? How often should I increase dose?

Scdal

Scdal

Member Since 2020
My vet isn't very good about responding even though I send my cat's spreadsheet every week. I have been holding a dose for 2 weeks.

From reading the sticky notes, I believe that if he is still staying above 200, I should increase the dose after 3 days. Is this correct? Phoenix's numbers are going down but very slowly. Any advice would be appreciated. I depend on all of you more than my vet. Thank you!!
 
Are you following Tight Regulation or SLGS protocol? TR is every six cycles you re-evaluate the dose (so 3 days). You want consistently good numbers in the 100 range so in theory yes, you would increase. I don't like to personally advise with dosing, but that is the TR protocol.
 
I haven't been following any protocol. I would call my vet and ask but he only responds sporadically. It has been hard since you still can't go inside the clinic. You have to rely on the vet's staff to relay messages.

So, I am going to rely on all of you. Phoenix was diagnosed this March. He is drinking and peeing a lot. He didn't do this before his pancreatitis attack when he was diagnosed with diabetes.

His numbers have come down to mostly 300 and some 200's. But, they have remained this high for longer than I think they should. I increased his dose to 5 units this Monday. So unless someone on this forum says otherwise, I believe I should increase his dose by .25 units tomorrow.
 
I do think he needs the increase.

Here is the Tight Regulation and Start Low, Go Slow protocols. Pick one. That way you can follow the guide to know when to increase/decrease without waiting for a vet who doesn't sound very reliable right now. TR has the highest remission rate, cats do very well when tightly regulated. This means evaluating dose every six cycles (3 days). SLGS protocol is a little more lax, where you re-evaluate the dose every week. Remember, kitty's pancreas doesn't start healing until they hit green numbers "healing greens".

He does seem like he needs the 5 units ... you might start considering testing for a high dose condition if he hits 6 units without good numbers.
 
Acromegaly or IAA (Insulin Auto Antibodies) mainly. I believe 6 units is the dose that most people recommend testing for them. Some cats simply need extra insulin just because, but other times it's due to a high-dose condition. Not saying Phoenix has one though.
 
I wrote that before I realized how big your cat is. That would be a large dose for a 9-12 pound cat but yours is 34 pounds.
 
tiffmaxee said:
I wrote that before I realized how big your cat is. That would be a large dose for a 9-12 pound cat but yours is 34 pounds.
Click to expand...
I was thinking about that too, Elise. Maybe 5+ units isn't considered as high a dose due to him being 3x heavier than typical kitties?
 
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