High Nadir

[Cassis]

After a rapid increase to 524 at the end of the last cycle, Cassis has a high nadir of 448 at 6 hours after a dose of 2.75, much less of a drop than we have seen. Can't explain the result. Should we give more insulin at this point or wait until his next cycle in 6 hours at which point he will be very high?

 

[Cassis]

After a rapid increase to 524 at the end of the last cycle, Cassis has a high nadir of 448 at 6 hours after a dose of 2.75, much less of a drop than we have seen. Can't explain the result. Should we give more insulin at this point or wait until his next cycle in 6 hours at which point he will be very high?

Gave no more. Level stayed about the same all night. Not sure what happened. Will check again at same dose.

 

[Sue and Oliver (GA)]

Glad you waited. Sometimes a number is just that - just one number, just one cycle. I call it the "oh, look. A squirrel !" phenomena. . Who knows - a soft bm or a hard one or seeing something scary.

Wait until you see a pattern. Giving a dose in the middle of a cycle can mess you up for several cycles, trying to get the shots back on track. And adding insulin to a cycle where there could already be some is never a good idea. The most important adage here is "better high for a cycle than low for a minute"

 

[Cassis]

Glad you waited. Sometimes a number is just that - just one number, just one cycle. I call it the "oh, look. A squirrel !" phenomena. . Who knows - a soft bm or a hard one or seeing something scary.

Wait until you see a pattern. Giving a dose in the middle of a cycle can mess you up from several cycles, trying to get the shots back on track. And adding insulin to a cycle where there could already be some is never a good idea. The most important adage here is "better high for a cycle than low for a minute"

Thanks. We gave him a Zobaline (B12/folate) tablet last night for the first time. We later read on Tanya's site that the 3-mg dose is 3 times higher than what is recommended for CKD cats. Don't know if that had anything to do with his level being high, but we will certainly back off that dose.