DOSING ADVICE FOR SHADOW

Remission is essentially a fully healed pancreas. We know the healing takes place in the green range on the spreadsheet, so the more time they can safely spend there, the better.

For reference - here is a cat in remission on Vetsulin/Caninsulin. https://docs.google.com/spreadsheet...Wpm6anpTlKn8LfeOnQpksaFUNZkuWIHgWWFCA/pubhtml

You can see he's mostly in the 50-120 range on his own, and we tapered the dose down to very fine amounts to give his pancreas insulin support and time to heal. It got to the point that even the smaller doses brought him too low, so the only choice was to try an OTJ (off the juice) trial or switch to an insulin like Lantus.
 
Elizabeth and Bertie said:
That's looking very nice indeed... :cat:


Claire, I 'think' you said in a previous post you said you'd ordered syringes from VetUK? Is that the case? And have you tried using them yet at all? It 'may' be that Shadow needs very small doses on an 'as needed' basis at the moment, if his numbers are high enough for a shot. And the syringes would enable you to draw up extremely small amounts. If you have them but haven't tried using them yet then it may be good practice to just draw some water into them to get a feeling for how they work, and for experimenting with measuring very small doses.
..The syringes should have half unit markings. But it's quite easy to draw up a 0.25, for example, by drawing water/insulin half way between the zero line and the 0.5 line. And it's also possible to draw up much smaller doses than that with just a little bit of practice.. Shadow 'may' not need the insulin, but it may also be that his pancreas still needs a little bit of support from time to time...
Click to expand...

Thats why he had half a unit a couple of nights ago, so far at 1pm, and 2pm he's holding steady at 6.5.

I've just been sorting out his food marking on packets one the carbs are, some of his food is 0 carb, so will purchase some more of that today.
 
Note for anyone lurking, there are parallel conversations on Facebook group and this forum, so there will be some missing pieces of the puzzle, will try to keep it straight here -

It appears Shadow's current food is a mix of low carb up to 8%, Claire is going to reduce that to up to 5%.

Claire - at this point hold the shoot/no shoot number as 10, and keep the 0.5U dose. Please note food change in Remarks column. After 3 days of the 5% and under let me know so we can reevaluate
 
FrostD said:
Note for anyone lurking, there are parallel conversations on Facebook group and this forum, so there will be some missing pieces of the puzzle, will try to keep it straight here -

It appears Shadow's current food is a mix of low carb up to 8%, Claire is going to reduce that to up to 5%.

Claire - at this point hold the shoot/no shoot number as 10, and keep the 0.5U dose. Please note food change in Remarks column. After 3 days of the 5% and under let me know so we can reevaluate
Click to expand...

I gave him a food at 3pm which is only 2.14 in carbs, half of it as recommended.

He will be fed a more at his 6.30pm evening feed.

Fingers crossed, no insulin tonight.
 
Hi Claire, can you just clarify regarding the syringes? Do you have these and are you using them? Or are you still just using the Vetpen?
If you are using the syringes that will make more options available to you when it comes to measuring/using small doses at lower pre-shot numbers.
 
Shadow seems to be doing really well, Claire. :cat:
Don't be concerned if he needs insulin on an 'as needed' basis at this point. That happens sometimes. Just think of it as giving the pancreas a bit of extra help while it's getting stronger.

Eliz
 
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