Should I change dosage ?!

Dinah S

Dinah S

Member Since 2022
https://docs.google.com/spreadsheets/d/1xiZiV6v296Xo22Dsw6Ck5v_VrgAhynR-exmyH9ivDL8/edit

Hi Everyone,

Wondering what you think about the numbers since he’s on 1.5u.

Am still trying to sort out the best feeding way for him so any more tips or advices would be appreciated

He gets a full can of Fancy Feast pre shot followed by a spoon of it at +1 & +2.

Then am still a bit unsure about snack time though the only thing am sure of 2h away from shot…

Anyone knows what time is best ?!
I think my 2.30pm & 6pm are wrong cause he cause high following it…..but it’s when he is asking for food…

thanks hope all are well
 
Are you following tight regulation or start low go slow method? you are testing enough to do the TR and it looks like you are only feeding a wet diet. When you decide can you put the method in the SS and your signature please?
I would stay with the current dose for now as you are getting blues and greens with it. If you decide to follow the SLGS, You will will need to reduce the dose as he has dropped under 90.
I would say the higher BGs you are seeing are from bouncing from the lower BGs.
You could give another snack around +5 or +6 in each cycle.
 
Bron and Sheba (GA) said:
Are you following tight regulation or start low go slow method? you are testing enough to do the TR and it looks like you are only feeding a wet diet. When you decide can you put the method in the SS and your signature please?
I would stay with the current dose for now as you are getting blues and greens with it. If you decide to follow the SLGS, You will will need to reduce the dose as he has dropped under 90.
I would say the higher BGs you are seeing are from bouncing from the lower BGs.
You could give another snack around +5 or +6 in each cycle.
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Thanks am doing the TR
Will try the signature again had issues the other day & can’t seem to work it out sorry
Thanks for the +1 & +2 tip it seemed to help lots up to know
Ok snack at +5 +6 is what I do around 3pm 6pm usually but he jumps straight after as you can see
 
You should be ok if you give the snacks in the first half of the cycles when the insulin is strongest. I will ask @Bandit's Mom to help you sort out the signature and put the SS into the bottom of the signature.
Dinah S said:
So you’d say it’s ok at the moment right ?!
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Yes I would stay with this dose at the moment. This dose is taking him down to 54.
 
Bron and Sheba (GA) said:
You should be ok if you give the snacks in the first half of the cycles when the insulin is strongest. I will ask @Bandit's Mom to help you sort out the signature and put the SS into the bottom of the signature.

Yes I would stay with this dose at the moment. This dose is taking him down to 54.
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Great thanks so no snack pm time then

Thanks I’ll try again myself once my head is clear
 
Dinah S said:
Great thanks so no snack pm time then
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Not quite sure what you mean by this….
Try and keep the snacks in the first half of the cycles if you can. But do feed the same snacks for he pm cycles as well as the am cycles.
Hopefully that will be enough to keep him satisfied until the next meal.
 
Bron and Sheba (GA) said:
Not quite sure what you mean by this….
Try and keep the snacks in the first half of the cycles if you can. But do feed the same snacks for he pm cycles as well as the am cycles.
Hopefully that will be enough to keep him satisfied until the next meal.
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Afraid I don’t understand it either sorry
Am French by the way so at times I don’t get all at first :-/ if I feed his snack am first half then none til pm shot & snack after pm shot but not early am…is what I understood now…might still be wrong
 
Dinah S said:
Afraid I don’t understand it either sorry
Am French by the way so at times I don’t get all at first :-/ if I feed his snack am first half then none til pm shot & snack after pm shot but not early am…is what I understood now…might still be wrong
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9am preshot meal
+1 snack
+2 snack
+5 or 6 snack
Nothing
9pm preshot meal
+1 snack
+2 snack
+5 or 6 snack

Is it what you meant ?!
 
Here’s your last post fir continuity.
https://felinediabetes.com/FDMB/threads/first-post.261922/#post-2937142

With TR you need a +2 or before bed test every night and a second test every day.We make dose adjustments in .25 increments. I think that’s why it took so long to see green after you dropped from 2.0 to 1.5.

If you had gotten a +2 or +3 yesterday you would have seen the bounce was clearing and a little higher carb food might have kept him from surfing. He’s bouncing from the lows right now which is why he goes from green to black.
 
tiffmaxee said:
Here’s your last post fir continuity.
https://felinediabetes.com/FDMB/threads/first-post.261922/#post-2937142

With TR you need a +2 or before bed test every night and a second test every day.We make dose adjustments in .25 increments. I think that’s why it took so long to see green after you dropped from 2.0 to 1.5.

If you had gotten a +2 or +3 yesterday you would have seen the bounce was clearing and a little higher carb food might have kept him from surfing. He’s bouncing from the lows right now which is why he goes from green to black.
Click to expand...

Thanks for explaining this to me
I’ll test +2 or +3 from tomorw morning it’s 1am here
Such a complicated condition
Much appreciated help take care
 
Yesterday when he dropped to 54 I would have fed a teaspoon of lc and tested in 20-30 minutes or not fed and checked in 20. He could have dropped under 50 and earned a reduction. I’d never stop testing with a bg in the 50’s because you want to see the bg rising on its own with either no food or a tiny snack of lc. You risk a symptomatic hypo if you don’t check the bg and feed higher carbs if needed. Otherwise I like your feeding times.

I would vary the test times a little as the nadir might be before +6. He could have been lower than 54 before that. A bounce clearing cycle is often very active. I’m going to supply a link to what an active cycle might look like.
 
tiffmaxee said:
Yesterday when he dropped to 54 I would have fed a teaspoon of lc and tested in 20-30 minutes or not fed and checked in 20. He could have dropped under 50 and earned a reduction. I’d never stop testing with a bg in the 50’s because you want to see the bg rising on its own with either no food or a tiny snack of lc. You risk a symptomatic hypo if you don’t check the bg and feed higher carbs if needed. Otherwise I like your feeding times.

I would vary the test times a little as the nadir might be before +6. He could have been lower than 54 before that. A bounce clearing cycle is often very active. I’m going to supply a link to what an active cycle might look like.
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Thanks loooooots I learn so much
 
Evening his preshot is 14.9 so your 268 am a bit worried to give him his 1.5u though happy he is so low as he had twice as much this morning…

Would you have any tips to go through the night safely ?! Thanks in advance
 
Can you put in the Ss and your signature that you are doing TR please.
Also I’m going to ask @Bandit's Mom to put the SS into the signature for you so we can all see it easily.
I think the PMPS is yellow …268…because Shari is coming off the bounce from the 54 a couple of days ago.
Are you able to monitor Shai overnight if you give the full dose?
 
Sorry wi
Bron and Sheba (GA) said:
Can you put in the Ss and your signature that you are doing TR please.
Also I’m going to ask @Bandit's Mom to put the SS into the signature for you so we can all see it easily.
I think the PMPS is yellow …268…because Shari is coming off the bounce from the 54 a couple of days ago.
Are you able to monitor Shai overnight if you give the full dose?
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Thanks but sorry wish I knew how ‍♀️

yes it is yellow

Yes I can watch him
 
Dinah S said:
Thanks but sorry wish I knew how ‍♀️
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I’ll ask @Bandit's Mom to help you with putting the TR into the SS and the signature, then putting the SS into the signature.


Dinah S said:
Yes I can watch him
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Ok. Then I would give the 1.5 unit dose.
Make sure he eats well before the shot. Then get a +1 and a +2 to see how he’s going. You might like to give him a small snack at +1 and +2 as well. Post the results please. I’ll be around for about 1 1/2 hours then I’ll be heading to bed here in Australia but I’ll ask @Bandit's Mom and @tiffmaxee to help you if needed after that.
How does that sound?
 
Bron and Sheba (GA) said:
I’ll ask @Bandit's Mom to help you with putting the TR into the SS and the signature, then putting the SS into the signature.



Ok. Then I would give the 1.5 unit dose.
Make sure he eats well before the shot. Then get a +1 and a +2 to see how he’s going. You might like to give him a small snack at +1 and +2 as well. Post the results please. I’ll be around for about 1 1/2 hours then I’ll be heading to bed here in Australia but I’ll ask @Bandit's Mom and @tiffmaxee to help you if needed after that.
How does that sound?
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My phone rang when I was shooting & first time ever I missed as wet & I can smell thr insulin ‍♀️‍♀️‍♀️
 
Dinah S said:
My phone rang when I was shooting & first time ever I missed as wet & I can smell thr insulin ‍♀️‍♀️‍♀️
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Oh dear! Never mind…there is nothing you can do about it. Don’t ever give any more insulin when you have given a fur shot. These things happen. I’ve done it….We have all done it. It’s frustrating I know. Still get some tests done as more than you think may have got it.
 
Tha
Bron and Sheba (GA) said:
Oh dear! Never mind…there is nothing you can do about it. Don’t ever give any more insulin when you have given a fur shot. These things happen. I’ve done it….We have all done it. It’s frustrating I know. Still get some tests done as more than you think may have got it.
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Thanks I’ll test at +2 & +3
Any worth giving him some in case he goes super high by +2 maybe ?!
Am mad at myself though unwell so the phone ringing made me shake even more grrrrrrrrrrr
 
Dinah S said:
Tha

Thanks I’ll test at +2 & +3
Any worth giving him some in case he goes super high by +2 maybe ?!
Am mad at myself though unwell so the phone ringing made me shake even more grrrrrrrrrrr
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No. Don’t ever give extra insulin when you think you have given a fur shot. It is better to be too high for a cycle than too low for a minute.
These things happen and it’s very frustrating. But he will get back on track.
Put F/S in the unit’s column.
 
O
Bron and Sheba (GA) said:
No. Don’t ever give extra insulin when you think you have given a fur shot. It is better to be too high for a cycle than too low for a minute.
These things happen and it’s very frustrating. But he will get back on track.
Put F/S in the unit’s column.
Click to expand...
k thanks
 
Dinah S said:
Looking for login page to reset password but can’t find it…sorry
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What you could do is click on the below link:
https://www.felinediabetes.com/FDMB/account/signature

Erase whatever is in your Signature and put the below text instead:

Dinah & Shai, M 14 years, DX: 07/06/2021, Glargine, Accucheck instant S, LC wet, itchy ear
https://docs.google.com/spreadsheets/d/1xiZiV6v296Xo22Dsw6Ck5v_VrgAhynR-exmyH9ivDL8/edit?usp=sharing

Press Save to save the changes.

If this does not work, we can figure out how to reset your password.
 
Bandit's Mom said:
What you could do is click on the below link:
https://www.felinediabetes.com/FDMB/account/signature

Erase whatever is in your Signature and put the below text instead:

Dinah & Shai, M 14 years, DX: 07/06/2021, Glargine, Accucheck instant S, LC wet, itchy ear
https://docs.google.com/spreadsheets/d/1xiZiV6v296Xo22Dsw6Ck5v_VrgAhynR-exmyH9ivDL8/edit?usp=sharing

Press Save to save the changes.

If this does not work, we can figure out how to reset your password.
Click to expand...
Thanks trying now sorry for being a pain
 
Bandit's Mom said:
What you could do is click on the below link:
https://www.felinediabetes.com/FDMB/account/signature

Erase whatever is in your Signature and put the below text instead:

Dinah & Shai, M 14 years, DX: 07/06/2021, Glargine, Accucheck instant S, LC wet, itchy ear
https://docs.google.com/spreadsheets/d/1xiZiV6v296Xo22Dsw6Ck5v_VrgAhynR-exmyH9ivDL8/edit?usp=sharing

Press Save to save the changes.

If this does not work, we can figure out how to reset your password.
Click to expand...
It worked you’re a champion thanks lots ❤️
 
Bron and Sheba (GA) said:
No. Don’t ever give extra insulin when you think you have given a fur shot. It is better to be too high for a cycle than too low for a minute.
These things happen and it’s very frustrating. But he will get back on track.
Put F/S in the unit’s column.
Click to expand...
Hello !!!
He’s In the low but good numbers today…
Am
 
E
Bron and Sheba (GA) said:
No. Don’t ever give extra insulin when you think you have given a fur shot. It is better to be too high for a cycle than too low for a minute.
These things happen and it’s very frustrating. But he will get back on track.
Put F/S in the unit’s column.
Click to expand...

hello

Any chance to get some advice again sorry
He’s been in good numbers today & now pre shot 167 I double checked thinking maybe a bad strip or my eyes but both were similar

fed him as usual with snacks as usual

assume I don’t shoot but recheck after he ate maybe 20-30mn then maybe shoot if above 16 or what else can I do ?!

Sent my numbers as usual to the vet who now I know as no clue about bouncing as he answered highs& lows are because am obviously not measuring well my 1.5

Also any more tips or link on where I can understand & go with the bouncing please ?!
 
Dinah S said:
Sent my numbers as usual to the vet who now I know as no clue about bouncing as he answered highs& lows are because am obviously not measuring well my 1.5

Also any more tips or link on where I can understand & go with the bouncing please ?!
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Bouncing is simply a natural reaction to what the cat's system perceives as a BG value that is "too low". "Too low" is relative. If a cat is used to BGs in the 200's, 300's, or higher for a long time, then even a BG that drops to 150 can trigger a "bounce". Bouncing can also be triggered if the blood glucose drops too low and/or too fast.The pancreas, then the liver, release glucogon, glycogen and counter-regulatory hormones. The end result is a dumping of "sugar" into the bloodstream to save the cat from going hypoglycemic from a perceived low. The action is often referred to as "liver panic" or "panicky liver". *Usually*, a bounce will clear kitty's system within 3 days (6 cycles).

The second post in this thread has a good description of bouncing.
 
T
Bandit's Mom said:
Bouncing is simply a natural reaction to what the cat's system perceives as a BG value that is "too low". "Too low" is relative. If a cat is used to BGs in the 200's, 300's, or higher for a long time, then even a BG that drops to 150 can trigger a "bounce". Bouncing can also be triggered if the blood glucose drops too low and/or too fast.The pancreas, then the liver, release glucogon, glycogen and counter-regulatory hormones. The end result is a dumping of "sugar" into the bloodstream to save the cat from going hypoglycemic from a perceived low. The action is often referred to as "liver panic" or "panicky liver". *Usually*, a bounce will clear kitty's system within 3 days (6 cycles).

The second post in this thread has a good description of bouncing.
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Thanks lots need to give him his shot now
 
It's possible he may head up from here. If his +2 is significantly highrr than the PMPS, he is bouncing and you can take a break for the night.
 
A small housekeeping request. We ask members to start a new post every day. The posts become too long and it's easier to read and respond quickly with daily posts. :-)

So if you could at start a new post tomorrow or whenever you post again, that would be great!
 
No
Bandit's Mom said:
A small housekeeping request. We ask members to start a new post every day. The posts become too long and it's easier to read and respond quickly with daily posts. :)

So if you could at start a new post tomorrow or whenever you post again, that would be great!
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No pb tjought i read somewhere to keep same thread ‍♀️ Sorry
 
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