Quick question about dosing if anyone is here to answer

[Daddy Jack's Mommy (GA)]

I'm not sure if I'm comfortable giving Jack his 2.5U tonight. His AM BG was lower that it has been. I didn't dose him because he threw up before I left for work. I expected his BG to be elevated at PMPS, but it's lower than it has been. What should I do? When he was on insulin for his first go round with diabetes, he responded to a much lower dose. He fell out of remission after 2 years. And now it's a whole new ballgame with extremely high numbers. He needs dental work. My new vet wants his numbers lower before surgery. He has other issues - pancreatitis and possibly IBD.

 

[Sarah&Soph]

To me, it looks like it would be fine to give him the full dose, granted you can grab a few tests later tonight. His numbers are still very high and he hasn’t seen anything lower than mid 200s on that dose. However if you don’t feel comfortable you could always give a reduced shot, I just don’t think it would be good to skip with his numbers as high as they are

 

[Daddy Jack's Mommy (GA)]

To me, it looks like it would be fine to give him the full dose, granted you can grab a few tests later tonight. His numbers are still very high and he hasn’t seen anything lower than mid 200s on that dose. However if you don’t feel comfortable you could always give a reduced shot, I just don’t think it would be good to skip with his numbers as high as they are

I wouldn't drop the dose. And I'm not even sure if I should reduce it. Hmm...

 

[Hshray]

I wouldn't drop the dose. And I'm not even sure if I should reduce it. Hmm...

I would give him the full dose. It looks like he needs the insulin and his pm numbers are still high. Up until very recently I was scared to dose lower numbers than I was used to, but I’m seeing much better results now that I am.

Edit - to add that I do test quite frequently as I shoot lower and lower numbers.

 

[Daddy Jack's Mommy (GA)]

I would give him the full dose. It looks like he needs the insulin and his pm numbers are still high. Up until very recently I was scared to dose lower numbers than I was used to, but I’m seeing much better results now that I am.

Edit - to add that I do test quite frequently as I shoot lower and lower numbers.

I went with a lower dose --1.5U -- for two reasons. When he was on insulin before, his BG responded to a much lower dose and he went into remission in 3 months. He came out of remission recently, rather furiously and quickly. His teeth need work but there may have been other factors that elevated those numbers. (He never used to go that high.) What if those possible "other factors" are correcting themselves or getting better, and today's numbers reflected that? I was afraid to dose him too high. If I'm wrong about this, I'll find out. But I'd rather him be too high than too low.

And the other reason is because he didn't eat his usual HUGE amount of food tonight. He ate, but not as much. It may be because he's feeling better and not starving tonight. Or it could be because I'm battling with his desire to have enormous amounts of toppers on his food, to the point where he overeats and then vomits. (I think that's why he vomited this morning.)

I'll see what happens.

 

[Wendy&Neko]

What a cat did on insulin the first time can be quite different from the second time if they fall out of remission.

With eating less food, bad teeth/possible infection/inflammation and less insulin/high numbers, please make sure you are testing for ketones regularly.

 

[Daddy Jack's Mommy (GA)]

What a cat did on insulin the first time can be quite different from the second time if they fall out of remission.

With eating less food, bad teeth/possible infection/inflammation and less insulin/high numbers, please make sure you are testing for ketones regularly.

It's so different this time. His numbers are so much higher and he requires more insulin than he used to.
As far as eating and getting insulin is concerned - He's been eating great until tonight (and he finally did eat) and getting 2 doses a day until today.
I've been checking for ketones. He's good.
And hopefully, my (new) vet will agree to his dental procedure at the next appointment on June 30th. I really hope so.