Zeke - 8/28 - AMPS 35 - NS - +1 96, +2 147, +6 258, +8 296, PMPS 521

Discussion in 'Lantus / Basaglar (glargine) and Levemir (detemir)' started by Meridith and Zeke, Aug 28, 2017.

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  1. Meridith and Zeke

    Meridith and Zeke Well-Known Member

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    May 22, 2017
    Yesterday

    I have fed him MC 15% with some of the normal LC. Should I go ahead and shoot at 2.25u? Or hold and give him an hour to test and see if he is going up. Here I thought he was going to get a dosecrease today. Guess Zeke had other plans.
     
  2. Djamila

    Djamila Well-Known Member

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    Aug 1, 2015
    You might try testing again to make sure it wasn't a wonky test strip. Definitely don't give the regular dose at that number. Hopefully someone with more experience in Lantus will be on soon, but for now I'd confirm that he's really that low with a second test and hold off on shooting until someone else has a chance to weigh in.
     
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  3. Beenie (GA)

    Beenie (GA) Well-Known Member

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    Meredith wait for experienced eyes to advise. I'm pretty sure you don't want to shoot on 35. I would retest in 15-20 min. Are you around today to keep an eye on Zeke?
    :bighug:
     
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  4. Meridith and Zeke

    Meridith and Zeke Well-Known Member

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    I'm always around. I run my business from home.
     
  5. Meridith and Zeke

    Meridith and Zeke Well-Known Member

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    Going to test in 15 minutes. That will give some time for the food to be helping too.
     
  6. Sandy and Black Kitty

    Sandy and Black Kitty Well-Known Member

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  7. Bron and Sheba

    Bron and Sheba Well-Known Member

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    You need to feed him to bring him up to 50 or over. Don't give insulin to a cat under 50. Even very experienced carers do not give insulin under 50.
    You have earned a reduction.
     
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  8. Meridith and Zeke

    Meridith and Zeke Well-Known Member

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    Recheck at 39. So not wonky strip.
     
  9. Meridith and Zeke

    Meridith and Zeke Well-Known Member

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    May 22, 2017
    So this morning is a skipped shot or just shoot late after get his numbers going up then adjust times after that? Gotta give some time for his food to start kicking in so will do another test 20 minutes from the last one. Gonna give him a small amount of HC to help start the rise.
     
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  10. Kris & Teasel

    Kris & Teasel Well-Known Member

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    Give a teaspoon or two of HC food, wait 20 minutes and retest. Don't give insulin!
     
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  11. Kris & Teasel

    Kris & Teasel Well-Known Member

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    I'd skip the shot this AM for sure.
     
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  12. Mandy & Rex

    Mandy & Rex Well-Known Member

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    I would skip .. or you may be constantly feeding him to keep him above 50 if he isn't one to bounce if you were to give insulin. Better safe than sorry. :bighug:
     
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  13. Meridith and Zeke

    Meridith and Zeke Well-Known Member

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    He is definitely a bouncer!
     
  14. Meridith and Zeke

    Meridith and Zeke Well-Known Member

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    Birds are not our friends this morning! Trying to get him to eat some HC and he is going after the windows!
     
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  15. Bron and Sheba

    Bron and Sheba Well-Known Member

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    If you have given him HC food it is going to be difficult to tell when his BSL rises if it is from the HC food or the normal rise. Do you have room to stall?
     
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  16. Sandy and Black Kitty

    Sandy and Black Kitty Well-Known Member

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    Time for HC. Recheck in 15 mins. Get him above 50
    Skip the shot
     
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  17. Meridith and Zeke

    Meridith and Zeke Well-Known Member

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    May 22, 2017
    So far
    AMPS 35 given MC with normal LC breakfast
    Tested 20 minutes after at 39
    30 minutes after first test HC given. Took putting tuna on it to get him away from the birds.
     
  18. Meridith and Zeke

    Meridith and Zeke Well-Known Member

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    Removed 911 since I got several watching now.
     
  19. Meridith and Zeke

    Meridith and Zeke Well-Known Member

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    Yes. I always have room for that since I don't have a set schedule for anything other then our meals and kitties so Zeke has a good shot schedule.
     
  20. Bron and Sheba

    Bron and Sheba Well-Known Member

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    I agree with Sandy. If you have fed a full breakfast with some MC food and it is still 39 I would skip the shot too.
     
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  21. Doodles & Karen

    Doodles & Karen Well-Known Member

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    Way to wake up mama bean this morning Zeke. Good to note that Zeke likes to take his time breaking a bounce with a bit of wobble in between. Get on that surf board now buddy.
     
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  22. Meridith and Zeke

    Meridith and Zeke Well-Known Member

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    May 22, 2017
    OH I know! I was actually planning on doing the normal morning routine and then do a +3 instead of the +2 so I could lay down since my new meds have my joints screaming.
     
  23. Sandy and Black Kitty

    Sandy and Black Kitty Well-Known Member

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    Congratulations on earning a reduction. New dose 2.25u.

    Time to get into the habit of getting some PM +10 and PM +11 data.
     
  24. Meridith and Zeke

    Meridith and Zeke Well-Known Member

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    May 22, 2017
    Already told my husband he will probably start doing a test before he leaves in the mornings. Everyone else is asleep at that time.

    His last test, which is right at an hour from the first one is 96 so he is back above 50. Hopefully he won't bounce too bad since skipping the shot.
     
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  25. Sandy and Black Kitty

    Sandy and Black Kitty Well-Known Member

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    From the sticky on shooting and handling low numbers:

     
  26. Meridith and Zeke

    Meridith and Zeke Well-Known Member

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    Yes, I have read through that and I try to get them sporadically for the AM cycle, but for the PM cycle we are pretty much all sleeping, including my hubby while getting ready for work lol. My daughter already stays up later so we can get at least a +6 and sometimes a +7 for the pm cycle depending on how his numbers have went earlier in the cycle. Without doing the meal/shot time at a later time, it is hard to get those times on a regular basis.
     
  27. Doodles & Karen

    Doodles & Karen Well-Known Member

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    Just ignore the higher numbers today, he'll get back on track soon enough!
     
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  28. Doodles & Karen

    Doodles & Karen Well-Known Member

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    Since you skipped it's OK to shoot early at PMPS time and work your way back to the normal time if you want to. Just remember adjusting the time is either 15 min twice a day or 30 min once a day.
     
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  29. Beenie (GA)

    Beenie (GA) Well-Known Member

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    Great I like that 96! Even skipping you'll be back on track in no time!!
     
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  30. Meridith and Zeke

    Meridith and Zeke Well-Known Member

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    May 22, 2017
    Guess it is looking like for Zeke that he gets at least 8 cycles before making a dose change decision since this was his 7th cycle on this dose. If he hadn't done anything this morning, I would have increased him. :(

    I had wondered about doing that. We had already been talking about moving his shot time earlier, but will need to talk to hubby since he is going to need to start doing a test in the mornings. Gotta make sure that he will be able to do one at the time.
     
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  31. Doodles & Karen

    Doodles & Karen Well-Known Member

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    Know thy cat is key to FD. I often gave Doodles 8 cycles too. Then of course Zeke will change his pattern.:rolleyes:
     
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  32. Meridith and Zeke

    Meridith and Zeke Well-Known Member

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    Of course, Zeke wouldn't be Zeke if he didn't! :smuggrin:
     
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  33. Gill & George

    Gill & George Well-Known Member

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    Oct 27, 2015
    congrats on the reducie.

    Glad he's on the up now. That was some wake up call!!

    I agree with Sandi that starting to get a +10/+11 in the pm cycle would be a good idea.
     
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  34. Meridith and Zeke

    Meridith and Zeke Well-Known Member

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    May 22, 2017
    Would just +11's be fine for pm because I really don't see it being possible for also getting +10's without us shooting later because of our schedules. We already shoot at 8am/8pm.
     
  35. Gill & George

    Gill & George Well-Known Member

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    Oct 27, 2015
    I didn't mean that you needed both. If a +11 is what you can routinely get, then that would be great.

    FWIW last night with that drop of 60 ish points from 225 @+4 to 141+6, would have rang alarm bells, I probably would have set an alarm and got an additional check at +8 or+9, or if I really needed to sleep, I'd have given George some extra fuds. TBH I couldn't sleep restfully if I new his numbers were dropping, I got into the habit of him sleeping on our bed, George would look for food if he went low, and would have no problem walloping me on the nose if he felt the need for some room service:rolleyes:

    When George started heading down the dosing scale, I'd often sleep on the couch downstairs setting alarm and testing if I needed to a couple of hours later,particularly if his numbers showed a significant drop at +6.

    I shot on a 7am 7pm schedule, I usually got to bed at 12/1am (+5/+6), set alarm, got a +11, had a snooze and then got a amps.
    On days when his +5, +6 was still dropping I would set alarm and get additional tests in that pm cycle.
    I found that shooting at this time fitted my schedule best.

    I really liked routinely getting a +10/+11(it was usually a +11, unless I happened to wake up early), especially when we started to see lower PS, it gave me confidence to shoot low, and also gave me the heads up to watch the following cycle.
     
  36. Meridith and Zeke

    Meridith and Zeke Well-Known Member

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    May 22, 2017
    My daughter did the testing after his +2, I was in bed. Was already planning on letting her know on doing an extra test when if he is on a drop like that. I have to take something to help me sleep so I have no choice but a straight 8 hours at least for sleep or I would be in too much of a fog to be doing anything with Zeke.

    Zeke isn't one to let us know when he needs food. I have to sleep with my door shut, but my daughter (Zeke's momma) keeps hers open. Only the fat boy lets us know when there isn't enough food lol.
     
  37. Gill & George

    Gill & George Well-Known Member

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    Oct 27, 2015
    I'm just answering this question in your condo for the day, just FYI we usually just make one thread for the day, and post all questions there, you can change the title of your thread to highlight a question, keep numbers updated. It'll keep all your queries and responses neatly together in one place, making it easier for you and others to look back at adive you have had. The Lantus and lev forum gets a lot of traffic and if we all post more than one thread it can get pretty confusing.

    Anyways, a couple of tests in each cycle is good, I would change them up though.
    eg
    +2 +6 one day
    +1 +4 another
    +3 +7 another
    try to fill the blanks on the SS
    like your trying to solve a jigsaw puzzle. If zeke starts to move down the dosing ladder there will be times where you will have to go with the flow and monitor more. Looking at his SS he has had a few late nadirs, so getting some spot checks late in the cycle may be a good idea just so you catch any late action.

    As for the ears, I was/am a testaholic, but never had any trouble with Georges ears, I always applied gentle pressure for about 10 seconds at the test site, with a cold wet cotton pad to try and keep bruising down to a minimum, you couldn't tell he was being poked. It goes without saying that you should always use a fresh lancet, as they can get blunt if you use them more than once and that would increase bruising.


    He must've read your mind, Cats:rolleyes:

    hahaha, George is our fat boy, :cat::cat::cat:
     
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  38. Meridith and Zeke

    Meridith and Zeke Well-Known Member

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    May 22, 2017
    That helps me out more on the scheduling of tests on normal days.

    Always do. The vet that actually dx'd Zeke was telling us we could even reuse the syringes! That was one of the first signs to me that I needed to question what he was telling me.
     
  39. Gill & George

    Gill & George Well-Known Member

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    :banghead::banghead::banghead:
     
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  40. Meridith and Zeke

    Meridith and Zeke Well-Known Member

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    May 22, 2017
    He is back to bouncing again of course. Did a +8 because he started to get very clingy which he has done before in the past when he had low numbers so tested to be sure.
     
  41. Meridith and Zeke

    Meridith and Zeke Well-Known Member

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    May 22, 2017
    His pmps was 521. Pretty much expected with the skipped shot this morning. Since we skipped the shot, we moved testing/shooting back 45 minutes to a time that would work better for hubby getting a +11 in the mornings before he leaves for work. The only thing about moving it like this is that in the mornings, food will be picked up less then 2 hours before ps. We haven't been having any vomiting issues so we could try leaving out a bit less when my daughter goes to bed so they should finish off what is out earlier then my hubby gets up for work.
     
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