Learning to dose (Caninsulin)

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Delores7

Delores7

Member Since 2017
AMPS 21.1 - 1U
I know he hasnt been on this dose long at all, but it seems high for AMPS

* I should have done the SS 1st cos I see that it IS lower than the other AMPS except when he was on the other dose and had the lows. As I now read Caseys SS I believe I am starting to understand the 'curve' more. his bg seems to go up at night then drops after his shot w/food.... then rises again near PMPS .
 
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Yes, always check your SS, Delores. BTW - you have two BGs entered on the US spreadsheet but in Canadian numbers so they show as lime green. You'll have to delete, convert and colour code by hand again like yesterday.

I really like that blue last night. The ideal curve for an insulin like Caninsulin is in the shape of a smile with the corners of the smile at the AM/PMPS. However, because of Caninsulin's fairly aggressive effect on BG, the curve can be deep - ie., the mid cycle numbers are more than 50% lower than the PS numbers. We always look at the mid cycles numbers to assess a dose. You want those numbers lower but not too low. The dose should get BG down but leave a little "breathing room" at nadir in case kitty decides to drop even lower on a particular cycle. That can tend to happen overnight in many kitties.
 
Kris & Teasel said:
Yes, always check your SS, Delores. BTW - you have two BGs entered on the US spreadsheet but in Canadian numbers so they show as lime green. You'll have to delete, convert and colour code by hand again like yesterday.

I really like that blue last night. The ideal curve for an insulin like Caninsulin is in the shape of a smile with the corners of the smile at the AM/PMPS. However, because of Caninsulin's fairly aggressive effect on BG, the curve can be deep - ie., the mid cycle numbers are more than 50% lower than the PS numbers. We always look at the mid cycles numbers to assess a dose. You want those numbers lower but not too low. The dose should get BG down but leave a little "breathing room" at nadir in case kitty decides to drop even lower on a particular cycle. That can tend to happen overnight in many kitties.
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ok ty kris....the curve and dosing relationship is starting to coalesce in my benumbered brain. Its so sad some vets leave u with the idea that home testing isnt that important when it obviously IS. I thot like I am sure many others might have that you give the insulin and everything is back to normal just like that.I am really seeing why it is called the 'sugar dance'

I tested at +5 -7.7..... so I gave him a tbsp of cooked chicken breast and will recheck at +6.
 
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I am thinking Caseys SS is looking good?? So the blue numbers are what we literally shoot for?
 
Delores7 said:
I am thinking Caseys SS is looking good?? So the blue numbers are what we literally shoot for?
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Casey's SS is looking great! Those low blues are what you want right now. Later on, you'll aim for dark green at nadir but you have to sneak up on that ever so carefully so you don't create too low a dive in the middle of the Caninsulin cycle.

Amazing how much you learn by testing, Delores. I think people who never test and never have a hypo (that they know about!) are darn lucky! I wonder what your vet would say about your kitty's numbers on 1 u twice a day??? :D
 
Kris & Teasel said:
Casey's SS is looking great! Those low blues are what you want right now. Later on, you'll aim for dark green at nadir but you have to sneak up on that ever so carefully so you don't create too low a dive in the middle of the Caninsulin cycle.

Amazing how much you learn by testing, Delores. I think people who never test and never have a hypo (that they know about!) are darn lucky! I wonder what your vet would say about your kitty's numbers on 1 u twice a day??? :D
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well next time he goes for a check up u can be dang sure I will take his SS with me !!!:bookworm::D:cat:
 
Quick peek at your SS, Delores: when you shoot the full dose on a significantly lower PS, always plan to test at +2 to see where he's headed.
 
Kris & Teasel said:
Quick peek at your SS, Delores: when you shoot the full dose on a significantly lower PS, always plan to test at +2 to see where he's headed.
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Thx Kris... I couldnt be home at pmps +2 to test him but I just tested at +3 and its gone up to 17.1....is this a good thing? still feeling kind of lost in these numbers. Also should his major dandruffy coat be clearing soon? His fur is much softer but he still has alot of flakes:confused:THNX!
 
Delores7 said:
Thx Kris... I couldnt be home at pmps +2 to test him but I just tested at +3 and its gone up to 17.1....is this a good thing? still feeling kind of lost in these numbers. Also should his major dandruffy coat be clearing soon? His fur is much softer but he still has alot of flakes:confused:THNX!
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I use a slicker brush to loosen the dry skin, then a tight toothed flea comb is good at catching the flakes. Bad dandruff was one of the symptoms that prompted our initial vet visit.
 
Delores7 said:
Thx Kris... I couldnt be home at pmps +2 to test him but I just tested at +3 and its gone up to 17.1....is this a good thing? still feeling kind of lost in these numbers. Also should his major dandruffy coat be clearing soon? His fur is much softer but he still has alot of flakes:confused:THNX!
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That's a bounce number at +3. Not to worry. Yes, his coat should improve as his BG is regulated.
 
JanetNJ said:
I use a slicker brush to loosen the dry skin, then a tight toothed flea comb is good at catching the flakes. Bad dandruff was one of the symptoms that prompted our initial vet visit.
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yes in retrospect I believe he has been pre diabetic for a while cos I had noticed bad dandruff that came and went a few years ago...I thot it was 'winter' dryness with winter and low humidity in the house... and it would go awayin the spring:(
 
Delores7 said:
yes in retrospect I believe he has been pre diabetic for a while cos I had noticed bad dandruff that came and went a few years ago...I thot it was 'winter' dryness with winter and low humidity in the house... and it would go awayin the spring:(
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It could be from other causes too, Delores. Teasel's brother isn't a diabetic but often had dandruff. At Teasel's FD diagnosis I removed all dry food from all three of my cats' diet and Woody's dandruff problem disappeared over time.
 
I couldnt test thru out , the day his pmps-22.9... +3 - 14.9..... is this number jump normal?Do the bg numbers always jump around alot at 1st?
 
Delores7 said:
I couldnt test thru out , the day his pmps-22.9... +3 - 14.9..... is this number jump normal?Do the bg numbers always jump around alot at 1st?
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Yes, these are bounce numbers and are quite normal. I'd keep that 1 u dose for another day to get more data. If he stays about the same, post here for advice. It's likely that he'll be ready for 1.25 u soon.
 
pmps 22.9 1.25.....+3 - 21.1
not much dif in 3 hours after his shot...is this unusual?thanks
 
Not to worry! Still in data gathering mode. He might have dropped a bit lower overnight and that's why the red this AM. Keep this dose today and tomorrow and then we can assess and decide whether or not a little bump up to 1.5 u is needed. This is how we figure out the good dose, Delores. Also know, that the good dose is a moving target and thats why we're such fans of testing and logging data. I think you can see now why starting at a high dose or jumping up in increments that are too large can get you into trouble. :);)
 
thx guys!...I have been looking at other pples SS and see what u mean about a 'moving target'! I can def understand now about the home testing and starting low and slowly building if necessary and keeping SS.Those SS are SO much better than simply writing it down in a notebook!!:bookworm::cat:
 
Oh! Almost forgot to mention that yesterday afternoon Casey actually RAN thru the kitchen!He also has started sleeping back up on the cat tree platform and doing what I call the 'Roly Poly' where I tell him he is cute and he roles back and forth wanting his tummy scratched...his coat is looking beautiful again also and not much dandruff left!I am SO happy he is feeling good for a change.:D
 
Delores7 said:
Oh! Almost forgot to mention that yesterday afternoon Casey actually RAN thru the kitchen!He also has started sleeping back up on the cat tree platform and doing what I call the 'Roly Poly' where I tell him he is cute and he roles back and forth wanting his tummy scratched...his coat is looking beautiful again also and not much dandruff left!I am SO happy he is feeling good for a change.:D
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Great news!! :smuggrin:
 
Delores7 said:
Oh! Almost forgot to mention that yesterday afternoon Casey actually RAN thru the kitchen!He also has started sleeping back up on the cat tree platform and doing what I call the 'Roly Poly' where I tell him he is cute and he roles back and forth wanting his tummy scratched...his coat is looking beautiful again also and not much dandruff left!I am SO happy he is feeling good for a change.:D
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You are going a great job.
 
Delores7 said:
Oh! Almost forgot to mention that yesterday afternoon Casey actually RAN thru the kitchen!He also has started sleeping back up on the cat tree platform and doing what I call the 'Roly Poly' where I tell him he is cute and he roles back and forth wanting his tummy scratched...his coat is looking beautiful again also and not much dandruff left!I am SO happy he is feeling good for a change.:D
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So good to hear! :cat:
 
Delores7 said:
do you all think I should keep Casey on 1.25?
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I know you're trying to conserve test strips for the next while but it's hard to assess a dose without midcycle numbers. If you can spare a couple of test strips you can try 1.5 u soon. Get a mid cycle test though.
 
Kris & Teasel said:
I know you're trying to conserve test strips for the next while but it's hard to assess a dose without midcycle numbers. If you can spare a couple of test strips you can try 1.5 u soon. Get a mid cycle test though.
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ok I ill do that kris ty
 
amps - 10.6....1.25u....+4 - 14.7

what could make such a big dif from caseys usually in the 20's amps?? Is this a desirable amps?o_O
 
Delores7 said:
amps - 10.6....1.25u....+4 - 14.7

what could make such a big dif from caseys usually in the 20's amps?? Is this a desirable amps?o_O
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This tells us what the dose is capable of - ie., an AMPS in the blues. He might have had a little more duration from this dose. The other high numbers are probably mostly bounce numbers. That's why having only PSs make it very hard to assess a dose. Keep the 1.25 u for now.
 
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Kris & Teasel said:
This tells us what the dose is capable of - ie., an AMPS in the blues. He moght have had a little more duration from this dose. The other high numbers are probably mostly bounce numbers. That's why having only PSs make it very hard to assess a dose. Keep the 1.25 u for now.
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ok ty for clarifying that Kris...could u pls check out his latest SS... I am thinking its 'good' thx again!
 
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