Minky is most likely bouncing from the blue BG today. And she possibly went lower after that.
As you are doing SlGS here is what it says in the SLGS dosing method about what to do about preshot numbers
- Below 150 mg/dl (8.3 mmol/L), don't give insulin.
- Between 150 and 200 (8.3-11.1 mmol/L), you have three options:
- a.) give nothing
- b.) give a token dose (10-25% of the usual dose)
- c.) feed as usual, test in a couple of hours, and make a decision based on that value
- Above 200 (11.1 mmol/L) but below the cat's normal pre-shot value, a reduced dose might be wise.
- In all cases, if you are reducing or eliminating insulin, it's wise to check for ketones in the urine.
- Above the normal pre-shot value, give the usual dose, but if the pre-shot value is consistently elevated, it's a good idea to schedule a full glucose curve to see whether a change in dose or insulin is appropriate. In most cases, the target "peak" value should not be below 100 mg/dl (5.6 mmol/L), and for some cats it might be higher.
We don’t want you to skip a dose because of the recent history of DKA. And because you are using an alphatrak meter I would add another 20 points to the BG numbers they give you above…so for example ‘below 150 don’t give insulin’… would say ‘below 170’
but we need you to give some insulin because we don’t want you to skip, so try and post and ask or give a token dose such as 1/4 of the dose. Does that make sense.?
Do you work 5 days a week.?
Honey, corn syrup or Karo are all ok to use if the numbers are low.
What is a two hour curve?
