Ty's Spreadsheet
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BG > 500400 - 499300 - 399200 - 299100 - 19968 - 99BG < 68REMARKS
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USING METER CALIBRATED FOR FELINE BLOOD (e.g. ALPHA TRAK) AND LANTUS INSULIN
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DateAMPSU+1+2+3+4+5+6+7+8+9+10+11PMPSU+1+2+3+4+5+6+7+8+9+10+11
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05/06/201938412891346
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05/07/201951614351338
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05/08/201942514691458
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05/09/201950514251
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05/10/201945114691
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05/11/201951014614104023911
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05/12/201945613961671985281512Ty's blood glucose curve from BEFORE, when we were giving one unit of lantus twice a day. The vets ultimately decided to reduce his dose because they thought they were seeing the somogyi effect here -- a sharp decline in blood glucose (due to insulin) followed by a sharp rise in blood glucose (his body reacting and trying to prevent hypoglycemia). This is why they recommended that we reduce to 1 unit 1x/day.
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05/13/201949814473851314
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05/14/20194331**went to vet - don't have numbers but he was in the 400s**
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05/15/201936914811
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05/16/20192951465NONE - Dosing decreased, was told to give 1U 1x/day in the AM507
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05/17/20195981422448433NONE455
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05/18/2019no test1408NONE462
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05/19/20195061287NONE402
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05/20/20194531436NONE406
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05/21/20193951299NONE447
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05/22/20194431Missing dataNONE
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05/23/20193871395372371NONE421
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05/24/20193291Missing dataNONE
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05/25/20192861279NONE323
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05/26/20193691Missing dataNONE
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05/27/2019Missing all these numbers :(
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06/01/20194151396336353NONE
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06/02/20193841451392368353405361NONE
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06/03/20194631
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06/05/20193771
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06/07/20193841Vomiting started
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Hospitalized for DKA (again) - 6/8/2019 - 6/11/2019
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06/12/2019no test0.54944733443753560.5444428Usually give 1 unit of Lantus in AM only (per vet recommendation). Today we did half units because my reading in the morning got messed up, Ty didn't eat all of his breakfast and I was worried about giving him a full dose with his blood sugar being potentially low (which I think was because of my messed up reading, but I'm not sure). Gave another .5U after dinner.
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06/13/20194810.54884284444884194184380.5409368 Gave 0.5uL again due to ketones (11 pm)424267281
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06/14/2019204 @ +11 (10 a.m.)11841911551751711811851951652432542871363346346422368Fed him at +9 (AMPS) (and hourly throughout the morning). Waiting to give insulin. Fed ~1 and 1/4 can of watered down FF via syringe throughout the amps cycle. He was not happy but tolerated it and it all stayed down. Fed approx 1/2-3/4 can of FF via syringe right before and after PMPS. He had a small vomit at +2 PMPS but urine was clear of ketones at +1. Tried a little water after vomiting but would not tolerate much. Tried ~5-7cc of FF and BG testing at +7 pmps. Glucose high
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06/15/201948914265044344534404711426391336405
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06/16/201947113444243303161306254203Started using human glucometer (ran out of test strips for AlphaTrak2) at +3 AMPS. Gave PM shot at 9:00pm (was previously giving at 10pm the past couple of days because of the extra dose on 6/13/19).
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06/17/201920411941771641661772891375387Used human glucometer today UNTIL PMPS reading
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06/18/201941113823813061253174148125131159Using AlphaTrak2 again. Ty has been refusing to eat much and this morning ate Friskies with gravy. Not a low-carb food but right now it is the only thing he will eat so I am letting him.
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06/19/20191870.25941201151640.25248289347341363Did two token doses today simply because of the low BG numbers I was geting both at AMPS & PMPS and throughout the day when I was able to measure. He hasn't been this low before so I wanted to be cautious, particularly this morning when I was not home to monitor him. His appetite has been much better - he has been eating a lot of HC canned food & deli turkey because these are the only things he will eat on his own. Hoping we can move away from the high carb food soon and get him interested in something else!
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06/20/201939413334254263991414314Did a spot check @ PMPS with the human meter. Human meter read 289, AlphaTrak read 399
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06/21/20193771751291960.25447446
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06/22/201944814053873753743621364255Eating FF pate again and liking it!
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06/23/201935012572593801used human meter at +5 and +7 amps because we were running low on AT strips again. Ran out of test strips so DNT after PMPS
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06/24/201950213864181403423Ketone-negative @ 5am. Has been eating constantly today. Energy levels very high. Wanted to play with a string.
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06/25/201944213833522112291711331011041161269280389436453Ketone-negative @ 7am. Ate 1/2 can at 5am (+8 PMPS), 1/2 can at 7am (+10 PMPS - DNT BG), and another 1/4 can after AMPS measurement. Energy levels high this morning. Stool was partially wet, partially solid. Ate another 1/8 can at +1 AMPS. Realized at +3 AMPS that I had the wrong test strip code in the AT :( -- if anything, I think it was underestimating his BG levels the last 1.5 days. Ate another 1/8 can at +3 AMPS. Ate again at +8 AMPS (~1/4 can). He was insatiable and would not stop begging. Also ate at +9 AMPS. Was worried about shooting 1U with his #s being low - he bounced back up. Let him eat at +2 PMPS, +4 PMPS, and +9 PMPS, which he did (2 FF cans total).
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06/26/201946414525561521538541Ketone-negative @ 6:30am and at 6:00pm. Eating a lot today.
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06/27/201941412262791469469
Ketone-negative @ 4pm. I was at work all day and he would not let my husband test his BG. Still eating a lot, not drinking more than usual
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06/28/201948013524291Ketone-negative. Still eating a lot throughout the day
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06/29/201948012645921472Ketone-negative
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06/30/201937214912361442Ketone-negative
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07/01/201937714481500Ketone-negative
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07/02/201958014701454400Ketone-negative
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07/03/201956014084601+393370
Vomited around 5am (+10 PMPS from previous day). He also refused to eat his FF pate again today, but would eat a lot of other food including his favorite HC Friskies shredded food. Checked for ketones 2x (AM and early afternoon); it looked to be somewhere between negative and trace. Behavior normal but refused his typical food all day. Gave him ondanestron & cerenia at +4 PMPS, as well as a little more food to eat throughout the night. Husband gave him PM shot, and said he gave a little more than 1 U
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07/04/201960515134734341397359
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07/05/201946614283704084084181432
ketone negative this afternoon. Vomited again this evening after eating some FF turkey with a teeny bit of Friskies shredded food mixed in (to encourage him to eat). Gave him another dose of ondansetron this afternoon which seems to help him a lot.
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07/06/201941814194551460
Ketone negative this afternoon. Vomited sometime in the evening after we went to bed, but was very hungry this morning. BG has continued to be high. Continuing with ondansetron every 8-12 hours because that seems to help him quite a bit.
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07/07/201941814554601
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07/08/201942414401166Ketone negative this evening. First day we've seen below 300 in some time!
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07/09/20195261no test1408384Husband couldn't get BG reading before PM shot, but gave shot anyway. Ty had more ondansetron this evening after not taking it for a couple of days. Spotchecked with the Petsure strip at +4 PMPS; it read 384.
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07/10/20194631no test1
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07/11/2019no test16051352
was gone the last couple of days and Jake wasn’t able to do as many BG readings. Was ketone-free when Jake checked him this afternoon
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07/12/201930716501421
On vacation - pet sitter able to get BG readings before AM and PM shots, but not between. No ketone tests.
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07/13/201920713621
On vacation - pet sitter able to get BG readings before AM and PM shots, but not between. No ketone tests.
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07/14/2019no test12821
On vacation - pet sitter able to get BG readings before PM shot. Did not get AMPS because he ate before she did the reading. No ketone tests
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07/15/201939512451408Negative for ketones in AM. +4 PMPs tested with Petsure instead of AT2 strip.
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07/16/201946713961
AMPS value: Spot-checked; Pet sure said 420, AT said 467. PMPS value taken with PetSure strip. Negative for ketones @10am
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07/17/201933614121
AMPS value taken with PetSure strip. Based on other spot-checks, assume the value was a little low
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07/18/201938913631
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07/19/201936113811USING PETSURE STRIPS. THINK THEY UNDERESTIMATE HIS BG AT HIGHER LEVELS
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07/20/201940013163701USING PETSURE STRIPS. THINK THEY UNDERESTIMATE HIS BG AT HIGHER LEVELS
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07/21/201942213464201
USING PETSURE STRIPS. THINK THEY UNDERESTIMATE HIS BG AT HIGHER LEVELS. Ty's appetite has been high.
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07/22/201940614021
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07/23/201938914121
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07/24/201933314091410
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07/25/201940213261439
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07/26/201940914041385
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07/27/201940914373911403Spot-checked w/Petsure Strips @ +6 AMPS; reading was 390 (lower than AT2)
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07/28/201943014161344
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07/29/201934614101
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07/30/201940813511
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07/31/201941014281436Ketone negative
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08/01/201944614081441Ketone negative
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08/02/201941213481356Ketone negative
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08/03/201938413871456
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08/04/201944713624641434
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08/05/201941714171
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08/06/201940714381
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08/07/201938811Spot-checked w/Petsure Strips @ AMPS; reading was 328
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08/08/201911
90
08/09/201911
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08/10/201911
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08/11/201911Tested all of these gray days but the numbers got lost and it is too difficult to fill them in with accuracy. He has been 400s+ at all reads, AMPS and PMPS and in-between.
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08/12/201914971
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08/13/201939415181
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08/14/201938914814171
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08/15/201936114411
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08/16/201938014221
98
08/17/201948914463881
99
08/18/201939114281
100
08/19/201944214611
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