Help to understand BG chart

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Ok. Was able to see part of the SS (spreadsheet) but it's locking up on me again and won't let me scroll through.

1. Anytime you hit 90 mg/dL in the middle of the cycle, with Prozinc SLGS (Start Low Go Slow) protocol, you reduce the dose by 0.25U. IMMEDIATELY.
Like you did today, 12/03/2020
Like you got on 7/3/2020

So drop the dose down from the current 1.5U dose to no more than 1.25U dose. Eyeball or guesstimate that amount.

DO NOT WAIT FOR A VET VISIT. He could hypo before then.

2. You are skipping a LOT of shots. Likely because the pre-shot numbers are too low and you don't stall and retest to see if the numbers are rising or falling.
I wouldn't shoot with the little mid-cycle test data you have either.

3. You need to get a few more BG tests. To tell how low the dose is dropping Stanley.
You need to find the nadir, and that is not always at the same time each cycle. Dose adjustments are
based on that nadir or low.

I know you probably work, but there needs to be a few more tests done. You need to flesh out the spreadsheet, test so there are more clues to the puzzle. Most people do not work at night, so get a +2 and then one more test before you go to sleep. Every night.

Shot or no shot. Do you think you could do that testing for Stanley?
When are you able to test during the day?
Have you ever done a curve? You need to.

I'm betting even the 1.25U is going to be too much insulin for Stanley.

Has Stanley ever had DKA (diabetic ketoacidosis)or ketones?
If not, than I think you would be better off reducing the dose to 0.75U.
You want to find a dose you can give 2 times a day.

If he HAS had DKA or ketones, than the suggestion on the dose would be much different.
Was he on steroids?

p.s. Notes on the SS in the Remarks column to indicate what stanley is eating and when are helpful. Split this into AM and PM cycles, and indicate the time you feed in + hour format. Be specific on the foods you feed please.

Stanley may be close to being diet controlled.
 
Hi you need to change the settings in your spreadsheet to allow everyone to see it because right now is blocking us out, and only allowing those who have been granted access
 
Deb & Wink said:
Ok. Was able to see part of the SS (spreadsheet) but it's locking up on me again and won't let me scroll through.

1. Anytime you hit 90 mg/dL in the middle of the cycle, with Prozinc SLGS (Start Low Go Slow) protocol, you reduce the dose by 0.25U. IMMEDIATELY.
Like you did today, 12/03/2020
Like you got on 7/3/2020

So drop the dose down from the current 1.5U dose to no more than 1.25U dose. Eyeball or guesstimate that amount.

DO NOT WAIT FOR A VET VISIT. He could hypo before then.

2. You are skipping a LOT of shots. Likely because the pre-shot numbers are too low and you don't stall and retest to see if the numbers are rising or falling.
I wouldn't shoot with the little mid-cycle test data you have either.

3. You need to get a few more BG tests. To tell how low the dose is dropping Stanley.
You need to find the nadir, and that is not always at the same time each cycle. Dose adjustments are
based on that nadir or low.

I know you probably work, but there needs to be a few more tests done. You need to flesh out the spreadsheet, test so there are more clues to the puzzle. Most people do not work at night, so get a +2 and then one more test before you go to sleep. Every night.

Shot or no shot. Do you think you could do that testing for Stanley?
When are you able to test during the day?
Have you ever done a curve? You need to.

I'm betting even the 1.25U is going to be too much insulin for Stanley.

Has Stanley ever had DKA (diabetic ketoacidosis)or ketones?
If not, than I think you would be better off reducing the dose to 0.75U.
You want to find a dose you can give 2 times a day.

If he HAS had DKA or ketones, than the suggestion on the dose would be much different.
Was he on steroids?

p.s. Notes on the SS in the Remarks column to indicate what stanley is eating and when are helpful. Split this into AM and PM cycles, and indicate the time you feed in + hour format. Be specific on the foods you feed please.

Stanley may be close to being diet controlled.
Click to expand...

Thank you so much this is amazingly helpful.

We are just starting to build on our spreadsheet, I agree with need a better picture if we are going to help him. I will also add in his diet.

As far as I am aware he has not had DKA or Ketones and he has never been on steroids.

We have decided to start tomorrow at 1 unit and see what he is like for a few cycles.

How often do you test on a daily basis? It is challenging with work but I'm sure we can do more.

Thank you for all your help and advice.
 
Simone & Stanley said:
As far as I am aware he has not had DKA or Ketones and he has never been on steroids.
Click to expand...
If your Stanley ever had DKA (diabetic ketoacidosis) you would know.
Ketones are less likely for you to be sure of.
You can test the urine or there are special ketone/blood meters that test the cat's blood.

Simone & Stanley said:
We have decided to start tomorrow at 1 unit and see what he is like for a few cycles.
Click to expand...
You might even think of dropping his dose down from 1.5u to 0.75U. That would take his current dose, and split it in half between the AM and PM cycles.

Right now, with Stanley's BG numbers being too low to shoot the insulin 2 times a day, he is being left without enough insulin for the evening cycle, or whenever you skip the dose. Without enough insulin, he can not process his food correctly and can continue to lose weight.

There is also a higher risk of ketones developing if there is not enough insulin being given.

Quite frankly, I think the 1U dose you are considering for tomorrow, 13/3/2020 is too much.
It's pretty easy to raise the dose again if needed. It's impossible to take the insulin back out of your cat once you have given the shot.

Simone & Stanley said:
How often do you test on a daily basis? It is challenging with work but I'm sure we can do more.
Click to expand...
Think about your current shot time, think about your work schedule, think about all the other responsibilities you have in life.

Since you skipped the insulin shot tonight, 12/03/2020, you could change the shot time starting tomorrow to an earlier time. If possible, see if you can adjust your dosing schedule to give yourself a chance to test before you go to work. At +1 or even better at +2.

Then, when you get home from work, you could try to get a +10 or a +11 test. Some cats on Prozinc rise dramatically in the last hour, at that +11 time, because the insulin has been "used up ", the duration is less than the full 12 hours.

I have no idea how long your work days are, including your commute. If something we suggest does not work for you and your life, please let us know. We'll try to provide alternative recommendations.

What times you feed when using Prozinc, and other insulins, can make a big difference in the BG (blood Glucose) levels rising in the 2nd half of the 12 hour cycle. So a good suggestion is to try and avoid feeding past about +6. Also, you want to try and have no food available for 2 hours before your pre-shot tests. That is so that the Pre-shot test is not food influenced and you end up shooting insulin into what is a food inflated BG number.
 
Stan the man is adorable, but you do need to test him a little more often

We assume you work, so then on Sat and Sundays you can start testing him more often and definitely during the pm cycle, that would be very helpful and to keep him safe
 
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