Kitty Anderson
Member
So my Princess Kraken had a let's fool my owner that I might be in remission few days with AM and PMPS in the greens with the lowest reading on day 3 AM of 3.5 (63).
Per advice on main forum we tried drops dose but second drop dose was clearly more than a drop (practised probably 30 times.. Not enough) and she went down to low. After starting drops and doses her numbers basically got worse, although correlation is not necessarily causation.
She went back up to yellows with a pink so we returned to her previous dose with DH under orders to reduce at the first blue number and hold there even if she went up to yellow. A 171 and reduced to 0.2. After a 7.8 (140) and a drop dose I told DH to reduce to 0.1 and hold
Currently our thought process is keeping her at 0.1 units. DH tried a 0.2 yesterday when she went up to yellow as he couldn't reach me (in meeting) .. But a 0.1 this morning with orders to hold.. With a comparable PMPS. I'm actually thinking that a 0.15 dose would be more appropriate, but trying to teach DH caliper dosing via phonecalls.. Videos and articles didn't really work. He is not confident in being able to use it accurately.
I'm travelling for work and won't be home until May 28th when we will go through all that together for finer dosing control.
I would really appreciate some advice or feedback from someone who is expierienced with this particular insulin, canininsulin. It honestly is looking like the lower the dose.. The more stable the numbers. She also has CKD so keeping her stable and low will help prevent even more kidney failure.
For slight context, I travel for work 6 months a year. DH has non existent English in medical issues, and just limited knowledge about medical issues in general. Currently I am basically making all care decisions via her spreadsheet and 2 to 3 phone calls a day. DH is an amazing carer and does anything requested to the absolute best of his abilities. When it comes to her insulin management our new vet is basically leaving it with me, saying I'm making good decisions and that she is doing very well. Her numbers are reasonably good I think, but I feel that there is something floating around that I am not grasping.
Her old chart is when we were following our old vets reccomendations but home testing 13 times more á week than reccomended. The reccomendation was to bring her in weekly for a spot check. We honestly did not know better and trusted our vet. She kept getting sicker and sicker and sicker. I came home from a trip and broke down seeing her and spent days reading everything I could on this forum and changing everything about her care almost. Comparing her numbers now on 5 to 15% of her old doses then we are extremely lucky she is still alive. She went from quite fine except loosing weight and drinking more.. To barley being able to walk on old dosage. And in 4 days on my dosing was able to walk and jump a bit.. A couple of weeks and was doing much better and didn't need step stool to get in bed.. And a 5 to 6 weeks right back to her old self. Her CKD got much worse on vets dosing as well... Probably due to the renal strain.
The dosage chart on the bottom of her spreadsheet is I am completely unavailable at dose time (I'm usually able to receive a text of her number and confirm a dose) scale for DH for the first weeks I was away.
Currently in timezone CEST.
Per advice on main forum we tried drops dose but second drop dose was clearly more than a drop (practised probably 30 times.. Not enough) and she went down to low. After starting drops and doses her numbers basically got worse, although correlation is not necessarily causation.
She went back up to yellows with a pink so we returned to her previous dose with DH under orders to reduce at the first blue number and hold there even if she went up to yellow. A 171 and reduced to 0.2. After a 7.8 (140) and a drop dose I told DH to reduce to 0.1 and hold
Currently our thought process is keeping her at 0.1 units. DH tried a 0.2 yesterday when she went up to yellow as he couldn't reach me (in meeting) .. But a 0.1 this morning with orders to hold.. With a comparable PMPS. I'm actually thinking that a 0.15 dose would be more appropriate, but trying to teach DH caliper dosing via phonecalls.. Videos and articles didn't really work. He is not confident in being able to use it accurately.
I'm travelling for work and won't be home until May 28th when we will go through all that together for finer dosing control.
I would really appreciate some advice or feedback from someone who is expierienced with this particular insulin, canininsulin. It honestly is looking like the lower the dose.. The more stable the numbers. She also has CKD so keeping her stable and low will help prevent even more kidney failure.
For slight context, I travel for work 6 months a year. DH has non existent English in medical issues, and just limited knowledge about medical issues in general. Currently I am basically making all care decisions via her spreadsheet and 2 to 3 phone calls a day. DH is an amazing carer and does anything requested to the absolute best of his abilities. When it comes to her insulin management our new vet is basically leaving it with me, saying I'm making good decisions and that she is doing very well. Her numbers are reasonably good I think, but I feel that there is something floating around that I am not grasping.
Her old chart is when we were following our old vets reccomendations but home testing 13 times more á week than reccomended. The reccomendation was to bring her in weekly for a spot check. We honestly did not know better and trusted our vet. She kept getting sicker and sicker and sicker. I came home from a trip and broke down seeing her and spent days reading everything I could on this forum and changing everything about her care almost. Comparing her numbers now on 5 to 15% of her old doses then we are extremely lucky she is still alive. She went from quite fine except loosing weight and drinking more.. To barley being able to walk on old dosage. And in 4 days on my dosing was able to walk and jump a bit.. A couple of weeks and was doing much better and didn't need step stool to get in bed.. And a 5 to 6 weeks right back to her old self. Her CKD got much worse on vets dosing as well... Probably due to the renal strain.
The dosage chart on the bottom of her spreadsheet is I am completely unavailable at dose time (I'm usually able to receive a text of her number and confirm a dose) scale for DH for the first weeks I was away.
Currently in timezone CEST.
I do not think she's quite ready for an OTJ trial (off the juice) and think you should hold the drop dose. Do you have any idea what was different 30 Apr - 10 May? Or maybe her CKD was causing some symptoms? What stage CKD is she? Are you reducing phosphorous in her foods? How much depends on what stage she might be.