Crazy numbers

Discussion in 'Lantus / Basaglar (glargine) and Levemir (detemir)' started by KAC, Aug 2, 2020.

  1. KAC

    KAC New Member

    Joined:
    Jul 31, 2020
    Good Morning,
    Well, my happiness from yesterday has disappeared. Please take a look at Pumpkin's SS. Should I panic and rush him to the vet tomorrow. Is this just not dosing him correctly? Do I need to wait longer to let the dose work? Do I need to have the vet run tests for other problems and if so what tests?
     
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  2. Frogster

    Frogster Member

    Joined:
    Jun 25, 2020
    It's Ok, he is just bouncing from the yellow, because his body is not used to those colours yet. It will wear off soon. If you have no other reasons to panic - don't :)
     
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  3. Wendy&Neko

    Wendy&Neko Senior Member Moderator

    Joined:
    Feb 28, 2012
    I'm glad you started a new post today. Here is the link to yesterday's. https://www.felinediabetes.com/FDMB/threads/need-help-with-dosing.232934/
    It'll help people stay focussed on on the new post instead of replying to the old one if you include today's date on the subject title. Check out the PSA post on the top of the forum. @Panic @Diane Tyler's Mom

    OK, so much for the housekeeping note. Onto your concern. Pumpkin is not used to lower numbers. He's been living in the land of black and red, with the odd dip down to pinks. Any number below 300 like that 297 you spotted last night (well done!) is freaking his body out. Once he gets used to lower numbers again, he won't bounce as high. So yes, this is normal, though scary to see at first. I saw a lot of "Hi' or the meter greeting me in the morning when we started out too. :( It helped when I started thinking of those ugly numbers as the insulin finally working and getting my cat into better numbers than she was used to.

    On the last post, you say you haven't been checking for ketones, but the vet has. Unless the vet is checking every day, that won't help. Ketones can go from trace to dangerously high in less than a day. He's probably peeing quite a bit right now. You can buy Ketostix at any pharmacy. Here are some tips on catching a urine sample. If that still doesn't work, you can buy blood ketones meters. Described in the post here.

    And you can check out human BG meters while you are at the pharmacy. Abbott has done an excellent job marketing to vets. Almost as good as those "vet" pet food manufacturers. When I started, AT's weren't a thing because no one used them. All of our dosing methods have been designed and used for years, with numbers from human meters. If the vet wants you to use the AT, use it to do spot checks when he asks for it. Otherwise, he's not paying for it - it should be your choice. There are more important things to pay for.

    How long have you had your current insulin vial? Just wondering how long you've been squirting back excess insulin. Does it look OK? Any cloudy bits or floaties? It's not uncommon for new people to do what you've had and as long as it's not forever, the insulin has seemed OK. Last night's drop does show that the insulin is working some.
     
  4. KAC

    KAC New Member

    Joined:
    Jul 31, 2020
    This was a brand new vial this morning. I only did it once this morning.
    After reading the info that I may have ruined the $308 vial, it broke me. I lost it. Completely fell apart.....................
    I'm a teacher, work a waitress job too. That $308 was a chunk for me. The thought of it being ruined..........:facepalm:
    I'm going to check into getting another meter, I can't afford the AT strips. He won't use litter box if I'm in the room, so that is out for ketones.
    He was drinking and urinating normally this last week. But I saw a big puddle in the litter box upon waking this morning and have seen him drinking more today and he is a little lethargic compared to his stalking squirrels yesterday!! Just hate this for him.
    Thank you for this................I'm climbing off the edge a little.
     
  5. Diane Tyler's Mom

    Diane Tyler's Mom Well-Known Member

    Joined:
    Sep 21, 2018
    Next time you need lantus you can get it at Marks Marine Pharmacy in Canada, you will save tons of money, Most members buy from them. Check out their web site
    I suggest you buy the 5 pack of the solostar pens. You would use it like the vial you have now, take the too off of the pen and you will see a grey rubber stopper, then you would insert your syringe in there, outrageous what you paid for your vial Hope this helps
    They will last you for almost a year, depending on the dose you are shooting.
    Plus the other 4 pens which you are not using will stay good until the expiration date , which is probably 2022 of Dec or so, I hate to see you spend all that money for one vial
    [​IMG] [​IMG] [​IMG] [​IMG] [​IMG] [​IMG] [​IMG]
    [​IMG] Lantus Solostar CARTRIDGE 5x3ml per box (temp. gauge. ice pack, express-air mail) Brand 100iu/ml 15 ml $159.99 USD
    [​IMG]
    [​IMG] Lantus Solostar PEN CAN (temp. gauge. ice pack, express-air mail) *single pen open box* Brand 100iu/ml one pen 3 ml $49.99 USD
    [​IMG]
    [​IMG] Lantus Solostar PENS 5x3ml per box (temp. gauge. ice pack, express-air mail) Brand 100u/ml 15 ml $164.99 USD
    [​IMG]
    [​IMG] Lantus VIAL Insulin (10ml per vial) (temp. gauge. ice pack, express-air mail) Brand 100u/ml 10 ml $110.99 USD
    [​IMG]
     
  6. KAC

    KAC New Member

    Joined:
    Jul 31, 2020
    Wow!! That's incredible!! Thank you so much.
    kc
     
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  7. Diane Tyler's Mom

    Diane Tyler's Mom Well-Known Member

    Joined:
    Sep 21, 2018
    You are very welcome :cat:
     
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  8. Wendy&Neko

    Wendy&Neko Senior Member Moderator

    Joined:
    Feb 28, 2012
    There is always the blood ketone meter option. I'm glad Diane posted the link to Mark's - that will definitely safe some $$. Especially if Pumpkin likes larger doses. Don't forget to check out the Supply Closet forum too.
     
  9. Noah & me (GA)

    Noah & me (GA) Well-Known Member

    Joined:
    Dec 3, 2016
    Katrina, never equate love with money. Sometimes it's the unavoidable cost of a forever home and sometimes we get shamed into it. It does happen but never here.
    This is for Jasper who had a spinal tap and an MRI, a month later he was gone.
     
  10. jt and trouble (GA)

    jt and trouble (GA) Well-Known Member

    Joined:
    Dec 28, 2009
    So Katrina Are things looking better now? I sure hope so you have a whole cheering section of support. Its going to be ok. ;):bighug:
     
  11. Sienne and Gabby (GA)

    Sienne and Gabby (GA) Senior Member Moderator

    Joined:
    Dec 28, 2009
    I saw your post in Health. I'm glad you're climbing off the ledge! FWIW, we've all rented out that piece of real estate at one time or another.

    If I may make an additional suggestion. If Pumpkin does need larger doses, you may want to consider switching to Levemir. For some kitties that require a large dose of Lantus, they may flinch when you shoot. Lantus is acidic and in larger doses, it can sting. Many of the caregivers of large dose cats switch to Levemir. You still purchase through Marks and Levemir works very similarly to Lantus. The only difference is that onset and nadir are a bit later. If Pumpkin doesn't notice a sting, then no worries. If your kitty starts to flinch, you know there's an option.

    As for your vet, I think vets are clueless as to what the cost for the AT strips is. They may also think that we test twice a day. I was a testaholic (as you can see from Gabby's SS). I'd have been broke if I was using a pet meter. Fortunately, like Wendy, Abbott hadn't been very aggressive about their marketing at the time we were needing to buy strips. I used a Bayer Contour meter. Most people here use Walmart's Relion brand meter because the strips are so inexpensive. (FYI - if you use any thing other than the Relion, buying your strips online is way less expensive than at your corner pharmacy.) Amazon, Ebay, and ADW all have good prices for strips.

    You may want to consider a ketone meter if Pumpkin is shy about using the litter box. The strips for the ketone meter are also expensive but you don't go through them the way you do BG strips. There are a number of ketone meters available these days given the popularity of the keto diet. The ones that I've seen used are the Precision Xtra and NovaMax.
     
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  12. Tina Marie and Jan

    Tina Marie and Jan Well-Known Member

    Joined:
    Jul 24, 2019
    Katrina -
    Sending you lots of good wishes and calming vines for your return to teaching elementary school. One day at a time - I admire what you are doing and hope you feel safe after getting started. What stress, oh my.
    You DO have support here . . . in more ways than you might know.
     
  13. KAC

    KAC New Member

    Joined:
    Jul 31, 2020
    Yes, I'm calming down. He is at least in the 500's now. Trying to be patient.
     
  14. KAC

    KAC New Member

    Joined:
    Jul 31, 2020
    Thank ;you. I'm going to check on the Relion meter today. I'm checking on the ketone meters too. Comparative shopping. Thanks for all the knowledge and expertise!!!
    kc
     
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  15. KAC

    KAC New Member

    Joined:
    Jul 31, 2020
    Yes, its better. I'm better. Thank you.
     
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  16. jt and trouble (GA)

    jt and trouble (GA) Well-Known Member

    Joined:
    Dec 28, 2009
    :bighug:
     
  17. Butters & Lyla

    Butters & Lyla Member

    Joined:
    May 30, 2020
    Hi Katrina, Welcome! Just wanted to say that Pumpkin is so handsome! And also, I joined here not long ago and it makes a huge difference knowing there are so many experienced people who will help, versus trying to go it alone. So glad you are here.
     
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  18. Snowshoes

    Snowshoes New Member

    Joined:
    Jul 5, 2020
    Hi Katrina, also giving you a hello. I’m new on here too and watching my Priss’s (AKA Miss Priss and Prissypants) BG numbers boomerang (along with my nerves and confidence level ). It’s a learning curve and a life bump for us but I feel really confident with the support and education from this group that we are going to get it under control. Your Pumpkin and my Priss will be fine. Just keep both hands on the steering wheel.
     
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