Felix dosing thread 2

Don't go too fast with the dose increases.
Are you using the MPM or the SLGS Prozinc dosing protocol?
Neither your user id signature or the SS indicate which method you are using.
 
So SLGS (Start Low, Go Slow) looks for you to hold the dose for a week, do a curve, and then reevaluate the dose based on that curve, and the BG numbers you have gotten during the week.

It's certainly ok to increase the dose faster than once a week.
You don't want to increase too fast, and bypass a good dose for your cat.
But I don't think you have done that.
Felix's BG numbers are still high enough to warrant dose increases.

Plus, anytime your cat drops under 90 when you are using the SLGS protocol (dosing method), that is an automatic earned reduction in dose of 0.25U.

p.s. I tend to be more aggressive, and recommend dose increases sooner than the dosing methods would indicate, based on the higher mid-cycle numbers you are getting. Plenty of room to increase the dose, before you see greens at mid-cycle.
 
Skip the insulin when the BG levels are that low, especially if you are unable to monitor.
For future reference, since no one saw your tags in time.

Also, if you get a BG number that seems really off, test again. It could have been a bad strip, or not enough blood so another BG test within a few minutes is a good idea. Throwing this out as an another option for you.

"Better too high for a cycle, than too low for a moment."
 
That BG of 47 on 8/9/20 at +4 earned Felix an automatic 0.25U dose reduction, using our Prozinc SLGS protocol.
Please reduce the dose to 1.25U for the next cycle.
Actually, if you had tagged me on 8/6, when you got that 75 pre-shot AM BG test, I would have said to reduce the dose then.

Those blacks = bouncing. So Felix is likely dropping to low numbers somwhere in the cycle, and you aren't catching it with a BG test.

Whenever the numbers are that high, it's a very good idea to check for ketones. Urine (with ketodiastix) or blood (with a special meter).

How is Felix's appetite?
 
@Deb & Wink His appetite has been excellent for breakfast and dinner and the mini meals in between. I can reduce to 1.25 starting morning. I just skipped when he was 75 (it didn’t dawn on my to reduce) and I didn’t realize to reduce when he dropped to 47 mid cycle. I guess I was “thinking” only to reduce if it was really low amps or pmps.
 
Any time. Any time in the cycle when the BG is < 90 and you are using the SLGS prozinc protocol means to please take that dose reduction.

So now you know for next time!
 
Bradshaw & Felix said:
@Deb & Wink thanks. Once a reduction of .25 is made, would that dose stay in affect for several days or a week (unless another reduction is earned)?
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Yes, that reduction would remain for at least 3-6 cycles. Unless there is another drop below the reduction point for the insulin and dosing method you are using, MPM or SLGS for prozinc.

It's only when the BG numbers are telling you that the reduction did not work, that you would increase again.
But before you increase again, you need to let your cat clear a bounce, because the higher BG numbers persist for a few cycles usually.
Your cat isn't used to lower numbers, so their system automatically dumps sugars and hormones into the system to bring those BG's back up, to what the body is more used to.
 
Deb & Wink said:
Yes, that reduction would remain for at least 3-6 cycles. Unless there is another drop below the reduction point for the insulin and dosing method you are using, MPM or SLGS for prozinc.

It's only when the BG numbers are telling you that the reduction did not work, that you would increase again.
But before you increase again, you need to let your cat clear a bounce, because the higher BG numbers persist for a few cycles usually.
Your cat isn't used to lower numbers, so their system automatically dumps sugars and hormones into the system to bring those BG's back up, to what the body is more used to.
Click to expand...

@Deb & Wink I did a curve On Felix today. Does he still get 1.5 in 2 hours?
 
Felix did not "officially" earn a reduction, but he's awfully close. That 95 at +8 on AM cycle 8/15/20 is a squeaker. Anything < 90 gets an automatic dose reduction.

Looks like you went with 1.5U. Please test Felix again during this PM cycle. A" before bed test" is a good consistent test to get every evening. Felix may drop low, since he was at 153 for pre-shot.

Sorry, not able to get back to you in time. I'm taking care of a friends place while she is sailing the Maine coast for a month. Running very late, getting on the message board lately.
 
Deb & Wink said:
Felix did not "officially" earn a reduction, but he's awfully close. That 95 at +8 on AM cycle 8/15/20 is a squeaker. Anything < 90 gets an automatic dose reduction.

Looks like you went with 1.5U. Please test Felix again during this PM cycle. A" before bed test" is a good consistent test to get every evening. Felix may drop low, since he was at 153 for pre-shot.

Sorry, not able to get back to you in time. I'm taking care of a friends place while she is sailing the Maine coast for a month. Running very late, getting on the message board lately.
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@Deb & Wink Sailing the coast of Maine sounds amazing. Lucky them! We decided to go ahead with 1.5 even though he was close. Keeping an eye on him. Will test before bed
 
@Deb & Wink
Felix has thrown up a few times today and had very little to eat. We gave insulin this morning but have not tonight. Can we give insulin when throwing up? His number was 378 in the am and 407 for pm
 
I'm not sure that I would give Felix insulin if he can't keep any food down.
That is because if Felix can not keep food down, then what would you do if he happened to drop to really low numbers?
The standard way to bring those BG numbers back up, is to feed.

Is there a reason for the vomiting that you know of? Vomiting is definitely a concern with any cat, but especially a diabetic cat.

Pancreatitis?
Different food flavor?
Got into some food he should not have?
Anything else?
Ketones ok? Please test ASAP.

Are you able to stay up and get more BG tests for the PM cycle?
 
Deb & Wink said:
I'm not sure that I would give Felix insulin if he can't keep any food down.
That is because if Felix can not keep food down, then what would you do if he happened to drop to really low numbers?
The standard way to bring those BG numbers back up, is to feed.

Is there a reason for the vomiting that you know of? Vomiting is definitely a concern with any cat, but especially a diabetic cat.

Pancreatitis?
Different food flavor?
Got into some food he should not have?
Anything else?
Ketones ok? Please test ASAP.

Are you able to stay up and get more BG tests for the PM cycle?
Click to expand...

@Deb & Wink
No new anything with food or flavor. we think it is likely a hairball. He has done this before and it only lasted 2 days max and then would finally produce a hairball. We have not checked his ketones recently. Last time his numbers were super high we had them checked and he didn’t have any but the vet wanted to up his insulin to 4 units and that’s when he ended up at the emergency after hours hypo. We will skip tonight’s dose and hope for a hairball tomorrow
 
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