i have a problem...glucose too low

Discussion in 'Feline Health - (The Main Forum)' started by mucacopatarica, Apr 22, 2016.

  1. mucacopatarica

    mucacopatarica Well-Known Member

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    Apr 22, 2016
    Hi everybody.

    I m new here. i have a cat who is diabetic from January and she is on Lantus. Lantus obviously started to work and now i have a problem. She was on 4 units and few days ago her shugar dropped on 2,7 mmol/l through day. Than we (after a conversation with her veterinarian) lowered dose on 3,5 units. Today i mesured her glucose level before i supposed to give her insulin and her gluose is really low again. She have 4,9 mmol/l. I m really afraid to give her insulin now. What should i do? Her veterinarian dont work.

    Sorry about my english.
     
  2. Carol and Rosie (Beaka)

    Carol and Rosie (Beaka) Member

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    Feb 24, 2016
    I'm no expert and I hope some of those that are will be along to help you soon but personally I would not give any insulin with such a low number especially not 3.5 units. You are right to be cautious. Xx
     
  3. mucacopatarica

    mucacopatarica Well-Known Member

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    Apr 22, 2016
    Vet told me that i must give her insulin (last time when i didnt gave her insulin because of that low numbers, her glucose level raised rally high (20mmol/l))
    So i gave her 3 units and i will be measuring glucose levels all day....I dont know what else to do. Is it possibe that she is going in to remisson?
     
  4. Carol and Rosie (Beaka)

    Carol and Rosie (Beaka) Member

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    Feb 24, 2016
    You really will need to watch her today, I wish one of the other ladies would come on here to help as I don't have much experience. Have you changed her diet? That had a marked effect on my cats blood glucose levels and she is now in remission after only about 6 weeks on insulin.
    Please keep posting if you need any help as the day goes on and if you can give your message the prefix 911 people will know you need assistance urgently xx
     
  5. mucacopatarica

    mucacopatarica Well-Known Member

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    Apr 22, 2016
    Her diet is unchanged for last 3 months. She is on raw food diet. thank you for your advice about 911. now i will measure again....
     
  6. Elizabeth and Bertie

    Elizabeth and Bertie Well-Known Member

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    Sep 6, 2010
    @mucacopatarica ~
    Please DON'T GIVE INSULIN.

    Can you update us on what the situation is now, please...?

    Eliz
     
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  7. Elizabeth and Bertie

    Elizabeth and Bertie Well-Known Member

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    @mucacopatarica ,
    That 4.9 is a normal blood glucose number.
    If you have given insulin at this number you will need to take action to ensure that your kitty does not become hypoglycemic. This may involve taking the kitty to a vet so she can get glucose by IV...
     
  8. mucacopatarica

    mucacopatarica Well-Known Member

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    Apr 22, 2016
    at 11.30 (1,5 hour after insulin) it was 6,00 mmol/l (1,1 mmol/l higher than an the morning). Next measuring we will have over 15 minutes. But i dont know what to do if measurement will be that low in the evening. Should i gave her lower dose of insulin or what? My vet is telling me that i can not change the dose but i dont believe this is the best solution.
     
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  9. Elizabeth and Bertie

    Elizabeth and Bertie Well-Known Member

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    Hi, can I just check that I've understood you correctly.

    You gave your kitty 3.5 (?) units Lantus at a blood glucose level of 4.9 mmol (?)
    And an hour and a half later she is at 6 mmol?

    Do you have high carbohydrate food available? D0 you have some honey/glucose available?
    .
     
  10. mucacopatarica

    mucacopatarica Well-Known Member

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    Apr 22, 2016
    Now she have 4,2 mmol/l (3 hours after insuline shot)
     
  11. Tuxedo Mom

    Tuxedo Mom Well-Known Member

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    Dec 2, 2014
    What type of insulin are you using. Some insulins do not have the full effect until +4-+6 hours after the shot.

    Sorry just saw that you are using Lantus. Numbers could continue dropping until +7-+8 hours after shot.
     
  12. Tuxedo Mom

    Tuxedo Mom Well-Known Member

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    Have you given your kitty some high carb food yet?
     
  13. Elizabeth and Bertie

    Elizabeth and Bertie Well-Known Member

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    It's Lantus, Mary Ann....
     
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  14. mucacopatarica

    mucacopatarica Well-Known Member

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    Apr 22, 2016
    i gave my cat 3 units (instead of 3,5 units) Lantus at glucose level 4,9 mmol/l after veterinarian told me that i must to give her insuline.
    I have honey available....
    im so frustrated!
     
  15. Tuxedo Mom

    Tuxedo Mom Well-Known Member

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    Dec 2, 2014
    Just summarizing:

    Lantus 3.0 units Human meter:

    PS 4.9 (88US)
    +1.5 6.0 (108 US)
    +3 4.2 (76 US)


    Can you also tell us what type of glucose meter you are using a human type or a pet specific type?

    ETA Replied...it is a human meter.
     
    Last edited: Apr 22, 2016
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  16. mucacopatarica

    mucacopatarica Well-Known Member

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    Apr 22, 2016
    exactly.
    i use human tipe meter bacause in Slovenia we have only one pet type meter which is far too expensive...
     
  17. mucacopatarica

    mucacopatarica Well-Known Member

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    Apr 22, 2016
    And we were at 4 unit just last week and it was ok. max 13 mmol/l and min 7mmol/l. i dont know what is going on....
     
  18. Tuxedo Mom

    Tuxedo Mom Well-Known Member

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    OK Thank you that makes a difference in what advice we can offer. You should be testing again soon...about 1/2 hour after you last test. Glucose levels can drop a lot in the first 6 hours after giving Lantus. Can you retest and post again please. The numbers right now are okay but you do not want them to drop any lower.
     
  19. Tuxedo Mom

    Tuxedo Mom Well-Known Member

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    When glucose numbers drop too low the kitty's body will produce counter-regulatory hormones which will cause the glucose to "bounce" up higher. This can show as higher numbers for a day or two and does not mean the kitty needs more insulin. Lantus dosing is based on how low the dose gets the numbers. It is possible that even the 3 units dose may be too much. The best thing you can do is set up a spreadsheet with all the data that you have gathered so far, but you can worry about that once we know your kitty is not going to drop too low right now.
     
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  20. Carol and Rosie (Beaka)

    Carol and Rosie (Beaka) Member

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    Feb 24, 2016
    Phew thank goodness you experienced ladies have got this. I knew the numbers were too low (for insulin) but I'm not experienced enough to give advice but didn't want to leave the lady on her own with it Xx
     
  21. Tuxedo Mom

    Tuxedo Mom Well-Known Member

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    Have you done another test yet? Could you post the number once you do please. :)
     
  22. Sienne and Gabby (GA)

    Sienne and Gabby (GA) Well-Known Member

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    Dec 28, 2009
    So far, so good. If you are new to managing your cat's diabetes, you do exactly what you did -- ask for help -- if numbers are below 200 (and you're posting here on Health). We generally recommend that you ask for help before shooting. Since you've shot, it's important to be able to monitor your cat's blood glucose (BG) numbers so you know that the numbers aren't dropping below 50. There is information in this note on Shooting & Handling Low Numbers.
     
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  23. Dyana

    Dyana Well-Known Member

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    Dec 28, 2009
    I agree with Tuxedo Mom. Right now, we need to make sure your cat stays in safe numbers. I would test again at +4 and if he is lower than the last test, I would try some higher carb food to get him up again. How much depends on how low he is. I will only be here another hour before leaving for work, but others will help you along.

    We often find that vets are not familiar with the longer acting human insulins like Lantus and Levimir.
    Dosing for Lantus is based on how low the sugars go, not what the pre shot test is, or how high they bounce (go high after going low).

    I'll watch for your next test.

    Lantus 3.0 units Human meter:

    PS 4.9 (88US)
    +1.5 6.0 (108 US)
    +3 4.2 (76 US)
     
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  24. mucacopatarica

    mucacopatarica Well-Known Member

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    Apr 22, 2016
    now measurement is 4,5 mmol/l (maybe because before she was sleeping but now she is awake)...do you have any idea what should i do in the evening if her glucose level will be still around 5?
     
  25. Tuxedo Mom

    Tuxedo Mom Well-Known Member

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    Dec 2, 2014
    Thank you. So the 4.5 (81 US) was done at +3.5 hours after the shot? When was the last time you gave some food? The numbers are holding flat so that is a good sign.

    As far as the evening shot we will get some more information from you and hopefully get a spreadsheet set up. It will depend on what the numbers do now and in the time just before the next shot is due.


    Summarizing:

    Lantus 3.0 units Human meter:

    PS 4.9 (88US)
    +1.5 6.0 (108 US)
    +3 4.2 (76 US)
    +3.5 4.5 (81 US)
     
    Last edited: Apr 22, 2016
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  26. Critter Mom

    Critter Mom Well-Known Member

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    Jun 16, 2014
    Your cat may be heading for remission. While you've been giving your kitty insulin the pancreas has had a chance to rest and it may be recovering some of its function. It is fantastic that you're home testing. You are doing a great job of monitoring her. :)

    It's impossible without more data to give a really solid answer to this. However, given that your kitty's blood glucose levels seem to be improving so much (getting into the normal range) her liver may be getting a bit 'nervous'. It hasn't seen normal numbers for a while so it might have (wrongly) thought BG was too low and consequently released too much glucose into the bloodstream to compensate and that's a possible reason for why her BG rocketed up to 20mmol/L. It's a phenomenon we refer to here as 'bouncing'.

    Question: Has your cat recovered from any illness or infection recently?


    Mogs
    .
     
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  27. mucacopatarica

    mucacopatarica Well-Known Member

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    Apr 22, 2016
    i m not totally new. we try to manage our cat diabetes since january. But her glucose level was until this week too high. i dont know what is going on now or how to act in this case.
     
  28. Dyana

    Dyana Well-Known Member

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    Dec 28, 2009
    If he does not earn a reduction today, I would try to get a test about 1 hour before shot time, and post that number and ask for advice.
     
  29. Elizabeth and Bertie

    Elizabeth and Bertie Well-Known Member

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    @mucacopatarica
    You are doing really well! We know how stressful this kind of situation can be. Here's a reassuring (((hug))) for you: :bighug: :bighug::bighug:

    Would you like to tell us your name?
    And what is your cat's name?

    Eliz
     
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  30. mucacopatarica

    mucacopatarica Well-Known Member

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    Apr 22, 2016
    So...yes 3,5 hours after insulin she have 4,5 mmol/l. She ate in the morning (at 7.30) Now i will give her lunch. Thank you all for helping me. i was completly frustrated...
     
  31. mucacopatarica

    mucacopatarica Well-Known Member

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    Apr 22, 2016
    I apologize that I have not introduced myself. So rude of me. My name is Sara and cats name is Tačka (that means paw in slovenian). She is 19 years old and she is with us from 15 :)
     
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  32. Critter Mom

    Critter Mom Well-Known Member

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    Jun 16, 2014
    It might be better not to give her too much to eat for her lunch. You need to make sure that she is not too full-up. If her numbers were to head for the low side later in the cycle you'll need to use food to steer her safely through the rest of the cycle.
     
    Last edited: Apr 22, 2016
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  33. Critter Mom

    Critter Mom Well-Known Member

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  34. Tuxedo Mom

    Tuxedo Mom Well-Known Member

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    Welcome Sara and Tačka :bighug:

    You are doing a great job of treating and monitoring your kitty.

    You should still do another test at about +4.5 hour to make sure the numbers are not dropping any more. As CritterMom said it may be that Tačka's pancreas is starting to heal and work on its own at times. Setting up a spreadsheet would be very helpful for both yourself and anyone trying to offer advice. Your vet may even like the sheet since it is very easy to see trends.


    Here are the instructions for setting it up:

    http://www.felinediabetes.com/FDMB/threads/fdmb-spreadsheet-instructions.130337/

    If you have any problems there are people here who can help you with it...I know I needed help when I first set mine up. :)
     
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  35. Tuxedo Mom

    Tuxedo Mom Well-Known Member

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    I am around Mogs so you go and rest. :bighug:
     
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  36. Dyana

    Dyana Well-Known Member

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    I agree with Critter Mom, it would probably be better to spread her lunch out and give her 1/2 now, and give her some more of her lunch as the day progresses.
     
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  37. Critter Mom

    Critter Mom Well-Known Member

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    @Tuxedo Mom - Thanks, Mary Ann.

    @mucacopatarica -

    Sara, yourself and Tačka are in good hands. Wishing you both smooth, safe surfing through the rest of the cycle. Will check in later to see how things are going. :bighug:


    Mogs
    .
     
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  38. mucacopatarica

    mucacopatarica Well-Known Member

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    Apr 22, 2016
    Thank you!
    Her lunch is always smaller than breakfast and dinner. She ate about 50g of raw chicken now and she looks good at this time. i have a big problem because i dont have high carbohydrate food at home. Even my "wild" street cats eat meat. i must buy some sort of this food. which you recommend?
     
  39. Elizabeth and Bertie

    Elizabeth and Bertie Well-Known Member

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    You get some rest, Mogs. :bighug:
    There are more folks on the Lantus forum now the US is waking up, so there should be folks available over the coming hours to support Sara and Tacka. :cat:
     
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  40. Elizabeth and Bertie

    Elizabeth and Bertie Well-Known Member

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    Sep 6, 2010
    Hi Sara, cat food 'in gravy' is usually good, because the 'gravy' bit usually contains carbohydrate. Is this kind of food available where you are?
    .
     
  41. Tuxedo Mom

    Tuxedo Mom Well-Known Member

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    Dec 2, 2014

    Any sort of wet food with gravy or sauce will be higher carb. Also in case the numbers should drop too low it is good to have some honey or syrup on hand...just in case.
     
  42. mucacopatarica

    mucacopatarica Well-Known Member

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    Apr 22, 2016
    +4.5 hour 3,6 mmol/l! What now?
     
  43. mucacopatarica

    mucacopatarica Well-Known Member

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    Apr 22, 2016
    We have food in gravy...Like whiskas, kitekat, gourmet itd. Is this ok? i have hony at home.
     
  44. Critter Mom

    Critter Mom Well-Known Member

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    Jun 16, 2014
    @Elizabeth and Bertie, @Tuxedo Mom - was hanging on to see if food would nudge the numbers down. Recovering pancreas?


    Mogs
    .
     
  45. Tuxedo Mom

    Tuxedo Mom Well-Known Member

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    Dec 2, 2014
    Summarizing:

    Lantus 3.0 units Human meter:

    PS 4.9 (88US)
    +1.5 6.0 (108 US)
    +3 4.2 (76 US)
    +3.5 4.5 (81 US)
    +4.5 3.6 (65 US)

    Did you feed some of the regular food in the last hour? The numbers are still dropping and could for the next couple of hours. You could give a bit more regular food...maybe another teaspoon... and retest in 1/2 hour and repost the number. You don't want the numbers to drop much further than the 3.6 (65US), but they are still safe numbers right now.

    Friskies with gravy would be a good food to use for high carb if that is available there.
     
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  46. mucacopatarica

    mucacopatarica Well-Known Member

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    Apr 22, 2016
    one hour ago i gave her 50g of raw chicken. now i remembered that i have some chip canned food at home (coshida) should i give her that?
     
  47. Tuxedo Mom

    Tuxedo Mom Well-Known Member

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    Dec 2, 2014

    I would try giving a teaspoon of regular food and retesting in another 1/2 hour to 1 hour. The numbers are really good right now and I don't know if the coshida is a high carb food. As long as the numbers don't drop much more this is a very good range for her to be in and it would be best not to use a higher carb at this point unless they drop more. This is a perfect range of healthy numbers for your Tačka to be in.

    All the testing you got today will give great information for your spreadsheet!
     
  48. mucacopatarica

    mucacopatarica Well-Known Member

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    Apr 22, 2016
    Oky. Now she ate a little bit of chicken. +5 3.8
     
  49. Tuxedo Mom

    Tuxedo Mom Well-Known Member

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    Dec 2, 2014

    Summarizing:

    Lantus 3.0 units Human meter:

    PS 4.9 (88US)
    +1.5 6.0 (108 US)
    +3 4.2 (76 US)
    +3.5 4.5 (81 US)
    +4.5 3.6 (65 US)
    +5 3.8 (68 US)

    She seems to be holding the numbers fairly well at this point. Lantus generally will have a nadir (lowest number) between +4-+7 hours depending on the kitty. You might want to give a little bit more of her regular food and test again in 1 hour. At this point she is doing a great job of "surfing" the healthy numbers and you are doing a great job of monitoring :)
     
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  50. Tuxedo Mom

    Tuxedo Mom Well-Known Member

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    This is the link for setting up a spreadsheet:

    http://www.felinediabetes.com/FDMB/threads/fdmb-spreadsheet-instructions.130337/

    You would use this format:

    https://drive.google.com/previewtemplate?id=1JQ136YHkxNhhku9AML_OKGHkrg3Ixe27BWAdWONlnP0&mode=public

    in which you can enter the numbers in mmol/L which is the measuring system your meter uses and it will convert on another tab to the US format which is what most of the members here use since they are in the States. That way you will have numbers you ( and I as well) understand and the US members will have numbers they understand so that anyone can help with advice:


    If you have trouble setting it up just let us know and there are some members here who are great with spreadsheets. The spreadsheet really helps to see how well the insulin is working and the trends in the daily numbers. With the colour coding it makes it very easy to follow and make decisions on dosing.
     
  51. mucacopatarica

    mucacopatarica Well-Known Member

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    Apr 22, 2016
    She dont like me anymore :( usually she has the lowest number about 5 hours after insulin. Do you think i must still monitoring til the evening? i think she is a little bit stressed out right now....
     
  52. Elizabeth and Bertie

    Elizabeth and Bertie Well-Known Member

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    Sep 6, 2010
    Any food in gravy could be helpful, but if you have the 'Gourmet Gold' (the tiny little tins) in gravy those are particularly high carb and are good to keep on hand in case of emergencies.

    'Simple sugar' carbohydrates, like honey for example, will raise the blood glucose really quickly, but they also wear off relatively quickly.
    The carbs in thickened gravy (from cat food) may act a little more slowly, but they tend to stay in the system for longer.
    Sometimes one or other of these are needed, and sometimes both. But sometimes ordinary low carb (or medium carb) food will do the job. It all depends on the situation...:rolleyes:

    You're doing brilliantly, Sara. Well done. :bighug:

    Eliz
     
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  53. Tuxedo Mom

    Tuxedo Mom Well-Known Member

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    Dec 2, 2014
    If you know her lowest number is around +5 then maybe one more test in an hour or so will be enough. I have 2 diabetic kitties and one HATES being tested so I understand what you mean.

    My girlie kitty "hates" me when I have to test more often but she always forgives me when I give her extra cuddles and a nice brushing...which she loves ;)
     
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  54. Elizabeth and Bertie

    Elizabeth and Bertie Well-Known Member

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    Oh, (((Sara))), our kitties don't always know when we're trying to help them...:rolleyes:

    Ideally, you want to know that you are past the peak (lowest number) of the cycle, and are sure that the blood glucose is definitely rising. (With my own cat I like to see 3 rising numbers in succession).
    Sometimes Lantus can drop the blood glucose quite late on in the cycle (in some cats).

    I am known for being 'cautious'.... ;)
    .
     
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  55. mucacopatarica

    mucacopatarica Well-Known Member

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    Apr 22, 2016
    +6 4,00 mmol/l. I think now it will not drop lower. I really need to get out for 2-3 hours. Do you think it will be okay?
     
  56. mucacopatarica

    mucacopatarica Well-Known Member

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    Apr 22, 2016
    i forget to tell you that Tačka was at vet yesterday because she has symptomes of urinal tract infection. It has been shown that no bacteria was in urine. But vets gave her antibiotics and painkiller. The symptoms stopped in a hour. And general examinaton showed that she is healthy (ok body temperature, not dehidrated, normal heart beat itd)...
     
  57. MrWorfMen's Mom

    MrWorfMen's Mom Well-Known Member

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    Feb 18, 2015
    Hi Sara. It looks like Tacka is surfing very nicely right now. If she were mine, I think I'd take one more reading at +7 before going out just to be sure she is still surfing/rising. If she is still surfing or up a bit at +7, I think it's safe to leave her for a couple of hours but I'd leave a little bit of food out for her to have if she needs it.
     
  58. mucacopatarica

    mucacopatarica Well-Known Member

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    Apr 22, 2016
    all good. Rising...5,7mmol/l. so i must go now. i will message you after 3,5 hours when it is time for her next dose...btw today i was an hour late because I had dilemma about low measurement.
     
  59. mucacopatarica

    mucacopatarica Well-Known Member

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    Apr 22, 2016
    Hello its me again. Tačka is doing fine. Now she wants to eat. I have a question: should i gave her food at the same tima as insulin (as usual) or should i gave it earlier?
     
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  60. Tuxedo Mom

    Tuxedo Mom Well-Known Member

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    Dec 2, 2014

    Glad to hear Tačka is doing well. Those were some very nice numbers she had today!!

    You should always have at least 2 hours with no food before testing and then shooting. If you feed within the 2 hours before testing it can show the glucose numbers as higher because of the food influence.

    If it is less than 2 hours until Tačka's shot time, wait until the usual time test, then feed and shoot. If you have any questions about the numbers or dose please post here before shooting if the numbers are low.
     
  61. mucacopatarica

    mucacopatarica Well-Known Member

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    Apr 22, 2016
    It s more than 2 hours until she ate last meal. Usually i gave her insulin between 7.30 and 8.00. Now it is 7.15 in Slovenia. But i was at least 1 hour late this morning. Is this important?
    Btw i bought earlier Gourmet Gold in gravy if i will need it.
     
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  62. Tuxedo Mom

    Tuxedo Mom Well-Known Member

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    It is best to keep the insulin shots at every 12 hours. This would mean that your evening shot should be done at the earliest at 8:30 your time. If this will work for you so that you can still do some testing tonight before you go to bed then wait without feeding and do the testing and shot at 8:30.

    I am not familiar with Gourmet Gold, but if it has gravy then it would be a higher carb food and would be fine if Tačka's numbers should drop too low.

    If Tačka's numbers are low when you test you can post back for advice :)
     
  63. Elizabeth and Bertie

    Elizabeth and Bertie Well-Known Member

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    Sep 6, 2010
    Great!

    Will be interesting to see what Tacka's blood glucose level is by the time of her next insulin shot.
    DO post for advice if you wish/need to. There are some experienced Lantus users here who can help you.

    Eliz
     
  64. mucacopatarica

    mucacopatarica Well-Known Member

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    Apr 22, 2016
    ok i will wait. Elizabeth and Bertie suggested Gourmet. I think it will be ok because i call this food fast food for cats ;)

    out of the topic: do you understand me well? Because earlier this week i tottaly burned in a job interview because of my english knowledge. In our country is it expected to know english very well but this is not my virtue at all...
     
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  65. Tuxedo Mom

    Tuxedo Mom Well-Known Member

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    Dec 2, 2014

    If it is "fast food" for kitties then it will be high in carbs :)

    I am not having any problem with understanding your English. I have seen people with English as a first language that are much worse than you are ;)
     
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  66. Elizabeth and Bertie

    Elizabeth and Bertie Well-Known Member

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    Sep 6, 2010
    Ha-ha!:D
    It may be around 25% calories from carbs. More info here: UK, high carb gravy food for Hypo Kit.
    .
     
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  67. mucacopatarica

    mucacopatarica Well-Known Member

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    Apr 22, 2016
    grrrr i have gourmet rabbit and carrot flavor and salmon with chicken flavor. I think it will be fine to ;) Btw what do you think about Power of nature food? Do you know this food?
     
  68. mucacopatarica

    mucacopatarica Well-Known Member

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    Apr 22, 2016
    Oky we have 6,3 mmol/l. What should i do if i wanna sleep a little tonight?
     
  69. Elizabeth and Bertie

    Elizabeth and Bertie Well-Known Member

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    Sep 6, 2010
    If it's in gravy it's probably fine. :)
    Will look it up tomorrow....

    Meanwhile...
    Lovely number for Tacka! :cat:
    Will try to get the attention of some Lantus people for you....

    Eliz
     
  70. mucacopatarica

    mucacopatarica Well-Known Member

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    Apr 22, 2016
    how can i get attention of Lantus people? She is really hungry :confused:
     
  71. Elizabeth and Bertie

    Elizabeth and Bertie Well-Known Member

    Joined:
    Sep 6, 2010
    Have posted on Lantus forum for help, and am tagging Mary Ann @Tuxedo Mom
     
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  72. mucacopatarica

    mucacopatarica Well-Known Member

    Joined:
    Apr 22, 2016
  73. Elizabeth and Bertie

    Elizabeth and Bertie Well-Known Member

    Joined:
    Sep 6, 2010
    Sara, while we're waiting for Lantus people...

    That number is really too low to shoot, so the advice may be to 'stall' (don't feed, but see if she comes up to a number where insulin may be given in a little while). ....In some cases the advice will be to skip the insulin shot. A lot depends on whether you'll be around to monitor, and I'm guessing you really need some rest.....
    .
     
  74. mucacopatarica

    mucacopatarica Well-Known Member

    Joined:
    Apr 22, 2016
    i must feed her because she is really hungry...yes i absolutely need some rest but i m affraid that her glucose level will go really really high if i skip shot. Now i dont know what to do but she must eat.
     
  75. mucacopatarica

    mucacopatarica Well-Known Member

    Joined:
    Apr 22, 2016
    Lantus people! I need an advice! it is urgent!
     
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  76. Tuxedo Mom

    Tuxedo Mom Well-Known Member

    Joined:
    Dec 2, 2014
    Summarizing:

    Lantus 3.0 units Human meter: Possible UTI started antibiotics yesterday.

    PS 4.9 (88US)
    +1.5 6.0 (108 US)
    +3 4.2 (76 US)
    +3.5 4.5 (81 US)
    +4.5 3.6 (65 US)
    +5 3.8 (68 US)

    PMPS 6.3 (118 US)


    You shot a lower number than the PMPS this morning....BUT...you were able to monitor for 5 hours afterwards.

    You also mentioned that there was a possibility of a UTI and your kitty was on antibiotics. If there was a UTI that could cause glucose numbers to be higher than usual and the antibiotics could cause the numbers to drop as the infection clears up.


    IF YOU ARE ABLE TO MONITOR tonight for 5 or 6 hours then shooting the 3 units should be okay with the data you have provided. If you are unable to monitor that long then you could look at either skipping or giving a reduced dose of 1.5 or 2 units. Skipping would be a shame with the nice numbers, but you have to make sure that you are comfortable with the decision and your kitty is safe. I personally would lean towards a reduced dose if you cannot monitor for a long time tonight. With a reduced dose you would still need to monitor for 3-4 hours to be safe.

    This is only my thought....I would rather have some others weigh in on this situation.

     
    Last edited: Apr 22, 2016
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  77. mucacopatarica

    mucacopatarica Well-Known Member

    Joined:
    Apr 22, 2016
    What should i do?
     
  78. Tuxedo Mom

    Tuxedo Mom Well-Known Member

    Joined:
    Dec 2, 2014
  79. mucacopatarica

    mucacopatarica Well-Known Member

    Joined:
    Apr 22, 2016
    Oky! I need to sleep a little tonigt so i will reduce dose on 1,5 unit and maesure for next 4 max 5 hours. Is this ok?
     
  80. Tuxedo Mom

    Tuxedo Mom Well-Known Member

    Joined:
    Dec 2, 2014

    I am trying to tag a few people and see what they think ....hopefully we will get some more answers in a few minutes
     
  81. Tricia Cinco(GA) & Harvey

    Tricia Cinco(GA) & Harvey Well-Known Member

    Joined:
    Jul 18, 2011
    Hi Sara.

    I just sent a message to some of our veteran Lantus people, asking them to look in and see if they can help you. You did a great job with the dropping numbers. If you won't be able to monitor, your choices are to skip the shot or to give a reduced dose. Yes, her numbers will go up if you skip, but it's better than if you shot the full dose and she went too low while you were sleeping. Hopefully someone will stop by soon with more advice, but if not, a reduced dose is a good choice.
     
  82. mucacopatarica

    mucacopatarica Well-Known Member

    Joined:
    Apr 22, 2016
    What this means?
     
  83. Tuxedo Mom

    Tuxedo Mom Well-Known Member

    Joined:
    Dec 2, 2014

    If you need to sleep then that should be fine. You should still try and do a +2 and +4 test even with the reduced dose. If you are able to test that long you could do a higher dose though.
     
  84. Tricia Cinco(GA) & Harvey

    Tricia Cinco(GA) & Harvey Well-Known Member

    Joined:
    Jul 18, 2011
    She is asking for help for your evening dose.

    BTW, your English is very good. I have relatives in Slovenia, and you do as well with English as they do, and I never have a problem understanding them.
     
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  85. Tuxedo Mom

    Tuxedo Mom Well-Known Member

    Joined:
    Dec 2, 2014

    I "tsgged" a couple of members to have them give their opinions on what to do with your evening dose. :)
     
  86. mucacopatarica

    mucacopatarica Well-Known Member

    Joined:
    Apr 22, 2016
    Tricia Cinco(GA) & Harvey thanks :D Ok i will give her 1,5 units now and her dinner because if i dont she will eat me ;)
     
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  87. Tricia Cinco(GA) & Harvey

    Tricia Cinco(GA) & Harvey Well-Known Member

    Joined:
    Jul 18, 2011
    Be sure to get a test right before you go to bed, and leave some food out for her.
     
  88. mucacopatarica

    mucacopatarica Well-Known Member

    Joined:
    Apr 22, 2016
    1,5 units it is. She always have some food available over the night. When i should tested her now? after 1, 2 hours?
     
  89. Tricia Cinco(GA) & Harvey

    Tricia Cinco(GA) & Harvey Well-Known Member

    Joined:
    Jul 18, 2011
    You can wait until +2 unless you're really nervous - give her ears a break!
     
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  90. mucacopatarica

    mucacopatarica Well-Known Member

    Joined:
    Apr 22, 2016
    oky doky. im not nervous :D
     
  91. Tuxedo Mom

    Tuxedo Mom Well-Known Member

    Joined:
    Dec 2, 2014
    With the reduced dose the numbers may be higher in the morning. However since there is a possible UTI that is just starting to be treated and because you need some sleep tonight I think this was the best choice.

    Please post when you get your +2 test...as you can see the people here all worry about everyone's kitties. ;)
     
  92. mucacopatarica

    mucacopatarica Well-Known Member

    Joined:
    Apr 22, 2016
    I see. Even about old Slovenian kitty :D Thats very nice! I dont know about UTI because urine test did not show anything. They said that can be inflammation of the nerves of the urethra or something like that. And if i understood right there was no glucose in urine and that should be great. I dont know...
     
  93. Tuxedo Mom

    Tuxedo Mom Well-Known Member

    Joined:
    Dec 2, 2014
    Without knowing for sure whether there was a UTI, it is always safer to err on the side of caution. With no glucose showing in the urine that means the glucose numbers are in a decent range, which is great!
     
  94. mucacopatarica

    mucacopatarica Well-Known Member

    Joined:
    Apr 22, 2016
    Jea jea! :D i will report later about evening measurements. If somebody goes to sleep right now i wish him/her goodnight! ;)
     
  95. Gill & George

    Gill & George Well-Known Member

    Joined:
    Oct 27, 2015
    Sorry, just seeing this now, I see you have a plan, good luck with the tests tonight.

    We care even about an old Slovenian kitty:bighug::bighug:
     
  96. mucacopatarica

    mucacopatarica Well-Known Member

    Joined:
    Apr 22, 2016
    +3,5 hours 8,8 mmol/l (158 mg/dl)
    i spoke her just once because i feel really sorry for her because of today. now i m going to bed (i m really tired) ind i hope it will be all right till morning. Good night everybody! :bighug:
     
  97. mucacopatarica

    mucacopatarica Well-Known Member

    Joined:
    Apr 22, 2016
    *poke (tired) :D
     
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  98. Critter Mom

    Critter Mom Well-Known Member

    Joined:
    Jun 16, 2014
    Tačka is a sweetie! What a lovely photo of both of you, Sara. :) How do you pronounce her name? My cat is called Saoirse (Irish for 'freedom'). Phonetically it sounds like 'Seer-shuh'.

    I'm delighted that you both did so well today. Wishing you both a safe and restful night. (And your English is excellent, BTW; a lot better than that of many native speakers!)

    :bighug:


    Mogs
    .
     
  99. julie & punkin (ga)

    julie & punkin (ga) Well-Known Member

    Joined:
    Feb 17, 2011
    I'm late to the party but you've gotten lots of good advice already.

    Welcome to FDMB!
     
  100. mucacopatarica

    mucacopatarica Well-Known Member

    Joined:
    Apr 22, 2016
    Hello! Good morning :) Thank you for positive words Critter mom. Your cat has beautiful name :D Tačka is pronunced as it is written (our neighbors Croatians says piši šta kao govoriš-write as you speak). But we have letter č which is pronunced as ch (like much)

    Tačka report: i think she has higher glucose level this morning which is expected. I will measure it in 30 minutes and than i will need your advice if anybody is here right now.
     
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