How Do I Transfer Data From Relion Prime Glucose Meter

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In the beginning of the month we took our ReliOn Prime number BG monitor to the vet to be "calibrated" while nosotros learned how to do home testing. Basically, all the vet tech did was compare her monitor'due south numbers (394) to ours (300), and told usa to add 94 to all of our readings.
Since I've been lurking about on the boards, I'thou seeing a lot of folks being told to get man meters and examination using those, yet nobody suggests "calibrating" them.

Now I'm confused... which numbers are correct? Should I exist telling the vet one set of numbers and recording the others in Boris' spreadsheet? And does this mean the vet has a different calibration of what is okay and not okay?
Do you know if the vets meter is a pet glucose meter? I believe they read college than man meters.
Great task on learning to examination. Ane suggestion is if you lot need to increase the dose, merely increase it by one/2 unit of measurement. Yous want to find the optimal dose that works all-time for your cat and 1 unit may be too much of an increment. Too did your vet give you a "don't shoot" number? This is the number where you would skip the dose if it is this number or below. For newbies we recommend 200. However that can exist lowered when you know how your true cat responds to the dose. This is to forestall giving insulin when it is non needed and prevent hypoglycemia.
That is wrong. Every bit already stated a human meter reads lower than pet meters/lab machines). At lower BGs the difference becomes less and thus calculation 94 to all BG, even low BG is not correct. The accuracy of pet and human being mitt held meters is between 15 and twenty%
just as ECID -- every cat is different --it appears that every meter is different besides (EMID ?!) -- at that place have been tests using the same meter sequentially on the same sample, and they are only held to a 15% deviation between the readings -- 2 meters of the same brand/style/type yet just take to read inside 15% of each other
add in the differences between meters targeted for humans, and meters targeted for pets (and dogs and cats test differently too) -- there'southward no magical conversion number, no mathematical multiplier -- at lower numbers, human being and pet meters read close to the same, at loftier numbers they are considerably different

the few times I've read about using both types of meters on aforementioned sample (experienced it once myself at the vet) -- for 150 and below, pet meter will testify about 20 points higher; in the 200s - 25 to 35; in the 300s - 50 to 70 or so; in the 400s, forget it, just telephone call it HIGH .. the number itself doesn't matter precisely, information technology'due south the human relationship to other exam numbers using that aforementioned meter, and the trend or shape of the curve over time

about all vets (including mine) will urge or insist that you utilize the Alphatrak, because that'due south what most of them utilize, and that'south what they are comfy with; mine will at to the lowest degree LISTEN to me, and so we did a simultaneous test in her clinic, her techs drew the blood, I tested the sample with my meter, tech immediately tested with theirs -- plus she had a link to my spreadsheet and had looked information technology over -- at first she was quite skeptical until she saw the results in her clinic with her own eyes .. I recollect information technology opened her eyes a picayune -- particularly since she accepts quite a few patients/clients whose finances are tight

don't know if it helped or hurt that my AM injection was a "fur shot", then we were dealing with a +three with little or no insulin modifying it -- if I'd gotten the insulin in correctly, our meters would accept been much closer equally far as numerical results -- I'm keeping a second spreadsheet with results from the vet

Last edited: May eighteen, 2019
I'1000 curious what you meant by to get your meter "calibrated". Are you merely referencing comparing readings? equally I am not aware of a way any the commercial meters tin be calibrated. I see that Boris is on Lantus. You should go to the Lantus board to post. Many very experienced contributors there. I am new to Lantus for 2 weeks and moved there. The protocols done by a grouping in Germany have stipulated that homo meters be used. I was using the AT2 until moving to this new Lantus from Vetsulin which never actually worked on Zoe. The strips for AT2 are about $i each and if you are having to test frequently to get the right dose, it can be very expensive on top of the college cost of Lantus over Vetsulin. I moved to the RelionPrime and oh what a relief on my purse strings.
I honestly think that Vets recommend AT considering that is what they get discounts on for using just like pushing the Hills Science Diet or Purina DM because the reps visit them and push their product even though it is NOT the best for the cat. I ran out of strips and needed to become a new bottle because my Amazon order was not due until the next solar day. I called to buy a canteen from the vet. $98 is what they said they would toll. I was paying around $50 on Amazon. You lot meet why they desire you lot to use the AT2?
LOL -- as I explained to the vet -- I tin can pay you OR I can pay for the AT meter and strips -- not both ==
Good ane!
I live in us as I retrieve learjetta does too. The cost of Lantus ($200-300/10 ml vial vs the $58 for Vetsulin) convinced me to quit with the using AT2, and purchase Lantus from Canada where it was $112 (-$125 with shipping). I for one can not beget to keep throwing money out the window if I dont have to. I love my kitty dearly and am doing everything to exercise the best for her, but geez, well-nigh humans have insurance to offset the cost of medications. Wow.
Comparing readings, yep. I put information technology in quotes because, IMO, that's NOT what it means to calibrate something. Their discussion, non mine. If it were me, I'd tell the patient to do this to adjust the readings I get to more than closely relate to the vet'south meter, as all meters are different. And the vet didn't push their meter on u.s.a. either, but it probably helped when I told them we already have a meter and that we programme to home exam. I didn't really requite them a choice. This is role of the reason I asked the question I asked. The vet has not provided a don't shoot number (and I'1000 still coming upwards to speed on what nosotros do for Lantus), simply it begs the question... what is the don't shoot number? 200 on my BG meter, or an adjusted for the vet value? This is incredibly helpful, thank yous! So maybe I can add a sheet to my spreadsheet with numbers I can provide to the vet adapted based upon an algorithm like what you provided above. Although, in rereading this, I detect information technology interesting that the vet's meter read 394 while ours read 300... I'thousand pretty certain their meter was a pet meter, and should have read lower instead of higher. And when I become a reading below 200, it's a bit scary to think I may be adjusting it as well high and inject when peradventure I shouldn't, or at to the lowest degree give a reduced dose instead.
The Large reason I'm request all of this is because nosotros are leaving in iii weeks for our destination nuptials, and we will not be readily available for the people watching our cats... nosotros need to exit instructions on how to handle possible situations then that nosotros don't come dwelling to find Boris went into hypo and died. I don't expect him to be regulated by and then, so it's stressful. We volition accept cruise ship cyberspace, but I don't expect it to exist very speedy.

Every bit if pre-wedding anxiety wasn't enough, nosotros threw in a newly diagnosed diabetic cat!
I wouldn't "accommodate" your readings, on a spreadsheet, to what you retrieve the pet meter might show -- that's close to lying with statistics, LOL -- I'd suggest you do a spreadsheet, as I did myself, with the actual numbers you go -- considering you are in command of your meter, and it'southward showing what is actually going on with Boris at the moment yous have that sample and go a reading on your meter -- comparing the readings any time you and the vet both test, that's legitimate -- that gives the VET the numbers to "mentally" adjust what yours show -- remembering also that cats exhibit even more of the "white coat syndrome" at the vet -- so what you get there is near likely not indicative of what twenty-four hour period to mean solar day and hour to hour reality at home, is
plus of course, well-nigh anybody here who might have opinions, support, communication, or experience to share, will have been using human-meter numbers themselves

y'all'll find that I set up an additional spreadsheet for the vet'due south numbers, when she was taking the samples, and using her meter

her curve definitively showed that the insulin dose was too high, and that feeding only before the AM shot, and not anything afterward, was rougher on Catcat than I'd like; I asked her if she'd fed at nadir, she didn't, and I didn't think to ask her if she had furnished whatever supplemental carbs to keep him out of hypoglycemia, though I'one thousand certain her employees were keeping an eye on him as shortly equally his values went subnormal

trying to brand my words sweet and palatable, my firsthand reaction was of the variety -- o h*** no !
The 200 would be on your meter. As you larn how your cat responds to the dose, you lot probably tin lower that number. The way you will determine how the dose affects your true cat is by doing several tests between shots to run across what the glucose readings are. Usually they are taken every two-3 hours. Yous are trying to decide how low the glucose levels get to. You should practice a few curves, the series of tests, over several days, before lowering the don't shoot number. This too will permit you know know if the dose needs to exist adapted. BTW curves done at a vets office are not really accurate. This is because cats are usually stressed and this causes glucose levels to rising.
Unfortunately, no algorithm can be made for the two meters (Pet AlphaTrak and Man meter). Y'all'll drive yourself crazy comparing numbers . Pet meter's accept like a 15% variation for readings while human being meters are higher at 20% variations. The just guidelines we really utilise for each meter is the depression'southward. Y'all might need to steer kitty's BG if they test below 50 on a human meter and below 68 on a pet meter. And all the same Every cat is different . All-time thing to practise is pick 1 meter and stick to it for what it is .
Besides, who recommended the 100% dose increase from 1.0U to ii.0U? Did they really start the first shot at 3.0U?? I hope that was just a typo...

Are the people caring for your fur babies, close? On a couple occasions we've had a sitter make a post on an owner's account while they were away. Stating they were posting on behalf of sugar kitty if they were in a pinch.

Lastly, you seem to be doing pretty well taking in all this new info and getting ready for a destination nuptials cruise ! Boris reminds me of my male child when he was younger .
I'm thinking I'll just go on a separate sheet on the spreadsheet with vet adjusted numbers (adding 94), per the vet's request. That fashion they get what they asked for, and I'm maintaining both sets of statistics. One time nosotros have a fair flake of data, I can go in to the vet with both sets of numbers in hand to hopefully show the vet that calculation 94 to all numbers is a very bad idea, specially if the variance is more of a percentage.Sounds proficient... cheers! Is there a "no shoot" number with Lantus, or is it a reduced shot? I'll head over to the Lantus forum and first a new thread at that place I guess... I want to make sure I'm not making a error equally Lantus is long interim.That makes better sense to our situation... thanks!!!Agreed, but until I have the data to back up my determination to run with but my meter, I need to proceed to provide the vet with what she requested. I'll be consistent for at present and maintain ii sets of numbers (which I've been doing on paper anyway for my own sanity), and just keep a separate sheet on my spreadsheet for vet adapted numbers, per the vet's "calibration". So the next time we have an office visit I can provide both sets of numbers to the vet, and hopefully between at present and and then I can observe some study or other scientific data to eternalize the demand to switch to a unmarried scale that meliorate represents the data. Surely adding a static number to the BG values is a bad idea.No, that'due south just where our dwelling testing started. Boris was diagnosed in the eye of April while we were RVing in FL. He became lethargic, stopped eating and drinking. Took him to the ER and they found DKA, diabetes, pancreatitis, and a bladder infection. He was hospitalized for 2 days in the ER on a fast acting drip, and then spent 2 days on Lantus shots at a different vet infirmary before coming dwelling on 2 units BID. A glucose curve performed a week subsequently saw his dose increased to 3 units. His BG bend 2 weeks after had us re-evaluate the dosage and basically start over at 1 unit.That's a good idea! It's supposed to exist my neighbor, simply I'm having a hard time getting her over to the house to start learning the shots, and so it may end up being a professional pet sitter with her own diabetic beast. The pet sitter may end up beingness the amend choice regardless, as she'due south the daughter of a vet and is used to managing diabetics.I've had low blood saccharide issues in the concluding couple of years (suspect related to perimenopause and changing hormones), so the basic BG concepts, especially as they relate to diet, aren't new to me. That's why we already had the ReliOn meter. And I'yard incredibly thankful that Boris is a laid back cat, which makes the entire thing less stressful for us all!
Your boy is handsome!
This depresses me. And yous are correct, about comparing volition drive you crazy. I am now officially crazy.
I have been trying so difficult to become Zoe regulated. I switched to the Lantus board and have been using the relion prime and have felt practiced nigh her being in the yellows though I knew the readings were some what lower than the AT2, I figured the Lantus was helping and felt like I was on the correct track towards a more stable acceptable BG until she might go into remission. Watching this conversation made me wonder because right earlier I switched to the Prime I checked both AT2 (w/Freestyle Insulinux strips, meter set at code 38) and got about a 60 point difference with Prime being the lower readings. I accepted it and went with the RP.

I bumped her to 3.25 units of Lantus from 3 yesterday.

I was checking a +two just at present and decided to pull out my AT2 to practise a comparison. I had some AT2 strips which I had't used in a long while since switching to the FS Insulinux. So I coded the AT2 to the AT2 strips (7) and did the comparison. Ugh bad idea. At present I am feeling depressed. The AT2 read 437. The Prime read 302. Thats a 135 indicate difference. +3 AT2 =416, RP =291. (125 pt difference) I know all experienced members say to put the AT2 away and stick with the Relion and simply go with it. I will however practice that because it is so expensive to examination as frequently as I need to every bit I push her Lantus dose higher. $l AT2 strips for 50 doesn't even last a month testing just the standard twice daily. If you have to keep a closer watch and examination more than ofttimes every bit yous effort and find the right dose information technology can be $100-$200 simply on AT2 strips for a month. But if I am more cautious about increasing the dose because I am getting lower and lower readings on the RP meter and she is really not in a lower range on her BG, am I non causing more damage to her system by allowing the loftier BG readings to continue longer and longer.
may be an unnecessarily item -- simply was it the VET who suggested the +94 correction, or was it the TECH? might want to check directly with the vet to make sure; I call back nosotros accept a fellow member on the lath, who works in a vet clinic, who was doing simultaneous BG checks with both the AlphaTrak and a ReliOn meter; if I can observe out/remember who that was, I tin can tag the conversation so y'all tin can show that to the vet also
sounds like your vet has had express experience with those using human meters and may not understand how and why they accept different readings -- this "correlation" idea is, as you say, a bad thought -- I'm concerned that this might be an event with the tech rather than the vet
The 200 don't shoot number is a recommendation for whatsoever insulin. Unless you are doing your own curves, yous practice not know how depression the glucose levels go between shots. The reason for this number is to forestall you from giving insulin that may cause the levels to drop and then depression that hypoglycemia tin can occur. It is better to skip a shot than become hypoglycemic. Hypoglycemia is dangerous and could crusade permanent impairment or death. When you understand how yous true cat responds to the dose, you may feel comfortable with lowering the number.
I'm so sorry... I didn't mean to add together to anyone else's stress! But I do feel your pain... I'm feeling exactly the same way. Especially if nosotros are given a unmarried range of BG that is considered normal for cats. If human meters read differently than animal meters, and so shouldn't there be 2 ranges? These are things that keep me up at night. Yet, just call back, it takes a longer fourth dimension on high BG to permanently injure your cat, whereas 1 hypo episode tin can kill. So attempt not to sweat the deltas on the higher numbers too much. High is high.This is a slap-up question, and I will try to discover out. Cheers!!!Agreed. Planning a home BG curve for this Midweek, and so I can call those number in to the vet on Th along with the requested nadir values. No need to practise pay $110 for a curve in the part when I can exercise information technology at home.That would be helpful. Thanks!!!
One can "calibrate" human meters that are manually coded (a lot of meters today are automatically coded my reading information from the strip) by changing the lawmaking. That is how the AlphaTrak meters works. Dissimilar codes are entered depending upon the species (the strip vial lists the code to use for dissimilar species). Except when using the AlphaTrak with AlphaTrak strips one really does not know what code to enter. Different species have different portion of the glucose in the liquid and in the cellular part (reddish blood cells). Lab equipment only mensurate the glucose in the liquid while hand held meters measure the glucose in an unspecified combination of the glucose in the liquid and cells).
https://world wide web.ncbi.nlm.nih.gov/pmc/articles/PMC2769960/
http://www.advocatemeters.com/single-mail/2016/01/18/Why-You-Demand-to-Utilise-a-Pet-Claret-Glucose-Meter