I am not a Prozinc user and there is not anyone around at the moment that I know of who can help you.
However, looking at the SS I see you have missed two shots of insulin.
Have you skipped this pm cycle? I would skip this pm dose.
When the BG is high enough to shoot, I would reduce the dose down to 0.25 units, to see if you can shoot both am and pm shots. Do not give insulin if the BG is under 200.
Does Otto have a history of ketones or DKA?
If you are having to skip many shots I would like you to test for ketones in the urine.
You can buy a bottle of Ketostix at a pharmacy and then collect a urine sample form Otto and dip the test strip into the urine and chalk it against the colours on the side of the bottle. Anything above a trace needs vet attention.
Thanks for the reply. In the end I have measured again and from 172 to 10PM to down to 151 12PM. I have skipped injection. What is the reason for skipping injection if it is less than 200? And negative ketones, I control them with the strips from the beginning diagnosis. What makes you think you have ketones?
When your cat is new to insulin, it is recommended that you don't give any insulin if the BG is under 200 for safety. I see you have given the insulin when the BG was 190 and 195 so for now don't give the insulin if the BG is under 190.
That is good you are monitoring for ketones.
I don't thing he has ketones......but when you skip doses of insulin, there is a possibility that ketones can form if the cat has a history of ketones. That is why it is good to test for them.
Is Otto eating well?
[QUOTE = "Bron and Sheba (GA), post: 2515150, miembro: 12152"] Cuando su gato es nuevo en la insulina, se recomienda que no le dé insulina si la glucemia es menor de 200 por seguridad. Veo que te has dado la insulina cuando la glucemia era 190 y 195, así que por ahora no te la des insulina si la glucemia es inferior a 190.
Es bueno que esté monitoreando las cetonas.
No creo que tenga cetonas ... pero cuando omite las dosis de insulina, existe la posibilidad de que se formen cetonas si el gato tiene antecedentes de cetonas. Por eso es bueno probarlos.
¿Otto está comiendo bien? [/ CITA]
Le di insulina cuando vio que el día anterior al 175 subió mucho más tarde. Ok, no administro por debajo de 190. ¿Puede decirme la dosis con la que debo continuar si es mayor de 200? Y Otto nunca parecía tener diabetes, me alegro de beber mucha agua y siempre tener hambre. Ahora, desde que fui a la comida húmeda, la sed es normal, que tiene mucha hambre. Es muy activo y juguetón
I gave him insulin when he saw that the day before 175 he went up much later. Ok I do not administer below 190. Can you tell me the dose with which I should continue if it is greater than 200? And Otto never seemed to have diabetes, I'm glad to drink a lot of water and always be hungry. Now since I went to wet food thirst is normal, which is very hungry. He is very active and playful
Yes for now she's using that scheduleI think from what you said that her normal test times would be 11 AM and 11 PM her time there in Spain?
Yes she got a ton of stripsMayka also purchased a new meter. Saw that on her spreadsheet in the Remarks column.
Does she have plenty of test strips?
She's retired so she has tomorrow free (and most of the time she can adapt her schedule for her other responsibilities mostly helping her mother to Otto's needs) and she can monitor tonight if necessaryWhat is her work schedule like? Other life responsibilities?
Yes she has a hypo kit with high carb food and honey at handDoes she have a "Hypo Kit" ready in case Otto drops into low numbers? If not, skip the shot for tonight. Anything under 90 for now may need some intervention with food.
She has been practicing a bit about that and I'm not sure about measuring very precise doses but at least the 0.1 that would be just above the 0 line she mentions she is confident she can measure themWe need to teach Mayka drop dosing. Have her keep a used syringe and we can teach her how to do that.
I agree that would have to waitThere is a way to use U100 syringes with a U40 insulin but it gets complicated and can lead to confusion and overdosing and hypoglycemia for Otto. I think it's too soon to try that.
She has just got the result and is 163Ok. Waiting for next BG test at the PMPS testing time. Expecting that any time now.
Sounds like a good plan to me.She skipped the insulin and is feeding him right now she's going to test him at +1 and at +2 to try and see how his body is reacting to the food
Do you know what the carb content is of the food Otto is getting?
If she can get some higher carb canned food around 8% to 10% and feeds that instead of the 1.8% carbs, that may be enough for the BG to rise high enough to give some insulin, because at the moment, he really still needs some insulin. She would need to just feed the 8% to 10% only during the cycles and not the 1.8% if she tried that to see if it helps.Makya tells me 1.8%
Good plan. Let's go with it....I don't think he will go much higher with the food his getting so I'm expecting him to be pretty much the same tomorrow morning, which probably will mean Mayka won't be able to shoot in the morning either, still she will test AMPS and let us know so the plan is if he's still too low to shoot monitor him after eating like today and if by any chance he's high enough then maybe just give 0.1 (quite unlikely this will happen with out diet change) what do think about this plan?
Hey, I'm retired. Turned from a night owl staying up late to a morning person several years ago.Deb I'll be up very early tomorrow morning and check up on her so don't worry too much if you can't be up very early ( my usual waking hour is 5:30 to prep for work anyway)
No she doesn't but will look into them tomorrow morning so maybe she can start feeding them tomorrow afternoon, for the moment the test results after feeding ( no insulin) are +1 140, +2 145
I don't think he will go much higher with the food his getting so I'm expecting him to be pretty much the same tomorrow morning, which probably will mean Mayka won't be able to shoot in the morning either, still she will test AMPS and let us know so the plan is if he's still too low to shoot monitor him after eating like today and if by any chance he's high enough then maybe just give 0.1 (quite unlikely this will happen with out diet change) what do think about this plan?)
Good Morning Mayka. I hope you got some restful sleep last night.
I saw that you were signed on for a short time this morning, but it looks like you are logged off right now.
Buenos dias Mayka. Espero que hayas dormido bien anoche.
Vi que ha iniciado sesión por un corto tiempo esta mañana, pero parece que ahora está desconectado.