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Diane Tyler's Mom GA

Member Since 2018
Prozinc dosing question.
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  1. Donna G.
    Joined:
    Nov 5, 2021
    My cat, Nicky, has been on 3units of Prozinc twice a day for about a year now. He is on all wet food, fancy feast pate. He eats about 3 1/2 cans a day. Around 9-10 oz wet food. A year ago his fructosamine taken at the vet was “fair”. So at home, while monitoring him, I gradually increased his Prozinc to 3F, then after a few weeks to 3.25, after a few more weeks to 3.5, twice daily. I increased it at suggestion of the vet, but did it gradually, did it slowly. Once he was on 3.5u twice a day over a few weeks, went back to vet and she said the fructosamine was worse! Did a home glucose curve and saw that at nadir my cat’s blood sugar dropped too low—to about 60. Vet said drop the dose back to 3U twice daily. Did this immediately and did spot checks after that. Nicky seemed fine not a lot of urinating, water drinking, was active and alert. Went back to vet a week ago and again, the fructosamine was fair and they recommended increasing the Prozinc back up to 3.5 U twice a day and do home glucose curve. Being cautious because of what happened last time, I only increased the Prozinc to 3.25u not 3.5 u as vet recommended. Got some ok readings at first but today when doing home glucose curve I see the numbers are worse and too high, although going down. I’m wondering if my cat needs to be maintained on 3U and closely monitor food intake because possibly the insulin increase is too high once it’s increased over 3U and he may be getting a drop in middle of night. I’m supposed to send the vet Nicky’s glucose curve tomorrow. I’m sure they will say to increase the Prozinc based on poor numbers. (She actually wanted me to put him on 4u twice daily up from 3U). I’m wondering if I should drop Nicky back to 3U and do a new glucose curve in 7 days. My cat has not lost or gained weight all year he’s steady at 18.5 pounds and is 9 years old. He’s been diabetic past 5 years. He has no underlying health issues except diabetes and his bloodwork is normal except for high sugar. I’m not sure what’s going on at this point and not confident in advise I get from vet. Would appreciate any guidance. Sorry this post so long. Thank you.

    NICKY'S SPREADSHEET
    Donna G., 27 minutes agoReport
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  2. Donna G.
    Joined:
    Nov 5, 2021
    Previous post put has page 2 of spread sheet, page 1shows numbers back to last November, not sure had to include both

    NICKY'S SPREADSHEET
    Donna G., 15 minutes agoReport
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  3. Diane Tyler's Mom
    Joined:
    Sep 21, 2018
    Hi Donna I'm sorry but I am not a prozinc user ,so it you can start a new post on the Feline Health Forum, copy what you just wrote here and paste it
    I would put Need Advice and tag Melissa who is a prozinc user and be sure to put
    Previous post put has page 2 of spread sheet, which shows Oct 2022 page 1shows numbers back to last November, not sure had to include both
    To tag Melissa you need to do it like this
    @FrostD
 
Diana --

All you can do is let her know that you cannot respond to dosing related issues in a PM. It has to be on the board and visible to everyone. It's the only way we can insure safety in case anyone makes an error in a PM. (I know you know this but I'm saying it here since newer members may be unaware that it is a board policy regarding the use of the PM function.)
 
Diana --

All you can do is let her know that you cannot respond to dosing related issues in a PM. It has to be on the board and visible to everyone. It's the only way we can insure safety in case anyone makes an error in a PM. (I know you know this but I'm saying it here since newer members may be unaware that it is a board policy regarding the use of the PM function.)
Sorry @Sienne and Gabby (GA) I just should have left it where I told her when she PM me to post it herself like I did above . Sorry about it again
 
Unfortunately without any more recent data I can't advise on dose. It is possible the fructosamine made things appear worse due to the bouncing - so he was spending more time.in higher numbers, but nadirs we're pretty close to good. In that situation, you want to hold the dose so he can get used to the lower numbers and overtime stop bouncing.
 
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