146 @ +10...Advice Requested for PM Shot Options

Rewster's Mom (Renee)

Rewster's Mom (Renee)

Member
Hi All,

Yesterday Rewster was lower at her PM shot time than she typically has ever been, and its was under 200. I followed the sticky advice and stalled without food and posted to the forum. I ended up doing a half dose (.5 unit, U40) at +13, and it caused her to steeply (and scarily) drop which had to be mitigated with MC fancy feast. Here is that thread. Thankfully @Chris & China (GA) helped me out!

It seems like we may be on track for a similar situation tonight. What is your insight on how to handle tonight? I'd like to stick with the 5:30 am/pm shot times, so should I simply plan to skip the dose if she is under 200?

Also--she didn't eat all of her food this AM, I think because of feeling full from the fancy feast carbparty last night.

Today is the 18th day since diagnosis. Thank you in advance!
 
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Rewster's Mom (Renee) said:
PMPS was 189. I skipped the dose for fear of a plunge and I don't have flexibility tomorrow for AM shot time.
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I don't usually spend much time in this forum but wanted to see how Rewster was doing today. Looks like she didn't bounce too high after that fast drop last night and was clearing it fast!

Next time, since you had the 146 at +10 and 189 at PMPS, that's a pretty good sign that she's probably going to go higher, so if you can, stall without feeding and check again in 20-30. If the number went even higher, you could either give the scheduled dose or if you were concerned about another dive, just give a token dose like 0.25.

Stalling for 20-30 minutes doesn't necessarily mean you wouldn't be able to shoot at the regular time tomorrow, but since you did skip, IF you wanted to change her shot times, you could shoot anytime in the AM tomorrow. Looks like you shoot pretty early already though (5am?)

Anyway, at least you'll get to see what happens when you skip a shot. Every piece of data is good data!
 
Chris & China (GA) said:
I don't usually spend much time in this forum but wanted to see how Rewster was doing today. Looks like she didn't bounce too high after that fast drop last night and was clearing it fast!

Next time, since you had the 146 at +10 and 189 at PMPS, that's a pretty good sign that she's probably going to go higher, so if you can, stall without feeding and check again in 20-30. If the number went even higher, you could either give the scheduled dose or if you were concerned about another dive, just give a token dose like 0.25.

Stalling for 20-30 minutes doesn't necessarily mean you wouldn't be able to shoot at the regular time tomorrow, but since you did skip, IF you wanted to change her shot times, you could shoot anytime in the AM tomorrow. Looks like you shoot pretty early already though (5am?)

Anyway, at least you'll get to see what happens when you skip a shot. Every piece of data is good data!
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Thank you so much for checking in on us! I was surprised at the lack of bounce this morning, too.

In retrospect I agree that the climb from 146 to 189 was quite a clear harbinger a token shot would be well tolerated. We do 5:30am/pm shot times so my partner has enough time to measure her at +2 reliably for each shot time, and so she isn't a menace waking us up in the middle of the night asking for food. Previous to our sugar journey, she had been asking for a 2:40am snack for 10 years so we're also breaking her of a night-food/free feeding habit.

I'm looking forward to seeing the story the data tells over the next cycle! I'm sure she'll be high in the morning but we shall see.

Thanks again for all you help! We need it! Have a great night.
 
Hi there. I’m sorry I was not around in the afternoon and evening yesterday and didn’t see your post until it was way after your shot time. Your kitty had earned a reduction down to .75 units on Sunday night with that drop below 90 (per SLGS). So going forward the new dose should be .75 units. None of the numbers in green were dangerous, but I certainly can see how they would be scary. I hope Rewster won’t be too high as a result of the skip last night. It looks like a token dose of perhaps .25 units would have been a better course of action. But no worries, you hopefully got some sleep. I will check in with you in the morning, okay?
 
Suzanne & Darcy said:
I’m usually over on this ProZinc forum helping people. Can you post in the morning here?
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Morning! I agree, thank you! @Chris & China (GA) also advised me in the main forum from my post on Sunday to go down to .75 units as a new dose thankfully I had planned to do that this morning.

I'm actually surprised she was at 320 this morning at her AMPS (I thought maybe she'd be in the low 400s). I gave .75 units. We'll be testing throughout the day and her 20cal snack and next test will happen at 7:30am.

220 cal/day is likely enough for her, yes? She has always been a smaller cat, but she's been anywhere from 9 to 12 pounds in her life so I figured to feed 220 based on the 20cal per pound for ideal weight. Thanks again!
 
Rewster's Mom (Renee) said:
Morning! I agree, thank you! @Chris & China (GA) also advised me in the main forum from my post on Sunday to go down to .75 units as a new dose thankfully I had planned to do that this morning.

I'm actually surprised she was at 320 this morning at her AMPS (I thought maybe she'd be in the low 400s). I gave .75 units. We'll be testing throughout the day and her 20cal snack and next test will happen at 7:30am.

220 cal/day is likely enough for her, yes? She has always been a smaller cat, but she's been anywhere from 9 to 12 pounds in her life so I figured to feed 220 based on the 20cal per pound for ideal weight. Thanks again!
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Good about the AMPS. I think that already your spreadsheet shows some really good progress. I would like to help you. I will check in on her spreadsheet later at around +2.
 
Hi there. Things went okay last night. It sounds like Rewster is eating well today. Is everything else okay? Just checking in.
 
Suzanne & Darcy said:
Hi there. Things went okay last night. It sounds like Rewster is eating well today. Is everything else okay? Just checking in.
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Hi! Thank you for checking in!! Everything seems to be going well so far today..especially that she’s eating heartily.

Running a little high BG-wise but at least will be very clear for the full .75 dose at her PM shot time.
 
Suzanne & Darcy said:
Very good! I hope it goes well. I know you will be monitoring the cycle.
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Hi @Suzanne & Darcy. I have a question for you about dosing.

I'm finding it tricky to hold a dose for 7 days. She has shown a pattern for a bit and then either drops below 90 (which would mean a dose reduction with SLGS) or has a lower PMPS which causes me to token dose. How do I know when/if to switch to TR, and how do know when to transition to "full dose shoot" lower PS numbers?
 
Oh. Okay. I understand. She did earn a reduction down to .5 units on the night before last when she hit 65. I would start testing her at +2 to see if it looks like her +2 snack should be a few more carbs (8-10 percent maybe.)
 
When following SLGS, a token dose, fur shot or skipped shot doesn’t restart the 7 day cycle count. 14 cycles gives us enough time to see what the dose is doing. Now, having said that, if in that seven days you have a whole bunch of times when the full dose wasn’t given, we would consider all the data carefully. Good luck with the reduction. You can always go back up in due time. I hope Rewster will start to smooth out a little bit.
 
Suzanne & Darcy said:
When following SLGS, a token dose, fur shot or skipped shot doesn’t restart the 7 day cycle count. 14 cycles gives us enough time to see what the dose is doing. Now, having said that, if in that seven days you have a whole bunch of times when the full dose wasn’t given, we would consider all the data carefully. Good luck with the reduction. You can always go back up in due time. I hope Rewster will start to smooth out a little bit.
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Understood, thank you as always for the advice!! It helps us so much.
 
Suzanne & Darcy said:
And I would test again in 30 minutes after giving the higher carbs to see if your numbers are stable, rising or going down.
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Yes we gave her 1/2 tsp of 10% carb fancy feast on top of her typical snack at +2, and she floated nicely this past hour. We’re going to measure hourly until +6 and give her more snack as needed.
 
I’m not liking the higher numbers that I am seeing since the most recent reduction. If you want to hold for 6 cycles and switch to MPM (if you have had a chance to read over the sticky) we can raise her back to .5 units if it still looks like she needs a little more support after those 6 cycles. Did I send you the sticky? Anyway, it is pinned at the top of this ProZinc forum in the sticky entitled ProZinc Dosing Methods.
 
And yes, thank you. My sweet Ginger was dubbed a “little miracle” because she’s doing so well with her heart disease. The vet never thought she’d make it this long. She was just in for some bloodwork and a BP check. Will get bloodwork back on Monday so I’m hoping it’s okay. She takes Lasix so I always am worried about her kidneys. Today though she’s not wanting to eat for some reason. Hopefully it’s just stress from yesterday and she hasn’t picked up a virus or anything. I may break out the Fancy Feast soon — usually she gets the lower phosphorus Weruva foods.
 
I like the idea of monitoring the .25 for 6 cycles then switching to MPM after collecting the data. I did just read the sticky fully so now I know what to expect. Thank you!

Hoping Ginger starts snacking soon! I know it can take a while to bounce back fully from a vet visit!
 
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