Dosing advice and spreadsheet lookover

Status
Not open for further replies.
Haylee&Tigger

Haylee&Tigger

Member Since 2020
Hey everyone! I hope all is well, I was wondering if I could get a spreadsheet lookover for the past few days and some dosing advice or possibly something I could alter?

One day he will do good, the next not so much. Looks like lately he will do good for most of the day but then will have an extremely high number the next morning. Evenings its been token doses instead of his normal dose. I raised it a few days ago because he was still not floating in the greens. He was on the dose for quite some time. If it IS bouncing... I just don't know how to counter that honestly. When he was first diagnosed last year, my piece of advice from this forum was to reserve a teaspoon of his food for a little later (which I did) and it helped! But this time... he eats throughout the day, this is why I feel like its not bouncing and if so, I am at a loss of what to do.

I have been kind of just doing trial and error with the token doses because the first time I gave him the appropriate token dose advised in the MPM guide, he was high numbers allllllll night and I gave him the higher dose of the range (I believe it was 10-15% of the full dose). So I decided to try a higher dose and he did a lot better. I am also aware that if he goes into the cool greens I am suppose to reduce his dose immediately, but I feel like that will just put him in high numbers again.

Is there a different method to this? Is there such thing as giving different doses instead of the same dose each time? Should I reduce his dose anyways? Keep it as is? I'm sorry for the long post and all the questions, just trying to seek out some kind of advice or solution to this.

Also, update to the previous issues I was having with him: he hasn't thrown up since I changed his food, he did have his dental work done two extractions and healed nicely and the ear infection is gone as well. So he now has a clean bill of health besides me not being able to manage his diabetes :(
 
I think he needs a reduction. I know the method says under 40 for a long term diabetic BUT you can also count a few drops in the 40s on different days ("few" being relative and based on cat, usually 2-3). You did also see that 35 last night.

Those lows are coming right after bounce breaks, which is pretty typical, they often go lower when breaking a bounce.

Any history of ketones or DKA?

If not - would reduce to 1U and hold that for a few days to see if that's shootable both AM and PM. Worst case we take him back up a little. It's a bigger reduction than we'd usually take but he is just getting shot to the moon and slammed back to earth, poor guy.

If the trend holds, hell be low blue tonight. I would shoot 0.75U if that's the case, hopefully prevent a massive bounce. Then up to 1U in the morning
 
*all advice assumes you can monitor and intervene

To answer some other questions - he's going sky high because of the low greens. His body is dumping sugar into his system to keep him alive (whether he's actually in danger or not, the liver doesn't care). So it would be better to reduce and let him get back into higher greens or even blues, even out a bit, then start to fine tune back into green.

It's also better to get to a point where it's same dose twice a day. But you're doing the right thing by adjusting based on those low preshots. It's the AM ones biting you in the butt lol
 
I have never checked for ketones before. But the vet checked his ketones when he went to the vet last and said he had ketones but thats because he was not yet on insulin and wasn’t being treated. I will try the reductions and see how it works out. It’s just confusing. But yes those AM ones are definitely biting me in the butt, I got excited started to see lower numbers and then he sky rocketed the next day :(

i really appreciate the help! :cat:
 
@FrostD Okay so a few days have passed since I have lowered his dose to 1U. He did go up but still has numbers in the blues. Whats my next move? Keep the dose here or raise?

I will admit, I haven't really been able to test as much as I was before because we had a problem with the living situation we are currently in.
 
Unfortunately a little hard to say. If you can't test much then SLGS is the safer option with holding the dose for a week and reductions at 90. He at least isn't bouncing so hard. It appears he has room for an increase to 1.25U but I'd save that for a cycle you think you can monitor.
 
So I have not changed his dose just yet, and he is still bouncing hard in my opinion. He has gotten as low as in the 70s and then way back up to the 400s. I am wondering though, when Tigger was first diagnosed he ate only twice a day. Once in the morning and once in the evening. Would switching him to this schedule be perhaps easier on him? I ask this because when I was first asking this forum for help there was this lady who helped immensely when Tigger was bouncing before, she had advised me to feed him, do his shot as normal but reserve 1 teaspoon for a little later when he started to drop (at that time it was specifically the +2 mark but I realize this is no longer the case). I was just wondering if perhaps changing his eating schedule could help with this?

Also, I was wondering something else... so first of all, my little family has two dogs and then Tigger. So he is definitely okay around dogs and no stranger to them. However, we moved back in with my mom in the beginning of September. My mom has a dog also but Tigger is never around this dog BUT he SEEMS to be more comfortable around her. I tested Tigger a few days after we moved in because he was acting extremely hungry and drinking a lot of water. Behold, a higher than normal number. I am wondering if he is still under some kind of stress from being here? Is that possible?

I am trying to exhaust all options here, I feel like I'm not getting anywhere and am wondering if I am just being impatient or what. Also, I know the spreadsheet is not updated, I do that every few days and am about to update it right now.
 
Status
Not open for further replies.
Back
Top