Completely flat curve (low 100s) after LC wet food change???

She read 111 after a stall and so I know she is rising and since her body doesn't like the skips I'm going to go ahead and give her the .25 dose. I'll be around to monitor her and check back in later.
 
Really great decision this morning! And perfect way to think through it!

I love the 6mm needles. And Sam has very thick fur. Give it a couple of tries, I think you'll adjust. Oh, and as for pushing harder, make sure you have the bevel facing the right direction. That helps it to slide in.
 
Hey @Djamila ! Thanks I was happy about that decision too, that is until my vet visit that I just came back from. I posted my question in the main health forum though because it was more about meters than the insulin
 
Thanks for the check up Bron! I've been thinking about the snacking during the night like you said to kind of keep her from going too low while I'm asleep. What I'm experimenting with tonight is that instead of giving her 1 and a half cans at her feeding time all at once (usually takes her 2 to 3 hours to finish it all), I'll give her the 1 can at usual feeding time, and right before my bed time, +4 for her, I'll put down the rest of her meal (the half can) so that I'm not going over her calorie limit but she is still able to get in some food over the course of her nadir. What do you think about this plan?
 
Harukyo said:
Thanks for the check up Bron! I've been thinking about the snacking during the night like you said to kind of keep her from going too low while I'm asleep. What I'm experimenting with tonight is that instead of giving her 1 and a half cans at her feeding time all at once (usually takes her 2 to 3 hours to finish it all), I'll give her the 1 can at usual feeding time, and right before my bed time, +4 for her, I'll put down the rest of her meal (the half can) so that I'm not going over her calorie limit but she is still able to get in some food over the course of her nadir. What do you think about this plan?
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That sounds like a great plan. Are you doing that during the day too? That's a plan I would use every night..it's better for her pancreas to have her food spread out over the 24 hours.
I have 2 cats now (neither is a diabetic) but I still feed them 4 times a day.....breakfast, lunch, dinner and just before I go to bed. And I feed them a raw diet and I make sure they never get any high carb food.
 
This is the first night I'm trying it, but I was thinking I would start doing that for her breakfast as well! Her weight check in at the vet was 13.5 from the 13lbs last time so I need to try to be better about her calorie intake and I thought this would be a good solution with how everyone says the small feedings through out the day work best! Eventually I would like to scale her food down more since she's getting over the recommended calorie count , I just didn't want to add that variable in at this time. Trying to get her regulated and then begin reducing the diet little by little according to Dr. Lisa's formula.
 
Hey @Djamila ! We just hit test time and she just read a 96, so a green for the first time during an AMPS. I'm going to stall (she's hungry pretty hungry right now though) and test again in 20 min and see if she's rising. If not, how much can I reduce the dose from .25?? That's such a small dose to measure out already and I know she doesn't like to skip so I'm kind of scratching my head trying to figure out exactly how low she wants me to go on the dose today lol
 
Yay we are rising! She got back into the blue after a stall so I went ahead and fed and will be shooting the .25. Curious as to why she was so low at this time though, it's a first.
 
Well alright, so Kyo just threw me her first line green during the morning round. I checked her at +3 since she was just a little lower than usual this morning and she read 43 :banghead: she was even eating her low carb wet food before I tested her! Gave her a tsp of high carb gravy lovers and 1 drop of Karo. Update in 20 min.
 
Hey @Bron and Sheba , I've got a question for you! Kyo has been doing good with her readings, besides this morning where we had that lime green hiccup (still trying to figure out what that was, maybe I should have reduced dose?). Anyway, I know that she usually reads low at night, which is why I started breaking up her meal a bit. So my question is, if I'm feeding her the 1/2 can of FF @ +4 (which she ate all of) and she read a green 77 before feeding, do I need to stay up to test her more?
 
Harukyo said:
Hey @Bron and Sheba , I've got a question for you! Kyo has been doing good with her readings, besides this morning where we had that lime green hiccup (still trying to figure out what that was, maybe I should have reduced dose?). Anyway, I know that she usually reads low at night, which is why I started breaking up her meal a bit. So my question is, if I'm feeding her the 1/2 can of FF @ +4 (which she ate all of) and she read a green 77 before feeding, do I need to stay up to test her more?
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Yes Kyo earned a reduction in dose. Make sure you reduce it tomorrow.
Yes you will definitely need to keep testing tonight as she could easily drop very low again this cycle. You could give her a teaspoon of medium carb food now if you have any, just to stop her dropping too much. You already have earned a reduction so have nothing to prove. I'd test again in 1 hour. I'll watch for your post.
 
I suppose my last reduction would be to a drop now (.1u) right? Is that because she's starting to read greens and low blues for her Pre shoot testing?
 
Also okay! Update 1 hour from now or from last test? +5 would be right now for me since I already got a +4 reading
 
Okay just got the result. She tested 90 @ +5 but that could be food influenced since she just finished her 1/2 can of LC wet after +4 testing
 
Harukyo said:
I suppose my last reduction would be to a drop now (.1u) right? Is that because she's starting to read greens and low blues for her Pre shoot testing?
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The reductions are because of the nadirs not the Preshots.
Yes go down to 0.1 units. And you will stay on that until she earns a reduction down to a drop.
I can see a remission in her future ;):D
 
Harukyo said:
Okay just got the result. She tested 90 @ +5 but that could be food influenced since she just finished her 1/2 can of LC wet after +4 testing
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Yes probably. Did you feed anything else apart from the 1/2 can LC?
Don’t feed again and we’ll see what she is in an hour. Is that ok?
 
No I haven't given her anything else since you told me to test and I saw your post right at +5 time! So I'll update at +6.

Oh so the order is .1u and then reduction to a drop. How the heck do you dose the drop? o_O I've been trying to use the search feature for that info but I wasn't able to find anything
 
Gotcha! I'm eager for information but I definitely don't want to rush reducing her down if she doesn't call for it yet because I don't want to stress her body out. Thanks for the great advice as always!! :bighug:
 
Because you are using the U 100 syringes for the Prozinc with the conversion chart you will probably be able to go down further before a drop. @Djamila will be able to guide you with this.
 
Yay sleep!! :D:)Yeah I'm really starting to feel the lack of sleep creep up on my body. Kyo been trying to do a diabetes speed run on me these past couple of days it seems! But I don't mind because she's putting in some hard work in healing! :cat: thanks for everything Bron, goodnight.
 
Harukyo said:
Yay sleep!! :D:)Yeah I'm really starting to feel the lack of sleep creep up on my body. Kyo been trying to do a diabetes speed run on me these past couple of days it seems! But I don't mind because she's putting in some hard work in healing! :cat: thanks for everything Bron, goodnight.
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It is always a pleasure to help you Lauren. I am so happy to see Kyo racing towards remission. You must post some more photos of her.
 
Ah work! I always miss all the fun! ;)

Usually on prozinc we reduce to 0.1u (which isn't really 0.1u, that's just what we call it), then to a Drop, and then nothing. The 0.1u dose is basically less than 0.25u, but more than zero. Wherever you decide to put the plunger to do that, just be consistent from cycle to cycle. For Drop, you take the syringe and push the plunger in as firmly as you can and hold it there. Then insert the needle into the vial, invert the vial, and release the pressure on the plunger. It will suck in one drop. Then you inject that into Kyo. It will feel like you've injected absolutely nothing at all, but you'll usually see an insulin response in the numbers. I found it helpful to play around with a syringe and some water so that I could verify for myself that there really would be a drop in there, and that it really would come out/be injected.
 
Alrighty! We did our first ".1"u today! She read 95 AMPS. I'll get in a +3 or +4 and see how she likes it :)
 
Kyo read 148 @ (PM) +4 after doing really well today :( highest she's been in 5 days. Going to see how she handles her .1 for the morning. For now I guess her numbers mean I can get some sleep tonight at least
 
Kyo read 284 for her AMPS this morning. Is this an indicator that I should go back to the .25 for our next couple cycles? I'm going to give .1 this morning and test again at +4
 
Thanks Cassandra! I hope Alice is recovering well from her surgery! Poor baby, I remember when Kyo came back from getting spayed we had a miserable 3 days of recovery until she finally started to come back to life. Sending some healing your way :bighug:
 
Harukyo said:
Thanks Cassandra! I hope Alice is recovering well from her surgery! Poor baby, I remember when Kyo came back from getting spayed we had a miserable 3 days of recovery until she finally started to come back to life. Sending some healing your way :bighug:
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Thanks! She’s improving! Her tumor removal was what I think looked the worst. But all of it has been worth it because her numbers are much better. :) It’s always good to see some progress after our sleepless nights and worry!
 
I hate to have you go back to 0.25u when that resulted in a lime green so recently. Based on how you're drawing the dose, do you think there's anything in between 0.1 and 0.25?
 
Yes actually! I can eyeball a little more! I'll try that for tonight. Should I denote it as .15 in my notes since it's more than the .10 I'm drawing but less than .25?
 
That sounds good. As long as you know how much it is, that's the important thing.

This always makes me shake my head though when I think about how the manufacturer and vets do all dose changes in full units. And here we are, yet again, finding that one single drop can make a difference in a cat being too high or too low.
 
I know! It seems as we get to the very low doses it becomes such a delicate process. Thanks for the input though! Hopefully I can get her back into the good greens
 
Also @Djamila , I was looking at other peoples charts when they've made a reduction this low and their numbers seems to be similar to Kyo's. Do you think I'm being to hasty with wanting to up the dose again? Should I give her system more time to adjust to this ".1" dose I'm doing?
 
She doesn't seem to require much time to adjust to doses, and isn't all that bouncy, so if it was my cat, I'd probably give a little bump in the dose too. She isn't needing much insulin, but she also isn't looking like she's in any hurry to get off the insulin either. When you've skipped doses, or in this case, gone too low in dose, she responds by going back up in numbers, which we want to avoid. That being said, she could prove me wrong, so if your mama-sense says to hold at 0.1u for a couple more cycles, you could try it and see what happens.
 
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