21/2 Chico AMPS 196

Discussion in 'Lantus / Levemir / Biosimilars' started by Marina & Chico, Feb 20, 2021.

  1. Marina & Chico

    Marina & Chico Well-Known Member

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    Jan 31, 2021
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  2. Bandit's Mom

    Bandit's Mom Well-Known Member

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    Oct 18, 2019
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  3. Bandit's Mom

    Bandit's Mom Well-Known Member

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    Can you monitor? Have enough supplies? HC/MC food and test strips?

    If yes, you can shoot. You have shot 212 before. 196 is almost the same.

    He may very well bounce from those greens he saw yesterday.
     
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  4. Marina & Chico

    Marina & Chico Well-Known Member

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    Jan 31, 2021
    Yes we have supplies and we can monitor, thank you very much, i am expecting him to bounce as well just wanted to make sure it is safe

    thanks again:bighug:
     
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  5. Bron and Sheba (GA)

    Bron and Sheba (GA) Well-Known Member

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    Feb 21, 2015
    I agree with @Bandit's Mom. I would shoot as long as you can monitor.
     
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  6. Gill & George

    Gill & George Well-Known Member

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    Oct 27, 2015
    Congrats on your first blue PS.
    Great cycle last night, a lot of time surfing in green, and quite a drop from PMPS
    Looks like he bounced, he's flat and high (Yellow).
    He gave your husband a busy night again!
     
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  7. Marina & Chico

    Marina & Chico Well-Known Member

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    Jan 31, 2021
    He did give my husband a very busy night, poor him but it was a nice cycle and we hope that his bouncing will be much more yellow and much less red in the future as well :)

    let’s see what tonight will bring :)

    Gill can i ask you a probiotic question? We buy the probiotics in capsules but give him in powder in food. Yesterday a friend brought up an interesting point that probiotics might lose efficiency without the protective cover because they would not reach intestins but be killed by gastric juice. If that would be the case it would explain how come chico didn’t get better with the probiotics. How were you giving probiotics to George?

    thanks in advance for your answer
     
  8. Gill & George

    Gill & George Well-Known Member

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    Oct 27, 2015
    they come in a capsule and I give him the powder. I don't think the capsules will last long in the stomach anyway, the ones I use melt in water.
    The Sboullardi is resistant to stomach acid, so that will have no probs.
    The product you are using has enough lactobacillus and sboullardi in it so that enough will pass into the gut. without the capsule

    But you got me thinking about the lactobacillus, it appears that taking it at the same time as his AB will reduce the effectiveness of the lactobaccillus so maybe give them 2 hours
    https://www.drugs.com/drug-interactions/metronidazole-with-probiotic-formula-1617-0-3205-15943.html
    Sort of makes sense since its the AB acts against bacteria (it won't differentiate between the good and the bad)

    But the Sboullardi I think can be taken with the AB I remember reading that, perhaps in the foodfurlife site.

    ETA looks like you are already giving the lactobacillus 2 hrs after AB
     
  9. Gill & George

    Gill & George Well-Known Member

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  10. Marina & Chico

    Marina & Chico Well-Known Member

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    Jan 31, 2021
    It was a 2 and it’s a 2 now as well.

    1 is liquid and 5 firm ... we will give him a few more days after the AB, we finished it in the morning so maybe we will see some improvement after
     
  11. Marina & Chico

    Marina & Chico Well-Known Member

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    Jan 31, 2021
    Thanks for the information, i was worried we wasted time with that.
    We were giving the lactobacillus always 2 hours after the AB.
    I really hope it will get better in the following days
     
  12. Gill & George

    Gill & George Well-Known Member

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    Oct 27, 2015
    Hi Marina,
    Do you do both the shots? Or do you take it in turns with the shots?
     
  13. Marina & Chico

    Marina & Chico Well-Known Member

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    Jan 31, 2021
    Usually mornings its me and evenings its him, i fill in the syringes every night though to have them similar
     
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  14. Gill & George

    Gill & George Well-Known Member

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    Oct 27, 2015
    I was wondering if there might be a difference, so thought I'd ask.
    Good idea for you to fill the syringes, do you fill them in advance?
     
  15. Marina & Chico

    Marina & Chico Well-Known Member

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    Jan 31, 2021
    I fill them every evening for the next day
     
  16. Gill & George

    Gill & George Well-Known Member

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    so tonight you fill two syringes for tomorrow?
     
  17. Marina & Chico

    Marina & Chico Well-Known Member

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    Jan 31, 2021
    Yes, he checks it before i put it in the fridge and then we have the chance to check it again before shooting... less space for a rushed mistake

    It looks like he is still bouncing, yesterdays greens were too much for him. these bouncing cycles are very tricky, they can end in the middle if the cycle and then we are taken by surprise : D
     
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  18. Marina & Chico

    Marina & Chico Well-Known Member

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    Jan 31, 2021
    Until 1,5 weeks ago he was doing all the shots, its since we divided the care for night and mornings we started shooting both

    What could we do differently? Are there some typical mistakes?
     
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  19. Gill & George

    Gill & George Well-Known Member

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    Oct 27, 2015
    Yes he hasn't been in green for a while and he was there for quite some time and it was a big drop.

    Yes they can catch you by surprise. He has been clearing the bounce on the second cycle (so maybe tonight again)
    I was just wondering if you were doing something different, like drawing different doses if you were taking it in turns, thought it was worth checking.

    Prefilling syringes with lantus is not recommended.
    https://care.diabetesjournals.org/content/diacare/26/9/2665.full.pdf

    The insulin degrades once it is out of the vial/pen, I'm not sure if this if this is affecting Chico, but it does niggle me....
    I do think that one of you drawing the dose is a good idea, since that will give you more consistency, and it is good to have a system in place to avoid confusion.

    Cats can get into a routine of only having low cycles at night or in the day.... for no reason at all, so maybe I am overthinking this.
     
  20. Marina & Chico

    Marina & Chico Well-Known Member

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    Jan 31, 2021
    Thanks for the article, they are speaking abt storing prefilled syringes for 2-7 days nonetheless the conclusion does say that no prefilling is recommended; we will start filling them before the shots only, just to avoid possible degradation of the insulin. Thanks for bringing it to our attention

    i am thinking abt the possibility that i do smth different from him as well but yesterday at night i gave Chico the shot (and he was all green) and today evening (when chico bounces) my husband did so for now we cant draw the conclusion that we shoot him differently
     
  21. Gill & George

    Gill & George Well-Known Member

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    Oct 27, 2015
    Yes, which is why I don't know if it would make a difference....but thought I would let you have the info so you could decide.
    LOL he is just being a cat then. He is certainly bouncing with that +2, hope he comes gently down from those reds.

    I hope Chico's tummy starts feeling better. Today is the last day on the ab??
     
  22. Marina & Chico

    Marina & Chico Well-Known Member

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    Jan 31, 2021
    Thanks, yes, today in the morning was last AB.
     

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