Hi I'm just looking for dosing advice. I'm trying to understand the bouncing in it if I need to do anything about it. Please don't just tell me I need to test more often as I can't do that. Thanks
Were you started at 2U? I know you say you can't test more, but can you get at least 1 test on the PM cycle like before you go to bed? Is there a day off when you might be able to get a few more tests in?
Hi, when my cat was 1st diagnosed the vet kept her for the day and my vet said they gave her one unit her insulin barely went down at all like 5 points they gave her another unit and it still only went down an additional 10 points for 15 total. He had me start off only giving one shot A-day 2 units but when it was obvious it wasn't lasting all day/wasn't going down as much as we wanted he had me do 2 units am and pm. You can see there was a couple days that I got more tests done but most of the time not any big eye opener. Suggestions?
Can you get just a few tests at night to see if she’s coming down and then bouncing or if she’s not coming down at all ?
Not exactly following you I get off work to come home and feed at 6 So I can't really test and give an insulin shot any earlier than 8, 2 hours after feeding. You can see sometimes I get one test in around 10 or 11 before bed but it doesn't seem to tell me much. Then when I get up in the morning I feed rest and give insulin before leaving for work. Suggestions?
Hi, yes I was taught you shouldn't test for at least two hours after feeding. When I've been gone all day (recently been able to come home at lunch most days hence the one test about 5 hrs after morning shot) they are ready to eat when I get home. There is nobody else to feed, test, or give shots. I don't know what anybody else does that works for normal job outside the home Monday through Friday?
Okay this is not correct. Most test, feed, shoot all within about 5-10 minutes. Lantus doesn’t onset for 2-3 hours. You don’t want to feed two hours before so the test isn’t food influenced. So you test and then feed right away and shoot.
Can you change your shot schedule to 6am/6pm? As long as he doesn't eat from 4 to 6, that's still the 2 hours you don't want to feed before getting Pre-shot tests.
When I get home they haven't eaten In quite a while so I feel like I have to feed them as soon as I get home I can't do a 6:00 a.m. shot so need a different suggestion. I don't know what inset means that tiffmax refers to.
I think she meant "onset".....the point where the insulin starts to "kick in". Lantus doesn't start working immediately after it's given. It usually takes 2-3 hours before it starts working, so it's fine for kitty to take their time eating. It's not necessary that they eat a certain amount before you give it...just that they're willing to eat. We usually Test/Feed/Shoot....all in 5-10 minutes. You Test to make sure they're high enough for insulin at all, Feed to make sure they're at least willing to eat and Shoot, usually while their head is still in the bowl.
I can't shoot at 6 am so that means I can't shoot at 6 pm. My cat will eat almost as much as I give her. She is ALWAYS hungry or thinks she is. Why do you have to test and shoot at the same time as feeding? I'm trying to come home at lunch to test and feed but I don't shoot.
We test feed shoot to make sure they are at a safe name to shoot. I know you said she will always eat but with diabetes that could change and if does and she has not eaten you could end up with a hypo episode.
HI, my work schedule is not 100 percent set in stone on the hours I work. Can someone please explain to me WHY we feed, test, and shoot all together? (I understand the test before shooting, but why feed?) Thanks!
i still don't get the test feed shoot. I can feed her at 6, test, shoot, and give her a snack at 8? By testing when you shoot that should avoid the hypo. She is eating two hours before so its not like its been all day she hasns't eaten.
My schedule varies as well so I try to do 12/12 or as close to it as possible. We test to see it is a safe number-then if it is safe a safe number we feed and if she eats- then we shoot so her body has enough food so you don't have a hypo which (not to be dramatic) can result in a awful outcome. If you are able to get a few more mid cycle tests you may find her nadir (lowest she will go) some explain by saying you are actually shooting that number.
feeding 2 hours before testing will give a food induced number it is important you test/ feed before shooting to keep her safe and there may be times you will need to adjust her dose but for now I would encourage you to do the best you can to test feed shoot
her nadir varies quite a bit from one day to the next. I had a libre for 2 weeks so have a little more data (the graph, not actual numbers). When I am able to get mid day numbers usually they are in the 200's sometimes around 150, I have had a few around 100. Again why can't I just feed at 6 when i get home and test, shoot, and give a snack at 8?
You can test, feed, shoot at 6 and give a snack at 8. I used to feed small meals after testing and then at +2 and +4.
I work late on Wednesday so I shoot a little later in the morning then I work it back by 15 minutes per cycle to my regular time
I don't have a lot of flexibility in shooting. If I want to stick to as close as possible to 12 hours then it basically has to be between 8 and 8:30.
Yes, you can continue to do that. We were just trying to figure out another schedule that might work better for you since if you feed at 6 when you get home, you could go ahead and test (before feeding at 6) then go ahead and feed and shoot....it doesn't mean you have to If your work schedule wouldn't allow you to shoot at 6am/6pm, then what you're doing now is perfectly acceptable.
i am even more confused than when we started. I can't feed and shoot at 6 p.m. if I feed and shoot at 8 a.m. Others were saying it was not acceptable to do what I was doing...
As long as you're feeding at 6am/6pm, but not shooting until 8am/8pm, that's 2 hours before "shot time" so the test you get at 8 should be fine. The way you put it originally just sounded to some people like you were feeding at 6 and for some reason, waiting until 8 to shoot....like you were waiting 2 hours for the food to get into her system or something. There are some insulin's that it's important to test and feed and then wait up to 1 hour before giving insulin because they are harsh and it's important for there to be food on board before giving the insulin so that when the insulin hits the bloodstream, it doesn't drop them too much. Basaglar is not one of those types of insulin.
If you need to give the insulin doses at 8 and 8, how about if when you get home at 6 pm you give the cats a snack....not a full meal and then 2 hours later at 8 you test the BG, give the main meal and give the shot. That way there is two hours between the last food and the preshot number, the cats will be happy and you can stick to the schedule. Then you can get a before bed test in each night. How does that sound.?
That's basically what I've been doing now is there anybody that can get back to My original question of the post? Thanks
