10.8 PMPS

Becki and sox

Becki and sox

Member Since 2018
http://www.felinediabetes.com/FDMB/threads/no-shot-this-morning.206663/#post-2293086

Morning guys link above is too my other post where we've touched on no shots breifly at the end but thought it was getting a little long.

This is the second morning now that I've woke and Sox is to low to allow a shot this morning.
If I or my husband were in I'd be happy to administer a lower dose with us at home to monitor him but that's just not possible with us both working yesterday and today.
My morning schedule does not allow for me to stall so I've just had to skip both.

I am not working Saturday or sunday so if I get these kind of readings then would you suggest I try 0.50u or 0.75u he normally receives 1u 2x a day.

Do you think he could possibly need a lower dose at night?

I'm hoping I'm not causing him harm not giving the shot but it's just not an option at the moment while no one is in and I have no data yet of shooting that low numbers.

Thank guys any suggestions.
 
Becki and sox said:
This is the second morning now that I've woke and Sox is to low to allow a shot this morning.
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Hi Becki,
It may be that the dose is now too high and you're getting some 'carryover' at the end of the cycle (duration of cycle extending beyond what is typical).
Or it may be that Sox's little pancreas is pulsing out some insulin of its own at times, and is able to hold the numbers down once the injected insulin has dropped them a bit (sort of, 'picking up the ball and running with it', so to speak.)

Reducing the dose may make it possible to give two shots a day, so that you can keep insulin in Sox's system for more of the time, and keep that healing process going.
At this point I agree with the suggestion of 0.75...

I agree with Janet that this is very exciting!
 
JanetNJ said:
Oh very exciting! I’d try 0.75 at night
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Okie dokie I'll try 0.75 tonight.

Elizabeth and Bertie said:
Reducing the dose may make it possible to give two shots a day, so that you can keep insulin in Sox's system for more of the time
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Yeah that's what I'm worrying that he's not getting enough in his system through the day.

If I do 0.75 tonight and numbers are back to what I'm used to in the morning would I still give the 1.0u for the day time and 0.75u at night?
 
I agree with the others. I would go with .75 and hold it for at least a couple of days (only exception being if you see it taking him too low during a cycle). If one pre-shot of the day is consistently too low to give a shot but the other is not, the dose being given is probably too high.
 
Becki and sox said:
would you do PM shot 0.75u and then tomorrow AM shot at 0.75u. Or AM at 1.0u if AMPS is back up to its normal range between 16.0 to 20.0?
Can you have 2 different units given a day?
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I’d keep it the same both times and see what happens
 
Becki and sox said:
would you do PM shot 0.75u and then tomorrow AM shot at 0.75u. Or AM at 1.0u if AMPS is back up to its normal range between 16.0 to 20.0?
Can you have 2 different units given a day?
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Consistent dosing goes a long way in helping level things out. Stick with the same dose for a couple of days then re-evaluate based on your test results during that time.
 
Yes, some do give different doses AM/PM but that's generally used only when a cat isn't able to get shots at 12/12 or we have data showing that the cat just needs that. If you ended up giving 1 unit on a normal preshot, you'd probably just end up with the too low response again.

Even if you notice that Sox's BG numbers are higher than usual, I'd definitely stick with the 0.75 for several cycles and see if that helps to level things out more for you.
 
Sox is doing wonderful after a short time! It is not unheard of for a sugar baby to respond so soon but we still wouldn't say it's the "norm". Still, great news whenever it happens! It's possible you caught it earlier than some, which can contribute to earlier response times :).

What kind of syringes are you using? Standard Prozinc syringes are U-40's to match the insulin but you can use U-100 syringes with a conversion chart for finer doses. Those finer doses can help set up a longer remission. I literally got to the dose of half a needle of the syringe for a while before my boy went OTJ :rolleyes:. Looks like he isn't quite ready to stop insulin yet, so you may need to consider finer doses for those lovely blues :cool:.
It looks like the 1.0u in the evening is carrying him over more than 12 hours so he's blue in the morning. You could try lowering the dose to 0.5u. Ideally, while on insulin, you want to be able to give the 2 shots each day. Numbers always permitting! :cat:
 
Yong said:
What kind of syringes are you using?
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I'm currently using the prozinc u40 needles but have got a few u100 on the way to try to see how I get on with them.
Yong said:
You could try lowering the dose to 0.5u.
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Think I'm going to try dropping to 0.75 tonight see how we go.

What does OTJ mean?

MrWorfMen's Mom said:
take longer to hone in on a good dose but there are some lucky kitties
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Fingers crossed Sox is a lucky kitty.
 
Right guys so I managed to get insulin into him this morning. But again tonight he's to low to give his PM shot.
Should I try 0.5u in the morning?
 
You could try that. The situation tonight is on the edge of "How brave are you?" You could have tried 0.75 u or 0.50 u tonight. At some point you need to push the PS envelope to see how many skipped shots you can avoid. If you're home to monitor, have plenty of test strips, gravy food or syrup just in case, then go for it! :)
 
I am home tonight but I'm at work tomorrow day. I've have him 0.5u. how many times should I check him?
 
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I'd get the usual +2 and then if he is pretty much the same, grab a +4. If he is dropping albeit slowly get a +3 and if he is dropping quickly, I'd suggest giving him some medium or high carb food to slow him down and test again in an hour or so to make sure he's coming up. Testing after the last scenario will really depend on just where his BG is.
 
Just tested and he's 13.8 is that normal to go up after giving insulin shot?
When would you test again now after it going up?
 
It's ok... that happens. He may be bouncing a bit from that beautiful mid cycle 6.5. I'd check him again around +4 and see if he's staying relatively the same or up and if he is, then call it a night. If he is coming down again then I'd check again at +6 unless it's a big drop at +4 in which case I'd give him some food and check again in a hour.
 
He's due his before bed feed any way now so did wonder if I could feed now do a +3 go to bed and then check at +6.
Or is missing that +4 An important reading to check?
 
So I'm off out tonight Sox will have his normal feed and jab tonight if his numbers allow. I'll set cat feeder for his night snack but won't be able to do my usual +2 test.
I could do a +1 test but then wouldn't be back till about +7.
If he's got good numbers he should be fine to leave shouldn't he.
 
I think you should be fine. I'd grab the +1 (I'm OCD) just so you know if he's dropping at all/faster than usual and if you have any concerns, you could leave a higher carb food in the feeder for his snack.
 
Hi guys so Sox seems to be settling with some nice blue numbers now on the 0.75u in the day time.
Do you think I need to take any more reading during the night as I'm only seeing yellows as majority of tests are +2 hours when I go to bed.
So was just wondering if you think we need to know about more about what's going on in the night cycle?
 
If you were going to stay at 0.75u, then I can see why those tests might not feel all that helpful. However, I think it's about time to move to 1u, so when you're ready to do that, then you'll want to keep an eye on those +2's so you know if he's heading into an active night. (I don't like getting +2's either :confused: - even though I understand how important they can be)
 
@Djamila Is it worth going back up to the 1.0u though as I only recently reduced it because the 1.0u I was giving at night time was leaving Sox to low in the mornings for me to give him his AM shot?
 
Ugh. That's right. It's so tricky sometimes. The 0.75 is giving you PS numbers that are too high. But you're right, the 1.0u was giving you AMPS's that were too low.

Have you considered switching to u100 syringes? That way you could split the difference and try a 0.8 or 0.9.
 
If we stuck with the 0.75 might those pre shot numbers gradually come down as his body get used to the regular 0.75 dose?

I have got some u100 syringes but not braved trying them yet. :confused:
 
I was really nervous to try them the first time too. Take your time.

As far as holding at 0.75u...it's hard to say. Sometimes holding longer does bring better numbers (Kris has to do that with Teasel). More often though you just end up with them getting "stuck" and then you have to raise the dose a few times to get them moving again. The only way to know is to try it. Give it a couple more days and see what happens.
 
So Sox has been doing really well on 0.75u the last few days. +5 readings have all been in blues past few days apart from today.
Think Sox might have possibly ate some of his brothers dry food and now he's not dropped as low today.
Question is should I just keep the 0.75 for the upcoming cycles and see if he drops back into the blues. Or do we think he needs a little more juice anyways as his AMPS are always a little higher?
 
The effect of the dry food will pass. Based on the blues you have mid cycle I suggest you go to 1 u next dose. He has room to drop comfortably. You could wait until the AM to do that if that suits. He had lovely dark greens on 1 u several days ago so you need to watch for that. He won't necessarily repeat that this time though - too predictable for a cat! :confused:;)
 
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