Dosing advice after illness with numbers I'm not used to

R

Robo & B

Member Since 2025
Hi

@Suzanne & Darcy if you have a chance over the next few days I'd appreciate some advice.

Bub was ill this week for a few days, throwing up/off food. I did have to feed a lowish medium carb treat food to get him to eat, I did a one off half shot, after feeding and delaying 2 1/2 hours, on the pm day he was worst as he just wasn't eating well. As expected he then went high.

Yesterday he was much improved, ate breakfast with a few treats as encouragement and throughout the day returned to his normal self. Saw our first green! By pm shot he was lower than normal but eating well and higher than nadir, his normal pattern seems to be to increase more when his preshots a bit lower so thought I was safe to shoot. I did slightly reduce from 8.75 to 8U - I think this was a bit gung-ho.

He dropped from+1 so think his his am shot still affecting him? I know he didn't drop into anywhere near unsafe numbers but I think he would have if I hadn't kept feeding him. I'm also completely not used to these numbers so it's scary! He probably ate double what he normally does and foods that are higher carb than his normal- still all under 10%.

Anyway I'm shattered he's now bouncing today (first time I've been happy to see a bounce- managed a quick nap). I only shot 7U this am(reduced from 8.75 yesterday am). When this bounce clears what do you think I should be dosing?

I think I triggered the illness by giving him fish oil. Probably again a bit gung-ho with the starting dose should have eased in more. I'm not sure if it was pancreatitis (from the fat) or just a stomach upset.

Fish oil is meant to reduce insulin resistance which is why I was trying it so these better numbers could be from that. He's also been on cabergoline for nearly a month now so we could be seeing improvement from that. It did look like I was getting closer to a good dose before this so maybe it's just that. Or an after affect from being ill? I just don't know.

I should mention Bub absolutely loved last night! Lots of tasty food every HR and a million testing treats. He thinks life should always be like that 🤣
 
Robo & B said:
He's also been on cabergoline for nearly a month now so we could be seeing improvement from that.
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I think it’s probably a combination of being closer to a good dose and the Cabergoline. I am hoping to see him earn some reductions now and start enjoying those better numbers as well.

I am sorry he was ill. What beautiful numbers last night. I do hope you got some sleep today though!
 
Are you sure he’s bouncing today? What other numbers did you get? I don’t see a PMPS yet. I don’t know what your shot time is though. It’s probably almost 6 p.m. there now.
 
He seems to have been doing well on the 8.75 units dose so you may just want to stay with that. With Cabergoline or other acro treatments in the picture, we usually recommend picking a custom reduction point that is above the standard MPM 50, but I am not sure Bub is at the point where you need to do that yet. I don’t see him diving down below 50.

Also, and I think we may have talked about this before, but after about 5 units we usually do increases and reductions in increments of .5 units or ten to 15 percent of the dose. It is okay to fine tune the dose with .25 units though— and I feel like that is where you have been recently with Bub. If he starts earning reductions when the Cabergoline really kicks in, then you should probably reduce by .5 units for safety. He will show you if it’s too much of a reduction.
 
Just done it now and added to spreadsheet. I'm not sure what I'm shooting yet.

I know he hasn't technically earned a reduction even on my modified MPM but I think he would have gone low last night without my interventions
 
Suzanne & Darcy said:
He seems to have been doing well on the 8.75 units dose so you may just want to stay with that. With Cabergoline or other acro treatments in the picture, we usually recommend picking a custom reduction point that is above the standard MPM 50, but I am not sure Bub is at the point where you need to do that yet. I don’t see him diving down below 50.

Also, and I think we may have talked about this before, but after about 5 units we usually do increases and reductions in increments of .5 units or ten to 15 percent of the dose. It is okay to fine tune the dose with .25 units though— and I feel like that is where you have been recently with Bub. If he starts earning reductions when the Cabergoline really kicks in, then you should probably reduce by .5 units for safety. He will show you if it’s too much of a reduction.
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So I've got his reduction bs as 70 to account for the cabergoline treatment.

Yes we have, I know I'm off track with that right now he's just been so off his food for a few days then last night threw me.

I know I really seemed to be getting there as well.
 
Suzanne & Darcy said:
Are you sure he’s bouncing today? What other numbers did you get? I don’t see a PMPS yet. I don’t know what your shot time is though. It’s probably almost 6 p.m. there now.
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I think so. His pattern seems to be to have a flat yellow day after a blue nadir the day before. But if you're looking at the spreadsheet and not seeing that then I'm probably wrong.

So I've given 8.25U tonight which is a reduction from his 8.75 dose, which he hasn't really earned. He got to 4.3 (77) yesterday and his reduction point is meant to be 3.9 (70). But I really think he would have gone lower without all the food in the pm last night. I can always increase again.
 
Robo & B said:
Just done it now and added to spreadsheet. I'm not sure what I'm shooting yet.

I know he hasn't technically earned a reduction even on my modified MPM but I think he would have gone low last night without my interventions
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Okay so do you think you should cut him back to 8.25?

Edit: I wrote this before I read your reply about doing 8.25. I am happy with the reduction to 8.25!
 
Robo & B said:
So I've got his reduction bs as 70 to account for the cabergoline treatment.

Yes we have, I know I'm off track with that right now he's just been so off his food for a few days then last night threw me.

I know I really seemed to be getting there as well.
Click to expand...
Okay. Good. A lot of people try 70 as a reduction point. You can always change it. Please add to your signature that you are doing custom dosing. Usually we ask people to put Custom Dosing-do not copy.
That’s so that people who read but don’t ask questions for their own cat won’t copy your dosing.
 
Robo & B said:
think so. His pattern seems to be to have a flat yellow day after a blue nadir the day before. But if you're looking at the spreadsheet and not seeing that then I'm probably wrong.
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No. It definitely looks like Bub’s version of a bounce. I was just waiting for more numbers on the spreadsheet to be certain and now that you have filled it in I agree.
 
Suzanne & Darcy said:
Okay. Good. A lot of people try 70 as a reduction point. You can always change it. Please add to your signature that you are doing custom dosing. Usually we ask people to put Custom Dosing-do not copy.
That’s so that people who read but don’t ask questions for their own cat won’t copy your dosing.
Click to expand...
Done now thanks I'd added to my spreadsheet but forgot signature.
 
I am a terrible photographer but here's his big smushie face
IMG_20241126_220236~2.jpg
 
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