When should I up to 2 units?

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I wouldn't go up to 2U, but you could go up to 1.25 ....we don't recommend doing increases in whole units because even tiny changes can make big differences

You'll need U40 syringes that have half unit markings and then you have to just "eyeball" the .25 doses or you can switch to U100 syringes and use this conversion chart

You might want to start posting in the ProZinc Forum too.....you'll get the most experienced eyes watching out for you there. It's not as active sometimes, but you can also post here if you don't get a reply quickly. The insulin support groups are best for getting advice from people who are most experienced using the same insulin
 
Hi Jennifer! Just here to second Chris that 1.25 would be better. We recommend those smaller dose increases for sure.

Please feel free to come post on ProZinc anytime! We'd love to have you in our little group.

As Chris said, we aren't as active as Health or Lantus. We're most active in the morning and evenings, but there's usually someone around midday too...sometimes there isn't anyone on there, but you'll usually get a reply in a few hours at most if you post midday. Most of us over there make it a point to check in morning and evening. If you ever do have an emergency, though, we recommend immediately posting there and on Health to be sure you get plenty of eyes on it. :)
 
Woah! Okay, well the good news is that the 1st line on u100 needles is only 0.4 units of insulin. So it's not too much.

So you've got u100s with the orange cap? You'll need to use this Conversion Chart. Since you've been shooting 0.4 units instead of 1 unit, I'd recommend going up to 0.6 units (the 1.5 line on the u1oo needles).
 
Please do be 110% certain that you are using u100 needles though. You don't want to use the u40s with the conversion chart for sure!
 
Jennifer block said:
I have the orange cap. No wonder his numbers are not going any where. Will it hurt if i start tomorrow morning???
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Gotcha. Just wanted to be sure. It's so strange your vet gave u100s with a u40 insulin! It's definite ProZinc, not PZI right? It's happened a few times before where the vet gives the wrong needles...but definitely something to make sure your vet knows happened so they don't make that mistake again!

Nope, it'll be fine to start tomorrow morning! Most of us do dose increases during the day so we can monitor and have people around if things get low. :)
 
Jennifer block said:
Omg. Ive been shooting him with u-100 needles, to the 1st mark. What is that?
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It depends on the U100 syringes you have.....do they have half unit markings or only whole unit?

insulin syringe scale.PNG
 
I think what happened is the pharmacy, knowing novolin is a u-100 (novolin was what that crazy Psycho serial killer eyes doc prescribed to Mu-mu in the beginning), changed my script from u-40 to u-100. Then all chaos broke loose when the other doctors called. I thought i had u-40 this whole time!!!!! Im such a bad mom!!! Omg!!!
 
Jennifer block said:
It looks like the right.
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Your U100 syringes are larger in capacity than we normally use. Your hold 50 units and we generally use syringes that hold 30 units. The difference is that the lines might be a bit further apart on the 30 unit syringes and that can help with eyeballing doses between the marks.
 
Chris & China said:
OK....the very first line, closest to the needle, is always the "zero" line.....on the syringes you have, the first line after that would be 1U

The 50 unit syringes don't come with half unit markings....only the 3/10ml (30 unit max) do
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So 1 unit of prozinc on a u-100, is the first line?
 
Do you have a copy of the conversion chart printed out and sitting beside you? Reading back in the posts here, I see that a dose of 1.25 u was suggested for tomorrow. If you look at the conversion chart you can see that the allowed fractions with a U100 syringe are 0.2, o.4, 0.6 and 0.8. The closest you can get to 1.25 u is 1.2 u if you're using a U100 syringe. Notice on the chart to the right of 1.2u (U40) you see 3.0 in the column that tells you how much to draw up in the U100 syringe. That means on the syringes you have, you'll line up the insulin level with the third line AFTER the zero line. Make sense?
 
Kris & Teasel said:
Do you have a copy of the conversion chart printed out and sitting beside you? Reading back in the posts here, I see that a dose of 1.25 u was suggested for tomorrow. If you look at the conversion chart you can see that the allowed fractions with a U100 syringe are 0.2, o.4, 0.6 and 0.8. The closest you can get to 1.25 u is 1.2 u if you're using a U100 syringe. Notice on the chart to the right of 1.2u (U40) you see 3.0 in the column that tells you how much to draw up in the U100 syringe. That means on the syringes you have, you'll line up the insulin level with the third line AFTER the zero line. Make sense?
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Yes, it makes sense. And yes, prozinc using u100.
 
Jennifer block said:
Yes. Does this look right?
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No.....IF you've been using U100 syringes with ProZinc and have only been giving 1U, that's only .4 units of ProZinc

To increase to .6 units of ProZinc (the next available dose) you'd only go to 1.5 units on a U100 syringe...which you can't do too easily on syringes with whole unit markings, but it's doable. You'll just have to eyeball it

Going from 1U to 3U on the U100 syringes would be going from .4 of ProZinc to 1.2.....that's 3 times as much!!

@Kris & Teasel ....am I thinking right here?
 
Chris & China said:
No.....IF you've been using U100 syringes with ProZinc and have only been giving 1U, that's only .4 units of ProZinc

To increase to .6 units of ProZinc (the next available dose) you'd only go to 1.5 units on a U100 syringe...which you can't do too easily on syringes with whole unit markings, but it's doable. You'll just have to eyeball it

Going from 1U to 3U on the U100 syringes would be going from .4 of ProZinc to 1.2.....that's 3 times as much!!

@Kris & Teasel ....am I thinking right here?
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Yes, you are!! I was going by the 1.25 u dose recommended earlier and somehow forgot/missed that was before the discussion of the syringes. A dose of 0.6 u is still too low I think. Will suggest 0.8 u and hope CG sees it.
 
Jennifer block said:
Ok. Off to bed. Ill check in tomorrow. Thanks everyone!!!
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Hi Jennifer,

Change of plan: dose to the second line this AM - ie., 0.8 u.
You'd been giving only 0.4 u (to the first line after the zero). I think it would be better to go to the second line (o.8 u) next. I admit I got confused because there was a dose recommendation of 1.25 u that came before the discussion of the syringe type you were using. To be safer, try a smaller jump in dose instead. The usual starting dose for ProZinc is 1 u twice a day and you'd be under that by a little.

The BGs on your SS are high enough for a dose of 0.8 u. This whole situation, though, highlights the problems/confusion that arises when we aren't speaking in the same terms - syringe type, dose size, etc. :confused:
 
I did not see this until now. His dose time are 5:15am & pm. . I stayed home from work though to keep an eye on him. He seems fine.

Ill check his bg soon.
 
Jennifer block said:
I did not see this until now. His dose time are 5:15am & pm. . I stayed home from work though to keep an eye on him. He seems fine.

Ill check his bg soon.
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He'll likely be fine. Just being cautious. If you gave that 1.2 u dose could you put that on your SS? If people see 1.2 u they'll know you're using U100 syringes.
 
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