? About glucose readings

[Tomoko]

Hello,

I forgot to post this question on my first post. I apologized for posting my question separately.

My cat Kuro 16 years old was dignosed as diabetic last Friday. He is on 2 units of Vetsulin every 12 hr. I purchased a glucose meter and started taking Kuro's glucose level measurements this morning. Before breakfast, it was reading 133. I was not sure whether I should reduce insulin amount or not (because of insulin injection was started on Friday, I was not sure Kuro's glucose level has stabilized yet or not, and I am very new to the glucose measurement kit). I gave 2 units and have been taking Kuro's glucose level every 2 hours. The reading has been staying inbetween 75 to 80. I am wondering, if Kuro's pre dinner glucose level is around the same as his pre breakfast's glucose level - 133, should I reduce his insulin amount? Or since Kuro has just started insulin injections, the amount of insulin should not be reduced... I called the vet but it was closed for this afternoon.

When I took Kuro's reading, I was expected to get high reading, so I was very surprised. Everything is new and I have been feeling like I am lost, especially today. If anybody would share or provide guidance for me, it would be really appreciated.

Thank you.

 

[Alexi]

Hello - how much does Kuro weigh? From your other postings you are changing his food - correct? Can you post the readings you got, the times and what time he had insulin. My feeling is you should try reducing the dose as you are just starting out and his numbers could drop further. If we can have a look at those numbers we can advise further.

 

[Tomoko]

Thank you!! Yes, my vet put him on DM food. He has been eating d/d. He has a very sensitive stomach so my vet was concerned with changing his food (hoping his body would accept).

Currently, he weighs 10. 8 lb. He used to weigh 13.10 or little above. I gave his insulin at 8:00am this morning. His glucose readings are;
7:45-133 (before meal)
10:00-75
12:10-75
14:10-80
16:00-93
18:20-129

Thank you for your assistance!!

 

[BJM]

Generally, dose adjustments are based on how low the glucose goes, not on the pre-shots.
You may find it helpful to read these Vetsulin/Caninsulin guidelines to optimize your use of it.

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[Alexi]

With the change in the food the numbers will drop - I saw a dramatic difference when I changed to DM and based on my experience the numbers could go down further, they are at the lower end of the range for someone just starting out. He is getting a drop at 2 hours post dose which is a little early for vetsulin and and this stage you really don't want to be dealing with a hypo. My feeling would be to reduce to 1 unit and continue to monitor, the main thing is that he be kept in a safe range. What monitor are you using as there is a difference between human and pet meters? I am not familiar with the food choices in the US so don't know the difference in the carbohydrate levels from where you started at. You also mentioned he is not eating well in your other posts and I would be quite cautious with dosing. It may be that he needs more than one unit but more numbers over a period of time will help judge this. Can you get a spreadsheet up and running and carry on monitoring. Can you also post his AMPS number today and hopefully other members will be along to have a look and may have more thoughts on what to do.