS" so people know it's more time sensitive?
     
  13. Debra and Yoyo

    Debra and Yoyo Member

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    Nov 10, 2018
    Just tested 236 so I fed him and I will give him his normal dosage of .75 as long as you agree with me. Let me know...ok?
     
  14. Rosie & Bailey

    Rosie & Bailey Well-Known Member

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    Sep 4, 2018
    Yes, you are good.
    I think you should leave the question mark up, and hopefully someone will give you advice in case this comes up again in AMPS.
     
  15. Debra and Yoyo

    Debra and Yoyo Member

    Joined:
    Nov 10, 2018
    Ok, I feel so much better. I didn't want to skip and mess up the cycle. Wish us luck! I'll keep checking....it's only money:rolleyes:
     
  16. Rosie & Bailey

    Rosie & Bailey Well-Known Member

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    Sep 4, 2018
    Good luck! Glad he's such a good patient.

    He's progressing so nicely!
     
  17. Debra and Yoyo

    Debra and Yoyo Member

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    Nov 10, 2018
    Thank yo for being here with me...I'm gonna go give him his insulin now.
     
    Rosie & Bailey likes this.
  18. Wendy&Neko

    Wendy&Neko Well-Known Member

    Joined:
    Feb 28, 2012
    Good to see you are shooting this PMPS. FYI, there are two sections in the SLGS Sticky Note section on handling low preshots. The first one, which Rosie quoted, starts “in the beginning”. The second section starts “with experience...” As you gather data, and tonight will be another opportunity, you can gradually lower the number you shoot. Even with newbies, we suggest it’s OK to shoot snything over 200. Eventually, when you have the data to do so, you will be able shoot anything over 90.
     
    Rosie & Bailey likes this.
  19. carfurby

    carfurby Well-Known Member

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    Feb 19, 2012
    I wasn't on the board earlier. I'm glad Rosie was able to help you. Good job shooting. I hope Yoyo keeps surfing safely tonight.
     
  20. Debra and Yoyo

    Debra and Yoyo Member

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    Nov 10, 2018
    Hi Wendy, I just checked Yoyo's +2 @ 173. I have started to monitor his food intake more and have noticed if he has his bulk of food before +2 that his numbers go lower and he surfs more. With that being said, tonight he is at his lowest I believe for a +2 @ 173. Should I give him some food, 1/6 can or more so that he doesn't drop too fast?
     
  21. Debra and Yoyo

    Debra and Yoyo Member

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    Nov 10, 2018
    I just fed Yo 1/6 can @+3 103. My thought process is that the food will slow him down a little so that his numbers don't get too low since I really don't know how he is going to react. I'll retest again at +3.5
     
  22. Rosie & Bailey

    Rosie & Bailey Well-Known Member

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    Sep 4, 2018
    Sorry I missed these updates. You are doing well. Yes, test again at +3.5
     
  23. Rosie & Bailey

    Rosie & Bailey Well-Known Member

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    Sep 4, 2018
    Last time, @Bobbie And Bubba suggested withholding food so that he would surf. Let's see if he can hold the green through +5 and maybe even earn a reduction in dose.
     
  24. Debra and Yoyo

    Debra and Yoyo Member

    Joined:
    Nov 10, 2018
    Yoyo is at 105 @+5. I'll check him thru the nite. I didn't offer food at +5, I'll give him some food at +6 or +7.
    Sleep well, thank you for all your time and concern:cat:
     
  25. Rosie & Bailey

    Rosie & Bailey Well-Known Member

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    Sep 4, 2018
    Sounds good. You did great with him. Good night :)
     

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