Do I give Milo his insulin?

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Milo & Norman & Sarah

Milo & Norman & Sarah

Member Since 2010
Finally got a test from Milo this morning at 6:30 (before feeding), have not given his insulin yet because his reading was 108. Should I give him the 1U PZI? I'm concerned because the vet does not want him below 90?
 
You can stall, don’t feed and see if the BG rises enough to shoot. And test again in 20 minutes. The BG would need to be at least 200 before shooting with Prozinc and your kitty being new to insulin and with no data.

I am not a prozinc user but I would not give him any insulin this morning with a pre shot of 108.
Looks like he needs a dose reduction to me.
You might want to talk to the vet about the dose.
I will tag @FrostD for you as she is a prozinc user but won’t be around for a few hours yet.
 
Bron and Sheba (GA) said:
You can stall, don’t feed and see if the BG rises enough to shoot. And test again in 20 minutes. The BG would need to be at least 200 before shooting with Prozinc and your kitty being new to insulin and with no data.

I am not a prozinc user but I would not give him any insulin this morning with a pre shot of 108.
Looks like he needs a dose reduction to me.
You might want to talk to the vet about the dose.
I will tag @FrostD for you as she is a prozinc user but won’t be around for a few hours yet.
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Thanks I was thinking the same, I thought giving him the insulin was not a good idea at 108. I did feed him already because my other cat was being fed, sorry I didn't think about that. Will test again soon.
 
Milo & Norman & Sarah said:
Thanks I was thinking the same, I did not think giving him the insulin was a good idea at 108. I did feed him already because my other cat was being fed, sorry I didn't think about that. Will test again soon.
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It’s OK. I doubt the BG would have risen to 200 in that time. As long as there are no ketones in the picture, you are fine to skip and be safe. But I would ask the vet about reducing the dose to 0.75 units.
If you get a lower than normal preshot again…stall, don’t feed and test again in 20 minutes to see if the BG is rising. And post and ask for help.
Have you seen this link to using PROZINC/PZI
 
Bron and Sheba (GA) said:
It’s OK. I doubt the BG would have risen to 200 in that time. As long as there are no ketones in the picture, you are fine to skip and be safe. But I would ask the vet about reducing the dose to 0.75 units.
If you get a lower than normal preshot again…stall, don’t feed and test again in 20 minutes to see if the BG is rising. And post and ask for help.
Have you seen this link to using PROZINC/PZI
Click to expand...

Thank you again, I will run to the pharmacy to get ketone testing stuff and need to read up on how to do this testing too. The vet actually had Milo on 2 units, I bumped him down to 1 unit yesterday on advice from @FrostD. Will call the vet tomorrow to see what she has to say.
 
Milo & Norman & Sarah said:
Thank you again, I will run to the pharmacy to get ketone testing stuff and need to read up on how to do this testing too. The vet actually had Milo on 2 units, I bumped him down to 1 unit yesterday on advice from @FrostD. Will call the vet tomorrow to see what she has to say.
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I’m very glad you reduced the dose to 1 unit. Hopefully @FrostD will come online a bit later but if she doesn’t, I would suggest reducing the dose to 0.75 units for tonight’s dose and in the morning, unless she tells you otherwise.
If you live in the UK the Ketostix might be called keto-diastix.
I will give you the link to UK information HERE and you will find how to use the Ketostix part way down the first page.
 
He received 1U last night?

Given how low he was this morning, I'd actually go down to the 0.5U. nadir is usually +4 to +6, so that means he was much lower at that point last night. This is very likely the effects of the diet change.

He is likely going to bounce here, probably end up with a yellow or pink preshot test tonight. That is ok, just hold the 0.5U dose. High numbers may last up to 6 cycles; don't be tempted to give a higher dose with a higher preshot. When they break the bounce, they can come down lower than usual.
 
FrostD said:
He received 1U last night?

Given how low he was this morning, I'd actually go down to the 0.5U. nadir is usually +4 to +6, so that means he was much lower at that point last night. This is very likely the effects of the diet change.

He is likely going to bounce here, probably end up with a yellow or pink preshot test tonight. That is ok, just hold the 0.5U dose. High numbers may last up to 6 cycles; don't be tempted to give a higher dose with a higher preshot. When they break the bounce, they can come down lower than usual.
Click to expand...

Yes, I gave home 1 unit last night. Will test again before 6:30 shot/feeding. Thanks again for all the advice yesterday. I did end up using a towel around him in a burrito type hold. Worked well for the two tests this morning. He has been sulking under the bed since though, not very happy with me. I also was able to get the dehydrated treats, hope that will make him happy.
 
FrostD said:
He received 1U last night?

Given how low he was this morning, I'd actually go down to the 0.5U. nadir is usually +4 to +6, so that means he was much lower at that point last night. This is very likely the effects of the diet change.

He is likely going to bounce here, probably end up with a yellow or pink preshot test tonight. That is ok, just hold the 0.5U dose. High numbers may last up to 6 cycles; don't be tempted to give a higher dose with a higher preshot. When they break the bounce, they can come down lower than usual.
Click to expand...
Milo just tested 211 at 6:30 PM, no insulin this morning. Should I give him insulin now?
 
Not sure if Melissa is around or not. Just in case she isn’t:
If you haven’t fed yet, you can stall for 20 minutes and then see if the BG is rising.
Are you able to monitor the cycle if you give the dose (0.5 units)?
As you are over 200 I think you would be OK to shoot.

From the Prozinc basics:
The proper sequence for dosing insulin is: Test/Feed/Shoot. In the beginning, if your cat’s BG is not up to at least 200 mg/dL {11 mmol/L}, if your schedule allows, you can stall (without feeding) for 20+minutes, then retest the BG. You are looking for a number that is rising, not falling and up to 200 mg/dL {11 mmol/L}. If you stall once, but can’t do another round of stalling and your cat hasn’t reached a BG of 200 mg/dL {11 mmol/L}, you’ll need to skip the dose and wait until the next cycle
 
Bron and Sheba (GA) said:
Not sure if Melissa is around or not. Just in case she isn’t:
If you haven’t fed yet, you can stall for 20 minutes and then see if the BG is rising.
Are you able to monitor the cycle if you give the dose (0.5 units)?
As you are over 200 I think you would be OK to shoot.

From the Prozinc basics:
The proper sequence for dosing insulin is: Test/Feed/Shoot. In the beginning, if your cat’s BG is not up to at least 200 mg/dL {11 mmol/L}, if your schedule allows, you can stall (without feeding) for 20+minutes, then retest the BG. You are looking for a number that is rising, not falling and up to 200 mg/dL {11 mmol/L}. If you stall once, but can’t do another round of stalling and your cat hasn’t reached a BG of 200 mg/dL {11 mmol/L}, you’ll need to skip the dose and wait until the next cycle
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I had to feed him, this of course is all happening in the middle of a family dinner party. I will give him the .5, what does “monitor the cycle mean”?
 
I can see Melissa @FrostD is around if you want to wait for her.
Monitoring the cycle means getting tests during the next 12 hours to see Milo doesn’t go too low.
I would suggest getting a +2 and a +4 and then decide when to test next. But see what Melissa says. She is the prozinc user.
 
It means are you able to test, and stay up with him should he go low. If you can, I would try the 0.5U.

If you don't think you can stay up too long, I'd give 0.25U a try. Just be sure to get a test in before bed.

Whichever you choose - if he proves too difficult to test, leave him some medium carb food as a safety net.
 
FrostD said:
It means are you able to test, and stay up with him should he go low. If you can, I would try the 0.5U.

If you don't think you can stay up too long, I'd give 0.25U a try. Just be sure to get a test in before bed.

Whichever you choose - if he proves too difficult to test, leave him some medium carb food as a safety net.
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Perfect, thanks. I gave him the .5 and will try to test him at +2 and try to stay up to +4. I will have the hypo kit/food/etc. ready just in case.
 
Whenever you get a chance, can you add whatever history you have to his spreadsheet? So insulin started on the 14th. I know you weren't testing, but will help if you just add a row for each day, and the doses given both AM and PM. And in the Remarks, note the diet change. Makes it nice and easy for anyone to help you in a pinch.
 
FrostD said:
Stick with the 0.5U for now. He's a little off from the low numbers and the skip, so light take a few cycles of consistency to even out. If you can still get a +4 or so that would be good, but no worries if not.
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Thanks! I was not able to get a +4, he ran under my daughters bed and I couldn't risk waking her up. This morning he tested at 204, I gave him the .5U. Now I have to call my vet this morning to tell her about the dosage change over the weekend from 2U to the .5U, I hope she isn't offended.
 
Milo & Norman & Sarah said:
Thanks! I was not able to get a +4, he ran under my daughters bed and I couldn't risk waking her up. This morning he tested at 204, I gave him the .5U. Now I have to call my vet this morning to tell her about the dosage change over the weekend from 2U to the .5U, I hope she isn't offended.
Click to expand...
I hope your vet is big enough to realise that the dose reduction was absolutely needed to keep Milo safe. Hopefully your vet will learn from this. Remember you are Milo’s advocate and you pay the bills!
Let us know how you get on.
 
Bron and Sheba (GA) said:
I hope your vet is big enough to realise that the dose reduction was absolutely needed to keep Milo safe. Hopefully your vet will learn from this. Remember you are Milo’s advocate and you pay the bills!
Let us know how you get on.
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Thanks! I feel she will be ok with it...I hope. At the appointment where she prescribed the insulin and we went over treatment for Milo, I told her I was in connection with the FDMB and she got all of the information to be able to pass on to other/future diabetic patients.
 
Milo & Norman & Sarah said:
Thanks! I was not able to get a +4, he ran under my daughters bed and I couldn't risk waking her up. This morning he tested at 204, I gave him the .5U. Now I have to call my vet this morning to tell her about the dosage change over the weekend from 2U to the .5U, I hope she isn't offended.
Click to expand...
Good, 204 is good for now! Means he likely had a pretty nice cycle.
 
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