1. Are you getting a server error? It should be solved. Email webmaster@felinediabetes.com if you're still having trouble!

LT AMPS =137; +1=392(PS); +2=495; +6=415; +6.5 Ketones=neg; PMPS = 541(kibble theft involved)

Discussion in 'Lantus / Basaglar (glargine) and Levemir (detemir)' started by Suzanne Burton, Aug 14, 2019.

  1. Suzanne Burton

    Suzanne Burton Member

    Joined:
    Aug 9, 2019
    Since I'm new, I don't know what to do with a AMPS of 137. I know it's posted here on the forum, but with it being the first time, I would kind of like someone to hold my hand. Thanks!
     
  2. Sue and Luci

    Sue and Luci Well-Known Member

    Joined:
    Nov 3, 2017
    Welcome to the forum! I remember LT from FB :)

    Are you going to be home today? Do you have medium and high carb wet food on hand? If you're not sure, check out the food charts and the foods you have on hand. http://catinfo.org/chart/index.php

    Do you have plenty of test strips to check LT several times this morning. Since you're using a Pet Test Meter, similar to Alpha Trak the take action number is higher - 90 I believe - so you don't want LT going lower than that. If you're comfortable shooting and can answer yes to all the questions above, you can go ahead - it's really important to watch LT closely so as to avoid any hypoglycemia - make sure he's eating BEFORE giving his insulin so he has food in him to counter what the insulin is going to do. This will be an opportunity to see if he'll go lower or if this is just a low start ...it's difficult to tell since you don't have much data yet.

    Others will join in and advise you as well. If you're terribly nervous you can reduce the dose this morning and see how he reacts to that - it's most important that you're going to be there to watch him.
     
    Sonia & Leo likes this.
  3. Suzanne Burton

    Suzanne Burton Member

    Joined:
    Aug 9, 2019
    Hi Sue, I do have a medium/high carb food on hand. I do have a few extra strips on hand, but not tons since I'm also testing my dog. New strips arrive on Thursday afternoon. He already inhaled his food and he always wants more. I'll wait a bit to see what others say. With dogs you wait after they eat and re-test, but I'm totally having to re-learn everything.
     
  4. Suzanne Burton

    Suzanne Burton Member

    Joined:
    Aug 9, 2019
    I was planning on doing a curve on Friday after a full 6 days on Lantus. But at that point I was planning on following the TR protocol. Don't know if that helps with advice.
     
  5. Sue and Luci

    Sue and Luci Well-Known Member

    Joined:
    Nov 3, 2017
    Great idea - you may want to take this opportunity to read the intro sticky at the top of this forum - they have yellow tabs next to them. Tons of info there - it'll take time to re-group your thinking for cats - we typically test / feed / shoot within 15-20 minutes. Cats metabolize quickly so we want to make sure we're giving the insulin at about the same time as they're eating so they'll work together to level off that blood glucose - which the food intake will cause to rise and the insulin will push down...

    You may want to add the '?' mark to the beginning of your title to catch more attention. It's in the little pull down menu - and you can change your title by clicking on 'Edit' underneath the title...
     
  6. Suzanne Burton

    Suzanne Burton Member

    Joined:
    Aug 9, 2019
    Thanks Sue, he licked his bowl clean again so no worries there.
     
    Sue and Luci likes this.
  7. Suzanne Burton

    Suzanne Burton Member

    Joined:
    Aug 9, 2019
    Ok, I've done the reading, but I'm still not sure what to do. I could sure use some help here!
     
  8. Sue and Luci

    Sue and Luci Well-Known Member

    Joined:
    Nov 3, 2017
    Suzanne Burton likes this.
  9. Suzanne Burton

    Suzanne Burton Member

    Joined:
    Aug 9, 2019
    I'm coming up on an hour and I need to inject if I'm going to. I'm thinking of giving a half dose which is 0.5 units, but I'm not comfortable with any of this.
     
  10. Suzanne Burton

    Suzanne Burton Member

    Joined:
    Aug 9, 2019
    I know the test for this a.m's BG was correct - great sample. But I waited too long to retest and at 1+ he was 392. We gave him a full unit and will test him throughout the day. Have a good one everyone.
     
    Sue and Luci likes this.
  11. Suzanne Burton

    Suzanne Burton Member

    Joined:
    Aug 9, 2019
    Still want to know what the correct protocol would have been.:rolleyes:
     
  12. Bobbie And Bubba

    Bobbie And Bubba Well-Known Member

    Joined:
    Jun 15, 2015
    You can still shoot an hour late and make up your schedule. As long as you have the medium carb food and can test . A good test to start with would be the +2. If that number is lower than the preshot then it could be an active cycle.


    The way to make up a shooting schedule is by shooting 1/2 earlier in a 24 hour period or 15 minutes earlier in each 12 hour cycle.
    You can shoot 1/2 hour earlier tonight ( as long as the preshot number isn't too low )

    It's your call as you hold the syringe
     
    Sue and Luci and Suzanne Burton like this.
  13. Bobbie And Bubba

    Bobbie And Bubba Well-Known Member

    Joined:
    Jun 15, 2015
    The correct protocol would have been to stall without feeding and retest in 30 minutes to see if the number came up to 150 or higher, then feed and shoot. It's always a bit nerve racking to see the first lower pre shot number. Usually, they start to bounce up like he did today from seeing a lower number than they are used to seeing.

    Eventually with more data on LT you will be shooting anything over 50.
     
    Suzanne Burton likes this.
  14. Suzanne Burton

    Suzanne Burton Member

    Joined:
    Aug 9, 2019
    So since we gave shot at 8:20, I, assuming an adequately high BG tonight, could give the next shot at 7:50? And then 15 minutes back at each 12 hour cycle until we are back to our 7/7 schedule?
     
  15. Suzanne Burton

    Suzanne Burton Member

    Joined:
    Aug 9, 2019
    Thanks Bobbie for chiming in on this. I really couldn't find that info this a.m., but now that you've posted it, it sounds very familiar. Now I know what to do and will write it down in LTs log book so it's handy for next time :joyful:. There's a bit of a steep learning curve with the feline diabetes stuff. Looking forward to getting better at this and getting LT started on TR come Friday evening if possible.
     
    Sue and Luci likes this.
  16. Idjit's mom

    Idjit's mom Well-Known Member

    Joined:
    Apr 3, 2018
    Yes to the above.

    Hi Suzanne,sorry I didn't see this earlier. I got a late start this morning as DH wrenched his knee trying to avoid stepping on Idjit during a bathroom trip in the deep night and I didn't know till this morning. So was giving home care to Mr. Gimpy in pain.

    It is a really steep learning curve and you will get better at this. It has not even been a week and you have already learned so much about feline diabetes.

    Don't let the 137 BG jump to 392 BG scare you. It's just LT's little body reacting to a number that it perceives as "too low" and "gotta do something about this". He's going to get better at this too, it just takes time.

    Here is some info on "bouncing":

    BG goes low OR lower than usual OR drops too quickly.
    Kitty's body panics and thinks there's danger (OMG! My BG is too low!).
    Complex physiologic processes take glycogen stored in the liver ( think of it as "bounce fuel"), convert it to glucose and dump it into the bloodstream to counteract the perceived dangerously low BG.
    These processes go into overdrive in kitties who are bounce prone and keep the BG propped up varying lengths of time (AKA bouncing).
    Bounce prone kitty repeats this until his body learns that healthy low numbers are safe. Some kitties are slow learners.

    I hope your day goes well.
     
  17. Bobbie And Bubba

    Bobbie And Bubba Well-Known Member

    Joined:
    Jun 15, 2015
    Yes, you’ve got! It really is a steep learning curve. And can feel overwhelming for a while. But , keep posting and asking questions as that is how we all learn. Also, besides reading all the stickies ( I had to read and reread, lots ) , read as many other condos a day as you can. I learned a lot that way too.
     
  18. Bobbie And Bubba

    Bobbie And Bubba Well-Known Member

    Joined:
    Jun 15, 2015
    Good luck to Mr Gimpy!
     
    Sue and Luci and Idjit's mom like this.
  19. Suzanne Burton

    Suzanne Burton Member

    Joined:
    Aug 9, 2019
    Thanks Lou, I hope your husband's knee gets better. I'm copying your reply (and Bobbie's) into LT's diabetic document. So, my question is, should I wait on doing a curve until his gets more stable day to day on his number, or go into it full speed ahead? I just don't know if today's episode will affect numbers going into Friday.
     
  20. Idjit's mom

    Idjit's mom Well-Known Member

    Joined:
    Apr 3, 2018
    He's going to be fine and get lots of TLC today, which he won't mind at all. As far as the curve, see what LT does today and tomorrow, the bounce may clear and you can go ahead on Friday.
     
    Suzanne Burton and Sue and Luci like this.
  21. Sue and Luci

    Sue and Luci Well-Known Member

    Joined:
    Nov 3, 2017
    If you're home, you could use today to get as many tests as you feel comfortable doing - the more you test - the more data you'll have and you'll begin to see the effects of the insulin on his numbers and food. Take a look at other spreadsheets and you'll see the trends...although all of our kitties are different - many do respond within hours to the insulin - there's a dip - sometimes early, sometimes later and then the numbers generally start to rise again. As you continue to test over the next few weeks you'll see trends in LT's numbers ... it's really a puzzle and you'll be filling in all the missing pieces with data.

    :)
     
    Suzanne Burton likes this.
  22. Suzanne Burton

    Suzanne Burton Member

    Joined:
    Aug 9, 2019
    So, we are riding the roller coaster today, sugar got way ahead and 2 hours after insulin a 495. I think I'll wait until 6 hours post shot to test him again.
     
    Sue and Luci likes this.
  23. Idjit's mom

    Idjit's mom Well-Known Member

    Joined:
    Apr 3, 2018
    Wheeeee! hang on Suzanne, LT's body is just going to need some conditioning, it's very early days. Scrounge around for your running shoes and patience pants, a saying I have seen here so many times "it's a marathon, not a sprint" is so true. And if you like, you can also wear a funny hat. :) I am partial to ridiculous head wear.
     
  24. Suzanne Burton

    Suzanne Burton Member

    Joined:
    Aug 9, 2019
    I finally was able to catch him the act and get a urine specimen and ketones were negative! Boy, did he give me a funny look - but he never stopped peeing while I dipped in with the spoon:smuggrin:.
     
  25. Idjit's mom

    Idjit's mom Well-Known Member

    Joined:
    Apr 3, 2018
    LOL, "what do you think you are doing Madam?" Good the ketones are neg.
     
    Sue and Luci likes this.
  26. Suzanne Burton

    Suzanne Burton Member

    Joined:
    Aug 9, 2019
    I forgot to hide the other cat's kibble in the microwave (yes that's the only place to hide it) and LT just now got into it; probably had several mouthfuls and he was already high today! I am kicking myself:arghh:. Should I feed him his regular meal? Increase his insulin a tad tonight?
     
  27. Suzanne Burton

    Suzanne Burton Member

    Joined:
    Aug 9, 2019
    My idea for a curve is all messed up now.
     
  28. Sue and Luci

    Sue and Luci Well-Known Member

    Joined:
    Nov 3, 2017
    Feed him his regular meal - don't change his insulin based on just this one slip up. He's hungry - and those kibbles are irresistible to a diabetic cat anyway. You don't want to have a 'knee-jerk' reaction to anything sudden like this. Just try to go with the flow and hope he'll come back down soon - from already being high to having a carb meal, his numbers are likely going to be a little wonky for a little while.
     
    Sonia & Leo and Suzanne Burton like this.
  29. Suzanne Burton

    Suzanne Burton Member

    Joined:
    Aug 9, 2019
    Sue, that's what I thought about food and insulin, but being new to FD, I just want to confirm everything. Thanks for your help today.
     
  30. Sue and Luci

    Sue and Luci Well-Known Member

    Joined:
    Nov 3, 2017
    You are so welcome! You're surrounded by lots of people here who can help and support you as you begin your journey to help LT get better! We've all been exactly where you're at - so don't hesitate to ask questions and keep asking and learning - believe it or not, you'll be helping someone too! These kitties deserve our help! And I'm so happy that you've chosen to help your furbaby:D

    So, for today, if you could please start a new thread aka condo - like this: 8/15 LT AMPS ### - if you have a question; add it there too...and then copy/paste the url from this condo - as the first line of your new condo so people will know what happened yesterday...and then write your comments - hope this is helpful...sounds like you're getting there! :bighug::bighug:
     
    Sonia & Leo likes this.

Share This Page