Yosh is at 134 preshot

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Oh, totally missed that! Yes, Yong is right, don't push the number up. It's completely safe, and the insulin is worn off anyway. This is a natural number.
 
Yong said:
You don't want to push it up with carbs. The idea is to see if he's rising on his own without food influence :). Go ahead and stick with no shot tonight but I would still try to get a reading in a couple hours.
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If it's high I just have to wait till tomorrow to shoot right? I'm going out for a bit. He ate well and is rolling around loving every minute of this
 
No shot until normal time tomorrow - no matter what number you get later. His numbers are low enough right now that missing a shot shouldn't be a big deal. He might be a little higher in the morning, but I doubt it will be terrible.
 
I did push the strip in, didn't get blood, pulled it out and put it back in again when I got blood. But I only put the strip to the ear when there was blood. Could taking the strip out and putting it back in mess up the reading? :nailbiting:
 
oops. On my meter that would mess up the reading. Honestly, at this point I think you should just let it go. He's already had dinner and his numbers aren't that bad. Just think of tonight like a fur shot. Plus, 108 isn't that surprising given his other numbers, so it very well may have been a legit reading.
 
Hmmm. I need to find out about the test strip thing, I do that sometimes. Not often, just when I don't get blood initially. I think I read it was ok as no blood was on the strip. Bah.
 
Stressedcatmom said:
Hmmm. I need to find out about the test strip thing, I do that sometimes. Not often, just when I don't get blood initially. I think I read it was ok as no blood was on the strip. Bah.
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Meters vary, so it might be just fine on your meter. College Freshmen! What a pivotal year in our lives! That transition from childhood to oh-crap-I'm-a-grownup?!?! Bless your heart for doing that! It must be a tough group to teach!
 
College freshman?! I was there once but took a freshman history class in my senior year because I just did not want to take it. History is my least favorite subject. The freshman were like out of control 14 year olds! I never behaved that way for a class and could not believe those little jerks were acting like fools when they were paying to be there!!! Teachers are a special kind of human! I
 
I'm a teacher too! High school physics and chemistry - high school junior/senior as you say in the US or Grade 11/Grade 12 as we say in Canada. I've been retired quite a while and volunteered for 4 years as an "English as a Second Language" tutor to a young Vietnamese woman. I got her English skills up to the level where she could take the Canadian Citizenship exam and I attended her citizenship ceremony. Very proud moment for her - and me! :)
 
Kris & Teasel said:
I'm a teacher too! High school physics and chemistry - high school junior/senior as you say in the US or Grade 11/Grade 12 as we say in Canada. I've been retired quite a while and volunteered for 4 years as an "English as a Second Language" tutor to a young Vietnamese woman. I got her English skills up to the level where she could take the Canadian Citizenship exam and I attended her citizenship ceremony. Very proud moment for her - and me! :)
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That's really amazing! I can barely teach native speakers English. I wouldn't even know where to begin with an ESL student.
 
Stressedcatmom said:
That's really amazing! I can barely teach native speakers English. I wouldn't even know where to begin with an ESL student.
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It was a challenge but she was a very intelligent and motivated young woman. Don't ever let anyone say English is an easy language to learn! I found out that it's absolutely crazy-making for learners and the pronunciation was very difficult for her. She spoke Chinese and Vietnamese and they're both tonal languages.
 
Kris & Teasel said:
It was a challenge but she was a very intelligent and motivated young woman. Don't ever let anyone say English is an easy language to learn! I found out that it's absolutely crazy-making for learners and the pronunciation was very difficult for her. She spoke Chinese and Vietnamese and they're both tonal languages.
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Kris what do you think I should do with a 132 preshot?
 
Kris & Teasel said:
It was a challenge but she was a very intelligent and motivated young woman. Don't ever let anyone say English is an easy language to learn! I found out that it's absolutely crazy-making for learners and the pronunciation was very difficult for her. She spoke Chinese and Vietnamese and they're both tonal languages.
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Oh, I know it's super hard to learn!
 
If you can't monitor, I would go with .25

And just seeing your other post come through - always remember that you hold the syringe and need to go with the dose that you feel comfortable with (ugh - sorry for ending my sentence with a preposition!)
 
Kris & Teasel said:
If you're more comfortable giving 0.25 u then that's what you should do. :) He hasn't had insulin in 24 hours and his AMPS is a lovely blue. Go with your gut!
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I went with .25. I have to eyeball it so it may have been a little less or a little more. Is it bad to jump from .5 to nothing to .25? Or is it worse to skip? I was reading about consistency in dosing and now nervous
 
Stressedcatmom said:
I went with .25. I have to eyeball it so it may have been a little less or a little more. Is it bad to jump from .5 to nothing to .25? Or is it worse to skip? I was reading about consistency in dosing and now nervous
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Your situation is a little tricky. He's hovering in near-remission numbers while you've been going between 0 u and 0.5 u. You could try giving a steady 0.25 u for a few cycles to see if anything changes. Some midcycle numbers are important so we can really evaluate a dose. You knew I was going to say that, right? ;)
 
Prozinc is dosed two different ways. The recommended approach is to be as consistent as possible. The second approach is a sliding scale. If consistency isn't working, you try the sliding scale. However, when numbers are low, the sliding scale becomes the necessary approach in order to keep the cat in safe numbers. If you're starting with a number above 250ish, there is a lot more room to stick with the same dose and still be safe. When you're starting with a number around 150 however, you have to use a bit more finesse with the whole thing.

When Sam was moving toward remission (last time I was here), he went from 1u to .75 to .5 to .25 to .1 before going to zero. And there was some back and forth depending on his pre-shot and nadir readings.
 
Kris & Teasel said:
Your situation is a little tricky. He's hovering in near-remission numbers while you've been going between 0 u and 0.5 u. You could try giving a steady 0.25 u for a few cycles to see if anything changes. Some midcycle numbers are important so we can really evaluate a dose. You knew I was going to say that, right? ;)
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Gah! Yes, I did. #wehatemultipleearpokes
 
Djamila said:
Prozinc is dosed two different ways. The recommended approach is to be as consistent as possible. The second approach is a sliding scale. If consistency isn't working, you try the sliding scale. However, when numbers are low, the sliding scale becomes the necessary approach in order to keep the cat in safe numbers. If you're starting with a number above 250ish, there is a lot more room to stick with the same dose and still be safe. When you're starting with a number around 150 however, you have to use a bit more finesse with the whole thing.

When Sam was moving toward remission (last time I was here), he went from 1u to .75 to .5 to .25 to .1 before going to zero. And there was some back and forth depending on his pre-shot and nadir readings.
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Thank you for this info. His shot time got pushed back about a half hour with all the commotion. Can I go back to my regular shot time tonight?
 
Your recent SS data shows that 0.5 u lowers BG to low double digits and keeps him there - NS last night. The 0.25 u dose both AM and PM on Apr 14 kept him coasting near the mid 100s. I think you should try 0.25u AM and PM today to see if the data looks like Apr 14. It's possible that the "good dose" right now is between 0.25 u and 0.5 u.
 
Kris & Teasel said:
Your recent SS data shows that 0.5 u lowers BG to low double digits and keeps him there - NS last night. The 0.25 u dose both AM and PM on Apr 14 kept him coasting near the mid 100s. I think you should try 0.25u AM and PM today to see if the data looks like Apr 14. It's possible that the "good dose" right now is between 0.25 u and 0.5 u.
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What would you say the lowest pretest number should be to do the .25? Like what if he's at 120 or something else strange tonight?
 
This is a great question, and one I'm wrestling with right now as well. On a human meter, a normal, non-diabetic cat would be 50-120. So personally, I wouldn't shoot anything below 120. After that there is some variation by cat, and by how much the cat is reacting to the insulin. I would say this morning's 132 is about as low as you should shoot. As long as you're being very careful with diet, anything below that is still in "healing" numbers and I would say doesn't really require insulin, but does require monitoring at the pre-shot times to make sure it doesn't start creeping up.
 
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