209 before insulin (due)

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desertmare

Member Since 2013
I don't want to give him as much as usual do I? I can see I need more understanding of how the insulin itself works~~I don't want him to shoot sky high again, but I sure don't want to tank him either!

on PZI (for the past two weeks ) 4 1/2 units last night when he was at 454. (before that he was on Humalin) This is the first night he hasn't had some food during the night,.
 
Do you have the ability to stall a little without feeding him while I see if I can round someone up that uses your insulin? I can't help with dosing as my girl is on Levemir but I will see who I can find that uses PZI.

Mel, Maxwell, Autumn & The Fur Gang
 
Never mind Sue has you...you are in great hands. We must have been posting at the same time and she types quicker than I do.

Mel, Maxwell, Autumn & The Fur Gang
 
If it has been less than 10 minutes, the test might still be valid. (food raises bg numbers and you want a true number, not one influenced by food.
 
Sue and Oliver (GA) said:
Don't feed him, but take another test to be sure he is rising, not falling.
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He's now at 250, and it's been about 50 min since I fed him. The first time was right after he ate 'first brekkie't~ he's a grazer~small amounts all day. I have been taking his (morning) blood right after feeding, and before insulin. I starrt coffee so I can see, and he's no longer staving, so he'll sit reasonably still and growl but not bite.
 
It is impossible to know whether that is a food spike or a pretty accurate number.

You have 2 choices. You can give a small dose and monitor carefully, hoping that he was going up, not down. It is a chance.

You can wait 2 hours and retest. By then the food should be gone. It is likely the number will be high (14 hours since the last shot). Then you'd still shoot a reduced dose. This is the safest but it messes up your schedule, as the next shot would need to be 12 hours from that one.

I posted in your previous thread about reducing the dose. I know you are reducing a little from the 5 units the vet suggested, but I think, at this point, I would reduce and start back up slowly, if needed as your testing indicates.
 
You can wait 2 hours and retest. By then the food should be gone. It is likely the number will be high (14 hours since the last shot). Then you'd still shoot a reduced dose. This is the safest but it messes up your schedule, as the next shot would need to be 12 hours from that one.

Ok, I'll try waiting two hours. Then gradually get him back to a more workable schedule.
 
Sue and Oliver (GA) said:
You can wait 2 hours and retest. By then the food should be gone. It is likely the number will be high (14 hours since the last shot). Then you'd still shoot a reduced dose. This is the safest but it messes up your schedule, as the next shot would need to be 12 hours from that one.
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Ok, I'll try waiting two hours. Then gradually get him back to a more workable schedule.
 
That is probably the safest. Post then and I will watch for you.

I think you do need to reduce from the 4 units. If he was at 209 12 hours after the shot, we can assume he went quite a bit lower than that overnight.

Next time, test and if it is around 200 or lower, wait 20 minutes without testing. (go in another room and shut the door so they won't bite your ankles. :mrgreen: ). Then test again. If it is rising and over 200, you can shoot but reduce the dose.

If you want to, you can post on the PZI forum. Everyone there has experience with your insulin and we have a number of new diabetics learning together. (I post here and on PZI)

http://felinediabetes.com/FDMB/viewforum.php?f=24

Re your ss. Check your pms. Can you get any Goggle docs? I don't think you need to have gmail. You just need to be able to access google docs.
 
I have to go out for a while. I'll try to be back about your 2 hour window. But in case I am not, here is what I would say:

As long as he is rising from the 209 this am, I think you have two choices, both involving reduced doses.

1. You could cut your previous dose in half, giving 2 units. Monitor carefully. It should be a safe dose, but things are changing rapidly. The insulin is starting to work (it sometimes takes a while for the body and insulin to work together) and the diet change is kicking in.

2. You can cut the dose to one unit. Again monitoring carefully. If, in a couple cycles, he is in numbers in the 300-400 range, increase by .5 units and monitor for a few more cycles.

In both cases, test for ketones as you are reducing the dose.

I don't think you want to continue with the 4 units. Things are changing too fast, in a downward direction. I guess you could give 3 units, but again you would want to monitor carefully and be ready to intervene if he drops too low.
 
Sue and Oliver (GA) said:
I have to go out for a while. I'll try to be back about your 2 hour window. But in case I am not, here is what I would say:

As long as he is rising from the 209 this am, I think you have two choices, both involving reduced doses.
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10:39~~ up to 376
I'm thinking maybe go with the two units, but I'm going to be away for several hours this afternoon, and again this evening, though I should be here at least three `coinciding with low point, in between.

I
Sue and Oliver (GA) said:
n both cases, test for ketones as you are reducing the dose.
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This I haven't done yet, but I have located a pharmacy that carries the test strips for that . And that sounds terribly difficult!

Sue and Oliver (GA) said:
I don't think you want to continue with the 4 units. Things are changing too fast, in a downward direction. I guess you could give 3 units, but again you would want to monitor carefully and be ready to intervene if he drops too low.
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I don't. I agree. And many thanks. I'm now trying to find how I got to the pms previously. duh. stress?
 
I think as long as you can get a number somewhere between 5-7 hours after the shot, it should give you a good idea of how that dose might be working.

For pms. look up on the top of the page. It says "1 new message" Click on that.

We could only get a sample from Oliver if we put him in a room with a clean litter box with aquarium gravel in it. He'd christen the new box and the sample wouldn't be absorbed by the gravel. Some people use a ladle and stick it under the cat, but Oliver would not pee if we were in the room......
 
just gave him 2 units. I'll print out his records of the past week+ and drop at the vets, hopefully he'll call and talk about them tonight, too. And I'll get stuff for ketone testing. btb, doesn't help that I don't always get enough blood on the first poke :( And I reserve the freeze-dried chicken for post poking only, so he knows the best treats are coming~~I'd probably be totally shredded otherwise!

I see I did something wrong on the pms last night and the later one I sent disappeared into the ether. Will send again. THANK YOU!
 
Reading back over your posts, it looks like you feed and then test. Unless it's a tiny amount or you test within a few minutes, that can inflate your numbers. Is he eating at all overnight? If he could eat midcycle overnight, it might be helpful for his pancreas and he wouldn't be starving in the am. (lots of us use automatic feeders for this)

It looks like you went back up to 3 for the pm shot. Will be watching for your amps today.
 
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