? Cont. lowering dose?

Status
Not open for further replies.
Emily C

Emily C

Member Since 2020
http://www.felinediabetes.com/FDMB/threads/bg-higher-now-on-ff-pate.229425/

I have linked the previous thread as per @Deb & Wink advice, hopefully I did it correctly! :)

My sugar kitty has been transitioning to FF pate from Glycobalance, and is totally off the Glycobalance. Now just trying to navigate the lowering of her insulin, Prozinc. She is currently at 3u, however she was very low at her +6 today, 48, I gave her some FF and then two hours later BG was back up to 94. However before her dinner tonight her BG was 88. She has eaten her usual 1.5 cans FF pate, and acting fine. I’m assuming I should skip her dose tonight? Or should I just go down to 2.75u? I was going to test her again now (about an hour after her last BG), but she grazed and just finished eating. Love to know your thoughts!
 
You have earned a reduction in dose.
Have you stalled and not fed.? I see you have fed, and as you have fed that will mean you would have to wait at least an hour afterwards before deciding what to do.
That 88 is too low to shoot for Prozinc unless it comes up quite a bit. May be best to skip.
I'm not experienced with Prozinc but hopefully @Deb & Wink will be along soon.
 
Bron and Sheba (GA) said:
You have earned a reduction in dose.
Have you stalled and not fed.? I see you have fed, and as you have fed that will mean you would have to wait at least an hour afterwards before deciding what to do.
That 88 is too low to shoot for Prozinc unless it comes up quite a bit. May be best to skip.
I'm not experienced with Prozinc but hopefully @Deb & Wink will be along soon.
Click to expand...

No I did not stall to fed, still learning all the ins and outs of this, but thank you for the tip. I will definitely test her again an hour after she finished eating. Luckily she is acting super normal during all of this!
 
A BG of 88 at pre-shot, with the little bit of test data you have?
That would be a big SKIP recommendation.
That is too low to give Ginger any insulin, without knowing how she may react.
Please get a "before bed" test this evening, with the skipped shot and that will help us see how low Ginger is tonight.
Could you do that please?

Taking a look at Ginger's SS again, and looking at the last few days since you eliminated the dry food.
That 3U dose looks too high. Even a 2.75U dose looks too high for her right now.

How about 1.5U dose of Prozinc for now? Until you see more how Ginger will do without the dry food.
So far, she has dropped VERY low once that you have caught.
She could have been lower last night too, after the 3U PM dose.

BUT that 1.5U dose recommendation is ONLY for tomorrow, 5/19 AMPS and is dependent on Ginger's pre-shot BG level being high enough to give her insulin.

NO insulin for tonight, 5/18/20. OK?

p.s. Cats can be MORE sensitive to insulin, after a very low number like Ginger got today. Better to lower the dose down more than the Prozinc dosing protocol guidelines suggest.
 
Just took another BG reading - 169 an hour after eating. I guess I’ll give her the 2.75u. I’ll wait a bit to see if anyone has
Deb & Wink said:
A BG of 88 at pre-shot, with the little bit of test data you have?
That would be a big SKIP recommendation.
That is too low to give Ginger any insulin, without knowing how she may react.
Please get a "before bed" test this evening, with the skipped shot and that will help us see how low Ginger is tonight.
Could you do that please?

Taking a look at Ginger's SS again, and looking at the last few days since you eliminated the dry food.
That 3U dose looks too high. Even a 2.75U dose looks too high for her right now.

How about 1.5U dose of Prozinc for now? Until you see more how Ginger will do without the dry food.
So far, she has dropped VERY low once that you have caught.
She could have been lower last night too, after the 3U PM dose.

BUT that 1.5U dose recommendation is ONLY for tomorrow, 5/19 AMPS and is dependent on Ginger's pre-shot BG level being high enough to give her insulin.

NO insulin for tonight, 5/18/20. OK?
Click to expand...

Phew! I had just tested her an hour after her last food and it was 169. I’m so glad I waited to hear from you - thank you!! I will skip tonight and start tomorrow am at 1.5u :bighug:
 
Deb & Wink said:
A BG of 88 at pre-shot, with the little bit of test data you have?
That would be a big SKIP recommendation.
That is too low to give Ginger any insulin, without knowing how she may react.
Please get a "before bed" test this evening, with the skipped shot and that will help us see how low Ginger is tonight.
Could you do that please?

Taking a look at Ginger's SS again, and looking at the last few days since you eliminated the dry food.
That 3U dose looks too high. Even a 2.75U dose looks too high for her right now.

How about 1.5U dose of Prozinc for now? Until you see more how Ginger will do without the dry food.
So far, she has dropped VERY low once that you have caught.
She

BUT that 1.5U dose recommendation is ONLY for tomorrow, 5/19 AMPS and is dependent on Ginger's pre-shot BG
Click to expand...
Deb & Wink said:
insulin
Click to expand...

What is a BG pre shot number that would be high enough to give insulin?
 
Emily C said:
What is a BG pre shot number that would be high enough to give insulin?
Click to expand...
For Ginger, with the amount of test data that you have?
A BG pre-shot of around 150 is a normal BG to give insulin, when you don't have much test data.
You don't have much nighttime test data, and many cats drop lower at night.

I suggested you drop the dose quite a bit, and I see you have done that.

Ginger is bouncing right now, partially because of the skipped shot, but also because of the low 88 at last night's (5/18/20) pre-shot AND because of the really low 48 at yesterday's AMPS.

You have to be patient and wait out the bounces, as they can take anywhere from 3-6 cycles to clear.

Keep us posted on how Ginger is doing, please.
 
Deb & Wink said:
For Ginger, with the amount of test data that you have?
A BG pre-shot of around 150 is a normal BG to give insulin, when you don't have much test data.
You don't have much nighttime test data, and many cats drop lower at night.

I suggested you drop the dose quite a bit, and I see you have done that.

Ginger is bouncing right now, partially because of the skipped shot, but also because of the low 88 at last night's (5/18/20) pre-shot AND because of the really low 48 at yesterday's AMPS.

You have to be patient and wait out the bounces, as they can take anywhere from 3-6 cycles to clear.

Keep us posted on how Ginger is doing, please.
Click to expand...

Thank you @Deb & Wink
I’m glad to hear that these higher than normal numbers are probably bounces, her +2 just now was 322. I’ll just watch and see. Luckily she is acting and eating fine, however her drinking and peeing have increased. And I’m sorry I don’t have more night testings, I have an autoimmune disorder and if I don’t get to bed early I’m a mess the next day.
I’ll keep with the 1.5u and hopefully the bounces will balance out. Thank you!
 
Last edited:
Emily C said:
Thank you @Deb & Wink
I’m glad to hear that these higher than normal numbers are probably bounces, her +2 just now was 322. I’ll just watch and see. Luckily she is acting and eating fine, however her drinking and peeing have increased. And I’m sorry I don’t have more night testings, I have an autoimmune disorder and if I don’t get to bed early I’m a mess the next day.
I’ll keep with the 1.5u and hopefully the bounces will balance out. Thank you!
Click to expand...

AMPS was 394. She isn’t very interested in her food and she is just keeping quiet. I gave her the 1.5u but worried she may need some more?
And I woke up in the night worried and took her BG, +6 (1:30am) was 322. She hadn’t finished her food or her treat at that time either.
Does she need an increase in her dose? Or still bouncing? I haven’t had her have a low BG but I realized that doesn’t mean that she isn’t.
 
I’m worried about Ginger - her +6 was 189 which is better but she has been hiding under our bed all day, and barely eating anything. I got her to slink out to get her BG and she ate a little bit more of her breakfast (maybe ate close to a full FF can now today) but she just slinked back to her hiding spot. :(
 
jt and trouble (GA) said:
I know. It is confusing. I'm wondering if you've tested again. I'm thinking its going to be a high number.
Maybe we should get more eyes on this . Ive never used prozinc. Have you posted this on the Prozinc board?
Click to expand...

Yes I tested her PMPS which was 283.
I have posted on the Prozinc board before but I was told to post over here (I thought) to get more eyes on it. But I will try and post over there as well - thanks!
 
Emily C said:
The full dose - you mean the 1.5u? That is what I gave this pm.
+2 tonight was just 367. She had only eaten about a fourth of a can for dinner, she’s eating a bit more now.
Click to expand...
Yes, I meant the 1.5U.

Or by my saying the full dose, whatever the current normal insulin dose is.
The dose is not always going to stay the same.
So you adjust your thinking in terms of what the current dose is.
So if you need to give a reduced dose, because the BG pre-shots are a bit low, you know how to calculate that reduced dose based on the current dose.

See the Prozinc SLGS protocol for more info.
 
Status
Not open for further replies.
Back
Top