Need help with amps

[Jessica + Bo]

I'm supposed to do a glucose curve today. But Bo's AMPS is the lowest number we got yet. His vet isn't open until tomorrow. So I'm not sure if I should still dose as normal.

Please take a look at our spreadsheet. I know it's not a lot of info, but the previous AMPS were higher

I'm really nervous to shoot today with his numbers looking so low to me. Any advice?

 

[Jessica + Bo]

Update: I contacted his vets 24hr hot-line they advised not to dose him this morning. I will continue with the curve and if his PMPS numbers are closer to "normal" I'll dose then.

Could this be a sign of remission or am I being too hopeful?

 

[Ale & Bobo & Minnie (GA)]

Sorry no one got back to you. Do you think you can fill in your signature with info like insulin he’s on?

When you get a lower than 200 preshot number you have a few choices. You can stall without food and restest in 20 minutes to see if the bg is going up on its own or you can give a token dose. Skipping is okay but I’d would have liked to see what his numbers would have been like today and it you’d have earned a reduction since you can monitor.

 

[Ale & Bobo & Minnie (GA)]

Also I noticed you continue to change the dose almost daily. I think we talked about you staying with a dose for at least 7 days. The increase to 1.5 last night was likely too much. I would stick to 1 unit for a week at least to see what kind of numbers you’ll get. We don’t dose by the preshot numbers here as you’ve told you. Have you posted on the prozinc forum? Tagging @Suzanne & Darcy

 

[Sienne and Gabby (GA)]

I'm linking your thread from yesterday.

It's OK to skip the shot. You've just started home testing so there's no way to know what Bo's numbers have looked like prior to shot time. I would encourage you to get some tests today so you know what Bo's numbers look like without insulin.

 

[Jessica + Bo]

Sorry no one got back to you. Do you think you can fill in your signature with info like insulin he’s on?

When you get a lower than 200 preshot number you have a few choices. You can stall without food and restest in 20 minutes to see if the bg is going up on its own or you can give a token dose. Skipping is okay but I’d would have liked to see what his numbers would have been like today and it you’d have earned a reduction since you can monitor.

I just filled my signature. He is on 1.5U of ProZinc every 12hrs.

I retested 1 hour after he ate and the number was 6.9mmol (124 mg/dl)

I'm doing a curve today, so expect to see a test every hour

Also I noticed you continue to change the dose almost daily. I think we talked about you staying with a dose for at least 7 days. The increase to 1.5 last night was likely too much. I would stick to 1 unit for a week at least to see what kind of numbers you’ll get. We don’t dose by the preshot numbers here as you’ve told you. Have you posted on the prozinc forum? Tagging @Suzanne & Darcy

I have posted there and was directed to post here since apparently there are not a whole lot of people using prozinc.

His dosage is 1.5 prescribed by his vet. I don't feel knowledgeable enough to "change" his dose from 1.5 to 1 without consulting with his vet. But the vet did advise if i was ever cautious or he didnt eat as much, i should reduce by as much as half to ensure he does not go hypo. I was under the impression that half a dose is better than no dose in these occasions.

I have reduced it a few times as the vet advised me (one "reduction" was just an estimate since he ran away before the plunger could be fully pressed). I won't reduce for late shots anymore, I'll just skip a dose in those occasions (as advised by this forum)

 

[Jessica + Bo]

I'm linking your thread from yesterday.

It's OK to skip the shot. You've just started home testing so there's no way to know what Bo's numbers have looked like prior to shot time. I would encourage you to get some tests today so you know what Bo's numbers look like without insulin.

Thank you, I am going to try my best to get in 1 test every hour today. To get a good picture of his numbers

 

[Ale & Bobo & Minnie (GA)]

You don’t need to test every hour. A curve is every 2 hours for 12 hours

 

[Ale & Bobo & Minnie (GA)]

I just filled my signature. He is on 1.5U of ProZinc every 12hrs.

I retested 1 hour after he ate and the number was 6.9mmol (124 mg/dl)

I'm doing a curve today, so expect to see a test every hour




I have posted there and was directed to post here since apparently there are not a whole lot of people using prozinc.

His dosage is 1.5 prescribed by his vet. I don't feel knowledgeable enough to "change" his dose from 1.5 to 1 without consulting with his vet. But the vet did advise if i was ever cautious or he didnt eat as much, i should reduce by as much as half to ensure he does not go hypo. I was under the impression that half a dose is better than no dose in these occasions.

I have reduced it a few times as the vet advised me (one "reduction" was just an estimate since he ran away before the plunger could be fully pressed). I won't reduce for late shots anymore, I'll just skip a dose in those occasions (as advised by this forum)

Okay. I think we’ll find that 1.5 is too much as you gather more data. A dose that can be consistent is better than a high dose you always have to tweak.

vets won’t tell you this, but remember the options you have that I posted above. Here again:

When you get a lower than 200 preshot number you have a few choices. You can stall without food and restest in 20 minutes to see if the bg is going up on its own or you can give a token dose. Skipping is okay too

a token dose is usually 10-20% of the regular dose so less than half

you were probably told to post here because the prozinc forum is not super active. Not trying to confuse you, I was asking to make sure no one had replied to you on that thread in case you had 2 posts going on

 

[Suzanne & Darcy]

I just filled my signature. He is on 1.5U of ProZinc every 12hrs.

I retested 1 hour after he ate and the number was 6.9mmol (124 mg/dl)

I'm doing a curve today, so expect to see a test every hour




I have posted there and was directed to post here since apparently there are not a whole lot of people using prozinc.

His dosage is 1.5 prescribed by his vet. I don't feel knowledgeable enough to "change" his dose from 1.5 to 1 without consulting with his vet. But the vet did advise if i was ever cautious or he didnt eat as much, i should reduce by as much as half to ensure he does not go hypo. I was under the impression that half a dose is better than no dose in these occasions.

I have reduced it a few times as the vet advised me (one "reduction" was just an estimate since he ran away before the plunger could be fully pressed). I won't reduce for late shots anymore, I'll just skip a dose in those occasions (as advised by this forum)

I can't remember any more if I said this, because I may have said it to another person, but I think that the 1.5 dose is too high for him and I think that you need to reduce his dose to something you can shoot more consistently, possibly 1 unit and to hold that dose for 7 days straight (14 cycles) and "ride out" the numbers as long as he doesn't drop below 90 during the cycle. If he does drop below 90 during the cycle, that would mean a reduction of .25 units going forward unless his numbers start to creep up and he needs an increase based on data. Right now, it is very hard to see what is going on because of all the dose changes. That's not a criticism, you have had reasons -- largely due to his lack of eating. However, if you lower his dose, it's possible you can still shoot a consistent dose even with his inconsistent eating. You are in control with the amount of testing that you are doing. It's best to follow a tried and true protocol for dosing the ProZinc that has been used for years with success in many many cats. I doubt if your vet has been in the trenches day to day and hour to hour with a diabetic cat of his/her own. That's not insult to your vet or any vet. I love my vet and trust her on a lot of things, but vets receive extremely little training on managing diabetes in cats. When all is said and done, you will probably be able to teach your vet a thing or two about managing feline diabetes. Having said all that, I am impressed by how you have really stepped up to the plate for your Bo! Your testing today has been incredible. See you over on the ProZinc forum later this evening since we've been also talking over there.