BJM
Very Active Member
Previously
I'm ready for that antibiotic to start kicking in, anytime now! Taking some leave time this afternoon so I can check him at +8 and dose as needed. (and catch up on Chemistry studying!)
On the spreadsheet, there is a page labeled Basal + Bolus dose pattern which attempts to diagram how that might work. Concurrent with the use of a long acting insulin, a small amount of short to very short acting insulin might be given at the same time as the cat is fed. Then, when the glucose is coming up from the meal, the short acting insulin is taking effect at roughly the same time and ideally, they offset each other. That's the theory, anyway.
Another page is labeled Dosage Patterns and diagrams how the various insulin durations might be used if the glucose curves were really steep sided. If you've ever noticed how bricks gets laid down in a wall, you may've noticed how each brick is usually centered over the joint below it. They call that a running bond pattern. One might add in a small secondary insulin dose to cover the time when one dose of the primary insulin is wearing off and the next is just starting to take effect. If the primary nadir were early, you'd add the 2nd insulin earlier and conversely, if the primary nadir tended to be late, you'd add the 2nd insulin later. Note that this requires you to know when the primary insulin nadir is for your cat, plus have an idea of how the secondary insulin works used on top of the primary insulin.
I'm ready for that antibiotic to start kicking in, anytime now! Taking some leave time this afternoon so I can check him at +8 and dose as needed. (and catch up on Chemistry studying!)
On the spreadsheet, there is a page labeled Basal + Bolus dose pattern which attempts to diagram how that might work. Concurrent with the use of a long acting insulin, a small amount of short to very short acting insulin might be given at the same time as the cat is fed. Then, when the glucose is coming up from the meal, the short acting insulin is taking effect at roughly the same time and ideally, they offset each other. That's the theory, anyway.
Another page is labeled Dosage Patterns and diagrams how the various insulin durations might be used if the glucose curves were really steep sided. If you've ever noticed how bricks gets laid down in a wall, you may've noticed how each brick is usually centered over the joint below it. They call that a running bond pattern. One might add in a small secondary insulin dose to cover the time when one dose of the primary insulin is wearing off and the next is just starting to take effect. If the primary nadir were early, you'd add the 2nd insulin earlier and conversely, if the primary nadir tended to be late, you'd add the 2nd insulin later. Note that this requires you to know when the primary insulin nadir is for your cat, plus have an idea of how the secondary insulin works used on top of the primary insulin.