? 4/14/17,Sprocket, AMPS/363, +2/350.+6/290.PMPS/291,+2/346, +5/278 dose change?

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Darnell & Sprocket (GA)

Darnell & Sprocket (GA)

Member Since 2015
http://www.felinediabetes.com/FDMB/...336-2-25-357-5-324-acting-weird-in-am.176270/
Yesterday's link

Hi.
This morning he ate @1 oz of food but also took cyproheptadine & famotidine too. He did grab some of other cats food @10mins before was taken before I could grab it.
Had shot at 6:35am.

Found an old post about placement of fluids cause if close if can make insulin less effective.??
But there was no reply as to if it helped moving slots or times.???

Whats your experience on this?
We did insulin a bit higher up on back than we will do fluids.
Will it help his bg??
 
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Bg going down before gave 75ml of fluids.
Poop was formed & not as stinky.
He got some good sleep over night.
Eating low carb. @3.5oz of wet food.
No my turn for another nap.
 
Hi Darnell,
I've never done fluids myself, but I believe that some folk have experienced significant drops in BG when giving Fluids and insulin in the same spot, some cats are more affected by this than others @Amy&TrixieCat has some experience with this.
So you may want to try giving the fluids in different areas to avoid interaction.
 
Gill & George said:
Hi Darnell,
I've never done fluids myself, but I believe that some folk have experienced significant drops in BG when giving Fluids and insulin in the same spot, some cats are more affected by this than others @Amy&TrixieCat has some experience with this.
So you may want to try giving the fluids in different areas to avoid interaction.
Click to expand...

Only drops?
No rises like the insulin is not working as well??
 
Fluids can drop BG because you are "diluting" the glucose that's floating around in the blood.

It's best if you can give fluids on the opposite side of where you give insulin or wait until after nadir if you have a squirmy cat.
 
Sienne and Gabby (GA) said:
Fluids can drop BG because you are "diluting" the glucose that's floating around in the blood.

It's best if you can give fluids on the opposite side of where you give insulin or wait until after nadir if you have a squirmy cat.
Click to expand...

Ok. Oddly he is going higher instead.
He wont let me do anything on sides of his body.
Did insulin higher on scruff & fluids lower on midback.
I need people to help with fluids. I was doing 1x day but since he had ketones monday am. Been giving 2x a day. So its been 830am or 830pm ish.
Shot time is 630-7pm over past week.
Posted it on ss.

I also just posted an overall question on main forum too
 
Darnell & Sprocket said:
Found an old post about placement of fluids cause if close if can make insulin less effective.??
But there was no reply as to if it helped moving slots or times.???
Click to expand...
I was having the same concern with Ducia. I do not have answer for you but here what I did:
When we were giving fluids at almost the same time as we did the pretest and then the shoot, we started to give insulin injection to her flank - side of the belly-instead of scruff where the fluids were going; I cannot attest to the results she was very sick back then, her numbers where all over.
Someone experienced from this forum told me to avoid giving the fluids at the same time as the insulin.
A Dr in ER told me that she never heard of fluids to have any influence on insulin.
Again, I don't have answer, sorry, but if you are worrying, maybe try the injection site other then the scruff.
Please check with other forum members because as you know I have very little experience. Ducia had fluid therapy for relatively short time and in much lesser amounts than Sprocket does.
Best of luck to both of you.
:bighug::bighug:
 
Tanya and Ducia said:
I was having the same concern with Ducia. I do not have answer for you but here what I did:
When we were giving fluids at almost the same time as we did the pretest and then the shoot, we started to give insulin injection to her flank - side of the belly-instead of scruff where the fluids were going; I cannot attest to the results she was very sick back then, her numbers where all over.
Someone experienced from this forum told me to avoid giving the fluids at the same time as the insulin.
A Dr in ER told me that she never heard of fluids to have any influence on insulin.
Again, I don't have answer, sorry, but if you are worrying, maybe try the injection site other then the scruff.
Please check with other forum members because as you know I have very little experience. Ducia had fluid therapy for relatively short time and in much lesser amounts than Sprocket does.
Best of luck to both of you.
:bighug::bighug:
Click to expand...

Thanks.
I did post on main forum too.
I am worried to go up on dosage but also scared not to.
Did your kitty get better after changing this?
Sprocket wont let us give shot on his flank. I tried on side of scruff and he didn't want that either .
This is all baffling as you can see his ss. All over the place too.
 
Darnell & Sprocket said:
Found an old post about placement of fluids cause if close if can make insulin less effective.??
Click to expand...
Nope - I found it the other way around. If fluids were given too soon and too close the the insulin shot, Neko's numbers went down. I liked giving fluids in the last half of the AM cycle, when her numbers would be on the rise naturally anyway. I did fluids right side, shot left side and a few hours apart. I could do fluids in the scruff, and shot below the shoulder.

You are right that Sprocket needs a dose increase.
 
Wendy&Neko said:
Nope - I found it the other way around. If fluids were given too soon and too close the the insulin shot, Neko's numbers went down. I liked giving fluids in the last half of the AM cycle, when her numbers would be on the rise naturally anyway. I did fluids right side, shot left side and a few hours apart. I could do fluids in the scruff, and shot below the shoulder.

You are right that Sprocket needs a dose increase.
Click to expand...

Wow, he is so sensitive to give his shot anywhere but his scruff or back area.

I am afraid still the higher dose will send him low again. Do I just feed a 5 or 6 carb food at shot time so he wont go too low?
 
It helps if you can get a +2 test most cycles. I would feed his regular food at preshot, then if the +2 is quite a bit lower than the preshot, you can give higher carbs then to slow him down.

He's barely even seeing blues at this dose.
 
wow guys... when i registered here i didn't even expected that you are so caring here and describing it all in so little details. thanks. I've already found some useful information. my beauty (Zeus) and I are very thankful to you.
 
Ue
Wendy&Neko said:
It helps if you can get a +2 test most cycles. I would feed his regular food at preshot, then if the +2 is quite a bit lower than the preshot, you can give higher carbs then to slow him down.

He's barely even seeing blues at this dose.
Click to expand...

Yes but he was seeing blues (100s) before at this dose.
Not sure why it changed.
Ok feed higher carb at +2 if drops alot.
Makes sense.
 
Bg at 6:05pm was 291. Did 3.25u but should I go up now?
He has 2 days left of antibiotic. He is having issues taking Denamarin cause of size n taste but I been getting the ursodiol into him. (Have liquid coming next week)
He has fluids 2x day right now. Had 75ml this morning.
Feed low carb FF.
Info in the spreadsheet.
He went low (45) before on 3.5 last week so now why would he not do same thing?

Anyone see any patterns?
How can I do 3.5u?
 
Insulin needs change. It's not uncommon for cats to wander up and down the dosing ladder for a while before settling. They need what they need, and right now it does look like Sprocket could use a bit more insulin.
 
Everyone was telling me not to do that before. To stay steady with dose so it could balance with the depot. Its so hard to understand how this works.

Just tested ketone negative. But 346 at +2/9:10pm.

Last 2 nights he had antibiotic at 6pm cause he wouldn't take earlier in day like he usually would.
Plus he only has 2 days left. I really wonder if its that.
So your saying I should go up even now even if he has to go back down in a few days because of coming off meds?
 
Darnell & Sprocket said:
Everyone was telling me not to do that before. To stay steady with dose so it could balance with the depot.
Click to expand...

Nobody has told you that......yes, it's important to hold the same dose for a certain length of time instead of changing it constantly because that's how lantus works best, but after 3 days, if the dose isn't getting them where we want them, it's fine to go up

It only takes about 6 cycles (occasionally a few more) to know if the dose you're using is going to get them where we want them to be
 
I agree that it's time to take the dose up. You've held it 10 cycles and it's not getting sprocket where you want him to be.
 
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