1/3 Boo Radley AMPS 311

[Jessica & Boo Radley]

Last night was our first night of Prozinc 1 Unit. I pulled a LOT of numbers based on his DKA and wanting to keep a "tight" handle on his numbers as he recovers. I added 1 Unit of R at +7 to keep him under 300 and continued my count off of PMPS to keep things simple:
PMPS: 276
+2 ~254
+4 ~178
+6 ~ 235
+7 ~ 279 *** 1 Unit of Regular given
+9 ~ 232
+11 ~212

His nadir on Lantus was always around +4....looks to be similar with Prozinc last night, although I realize it's too early to tell where it will end up sitting. In any event, I can already see where flexibility to give more or less could be useful. He's been on R for a few days now. I also find it interesting that it seems to "last" just about as long for Boo as the longer acting insulin's he's tried to date.

Does following the same plan tonight sound reasonable vs. upping the Prozinc already?

 

[bookw0rm]

I wouldn't go up for a few days to see if he "settles" into the dose. While there's no shed we tend to hold a dose 3-5 days to see if there's any change in pattern.

If he keeps having the early nadir, it is possible to dose tid (every 8 hours); I tried it for a while w/.Cass and I think Kim is still doing it with Kitty. An option for later if you don't want to keep using the R.

 

[Sue and Oliver (GA)]

Agree. I would give the dose a few cycles. Your numbers aren't scary high, probably even without the R. It may be that the next few cycles will get him lower (or not). You are sure ketone testing?

I don't know if it will be his pattern but some cats new to PZI start with an early nadir, then settle into the insulin and the nadir moves to later in the cycle.

 

[dmartini4]

numbers are not looking too bad
I would hold for a day or 2 then go up
When Shakes first started prozinc, his nadir was around +4 or+5
but once I got him to the right dose his nadir is usually at +8