Merlin's BG Spreadsheet

	A	B	C	D	E	F	G	H	I	J	K	L	M	N	O	P	Q	R	S	T	U	V	W	X	Y	Z	AA	AB
1	US mg/dl BID			Merlin’s BG Spreadsheet					Dx Acromeglagy 8.29.18 (#1,985). IAA 79% (should be <20). Buprenorphine 0.3 mg/ml BID (dose range .13-.3ml) when needed																			Dx 5.24.18. Dx 12.2017 quick remission removing dry food.
2	Meter: ReliOn Micro			Shot time: 7:00/7:00																								Epakitin = E; Cerenia = C; IV Fluids = F (100 ml)
3	Insulin: Lantus 7.4.18																											CBD Oil - 2-3 drops/x2. NutraMax Proviable-DC = P
4	Date			BG 400-499					BG 300-399					BG 200-299					BG 100-199					BG 40-99				Supplements Aluminum Hydroxide & Fish Oil
5		AMPS	U	+ 1	+ 2	+ 3	+ 4	+ 5	+ 6	+ 7	+ 8	+ 9	+ 10	+11	PMPS	U	+ 1	+ 2	+ 3	+ 4	+ 5	+ 6	+ 7	+ 8	+ 9	+ 10	+11	Remarks

6	5/25/2018	--	1.00													1.00												PROZINC Ziwi Peak Beef E,C,F
7	5/26/2018	--	1.00												--	1.00												E,C,F
8	5/27/2018	--	1.00												--	1.00												E,C,F
9	5/28/2018	--	1.00												--	1.00												E,C,F
10	5/29/2018	--	1.00												--	1.00												E,C,F
11	5/30/2018	--	1.00												--	1.00												E,C,F
12	5/31/2018	--	1.00												--	1.00												E,C,F
13	6/1/2018	--	1.00												--	1.00												E,C,F
14	6/2/2018	--	1.00												--	1.00												E,C,F
15	6/3/2018	515	1.00				453								409	1.00												1st attempt at testing. E,C,F
16	6/4/2018	--	1.00												--	1.00												C F
17	6/5/2018	496	1.00		492		438		445		426		398		385	1.00												1st Curve. Vet increased to 2U. E,C,F
18	6/6/2018	--	1.00												--	2.00												E,C,F
19	6/7/2018	--	2.00												--	2.00												E,C,F
20	6/8/2018	--	2.00												--	2.00												E,C,F
21	6/9/2018	--	2.00												--	2.00												E,C,F
22	6/10/2018	--	2.00												--	2.00												E,C,F
23	6/11/2018	--	2.00												--	2.00												E,C,F
24	6/12/2018	--	2.00				391								391	2.00		430										E,C,F
25	6/13/2018	421	2.00						391						511	2.00												Vomited. Called vet. Gave pain meds. E,F
26	6/14/2018	398	2.00												366	2.00												Switched to Feline Naturals Beef & Hoki (refused Ziwi Peak) E,C,F
27	6/15/2018	434	2.00												394	2.00												E,C,F
28	6/16/2018	397	2.00												339	2.00												Poo a little soft (new food?) E,C,F
29	6/17/2018	390	2.00												358	2.00												Pudding poo (added psyllium husks) E,C,F
30	6/18/2018	374	2.00												340	2.00												Pudding poo (added psyllium husks) E,C,F
31	6/19/2018	390	2.00		332		327		348		338		358		338	2.00												Formed poo x3! Substantial x3. Not as ravenous. E,C,F
32	6/20/2018	368	2.00												383	2.00												Vet increased to 3.0 C,F
33	6/21/2018	421	2.50			389			306			331			391	2.50												Starting with 2.5 and monitoring. Mixed poo. C,F
34	6/22/2018	384	2.50						364						357	2.50												Poo solid w/psyllium husks. C,F
35	6/23/2018	365	2.50												414	3.00	442			363		373						Ketone negative. 9.14 lbs. BG tested @ +1.5 & +6.5 after PM shot. C,F
36	6/24/2018	347	3.00				262				193				312	skip												ER visit. Shallow breathing/lethargy. Clear heart/lungs. Constipated. Methadone 10mg. XRay. Miralax recommended. No shot. ER scale 9.3 lbs. F
37	6/25/2018	361	3.00			325				235					326	3.00												Miralax am/pm. Very hungry. (Phone consult w/Dr. Keith). C,F
38	6/26/2018	363	3.00												353	3.00												Miralax am/pm. Nice poo just before 11 pm (formed). F
39	6/27/2018	353	3.00												327	3.00												Miralax am/pm. Two very nice formed poo’s. C,F
40	6/28/2018	362	3.00												376	3.00												Miralax am/pm. 1 small, 1 big poo. F
41	6/29/2018	329	3.00						350						365	3.00						314						Miralax am/pm. C,F
42	6/30/2018	390	3.00												368	3.00												Miralax am/pm. F
43	7/1/2018	508	3.00												324	3.00						290						Wonky amps? Disposition does not reflect test. Very hungry. D/C Miralax. 1/4 P. C,F
44	7/2/2018	419	3.00												342	3.00												More active and vocal. Seems to be doing better w/o Miralax. Voracious appetite. 1/4 P. F
45	7/3/2018	332	3.00												371	3.00												Pooed 3 times in less than 24 hours (and decent, especially this morning). 1st Internal Medicine Appointment. 1/2 P. C,F
46	7/4/2018	312	1.00			340			334			333			315	1.00												SWITCHED TO LANTUS Very sleepy for a good part of the day. Loose soft stool 4 hrs. after am dose. 1/2 Proviable. C,F
47	7/5/2018	393	skip												397	1.00	446											Loose stool 12:30 a.m. & 6:45 a.m. Vomited (a little larger than a quarter) Consulted w/Dr. Nyboer for guidance. No a.m. shot. Keytones negative. Pain meds (not enough). Low appetite. PM +.5=429. C,F
48	7/6/2018	319	1.00						319						375	1.00												Pain meds 12:30 a.m. (really helped). Switched to Wellness turkey & he ate a few small meals through the night. Diarrhea. Added psyllium husk powder. Pain meds 12:30 p.m. Eating decently. C,F
49	7/7/2018	333	1.00												346	1.00												Diarrhea. Metronidazole x2. Ketones negative. Pain meds 11 a.m. Eating decently (regular food). Psyllium husk powder. F
50	7/8/2018	371	1.00			357			376			362			363	1.00												Metronidazole x2. Started feeling better mid-day. Ate well, didn’t hide. Psyllium husk powder. No poo. Ketones Negative. C,F
51	7/9/2018	382	1.00												359	1.00												Feeling better. Pooped well early morning & late afternoon. Ketones negative. Metronidazole x2. C,F
52	7/10/2018	349 @ 6a.m.	1.00												skip	1.00												6 a.m. dose. AMPS 349. Ultrasound & fasting blood test.
53	7/11/2018	346	1.00												307	1.00												Tired from yesterday, but doing well. A soft poo (probably from the previous day’s activities.1/4P,C,F
54	7/12/2018	314	1.00												350	1.00												Low energy. Pooped well. 1/4P, C,F
55	7/13/2018	429	1.00		352		373								337	1.00												Had to stop curve to take other cat to vet. 1/2P, C,F
56	7/14/2018	339	1.00		343		321		315		338		340		359	1.00												1/2P (has an effect on his bowels - little bit constipated - stopping to see if change). C,F
57	7/15/2018	340	1.00												373	1.00												Ravenous, Tired. C,F. PM increase to 2U
58	7/16/2018	353	1.00												359	2.00												Ravenous, Tired. C,F
59	7/17/2018	291	2.00												347	2.00												Tired. Ketones Negative. C,F
60	7/18/2018	331	2.00												354	2.00												Tired. C,F
61	7/19/2018	345	2.00						364						331	2.00						345						Tired. Ketones Negative. C,F
62	7/20/2018	412	2.00												333	2.00												C,F
63	7/21/2018	365	2.00												345	2.00							438					3 a.m. soft poo. Fed Pride Rockstar Rabbit all day. Ketones Negative. C,F
64	7/22/2018	417	2.00												352	2.00												Didn’t wake me up for food all night (highly unusual). Ate what I put down anyway, but not all at once. Ate small breakfast. Pooped fine, but not feeling well at all. Gave pain meds 8:30 a.m. Ketones Negative. Alternating Feline Naturals beef & hoki with Pride rockstar rabbit. Feeling better later in the day. C,F
65	7/23/2018	310	2.00					291							363	2.00												Alternating food until p.m. Went over GI labs w/Dr. McAlister. Feeding Pride Rockstar Rabbit exclusively and keeping dose at 2U. Will re-evaluate in a week. Ketones Negative. C,F
66	7/24/2018	358	2.00						355						341	2.00												Ketones Negative. Poop has been smelling really stinky for a few days. C,F
67	7/25/2018	323	2.00												380	2.00												12:30 a.m. soft poo. C,F
68	7/26/2018	363	2.00						338						316	2.00												1:30 p.m. normal poo; an hour later smaller soft poo. Instinct Limited Ingredient Rabbit. C,F
69	7/27/2018	331	2.00												393	2.00												Early a.m. formed poo, then somewhat formed, then pudding. Tired, not feeling well, and hid a little this morning. Vomited suddenly (and unexpectedly to him) while resting (could be due to trying g to get him to eat at shot time even though he had a full meal two hours previous). Alternating (and mixing) ground Rockstar Rabbit with Instinct Limited Ingredient Rabbit. Gave pain meds @ 8 p.m.
70	7/28/2018	353	2.00												333	2.00												Exclusively Instinct Limited Ingredient Rabbit. 3 perfect poo's today (substantial and strong smell - a common occurance these days) - 4 a.m., 2 p.m., and 8 p.m. Became apparent he sucks air with his food hence his discomfort and swollen belly all along. Feeling better but still crappy from high BG. Very tired. Ketones Negative. C,F
71	7/29/2018	299	2.00			446			348			326			312	2.00		350		335		310		310		336		Tired. C,F
72	7/30/2018	348	2.50			336				323					351	2.50			322									.5U dose increase. F
73	7/31/2018	328	2.50					375			368					2.50					334		321					a.m. +5 just ate. Ravenous. Ketones Negative. C,F
74	8/1/2018	324	2.50						313						354	2.50			399		333				333			Ravenous. Tired.
75	8/2/2018	339	3.00			348						351			364	3.00			367				314					0.5U dose increase.
76	8/3/2018	383	3.00				397					364			348	3.00							314					Insulin making him even more sleepy. Slept a good part of the day. Guess is increased insulin and less fluids. Continues to eat well; always adding water to food. Ketones Negative. Giving fluids tonight made a big difference in his disposition (made him feel better - active and spent time in different windows - hasn’t done that in so long - stuck his hand in the catnip container, & stopped his ball from rolling). Maybe give fluids every other night. F
77	8/4/2018	359	3.00						346						301	3.00						399		369				Tired.
78	8/5/2018	414	3.50					361					374		363	3.50						332						.05U dose increase. Insulin injection acted fast in that it made him really sleepy even quicker (first 5 minutes). Thirsty. Ketones Negative. F@12:30 p.m.
79	8/6/2018	407	3.00				377					349			347	3.00								310				Vomited a quarter sized clear liquid in the early morning hours. Administered Cerenia before dosing. Re-evaluating frequency of Cerenia. Reduced dose to 3.0 and will give it more time. High numbers possible indication of another episode (loose stool, needing pain meds). Hiding under the guest bed. Extremely tired. Gave pain meds @ 4:30 p.m. C,F
80	8/7/2018	327@ 6:00	3.00			347			308						352	3.00						293		345				393 @ 7:00 (he HAD to eat at 6 a.m.). Feeling better. C,F
81	8/8/2018	376	3.00						401						396	3.00					343							Phone consultation w/Dr. McAlister (Internist). Very tired. Slept under guest bed until dinner - very tired. C
82	8/9/2018	378	3.00		389		361		334		383		377		364	3.50						349@12:30						Very tired; thirsty. Ketones negative. Increasing dose +.5U pm. F@ 4:30 p.m. C. Perked up late evening/early morning; looked better.
83	8/10/2018	369	3.50						334						375@ 6:20	3.50			332			325						A little more awake earlier and then felt really crummy later. Tummy may be upset. Drinking and peeing a lot. Tested and fed a little early b/c he was really wanting food. C,F
84	8/11/2018	265	3.50			357			371						415	3.50						337						Always a weird reaction to dosing. Ate 1.25 hrs prior to PMPS (we had been out & got back a little late - he ran towards his food but didn’t eat all at once - we did leave extra food down before we left). C
85	8/12/2018	355	3.50			401				382					344	3.50							331					Very tired; thirsty. Ketones negative. C,F
86	8/13/2018	381	3.50				316								362	3.50												C
87	8/14/2018	422	1.50			374			333			433			364	1.50			350			316			381			Dropped dose to 1.5u. Quiet, tired, but not hiding. Two substantial normal smelling poops today (not foul smelling!). C, F
88	8/15/2018	365	1.50			379			362			341			412	1.50			376			379			367			Disposition so much better with dropped dose. More alert, not sleeping dose off for hours, head upright while lying down, came down the stairs for food, clearer eyes, more comfortable. Conference call with Internist. Getting tested for acromegaly & IAA with an exam this afternoon. Will be following TRP from this point onward; not my Internist's recommendation. Higher PMPS maybe due to vet visit and blood draw? Also ate two bowls before PMPS. Nicely scented poop. C
89	8/16/2018	368	1.50			381			379			363			356	1.50						362						Tired. Sleeping under guest bed. Tried to see if he would blink or move by placing my hand in front of his face/eyes during one of his glassy-eyed episodes after shot (part of his exam yesterday by Internist). Going to do some research on seizures. Ketones negative. C,F
90	8/17/2018	342	2.00			360			378			343			374	2.00						380				347		Increased dose. C
91	8/18/2018	373	2.00			382			400@+6.5			402			313	2.00				357				342				Still tired and slow and sleepy, but less sleepy on this lower dose (@3.5). Merlin has always been ‘chatty’. He’s been so quiet now for so long :-( C,F
92	8/19/2018	376	2.00						366				328		349	2.00								331				Not a good day. Very distant; not wanting attention or to be around us. Spent most of the day in the bottom of the server just hiding out. Extremely slow and tired. Ketones negative.
93	8/20/2018	379	2.50				327@+4.5		358@+6.25				387		361	2.50				381		382						Upped dose .5u. Much better day so far (morning). More awake and vocal asking for food. Declined in the afternoon. Always has furrows (every day). How much discomfort he’s in is ALWAYS what I am thinking. Evening just after shot - not doing well. Lies down on bathroom tile (common). Moist nose with small puddle under nose. Pain meds @8:10 pm. C
94	8/21/2018	359	2.50			357				402					381	2.50					331		352					Listless, lying on tile floor, eyes glazed. +7 ate 1/2 hr before. Feeding Rockstar Rabbit as I’ve run out of his LID Rabbit (delivery tomorrow). C,F
95	8/22/2018	361	2.50									379			359	2.50							366					Starting w/Rockstar Rabbit. Really wanting his LID Rabbit (delivery today). Tired, but a little better than the past few days. Ketones negative. C,F
96	8/23/2018	361	3.00					345				343			369	3.00					369							Feeling OK in the morning, but tired. Immediately after eating goes to lay down on bathroom floor completely stretched out. Wants hard surfaces (belly support?). Not feeling well after 4 pm meal. Eyes glistening and wet in creases. Weather turned cooler and opened windows yesterday. This evening he jumped up on windowsill and took in the scenery. So nice to see. Spit up water immediately after drinking. C
97	8/24/2018	384	3.00							424					363	3.00				359								Decent morning, not feeling well in afternoon. Spit up water immediately after drinking. Felt better after fluids. C,F(3pm)
98	8/25/2018	372	3.00						421						363	3.00			404@+3.5				381					Tired most of the day, but had a pretty decent evening. Ate 1/2 hr. before +6 after AMPS. Noticing watery eyes and moist nose this past week (cold?). C
99	8/26/2018	407	3.50						365		412				418	3.50												A good day. More alert, looked better, tail up, and stayed close (go figure b/c bg’s so high). Ate 1/2 hr before +8. C,F (50 ml)
100	8/27/2018	370	3.50					400	403		399@+8.5				358	3.50					338		386					Tired this morning, but eyes bright. Sad eyes in the evening. F (50 ml)