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Bradshaw & Felix

Bradshaw & Felix

Member Since 2020
My approximately 13 year old male cat was diagnosed almost a year ago. We rescued him in 2011 without any health background. We quickly found out he has a sensitive stomach and has been on a strict diet until we made changes due to his diabetes. Where can I find the "log" to enter his numbers and upload in the forum for advise? Thanks in advance
 
WELCOME TO FDMB! We are so clad you found us.

To set up a spreadsheet and signature go here and read the stickies (highlighted in yellow) they will guide you.

Again, welcome to the best darn site to get ANSWERS!

we loves questions!
jeanne
 
Nan & Amber (GA) said:
Hello and welcome!

Here's the spreadsheet instructions and template: FDMB SPREADSHEET INSTRUCTIONS

Sounds like you're already home testing blood glucose-- wonderful!

What insulin are you using, and at what dose?
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He is currently on Prozinc and his dose has fluctuated greatly as you can see on the spreadsheet. He was diagnosed in August of 2019. We trust and love our vet with all 6 of our current cats and many before now. However, we started testing at home and researching ourselves because we feel our vet is not too knowledgeable in regards to feline diabetes. Prior to home testing, our vet would set a dose and we were following that until we had a hypo episode. $1,000 ER trip later....we are now home testing...
 
Ahhhh I see you dont have a signature. Look at the bottom of Nans post. The words are in a light grey color. In that signature you find type of insuiln, meter being used, Food Felix eats...all the little particulars. This info is for our experts to see at a glance. That way they dont have to scroll through a thread or ask the same questions over and over.you can find that info in the same section.

Its awesome you are home testing . As you've found, its the ONLY way to keep Felix safe GOOD FOR YOU!

Vets get only a couple of hours of diabetes education when they are in school. They have SO many things (because of all thedifferent clients) to learn, its all they get.
Its the vet that admits they are stymied that are the keepers. ;) If they are willing to learn along with you they can be the best guide., Sadly I havent met too many humble vets.
 
jt and trouble (GA) said:
Ahhhh I see you dont have a signature. Look at the bottom of Nans post. The words are in a light grey color. In that signature you find type of insuiln, meter being used, Food Felix eats...all the little particulars. This info is for our experts to see at a glance. That way they dont have to scroll through a thread or ask the same questions over and over.you can find that info in the same section.

Its awesome you are home testing . As you've found, its the ONLY way to keep Felix safe GOOD FOR YOU!

Vets get only a couple of hours of diabetes education when they are in school. They have SO many things (because of all thedifferent clients) to learn, its all they get.
Its the vet that admits they are stymied that are the keepers. ;) If they are willing to learn along with you they can be the best guide., Sadly I havent met too many humble vets.
Click to expand...
I have added a signature with his spreadsheet linked (if I did it correctly). Can you see his spreadsheet? I will go back and add food, etc
 
Bradshaw & Felix said:
I have added a signature with his spreadsheet linked (if I did it correctly). Can you see his spreadsheet? I will go back and add food, etc
Click to expand...
Yes the spreadsheet is great! one thing that sticks out...You only test before each shot. If you test in between those shots it will give you a better idea HOW the insulin is working. This way you can fine tune a dose and get to an optimum level. Here is a post from one of our members I copied:

We do advise testing at home, after all human diabetics always test blood sugar before injections to be sure it is safe to do so, to track the blood sugar levels between injections and to prevent any hypoglycemic events (low blood sugar which can be very dangerous) Same applies to our furry kids. Protocols here are based on human glucose meters, but many do use a pet meter. However pet meters and strips are more expensive and you do have to order online. You can get a low cost meter and strips at Walmart, the ReliOn Prime. This will do if or until you decide to use something else. Testing is the best way to keep Big safe.
 
You have found a safe place here for Felix. Its been a bit slow lately Hold on for more replies!

And again WELCOME to the bast site on this planet to help you navigate this disease!
jeanne
 
I second Jeanne's comment about needing some between-shot tests. We evaluate doses based on how low they take the BG, and you can't really tell that from pre-shots.

That said, we can squeeze some information out of the pre-shot numbers! Felix was looking very very good on 0-1.0U earlier in the year-- not at remission, but maybe getting pretty close. Fast-forward a few months, and we're seeing higher numbers-- pinks and yellows, even a red-- on the same doses. So, here are some possibile explanations:

1) dose is too low because of changing insulin needs. It happens.
2) dose is "too low" but for a specific reason-- there's something else going on causing discomfort, and that is raising BG. How are his teeth? Any possibility of some kind of infection brewing (UTI, etc.)?
3) dose is too high

Let me explain the last one, which seems very weird. Basically, there are safety mechanisms in a cat's body that try to raise BG endogenously when BG is perceived to be too low. We call this "bouncing"-- a cat goes low, and then the next thing you know, they are sky-high! The thing about bounces is that they can last for up to three days, so a bouncy cat spends a lot more time high than low. They're getting too much insulin (going low), but you have to get really lucky to catch that, and especially just testing at pre-shots, you'll almost always see high numbers.

I kind of suspect that might be what is happening with Felix (especially since he started this run of high numbers with some green pre-shots), but there's really no way to tell without more data between shots. And of course, we want to be able to eliminate the other possibilities as well.

One more thing going forward: although Prozinc is sometimes dosed on a "sliding scale" where the pre-shot determines the dose, we have found that a lot of cats do better (and have more easily understood patterns) if they get a consistent dose morning and night. In Felix's case, that might mean having to drop the dose to something you think you can shoot safely twice a day, maybe to 0.5U, and getting some of those between-shot numbers to assess the dose.

Lastly, seconding Jeanne again: Felix is a gorgeous floofy guy!
 
Nan & Amber (GA) said:
I second Jeanne's comment about needing some between-shot tests. We evaluate doses based on how low they take the BG, and you can't really tell that from pre-shots.

That said, we can squeeze some information out of the pre-shot numbers! Felix was looking very very good on 0-1.0U earlier in the year-- not at remission, but maybe getting pretty close. Fast-forward a few months, and we're seeing higher numbers-- pinks and yellows, even a red-- on the same doses. So, here are some possibile explanations:

1) dose is too low because of changing insulin needs. It happens.
2) dose is "too low" but for a specific reason-- there's something else going on causing discomfort, and that is raising BG. How are his teeth? Any possibility of some kind of infection brewing (UTI, etc.)?
3) dose is too high

Let me explain the last one, which seems very weird. Basically, there are safety mechanisms in a cat's body that try to raise BG endogenously when BG is perceived to be too low. We call this "bouncing"-- a cat goes low, and then the next thing you know, they are sky-high! The thing about bounces is that they can last for up to three days, so a bouncy cat spends a lot more time high than low. They're getting too much insulin (going low), but you have to get really lucky to catch that, and especially just testing at pre-shots, you'll almost always see high numbers.

I kind of suspect that might be what is happening with Felix (especially since he started this run of high numbers with some green pre-shots), but there's really no way to tell without more data between shots. And of course, we want to be able to eliminate the other possibilities as well.

One more thing going forward: although Prozinc is sometimes dosed on a "sliding scale" where the pre-shot determines the dose, we have found that a lot of cats do better (and have more easily understood patterns) if they get a consistent dose morning and night. In Felix's case, that might mean having to drop the dose to something you think you can shoot safely twice a day, maybe to 0.5U, and getting some of those between-shot numbers to assess the dose.

Lastly, seconding Jeanne again: Felix is a gorgeous floofy guy!
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Thank you for replying with such helpful information. I’ve read up on the bouncing but I’ve never had it explained that well. I teach school so I won’t be home as much starting Tuesday but will start immediately with .5 morning and night and check pre and post. How long after the shot should I check post?
 
Going to tag some Prozinc folks, @Deb & Wink @Panic , for some more thoughts on this.

Two key times in insulin action that you want to keep in mind when deciding when to test are insulin "onset" and BG "nadir" (lowest point). For Prozinc, a typical onset time is 2-3hrs post-shot, and a typical nadir time is 4-7hrs post shot.

In the beginning, while you're trying to figure out Felix's patterns, you would ideally want to sprinkle tests around at all different times. With your work schedule and (I assume!) your desire to sleep sometime, you'll probably be getting most of your tests in the first half of the cycle, which works well given the onset and nadir times given above. In the mornings, unless you get up and shoot really early, you'll probably be getting just a +2 or +3 "out-the-door" test that might give you an idea of whether Felix is likely to see an active cycle that day. In the evening, depending on your schedule, you might get to test a bit later and possibly be able to get a handle on his nadirs. You may also sometimes be able to get some tests in the later part of the morning cycle in late afternoons, depending on when you get home.

Especially when working (and sleeping!) it's hard/impossible to get the full picture of a cycle on any given day other than weekends, but by sprinkling tests around at different times on different days, we can put together the puzzle pieces and eventually know where to focus the testing.
 
Nan & Amber (GA) said:
Going to tag some Prozinc folks, @Deb & Wink @Panic , for some more thoughts on this.

Two key times in insulin action that you want to keep in mind when deciding when to test are insulin "onset" and BG "nadir" (lowest point). For Prozinc, a typical onset time is 2-3hrs post-shot, and a typical nadir time is 4-7hrs post shot.

In the beginning, while you're trying to figure out Felix's patterns, you would ideally want to sprinkle tests around at all different times. With your work schedule and (I assume!) your desire to sleep sometime, you'll probably be getting most of your tests in the first half of the cycle, which works well given the onset and nadir times given above. In the mornings, unless you get up and shoot really early, you'll probably be getting just a +2 or +3 "out-the-door" test that might give you an idea of whether Felix is likely to see an active cycle that day. In the evening, depending on your schedule, you might get to test a bit later and possibly be able to get a handle on his nadirs. You may also sometimes be able to get some tests in the later part of the morning cycle in late afternoons, depending on when you get home.

Especially when working (and sleeping!) it's hard/impossible to get the full picture of a cycle on any given day other than weekends, but by sprinkling tests around at different times on different days, we can put together the puzzle pieces and eventually know where to focus the testing.
Click to expand...
Thank you
 
Hello Felix's mom! :) Waving at you from SC!

Nan's given a lot of great advice already. With Prozinc, there are two methods you can choose from to help you with dosing, SLGS (Start Low, Go Slow) and MPM (Modified Prozinc Method). You can find info on them here. To summarize, SLGS has you adjusting the dose every 7 days (so unless kitty has earned a reduction by dropping too low, you keep the same dose all week), and MPM has you adjusting every 3 days. You do this to keep the blood sugar in check and prevent them from staying in higher numbers for too long. Take a look when you have time, it's a very helpful guideline for understanding dose changes. Think of it like a schedule to maintain. Of course you can ask for dosing advice here, but we reference the dosing method as well when we offer advice. :)

Now Deb is definitely the one to ask about dosing suggestions, but I'm honestly really liking that 0.5 dose you had him on. It's easy to feel compelled to up the dose (that "sliding" scale Nan was talking about) when you see high pre-shots, but for all you know they're being caused by the dose being too much, again like Nan explained. What you'll want to do is pick a dose (maybe 0.5 unless Deb suggests something else) and hold it at least 3 days (unless he earns a reduction!). Then we can re-evaluate.

As for testing, let's take advantage of the few days you have at home to find out his onset and nadir. An easy way to do this is take one day and test at +2, +4, and +6, and the next day test at +1, +3, +5, and +7. Rough guideline. You're just trying to fill in the blanks throughout a few days. You can also get later tests in maybe at +9 or +10 to see how high/low he is before pre-shot. Prozinc does tend to onset at +2 (give or take an hour) so you'll want to give a snack then. I don't see it mentioned here but diabetic kitties need lots of food availability. I'm assuming you can't realistically free-feed with six cats, so just make sure to offer him food a few times a day. Usually in the first half of the cycle, at onset and 2-3 times before nadir. We don't know what those are yet though but keep that in mind. I'd feed my girl at +2, +4, and +5 for example. You also should have food available during the night - it's very possible Felix is dropping lower at night and causing your high morning pre-shots. Most of us use an auto feeder so we can get our sleep and not feel bad about stepping out of the house LOL.
 
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Panic said:
Hello Felix's mom! :) Waving at you from SC!

Nan's given a lot of great advice already. With Prozinc, there are two methods you can choose from to help you with dosing, SLGS (Start Low, Go Slow) and MDM (Modified Dosing Method). You can find info on them here. To summarize, SLGS has you adjusting the dose every 7 days (so unless kitty has earned a reduction by dropping too low, you keep the same dose all week), and MDM has you adjusting every 3 days. You do this to keep the blood sugar in check and prevent them from staying in higher numbers for too long. Take a look when you have time, it's a very helpful guideline for understanding dose changes. Think of it like a schedule to maintain. Of course you can ask for dosing advice here, but we reference the dosing method as well when we offer advice. :)

Now Deb is definitely the one to ask about dosing suggestions, but I'm honestly really liking that 0.5 dose you had him on. It's easy to feel compelled to up the dose (that "sliding" scale Nan was talking about) when you see high pre-shots, but for all you know they're being caused by the dose being too much, again like Nan explained. What you'll want to do is pick a dose (maybe 0.5 unless Deb suggests something else) and hold it at least 3 days (unless he earns a reduction!). Then we can re-evaluate.

As for testing, let's take advantage of the few days you have at home to find out his onset and nadir. An easy way to do this is take one day and test at +2, +4, and +6, and the next day test at +1, +3, +5, and +7. Rough guideline. You're just trying to fill in the blanks throughout a few days. You can also get later tests in maybe at +9 or +10 to see how high/low he is before pre-shot. Prozinc does tend to onset at +2 (give or take an hour) so you'll want to give a snack then. I don't see it mentioned here but diabetic kitties need lots of food availability. I'm assuming you can't realistically free-feed with six cats, so just make sure to offer him food a few times a day. Usually in the first half of the cycle, at onset and 2-3 times before nadir. We don't know what those are yet though but keep that in mind. I'd feed my girl at +2, +4, and +5 for example. You also should have food available during the night - it's very possible Felix is dropping lower at night and causing your high morning pre-shots. Most of us use an auto feeder so we can get our sleep and not feel bad about stepping out of the house LOL.
Click to expand...
This is some really good information. We’ve had Felix since 2011. He was a rescue so his age is just an estimate. We think he around 13 give or take. He was having massive diarrhea and has longer fur so you can imagine. We’ve tried soooo many hard foods and canned foods with him for the first year and had too many tests to remember at the vet. My vet finally put him on hydrolyzed protein by Royal Canin (by prescription) bc it has a pretty simple protein chain that his stomach is able to digest and tolerate. He was on that food and only that food u til he was diagnosed. We knew we needed a lower carb food so the vet suggested several and they caused diarrhea as we tested small amounts with the hydrolyzed protein hard food. Finally, around maybe December/January we found a rabbit based canned food by royal Canin that didn’t cause diarrhea. It has a shorter protein chain. He eats that and nothing else. We feed all other cats in a different rooms from him so there is no chance he gets ahold of ANY other food. Any other food has always caused him diarrhea (including treats) even before his diabetic diagnosis. So, I have no idea what to offer him between meals. When I say he has a stomach issue, he really does. If he finds a human food crumb in our kitchen floor, he has problems. So we’ve been very strict with his diet which has been hard bc I’ve always free fed my cats or at least given treats (snacks) between meals. I am up for any suggestions...
Panic said:
Hello Felix's mom! :) Waving at you from SC!

Nan's given a lot of great advice already. With Prozinc, there are two methods you can choose from to help you with dosing, SLGS (Start Low, Go Slow) and MDM (Modified Dosing Method). You can find info on them here. To summarize, SLGS has you adjusting the dose every 7 days (so unless kitty has earned a reduction by dropping too low, you keep the same dose all week), and MDM has you adjusting every 3 days. You do this to keep the blood sugar in check and prevent them from staying in higher numbers for too long. Take a look when you have time, it's a very helpful guideline for understanding dose changes. Think of it like a schedule to maintain. Of course you can ask for dosing advice here, but we reference the dosing method as well when we offer advice. :)

Now Deb is definitely the one to ask about dosing suggestions, but I'm honestly really liking that 0.5 dose you had him on. It's easy to feel compelled to up the dose (that "sliding" scale Nan was talking about) when you see high pre-shots, but for all you know they're being caused by the dose being too much, again like Nan explained. What you'll want to do is pick a dose (maybe 0.5 unless Deb suggests something else) and hold it at least 3 days (unless he earns a reduction!). Then we can re-evaluate.

As for testing, let's take advantage of the few days you have at home to find out his onset and nadir. An easy way to do this is take one day and test at +2, +4, and +6, and the next day test at +1, +3, +5, and +7. Rough guideline. You're just trying to fill in the blanks throughout a few days. You can also get later tests in maybe at +9 or +10 to see how high/low he is before pre-shot. Prozinc does tend to onset at +2 (give or take an hour) so you'll want to give a snack then. I don't see it mentioned here but diabetic kitties need lots of food availability. I'm assuming you can't realistically free-feed with six cats, so just make sure to offer him food a few times a day. Usually in the first half of the cycle, at onset and 2-3 times before nadir. We don't know what those are yet though but keep that in mind. I'd feed my girl at +2, +4, and +5 for example. You also should have food available during the night - it's very possible Felix is dropping lower at night and causing your high morning pre-shots. Most of us use an auto feeder so we can get our sleep and not feel bad about stepping out of the house LOL.
Click to expand...

This is some really good information. We’ve had Felix since 2011. He was a rescue so his age is just an estimate. We think he around 13 give or take. He was having massive diarrhea and has longer fur so you can imagine. We’ve tried soooo many hard foods and canned foods with him for the first year and had too many tests to remember at the vet. My vet finally put him on hydrolyzed protein by Royal Canin (by prescription) bc it has a pretty simple protein chain that his stomach is able to digest and tolerate. He was on that food and only that food u til he was diagnosed. We knew we needed a lower carb food so the vet suggested several and they caused diarrhea as we tested small amounts with the hydrolyzed protein hard food. Finally, around maybe December/January we found a rabbit based canned food by royal Canin that didn’t cause diarrhea. It has a shorter protein chain. He eats that and nothing else. We feed all other cats in a different rooms from him so there is no chance he gets ahold of ANY other food. Any other food has always caused him diarrhea (including treats) even before his diabetic diagnosis. So, I have no idea what to offer him between meals. When I say he has a stomach issue, he really does. If he finds a human food crumb in our kitchen floor, he has problems. So we’ve been very strict with his diet which has been hard bc I’ve always free fed my cats or at least given treats (snacks) between meals. I am up for any suggestions...
 
Panic said:
Hello Felix's mom! :) Waving at you from SC!

Nan's given a lot of great advice already. With Prozinc, there are two methods you can choose from to help you with dosing, SLGS (Start Low, Go Slow) and MDM (Modified Dosing Method). You can find info on them here. To summarize, SLGS has you adjusting the dose every 7 days (so unless kitty has earned a reduction by dropping too low, you keep the same dose all week), and MDM has you adjusting every 3 days. You do this to keep the blood sugar in check and prevent them from staying in higher numbers for too long. Take a look when you have time, it's a very helpful guideline for understanding dose changes. Think of it like a schedule to maintain. Of course you can ask for dosing advice here, but we reference the dosing method as well when we offer advice. :)

Now Deb is definitely the one to ask about dosing suggestions, but I'm honestly really liking that 0.5 dose you had him on. It's easy to feel compelled to up the dose (that "sliding" scale Nan was talking about) when you see high pre-shots, but for all you know they're being caused by the dose being too much, again like Nan explained. What you'll want to do is pick a dose (maybe 0.5 unless Deb suggests something else) and hold it at least 3 days (unless he earns a reduction!). Then we can re-evaluate.

As for testing, let's take advantage of the few days you have at home to find out his onset and nadir. An easy way to do this is take one day and test at +2, +4, and +6, and the next day test at +1, +3, +5, and +7. Rough guideline. You're just trying to fill in the blanks throughout a few days. You can also get later tests in maybe at +9 or +10 to see how high/low he is before pre-shot. Prozinc does tend to onset at +2 (give or take an hour) so you'll want to give a snack then. I don't see it mentioned here but diabetic kitties need lots of food availability. I'm assuming you can't realistically free-feed with six cats, so just make sure to offer him food a few times a day. Usually in the first half of the cycle, at onset and 2-3 times before nadir. We don't know what those are yet though but keep that in mind. I'd feed my girl at +2, +4, and +5 for example. You also should have food available during the night - it's very possible Felix is dropping lower at night and causing your high morning pre-shots. Most of us use an auto feeder so we can get our sleep and not feel bad about stepping out of the house LOL.
Click to expand...
I hope this reply only shows 1 time. We had a bad storm here in Georgia and internet has been acting up. My reply showed up then it showed twice and now it’s not showing. This is some really good information. We’ve had Felix since 2011. He was a rescue so his age is just an estimate. We think he around 13 give or take. He was having massive diarrhea and has longer fur so you can imagine. We’ve tried soooo many hard foods and canned foods with him for the first year and had too many tests to remember at the vet. My vet finally put him on hydrolyzed protein by Royal Canin (by prescription) bc it has a pretty simple protein chain that his stomach is able to digest and tolerate. He was on that food and only that food u til he was diagnosed. We knew we needed a lower carb food so the vet suggested several and they caused diarrhea as we tested small amounts with the hydrolyzed protein hard food. Finally, around maybe December/January we found a rabbit based canned food by royal Canin that didn’t cause diarrhea. It has a shorter protein chain. He eats that and nothing else. We feed all other cats in a different rooms from him so there is no chance he gets ahold of ANY other food. Any other food has always caused him diarrhea (including treats) even before his diabetic diagnosis. So, I have no idea what to offer him between meals. When I say he has a stomach issue, he really does. If he finds a human food crumb in our kitchen floor, he has problems. So we’ve been very strict with his diet which has been hard bc I’ve always free fed my cats or at least given treats (snacks) between meals. I am up for any suggestions...
 
Bradshaw & Felix said:
So, I have no idea what to offer him between meals. When I say he has a stomach issue, he really does. If he finds a human food crumb in our kitchen floor, he has problems. So we’ve been very strict with his diet which has been hard bc I’ve always free fed my cats or at least given treats (snacks) between meals. I am up for any suggestions...
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Poor fella! Sounds like his tummy's gone through a lot.
Concerning feeding between meals, just give more of his regular food. Cats in general (but especially diabetics) do better with multiple smaller meals rather than two big ones. It's easier on the pancreas. I would take a 3oz can of Fancy Feast and quarter it, give my girl half for breakfast, a quarter for onset snack, and then split the last quarter for her other pre-nadir meals. So for Felix I would just take his breakfast and break it up a bit - largest portion with insulin of course.

I'm not great with understanding ingredients just yet, but does plain unseasoned meat bother Felix? Many people here feed their kitties PureBites which are single-ingredient freeze-dried treats, usually just made of chicken or turkey. Another thing I ended up doing (because while she liked them, PureBites gets a little costly) was just buying raw chicken and baking it, then pulling it into treat-sized pieces and freezing the excess.
 
First ingredient is rice, so probably not, but I wouldn't worry too much about that. In general, when there are other major health or q.o.l-affecting issues such as this, we try to address those first and then dose insulin around them.
 
More thoughts: in terms of short protein length foods, I am not certain but my guess is that you're going to be limited to highly manipulated foods and treats like the ones you mention. That probably cuts out things like PureBites, which are just freeze-dried meats with very little processing. As I said, though, that's OK if you have to use treats or food that are higher carb than normally recommended for diabetics-- you do what you have to, and just take the effects on BG into account.

Do the vets have any idea what might be causing this sensitivity? Seems like it might be a deficiency in digestive enzymes, is it possible to add those back in to his diet? (I am speculating here, I have no experience with this)
 
Nan & Amber (GA) said:
More thoughts: in terms of short protein length foods, I am not certain but my guess is that you're going to be limited to highly manipulated foods and treats like the ones you mention. That probably cuts out things like PureBites, which are just freeze-dried meats with very little processing. As I said, though, that's OK if you have to use treats or food that are higher carb than normally recommended for diabetics-- you do what you have to, and just take the effects on BG into account.

Do the vets have any idea what might be causing this sensitivity? Seems like it might be a deficiency in digestive enzymes, is it possible to add those back in to his diet? (I am speculating here, I have no experience with this)
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His normal vet and specialist have no idea what’s causing the stomach issue. They were just thrilled when we found a food that he could tolerate. Even more thrilled when we found the low carb rabbit based canned food with the shorter protein that is good for diabetics.
 
If anyone can look at Felix’ spreadsheet, we have a good many readings throughout the day (every 2 hours) for the past 3 days on .5 insulin morning and night. What next?
 
Bouncing. Felix has some ugly, ugly bouncing going on.
But the drop from +2 (467) to +4 (263) is encouraging.

Looks like 2U is too much. But 0.5U is not enough.
Perhaps try 0.75U and then we can reevaluate in a bit?
We want to try and find a dose that you can give for several cycles.
3 curves in 3 days! Good test data for sure!

More of regular rabbit based food is fine for treats. You don't need a lot, for a testing time treat. A small amount like 1/4 to 1/2 a teaspoon or less would probably be enough. Think the size of a kernal of corn or a green pea.

p.s. Would you please capitalize the insulin so it looks separate from the meter? Like this: Prozinc. Missed it at first glance. Even a ; or | separator would make it stand out better.
Yes, it's on the SS, but when we can look at the signature and see the insulin "at a glance" it's really helpful.

@JanetNJ is another Prozinc user to tag.
Bron has never used Prozinc and doesn't like to comment on dosing.
 
Deb & Wink said:
Bouncing. Felix has some ugly, ugly bouncing going on.
But the drop from +2 (467) to +4 (263) is encouraging.

Looks like 2U is too much. But 0.5U is not enough.
Perhaps try 0.75U and then we can reevaluate in a bit?
We want to try and find a dose that you can give for several cycles.
3 curves in 3 days! Good test data for sure!

More of regular rabbit based food is fine for treats. You don't need a lot, for a testing time treat. A small amount like 1/4 to 1/2 a teaspoon or less would probably be enough. Think the size of a kernal of corn or a green pea.

p.s. Would you please capitalize the insulin so it looks separate from the meter? Like this: Prozinc. Missed it at first glance. Even a ; or | separator would make it stand out better.
Yes, it's on the SS, but when we can look at the signature and see the insulin "at a glance" it's really helpful.

@JanetNJ is another Prozinc user to tag.
Bron has never used Prozinc and doesn't like to comment on dosing.
Click to expand...
Thank you. I have changed the Prozinc in the signature to be capitalized and added a period after the meter. We have ordered some purebites to “try” and see if his stomach will tolerate. I bet he can since they are 1 ingredient. They will be here Monday late afternoon. I will go to .75 starting tonight’s dose. Do I need to continue checking his blood every 2 hours for the next 3 days until we reevaluate? I also want to thank every single person who has graciously taken their personal time to give advice and help me through this.
 
No, testing every 2 hours should not be necessary. Some tests in the middle of the cycle are helpful. Or get that +2 to tell you which direction the BG levels are headed. If you are a late night person, test around +4 or +5 if you are normally up then.

If the +2 BG test is lower than the pre-shot, you might want to set an alarm to test later in the middle of the cycle. Just in case the BG levels take a nose dive.

Jeanne, you are absolutely amazing as our "welcome ambassador". Remember, no need to apologize here. Just a heads up for you.:bighug:

If we could all get everything right, all the time, we would never need this message board in the first place.
Still seeking that "state of perfection" after 6+ decades of life. Will be seeking until my death. Long time off, knock on wood.

I used to have so many little sticky notes by the side of my computer, that sticky notes would be buried in the next layer of sticky notes. ;)
After Wink died, I hardly posted for 2+ years. Took time to get back in the thick of things and learn who the new players were.
 
Bradshaw & Felix said:
Thank you. I have changed the Prozinc in the signature to be capitalized and added a period after the meter. We have ordered some purebites to “try” and see if his stomach will tolerate. I bet he can since they are 1 ingredient. They will be here Monday late afternoon. I will go to .75 starting tonight’s dose. Do I need to continue checking his blood every 2 hours for the next 3 days until we reevaluate? I also want to thank every single person who has graciously taken their personal time to give advice and help me through this.
Click to expand...

move completed the 3 days at .75. The purebites came Sunday and so far so good, he’s not had any issues with his bowel movements. How many pieces should I leave out for him for daytime and how many for nighttime? I start back to work today so I’ll be leaving the house around 7:15 and will be home around 3:45. Starting tonight, should I increase his insulin dose? Thanks
 
I think he needs an increase but confirm with Deb.

If you're referring to his mini meals during the day/night you need to be using his regular food, not PureBites. There are no carbs/almost no calories in them so they're good as treats but not for mini meals.

For mini meals you can do a couple tablespoons each time, basically just a few bites worth.
 
Deb & Wink said:
No, testing every 2 hours should not be necessary. Some tests in the middle of the cycle are helpful. Or get that +2 to tell you which direction the BG levels are headed. If you are a late night person, test around +4 or +5 if you are normally up then.

If the +2 BG test is lower than the pre-shot, you might want to set an alarm to test later in the middle of the cycle. Just in case the BG levels take a nose dive.

Jeanne, you are absolutely amazing as our "welcome ambassador". Remember, no need to apologize here. Just a heads up for you.:bighug:

If we could all get everything right, all the time, we would never need this message board in the first place.
Still seeking that "state of perfection" after 6+ decades of life. Will be seeking until my death. Long time off, knock on wood.

I used to have so many little sticky notes by the side of my computer, that sticky notes would be buried in the next layer of sticky notes. ;)
After Wink died, I hardly posted for 2+ years. Took time to get back in the thick of things and learn who the new players were.
Click to expand...
Even though I'm pretty tech savy, its taking me a minute to get used to a message board. This is my first mb I've ever used :(. I'm trying to get the hang of when and where to click reply so to get the right person/people. Felix is probably ready for an increase. Should I go to 1?
 
To tag someone you just type, example:
@jt and trouble (GA)

THE @ and first letter has no space then you just type the name you want. It must match the name on the avatar.
Hope that makes sense Who did you want to look at your sheet?

ALSO Start a new thread with "Need help with increase dosage" add a ? that way it will get our attention

HOPE THIS HELPS

Sorry I deleted the last sentence because I hadnt scrolled down to current readings. :blackeye:
 
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