Dose question

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Airway

Airway

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Orion started Prozinc on Friday. He is getting 1 unit twice daily. Should I increase his dose this evening?

Fri PM 344
Sat AM 465
Sat PM 314
Sun AM 461
Sun 5.5 hours after dose 370
 
Airway said:
Orion started Prozinc on Friday. He is getting 1 unit twice daily. Should I increase his dose this evening?

Fri PM 344
Sat AM 465
Sat PM 314
Sun AM 461
Sun 5.5 hours after dose 370
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Without more data from between shot times it is impossible to tell how much Orion may be dropping between shots. I would not increase the dose until you have more information during mid cycle. If he is going lower during the cycle this can cause his preshots to seem higher.
 
Well but Mary ann, the +5.5 today is 370. I can't imagine Orion has gone far more lower than that... He has a pattern being higher at AM and lower in PM I see.
He's not low enough to not give an increased dose.
 
Unfortunately my schedule will only allow me to get mid-way readings on the weekend and on Wed when I am off of work.

Tuxedo Mom said:
Without more data from between shot times it is impossible to tell how much Orion may be dropping between shots. I would not increase the dose until you have more information during mid cycle. If he is going lower during the cycle this can cause his preshots to seem higher.
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Also when first starting insulin it takes a number of days before the body gets used to external insulin. Starting doses should be held for a week and more data gathered during that time.


Ruby&Baco said:
Well but Mary ann, the +5.5 today is 370. I can't imagine Orion has gone far more lower than that... He has a pattern being higher at AM and lower in PM I see.
He's not low enough to not give an increased dose.
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The problem with just one mid cycle number is that you do not know if that was from a bounce the day before. More data is needed
 
Well then I would only increase it with 0.25U to make sure Orion is safe. But will recommend to do curves during the weekends if you can to get more data. And try to catch some data in the evening, like a +3 and +4.
 
Airway said:
Unfortunately my schedule will only allow me to get mid-way readings on the weekend and on Wed when I am off of work.
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Then at this point I would suggest holding the 1 unit dose. If possible could you get a test 2 hours after the morning shot or a test at bedtime. This will show what sort of movement the insulin is giving.

With just starting insulin you need to hold the dose until your kitty's body has adjusted to it and you have more data

ETA You only started on Friday so doing dose increases at this time is not advised
 
I plan to do a curve next Saturday. I can aim to get a reading this evening about 2 hours after his shot. I could get another tomorrow about 9 hours after his morning shot. Would this help?
 
yes that would help a lot, the more data the more we can help you with dosing advise. As for now it's a personal thing what you feel comfortable with, I would increase but Mary Ann suggest to stay at this dose untill you have more data.
Please stick with not increasing yet for now then untill you have more data.
 
Airway said:
I plan to do a curve next Saturday. I can aim to get a reading this evening about 2 hours after his shot. I could get another tomorrow about 9 hours after his morning shot. Would this help?
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Any extra data would be useful The reading 2 hours after the shot would give more information since that is about the time Prozinc starts to work...although it can be different with different kitties. The test at 9 hours would be when the Prozinc is starting to wear out, but might still give some more pieces to the puzzle.

If you can set up a spreadsheet to record you r data it can be extremely helpful to see patterns and trends, and lets anyone see what sort of results you are getting without having to read back through all your posts,

here is a link to setting up a spreadsheet:

http://www.felinediabetes.com/FDMB/threads/fdmb-spreadsheet-instructions.130337/

If you have any trouble just ask for help. There are several "spreadsheet gurus" that can get you set up in no time. :)
 
Thank you! I was just trying to find the link to the spreadsheet. I will get one started.

Tuxedo Mom said:
Any extra data would be useful The reading 2 hours after the shot would give more information since that is about the time Prozinc starts to work...although it can be different with different kitties. The test at 9 hours would be when the Prozinc is starting to wear out, but might still give some more pieces to the puzzle.

If you can set up a spreadsheet to record you r data it can be extremely helpful to see patterns and trends, and lets anyone see what sort of results you are getting without having to read back through all your posts,

here is a link to setting up a spreadsheet:

http://www.felinediabetes.com/FDMB/threads/fdmb-spreadsheet-instructions.130337/

If you have any trouble just ask for help. There are several "spreadsheet gurus" that can get you set up in no time. :)
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Airway said:
Got the spreadsheet started. It's in my signature.
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GREAT JOB!! Maybe you could add a few things to your signature since you are on a roll ;) Could you add Prozinc, date of diagnosis, age of Orion, any other known health issues, where you live (State is good) Your name if you would like so we don't have to say Orion's Mom/Dad, type of meter you are using..pet or human

I'm probably forgetting something important but you can always go back and add more later :)
 
Yes that's nice!
And what is your name? you can also put it there if you'd like because then like Mary Ann said, we can call you by your name instead of Orion's mom/dad.
 
My name is Angela, but many people call me Airway. It's a nickname I got when I was in training to become an EMT. You may call me either.
 
Great job on getting all the "house-keeping" chores out of the way. With some more data the picture on how well this insulin at this dose is working will become much clearer. And kudos to you for home-testing!!
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Just wondering if those of us who are very hands on with our diabetic kitties share any commonalities: education, career (I've noticed a few teachers), interests, etc. Not relevant to this thread but interesting to me nonetheless.
 
I was very hands on with Baco, just take a look at my spreadsheet, and i'm a supply chain planner/coordinator. So I think I have that 'tick' from the planner inside off me hihi:p Everything needs to be done correctly on time and the right amount etc. I want to be 'in charge' of everything and that's the same at my job, I need to be that at my job.
 
And I was a secondary school teacher of physics and chemistry who had to plan every minute of my work day and be totally in charge all the time when teaching classes of unruly teenagers working with chemicals, flames, electricity, etc. And Angela (Airway) trained as an EMT - technically knowledgeable, cool in a crisis and so on. Interesting, isn't it?
 
Hahaha I see, it seems that if you are 'in charge' in your job than it makes more sence that you also will be in the diagnose of your kitty... Really interesting!
 
Kris & Teasel said:
Just wondering if those of us who are very hands on with our diabetic kitties share any commonalities: education, career (I've noticed a few teachers), interests, etc. Not relevant to this thread but interesting to me nonetheless.
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interesting. and btw, I'm a teacher. haha
 
It does look like he is high and flat. I don't know the foods you are feeding -are they sure low carb?

I'd give your 1.5 another day and then increase to 2 units, on the first cycle you can monitor.
 
He is eating Weruva Cats in the Kitchen canned (2% or less carbs) and Nature's Variety Instinct dry (12.5% carbs). 3/4 of what he eats in a day is canned.

Sue and Oliver (GA) said:
It does look like he is high and flat. I don't know the foods you are feeding -are they sure low carb?

I'd give your 1.5 another day and then increase to 2 units, on the first cycle you can monitor.
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A big part of your issue could be the higher carb dry. Will he let you eliminate it? (If you do, maybe wait on an increase. It's best to make only one change at a time)
 
Just some ideas: Orion's only been on ProZinc for 5 days so his system might not have adjusted to exogenous insulin; his dose might still be too low; his BG might have been high for some time before he was officially diagnosed which might have made him insulin resistant/have glucose toxicity. Some or all of these things can make it seem as though the ProZinc is having no effect. My advice is to persist with patience. It's a good insulin and the people here are very experienced in using it. It's still very early days for you. I've been at it for 6 months with my cat, Teasel, and we're only just now making good progress. Some cats respond very well very quickly but not all. Hope this helps ...
 
Plus though he's been off dry for 24 hours, it still might need to take some time to work out of his system.
 
Hello Orion and Angela, just wanted to say what an amazing kitty he is! And good luck with the prozinc! I'm sure he will do well. I really feel the food is the key and after some fantastic advice on here we are doing really well so give it time. :)
 
Yes, I'd bump up to 1.75 if you can eyeball it, or a skinny 2 units (pull up 2 units and let out a couple drops.). It is encouraging that you saw a lower number - we just need to push him a little. Your Natures's Variety is what carb count?
 
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