? 2.25 Rufus AMPS 85, Half Dose, +1.5 98, +3 74, +7 109, PMPS 152, +2 111, +3.5 76, +4.5 115

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Wow, what a wild ride you are having!!!

When is your usual shot time by the clock?

I think Sandy and Wendy mentioned the possibility of "draining the depot" with a reduced dose if it seems necessary. Throwing that out there now for consideration this morning, depending on where Rufus goes from here. Hoping others who have more experience in this kind of thing than I do will be around soon to discuss.

He is looking amazing!
 
Nan & Amber said:
Wow, what a wild ride you are having!!!

When is your usual shot time by the clock?

I think Sandy and Wendy mentioned the possibility of "draining the depot" with a reduced dose if it seems necessary. Throwing that out there now for consideration this morning, depending on where Rufus goes from here. Hoping others who have more experience in this kind of thing than I do will be around soon to discuss.

He is looking amazing!
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Usually shoot 7:15ish. Gonna go retest him in a few min. If he's under 90. I'll skip right? But have to make a decision soon, because I have to do earlier shoots tonight and tomorrow am. Tomorrow have to give shot early and then leave and be gone for almost 12 hours :(
 
Ok, so did 2 retests. 85 and 83. And he won't eat his food. So, I guess no shot.

I was going to shoot 7:15am, 7pm, and then 6:30am tomorrow. I can push the trip til tues or wed. Just am going to canada for insulin.
 
He's still got the depot in play, that will help keep his numbers down (we hope! Rufus, I hope you are listening!).

I'm a little concerned that he won't eat his food this morning. He has no history of ketones, correct? The last thing we want to do here is to trigger an episode of that by skipping a dose.
 
Ok. He ate a little deli turkey. Wonder if I should give him a half shot? Can it be later in the AM and then stick to my schedule??
 
Nan & Amber said:
He's still got the depot in play, that will help keep his numbers down (we hope! Rufus, I hope you are listening!).

I'm a little concerned that he won't eat his food this morning. He has no history of ketones, correct? The last thing we want to do here is to trigger an episode of that by skipping a dose.
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No, never ketones. Whenever I test the strip isn't clear though. Always looks between neg and trace. He did just eat a little turkey.
 
If you are confident that he's going to eat (eventually), you could do the half shot. By the evening, time zones will be in your favor and some of the folks with more experience can advise you on the next steps. Rufus's rapid journey is a bit out of my league, I confess!

The thing about changing shot times that you have to keep in mind is that shooting early can sometimes act like a dose increase (and shooting late a decrease). That's why we try to keep time changes to a minimum. That said, he'll have a wonky depot no matter what with the dose changes over the last few days-- this is kind of an unusual case.
 
Ok, made him some new food. He's going to town on it. I think the new routine might have bothered him. Used to feed, then test. Today tested, 10 pokes. Waited 20 minutes, 10 pokes, and then feed. He might have just been showing his displeasure at the new sequence of events :)
 
Nan & Amber said:
The thing about changing shot times that you have to keep in mind is that shooting early can sometimes act like a dose increase (and shooting late a decrease). That's why we try to keep time changes to a minimum.
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I know. I try to keep it around 7:15, but have gone 15 min early or late more then a few times. Hopefully it doesn't screw too much up.

I think I'll give him 2.5u now
 
Seriously, this is great numbers but what is going on? He had a 1/2 dose?! I suppose it depends on what the rest of the day goes like, but would I stick to the 4.5 tonight?
 
Still could be depot talking, but wow! Rufus isn't slowing down! So amazing, the change in the numbers over just a few days.

I don't know about the dose tonight, but it's sure looking to me as if the best move for your trip will probably be a no-shot-- with the way he's going, I wouldn't want to leave him for 12 hrs with new insulin on board.

Let's see what the experts have to say about dose tonight, but depending on what he does the rest of the day I'd be inclined to go down again (testing ketones daily) if he were my cat.
 
Nan & Amber said:
Still could be depot talking, but wow! Rufus isn't slowing down! So amazing, the change in the numbers over just a few days.

I don't know about the dose tonight, but it's sure looking to me as if the best move for your trip will probably be a no-shot-- with the way he's going, I wouldn't want to leave him for 12 hrs with new insulin on board.

Let's see what the experts have to say about dose tonight, but depending on what he does the rest of the day I'd be inclined to go down again (testing ketones daily) if he were my cat.
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Sounds good. I might drop him off at my parents house, but I don't know if my Dad would even recongize signs of hypo. And he won't test.
 
Well saw something out of Rufus that I haven't seen in many many many months today. Whenever I change my bed sheets and put the new ones on, Rufus would jump (or walk up the stairs) on the bed and go around in circles and jump around and bat around at my hands underneath the sheets and then he would be on his back and i'd tickle him. Did that today, so he must be feeling a little better :)
 
Hi there :cool:

Good call on the BCS this morning. Remember Lantus is slow acting - and you have the depot in play - the gift that keeps on giving. So you won’t see the effects of the reduced dose immediately.

Let’s see how this cycle unfolds. That will help you determine the best strategy for when you are away.

Go team Rufus!
 
How soon are you to run out of insulin? Any chance to postpone the trip? Between switching from kibble to low carb wet food and the dental...

I don't want to get your hopes too high, but at the least he's looking like he won't be going through insulin as quickly as he was and he may just not need it much longer (anti-jinx)!
 
Stacy & Asia said:
How soon are you to run out of insulin? Any chance to postpone the trip? Between switching from kibble to low carb wet food and the dental...

I don't want to get your hopes too high, but at the least he's looking like he won't be going through insulin as quickly as he was and he may just not need it much longer (anti-jinx)!
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Well he's still eating kibble, but it is low carb. I have a friend that lives in Canada and he already bought me 2 vials. I'm going to meet him just on our side of the border.

That would be awesome if the 2 vials is too much, but too late now!
 
Negative ketones, didn't eat lunch. Gave him some turkey (his fav) and only ate some of it, did eat 4 treats though. I think it's the nausea still unfortunetley.
 
Sean & Rufus said:
Any insight into tonights dosing and going forward? Gave 2.5u instead of 4.5 this am and numbers are good.
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That's the depot keeping the numbers down today. Chances are he'll keep going up until PMPS. One option is to shoot a lower dose tonight and tomorrow morning, that you know will keep him safe tomorrow. According to SLGS, his new official dose should be 4.25 units, even if the depot was in play last night. So you could try something like 3.5 tonight and tomorrow. He may run a little higher, but at least you know you'll be OK to go for your trip.
 
Wendy&Neko said:
That's the depot keeping the numbers down today. Chances are he'll keep going up until PMPS. One option is to shoot a lower dose tonight and tomorrow morning, that you know will keep him safe tomorrow. According to SLGS, his new official dose should be 4.25 units, even if the depot was in play last night. So you could try something like 3.5 tonight and tomorrow. He may run a little higher, but at least you know you'll be OK to go for your trip.
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Sounds good! Thank you! This .25 dosing is going to kill me, even on the half mark syringes it's hard for me to get at the half
 
So I'm not trying to get ahead of myself and I'm going to knock on wood, but what are the chances of him ever going into remission do you think? Pancreatitis, dental, and steroids brought us here. He did have all the prerequisites for diabetes being male, overweight, neutered, and older. I know things can happen quickly, but when he was not eating well and we tried all these things to getting him feeling better he developed the diabetes in the process. He's obviously on a still high dose and who knows when are where the dosing will takes us but at this point I think he's still getting too much juice by the way he acts. Any stats out there that I am missing on remission rates?
 
I don't predict remission. Regulation is the first step and a prerequisite. Focus on that first. Getting to regulation early on after the diagnosis does help.

Acromegalic cats are usually male and short haired. My girl had long hair. ECID.
 
Sorry if this is dumb, but at what point do you consider regulated? When there are in blues and greens for a set amount of time without increases/decreases?
 
Tightly regulated is mostly below 100, but since you are following SLGS, that's not possible. There are varying definitions of regulated, but being mostly between 90 and 150 would be good for SLGS. And yes, on the same dose and for a week. If he keeps throwing you low numbers, then obviously you can't stay on the same dose. But a well regulated cat can still handle the odd low number and not bounce much at all.
 
Wendy&Neko said:
Tightly regulated is mostly below 100, but since you are following SLGS, that's not possible. There are varying definitions of regulated, but being mostly between 90 and 150 would be good for SLGS. And yes, on the same dose and for a week. If he keeps throwing you low numbers, then obviously you can't stay on the same dose. But a well regulated cat can still handle the odd low number and not bounce much at all.
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Ok. So it appears that we are close to being regulated hopefully. In regards to the 3.5 tonight and tomorrow am, do think there is a chance that this could throw him all off and there would be a chance it could take some time to get back to better numbers? I don't want to jeopardize the progress, but really need to go tomorrow, Tues, or Wed at the latest.

Thanks again for all of your insight and help :)
 
Ok nearing shot time and a little worried that if I give him 3 reduced shots I'll screw up his progress. I'm going to give 4.25u and see where that takes us in the am. If the numbers are above 100 I'll feel safe to give him full dose and go on trip.
 
Hi all-

Sorry this is not in my condo...delete if need be :)

I know someone showed a pic of .25 vs .5 in a syringe, I cannot find it now. Anyways, it's like a thin, thin line between the 2 on a syringe. How in the heck can you get an accurate .25? Also, these syringes I am using now that have .5 markings are acting weird. After I pull the plunger back while in the vial and fill to what I believe is what I need, I let go and the plunges pushes itself forward, to a little less then what I had pulled it to. Know what I mean?

Any advice is appreciated :)
 
Eyeballing those tiny doses is tough. Many of us use calipers. See Marje's excellent discussion of using calipers to measure the dose: http://www.felinediabetes.com/FDMB/threads/dosing-with-calipers-updated-w-videos.79851/

It is always advisable to draw out a little more insulin into the syringe than you need. Then, pull the needle out of the vial and slowly twist the plunger until you reach your dose.
Insulin syringes are often inaccurate: the zero line does not line up with the plastic disk at the top of the syringe; lines are crooked, etc. We all just have to try to be as consistent as we can. Total accuracy is almost impossible to achieve!

The pictures you are looking for are in the "Sticky" Lantus and Levemir at the top of the forum:
http://www.felinediabetes.com/FDMB/...insulin-info-handling-drawing-fine-doses.151/

Good luck!
 
Ella & Rusty & Stu(GA) said:
Eyeballing those tiny doses is tough. Many of us use calipers. See Marje's excellent discussion of using calipers to measure the dose: http://www.felinediabetes.com/FDMB/threads/dosing-with-calipers-updated-w-videos.79851/

It is always advisable to draw out a little more insulin into the syringe than you need. Then, pull the needle out of the vial and slowly twist the plunger until you reach your dose.
Insulin syringes are often inaccurate: the zero line does not line up with the plastic disk at the top of the syringe; lines are crooked, etc. We all just have to try to be as consistent as we can. Total accuracy is almost impossible to achieve!

The pictures you are looking for are in the "Sticky" Lantus and Levemir at the top of the forum:
http://www.felinediabetes.com/FDMB/...insulin-info-handling-drawing-fine-doses.151/

Good luck!
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Thanks! I was shown an actual pic of syringe filled to a .25, so it wasn't those pics in the sticky. That .25 is so miniscule in the syringe, it is tough! I'll try our your tip for the slow twist tomorrow am :)
 
Sean & Rufus said:
Thanks! I was shown an actual pic of syringe filled to a .25, so it wasn't those pics in the sticky. That .25 is so miniscule in the syringe, it is tough! I'll try our your tip for the slow twist tomorrow am :)
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Keep in mind, too, that you cannot compare the dose lines on your syringes with the lines in the pictures unless they are the same brand as the one in the pictures. This is because some brands have a much skinnier barrel than others. A skinny barrel will be easier to eyeball because the lines are further apart. What brand of syringe are you using? Are you using U-100, 0.3mL syringes (for doses of 30 Units and lower)? Syringes for doses above 30 Units will have the lines impossibly close together.
 
Better safe than sorry. Due to the effects of the depot, it is better to start the reduction before the cycle you need him to be safe. Wore case, skip tomorrow morning. He will get back on track, no matter what you do.:bighug:
 
Ella & Rusty & Stu(GA) said:
Keep in mind, too, that you cannot compare the dose lines on your syringes with the lines in the pictures unless they are the same brand as the one in the pictures. This is because some brands have a much skinnier barrel than others. A skinny barrel will be easier to eyeball because the lines are further apart. What brand of syringe are you using? Are you using U-100, 0.3mL syringes (for doses of 30 Units and lower)? Syringes for doses above 30 Units will have the lines impossibly close together.
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Yes I am using U100, .3ml syringes. My half mark ones are carepoint vet brand. I really don't care for them. They are the ones that I have the plunger issue with. My full mark ones are Ulticare, I much prefer these ones and can get half dosing pretty good on these. Tonight was the first time doing a 4.25u dose.
 
Wendy&Neko said:
Better safe than sorry. Due to the effects of the depot, it is better to start the reduction before the cycle you need him to be safe. Wore case, skip tomorrow morning. He will get back on track, no matter what you do.:bighug:
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Sorry I know that there isn't a for sure answer/number to this question....but if he is above 100 is a full dose ok? Or what number do you think is safe for a full dose. Sorry this is all kind of confusing, but I really am starting to understand it more and more each day. Sorry I didn't heed your advice from earlier. Just got worried after reading about someone else on here having big issues after a reduction and didn't wnat to screw things up.
 
.25 unit.PNG


It's not so important that you get an exact .25....just that you get what you think .25 is as consistently as possible
 
If following SLGS, the suggestion is not to shoot below 90, and you only do that when you have the data, are comfortable doing so and can monitor.

No worries about giving the higher dose. You just might not get as much sleep tonight.
 
+3.5 76. So he's earned another reduction? He had a half shot this am, multiple reductions last few days! This is crazy.
 
To answer your earlier question, I would skip tomorrow morning since you will be away and he's being unpredictable. You need to drain that depot more.

Up Rufus!:eek:
 
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