4/15 | Moose | +11 = 279

Discussion in 'Lantus / Levemir / Biosimilars' started by Moose (GA) & Rae, Apr 15, 2018.

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  1. Moose (GA) & Rae

    Moose (GA) & Rae Member

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    Apr 12, 2017
    Good afternoon L&L ~

    Link to last condo.

    How is everyone on this rainy Sunday? Moose is doing a bit better mood wise. No more vomit episodes (except for a hair ball). He's as hungry as ever! I just ordered an automatic pet feeder to see if the mini meals help his hunger (he always seems ravenous! I know that may be due to his higher BG numbers) and if it will have any affect on his numbers.

    First question: How often, with the feeder, should I schedule the meals? Or just do one snack in the middle of the day? (I believe someone had previously suggested giving a snack at +9.)

    He seems to be remaining rather flat in the yellow on the drop dose. Per TR protocol, I believe I am at the point in which I should increase his dose. I'm scared to increase back to .1U because of his swim with the sharks while on it. Maybe 2 drops? If so, do you have to use two different syringes for a two drop dose? Or is there a specific way to draw 2 drops?

    See notes on SS for today about test strips. I went back to the Relion Confirm because I wasn't feeling confident with the new strips for the Contour. The BG numbers in parentheses are the results with the Contour.

    Re: Dental. I am scheduling Moose's dental cleaning this week. I have been searching around for price estimates. Google is very vague: $300 - $1500. Another site said $55 - $850. I called an office which specializes in dental care for pets and they quoted me $1,000 - $1,400 (not including any extractions that may be needed) :eek: I promise I am not trying to be cheap, $1,000 just seems steep? I'm going to continue to call around tomorrow. I did not call my regular vet as I'm feeling less confident in them after learning that they were selling me repackaged insulin. I will call the vet up the road tomorrow and get their quote.

    Hugs & head bumps to you all! Thank you in advance for all advice and support! :cat:
     
  2. Moose (GA) & Rae

    Moose (GA) & Rae Member

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    Apr 12, 2017
    Just read on another thread that flat yellows can mean an active cycle. I was not planning to increase until tomorrow anyway, so we will see how this evening goes.
     
    Mandy & Rex (GA) likes this.
  3. Stacy & Asia

    Stacy & Asia Well-Known Member

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    Oct 2, 2017
    You would have to check to be certain, but the reason for the huge price difference for dental is this: when you have a dental at a general vet practice, the vet administers and monitors the anesthesia as well as dealing with the teeth cleaning/extractions. At a speciality veterinarian dental practice, they usually have a dedicated anesthesiologist, like they would for a human surgery. The anesthesiologist is only tasked with keeping your cat safe under anesthesia and the dentist only has to worry about teeth. Besides this, you are also paying for a specialist, so instead of a general practice vet that does a little bit of everything, you are paying for a vet that deals with teeth and dental issues, all day, every day. It’s money well spent, if you can afford it, especially if your cat has any additional risks for anesthesia (diabetes, liver or kidney disease, advanced age, other complications). That’s what I had done for Asia when she was 13 and had tooth resorption, it was expensive, but worth the peace of mind. She needed many extractions and was already “old” at 13.
     
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  4. Moose (GA) & Rae

    Moose (GA) & Rae Member

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    Apr 12, 2017
    Thank you so much for your input, Stacy! Now the price tag definitely makes sense. This particular dental office was highly rated, so I would feel a lot more comfortable taking him there as opposed to taking him to my regular vet. Having a pet under anesthesia is scary as it is, without the additional risk factors.

    I will see about paying down my credit card a bit so that I will have enough credit to put the dental visit on there, or see about opening a new one with 0% for the first 18 months (possibly Care Credit.) I want to do what is best for Moose, especially if dental issues are causing him to fall out of remission!

    Thanks again :bighug:
     
    Stacy & Asia likes this.
  5. Amanda & Shmee

    Amanda & Shmee Well-Known Member

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    Feb 18, 2018
    Glad to hear Moose is hungry and no more vomiting :)
    Put of curiosity - I see .1 and one drop on your sheet, what is the difference? .1 seems about the same as one drop to me? How do you measure the .1?
     
    Moose (GA) & Rae likes this.
  6. Moose (GA) & Rae

    Moose (GA) & Rae Member

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    Apr 12, 2017
    .1 is basically a "fat" 0...the stopper is just about to the bottom line, almost touching, but not quite.

    To get a drop, you push the stopper as hard as you can to the bottom of the syringe, then insert the syringe into the insulin vial, and then let go. That draws in a "drop" of insulin.

    There is a great pictorial guide to .1U and a drop dose on one of the stickied posts at the top of the L&L forum. Here is a link, scroll all the way to the bottom (or just about) for the pictures of each dose.
     
    Amanda & Shmee likes this.
  7. Moose (GA) & Rae

    Moose (GA) & Rae Member

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    Apr 12, 2017
    You can tell that Moose is hungry because he was just scavenging for fall out under the dog food bowl :rolleyes: I think he may have found a piece of kibble. I wonder how that will affect his BG! I feel bad, as I slept in an hour late this morning and gave him his AM shot @ 6:45am, so now I have to wait until 6:30pm to give it today (and dinner is pushed back as well! I thought the +9 snack would help, but it appears not. Moose's stomach is on a strict schedule!)
     
  8. Moose (GA) & Rae

    Moose (GA) & Rae Member

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    Apr 12, 2017
    +11 = 279

    Seems like the little snackie @ +9 helped a bit! :cat:
     
    CassAndGordy(GA) likes this.
  9. LizzieInTexas

    LizzieInTexas Well-Known Member

    Joined:
    Jul 25, 2016
    You may want to wait the full 6 cycles since the skipped shot. Not sure how that works on small doses. @Bobbie And Bubba ??

    Of course if you can monitor after the increase that might be ok.
     
    Moose (GA) & Rae likes this.
  10. Bobbie And Bubba

    Bobbie And Bubba Well-Known Member

    Joined:
    Jun 15, 2015
    Hi Rae, he is rather flat which could indicate he could drop lower. And you did skip a shot.........but he could be in better numbers. Since you went to a drop the best he's seen is 160. Maybe take a syringe with water and fill to the .10 and screw out drop by drop counting them and then you'll know when to stop for 2 drops of insulin and try that.
     
    Last edited: Apr 15, 2018
    Reason for edit: ETA to correct misspell
  11. Moose (GA) & Rae

    Moose (GA) & Rae Member

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    Apr 12, 2017
    Oh, thank you! I totally forgot about the skipped shot. I was thinking it had been 6 cycles. Good call!
     
  12. Moose (GA) & Rae

    Moose (GA) & Rae Member

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    Apr 12, 2017
    Yeah I totally forgot about the skipped shot :facepalm: Ok excellent, thank you for the advice! I have my water only syringes handy for just the occasion. I'm guessing that I should wait the full 6 cycles (without skipping!) before increasing though, yes?
     
  13. Moose (GA) & Rae

    Moose (GA) & Rae Member

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    Apr 12, 2017
    Grr, forgot to get the PMPS! Moose was yelling at me to eat and my brain was tricking me into thinking that the +11 was the PMPS. Sounds like I need some evening coffee :rolleyes:
     
  14. Bobbie And Bubba

    Bobbie And Bubba Well-Known Member

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    Jun 15, 2015
    Tomorrow's another day, Scarlet ( said it my best Rhett Butler voice) Rae, you are so much younger.....do you know who Rhett Butler is, LOL?
     
  15. Moose (GA) & Rae

    Moose (GA) & Rae Member

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    Now that you know my real age, I'm gonna keep getting comments like this, right? ;) Haha, yes I do know who Rhett Butler is! :D
     
  16. Bobbie And Bubba

    Bobbie And Bubba Well-Known Member

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    Jun 15, 2015
    Yes!! I am so glad ! It is important to know all the classic movie, IMHO.
     
  17. Moose (GA) & Rae

    Moose (GA) & Rae Member

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    Apr 12, 2017
    I 100% agree! Where would we be without the classics? Same goes for music!
     
  18. Ella & Rusty & Stu(GA)

    Ella & Rusty & Stu(GA) Well-Known Member

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    Jan 11, 2010
    Someone correct me if I'm wrong, but I believe it is Scarlet who says "tomorrow is another day"!!
     
    Bobbie And Bubba likes this.
  19. carfurby (GA)

    carfurby (GA) Well-Known Member

    Joined:
    Feb 19, 2012
    I'm glad Moose is eating and over the vomiting. Good idea to get the dental taken care of soon. Hopefully Moose's numbers will get right back on track afterwards.
     
  20. Bobbie And Bubba

    Bobbie And Bubba Well-Known Member

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    Jun 15, 2015
    You are right! And I knew that and don't know why I quoted Rhett. Rhett said, "Frankly Scarlet, I don't give a damn" Guess I need to watch " Gone with the Wind" again. :confused:
     
    Moose (GA) & Rae likes this.
  21. Ella & Rusty & Stu(GA)

    Ella & Rusty & Stu(GA) Well-Known Member

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    Jan 11, 2010
    I've only seen it about 20 times.
     
  22. Bobbie And Bubba

    Bobbie And Bubba Well-Known Member

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    Jun 15, 2015
    You have a few watches on me, Ella!
     
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