? Dosing: where to now? Vetsulin PM Shot due

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TankNRK

TankNRK

Member Since 2022
Lando's been trending downwards with his numbers (yay!) And even hit below 70 with .25u last night from a 180ish PMPS. I have a feeling he may have dropped so low last night is because he was being so playful, we played for over an hour together and I think that exercise was good for him! (He's been feeling great lately and numbers have been fantastic!)

Now 24hrs later, bouncing from his low drop.

Do I keep holding .25u?

Do I lower the dose since he hit below 70?

Do I increase his dose for now? (I assume I just patiently wait out the bounce but I just wanted to be sure because .25u isn't gonna do much for his 300+ he currently has)

I've been wanting to get in a curve back when he was at .75u but the day I was going to I gave a furshot, but then we started decreasing. Was hoping to do a curve tomorrow but haven't held the dose very long at .25u and now that he's bouncing I'm unsure if there will even be a point.

Any insight is appreciated on where to go from here. Thank you!
 
Went ahead and gave the .25u tonight, still hoping for guidance on moving forward with crazy ol' Lando tomorrow :)
 
Tagging Suzanne and Melissa for you
@Suzanne & Darcy

@FrostD
If you should the dose


The sticky says for Versulin
Changing the Dose

Hold the starting dose for at least a week UNLESS

  • your cat won’t eat or you suspect hypoglycemia
  • your kitty falls below 90 mg/dL (5 mmol/L). If kitty falls below 90 mg/dL (5 mmol/L) decrease the dose by 0.25 unit immediately.
After 1 week at a given dose perform a 12-hour curve (i.e., testing every 2 hours) OR perform an 18 hour curve (i.e., testing every 3 hours). Note: Random spot checks are essential in order to "fill in the blanks" on your kitty's spreadsheet. The goal is to learn how low the current dose is dropping kitty prior to making dose adjustments.

The general guidelines for making dose changes are:
  • If nadirs are more than 150 mg/dl (8.3 mmol/L), increase the dose by 0.25 unit
  • If nadirs are between 90 (5 mmol/L) and 149 mg/dl (8.2 mmol/L), maintain the same dose
  • If nadirs are below 90 mg/dl (5mmol/L), decrease the dose by 0.25 unit
  • HOWEVER, there are some situations which signal that a larger than usual dose reduction is needed. If you are unsure, please post on this forum or in the Health forum and ask for input about your dose.
 
Hey Tank.

This is kind of the issue we see a lot with Vetsulin.

It drops them low enough that SLGS says we need to decrease but because it’s not a long acting insulin, you’re still getting those high PS BGs. I find Vetsulin has its limitations when kitty is on a low dose with low nadirs…

I might start thinking about a long acting insulin or maybe a sliding scale guide (ie: if PSBG is x amount - shoot x amount) would work but that is above my experience level.

I’ll tag a few that might have more feedback or may be able to help with a sliding scale

@FrostD
@Suzanne & Darcy
 
Gus the Furminator said:
Hey Tank.

This is kind of the issue we see a lot with Vetsulin.

It drops them low enough that SLGS says we need to decrease but because it’s not a long acting insulin, you’re still getting those high PS BGs. I find Vetsulin has its limitations when kitty is on a low dose with low nadirs…

I might start thinking about a long acting insulin or maybe a sliding scale guide (ie: if PSBG is x amount - shoot x amount) would work but that is above my experience level.

I’ll tag a few that might have more feedback or may be able to help with a sliding scale

@FrostD
@Suzanne & Darcy
Click to expand...
I made another post today and got some feedback so I think we have a good idea of sticking with the .25u for a little while longer then running a curve next week to decide if that's good for now or to increase to .50u since we skipped it.
In the meantime I've texted my vet about switching to Glargine! Just need to find all the details on how she needs to write the script and if it's a more affordable option to do pens/vials or get Lantus/generic depending on the coupons available!
 
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