Sally dose change comment

Discussion in 'Lantus / Basaglar (glargine) and Levemir (detemir)' started by Ter and Sally, Aug 8, 2018.

Thread Status:
Not open for further replies.
  1. Ter and Sally

    Ter and Sally Member

    Joined:
    Jan 9, 2018
    Yesterday's post http://www.felinediabetes.com/FDMB/threads/sally-dose-advice.200777/
    After considering my syringe situation and the syringes I used a couple a times this week which gave us the 80's and that 56 reading Monday it looks like when measuring plain liquid in both that she did not get .25 but got close to or actually .5. Her physical signs have been very good on the .25 and since we can test today to catch anything we went with the .25 because I think if we lowered based on the one reading we would find ourselves having to increase again. I went thru 4 or 5 syringes this morning till I found a correct one. I really think that drop Monday was caused by an incorrect dose , it looks like what we got just after coming home from the hospital when we were mixi g the 2 doses.
    Will be studying up on calipers. I feel as though I am either killing her with too much or too little.
     
    Bobbie And Bubba likes this.
  2. Sue and Luci

    Sue and Luci Well-Known Member

    Joined:
    Nov 3, 2017
    Good idea to get those calipers! They will really help you be more accurate when you fill your syringes.

    Best to you!
     
  3. Sue and Luci

    Sue and Luci Well-Known Member

    Joined:
    Nov 3, 2017
    You may also want to ask @Marje and Gracie for advice/info about calipers - she's the expert on all things calipers and has written an informational page all about it. She will also help you with the numbers...
     
    Marje and Gracie likes this.
  4. Olive & Paula

    Olive & Paula Well-Known Member

    Joined:
    Sep 6, 2015
    Calipers are great, especially when your half asleep. When doing the .25 of .75 they really are more accurate. If you decide on them the digital locking ones are best. You can calculate for one box of syringes. You recalculate for new box and when changing brands of syringes.
     
    Sue and Luci likes this.
  5. Ter and Sally

    Ter and Sally Member

    Joined:
    Jan 9, 2018
    Thanks I'll be doing a lot of learning thanks for the info!
     
  6. Bobbie And Bubba

    Bobbie And Bubba Well-Known Member

    Joined:
    Jun 15, 2015
    Good job finding the syringe to compare all others too. I think you might be right about the one low number. It looked so out of place compared to all others. As long as you can monitor closely, I like your logic.
     
  7. Ter and Sally

    Ter and Sally Member

    Joined:
    Jan 9, 2018
    Always half asleep the night dose is the worst because when I get home all I want to do is relax and go to bed but then there's all the stress of measuring the right dose. It's real scary. All the big bounces have been with this new box of syringes and I just looked thru some of them and over half have the zero line below where it's supposed to be and it looks like it would be .25 or more. It's criminal. We've got enough worry and stress over this we don't need one more. Thanks for the tip.
     
    Sue and Luci likes this.
  8. Ter and Sally

    Ter and Sally Member

    Joined:
    Jan 9, 2018
    Thank you so much for saying that because I am always second guessing and the older I get the worse I get. To me it looked so out of place.
    I just went thru more syringes and only have 2 good ones so far that will take care of tomorrow so now no stress about that. I want to see how long it will take her to get out of this bounce.
    Thank God for the genius who created the spreadsheet. I know it saved her in the hospital. The doctor had no idea how I drew up .25. So one would have someone dose .5 twice a day only because it's easier to see on the syringe with no thought of what it is doing? Man. They were able to see what I was talking about with her dosing. They had on her cage to give 1 unit if she went above 300---I told them NO look at what our stupid foray into .75 did. They still said we test too much, worried about our stress looking at the numbers constantly and changing doses based on the numbers......in my opinion I have been probably too conservative in making changes. Not to mention the stress it causes her. Well half the time she is napping when my husband tests her!! She doesn't even flinch! She knows the routine.
    Again thanks for your input. Going to look up the info on calipers now. Think that will be even easier than the liquid idea, tho that's a good suggestion for now.
     
    Last edited: Aug 8, 2018
    Reason for edit: typo
    Sue and Luci likes this.
  9. Marje and Gracie

    Marje and Gracie Senior Member Moderator

    Joined:
    May 30, 2010
    Please let me know any time you have questions about the calipers. If you tag me and I don’t respond right away, I’m likely not on the board that day so just send me a PM and ask me to check out your condo.

    Gracie’s numbers improved once I started using the calipers. At the time, we used Monoject syringes and not only wee the syringes inaccurate but they also had a hub that would hold varying amounts of insulin :eek:
     
    Sue and Luci likes this.
  10. Squeaky and KT (GA)

    Squeaky and KT (GA) Well-Known Member

    Joined:
    Jul 19, 2011
    I second/third/tenth? using calipers. Regardless of how bad any syringe is marked, your dose is the same as long as you're using the same brand of syringe. Different brands have a bit different size barrel so their markings might be different - if you change brands and barrel size is different, just recalculate your dose. These are the ones I use (4") thanks to a sweet gift from Marje years ago:

    https://www.harborfreight.com/4-in-digital-caliper-63710.html

    HUGS!
     
  11. Ter and Sally

    Ter and Sally Member

    Joined:
    Jan 9, 2018
    Thank you! I'm ordering them now. We have been wondering about the hub. Honestly there's been so much to think about I had forgotten about using calipers. I liked the way the Monoject handled. I saw you mentioned Terumo but I couldn't find much on line. I will certainly take you up on this!
     
  12. Ter and Sally

    Ter and Sally Member

    Joined:
    Jan 9, 2018
    Thanks a lot for the suggestion I'm going to order those right now. Can't wait. It's never easy!!!! So many things to consider.
     
  13. Olive & Paula

    Olive & Paula Well-Known Member

    Joined:
    Sep 6, 2015
    Those are the ones I use also. I also use the monoject syringes. So far those I like best. I find the markings consistent. The terumo are not manufactured anymore.
     
  14. Ter and Sally

    Ter and Sally Member

    Joined:
    Jan 9, 2018
    I wondered why I couldn't find them. The consistency in the markings and thinness of lines are great on the Monoject, and I found it was easider to manipulate the plunger to be able to count the little drops of insulin. I didn't often find crooked lines like on the BD. Most vets use Monoject brand too, so I was really surprised the low quality of this last box of syringes.
     
  15. Marje and Gracie

    Marje and Gracie Senior Member Moderator

    Joined:
    May 30, 2010
    Sadly, the Terumo insulin syringes were discontinued four years ago. They were the most accurate, great price, and UTW. Many of us wrote Terumo to no avail.

    I originally loved the MJs as they didn’t have a hub issue. When that came up, I had a long and open discussion with the company and the bottom line was, “we don’t care; we don’t make our syringes for pets”.
     
  16. Ter and Sally

    Ter and Sally Member

    Joined:
    Jan 9, 2018
    That's exactly what I told my husband they would say. I had considered complaining just because, but knew what the answer would be. he said not to even bother he doesn't even want to order those any more, but I do like that for the most part the lines are not crooked, and they are very easy to handle. I'm sure the syringe issue isn't the only issue we have been dealing with on her numbers, but it makes me look at all the bounces differently. It's been almost a year since starting her back on insulin, we have always had an issue with bouncing, and I am so scared that her bounces are diminishing her kidney function. The only time she didn't bounce was when we gave her Lantus daily, either on the .25 or .125 dose. Has anyone ever had CKD due to constant bouncing? I read a study not too long ago that compared kidney issues with control cats and diabetic cats and the study determined diabetes didn't necessarily contribute directly to CKD or other kidney issues. It has to wear on the ability to function well though. I keep thinking we may get her controlled -- I've given up concentrating on another remission-- and then she'll have CKD.
     
    Last edited: Aug 10, 2018
    Reason for edit: typo
  17. Ter and Sally

    Ter and Sally Member

    Joined:
    Jan 9, 2018
    My husband says he doesn't trust them anymore but I do like them and they have ben the easiest to use and handle.
     
    Last edited: Aug 9, 2018
    Reason for edit: typo
Thread Status:
Not open for further replies.

Share This Page