? My 1st GREEN! How do I regulate my doses to prevent hypo with Novolin?

Discussion in 'Caninsulin / Vetsulin and N / NPH' started by Becky and Gray-Gray, Jan 12, 2020 at 2:08 PM.

  1. Becky and Gray-Gray

    Becky and Gray-Gray Member

    Joined:
    Jan 2, 2020
    Hi everyone, I am so thrilled to get my first green number!!!! But now I have this overwhelming fear of hypo’s. The last three cycles have progressively dropped since I’ve upped Gray-Gray’s dose from 0.75u to 1.0u and have begun weighing out her food. I am very nervous going into tonight’s PMPS and whether or not to stick with the 1.0u or to go back to the 0.75u. I work Monday-Friday and am unable to monitor the am cycle (This is what scares me the most). I monitored both am and pm cycle yesterday because I was home all day and new I wouldn’t be able monitor this morning as I was not going to be home. As soon as I got home This morning I tested her and hit green. Green is good, but now I’m scared because the green was at +5 and her Nadir is usually at +3 leading me to believe her BG was lower than this hours earlier and it’s rising up now. If you use Novolin what are your thoughts on this me keeping her dose at 1.0 or dropping it back down to 0.75?
     
  2. Deb & Wink

    Deb & Wink Well-Known Member

    Joined:
    Jan 31, 2013
    That green number that Gray-Gray got is still at the high end of the green range and a safe number. Scary though.

    You do have that timed feeder that you use. Did Gray-Gray eat 1 or more meals in the timed feeder this AM?

    Remember, you also stopped using the W/d food earlier this month and are using a much lower carb food now, plus you are feeding less food. My gut is saying lower the dose back to 0.75U for now.

    You hold the needle. The ultimate decision is yours.

    I haven't used Novolin N in years for one of my cats, and when I did, I quickly got them switched to Lantus.
     
    Last edited: Jan 12, 2020 at 3:09 PM
  3. Becky and Gray-Gray

    Becky and Gray-Gray Member

    Joined:
    Jan 2, 2020
    Yes, she did eat one of her timed meals prior to that reading. My gut intuition is telling me to decrease to 0.75 but it’s always nice to hear your thoughts bc I’m still not confident in my decisions yet. I Will be asking my vet Saturday about switching to Lantus. Gray-Grays SS confirms the Novolin wears off quickly, plus the AAHA document you shared has excellent info as well! TY!
     
  4. Deb & Wink

    Deb & Wink Well-Known Member

    Joined:
    Jan 31, 2013
    If you think you may be switching to Lantus in the future, have you gone over to the ISG for Lantus and Levimir? Look at the Stickies at the top. The very first one, The Basics: New to the Group? Start here! is a good one to start with.

    Knowledge is power in my opinion. The more I know the better I can make decisions that will work for me and my cat.
     
    Last edited: Jan 12, 2020 at 6:15 PM
    Becky and Gray-Gray likes this.
  5. Becky and Gray-Gray

    Becky and Gray-Gray Member

    Joined:
    Jan 2, 2020
    Yes, I have begun going through the Lantus stickers, Thank You!
     
  6. Deb & Wink

    Deb & Wink Well-Known Member

    Joined:
    Jan 31, 2013
    Just keeping in touch and checking up on you and Gray-Gray. SS looks ok.
     
    Becky and Gray-Gray likes this.
  7. Becky and Gray-Gray

    Becky and Gray-Gray Member

    Joined:
    Jan 2, 2020
    Thank you!!!! I began giving her a teaspoon of pumpkin to try to loosen her stool today at her pm per shot meal and I was sort of freaking out bc I had my first reading ever over 500! Eek! Thank you for checking in!
     
  8. Deb & Wink

    Deb & Wink Well-Known Member

    Joined:
    Jan 31, 2013
    Checked in on you and Gray-Gray again this morning. While it's not good and a bit scary to see those high numbers, it's hard to know the why behind them. Checking for ketones in the urine is a good idea when the numbers are high like that.

    Saw your note on the SS in the remarks column wondering if the vacuum cleaner was causing wonky numbers. Or if the stress from running the vacuum caused the spike in BG. :smuggrin:

    We know that stress can cause the BG levels to spike. Researchers have found that giving a cat a bath can spike the BG levels, especially if the cat is struggling or vocalizing. Spike was about 80-90 points in one study. The study went on to say, the glucose levels went back to normal for about half the cats within 90 minutes. Although Gray-Gray may not like the vacuum cleaner and runs and hides under the bed somewhere, you are not holding her while you vacuum and making her struggle. At least I don't think you are. Personally, I've never had a cat that liked the vacuum cleaner and would tolerate being held while vacuuming. ;)

    As long as you are handling her gently and she is calm while you are BG testing, it's unlikely the BG readings you are taking are higher because of your handling. "Careful handling techniques that minimize struggling associated with blood collection may reduce the incidence of stress hyperglycemia in cats." Stress hyperglycemia is one of the reasons that home testing for our diabetic cats is so highly recommended.

    If we could only figure out why BG readings one day were so inconsistent, we'd probably win a nobel prize. Did she play more? feeling a bit sleepier than normal? eat a bit more or less? saw a squirrel outside and ran around inside the house from room to room playing 'catch the squirrel' game? saw a strange cat at the window in 'HER territory'?

    These are the types of questions we sometimes ask ourselves in this journey with our diabetic cats. The answer is, we'll never really know why the BG readings vary so much, day to day, hour to hour. We monitor the best we can, we feed the lower carb wet cat foods that are better for diabetic cats, we give our cats insulin. Those are the only 3 things we have control over. We do the best we can.

    Becky! Please don't make me laugh too hard. But please keep making any notes in the SS you think may be relevant.
     
  9. Deb & Wink

    Deb & Wink Well-Known Member

    Joined:
    Jan 31, 2013
    One other thought, because you noted the test strips look different. Did you get the Relion Prime test strips or the Relion Premier test strips?

    Can you take a picture of old box, new box and strips and upload it here?
     
    Becky and Gray-Gray likes this.
  10. Becky and Gray-Gray

    Becky and Gray-Gray Member

    Joined:
    Jan 2, 2020
    Great idea! I will definitely do that when I return home from work and after I dig through the trash for the old box :facepalm:. Good thing trash day isn’t until tomorrow otherwise they’d be GONE:confused:
     
  11. Becky and Gray-Gray

    Becky and Gray-Gray Member

    Joined:
    Jan 2, 2020
    I will do almost anything for my kitty! A pair of rubber gloves, picking through trash, and Dumpster diving at the bottom of a trash bag I have found the old test strips and bottle ... here are the images of the original strips and container!
     

    Attached Files:

    Last edited: Jan 15, 2020 at 9:04 PM
  12. Becky and Gray-Gray

    Becky and Gray-Gray Member

    Joined:
    Jan 2, 2020
    With clean hands, no gloves, and no dumpster diving I have the new test strips images ☺️‼️Here are the new test strips:
     

    Attached Files:

  13. Deb & Wink

    Deb & Wink Well-Known Member

    Joined:
    Jan 31, 2013
    They look the same to me. Sorry you had to go 'dumpster diving', but it was good to double check.
     
  14. Becky and Gray-Gray

    Becky and Gray-Gray Member

    Joined:
    Jan 2, 2020
    The bottles look the same, yes.... BUT do you agree that the strips are different?! The old original strips have a hole but the new strips do not‼️Weird?!?!
     
  15. Deb & Wink

    Deb & Wink Well-Known Member

    Joined:
    Jan 31, 2013
    I saw that little rectangular block area on the end of the strips that gets pushed into the meter. Looks like on the old batch of strips, that area was punched out. Now on the new strips, that area is filled in.

    Was looking on the internet searching for any recall info, and there is none for those test strips.
    You could take them to the pharmacy and ask if there is a problem with the strips.
     
    Becky and Gray-Gray likes this.
  16. Becky and Gray-Gray

    Becky and Gray-Gray Member

    Joined:
    Jan 2, 2020
    Excellent suggestion! Thank you! I will do that Saturday!
     

Share This Page