? No shot this morning

Yes, that rise is okay. It's a normal reaction to being lower than normal - her body just released a bunch of glucose and it takes a little while to clear it out of her system. Second, Prozinc lasts 10-14 hours in a typical cat, so steep rises in those last hours are pretty common as they run out of insulin. As she gets better regulated, the insulin lasts longer and you'll get more overlap.
 
Thank you @Djamila
Now I've seen his bloods go up tonight I'm happy to stay with the 1u for tonight and test +2 before bed.
My worry was just if he was still in the 10.0 to 11.0 range I didn't want to give him anything to high and risk him dropping too low while I'm asleep. (Its playing up my anxiety a little)
But I'm definitely good with the 1u tonight.
Tomorrow if he's still in the yellows I will do the 1u again. Bit think if he is close to preshot this morning I'd be happier with the 0.75 just for piece of mind while I'm at work.
Hubby is on nights to night so can keep an eye on him from mid day tomorrow.
 
Becki and sox said:
Thank you @Djamila
Now I've seen his bloods go up tonight I'm happy to stay with the 1u for tonight and test +2 before bed.
My worry was just if he was still in the 10.0 to 11.0 range I didn't want to give him anything to high and risk him dropping too low while I'm asleep. (Its playing up my anxiety a little)
But I'm definitely good with the 1u tonight.
Tomorrow if he's still in the yellows I will do the 1u again. Bit think if he is close to preshot this morning I'd be happier with the 0.75 just for piece of mind while I'm at work.
Hubby is on nights to night so can keep an eye on him from mid day tomorrow.
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FWIW, absolutely what I would do, Becki. Djamila makes some excellent points about dosing and we all want to see our kitties improve as soon as possible. I think it's just that unexpectedly low numbers fairly early on can be a tad scary until we have dealt with them and know it's going to be ok. 10.6 wasn't "low" as such but borderline for shooting given your previous data and as it happened, all was well. So today has been a useful exercise. Giving 1u tonight at 10-11 was going to cause you anxiety, understandably, but as it happens Sox has gone up to a level that you're more relaxed shooting, so in that way you've ended the day ok. Another time you may feel braver about shooting lower numbers. As Djamila says, you'll develop your own mama sense of what is right for Sox.
 
Diana&Tom said:
10.6 wasn't "low" as such but borderline for shooting
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Yeah I understand and I think now I've given 1u at that reading I'm feel ok giving 0.75 if I get that reading in the future.

Diana&Tom said:
can be a tad scary until we have dealt with them and know it's going to be ok.
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That's true it is scary cause I think knowing if you dose to high you can make kitty poorly by doing so. Don't want to push him into those 2.0

Diana&Tom said:
you'll develop your own mama sense of what is right for Sox.
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I'm hoping so... It will just take some time I think.
 
Morning guys @Rachel, @Kris & Teasel, @Djamila, @Diana&Tom. So after my intended switch up of dose yesterday which I did not go ahead with in the end due to Sox giving us a nice low pre shot number and nice lows during the day we are still on the 1u dose.
Been as though I am also back to work today I can't up the dose again now till the weekend. Do we think we're ok to stick with the 1u to see how we go after yesterday's numbers?
 
Hi Becki - the others you've tagged are better with dosing advice than I am (I tend to post about more general stuff) but as I'm the only one in the UK and therefore the only one seeing this for the moment, I will offer my two penn'orth which is yes, stick with 1u for today at least. You've probably done that now anyway. He should certainly be fine with that on a PS of 18 so you won't need to feel too anxious while you're at work. Try that today anyway and see what reading you get later - by then the others will have seen your post and the bg reading, and can advise on a PM shot.

I know it's a dilemma, and maybe you're getting conflicting opinions, but you're well on the learning curve and taking it all on board and the main thing is that Sox is getting insulin on a regular basis. I'd say, for dosing, err on the side of caution if you're going to be out for several hours, and be brave and try a slightly higher dose when you're home to monitor. It's all trial and error, there are no right or wrong answers. It does take a while to get where you want to be, but that's ok!
 
Becki and sox said:
Morning guys @Rachel, @Kris & Teasel, @Djamila, @Diana&Tom. So after my intended switch up of dose yesterday which I did not go ahead with in the end due to Sox giving us a nice low pre shot number and nice lows during the day we are still on the 1u dose.
Been as though I am also back to work today I can't up the dose again now till the weekend. Do we think we're ok to stick with the 1u to see how we go after yesterday's numbers?
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I think 1 u is fine for now. If you get home from work a few hours before it's evening test/feed time it's worth getting a BG number then to add to your SS. It fills in the picture over time. Couple that with a before bed test and you have a little more data for work days. :)
 
Diana&Tom said:
you're well on the learning curve and taking it all on board and the main thing is that Sox is getting insulin on a regular basis.
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Yes that's what I was thinking at least he is getting the insulin now so even the 1u he is getting is helping.
Diana&Tom said:
It's all trial and error, there are no right or wrong answers. It does take a while to get where you want to be, but that's ok!
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It is it's a learning curve and untill we know how Sox reacts we won't know the amount he needs or doesn't need.

Kris & Teasel said:
If you get home from work a few hours before it's evening test/feed time it's worth getting a BG number then to add to your SS. It fills in the picture over time.
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My husband will be taking a +6 reading as he will be at home for that one so least we will get a mid cycle test.

I've forwarded the spread sheet on to my vets and she's very happy with the amonth of data I've got ( I am a little over the top lol)
But she also seems happy with the 1u at the moment and agreed that the 1.5u brought him to low on the 1st day.
She's told me to stick with 1u for another week and update her with this week's data next week.
 
Well at least for this morning, while there may be different philosophies, we are all in agreement on the dose. I think 1u was a good decision today. Sox got a really nice cycle on 1u yesterday, and what you're seeing now (the higher numbers) are most likely a fairly normal response to those greens - staying higher and flatter for a few cycles. The other option is that yesterday was an anomaly and he'll stay high and flat. If it's the first option, then in a day or so we should see another good cycle. If it's the second option then in a day or so you'll need to increase. But either way, sticking with the dose and taking a wait-and-see approach is the best thing to do at this point.
 
Djamila said:
what you're seeing now (the higher numbers) are most likely a fairly normal response to those greens
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I was wondering if that could be a possibility today if he may be slightly higher because of yesterday's lows.

Djamila said:
But either way, sticking with the dose and taking a wait-and-see approach is the best thing to do at this point.
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Yes I agree... The vet is happy that I try this again for another week then reassess the dose after we see how this week goes.

She's also booked me in for December the 3rd for a fructosemine test and to check his weight.
 
Was just checking in to see how you and Sox are fairing and delighted to see that beautiful cycle yesterday. Those bounces can be frustrating but they are just part of the sugar dance. You are doing a great job Becki! :D
 
@MrWorfMen's Mom yes we had a good day yesterday just surprised how low his pre shot was though compared to the few days before. I'm hoping giving him more time on the 1u dose he may get good cycles on this once his body get used to the lows time will tell.
MrWorfMen's Mom said:
You are doing a great job Becki!
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Thank you. I feel a lot more comfortable at the moment giving him the 1u now I know how he reacts. :)
 
Okie dokie. You wouldn't think it would be so scary would you.
Would you do an alarm for +5 or +6? Which time is the best for giving results or they both about the same?
 
Either one is going to let you know what Sox is up to and both are around the time he usually starts getting close to or at his lowest BG of the cycle so pick whichever one is the least disruptive for your sleep.
 
@MrWorfMen's Mom ok thank you. thought we were settling into a pattern the other day but docks just likes to be cheeky and keep me on my toes.
Just out of interest do bloods drop differently in the night compared to how they drop in the day? Or they both drop around the same?
 
It really depends on the cat. Looking at Sox SS, and from the testing you've done on night cycles he doesn't look like he's not prone to going low at night. It's still early days though and this is the lowest PMPS you've given the 1u. It gets so much easier after a few weeks of testing because you can then see patterns that make it easier to 2nd guess their reactions.
 
Yeah that's what I was thinking with the patterns I did start to see a pattern with the night times when his PMPS were higher.
Sox just sits there so chilled not knowing the stress he causes his mommy :D
 

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Just tested before bed and he's 11.5. fed his night snack. Think we will be ok to not wake up in the night or would it be useful to get a +6 hour test just for future knowledge?
 
Becki that really depends on the cat and caregiver ability to monitor. If you could monitor Sox after shooting it would be Ok to give a dose (possibly a bit reduced) at that AMPS. When you can't monitor, best to err on the side of caution and skip. Sox is doing great thanks to the wonderful care he's getting! :joyful:
 
I think shooting on those low numbers also has to do with how long the cat has been diabetic. With longer term kitties, you can shoot on lower and lower numbers. But with a newly diagnosed kitty like Sox, a little caution on a low number is a good idea.

If that happens again, and if your schedule allows it, try stalling for 20-30 minutes without feeding, and test again. If the number is rising, you can consider giving a small dose. You can stall up to an hour (if your schedule allows). This technique can help you avoid skipping a shot, and also help you figure out how long the insulin is lasting. The closer a cat gets to being well regulated, the more overlap you'll get from one shot to the next.
 
Djamila said:
You can stall up to an hour (if your schedule allows).
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Yeah that's the only problem I have is that I haven't got much time that I can allow for stalling in the morning due to the times I have to leave for work.
Weekends arnt a problem with me been off it's just week days are my awkward times... Unless my partner is off. :(:confused:
 
It is hard to manage all of this with a work schedule. It is nice to see her getting these lower PS numbers! I hope she has lots more of them to come!
 
It is yes. But I'm sure it will all work it's self out.
My partner has just tested him now he's home from work.
Sox is back in the yellow but thinking that's not to bad with been how he was in the blues this morning.
Djamila said:
I hope she has lots more of them to come!
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I hope so too.
 
You're doing great Becki :)

I hope Sox gives you interesting cycles when you have days off or days when you can monitor. I was EXTREMELY scared at first when Ming would give me crazy low numbers when I switched insulins. But now, I treat these instances as opportunities to gather data :) It gives me more confidence and helps me make sense of Ming's numbers for future reference.
 
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