Changing shot times

Discussion in 'Feline Health - (Welcome & Main Forum)' started by Nicole & Diesel, Jan 15, 2020 at 10:35 AM.

  1. Nicole & Diesel

    Nicole & Diesel Member

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    Jan 7, 2020
    Link to Nicole & Diesel first post, for reference

    Not sure if I did this correctly (posting the link from my other thread)

    I have decided to change Diesel's shot times. This morning I gave him his shot at 630 am. This will now allow me to stall for up to an hour before work if his AMPS ends up being a no shoot because I skipped last night and his blood this am was 23.
     
    Last edited: Jan 16, 2020 at 12:12 PM
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  2. Juls and Billy

    Juls and Billy Member

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    Dec 28, 2019
    Sounds smart, and a skip is a great time to change the schedule, since you don't have to worry about the previous dose.
     
  3. Deb & Wink

    Deb & Wink Well-Known Member

    Joined:
    Jan 31, 2013
    Good time to readjust your schedule. So your new shot time this PM will be 6:30 AST?

    Yes, you did the link correctly to your old post.

    If you want the link to say something different, more descriptive, you Type In Some Descriptive Text
    Highlight that text with your mouse/touchpad/ whatever your device uses to highlight text.
    Click on the little 'chain' icon at the top of the reply box, where the editing icons are.
    New small window pops up.
    Put in the URL from your old post (cut and paste)
    Try some of the other editing tools.
    (B is for bold, I is for italics, etc......)

    Maybe something like 'Link to Nicole & Diesel first post, for reference'
     
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  4. Nicole & Diesel

    Nicole & Diesel Member

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    Jan 7, 2020
    Hi,

    Diesel is 9.5. I am going to stall for 30 mins and see if his sugars are going up. If they are would I give the 0.25 or the 0.50 if he’s not quite reached his ok to shoot number?
     
  5. Deb & Wink

    Deb & Wink Well-Known Member

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    Jan 31, 2013
    I'd do the 0.25 if he gets over 200 (11.1)

    Hope you see this in time.
     
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  6. Nicole & Diesel

    Nicole & Diesel Member

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    Jan 7, 2020
    Hi,

    I actually gave 0.50 because in 30 mins it went up to 13.8... hoping that’s okay :/ but I did give him some food with a slightly higher carb content just in case. And I left a little bit of extra food on the counter.
     
  7. Deb & Wink

    Deb & Wink Well-Known Member

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    Jan 31, 2013
    Stalling worked! He went up quite a bit in 30 minutes. Extra food out is good.
     
  8. Nicole & Diesel

    Nicole & Diesel Member

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    Jan 7, 2020

    Hi!! I think I did it for changing the descriptive words to what you suggested with the link to my first post!
     
  9. Deb & Wink

    Deb & Wink Well-Known Member

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    Jan 31, 2013
    Yes, you did!

    Good skill to have for when you decide to go over to the ISG (Insulin Support Group).
     
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  10. Nicole & Diesel

    Nicole & Diesel Member

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    Jan 7, 2020
    Hi,

    this stalling is getting lame. Lol

    I checked at 615pm and it was 6.0. Stalled till 7:20 and it is 7.0.... it looks like it is going up but not sure what to give or if I should skip. I can’t stall any more cause I won’t be able to give any later than 730 tomorrow morning.
     
  11. Deb & Wink

    Deb & Wink Well-Known Member

    Joined:
    Jan 31, 2013
    I would not feel comfortable giving 0.5 U insulin at BG of 7 (128).

    How do you feel about reducing to 0.25 U again?
    Or maybe 'some insulin', barely at the 0 line on your syringe.
     
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  12. Nicole & Diesel

    Nicole & Diesel Member

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    Jan 7, 2020
    I don’t mind reducing.
     
  13. Nicole & Diesel

    Nicole & Diesel Member

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    Jan 7, 2020
    I gave him 0.25 and I’m going to keep an eye on him
     
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  14. Deb & Wink

    Deb & Wink Well-Known Member

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  15. Tina Marie and Jan

    Tina Marie and Jan Well-Known Member

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    Jul 24, 2019
    Diesel is responding to insulin nicely!

    I'm super impressed at how quickly you are adapting and learning, Nicole.

    Is Diesel feeling generally well?
     
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  16. Nicole & Diesel

    Nicole & Diesel Member

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    Jan 7, 2020
    Yes, he is back to his normal self it seems. He was sleeping a lot under my bed and seems to be coming out more and more to hang out.
     
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  17. Tina Marie and Jan

    Tina Marie and Jan Well-Known Member

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    That's great! I hope you aren't too exhausted and that you remember to take care of yourself every chance you get!
     
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  18. Nicole & Diesel

    Nicole & Diesel Member

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    Jan 7, 2020
    It’s definitely tiring especially with a toddler but Diesel is worth it :)
     
  19. Tina Marie and Jan

    Tina Marie and Jan Well-Known Member

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    He is a lucky cat to have you and your family:cat:
     
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  20. Deb & Wink

    Deb & Wink Well-Known Member

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    Jan 31, 2013
    I'd like to get you more help over on the Lantus forum. Diesel has been a low dose kitty from the get go. My thinking is that there may be some more ideas from people there than you are getting here in the Health Forum.

    Not saying you need to move over there. But maybe post a thread in Lantus ISG with question mark prefix to get some ideas? You may need to learn to shoot low numbers soon too.

    I've been waiting for that 1st curve on Diesel. But with your work schedule and having to drop the dose and back up again and not being able to test, it's been hard. Maybe this weekend for a curve?
     
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  21. Nicole & Diesel

    Nicole & Diesel Member

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    Jan 7, 2020
    Yes, plan on doing the curve Saturday.

    How do I find that forum? Can you post me a link somehow?
     
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  22. Deb & Wink

    Deb & Wink Well-Known Member

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  23. Nicole & Diesel

    Nicole & Diesel Member

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  24. Deb & Wink

    Deb & Wink Well-Known Member

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    Jan 31, 2013
    Down to 60 (3.33) is the 'take action' number or ' be more aware' that action is needed.

    TREATMENT

    During treatment for hypoglycemia, try to test every 15 - 20 minutes until you see the bgs begin to rise. Then continue to test until you are satisfied that the cat is out of danger.

    VERY LOW NUMBERS – WITHOUT SYMPTOMS
    Retest glucose using a large blood sample to make certain you have enough blood, and if you still get a very low number (under 40 mg/dL or 1.9 – 2.2 mmol/L) administer a teaspoon of corn syrup, liquid glucose, pancake syrup or honey, or INSTA-GLUCOSE and follow with food until the blood glucose numbers rise to acceptable levels. The syrup can be mixed with wet food or poured over dry if the cat will eat the mixture. If using liquid glucose, dilute with water for a thinner consistency.

    LOW NUMBERS – WITHOUT SYMPTOMS
    Retest glucose using a large blood sample to make certain you have enough blood, and if you still get a low number (40 – 60mg/dL or 2.2 – 3.3mmol/L) give food or treats until the blood glucose numbers rise to an acceptable level. If the cat refuses to eat even his/her favorite foods, you can syringe feed or administer a small amount of syrup.

    LOW NUMBERS – MILD SYMPTOMS
    Try feeding first or give a little syrup or honey followed by food until the blood glucose numbers rise to an acceptable level and the symptoms disappear. The syrup can be mixed with wet food or poured over dry if the cat will eat the mixture. If the cat will not eat, syringe feed. If your cat will eat dry food. the high carbs will help to increase his/her bgs quickly, but remember the effects of dry food usually takes longer to clear kitty's system once the crisis has passed. Feeding a high carb canned food is preferable to feeding a high carb dry food because the effects will clear kitty's system faster. You can then follow with his/her favorite canned food. Keep in mind that giving syrup (Karo, etc.) or honey is not enough because the effects wear off quickly. You need to follow with food.
    IF IN ANY DOUBT, TELEPHONE YOUR VETERINARIAN.

    LOW NUMBERS – MODERATE SYMPTOMS
    Give a tablespoon of syrup, a teaspoon of liquid glucose, a tablespoon of honey or a tablespoon of sugar syrup followed by food and continue doing so until you see the blood glucose numbers rise to an acceptable level and all symptoms disappear. The syrup, honey, or glucose can be rubbed against the inside of the cat’s cheeks or on the gums for quick absorption. You can also mix the syrup with wet food or pour over dry if the cat will eat it. Continue to give syrup and food as needed and observe your cat for signs of recurring hypoglycemia. Keep in mind that giving syrup (Karo, etc.) or honey is not enough because the effects wear off quickly. You need to follow with food.
    IF IN ANY DOUBT, TELEPHONE YOUR VETERINARIAN.

    LOW NUMBERS – SEVERE SYMPTOMS
    Rub syrup, honey, or glucose on the gums and cheeks if your cat will allow it. Another option for administering syrup, diluted liquid glucose, honey or sugar syrup to a cat who is seizing is to fill a needleless syringe with the mixture and insert via the rectum.
    NEVER TRY TO SQUIRT SYRUP, HONEY, OR GLUCOSE TO A CAT WHO IS SEIZING AS THE CAT COULD CHOKE ON IT! RUSH TO EMERGENCY.

    AGAIN! ANYTIME YOU CAT IS SEIZING OR LIMP, RUB KARO, GLUCOSE OR HONEY ONLY ON GUMS OR ADMINISTER RECTALLY AND GET TO EMERGENCY OR YOUR NEAREST CLINIC IMMEDIATELY!!!

    Remember that syrup or any other sugared syrup/preparation will spike the blood glucose ONLY for a short period of time, so food is really important with mild and moderate symptoms. Dry food (high carbohydrates) will keep the blood glucose numbers elevated longer.

    After a hypoglycemic episode cats may be more sensitive to insulin, so a reduction in dosage is generally required, especially considering too much insulin – whether due to dosage, inadequate food intake, or the cat’s changing insulin requirements – caused the hypoglycemic event in the first place. With moderate to severe episodes, your Vet may have you skip the next injection altogether.
    IT IS VERY IMPORTANT THAT YOU DISCUSS YOUR CAT’S HYPOGLYCEMIC EVENT WITH YOUR VET, SO TOGETHER YOU CAN DECIDE UPON THE NEXT COURSE OF ACTION.

    Always keep in mind that with low blood glucose and no symptoms, the BG you get is not as important as where it is headed. In other words, if you get a BG of 100 mg/dL or 5.6 mmol/L or less and there are still several hours or more before the insulin peaks, your need to watch your cat (and the numbers) carefully and take appropriate steps. With very low numbers and NO SYMPTOMS, a cat can be fine one moment and seizing the next.

    BE PREPARED! KNOW THE SYMPTOMS AND KNOW THE TREATMENT!


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