Help with Dosing please

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Buddy & Sue

Buddy & Sue

Member Since 2021
I'm starting to sound like a broken record, but I don't want to harm my kitty. He is consistently high at the AM PS and quite low mid cycle then in the blue at the PM PS. My vet says to give him his insulin if above 6. You guys say over 11. This is my concern, please tell me if this at all makes sense. If I don't give him his PM shot will the AM be even higher than it already is. That would be scary to me. Or is there be no correlation between the PM PS and the AM PS? I hope this make sense.

https://docs.google.com/spreadsheets/d/1N4l3sXT5Tgt6lYUaUT9GGlzjBsKNXZKQ7mOwxR93CLg/edit?usp=sharing
 
The first observation I can see when I look at Buddy's SS is there are no PM cycle tests being done. If you are following TR you need to be getting at least one test in during the pm cycle as a condition to do the TR.
The pm cycle is just as important as the am cycle as far as getting tests done and knowing what is happening during that cycle. Also cats often drop lower at night.
Getting a before bed test in will help you to know how he is going and if you need to be testing further during that cycle.

If you skip the PM dose, yes the am preshot will be higher because of no insulin in the last 12 hours.

Can you set up your signature please so we can see all about Buddy, link at bottom of this post.
https://www.felinediabetes.com/FDMB/threads/new-how-you-can-help-us-help-you.216696/

I am not a Prozinc user and I am not a fan of the Alphatrak meter. I find it much easier to interpret human numbers than Alphatrak meter numbers. I will tag @Deb & Wink to help with that.
If she doesn't come online to help before your next shot I would reduce the dose to 0.5 for this dose only as long as you will test during this cycle and have test strips and high carb food and honey if needed.
I would start with a +1 and a +2 and then we can see when to test next.

Also did Buddy have ketones when diagnosed?
 
Buddy's evening shot is at 11 pm. I could do one before bed at 2 am. Can you explain the TR and the SLGS. I saw it somewhere and now find it. I don't remember what each means. I thought I had my signature set up. I will try again. I will be switching to a human meter in a few days. I was using both to compare the #'s and they are quite a bit different than each other. Will I need to do any calculation once I change to the human meter or just record what I see? The Vet did not say anything about ketones
 
No calculation if you are using the human meter. You just need to change the SS a bit and record what you are using in your signature please. I willtag @Bandit's Mom to help you with the SS.

If you are using Prozinc I'm not sue you follow TR and SLGS. I will ask @Deb & Wink
 
Buddy Smith said:
Can you explain the TR and the SLGS.
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Those dosing methods are used more with Lantus, Basaglar or Levemir than with ProZinc but we have come out with something similar for ProZinc.

Here's explanations of the dosing method's with ProZinc

Buddy Smith said:
Buddy's evening shot is at 11 pm. I could do one before bed at 2 am
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Is there any chance you could change Buddy to an earlier shot time? That way you'd be able to get a test or two in on the PM cycle without losing any sleep. If you can get one at 2am though, that'd be great! Most cats go lower on the PM cycle, so it really is important to get at least 1 test after the PMPS test to make sure it's safe to sleep without worrying about whether he's going too low or not.

Think of your spreadsheet like it's a puzzle.....if the only pieces you have filled in are on the left side, it's impossible to know what's on the right side of the puzzle. You're missing half of the data on how he's responding and many times, those night numbers can explain some of the wonky day numbers.
 
Buddy Smith said:
I will be switching to a human meter in a few days. I was using both to compare the #'s and they are quite a bit different than each other. Will I need to do any calculation once I change to the human meter or just record what I see?
Click to expand...

Bron and Sheba (GA) said:
I willtag @Bandit's Mom to help you with the SS.
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Just message me whenever you make the switch to the human meter and I will modify your SS accordingly :-)
 
Hi! Just looked at your spreadsheet and see the imbalance. I also see he's gotten to pretty low greens during the day. I suggest you lower the dose to 0.75. This will keep him a little higher in the am cycle and hopefully give you a shootable number in the pm cycle.

Also try to get a before bed test... Even if it's as early as +3 just to make sure. I'm a little concerned he might be going too low overnight and bouncing higher for the morning.
 
Bandit's Mom said:
Just message me whenever you make the switch to the human meter and I will modify your SS accordingly :)
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Thank you. Right now I am using both meters so I can get used to the numbers. I will be switching to the One Touch Verio tomorrow as I won't have any more AlphaTrak strips. Will my existing spreadsheet be converted or will I be starting a brand new one? I would appreciate if you would modify this for me. It looks to me like the only difference are the 2 green ranges. Is that correct? My One Touch is showing lower numbers than the AlphaTrak. Is that where the difference lies? Thanks again.
 
Buddy Smith said:
Thank you. Right now I am using both meters so I can get used to the numbers. I will be switching to the One Touch Verio tomorrow as I won't have any more AlphaTrak strips. Will my existing spreadsheet be converted or will I be starting a brand new one? I would appreciate if you would modify this for me. It looks to me like the only difference are the 2 green ranges. Is that correct? My One Touch is showing lower numbers than the AlphaTrak. Is that where the difference lies? Thanks again.
Click to expand...

I've sent you a request for edit access. It should have come to your gmail - probably gone to the spam folder!

And yes to both your questions. The human meter reads lower and the values for green and lime are different. The rest are the same.
 
Bandit's Mom said:
I've sent you a request for edit access. It should have come to your gmail - probably gone to the spam folder!

And yes to both your questions. The human meter reads lower and the values for green and lime are different. The rest are the same.
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I don't see the request. Can you try again.
 
Thank you Bandit's Mom, what about the colour ranges. The one for the human is different than the pet one. The green ones anyway. How do I change the SS to reflect the new formula?
 
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Buddy Smith said:
Thank you, what about the colour ranges. The one for the human is different than the pet one. The green ones anyway.
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Yeah the only difference is your "time to act". On a pet meter, it's below 68....On a human meter it's below 50. Those are the levels where you'd want to intervene with some high carb food

When it comes to taking reductions, on the ProZinc dosing methods, he earns a reduction if he drops below 90 on either meter .....as you gain more data though, that 90 may come down
 
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