Oreo Joe back on insulin questions/problems

Discussion in 'Prozinc / PZI' started by Bonnie & Oreo Joe, May 16, 2018.

  1. Bonnie & Oreo Joe

    Bonnie & Oreo Joe Member

    Joined:
    Oct 9, 2017
    I know this is wrong but I have sat here for an hour trying to figure out how to start a new thread. Remember I have CFS and my memory is bad. Ok I was here several months ago and all of the Blood Sugar tests on Oreo Joe were in the normal range. I tried to fill in the chart but it won't work. I am going to start a new sheet. We have had a terrible time since I left. My nest egg of $2000 went and then another 1000 on lab work, vet visits, medications, ordering supplies not available in Sweden only to have customs charge 2 taxes on the pkgs. So I finally, after 3 months of syringe feedings, he began to eat. He heard the vet say I have tried to be American for you but after 2 weeks of syringe feedings we put them down. I will not order another medication for his nausea and I expect you to call on Monday and set up a time. Oreo followed me to the kitchen and cried at the refrigerator. I had chicken out for supper so I cut off a piece and he gobbled it down. He ate and ate his diabetic friendly food and couldn't be filled. So fast forward to yesterday, he was picky with food and wanting to be held much more as he usually wants a hug a crunchy treat and he is gone. He has continued to drink huge amounts of water but every glucose test I did was in the normal range. Yesterday it didn't click to test again. So here I was at 8:30 pm testing and found out my perfectly normal little man was 265 !! Since I was here last my eye sight has gotten very bad. I am home alone, although my husband has bad eye sight also. I had an old syringe the vet had filled several way back in the beginning, as the insulin had to be ordered and mailed. I looked at the syringe she had filled with a magnifying glass and say it was drawn to the 5th little red line. That was supposed to be 1½ U. Since I don't know how he would react I counted to the 4th little red line figuring it was 1 U. The syringe has U40 written on it. I hope I gave right. I tried to find how to post a new thread gave up gave him the insulin at 9 pm and looked some more and gave up finding an old post I had kept in my files. Lucky as a search for Bonnie and Oreo Joe showed nothing could be found.
    Oh he is on ProZinc now as of 35 minutes ago. Can someone set me straight on what I am doing as far as the insulin? I am going to go and look for where I get a new spread sheet. I click on a place to put in a number and it types up at the top of the page. I looked on line re: picture of syringe up close but I still didn't see it well enough to be sure. Thank you and I will be up waiting to see what you have to say. I am 6 hours ahead of East Coast USA and 9 hours ahead of the West coast. Thank you!!!!!!!!!!!!
    My antivirus won't let me download the google spread sheet says it is a virus.
    I just took Oreo's blood sugar at 11:30 pm - 2½ hours after his insulin. it is 245 so going down. I guess I could have gone with 1½U.
     
  2. Kris & Teasel

    Kris & Teasel Well-Known Member

    Joined:
    Aug 17, 2016
    If this is very old insulin from last fall it might not be potent enough now. I'd get new ProZinc as soon as possible. The fifth line on a syringe with half unit marks would be 2 units:
    1st line = zero
    2nd = 0.5 u
    3rd = 1.0 u
    4th = 1.5 u
    5th = 2.0 u

    Just click on the ProZinc forum in the listings on the main page, look at the top right of the page that opens and you'll see "start new thread". Click on that and type your thread title in the bar at the top of the page that opens.

    For now keep a paper record. Was the BG of 265 taken just before you fed him and gave him insulin? That's your PM pre shot test number. It's best to remove all food at least 2 hours before all pre shot tests.

    That his BG for the +2.5 time - ie., 2.5 hours after the shot.

    Try again: http://www.felinediabetes.com/FDMB/threads/fdmb-spreadsheet-instructions.130337/ There are people on here that can help if you can't get it working.

    I'm glad Oreo Joe is eating again. It's too bad you need to give him insulin again but we can help you get back on track. :)
     
  3. Bonnie & Oreo Joe

    Bonnie & Oreo Joe Member

    Joined:
    Oct 9, 2017
    Thank you so much for answering. With the magnifying glass I can find the lines although still difficult. Oreo Joe woke me up 4 hours after I had fallen asleep, 6:30 AM to tell me his food dish needed to be filled. Of course he had to wait until 8 so he sat staring at me until 8.

    AMPS 285 gave 1½ units while he was gobbling food and he had no idea he got it. He can't get filled up today.
    His insulin is good for another year.

    Now if I understand correctly I keep him on insulin (as long as I can shoot safely) for 2 weeks and then do a curve?

    The vet had said that I shouldn't give insulin unless it was over 15 which is 270 but I remember that he should be in the range of 100 to 120? Am I right or is she?
    Thank you so much!!
     
  4. Djamila

    Djamila Well-Known Member

    Joined:
    Aug 1, 2015
    Can you make some colored water and draw a sample syringe with colored water, then use that to compare with the insulin syringe? It might help with double checking that you're on the right line.

    I see where you typed "5/16/2018" on your spreadsheet. Does that mean you got it working again?

    We recommend that you test before every shot and once or twice in the middle of the cycle so you can see how much the insulin is changing their blood glucose (BG) from the highest point (right before the shot) to the lowest point (nadir). And then yes, you can do a curve after a week or two. Those other tests are really important though to make sure they aren't dropping too low from the insulin.

    As for the expiration on the insulin: the date on that package would be the expiration if it had never been opened. Once you use a vial for the first time, it's only good for 3 to 6 months. The manufacturer says it's only good for 30 days once it's opened, but around here we've found it lasts for a few months. Usually sort of fades out as it gets closer to six months since it was opened. If it's been opened longer than that I would really recommend getting a new vial.

    You want the kitty below 120 during nadir, and below 200 for the pre-shot number. The vet is saying 270 based on using an AlphaTrak (a pet specific meter which gives higher numbers than a human meter), and because vets assume you aren't monitoring enough at home. So they say a higher number in order to keep a pet safe from hypoglycemia. The lower numbers we say are assuming that you are monitoring enough at home to keep him safe. So both are right - it just depends on how careful you are able to be.
     
  5. Bonnie & Oreo Joe

    Bonnie & Oreo Joe Member

    Joined:
    Oct 9, 2017
    The only thing on my spread sheet that works is putting the date in! When I try and put in BG I highlight the correct box click in it and type the number and the number goes up on the top left where is says FX!
    I have no idea why. I have 2 spread sheets, one for the vet and one for this group. Neither work.

    Do I need a test 2 extra times a day all the time or just for a few days to see what is happening now since he just started.
    The colored water is a great idea. This getting old is not fun!
    I just opened the bottle of insulin last night.
    I will go with 120 during nadir.
    Well off to see if the boy is reachable. He has been so good letting me test and pill and shoot him but he wanted peace and quiet and has taken himself off for a nap under something. So around 6 hours is test time. I am 45 minutes late. Will check in later.
    Thank you!!
     
  6. Bonnie & Oreo Joe

    Bonnie & Oreo Joe Member

    Joined:
    Oct 9, 2017
    Nadir 6 hours and 45 minutes after insulin is 300
    It just keeps going up! He is stretching out long on the cool floor in the coolest room in the house.
    Thanks.
     
  7. Kris & Teasel

    Kris & Teasel Well-Known Member

    Joined:
    Aug 17, 2016
    Maybe @Marje and Gracie can help you sort out the SS issues.
     
  8. Bonnie & Oreo Joe

    Bonnie & Oreo Joe Member

    Joined:
    Oct 9, 2017
    Good Morning here in Sweden rather dark in America I guess. Oreo Joe had a NADIR of 300 yesterday 7 hours after his morning insulin. PMPS was 300 1½ U insulin -
    5-18-18 AMPS 245. He looked at his food and licked his lips over and over and vomited pink liquid. The capsule of meds I gave him wasn't in the liquid. Can't figure out the pink color. It has been almost an hour and he still will not eat. Do I just skip it until tonight. I still can't get my spread sheet to allow me to put numbers in. The date goes in but after than I highlight the spot I want to put a number and it types the number up in the left hand side right above the chart it says Fx. The pc anitivirus won't allow me to download a new one.
    Thanks
     
  9. Djamila

    Djamila Well-Known Member

    Joined:
    Aug 1, 2015
    Does he have anti-nausea meds? Poor Oreo Joe! I hope he feels better soon.
     
  10. Bonnie & Oreo Joe

    Bonnie & Oreo Joe Member

    Joined:
    Oct 9, 2017
    Oreo takes Zofran ½ tab twice a day. I think as soon as his BG goes down we can drop to 1/4 and then none. I was so sure I gave him the insulin correctly but about 15 minutes after he came up on my lap and his fur was wet where I gave the shot. It sure shows it as he is 350 at NADIR he has extremely thick fur for a domestic short hair. My Norwegian Forest cat had thinner fur! about an hour after he threw up he ate and I shot. I have a hard time leaning over I need him to eat at the kitchen table. lol
    All these months of not eating because of nausea he never once vomited.
    Thanks
     

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