??? amt of PROZINC for Twyla

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Twyla17

Twyla17

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Twyla, 17 year-old tortise-shell. diagnosed 7/24. dosage .5u Prozinc every 12 hours. food: canned BFF, Walgreens Truetrack meter w/28 gauge lancets. she's an indoor only cat.
https://docs.google.com/spreadsheets/d/1F3iZZuCt_rDaiLCUz2vSwGAywVcsKekiqcGB3pETsFQ/edit#gid=0

Dear all,
we are worried about giving any amount of PROZINC to Twyla.

would someone mind looking at Twyla's spread sheet and give us dosage advice
for AMPS since i've missed PMPS for tonight?

The vet said give her .5 every 12 hrs, but folks on the forum are worried about her low reading....

We have not been able to do a proper curve with all the +2 through +11 AMPS through PMPS
Tonight we'll complete a full PMPS.

Events tonight after work:
7:20pm Twyla ate 2 table spoons of new low carb wet food we food we just bought
the BFF BE MINE brand
8:20pm blood test with 28 gauge lancet -worked on 3rd try.
8:20pm PMPS 348

many thank yous in advance for advice.
 
If you are able to monitor tonight and won't be able to tomorrow, tonight might be a safer time to give her insulin and see what her levels look like.
 
Sue, i've missed the 8:30 nighttime shot
Twyla has eaten 2 table spoons of BFF low carb food around 7pm tonight

so,
would it be ok to do all of the night time +1 through +11 blood tests
and determine nadir
and then if the low nadir is in the yellow zone
not give her any insulin at midnight?
 
Welcome Twyla. I'm sorry, I didn't catch your name? What time do you typically shoot? If you shoot at midnight, then your AMPS will be at noon (12 hours). If you don't shoot tonight, then I wouldn't do all that testing because since you didn't shoot any insulin, then Twyla does not have any insulin in her hence no need to find nadir.
 
hi Merlin, our 17 yr. old cat is Twyla.
were are trying to keep her morning shots at 8:15 and her night time shots at 8:15
i was scared to give her her shot tonight and i am 45 min off track for a night time shot if i keep to the 12 hr apart rule.
i'm sorry, i see get it finally i think:
dose adjustments are made based on the nadir,
the lowest glucose post-shot,
NOT the pre-shot tests (those are to make sure it may be safe to give insulin)."

BJM suggests:
"From a pre-shot of 230, with 0.5 PZI , she dropped to 32 previously!
I would be very, very cautious in any dose.
The higher numbers you've seen may be due to bouncing, that is, due to a low number triggering the release of stored glucose (glycogen), which zooms it back up.
You might want 12 hours to see if it settles down.
Also, dose adjustments are made based on the nadir,
the lowest glucose post-shot,
NOT the pre-shot tests (those are to make sure it may be safe to give insulin).
 
I am thinking along the same lines as Cindy. You won't get much information tonight if she hasn't had any insulin. I do agree you need nadir numbers because of that strange 32 But we can't be sure that was a good test.

I think I'd give her .25 now and do your testing tonight to see if she does drop. We won't be around all night but we can give you the info you need if she does drop low. My thinking is that if you can't be home again tomorrow during the day cycle, you'll be nervous in the am to give a shot.
 
i will give her the .25 now 9:25night
and post all the test readings and try and figure out nadir
Thank you Sue.
 
So, I'd get a test about +2 to see if she is dropping fast, (If she drops 100 points or so, post and ask for help) then somewhere 5-7 hours after the shot to try to catch that nadir. If she would drop to 50, give her a tablespoon or so of her regular food And retest in 20 minutes to see if she is rising. If not, give her some gravy off the higher carb food. And retest in 20 minutes. If she'd continue to drop, put a teaspoon of honey in the gravy or rub it on her gums. You need three rising tests in a row.
 
yes Sue, i can give insulin at 9:20 in the morning, & go into work a little late.
we'll +2 test at 10:2o tonight & follow your directions & suggestions above.
 
we fed her before her shot after getting a reading of 348 pmps. Suloni gave her .25u ProZinc and we didn't feed Twyla for 2 hours and got a +2 of 276. we then fed her again as she was hungry. we have to go to sleep soon, but will test her again as soon as we wake up. we're still not good at getting her blood for the test, even with 28 gauge lancets now. also, does Twyla need to be fasting to get her nadir?
thank you so much,
joe
 
I was watching for a number. That's a nice safe drop. No, she doesn't need to be fasting for the nadir. The only time you need to restrict food is the 2 hours before each pre shot test
 
if the 32 reading was an error, Twyla's range since we've been home testing has been 230-386. how high are those numbers for a newly diagnosed cat? also, Suloni is concerned about the 2 carb rating for the food i got vs. the 0 carb rating for Fancy Feast Flaked Fish & Shrimp Feast (this is the only Fancy Feast with a 0 carb score). i just want to reiterate that Twyla is not drooling (as someone was worried about this in the other thread. i'm trying to move things over here).
thank you guys,
joe
 
Those numbers aren't awful. Generally we consider a cat regulated if they are in the mid 200s at preshot and double digits at nadir, but not below 50. That is one of the reasons we are feeling cautious about her insulin. She is in lower ranges early in the game. And you are changing to lower carb. A cat in remission ranges from 40 - 120 OFF insulin. Many cats are in the 400-500 range at diagnosis.

Anything 8% and under is fine. Some people who have a very carb sensitive cat might try to stay below 5% but that is tricky. Mostly it's fish in the -5% range and we suggest only feeding fish once or twice a week because of the mercury content. If you can find something she will eat, that you can afford, 8% or below, you're golden!

No ideas here for the water issue unless she has a mouth or tooth problem. Does she handle her food okay?
 
Merlin was on a 5% carb & .75 phosphorous (Friskies Special Diet Turkey & Giblets). This food has been discontinued so after two weeks of testing about a dozen different foods, we landed on Wellness Grain Free Turkey. It is 4% carb and 200 Phosphorous (I have to keep him under 200 Phos due to his kidney disease). Just since we changed from 5 to 4% carbs, Merlin has been doing much better as noted since June 7. I wish I could find an even lower carb but have not been able to find a lower phos too. So for now, Wellness has been our choice and yes, Merlin is very carb sensitive. On July 3, he ate two little dog food and he jumped right up to the 400's.
 
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