? Dose Reduction

[FelixMomRachael]

Felix is slowly getting lower. Today was 94. When should I reduce his dose. I cannot be home today until +10 and the auto feeder is set for +5 & +9 small meals. Thank you.

 

[FrostD]

Per Vetsulin dosing guidelines, you've actually missed two reductions. With Vetsulin any time you get a number under 90, reduce by 0.25U.

The dose moving forward (starting with tonight's shot) should be 2.75U, provided the shots are safe to give based on test data. I wouldn't drop to 2.5U given the history of DKA. But if you get another number under 90 reduce again.

I personally would not have shot a full dose with a PS of 94 and not being home. I'd have stalled without feeding to see if his numbers came up...and depending on how much they came up then decide on a full, reduced, token, or skipped shot.

Vetsulin onset is often around +2, so the feeder at +5 may be too late if he drops fast and early. There's absolutely no way you can check, or have someone check on him?

 

[FrostD]

If tonight's preshot is under 200, stall without feeding and post here for help.

 

[FelixMomRachael]

I fed but didn't give the shot yet. I'll give 2.75 and I don't have anyone to test him until I get home @ +9.

 

[FrostD]

I would suggest a token dose in this case, so 0.25-0.5 U. Better safe than sorry!

 

[FelixMomRachael]

Thank you and I set the auto feeder to +2.

 

[Critter Mom]

Vetsulin onset is often around +2,

Vetsulin onset is earlier, usually around +1 and sometimes even before that (especially if the cat is in a good range already and/or if the dose is on the high side for the cat).


Mogs
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[Critter Mom]

I would suggest a token dose in this case, so 0.25-0.5 U. Better safe than sorry!

Agree with this, and would lean more towards the 0.25IU dose with some higher carb food left out if the kitty can't be monitored.


Mogs
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