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-   -   Sissy became an Angel December 29, 2016 (http://k9diabetes.com/forum/showthread.php?t=5557)

stylynjm 09-26-2012 11:05 PM

Re: Personality change makes me sad:(:(
 
So u figure it runs around 30 pts lower. If I can get it tomarrow,I will do the curve Friday!!

CraigM 09-26-2012 11:34 PM

Re: Personality change makes me sad:(:(
 
Quote:

Originally Posted by stylynjm (Post 87251)
So u figure it runs around 30 pts lower. If I can get it tomarrow,I will do the curve Friday!!

Best if you do your own testing:). I get both meters ready and test the same blood droplet with both meters.

I then divide the human meter reading by the AlphaTrak2 reading to get percentage difference. Example: Prime 70 divided by AlphaTrak2 108 = 0.65

I would do this side-by-side test at least 10 times and take the average. I would throw out any tests over 400ish because they are too high and might throw off the accuracy. Best if you had about 10 pairs of numbers between 100 - 250 (Alphatrak2)

Then, I divide any reading I see on the human meter by the conversion factor (.65 in this example) to get an AlphaTrak equalvancy.

Every few weeks I run a side-by-side test with the AlphaTrak to be sure the conversion is still valid.

stylynjm 09-27-2012 07:48 AM

Re: Personality change makes me sad:(:(
 
Craig,thank u so much for ur explanation. I will do that. I am looking forward to ur expertise after I can post her curve numbers. Again,thanks so much

stylynjm 09-27-2012 01:24 PM

Re: Personality change makes me sad:(:(
 
Has anyone had trouble switching from Walmart humilin n to novolin n.???? The Walmart here only carries novolin n now. R there any differences????

jesse girl 09-27-2012 01:52 PM

Re: Personality change makes me sad:(:(
 
i would not worry about it to much jesse had to change from pet insulin (vetsilin) in the first 2 weeks of diagnosis then a few months later she had to switch to humiliun under the relion brand each had little impact i think the humilun was a bit more milder so a small reduction maybe a good idea give the normal 3 to 5 days and reevaluate

if your pup is on the higher side i would just keep it the same

stylynjm 09-27-2012 02:29 PM

Re: Personality change makes me sad:(:(
 
Thanks for the info. 80.00 vs 25.00 is a big jump!!! Wow,she doesn't need this right now. Even Costco is high for humilin!!!!

stylynjm 09-30-2012 03:43 PM

Re: curve timing
 
The vet wants to up sissys insulin to 7 units am and pm. Would it be a good idea to do a good curve at 6 1/2 to see where she really is at before I raise again,or try to raise,wait a week and then do curve?? Last time we tried 7 she got to low and I had to back off to 6 1/2. She has been high the last 3 days.random tests from 250-450. Any suggestions will help.!!

jesse girl 09-30-2012 03:54 PM

Re: Personality change makes me sad:(:(
 
thats the conundrum the higher dose saw some low numbers but maybe the need has gone up but it has not been very long at a higher range

the thing about going slower is if this is just temporary your not trying to reduce from a larger amount of insulin if the needs decrease

there are times mostly rare in nature to raise much faster but what you have posted is not that case

so it makes sense as you suggested to go a bit slower most times you as the caretaker has the answer but its nice to bounce the idea around a bit and maybe get a consensus

stylynjm 09-30-2012 04:52 PM

Re: Personality change makes me sad:(:(
 
I had wanted to do a curve on Thursday at 6 1/2 and see what is going on. haven't done a good curve since she was first on insulin.would it help and give some info with the help of all of u, or would it be a waste??

Cebe 09-30-2012 04:54 PM

Re: Personality change makes me sad:(:(
 
Absolutely! Sounds like a curve is overdue! :)

stylynjm 09-30-2012 05:09 PM

Re: Personality change makes me sad:(:(
 
Thank u. I will do curve Thursday,post it and go from there.!!! That's what my gut is telling me.

stylynjm 09-30-2012 05:15 PM

Re: Personality change makes me sad:(:(
 
I will have strips for alphatrak and relion prime!!! My vet has actually not requested one.I told her I was going to do one.

ozzi 09-30-2012 09:05 PM

Re: Personality change makes me sad:(:(
 
I never increased Ozzi's insulin dose without doing a curve first. I found it incredibly helpful to see where his numbers were going throughout the day, and make a determination based on that. It's important to see the low and the high values and when they occur over a 12-hour period. While random glucoses are helpful for determining hypo or hyper events at a point in time, they are not adequate for making decisions to increase insulin, because random sugars don't tell the whole story. I'm glad you're trusting your instinct and performing a curve before making insulin dose changes!
Kevin

ozzi 09-30-2012 09:15 PM

Re: Personality change makes me sad:(:(
 
Hi,

I was looking through your thread and just saw that Sissy only weighs 13 pounds! 7 units twice/day is a lot of insulin for that size dog, which she may very well need, but given her small size, I would be concerned about making that increase without a curve. I know you mentioned you were planning to do one, and I just wanted to re-encourage (if that's a word) you to continue your plan. Ozzi was 60 pounds and 1/2 unit increase sometimes made a big drop in his BG. Looking forward to seeing the numbers!
Kevin

stylynjm 09-30-2012 11:12 PM

Re: Personality change makes me sad:(:(
 
Thank u thank u!!! I believe a moms instinct is a good thing. 7 did not work for her before. Now today her #'s were more back in line. 170-230. I can't wait to do the curve and share the #'s. Can't express how invaluable this wonderful forum is

stylynjm 10-01-2012 12:27 AM

Re: Personality change makes me sad:(:(
 
Kevin,lol,spent a lot of time in ipswich and boxford mass growing up!! :)

stylynjm 10-02-2012 02:33 PM

Re: Personality change makes me sad:(:(
 
Help!!!!! I was going to do a curve thursday.Sissy is on 6 1/2 units humilin n 2 x day.now on Friday I have to switch to novolin.the pharmacist said it is a little different.they said it is partly synthetic. I don't know whether I should do the curve,how much I should cut the dose when switching, what to do. Please give me some ideas. I am scared all over again!!!!

CraigM 10-02-2012 02:55 PM

Re: Personality change makes me sad:(:(
 
Two years ago, many of us were forced to switch from Novolin-N to Humulin-N when Walmart changed contracts. I think I reduced by 1 unit for safety, but within a few days we were back to the same amount we had been giving.

Now we are switching back to Novolin-N from Humulin-N, again due vto Walmart's contract.:) I haven't made the switch yet because I had two vials of Humulin-N in storage, but when I do switch I'll probably reduce by 1/2 unit for a day and see whats happening.

I compare this to switching brands of gasoline, or brands of milk. Slight differences that you most likely won't notice. Guess if I had VERY tight control, down around 90-100, I might pay a little more attention. I've heard some humans use either Novolin or Humulin just based on which one is less expensive at the moment.

CraigM 10-02-2012 02:59 PM

Re: Personality change makes me sad:(:(
 
Another idea: could you switch to the Novolin-N TODAY? Then do the curve on Thursday? Guess I wouldn't "curve" Thursday if I was going to switch to Novolin-N on Friday.

I know it's human nature to fear the unknown, but just think; if there is a very slight difference, it might be for the better!

stylynjm 10-02-2012 03:45 PM

Re: Personality change makes me sad:(:(
 
Thanks Craig, I don't get paid until tomarrow,so will get novolin then.so sounds like I would be better to switch,probably now Monday.vet wants me to switch when she is there incase I have a problem.!! So then do a curve 3 days or so after the switch??? U do make me feel better that the change shouldn't be an issue. Thanks,Jackie

CraigM 10-02-2012 04:35 PM

Re: Personality change makes me sad:(:(
 
Sounds like a good plan!:)

stylynjm 10-02-2012 06:23 PM

Re: Personality change makes me sad:(:(
 
Thank u, will do.I will post how she does and her curve #'s. On the conversion,at2 and relion prime,u always divide by the at2 #, right

CraigM 10-02-2012 06:59 PM

Re: Personality change makes me sad:(:(
 
Quote:

Originally Posted by stylynjm (Post 88180)
Thank u, will do.I will post how she does and her curve #'s. On the conversion,at2 and relion prime,u always divide by the at2 #, right

Yes, I divide the human meter reading by the AlphaTrak reading. I compared my Prime twice yesterday:

Prime 69 divided by AT2 98 = .70
Prime 124 divided by AT2 180 = .68

I'm calling my "conversion" factor as .69

stylynjm 10-02-2012 07:19 PM

Re: Personality change makes me sad:(:(
 
So the 70 is the percentage or would be at2 equivalent.sorry,if I have trouble I will post it,then with actual numbers it will make sense!!!! Ur goal is to get what the at2 number would be.?? From using the prime.

CraigM 10-02-2012 07:35 PM

Re: Personality change makes me sad:(:(
 
Quote:

Originally Posted by stylynjm (Post 88189)
So the 70 is the percentage or would be at2 equivalent.sorry,if I have trouble I will post it,then with actual numbers it will make sense!!!! Ur goal is to get what the at2 number would be.?? From using the prime.

Yes, using my previous examples I'm going to divide whatever the Prime reads by .69 and that should be about what the AT2 would indicate.

I'll put myself, and Annie, on the spot in about 15 minutes when I test her;). I'll use both meters and post the results.... (Drum roll, please)

---------------------------------------------------------------------------------------------------------------------------------------
About 20 minutes later.

Prime 77 divided by .69 = 112 is my estimated AlphaTrak2 reading
Then took an AlphaTrak reading and it was 119. Only 7 off from my estimate, close enough for me.

stylynjm 10-02-2012 08:40 PM

Re: Personality change makes me sad:(:(
 
Having trouble sending post. Lol,great. Got it. Thanks

stylynjm 10-03-2012 01:11 PM

Re: Personality change makes me sad:(:(
 
Craig, did it. I hope right!! Prime- 146, AT2 222. Came out to 65 %, AT 2 # - 224!!! 2 PTS OFF. Great.Haha,did I do it right??

stylynjm 10-03-2012 01:54 PM

Re: Personality change makes me sad:(:(
 
I dont understand the kind of blood ur supposed to get for a blood sample.I don't k.ow how to tell.how do u k.ow if u get the right kind and what is the difference.would u not get accurate #'s??? Please explain. I just read it on the meter info??????

Shellie 10-03-2012 02:01 PM

Re: Personality change makes me sad:(:(
 
There are two types of blood samples...one is called venous blood and that's what you get when you draw blood with a syringe from a vein like at the doctor's and the other is capillary blood which is what you get when you use a tiny lancet like we do with our blood meters. It IS the same blood...just drawn from different types of veins....veins are larger and carry a much higher volume of blood whereas the capillaries are the tiny veins that carry the blood to all the different cells. We take capillary blood for our meters. In general, you will get the same results whether you use venous blood or capillary blood...is all the same blood circulating thru the body. So no worries on whether it's accurate or not based on the blood you are getting. :)

stylynjm 10-03-2012 02:38 PM

Re: Personality change makes me sad:(:(
 
Thanks shellie, the pamphlet was confusing!!!! Got it.:)

CraigM 10-03-2012 02:39 PM

Re: Personality change makes me sad:(:(
 
Quote:

Originally Posted by stylynjm (Post 88273)
Craig, did it. I hope right!! Prime- 146, AT2 222. Came out to 65 %, AT 2 # - 224!!! 2 PTS OFF. Great.Haha,did I do it right??

Sounds about right. I'd test with both meters a few more times and then figure the average percentage difference. An average of 5-6 comparisons would be more accurate than a single test. For instance, it is likely you will see a small range in numbers like: .65, .68, .63, .65, .64. Add the numbers (3.23), and divide by the number of tests (5). 3.25 / 5 = .65

I'm not really understanding "AT 2 # - 224". The idea is in the future you should be able to use only the Prime, divide the Prime's number by .65 (or whatever the average percentage is after you've done a few more comparisons) and that number would be pretty close to what the AT2 would have produced.

stylynjm 10-03-2012 03:30 PM

Re: Personality change makes me sad:(:(
 
Sounds good. I figured the at2 equivelant using the prime would be 224,and the at2 was actually 222. Thanks Craig.I am anxious to do curve after a few days on novolin and will post curve #'s. Jackie:):)

Shellie 10-03-2012 10:47 PM

Re: Personality change makes me sad:(:(
 
No prob...I work in a lab so it's easy for me! lol So much of this can be confusing, too! Everything is opposite of what you think it should be! LOL

stylynjm 10-04-2012 02:18 PM

Re: Personality change makes me sad:(:(
 
Thanks shellie...there is so much to learn. Monday I start on novolin...am nervous about it,but hope all goes smooth.she actually has had better #'s lately.all low 200's...much better than 200 then 400 etc. Seems to be staying in better range.hope novolin doesn't change that!!!

stylynjm 10-04-2012 07:00 PM

Re: Personality change makes me sad:(:(
 
Craig,if u have a minute,can u check these.I am coming out almost exact on the equivalent,but with very different percentages!!
At2- 222. Prime - 146
At2- 258- prime- 132
At2-386- prime- 174

Shellie 10-05-2012 08:59 PM

Re: Personality change makes me sad:(:(
 
Yeah...I have to wait a month to do that but will be nervous about the change as well. Always something to keep us on our toes! Nice numbers tho! Looks like you are doing really great! If you ever want to change the title of your thread to something cheerier...let us know. :) Hugs!

stylynjm 10-06-2012 06:29 AM

Re: Personality change makes me sad:(:(
 
Lolol,I would love to. Change my. Thread name,went in but couldn't do it. How about " Sissy's mom" :):):) thanks,lol and yea,not looking forward to next week...lots of watching and testing!!!!

CraigM 10-06-2012 09:27 AM

Re: Sissy's Mom
 
Thread name change.

stylynjm 10-06-2012 10:35 AM

Re: Sissy's Mom
 
Ok,think I'm in the right one. Thanks Craig. Lol to the computer problems.:)

stylynjm 10-07-2012 10:24 AM

Re: Sissy's Mom
 
Sissy is in the 100's this am!! Wouldn't u know it. Tomarrow morning we start novolin n. She has been on 6 1/2 units humilin n. Considering her running 100's today,how much would u cut the initial days dose.?????


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