1-21 Simon AMPS 287 PMPS 435 - should we change dose?

KarrieK

KarrieK

Member Since 2019
In scanning this board, it appears most of the questions address low number situations - but - ours is the opposite and I'm not sure if I should be adjusting Simon's dose. He's been at 2.5 for well over a week and his numbers remain pretty high (by comparison here). He's acting fine appetite and energy wise. I try to spot check him during the day if I am home but can't do it most days. Does anyone else have experience with a cat that was in high numbers for a stretch? Thank you.
 
Thank you for your reply. I have read those articles but I'm a little confused - Simon was started at 2 units after his weekend in the ER, and has remained high ever since so it doesn't seem appropriate to start over at .5 units. With my work schedule, I can only check him early morning pre-shot or late afternoon and then evening. He does have other health issues (involving medication) which may be affecting his response to insulin.
 
Thank you, I appreciate that. I can do a +4 in the evening (like now) but that's about it (unless I get up during the night.....which I often do). His numbers have been all over the place the past couple of weeks. I don't know what to think.
 
KarrieK said:
Thank you, I appreciate that. I can do a +4 in the evening (like now) but that's about it (unless I get up during the night.....which I often do). His numbers have been all over the place the past couple of weeks. I don't know what to think.
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It's a process. Blackie was all over the place too for several months. He's just now starting to see some good numbers. All cats are different. Hang in there, you'll get there .
 
Just a housekeeping note....each time you post, put the link to your previous post into your new one so people can quickly go back to see what's been going on. It would also be helpful if you could post more often. Most of us post once a day but if you can't do that due to life, try to post at least every few days.
Here's your previous post from Jan 9th

KarrieK said:
Simon was started at 2 units after his weekend in the ER, and has remained high ever since so it doesn't seem appropriate to start over at .5 units.
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We wouldn't suggest dropping back to .5 anyway....when you switch from Vetsulin to Lantus, we take into consideration the dose you were on before so you started right where you should have.

KarrieK said:
I'm not sure if I should be adjusting Simon's dose. He's been at 2.5 for well over a week and his numbers remain pretty high
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Yes, you can increase.....Don't hold a dose that's not getting the results you want for longer than 7 days. If (for example) he was dropping into high greens, we might suggest holding it a little longer, but he's staying too high for too long. If you stay with a dose that's not working it just allows glucose toxicity to set in. (where the body gets used to those high numbers even with insulin).

I'd go up to 2.75 (do your best to keep it consistent...in between the 2.5 and 3 unit marks)

Do be sure to always get at least a "before bed" test on the PM cycle. If it's possible, you might want to get a +2 and a +4 (if that's how late you're usually up). Most cats go lower at night so it's important data to get.
 
I would definitely try and grab some before bed/ overnight test whenever possible. My cat likes to random tank around +3 when I change a dose or his feeding schedule.
Look like on the 15th Simon's AMPS was in the 500s and then (131) for his PMPS- which on the SLGS dosing method is borderline 'no shot' zone. With BG values from even +3 or +4 you're able to see where his numbers went after dosing. I work two jobs, so I understand it's not always possible to grab so many test. All you can do is the best you can do.

It looks like his AMPS numbers have come down quite a bit , so I don't think he's staying too high which is great !!!
 
Thank you everyone. I think I am going to bump it up a little as Chris suggested, like to 2.75 (if I can manage that with these syringes) and see if that brings it down a tad. Between my job and taking care of another kitty that is seriously ill, it is really hard for me to get more frequent tests in. Then tomorrow I need to be at the hospital early with my husband so I don't even know how I'll be able to swing Simon's AM shot. I believe I read somewhere on this forum that it's ok to deviate an hour if necessary?
 
KarrieK said:
He does have other health issues (involving medication) which may be affecting his response to insulin.
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Can you tell us a bit about them? Maybe summarize in the signature.

As for changing dose times, it's OK to go an hour later, but it means the next shot will also be an hour later. You can work back by 1/2 hour once per day, or 15 minutes per shot.
 
Thanks Wendy, his other health issues are in the signature - he has CHF (takes daily meds for that) and stage 2 CKD. Also I appreciate your advice on altering the dosing schedule a bit. My husbands procedure was rescheduled for next week so I have time to plan. We may have to leave for the hospital 90 minutes before his normal dosing time, so I'd have to start a few days prior.

Yesterday I bumped him up to 3 units so I hope and pray his numbers start creeping down. Someone mentioned the possibility of glucose toxicity which really concerns me.
 
The term, "glucose toxicity," sounds lots worse than it is. It means that your cat's body has gotten used to higher numbers and treats them as the "new normal." You've been seeing more movement in the numbers. What is a bit unusual is that it looks like Simon's lowest numbers are at pre-shot times. If it continues to play out that way, you'll have to get used to having a kitty with a late nadir.
 
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