Elmo PMPS 234.....what is going on ????

Discussion in 'Feline Health - (The Main Forum)' started by Beth 73, Dec 20, 2016.

  1. Beth 73

    Beth 73 Well-Known Member

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    @Critter Mom ......hi Mogs...just took +4...110 ...drop of 10'points in 30 minutes.....let him have teaspoon low carb...ate eagerly. Has come to mind that what may have happened yesterday is that when I stopped monitoring at +4 , the too high dose of thyroid took his whole system down and caused body to respond with raising his BG.....today's dose was 3/4 pill instead of whole pill so praying there is good response to that. Your suggestions on monitoring BG this afternoon???
     
  2. Beth 73

    Beth 73 Well-Known Member

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    +4...110...teaspoon snack
    +4.5..122.....
    Now what? Monitor at +6, +8 and +10 ????
     
  3. Critter Mom

    Critter Mom Well-Known Member

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    Liking the dip here!

    .
     
  4. Critter Mom

    Critter Mom Well-Known Member

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    Yep! Might want to throw in a +11 to see whether Elmo's rising come PMPS.

    Verrrrry interesting cycle. I suggest keeping a detailed note of exactly what you fed today (food brand & variety, carb values for same, times of feeding). It could be very helpful to refer back to.


    Mogs
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  5. MrWorfMen's Mom

    MrWorfMen's Mom Well-Known Member

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    Glad to see Elmo isn't spoiled too badly!

    animated-laughing-image-0144.gif
     
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  6. Beth 73

    Beth 73 Well-Known Member

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  7. Beth 73

    Beth 73 Well-Known Member

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    Got it, Mogs ...
     
  8. Beth 73

    Beth 73 Well-Known Member

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    Am I messing up??? My pre shot is taken at 6 which is +11... I'm confused...that doesn't take much
     
  9. Kris & Teasel

    Kris & Teasel Well-Known Member

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    I concur! Just getting home again. Large equine at stable needed brushing, TLC and carrots. :)
     
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  10. Beth 73

    Beth 73 Well-Known Member

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    6pm that is...11 hours since 7 am shot...:confused::confused::rolleyes::oops:o_O
     
  11. Beth 73

    Beth 73 Well-Known Member

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    Awwwwwww....
     
  12. Critter Mom

    Critter Mom Well-Known Member

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    Can I come to stay, please? :)


    Mogs
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  13. Kris & Teasel

    Kris & Teasel Well-Known Member

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    You're not messing up. By the time you do PS, feed, wait a bit then shoot it's 12 hours since the previous shot that's what counts.
    Do you prefer a rubber curry brush or natural bristle?
     
  14. Critter Mom

    Critter Mom Well-Known Member

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    Just keep doing what you're doing, Beth.

    With the likes of Lantus you can test, feed and inject within minutes so PS times are pretty much bang on the 12 hours. Because you need to wait a little while after the meal before giving Vetsulin it's necessary to do the preshot test a little earlier.


    Mogs
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  15. Critter Mom

    Critter Mom Well-Known Member

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    Ooh, ooh, natural bristle! Pretty, pretty please! :woot:

    .
     
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  16. Beth 73

    Beth 73 Well-Known Member

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    +6....125 ?????? Should I edge it up a bit with a snack or wait to test at +8 ????
     
  17. Beth 73

    Beth 73 Well-Known Member

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  18. Beth 73

    Beth 73 Well-Known Member

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    You all have helped me so much to not get overly excited or overly upset by one number or set of numbers but to take it a BG at a time....that's a nice place to be:)
     
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  19. Kris & Teasel

    Kris & Teasel Well-Known Member

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    Are you referring to the 120 followed by the 110, Beth? I wouldn't be too fussed about that. These little ups and downs are a normal part of the physiology. It's the trends (going up, down or staying level) that rule rather than individual numbers for the most part.
     
  20. Beth 73

    Beth 73 Well-Known Member

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    Kris, I guess it's the 125 at +6 that hit me as lower than usual but looking at SS I don't have many comparable sand it could be my lack of sleep....just found the +6 curious...thot it would be higher...called Dr Pat and she said to alternate between 3/4 morning and 1/2 evening on thy med and see how he does...mercy :rolleyes:
     
  21. Beth 73

    Beth 73 Well-Known Member

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    Also...how do I better fill in SS when I have multiple half hour BGs that fill in coming hours slots on SS??
     
  22. Beth 73

    Beth 73 Well-Known Member

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    +8...162 ( up 37 points in 2 hours)
     
  23. Critter Mom

    Critter Mom Well-Known Member

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    Sorry for not posting sooner. (Trying to help Mittens.)

    The +6 was really good and a great result for that part of the cycle. :)


    Mogs
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  24. Beth 73

    Beth 73 Well-Known Member

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    @Chris & China ....Hi Chris... have made appointment with new vet for next Tuesday but
    Mogs , u r my peace of mind on a sleep deprived brain bleared day:bighug:...thank you, thank you.
     
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  25. Beth 73

    Beth 73 Well-Known Member

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    But + 8 was not so great at 162
     
  26. Critter Mom

    Critter Mom Well-Known Member

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    I've had my fair share of those, Beth.

    You're a wonderful kitty mama.

    :bighug::bighug::bighug:

    The Buddha Kitteh has done marvellously today! :cat:


    Mogs
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  27. Critter Mom

    Critter Mom Well-Known Member

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    That's probably the Vetsulin pooping out, Beth. He's had a really smooth cycle in good numbers.

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  28. Beth 73

    Beth 73 Well-Known Member

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    would u suggest I go ahead and order the Lantus even tho I haven't spoken to new vet yet? I am going to switch regardless...would just be nice to have a knowledgeable vet in our corner. This us my sleep deprived mind trying to sort things out....I know u understand in spades.Makes me marvel at you all the more.:bighug:
     
  29. Beth 73

    Beth 73 Well-Known Member

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    Mogs, with all u handle u amaze me more each day.i feel like a big baby saying I'm tired knowing just the bit I do of what you go through . Amazing...absolutely, totally AMAZING
     
  30. Critter Mom

    Critter Mom Well-Known Member

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  31. Kris & Teasel

    Kris & Teasel Well-Known Member

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    Checking in - had to have a little nap. :)
     
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  32. Beth 73

    Beth 73 Well-Known Member

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    Bless ur heart :bighug:.....lets blame Elmo :):cat::rolleyes:
     
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  33. MrWorfMen's Mom

    MrWorfMen's Mom Well-Known Member

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    Nice run for Elmo! Loving it! :D:D:D:D:D:D:D

    I'd call Mark's Marine and see about shipping the Lantus at this time of year. I think they sometimes hold off shipping if a big blow is in the offing. They should be able to give you an idea of shipping times which might help you decide.

    If you have a gander at my girl's spreadsheet and look at her + 11 PM readings on 27Nov16 (Yeah for bright green!), you'll see how to do it. This was a morning I had to stall due to low numbers. The only trick is to use the space bar rather than the enter key before entering each new reading and you may need to put 3 or 4 spaces after each to keep the readings on separate lines and legible. Any problems, just holler.

    Warning Momentary Thread Hijack! :woot:

    Menace passed her physical with flying colours today. We saw a new vet at the clinic who specialized in reproductive endocrinology. Not quite a diabetic specialist but at least she's got the basics to the same level as my usual vet if not a little more. She was thrilled to see Menace's spreadsheet and had apparently gone back to review Menace's records and my email/telephone conversations with our usual vet before our visit today. This vet proved herself to be up to date (although she like my usual vet has not used Levemir :rolleyes:), practical (no infuriating wet food diet lectures), good listener and communicator and most importantly, very gentle but thorough examining my little sweetheart. I count myself lucky that I now have TWO vets I trust to look after my furballs! This visit was like an early Xmas present! Menace and I are very proud of her report card which in summary reads:

    "Menace was a good patient as usual and was very brave for her check up. Keep up the good work, her glucose curves show a very dedicated owner."

    I have FDMB to thank for being able to keep Menace in tip top shape and for all the progress we have made! I love FDMB! :D:bighug::D:bighug::D:bighug::D:bighug::D
     
    Last edited: Dec 21, 2016
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  34. Critter Mom

    Critter Mom Well-Known Member

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    Tip:

    Use ALT-Enter (aka ALT-Return) to force a carriage return to move to another line without leaving the spreadsheet cell. Hit Enter (Return) when you've finished, as normal.


    Moggie the Spreadsheet Goddess
    .
     
  35. Critter Mom

    Critter Mom Well-Known Member

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    My kinda frankenthread, Linda! I'm so pleased for you.

    :woot: :woot: :woot: :woot: :woot: :woot:

    This. To the power of infinity.

    (((Linda)))

    :bighug:


    Mogs
    .
     
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  36. MrWorfMen's Mom

    MrWorfMen's Mom Well-Known Member

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    @Critter Mom aka Spreadsheet Guru....Thanks so much for the tip. On days like my sample, I wonder if I am going to get a repetitive use problem in my thumb hitting the space bar so often! My thumb thanks you as do I! :bighug:
     
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  37. Critter Mom

    Critter Mom Well-Known Member

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    Moggie the Mogster. Helping thumbs everywhere since 1793.


    :p
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  38. Chris & China

    Chris & China Well-Known Member

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    I suggested you go ahead and order it when you first got the script!!....LOL At least with the holiday being on Sunday this year, it shouldn't hold up the delivery much......now's the time though because our temps are supposed to be pretty good for the next week or so
     
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  39. MrWorfMen's Mom

    MrWorfMen's Mom Well-Known Member

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    BTW you realize you dated yourself with that description but so did I because it made perfect sense to me! :woot:
     
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  40. Critter Mom

    Critter Mom Well-Known Member

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    We're from an excellent vintage! :smuggrin:


    Mogs
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  41. Beth 73

    Beth 73 Well-Known Member

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    Will send vet script later tonight...it seems sketchy to me, like he was unsure what he is doing. As crazy as it sounds , my DH, myself and my 94 yr old DM take no meds so getting scripts filled is not a natural occurrence....we r a hardy lot...
     
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  42. MrWorfMen's Mom

    MrWorfMen's Mom Well-Known Member

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    Beth did he write a script for the pens or for a vial?

    You want to get the pens because they last longer and you can pretty much use them up whereas there will be waste (and a lot of it at small doses) with the 10ml vial. Many vets are not familiar with or don't order the pens because we don't use the pen to inject and they don't know you can use the pen as a small vial with a syringe. Something to check because I don't think Mark's can legally substitute one for the other.
     
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  43. MrWorfMen's Mom

    MrWorfMen's Mom Well-Known Member

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    Thank your lucky stars! Not many of us who don't need meds for something! :)
     
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  44. Chris & China

    Chris & China Well-Known Member

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    Actually, yes they can.....If the vet wrote for the vial, you just need to call them (800 number so its free) and ask for the pens instead.....since insulin is OTC in Canada, the pharmacist has the option to swap them
     
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  45. Kris & Teasel

    Kris & Teasel Well-Known Member

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    Excellent news, Linda! :smuggrin:
     
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  46. Beth 73

    Beth 73 Well-Known Member

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    Here is vet Script...." Lantus insulin...either 10ml vial or 3ml pen. Syringes for low dose use(1/4 unit) with Lantus. Use as directed."
     
  47. MrWorfMen's Mom

    MrWorfMen's Mom Well-Known Member

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    Good to know. I know we can do it here but we don't need a script. I thought the fact that they require a script from US folks might negate that option.
     
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  48. Chris & China

    Chris & China Well-Known Member

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    You're fine.....but you want to get syringes elsewhere....they're much more expensive in Canada

    WalMart has them
     
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  49. Beth 73

    Beth 73 Well-Known Member

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    Vet told me I could just walk into wal mart and buy insulin without prescription( I know it costs far more) but had to have script for syringes( dang them meth users ....but understandable)
     
  50. Beth 73

    Beth 73 Well-Known Member

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    So I fax Marks the script...specify I want 3ml pen...is it good to get two ? I always got two vetsulin, one to use and one for backup. What is price difference , Chris, between Marks and Wal mart ???
     
  51. Chris & China

    Chris & China Well-Known Member

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    No....the insulin WalMart sells over the counter is NOT Lantus (although some pharmacists will try to convince you it's the same thing)

    All these have half unit markings and are the correct syringes for U100 insulin and are available from ADW online:
    UtiCare
    Monoject
    Carepoint
    Sure Comfort
    BD Ultra-Fine

    They're also available at WalMart if you have one near you.. Their Relion Brand 3/10ml, 3o or 31 gauge, 8mm insulin syringes all come with half unit markings and are only $12.58 for a box of 100 (although it seems a lot of WalMart employees don't realize that they DO come with half unit markings!!)
     
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  52. Chris & China

    Chris & China Well-Known Member

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    Get a box of 5....about $175 including shipping and that's enough to last over 2 years on Elmo's dose!! Makes it less than $8/month
     
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  53. Beth 73

    Beth 73 Well-Known Member

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    Ya'll...I'll admit it(as if u don't already know) I know I'm going to do this, I know it's best for Elmo but it still makes me bit nervous...vetsulin is crap but I know what to expect with it. Note, I am not going to keep using it but it is a bit scary to me to switch. If I didn't have all of you I'd be really nervous.
     
  54. Chris & China

    Chris & China Well-Known Member

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    if you actually bought Lantus at WalMart, it would be close to $300 for a 10ml vial (that you'd end up throwing most of away) or a box of 5 will cost you around $500-$600

    THAT'S why we buy from Marks!!!.....LOL
     
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  55. Beth 73

    Beth 73 Well-Known Member

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    :(
    Chris, is that what you advise I go for syringes??? Add to nervous I'm exhausted from last night..got to sleep after Mogs, Linda and Kris help my hand and got me thru then about 4 hours asleep woke with leg cramp...was awake from then on.......mercy, I am a big ole baby .....sorry for the boo hoo poor me...
     
  56. Chris & China

    Chris & China Well-Known Member

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    I use the Relion's from WalMart but any of those syringes will work....just kind of depends on if you want to order online or get them at a store nearby....and some people really prefer one brand over another

    The syringes I get are $12.58 for a box of 100
     
  57. Beth 73

    Beth 73 Well-Known Member

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    I know, I know....I trust you all with my Elmo's life so I'm sorry I'm apprehensive max here....do you order only one 10ml vial at a time ? I get paranoid about not having backups and considering it has to be ordered is ahhhhhhh.....I know you do it so I know it's done ...just gotta get my head wrapped around this new way ...
     
  58. Beth 73

    Beth 73 Well-Known Member

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    Oh Chris, that sets my heart at so much ease !!!
     
  59. Chris & China

    Chris & China Well-Known Member

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    and I don't need a script for syringes so you shouldn't either, but some pharmacists/stores will have their own policy

    I just walk in and ask for a box of Relion 3/10ml, 31 gauge insulin syringes (although sometimes they don't have the 31 gauge and I have to get 30 gauge)
     
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  60. Beth 73

    Beth 73 Well-Known Member

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    Oh, Linda ,that is beyond fantastic
     
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  61. Chris & China

    Chris & China Well-Known Member

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    @Beth 73 .....sent you a PM.....check your Inbox
     
  62. Beth 73

    Beth 73 Well-Known Member

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    I'm going to use these since that's what you use...... merciful sakes, after a good night's sleep I'm going to be embarrassed at what a ninny I've been:(
     
  63. Beth 73

    Beth 73 Well-Known Member

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    I know I've picked all your brains to infinity and beyond but I have a million more with this insulin switch....feeling better about doing this tomorrow:)
     
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  64. Beth 73

    Beth 73 Well-Known Member

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    Elmo's PMPS coming in 20 ish minutes....
     
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  65. Critter Mom

    Critter Mom Well-Known Member

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    Beth, you may not realise it but you have so much more knowledge and skill now than you did when you first started treating Elmo with insulin; it will stand to your credit during and after the switch (and you won't be alone while switching!).

    It's true that you'll have to start learning Elmo's new pattern when he switches insulins (which, being honest, can feel like going back to square one - I felt like that for the first few days) but as you start accumulating data for Elmo after the switch each day will get easier and you'll regain your confidence really quickly! :)

    :bighug::bighug::bighug:


    Mogs
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  66. Beth 73

    Beth 73 Well-Known Member

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    Thank you, Mogs...I needed to hear that.
     
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  67. Critter Mom

    Critter Mom Well-Known Member

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    Thought you might, Beth. :bighug:

    I wish someone had said similar to me when I made the switch. I spent the first few days absolutely bricking it. :nailbiting: :oops:


    Mogs
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  68. Beth 73

    Beth 73 Well-Known Member

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    Elmo PMPS...185......25 minus small drop ??
     
  69. Beth 73

    Beth 73 Well-Known Member

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    Thank you, thank you, thank you:bighug::bighug::bighug::bighug:
     
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  70. MrWorfMen's Mom

    MrWorfMen's Mom Well-Known Member

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    Beth you have not embarrassed yourself at all. We all get a little punchy when we don't get enough sleep and we are overloading our brains with info. On a couple of occasions in the last year or so, I have had to resort to giving Menace a BCS (big chicken shot) because I knew I had to look after me first or I'd be in no fit shape to look after her if/ when she really needed me. You have to find a balance and hopefully the switch to Lantus with a brief learning curve, will afford you more peace of mind and an ability to get a good, sound (and longer) sleep that doesn't come quite so easily with Vetsulin when you get down to lower numbers.

    If I were a teacher, I'd give you a
    gold_blinking_glitter_star.gif
     
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  71. Beth 73

    Beth 73 Well-Known Member

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    Elmo PMPS 185....25 minus small drop ???
     
  72. Beth 73

    Beth 73 Well-Known Member

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    Awwww, thank you , Linda....could not be doing any of this without you all!!! Love the BCS concept....Thai is hilarious...I'd be tempted to do that tonight if not for giving new reduced dose of thy meds.
     
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  73. Beth 73

    Beth 73 Well-Known Member

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    Hey, good news is I've lost a few pounds in last couple weeks with all this going on:).....I'm just 5 ft 2 so a couple pounds is welcome...I don't have a whole lot of place for it to go:nailbiting:
     
  74. Beth 73

    Beth 73 Well-Known Member

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  75. Kris & Teasel

    Kris & Teasel Well-Known Member

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    Understandable, Beth. The Lantus pros will help you. :)
     
  76. Kris & Teasel

    Kris & Teasel Well-Known Member

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    Go for it! Let's wait to see what the +1.5 is before getting knickers in a twist ... ;)
     
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  77. MrWorfMen's Mom

    MrWorfMen's Mom Well-Known Member

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    That's interesting given he surfed so athletically today! Bigger bump to PMPS than I expected. Keeping things as consistent as possible is a good idea so we can at least try to pinpoint any "anomalies" so yes I'd be just fine with 0.25 minus small drop but if you are really tired and want to go with minus a full drop, that's OK too. Remember Beth, this isn't just about Elmo. It's about both of you so you both stay in good shape! I'm waffling here because of that big drop he did so early last night. I think this is your call Beth.
     
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  78. MrWorfMen's Mom

    MrWorfMen's Mom Well-Known Member

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    If fatigue sets in you can always abort the cycle with some HC food, all things being equal tonight! ;)
     
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  79. Beth 73

    Beth 73 Well-Known Member

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    Thinking his big drop was related to high PMPS and then no thyroid meds??????????
     
  80. Beth 73

    Beth 73 Well-Known Member

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    Think I'll go with .25 minus small drop....can always feed higher carb to correct:rolleyes:
     
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  81. MrWorfMen's Mom

    MrWorfMen's Mom Well-Known Member

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    Good plan! A+. :)
     
  82. Kris & Teasel

    Kris & Teasel Well-Known Member

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    Good decision! :)
     
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  83. Beth 73

    Beth 73 Well-Known Member

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    :):):):):)......knickers....:smuggrin::smuggrin:o_O:smuggrin::smuggrin:
     
  84. Kris & Teasel

    Kris & Teasel Well-Known Member

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    I really like what Linda said about this being about you as well as Elmo. Yes, you want the best for Elmo but you have to factor in what you feel up to at any point in time. Tired and stressed - be conservative ... feeling more confident and have time to monitor/steer - be a bit more aggressive. Sometimes the beans forget that they have to look after themselves.
     
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  85. Beth 73

    Beth 73 Well-Known Member

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    Feel like u all are cheerleaders with pompoms, cheering us on all the way from the Cold White North:)
     
  86. Beth 73

    Beth 73 Well-Known Member

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    Not ain't that the truth !!!
     
  87. Kris & Teasel

    Kris & Teasel Well-Known Member

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    Yep. Pompoms and parkas - quite a look!
     
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  88. MrWorfMen's Mom

    MrWorfMen's Mom Well-Known Member

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    mini-graphics-cheerleader-652076.gif mini-graphics-cheerleader-652076.gif mini-graphics-cheerleader-652076.gif

    Ok I don't have any cheerleaders wearing parkas but it's really not THAT bad where I am. Kris may have a different opinion though! LOL!
     
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  89. Critter Mom

    Critter Mom Well-Known Member

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    Winter is coming.

    .
     
  90. Critter Mom

    Critter Mom Well-Known Member

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    [​IMG]

    So it's an anorak. Sue me. :p

    .
     
  91. Kris & Teasel

    Kris & Teasel Well-Known Member

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    Game of Thrones?
     
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  92. Critter Mom

    Critter Mom Well-Known Member

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    Yes, indeedy!

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  93. MrWorfMen's Mom

    MrWorfMen's Mom Well-Known Member

    Joined:
    Feb 18, 2015
    Man, I'm in trouble. I'm not a movie buff at all!:blackeye:
     
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  94. Beth 73

    Beth 73 Well-Known Member

    Joined:
    Aug 2, 2016
    You are all the most fun ladies I have never met !!!! Seriously, I am not a fan of women friends,probably cos I'm a bit of a tom boy but you all, YOU ALL are the best !!!!:bighug::bighug::bighug::bighug::bighug::bighug::bighug::bighug::bighug::bighug::bighug:
     
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  95. Chris & China

    Chris & China Well-Known Member

    Joined:
    May 10, 2013
    We're not "woman friends".....we're Crazy Cat Ladies!!!.....there's a difference!!!
     
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  96. MrWorfMen's Mom

    MrWorfMen's Mom Well-Known Member

    Joined:
    Feb 18, 2015
    Tom Boy here too so that explains the connection! Forced my way into hubby's weekend of fishing with the boys one year and put the guys to shame! :woot:
     
  97. Critter Mom

    Critter Mom Well-Known Member

    Joined:
    Jun 16, 2014
    Add another one to the ranks! :smuggrin:


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  98. Beth 73

    Beth 73 Well-Known Member

    Joined:
    Aug 2, 2016
    Yee hah!!! I knew it :) !! What fun ! I grew up with all boys so it was inevitable. Oh, and to the cat business ...Elmo +1.5 was 143...just gave 3/4 thyroid so we shall see what is what. His poor ole ears bleed if I just look at em :woot:
     
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  99. Beth 73

    Beth 73 Well-Known Member

    Joined:
    Aug 2, 2016
    You go ,girl :).
     
  100. Beth 73

    Beth 73 Well-Known Member

    Joined:
    Aug 2, 2016
    Of course you are :):bighug:
     
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