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So the bottom line is to decrease the dose immediately at the next shot. Since I believe you have only whole unit syringes, go ahead and reduce to 1.5 units. We cannot risk a hypo. Reduce the dose regardless of how high a pre-shot test you get. Okay?
 
Suzanne & Darcy said:
Hello and welcome to the FDMB! I am sorry I wasn’t able to join in on this thread earlier today as I was not at home. I am trying to catch up with everything that has happened. Please forgive me if I ask you questions Again that you have previously answered. I may have missed things in reading through this thread. First of all, though, I will say that your dose is, I believe, too high, and I would like to see you reduce the dose by .25 units down to 1.75 units. If you only have the U – 40 syringes with unit markings and no half unit markings, then please reduce the dose to 1.5 units and put the plunger halfway between the one and the two unit Marks. You will need to get yourself some U-40 syringes that have half unit markings because at times you will need to shoot doses like 1.75 units 1.25 units. You are already eyeballing it when you do that —because you’re placing the plunger between a half unit mark and the full unit mark. So it’s really good to have the syringes with a half unit markings. Cats are very small creatures and small changes in insulin can make a really big difference.
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I reached out to her vet she agreed the insulin is too high now that she's on a low carb food. She said to give one unit from now on as long as her glucose was above 80
 
Suzanne & Darcy said:
Another observation that I have just from looking at your spreadsheet is that your kitty went to 60 today at +3, and I don’t see any more tests after this. With an Alpha Trak meter, we do not want to see a number below 68. You should have been advised to give high carb food and to test again in 20 minutes and to keep repeating this procedure until kitty is above 68 and is rising. On an Alpha Trak meter, a drop below 68 means that you need to take action to immediately raise BG. When I see a number that low in a newly diagnosed kitty and it is very early in the cycle (like +3 — and you are hours away from nadir) there should definitely be blood glucose tests after that… continuing all the way up until nadir to make sure that the cat has not dropped lower! Testing needs to continue for two hours after the last administration of high carb food or karo syrup/honey.
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Thank you for correcting the number to panic. I will remember it's 68. Which is scary she was 60. Her last check she was up to 87 and she ate after that and has held it down.
 
Suzanne & Darcy said:
So the bottom line is to decrease the dose immediately at the next shot. Since I believe you have only whole unit syringes, go ahead and reduce to 1.5 units. We cannot risk a hypo. Reduce the dose regardless of how high a pre-shot test you get. Okay?
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Yes! That was scary today. If she is above 80 at shot time I will follow vet advice and just give her one unit. If she's below 80 skip shot.
 
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