DOSING ADVICE FOR PM SHOT

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Judy and Hershey

Judy and Hershey

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I tested Hershey at 5:45 his read was 145, we waited 30 min and he came back at 123, had to fee him, should I test again in two hours, and then possibly shoot? Help. He had one high day on his spreadsheet, but pretty confident he was into the dog's kibble....Thank you!
 
Well, those are nice numbers! You could wait 2 hours and test if he is high enough. Just be sure you can shoot 12 hours from this late shot.

Looks like a smidge less for the yellow preshots - maybe a skinny 1.25 (pull up 1.25 and let out a drop or two)
 
Sue and Oliver (GA) said:
Well, those are nice numbers! You could wait 2 hours and test if he is high enough. Just be sure you can shoot 12 hours from this late shot.

Looks like a smidge less for the yellow preshots - maybe a skinny 1.25 (pull up 1.25 and let out a drop or two)
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Hi Sue, I can wait 2 hours and shoot, but I leave for work at 6:00 a.m. and two hours from now would be 8:00 p.m., so technically it would be +10. I would hate him to not have any insulin, but I also can't risk him going down lower. He has never been at 123 at a preshot. A couple of weeks ago he was at 169, and he got .75. So I guess I will test him again in 2 and just leave him until morning, hate to do that, could I not just give him a small dose say .50 and then shoot less at +10? I feel like I completely do not know what I am doing now that he is dropping...
 
Judy and Hershey said:
Hi Sue, I can wait 2 hours and shoot, but I leave for work at 6:00 a.m. and two hours from now would be 8:00 p.m., so technically it would be +10. I would hate him to not have any insulin, but I also can't risk him going down lower. He has never been at 123 at a preshot. A couple of weeks ago he was at 169, and he got .75. So I guess I will test him again in 2 and just leave him until morning, hate to do that, could I not just give him a small dose say .50 and then shoot less at +10? I feel like I completely do not know what I am doing now that he is dropping...
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It might be okay to give the token shot and shoot early tomorrow, but I would be nervous doing that when you can't monitor that cycle. You'll get him back on track. The good news is that he is trending lower!
 
sherrib said:
Im still learning so please bare with me, why are you shooting at 169?
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Hi he is actually at 123 and I'm not going to shoot tonight. Hershey lingers around 200 + and it is a new shoot place for me, I'm still learning too. I am unable to check during the day as I work 7-4
 
Sherri, Judy has a lot of data, and when she can monitor, she has lowered her no shoot number. It's a tricky decision, but as long as you can monitor and are willing and able to bring up possible low numbers with food, it's an option. The important thing is to make sure he is rising, not still falling. The second test at 123 showed her he was still dropping so she decided to skip.
 
Hershey was tested 2 hours after his last reading of 123 at 6:15 at 8:15 and he was dropping to 93 at +14. I gave him some Turkey & Giblets in Gravy because I'm getting worried, will test him one last time before bed, say in 2 more hours. Guess I won't worry about shooting tonight, I am just so surprised at these numbers.
 
I would guess his pancreas is helping out a little. This is a good thing. The insulin most likely is gone. No worries. I guess he could possibly drop into the 50s but think it unlikely.

When the pancreas helps, it isn't an all or nothing thing. It helps out awhile and then "rests". It is good news, but it makes the dosing more complicated because the pancreas is a possible player.
 
Sue and Oliver (GA) said:
I would guess his pancreas is helping out a little. This is a good thing. The insulin most likely is gone. No worries. I guess he could possibly drop into the 50s but think it unlikely.

When the pancreas helps, it isn't an all or nothing thing. It helps out awhile and then "rests". It is good news, but it makes the dosing more complicated because the pancreas is a possible player.
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That is good! I guess this is just new and I'm happy! Should I test again in 2 hours before bed? As well, how will I know if I should shoot, I'm thinking anything around200 I should maybe do .50? I have really watched him, no cheats, except the dog's kibble the other day....seems always higher in the morning...not sure why, he sleeps all night. He does seem to be more awake now a days, barely drinks water and his litter pees are normal size. He is very active in morning and runs around like crazy, he seems happy. So Sue, basically the prozinc lasts about 12 hours?
 
You can test before bed if you want - all data is good data.

Generally ProZinc lasts 12 hours but sometimes longer. It's that every cat is different thing. But when they drop 70 points after +12, I'm guessing pancreas.

Not sure about a good dose for 200. But if you aren't going to be home to monitor, maybe 0.5. It may not be enough, but then you'll know a little more is needed the next time.
 
Sue and Oliver (GA) said:
You can test before bed if you want - all data is good data.

Generally ProZinc lasts 12 hours but sometimes longer. It's that every cat is different thing. But when they drop 70 points after +12, I'm guessing pancreas.

Not sure about a good dose for 200. But if you aren't going to be home to monitor, maybe 0.5. It may not be enough, but then you'll know a little more is needed the next time.
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Thanks Sue you are awesome, I will do one more test, will post later on here if you are up. Hershey seems wide awake, taking a bath, all good, the high carb food, may make him high, nothing I can do about it but learn a new protocol. I'm so thankful for all of you!
 
I am going to say goodnight it is 10:30 in Tennessee and I'm up at 4:00 a.m. Hershey came in at +16 at 181 just now. He ate at 6:30 and 8:30 (high carb wet), tested at 10:30 at 181. I just gave him some freeze dried chicken and he gobbled that up. Sleep well, thanks again, tired in Tennessee.
 
Good morning another beautiful warm day in Tennessee (so blessed). Hershey was very hungry this morning, active and happy. His preshot test had him at 384. Not the number I'd hoped for. I am off to work shortly, won't be home until 6:00 p.m. tonight. My mother lives us and knows how to treat hypo, so I think I will give him .75 this morning. I feel that is low, but too worried to give him more. Any thoughts on this early morning are appreciated :cat:
 
Sorry, I am not on the early morning shift, Judy. Still sleeping in Colorado.

The .75 may be too low, but you can be more aggressive when you will be around. I am guessing the amps is a combination of the higher carb he got, and the 24 hours since the shot. Remember, if it was his pancreas, it can come and go. It is not a constant at first.
 
Sorry, Judy! I am usually the early morning shift around here...but I have vacation this week so I've been getting some sleep. I'm back to it Monday, though!
 
Sue and Oliver (GA) said:
Sorry, I am not on the early morning shift, Judy. Still sleeping in Colorado.

The .75 may be too low, but you can be more aggressive when you will be around. I am guessing the amps is a combination of the higher carb he got, and the 24 hours since the shot. Remember, if it was his pancreas, it can come and go. It is not a constant at first.
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Thanks Sue, funny the pancreas sounds like an old car! I won't be home until 6:00 tonight, looking forward to seeing what happens tonight!
 
Robin&BB said:
Hi, Judy! Totally agree with Sue: Is no big deal if this morning's dose was low, as you can adjust upward when you're there to monitor. Always better to err on the safe side (no point in stressing yourself out for no good reason).:bighug:
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Thanks Robin. I'm hoping and praying he is on an upward swing. I guess I'm still green at this, even though I've learned so much about it over the past year. I guess I have been use to high numbers and now that they are low, I'm not even sure what normal is. So is 50-100 considered normal? Or does each cat have they normal? I guess I won't worry about this until he is closer to remission.
 
Judy and Hershey said:
I guess I won't worry about this until he is closer to remission.
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Yeah, I wouldn't worry about that right now. You had some really great numbers going there last night's cycle! :) And the higher AMPS today was no surprise (nor is it any big deal, really).

Will be interesting to see what your PMPS is tonight - what time is that, btw? (You're in the eastern time zone, correct?)
 
A year or so ago, when several people had kitties with intermittent pancreas action, they likened it to a house guest. He'd come stay for a few days, sleep on the couch, get the towels dirty and confuse things in general and then suddenly leave. Then a couple days later, he'd show up again.

I like the car analogy - sometimes it runs and sometimes it doesn't.
 
Hi everyone, Hershey had an ok read tonight considering he had no insulin last night and only .50 today at +13 he sat at 273. I'll take it, but hope that the old clunker pancreas keeps kicking in! He seems really happy these days. I did take him completely off YA and he lost a few pounds as well, it was like candy to him. He is now just on low carb wet, we are all adjusting...

PS Central Mountain time, in middle Tennessee. Night ya'll!
 
Hershey is looking good, Judy. Interesting how YA increases the levels in some cats and not in others. Not sure what your treat is, but PureBites might satisfy the crunchier?
 
It's a new no starch./low carb dry food - so now there are three possible dry foods for diabetic cats (at least I think it is new) supposedly it's about 5% carb - its by Wysong and it's called Epigen 90 (only Epigen 90- not the regular epigen) I have all sorts of problems with my cat getting sick from wet foods, so I just got a bag and starting trying it today - so far, he loves it but the proof will be what it will do to this blood sugars
 
Carol & Murphy said:
It's a new no starch./low carb dry food - so now there are three possible dry foods for diabetic cats (at least I think it is new) supposedly it's about 5% carb - its by Wysong and it's called Epigen 90 (only Epigen 90- not the regular epigen) I have all sorts of problems with my cat getting sick from wet foods, so I just got a bag and starting trying it today - so far, he loves it but the proof will be what it will do to this blood sugars
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Hi Carol, did you order on line, or can you buy in store?
 
Judy and Hershey said:
Hi Carol, did you order on line, or can you buy in store?
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I got it from Chewey's but at the Wysong website www.wysong.net you can put in your city and they show you where the local retailers are - I'm going to do that next time - its' also good because it is not super high in calories (I think about 450/cup) so cats can eat a little more than Evo or Young Again that have 600 calories/cup -- it has to be the Epigen 90 though
 
I've noticed that Hershey has dropped a bit of weight since I stopped feeding him the YA. He has developed a more lean body, not skinny, but thinner. He weights 16 lbs currently. Should I be worried?
 
Judy and Hershey said:
He has developed a more lean body, not skinny, but thinner. He weights 16 lbs currently. Should I be worried?
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Lean and mean;) (i.e., slender, not bony) is a good thing! So if he's slender with that nice little cut-in (kind of like a little waistline when you're standing above him & looking down at him), he's probably just fine. :)
 
Robin&BB said:
Lean and mean;) (i.e., slender, not bony) is a good thing! So if he's slender with that nice little cut-in (kind of like a little waistline when you're standing above him & looking down at him), he's probably just fine. :)
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That is exactly how he looks except he has a lose belly fur that he totes at the bottom of his stomach (we call it his pouch) :rolleyes:
 
Ha! Bat-Bat has that, too; she even had it when I rescued her at age 1 month! My vet said it's called an inguinal flap. I tell Bat-Bat she looks like an older panther ... long and lean, but with that loose, jiggly bag 'o skin where a big belly would otherwise be.:D
 
Robin&BB said:
Ha! Bat-Bat has that, too; she even had it when I rescued her at age 1 month! My vet said it's called an inguinal flap. I tell Bat-Bat she looks like an older panther ... long and lean, but with that loose, jiggly bag 'o skin where a big belly would otherwise be.:D
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Hilarious I needed this post this morning!
 
Robin&BB said:
Hi, Judy!:) How's it going there today?
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Hi Robin well this morning was still higher than I like at 318, did a +6.5 and it was 145 so that was good. I have lowered the dose from 1.25 x 2 to 1.0 x 2 due to that unexpected low the other day. Will try and stick with 1.0 x 2 for a few more cycles and see how he does....
 
Morning surprise 113, whoa! I skipped, had to go to work, could not monitor, came home to a 295, not bad, but wished it was lower, gave him a 1.0 and hope for a good read tomorrow...
 
Hi, Judy - Yes, that's too low to shoot. And pretty unlikely that it would rise enough over the next hour to be shootable, either.:)
(So you did well!)
 
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