10/3 Mar Lei AMPS 257, +3 113 +5 113, PMPS 308, +2 164, =4 76 dosing advice needed

Jdubs

Jdubs

Very Active Member
https://felinediabetes.com/FDMB/thr...5-5-dosing-advice-needed.269120/#post-3004993

So like yesterday morning, it looks like he is falling now. At +12 he was 14.3.

I just injected him with 2.25

Saturday pm cycle he had fallen l at +4 to 139 by +10 he was 427 and then by +12 he was down to 286 so like a double dip.

He is now appearing to be dropping at +12

I crushed up the deworming pill in his food and that was a mistake. He knows it is there and is not eating it. So I dont know how much he has had.

Normally I get him to just swallow the pill but he hates that but at least I know its gone down!
 
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Jdubs said:
Am I right in thinking I only start the new thread once ive done the AMPS?
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You can start with the AMPS or the first post for the day. Either way is fine. The idea is that threads don't become too long. People are less inclined to read longer threads :-)

Jdubs said:
So like yesterday morning, it looks like he is falling now. At +12 he was 14.3.

I just injected him with 2.25

Saturday pm cycle he had fallen l at +4 to 139 by +10 he was 427 and then by +12 he was down to 286 so like a double dip.

He is now appearing to be dropping at +12
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Some cats go high before they clear a bounce. Looks like last night's PMPS was the high before the bounce clears. And bounce clearing cycles have later nadirs. Often the numbers can keep going down till the end of the cycle which is what you are seeing.

Separate from bounce clearing, some cats also do what is called a "Lantus double dip". The numbers go down to the nadir, then start going up and again at the end of the cycle there is a second dip which is less shallow than the nadir.


Jdubs said:
I crushed up the deworming pill in his food and that was a mistake. He knows it is there and is not eating it. So I dont know how much he has had.

Normally I get him to just swallow the pill but he hates that but at least I know its gone down!
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Are you giving him Praziquantel? If he hasn't eaten much of his food, maybe take it away and give him fresh food without the pill (he has to eat since he got his shot). They do hate being pilled, but we have no choice. If he likes cheese, maybe you can wrap the pill in it and see if that will disguise the pill?
 
Bandit's Mom said:
Are you giving him Praziquantel? If he hasn't eaten much of his food, maybe take it away and give him fresh food without the pill (he has to eat since he got his shot). They do hate being pilled, but we have no choice. If he likes cheese, maybe you can wrap the pill in it and see if that will disguise the pill?
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Its miler virbec - milbemycin and praziquantel. Its a disaster, I usually just give it him in one by (kind and gentle reassuring) force.

But today as the pill has changed and seemed smaller I crushed it and out it in his food. I have no way of knowing how much of it he has had. And I cant find the bits in his food as it contains bone and I cant tell what is pill and what is bone.

I will write to the vets and ask when I could give him another one.
 
Bandit's Mom said:
Some cats go high before they clear a bounce. Looks like last night's PMPS was the high before the bounce clears. And bounce clearing cycles have later nadirs. Often the numbers can keep going down till the end of the cycle which is what you are seeing.

Separate from bounce clearing, some cats also do what is called a "Lantus double dip". The numbers go down to the nadir, then start going up and again at the end of the cycle there is a second dip which is less shallow than the nadir
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Ok interesting, thank you.
 
I have given him food now clear of the pill as you say - he needs to eat. He'd had half - so its the equivalent of splitting the meal in half and giving him an hour later. Well an hour and 20 mins later actually. So I hope that is ok BG wise
 
Jdubs said:
But today as the pill has changed and seemed smaller I crushed it and out it in his food. I have no way of knowing how much of it he has had. And I cant find the bits in his food as it contains bone and I cant tell what is pill and what is bone.
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Why not leave it out and he might just eat it later?

Jdubs said:
I have given him food now clear of the pill as you say - he needs to eat. He'd had half - so its the equivalent of splitting the meal in half and giving him an hour later. Well an hour and 20 mins later actually. So I hope that is ok BG wise
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Sounds good. How long till +2?
 
Bandit's Mom said:
Why not leave it out and he might just eat it later?
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Good idea, that will be the ideal!

I did already write to the vet and ask when I could safely give him another, but fingers crossed he just eats this one. He's very strong willed though so he'd have to be seriously unbearably hungry, and maybe even then he wouldnt!! Fingers crossed!!!
 
Trying to get him to come in for his +2 but hes just giving me cat kisses from the very cold garden and not budging even though he knows its time.
 
So finally!!!

+3 is 6.3

I have to leave for work latest in 45 mins. Or I could go now and pop back later. Ive just given him some food
 
Can you make it back around +5? Feed before you leave and leave some food out in case he is dropping lower and wants to eat to self-regulate.
 
So at +5 exactly the same 6.3

He didnt eat the food I left out for him.

It was mostly fresh with a tiny bit of the portion with the dewormer mixed in.

Ideally now I would be out until +11

Is that too long.

Should I come back again sooner?
 
He has flattened out, so he should be okay. Did he eat at +5? Can you get him to eat a little food (maybe a spoonful without the dewormer)?
 
Ok brilliant. Thank you. I got him to eat the dewormer plate by adding more treats to it. I figure if I can get the whole pill in spread out in the rest of the days meals that would be good.

So he ate a few spoons and I have left him another bit of fresh food (with dewormer) for if he needs it while I am out . Ive just realised I probably wont now be back til his PMPS

I am so pleased he is 6.3 for a while!!
 
So his PMPS was 17.1. Which is better than the late 20's hes been getting. Gave him the 2.25u

Do you think I should stick with that dose tomorrow?
 
Jdubs said:
So his PMPS was 17.1. Which is better than the late 20's hes been getting. Gave him the 2.25u
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If he decides to bounce from the lower numbers he saw today, he might just head up from here. The good thing is that he is seeing good numbers every day. It will be good if you make it a habit to feed a part of his preshot meal at +1 and +2. Using food to slow the drops when the insulin onsets can also reduce bouncing.

Jdubs said:
Do you think I should stick with that dose tomorrow?
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Yes, let us stay with 2.25U tomorrow for now. Get a test before bed?
 
Bandit's Mom said:
If he decides to bounce from the lower numbers he saw today, he might just head up from here. The good thing is that he is seeing good numbers every day. It will be good if you make it a habit to feed a part of his preshot meal at +1 and +2. Using food to slow the drops when the insulin onsets can also reduce bouncing.
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Ok, that might be harder when my job changes but for now thats easy.
 
+2 164 AND +4 76

I've just fed him Adam going to bed now, its quite low for a +4 .....I guess there will be rebound?
 
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Jdubs said:
Should I try and get a plus 2 as well or no need?
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It is a good idea to get a +2 in every cycle since that could be a crystal ball for how the cycle is going to look. If there is a drop at +2, you want to feed and get a later test.

Jdubs said:
+2 164 AND +4 76

I've just fed him Adam going to bed now, its quite low for a +4 .....I guess there will be rebound?
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Did he get food at +2? He will probably bounce - especially if he dropped lower later.
 
I now cant remember if I fed him at plus 2. I def fed him at plus one and every time he gets a test he gets a snack.......but perhaps I left the feed til plus 3 thinking id spread it out. I honestly cant remember. . If I did wait , that was a big mistake right? So basically the best times to feed him are shot time, plus 1 and then plus 2. And then again the same for the evening? so 6 x in the day? I will start a new thread now
 
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