Help with Dosing for Buddy G.

Jessica5Cats

Jessica5Cats

New Member
My cat Buddy has been out of remission for just over a month. His numbers continue to be high so the vet kept raising his dose. (Started at 1u, then 2u, then 2.5u.) I have concerns that the dosage is too high since some days his PMPS is under 200 so I skip the shot. (His vet advised to only give his AM shot, but I don't think that's correct.) I lowered his dose to 2u for the past 3 days, and now I'm concerned because last night's PMPS and this morning's AMPS read "HI" off the meter / 600+. So I increased his dose back to 2.5units though I'm unsure if I should have.

I really need advice on dosing-- what dose to hold, how long to hold it for, do I hold it despite high numbers? Help is really appreciated. I'm so worried about his numbers being high for so long and "all over the place."
His spreadsheet is up-to-date and in my signature.

Thank you so much
 
Hi there!

Is there anything you can think of that may have knocked him out of remission? Illness, needing a dental, steroid use?

I would hold the 2U for a few days here to see if he settles down a bit.

Couple of housekeeping items:
  • He fasts for 2 hrs before preshot, correct?
  • Are you able to completely remove the dry food? I ask because that would allow you to do a more aggressive dosing protocol that may help get him lower more quickly (you can increase every 2-5 days based on nadir vs waiting a full week)
  • Remember that dose is based on nadir. So although it sucks to see those high numbers, his nadirs are fairly good.
  • What's your feeding schedule? What foods at what times (i.e. +2, +3)
  • We do strongly recommend a before bed test around +2 or +3, it can give you an indication of where he's headed.
  • Make sure you have a hypo kit and test for ketones
  • ProZinc is dosed every 12 hours

Hes bouncing a lot. It's normal, he should settle down a bit eventually. Today is a bounce, I expect him to break it and come down tonight or tomorrow.

200 is the shoot/no shoot threshold until you get more data. If you get something close to it, say 170-199, you can try something like a half dose (assuming you can keep an eye on him). 150-179, you can try a token dose - about 10% of normal dose - again assuming you can keep an eye on him. The goal is lower the number at which you can safely shoot. It's generally better to give some insulin vs skipping.
 
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