? Dosing info

[jill_jewett]

Hello, just wondering if somebody could take a look at Emmett spreadsheet for me. Just wondering if I should lower his dose tonight or any advice

 

[Allie & Gen]

I'm not confident in giving dosing advice, especially as I'm not familiar with your cat and not used to trying to gauge BG values in mmol/L at a glance (unfortunately, your spreadsheet isn't converting all the values to mg/dL correctly).

All that said, your signature says you're following SLGS, and I believe this is the relevant section of the guidelines post:

Until you collect enough data to know how your cat will react, we suggest following the guidelines in the FDMB's FAQ Q4.4:
Q4.4. My cat's pre-shot level was way below the usual value. Should I give the injection?
A4.4. There's no hard and fast rule, but if you don't have data on how your cat responds to insulin, here are some general guidelines.

• Below 150 mg/dl (8.3 mmol/L), don't give insulin.
• Between 150 and 200 (8.3-11.1 mmol/L), you have three options:
  • a.) give nothing
  • b.) give a token dose (10-25% of the usual dose)
  • c.) feed as usual, test in a couple of hours, and make a decision based on that value
• Above 200 (11.1 mmol/L) but below the cat's normal pre-shot value, a reduced dose might be wise.
• In all cases, if you are reducing or eliminating insulin, it's wise to check for ketones in the urine.

... and I realize that still gives you multiple options. I'd say this depends a good deal on your comfort level, availability to monitor your cat, etc, but I'll tag someone more experienced who might have additional thoughts: @Wendy&Neko

 

[Wendy&Neko]

I see on your spreadsheet that you've stalled? Good plan by the way. Looks like he's now at 9/162 in dg_ml. You've shot lower than that before. The spreadsheet also looks like you have shot? If so, please get at least a +2 test. And change the subject line as it looks like the question has been answered.