Mike Rozell WELCOME low numbers need dosing help

Mike How may units did you shoot?

 

ok heres a link if you can please print this out. Tape it to your fridge or somewhere you can find it easily:

How to treat HYPOS - THEY CAN KILL! Print this Out!!

 

Thanks so much will do.

 

WELCOME TO FDMB MIKE!
Lets make sure your kitties number are rising . How long ago was your last test?

 

Oh and what insulin are you using?

 

10 minutes ago it was 237 and 227 and gave him his lantus

 

ok you need to keep testing him did you feed?

 

Yes he ate HC food since it was so low. Went to 237 and 227

 

I'm going to ask you to go here while you await his nest test.
New? How You Can Help Us Help You!

I think you are new to using message boards so you may need help setting up things that are required here. I can get someone to help you

with meter variances those are basically the same number. You really need to keep testing and ave more of the HC on hand. I'm going to tag a lantus person to come help
@Diane Tyler's Mom
@Critter Mom

 

@Sienne and Gabby (GA)
Have I missed anything?

 

No that’s all. He didn’t have lantus last night he was 146. This morning he had really low numbers.

 

I dont think you should have shot. So you need to keep testing . Do you record his numbers anywhere?

 

We are data driven here. If you do record his numbers it would be beneficial for us AND you to set up a spread sheet. I usually give this info to new members in their first post.
FDMB SPREADSHEET INSTRUCTIONS

You kinda sneaked in under the radar lol.

 

Mike can you please get another test in and post that number?

 

Mike I know how overwhelming this all is . Believe me I've been there. We all have. Its going to be ok You've landed in a safe place.
Theres a ton of information here with good people to help you navigate it all.
You will pick up on it quickly. Its just a LOT at first.

 

Last number was 87

 

Will check again on my lunch break from work today.

 

leave some food out for him if you are leaving . Some cats will seek food to correct "low numbers. "
Please post his number when you retest.

 

bump

 

Before I left for work an hour ago it was at 55, 53. I dropped him off at the vet while I’m working to have him monitored in case something happened.

 

Ok Mike thanks for letting us know! I really appreciate it. We worry

 

Thank you so much. I’m so worried. Vet called said it’s 111 now. It’s fluctuating for some reason it’s hard to monitor

 

111 is a good safe number. Let hope it stays around there.

 

We'd appreciate updates when you get them.

 

I know you are at work so when you do have the time., to do some reading this link..
New? How You Can Help Us Help You!
Will acquaint you on how things work around here. It contains BOTH instructions for setting up your Signature AND spreadsheet. IF you have ANY trouble with either, please let us know. We have good people to help you with them
oh and btw?

WELCOME TO OUR FAMILY

We all look forward to getting to know you both!
jeanne.

 

The vet was concerned about the numbers from this morning of 30s and then 50s. They think he’s making his own insulin that’s what’s causing these staggering numbers.

 

I hope they are right.

 

Hi Mike,

Very good idea bringing your little one to the vet for monitoring.

A 'sputtering' pancreas. That happens when a kitty is trying to go into remission (anti-jinx!). Fingers and paws crossed...


Mogs
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Earl is now back home. Vet monitored he stayed in the upper 140s while there today. Thanks

 

GREAT NEWS! YAY
The question becomes...Are you open to joining us and get great information and a bit of guidance?

 

No pressure we wont be offended if you'd rather not.

 

Okay Earl was 65 when I got home just now he’s 302. Should I give him insulin?

 

Welcome, Mike.

The 302 is likely a bounce from the low numbers.

Some cats become sensitive to insulin after low numbers so caution is advised. Also need to take into account a possibly sputtering pancreas.

Dosing is based on how low a cat goes during a cycle. The low numbers call for an immediate reduction.

Some information is needed.
1. What insulin are you using and what is the dose?
2. What dose did the vet suggest?
3. What type of meter are you using – human or pet?
4. What meter did the vet use? (Pet meters run higher than human meters – the two meters are not comparable)
5. What are you feeding and when was your cat last fed?

@jt and trouble (GA) Can you please change the title of the thread to something like "Low numbers earlier. Need dosing help asap"
More eyes will be drawn to the thread. (I can't stay online.)

 

Hi Mike. Did you give Earl insulin tonight?If so, how much?

 

Mike how is Earl this morning?

 

Earl was 144 this morning no insulin. Tested ten minutes later was 63 it’s weird should that happen? Tested an hour after that he was 172

 

Mike I implore you to try and load your spreadsheet and signature. I know youre not savvy with message boards neither am I but these two tools will help our "experts" give you vital information going forward.
New? How You Can Help Us Help You!l

Both tasks are included in that link. I can get you help if you need. It happens to most new people so please dont feel I'm hounding you. We ALL want to help.

Not weird at all.

 

Its fantastic that you are already home testing. KUDOS!

 

This however is a bit unusual.

 

Maybe the 63 was a bad strip? Or, on some meters, if you get too much or too little blood on a strip you can get a weird number instead of an error message. Seems safe to assume that he's in mid-high 100's right now.

 

If you haven't already shot insulin this morning, don't. Since there's a chance that he's making his own insulin, let's see what he does today. In particular, let's see whether his numbers start dropping after eating-- that would be a really strong sign of a working pancreas!

I'm having trouble following the story from this thread-- I don't know how much insulin has been shot when, or even whether a human or pet meter is being used, so I don't want to offer any more specific advice than this right now, but from what I can tell it sure looks encouraging for Earl so far!

 

AGREE!

 

Any time you skip the dose you could try the following:

1. Test after a 2-hour fast.
2. Feed.
3. Test at +1, +2 and +3 hours after the feed.

You may see an initial bump in BG after the grub but if it comes back down again quickly then that would give some indication that the pancreas is producing more insulin.


Mogs
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Thanks Mogs

 

It’s a cat glucose machine I’m sorry. I will post his results later today. He takes 0.5 insulin twice a day if needed.

 

I wish we could get you to add a signature and start a spreadsheet. Any chance?

 

Yes I can add one tonight form my computer

 

Thank you. It will help us help you and give you questions to ask your vet.

 

GOOD TO HEAR MIKE! ahh you have the alpha track? can you name the monitor?

 

THANKS ELISE!

 

OK, great! On a pet meter, glucose readings in the mid-high 100's are on the high side of normal for a cat, so those are good numbers for him!

Let's see what he does today...

 

That’s Earl!

 

well hello Earl! Hes a cutie. Are those his makings on his nose? Lil guy looks like hes got something on it.

BTW Earl is my neighbors name. lol

 

That’s his cancer on his nose.

 

Awww I'm so sorry Poor Earl

Well hes still a cutie . even more so .

 

(((Earl)))




Mogs
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Hey guys just got off work his glucose was 271 insulin or no? Will get the chart put on here by tomorrow

 

I cannot give dosing advice. @Critter Mom @Nan & Amber (GA)
Can you get a test an hour after you give insulin? If so please post the number here.

@Bron and Sheba (GA) Would you mind checking this thread out during the evening?

 

OK Mike? Here is the link for the Lantus forum.
Lantus / Basaglar (glargine) and Levemir (detemir)

If Earl gets lethargic and You dont get any help here please click that link and start a new thread with something like New person NEEDS HELP.
This of course is only if you give him his shot tonight.

 

I really need more information to give any dosing advice. Please set up a spreadsheet when you can and put in all the tests done until now. Even a week or two will help. Add a signature too. I’d skip tonight but if you gave insulin already please let us know.

 

Sorry I wasn't around for this last night. How did it go?

 

I dont know he never came back . I'm hoping all is well.

 

Hey guys sorry been away working for the holidays. Earl is doing very well. He’s been very energetic lately and hasn’t needed his insulin he’s been in the 170-200 range. Has a vet appointment Monday for acupuncture treatments. Last night it was a little up so he took insulin.

 

https://mail.google.com/mail/u/0/s/...0.1&disp=attd&realattid=f_ki1qq1v70&safe=1&zw

 

Earl glucose was 330 this morning. He did take insulin. His diarrhea is going away woohoo!

 

Sorry I havent been around. Ive been pretty sick. Still waiting test results.
SO happy to hear Earl is improving GO EARL GO!

 

I've noticed, and I've been worried about you, Jeanne. I was relieved to see your post today. I hope you'll feel better very soon. We're all here for you.

(((Jeanne)))




Mogs
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waiting for the second test...I dont think I have it but who knows? Sigh I'm going back to bed. I'll be alright.

 

Feel better!

 

Gonna hold you to that, Jeanne. Get some good rest and feel better very, very soon.

((((((((Jeanne))))))))




Mogs
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You've been burning the candle at both ends on the forum lately. Look after yourself, Jeanne.

 

Feel better!

 

Hi Jeanne, I was wondering where you have been, I sorry you been sick.
I hope the tests come out negative. Please keep us updated. We miss you ♥

 

hubby and I have a mild case (so far) of covid . Will keep you updated.

PLEASE EVERYONE WEAR A DAMN MASK

 

And don't "Swap Air!"

 

Jeanne, I’ve missed you and have been thinking of you! So sorry to hear you and your husband have covid. Sending healing vibes your way!

 

Hey sorry Earl been at the vet in and out lately. He’s doing much better. Glucose curved yesterday at the vet all day. Numbers were all over the place. She thinks he could be going into remission but his cancer could be causing the high spikes and crazy numbers. He’s going once a week for a curve and diarrhea has subsided to almost normal.

 

His numbers the vet isn’t thrilled about. He ranged from 300s to 400s to low to 100s yesterday. She only did one dose of lantus for him. She said try one dose she for about a week check him periodically and see where it goes. Make sure he has food out daily.

 

@Mike Rozell This "Sticky" explains the insulin depot better than I ever could. >>>>>>
Sticky What is the Insulin Depot?

By only giving 1 dose of lantus insulin a day, you are letting that insulin depot fill, drain, fill, drain, fill, drain,................................ over and over again.
That is a more likely reason for the wild swings in the BG levels.
Appetite can also be a big contributing factor in the BG levels.
Will Earl eat consistently? Not sure if the cancer is affecting his sense of smell, and when cats can't smell well, they don't feel like eating.

Is Earl getting treatment for that cancer on his nose? Or are you trying for hospice level care right now?

 

I gave Earl another dose tonight he was 409. If I don’t double dose it won’t work. He’s on two medicines for his cancer takes it every morning.

Earl eats constantly and loves food. I leave food out for him when I’m at work.

 

Is poatato starch food okay to give?

 

It is only carbs and fiber. The % weight carbs can be 80% or so.
https://fdc.nal.usda.gov/fdc-app.html#/food-details/368808/nutrients

 

Earl was 234 tonight ate had his insulin just don’t seem to be himself though. Staring into space isn’t playing? Any ideas?

 

Is he sitting in "meatloaf" position (sign of pain)?

Eating is a good sign, the 234 reading isn't "off" in either direction, not enough to change his affect like that, so it doesn't seem likely to be directly diabetes related?

Did you change anything (adding the potato starch you talked about, for example)?

 

No nothing. Maybe he’s just tired. I checked his sugar again 194. He does have cancer too maybe that’s the issue

 

Hmmm.... yeah, I know that you said he's on a couple meds for that, and while cats seem to cope much better than humans with that kind of thing, it still takes something out of them. So maybe it's just a bad day. You know him best, so you'll be able to judge if he takes a serious downturn.

Give him some extra snuggles tonight!

 

Thanks it’s so hard I feel bad for him.

 

Hi guys sorry it’s been a while. Had a flood in the house and works been insane. Earl has been great!! He maybe in remission soon. He’s been in the 130s-300s last few weeks. He’s such a happy boy too!!!
Vet visit for acupuncture today for his cancer!

 

How’s everyone doing?

 

Hey, Mike!

Good to get an update from you. I'm sorry about your flooding but it's great to hear that Earl is doing well and feeling happy! That's a cracking picture of him. He looks like such a sweetie.

I'm still knackered, and my civvie, Lúnasa (aka The Noodle), had a two-day-long bad trip after a dose of gabapentin last week. That's all the news that's fit to print. Thanks for asking.

Fingers and paws crossed that the acupuncture will do your little fella a power of good. Be sure to let us know how he gets on.

(((Earl)))




Mogs
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Thanks guys! His vet visit was okay. She’s very pleased with his insulin levels lately he can be in remission if it keeps up. The cancer is her concern. He will be on pain medicine daily.

Just a quick question. Since he’s come home from his vet visit he’s been acting strange. Staring into space. He’s eating, Drinking tons I mean tons. He’s going potty no diarrhea or anything abnormal. His insulin levels aren’t to high or low. Just wanted to get suggestions? Didn’t just wanna give karo spike his sugar but not sure what else to do?

 

Are the pain meds new? Did they change dose? Did they give a dose while at the vet?

 

Same pain meds but the doseage is higher

 

Hmmm.... I think if it were me I'd give the vet a call. It does sound like it might be too much of a good thing, and you'll want to know if Earl will likely get used to the new dosage or if it might be better to look for other things to control his pain. Sounds like he definitely needs the pain control, poor little guy.

Or, of course, if it's something else, the vet would be the best person to figure it out. The extra drinking might be a clue, but it's not one I can interpret, so I'd definitely consult a vet about all of it.

 

Which pain med is Earl being given (buprenorphine, other)? Also, when he's a bit spacey, do his pupils get really dilated? Is he vocalising more, or unusually affectionate?

(((Earl)))


Mogs
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