279 to high?

[Clark]

Was 154 last night chose not to give shot. I thought 120-300 was normal. 279 at 3:30 in morning.

 

[Kris & Teasel]

Was 154 last night chose not to give shot. I thought 120-300 was normal. 279 at 3:30 in morning.

This is actually a low-ish number for not having any insulin last night. Please do not give 2 u this AM. I strongly recommend giving only 1 u. How is her appetite? Caninsulin hits fast so it's best to feed and then wait 30 minutes before injecting. This gives enough time for food to get into her bloodstream before the insulin hits. I'd also aim to get a BG test 2 hours after the shot to see where she's heading. This test is often a good predictor of what her response will be to that particular dose. Can you do that?

 

[Clark]

This is actually a low-ish number for not having any insulin last night. Please do not give 2 u this AM. I strongly recommend giving only 1 u. How is her appetite? Caninsulin hits fast so it's best to feed and then wait 30 minutes before injecting. This gives enough time for food to get into her bloodstream before the insulin hits. I'd also aim to get a BG test 2 hours after the shot to see where she's heading. This test is often a good predictor of what her response will be to that particular dose. Can you do that?

To late in still getting use to this. Gave her a shot at 5 two units. Im confuse about blood #s. She has eating around 3:30 then again at 5. This is all so new. I haven't slept much. i was told 60-120 is where I want to be. Do isn't 154 still high last night... Confused. And thanks.

 

[Kris & Teasel]

To late in still getting use to this. Gave her a shot at 5 two units. Im confuse about blood #s. She has eating around 3:30 then again at 5. This is all so new. I haven't slept much. i was told 60-120 is where I want to be. Do isn't 154 still high last night... Confused. And thanks.

OK. That test at +2 is more important now. When you have time, please go look at the list of forums on the main page of this site, go down to near the bottom and find the "Caninsulin/Vetsulin" forum. Go there and look for the yellow info stickies at the top of that page to read about how this insulin works. Different insulins have different action profiles.

Here's what to expect with Caninsulin (more or less):

• higher BG just before feeding and shot (test needed so you know if the dose is appropriate)
• +1 to +2 hours after the shot insulin begins to take effect (+2 test often predicts how much action you'll see)
• +3 to +4 hours after shot insulin is reaching its peak action and BG is moving toward its lowest level called the nadir (test around +4 to +6 will usually tell you how low she's dropped - important to know to judge whether dose is too high or not)
• after +5 or so BG begins to rise again
• +8 to +10 is when insulin has worn off in most kitties.

This is what an ideal BG curve looks like with Caninsulin (Vetsulin in the USA). Notice how steeply it drops off and how low the nadir is relative to the pre shot BG number. That's why those BG tests are so important and why I said that 2 units is likely too much insulin.

http://www.vetsulin.com/vet/Cats_Monitoring_About.aspx

 

[Clark]

OK. That test at +2 is more important now. When you have time, please go look at the list of forums on the main page of this site, go down to near the bottom and find the "Caninsulin/Vetsulin" forum. Go there and look for the yellow info stickies at the top of that page to read about how this insulin works. Different insulins have different action profiles.

Here's what to expect with Caninsulin (more or less):

• higher BG just before feeding and shot (test needed so you know if the dose is appropriate)
• +1 to +2 hours after the shot insulin begins to take effect (+2 test often predicts how much action you'll see)
• +3 to +4 hours after shot insulin is reaching its peak action and BG is moving toward its lowest level called the nadir (test around +4 to +6 will usually tell you how low she's dropped - important to know to judge whether dose is too high or not)
• after +5 or so BG begins to rise again
• +8 to +10 is when insulin has worn off in most kitties.

This is what an ideal BG curve looks like with Caninsulin (Vetsulin in the USA). Notice how steeply it drops off and how low the nadir is relative to the pre shot BG number. That's why those BG tests are so important and why I said that 2 units is likely too much insulin.

http://www.vetsulin.com/vet/Cats_Monitoring_About.aspx


View attachment 29240

OK. That test at +2 is more important now. When you have time, please go look at the list of forums on the main page of this site, go down to near the bottom and find the "Caninsulin/Vetsulin" forum. Go there and look for the yellow info stickies at the top of that page to read about how this insulin works. Different insulins have different action profiles.

Here's what to expect with Caninsulin (more or less):

• higher BG just before feeding and shot (test needed so you know if the dose is appropriate)
• +1 to +2 hours after the shot insulin begins to take effect (+2 test often predicts how much action you'll see)
• +3 to +4 hours after shot insulin is reaching its peak action and BG is moving toward its lowest level called the nadir (test around +4 to +6 will usually tell you how low she's dropped - important to know to judge whether dose is too high or not)
• after +5 or so BG begins to rise again
• +8 to +10 is when insulin has worn off in most kitties.

This is what an ideal BG curve looks like with Caninsulin (Vetsulin in the USA). Notice how steeply it drops off and how low the nadir is relative to the pre shot BG number. That's why those BG tests are so important and why I said that 2 units is likely too much insulin.

http://www.vetsulin.com/vet/Cats_Monitoring_About.aspx


View attachment 29240

OK. That test at +2 is more important now. When you have time, please go look at the list of forums on the main page of this site, go down to near the bottom and find the "Caninsulin/Vetsulin" forum. Go there and look for the yellow info stickies at the top of that page to read about how this insulin works. Different insulins have different action profiles.

Here's what to expect with Caninsulin (more or less):

• higher BG just before feeding and shot (test needed so you know if the dose is appropriate)
• +1 to +2 hours after the shot insulin begins to take effect (+2 test often predicts how much action you'll see)
• +3 to +4 hours after shot insulin is reaching its peak action and BG is moving toward its lowest level called the nadir (test around +4 to +6 will usually tell you how low she's dropped - important to know to judge whether dose is too high or not)
• after +5 or so BG begins to rise again
• +8 to +10 is when insulin has worn off in most kitties.

This is what an ideal BG curve looks like with Caninsulin (Vetsulin in the USA). Notice how steeply it drops off and how low the nadir is relative to the pre shot BG number. That's why those BG tests are so important and why I said that 2 units is likely too much insulin.

http://www.vetsulin.com/vet/Cats_Monitoring_About.aspx


View attachment 29240

OK. That test at +2 is more important now. When you have time, please go look at the list of forums on the main page of this site, go down to near the bottom and find the "Caninsulin/Vetsulin" forum. Go there and look for the yellow info stickies at the top of that page to read about how this insulin works. Different insulins have different action profiles.

Here's what to expect with Caninsulin (more or less):

• higher BG just before feeding and shot (test needed so you know if the dose is appropriate)
• +1 to +2 hours after the shot insulin begins to take effect (+2 test often predicts how much action you'll see)
• +3 to +4 hours after shot insulin is reaching its peak action and BG is moving toward its lowest level called the nadir (test around +4 to +6 will usually tell you how low she's dropped - important to know to judge whether dose is too high or not)
• after +5 or so BG begins to rise again
• +8 to +10 is when insulin has worn off in most kitties.

This is what an ideal BG curve looks like with Caninsulin (Vetsulin in the USA). Notice how steeply it drops off and how low the nadir is relative to the pre shot BG number. That's why those BG tests are so important and why I said that 2 units is likely too much insulin.

http://www.vetsulin.com/vet/Cats_Monitoring_About.aspx


View attachment 29240

Ok. I understand. Why do they have her on this. Seems little erratic. And I see at the end of the curve she was 154. That is low. And the 279 is quite good for not giving shot. Im not sure if I can get one till +4-6. I have osteoarthritis in neck. And Charlie is sleeping. But in getting the idea.

 

[Kris & Teasel]

Why do they have her on this.

Are you in the UK? If so, that's often what the vet starts with because, as I understand it, there are rules about which insulin is prescribed. There needs to be proof that this one in not effective before another choice can be made. This one is also cheaper than some of the other insulins used in cats.

Seems little erratic.

Caninsulin is known for drama. It can work very well but the owner has to learn about its quirks and be willing to set up a BG testing routine to track their kitty's responses. It can be dangerous to shoot blindly because of its ability to drop them like a stone. You need to find a dose that gives decent control of BG over as many hours after a shot as possible while still leaving a nice safety margin at the low point (nadir).

I have osteoarthritis in neck. And Charlie is sleeping. But in getting the idea.

Do what you can. Do you know how to treat a hypo should the need arise? Do you have the supplies (high carb gravy style food, honey or corn syrup, lots of extra test strips for your BG meter)?

http://www.felinediabetes.com/FDMB/threads/how-to-treat-hypos-they-can-kill-print-this-out.15887/

 

[Clark]

Are you in the UK? If so, that's often what the vet starts with because, as I understand it, there are rules about which insulin is prescribed. There needs to be proof that this one in not effective before another choice can be made. This one is also cheaper than some of the other insulins used in cats.


Caninsulin is known for drama. It can work very well but the owner has to learn about its quirks and be willing to set up a BG testing routine to track their kitty's responses. It can be dangerous to shoot blindly because of its ability to drop them like a stone. You need to find a dose that gives decent control of BG over as many hours after a shot as possible while still leaving a nice safety margin at the low point (nadir).

Do what you can. Do you know how to treat a hypo should the need arise? Do you have the supplies (high carb gravy style food, honey or corn syrup, lots of extra test strips for your BG meter)?

http://www.felinediabetes.com/FDMB/threads/how-to-treat-hypos-they-can-kill-print-this-out.15887/

Yah. Honey. And Canada. Idk why they put her on this.

 

[Kris & Teasel]

Yah. Honey. And Canada. Idk why they put her on this.

I'm in Canada too. Vets have more prescribing options here:

• Caninsulin - cheapest/can work well/faster acting, harsher in BG lowering effect/shorter duration
• ProZinc - pricey/slower, gentler onset/ 12 hours duration in most cats
• Lantus - about the same cost as ProZinc bit more concentrated so lasts longer/ works very well for most cats/human insulin that can be bought without a prescription at pharmacies in Ontario and Quebec (that I know of).

Vets will often prescribe what they're familiar with. They often treat more diabetic dogs than cats and Caninsulin is used in dogs.

Any other questions? Happy to help.

 

[Clark]

I'm in Canada too. Vets have more prescribing options here:

• Caninsulin - cheapest/can work well/faster acting, harsher in BG lowering effect/shorter duration
• ProZinc - pricey/slower, gentler onset/ 12 hours duration in most cats
• Lantus - about the same cost as ProZinc bit more concentrated so lasts longer/ works very well for most cats/human insulin that can be bought without a prescription at pharmacies in Ontario and Quebec (that I know of).

Vets will often prescribe what they're familiar with. They often treat more diabetic dogs than cats and Caninsulin is used in dogs.

Any other questions? Happy to help.

. Mine says caninsulin porcine zinc. That's still just caninsulin? Not pro zinc?

 

[Kris & Teasel]

. Mine says caninsulin porcine zinc. That's still just caninsulin? Not pro zinc?

It's Caninsulin - that's the "brand" name. Porcine zinc is the insulin ingredient. If it was ProZinc that vial would have cost about $125 CAD and would say "ProZinc" on the label, no mention of "Caninsulin".

 

[Clark]

It's Caninsulin - that's the "brand" name. Porcine zinc is the insulin ingredient. If it was ProZinc that vial would have cost about $125 CAD and would say "ProZinc" on the label, no mention of "Caninsulin".

I might ask for it. If it is easier to monitor. Im a PWD. 44. My cat is been with me through so much. Can't afford vet really. And seem to be able to grasp and manage it so far. She is healthy otherwise. Eats. Little play time. I just hate seeing her upset... But the ear is getting better. And if thier is a chance for remmision I will do what I have to.

 

[Kris & Teasel]

Im a PWD.44.

Please explain. I don't know what this means.

If it is easier to monitor.

I wouldn't say easier - more predictable maybe. You have to learn a lot about how a particular insulin works in your cat and every cat is different. Treating feline diabetes is, unfortunately, a lot harder than us taking Tylenol for a headache. It's never a case of get dose from vet, give dose twice a day, cat is fixed. It takes: 1. time 2. patience 3. a willingness to learn about your insulin and your cat's responses to it.

And seem to be able to grasp and manage it so far

That great! Are you willing to set up a spreadsheet like we use here? It'll be hard to help without one and I can guarantee you'll want advice at one point or another.

And if thier is a chance for remmision I will do what I have to.

Here's what this will take:

• lots of BG test data logged in our spreadsheet
• learning as much as you can about your particular insulin and your cat's responses to it
• learning how to adjust dosage based on BG data and knowledge of your cat (it's NOT "set and forget")
• time
• patience
• willingness to learn from the very experienced folks here.

Remission is possible, especially if you get serious about treating her as soon as possible. There's a ton to learn and it can be overwhelming.

 

[Clark]

Please explain. I don't know what this means.


I wouldn't say easier - more predictable maybe. You have to learn a lot about how a particular insulin works in your cat and every cat is different. Treating feline diabetes is, unfortunately, a lot harder than us taking Tylenol for a headache. It's never a case of get dose from vet, give dose twice a day, cat is fixed. It takes: 1. time 2. patience 3. a willingness to learn about your insulin and your cat's responses to it.


That great! Are you willing to set up a spreadsheet like we use here? It'll be hard to help without one and I can guarantee you'll want advice at one point or another.


Here's what this will take:

• lots of BG test data logged in our spreadsheet
• learning as much as you can about your particular insulin and your cat's responses to it
• learning how to adjust dosage based on BG data and knowledge of your cat (it's NOT "set and forget")
• time
• patience
• willingness to learn form the very experienced folks here.

Remission is possible, especially if you get serious about treating her as soon as possible. There's a ton to learn and it can be overwhelming.

Where is the spreadsheet? Can u use it on Android?

 

[Kris & Teasel]

Where is the spreadsheet? Can u use it on Android?

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

Have a look through the yellow info stickies on the various sub forums. There's a lot of information there so you can find answers without waiting for one of us to respond.

 

[Veronica & Babu-chiri]

Where is the spreadsheet? Can u use it on Android?

Yes you can set it up on Android , you will need to set up a google account if you don't have one but once you have it in your phone go to the link open the file, it will open it after that you can just save it with your own name into google drive

 

[Clark]

Yes you can set it up on Android , you will need to set up a google account if you don't have one but once you have it in your phone go to the link open the file, it will open it after that you can just save it with your own name into google drive

4.5 5 hours in seems to low for curve. 2 units. To much.