Buddy's SS up and going 2nd part about dosing

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Kris & Teasel said:
That yellow at +9 sure convinces me that the pink was a food spike.[/QUOTE
What seems so odd he did not have anything to eat between +9 & +11 and his numbers went up. He is eating FF classic wet tonight. Would you let know what amount of insulin I should give. Trying to go to bed earlier tonight.
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You can do.25 but I doubt it will get you out of the yellows. I say 0.5 when in the pinks as long as you can test.
 
wolfey said:
I saw that on the conversion chart but what would .25 be on the U 100 syringes. I have some, I take injections 1 time a week
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They have to be proper U100 insulin syringes with a capacity of 0.3 mL and have half unit marks. You can't easily measure 0.25 u on them but you could eyeball 0.3 u or measure 0.2 u or 0.4 u. You have to be very sure of what you're doing if you try this.
 
Kris & Teasel said:
They have to be proper U100 insulin syringes with a capacity of 0.3 mL and have half unit marks. You can't easily measure 0.25 u on them but you could eyeball 0.3 u or measure 0.2 u or 0.4 u. You have to be very sure of what you're doing if you try this.
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I looked at my syringes last night and I do not think they will work. I did have some reli-on syringes that I think might work. Did not jump right in and start using different syringes because I do not want to make a mistake and hurt my cat.
 
I want to try and go to church today if Buddy's numbers allow. If we use the same dose this morning I might try and go. Buddy '
dosing must come 1st.
 
wolfey said:
I want to try and go to church today if Buddy's numbers allow. If we use the same dose this morning I might try and go. Buddy '
dosing must come 1st.
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His numbers seem to be coming back up, he was 312, if you think he needs increase let me know. Whatever is best for him.
 
wolfey said:
His numbers seem to be coming back up, he was 312, if you think he needs increase let me know. Whatever is best for him.
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Yes, He needs a dose increase. You'll have to give 0.5 u. If your U40 syringes have half unit marks, you could measure out 0.5 u and then turn the plunger slowly like a screw to let out a small drop. We'd call that a "skinny" 0.5 u. Then you can feed him a bit of his higher carb wet food before you leave for church. His nadir will probably be in the +5 to +7 range. If you can be home by then to test it should be OK.
 
It's up because the dosing has been too conservative. As long as you are testing you want to get those numbers under 120 on a human meter for part of the day so the pancreas can rest and heal. Low blues and greens over 60. Aim for 85-110. No reason to keep the numbers in pinks and yellows.

180-225 0.25
225-325 0.5
325 -375 0.75
375-425 1
425-450 1.25
 
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JanetNJ said:
It's up because the dosing has been too conservative. As long as you are testing you want to get those numbers under 120 on a human meter for part of the day so the pancreas can rest and heal. Low blues and greens over 60. Aim for 85-110. No reason to keep the numbers in pinks and yellows.

180-225 0.25
225-325 0.5
325 -375 0.75
375-450 1
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I think Buddy's mom was frightened by the lows a few days ago. It's matter of learning to tolerate them and eventually "enjoy" them. Thanks, Janet! :)
 
Kris & Teasel said:
I think Buddy's mom was frightened by the lows a few days ago. It's matter of learning to tolerate them and eventually "enjoy" them. Thanks, Janet! :)
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I get that but still don't want the numbers going back to what they were. The numbers were low a few days ago, but not hypo. If it goes low just steer them up a bit with some food. Can't be afraid of seeing some green. It's what we want to see.
 
Kris & Teasel said:
Yes, He needs a dose increase. You'll have to give 0.5 u. If your U40 syringes have half unit marks, you could measure out 0.5 u and then turn the plunger slowly like a screw to let out a small drop. We'd call that a "skinny" 0.5 u. Then you can feed him a bit of his higher carb wet food before you leave for church. His nadir will probably be in the +5 to +7 range. If you can be home by then to test it should be OK.
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Thank you, I will do that
JanetNJ said:
It's up because the dosing has been too conservative. As long as you are testing you want to get those numbers under 120 on a human meter for part of the day so the pancreas can rest and heal. Low blues and greens over 60. Aim for 85-110. No reason to keep the numbers in pinks and yellows.

180-225 0.25
225-325 0.5
325 -375 0.75
375-450 1
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I did not know that, I am always afraid he will do too low. I am always afraid to leave the house.
 
wolfey said:
Thank you, I will do that
I did not know that, I am always afraid he will do too low. I am always afraid to leave the house.
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I totally get that... and I say if ever not sure and you won't be around then go cautious, but you have the info you need right there in your spreadsheet. study it and find the patterns and trends. You can leave the house. ;) the more time he spends in the healing range, the more likely you are to have him gradually go into remission, which should be the ultimate goal. Now of course not all cats go into remission, but there is a good chance here. Just look at the progress already! Three weeks ago he was on 3 units... now down to 1 and under! that's a huge improvement! the sooner you work toward it the more likely it is to happen. Lets get him surfing in the blues.
 
It surely IS terrifying at first. Heck, I remember the first time I had a low preshot number...I KNEW not to shoot, yet I had to come straight here and get advice first and I was dizzy and terrified until Sue confirmed that I shouldn't shoot!

I know Kris has already give you dose advice and you surely don't need to hear it again from me! I do think Buddy will be fine. It's important to get out sometimes and get a little time away from worrying! I'd encourage you getting out for a walk or a movie or coffee with a friend...just give yourself a break sometimes. You deserve it!
 
Kris & Teasel said:
Just so you know: I'll be leaving at +1 or so and will be back around +6.
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Buddy was @ 280 @7:30 p.m., I gave him some RC wet food today before I went to church, he had not had RC for several days. He is not eating very much tonight, after he gets his insulin is it alright for me to continue to try and feed him. My u 40 syringes do not have a 1/2 unit mark, only whole numbers.
 
wolfey said:
Buddy was @ 280 @7:30 p.m., I gave him some RC wet food today before I went to church, he had not had RC for several days. He is not eating very much tonight, after he gets his insulin is it alright for me to continue to try and feed him. My u 40 syringes do not have a 1/2 unit mark, only whole numbers.
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No problem feeding him after insulin. I suggest you give 0.5 u tonight and he might need to go up tomorrow AM.
 
Kris & Teasel said:
No problem feeding him after insulin. I suggest you give 0.5 u tonight and he might need to go up tomorrow AM.
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I think I will be home all day tomorrow, on Tuesday I have an afternoon appt. If you think he needs an increase, then I will do it. Would rather start an increase when I will be home all day. I thought you were supposed to go with a new dose for 3 days. Does anyone e-mail their SS to the vet they use, if so I had a couple of question.
 
wolfey said:
I think I will be home all day tomorrow, on Tuesday I have an afternoon appt. If you think he needs an increase, then I will do it. Would rather start an increase when I will be home all day. I thought you were supposed to go with a new dose for 3 days. Does anyone e-mail their SS to the vet they use, if so I had a couple of question.
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Generally we say hold a dose for a minimum of 3 cycles (one cycle is 12 hours, the time between 2 doses) but if it's obvious a change is needed it can be made sooner. Let's see how he is tomorrow AM.
 
I printed my SS out and brought it to my vet...but there's no reason you couldn't email it.
 
JanetNJ said:
Most of us feed several small meals rather than just two big meals.
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The vet Buddy saw for diabetes said he would eat 2 meals a day, also to eat Royal Canin wet and if Buddy wanted dry he could have prescription Purina OM (he was eating OM before diabetes). At mealtime especially in the evenings Buddy will want to sleep, but earlier he will be crying and going to his bowls to look for food.
 
The most important thing is that he gets some food on board with the insulin. It doesn't have to be the entire meal...just as long as there's something there to keep the insulin from dropping him quickly. Considering some of the steep dives you've had, food might actually be helpful during the cycle. My cats grazed during the day...still do. I put wet out in the morning, and most of them go over and eat some...but then I leave it out and they eat during the day. And, as Janet said, most important is no food 2 hours prior to preshot tests so the number you get isn't food influenced.

You do have him off dry food now right? I want to say I remember you saying that...
 
Rachel said:
The most important thing is that he gets some food on board with the insulin. It doesn't have to be the entire meal...just as long as there's something there to keep the insulin from dropping him quickly. Considering some of the steep dives you've had, food might actually be helpful during the cycle. My cats grazed during the day...still do. I put wet out in the morning, and most of them go over and eat some...but then I leave it out and they eat during the day. And, as Janet said, most important is no food 2 hours prior to preshot tests so the number you get isn't food influenced.

You do have him off dry food now right? I want to say I remember you saying that...
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I have him off dry food, bought YA and he seemed to like it. The day that he ate the YA his numbers seemed to spike ,so I took him off of it until we are on a more even basis. He is eating FF classic.
 
Rachel said:
I printed my SS out and brought it to my vet...but there's no reason you couldn't email it.
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I had some questions like would it only e-mail what was on the screen in front of you, or would it go all the way across the screen and get the readings for the whole day. I don't think it will, just wanted to have my eggs all in 1 basket before I did it and messed it up.
 
Hi Teresa,

I saw the blue you had last evening. I think you should try 0.75 u today. If you're home you can keep an eye on him. You asked a few posts back whether any of us email our vet with the SS, etc. No, I don't. She knows what I'm doing generally but all my decisions are my own.
 
Kris & Teasel said:
Hi Teresa,

I saw the blue you had last evening. I think you should try 0.75 u today. If you're home you can keep an eye on him. You asked a few posts back whether any of us email our vet with the SS, etc. No, I don't. She knows what I'm doing generally but all my decisions are my own.
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I started Buddy on .75 u today, he was not eating this morning he has a problem with nausea. Mid morning I gave him 1/4 pill for nausea and then he started wanting to eat. He would go to his bowl and eat, then leave, then come back. I am not for sure that I had the correct time he quit eating, that is why I did not do much testing in the day time. Tomorrow I will be gone for several hours starting @+5, please don't change Buddy's dose till the next day.
 
wolfey said:
I had some questions like would it only e-mail what was on the screen in front of you, or would it go all the way across the screen and get the readings for the whole day. I don't think it will, just wanted to have my eggs all in 1 basket before I did it and messed it up.
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wolfey said:
I started Buddy on .75 u today, he was not eating this morning he has a problem with nausea. Mid morning I gave him 1/4 pill for nausea and then he started wanting to eat. He would go to his bowl and eat, then leave, then come back. I am not for sure that I had the correct time he quit eating, that is why I did not do much testing in the day time. Tomorrow I will be gone for several hours starting @+5, please don't change Buddy's dose till the next day.
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You don't have to test a lot every day, Teresa. As for dose, you can give 0.75 u tonight and whatever you feel comfortable with tomorrow. We're here to help but you're not obliged to follow any suggestion we make if it doesn't feel right. :)
 
Kris & Teasel said:
You don't have to test a lot every day, Teresa. As for dose, you can give 0.75 u tonight and whatever you feel comfortable with tomorrow. We're here to help but you're not obliged to follow any suggestion we make if it doesn't feel right. :)
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I want your help, I don't feel obliged to follow your suggestions. I think it probably would be wise to up the dose for Buddy, but I am such a coward that I don't want to leave him when we start a new dose. When you think his dose needs to be upped, please let me know. I need your help, I was getting no where with out it.
 
wolfey said:
I want your help, I don't feel obliged to follow your suggestions. I think it probably would be wise to up the dose for Buddy, but I am such a coward that I don't want to leave him when we start a new dose. When you think his dose needs to be upped, please let me know. I need your help, I was getting no where with out it.
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As I said before, I'm pleased to help. :) I truly understand your reluctance to up the dose if you can't be there to monitor. That's just being sensible. As you go along and get more experience with Buddy's responses to insulin you'll find that your confidence will grow and you'll trust yourself more.

As for tonight's dose, if you're home to test this evening, why not try 0.75 u again to see if he'll show you some safe greens. That's the goal after all. A test at +3 is usually a good indicator of where they're heading and if he's low-ish then you can give a small snack to head him off at the pass.
 
Yes, it's not necessary to constantly test. Try to get a +6 when you're home and maybe a +3 at night to check if the night cycle will be active. A lot of people will also do different tests on different days. Like, today they might grab +3 and +9. Tomorrow, +5 and +11. Just to keep an eye on things without giving constant tests. :)
 
Kris & Teasel said:
As I said before, I'm pleased to help. :) I truly understand your reluctance to up the dose if you can't be there to monitor. That's just being sensible. As you go along and get more experience with Buddy's responses to insulin you'll find that your confidence will grow and you'll trust yourself more.

As for tonight's dose, if you're home to test this evening, why not try 0.75 u again to see if he'll show you some safe greens. That's the goal after all. A test at +3 is usually a good indicator of where they're heading and if he's low-ish then you can give a small snack to head him off at the pass.
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Kris, I want your opinion on this. I think I will give Buddy 1u this morning, @.75 he was pretty close to 1. I will test him before I leave and give some Royal Canin, that would prop him up some for a few hours. I have ordered syringes with 1/2 unit markings so it will be easier next dose change. I appreciate all of your help.
 
wolfey said:
Kris, I want your opinion on this. I think I will give Buddy 1u this morning, @.75 he was pretty close to 1. I will test him before I leave and give some Royal Canin, that would prop him up some for a few hours. I have ordered syringes with 1/2 unit markings so it will be easier next dose change. I appreciate all of your help.
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Hi Teresa,
Sounds like a plan! I know it's hard but sometimes a little bravery when dosing gets us further ahead. :) Those two yellows last night after his PM dose show you that his dose should go up.
 
Rachel said:
Yes, it's not necessary to constantly test. Try to get a +6 when you're home and maybe a +3 at night to check if the night cycle will be active. A lot of people will also do different tests on different days. Like, today they might grab +3 and +9. Tomorrow, +5 and +11. Just to keep an eye on things without giving constant tests. :)
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Buddy's little ear is getting sore, so I need to let up some on the testing. Thank you for the help. I don't know what I would have done with out the help I got here. The vet was way off.
 
Kris & Teasel said:
Hi Teresa,
Sounds like a plan! I know it's hard but sometimes a little bravery when dosing gets us further ahead. :) Those two yellows last night after his PM dose show you that his dose should go up.
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Without your help I would had to have turned to the vet and you know what happened the last time.
 
wolfey said:
Buddy's little ear is getting sore, so I need to let up some on the testing. Thank you for the help. I don't know what I would have done with out the help I got here. The vet was way off.
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Yes, I think you can: maybe AM/PM before shot, mid day and one more before bed unless he decides to have what we call an "active cycle". Many people here put Neosporin ointment with pain relief of kitty's ears. Maybe try that?
 
wolfey said:
Kris, I want your opinion on this. I think I will give Buddy 1u this morning, @.75 he was pretty close to 1. I will test him before I leave and give some Royal Canin, that would prop him up some for a few hours. I have ordered syringes with 1/2 unit markings so it will be easier next dose change. I appreciate all of your help.
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I agree with upping it to 1
 
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