Need dosing advice

Discussion in 'Prozinc / PZI' started by cheisler, Jun 3, 2020.

  1. cheisler

    cheisler New Member

    Joined:
    May 21, 2020
    It’s been a month with levels in 200 range. A few days recently higher. I am feeding him twice a day, two small cans of fancy feast pate at each feeding (because he is not content with anything less). He is still peeing a ton. Doesn’t drink much at all. Fill water bowl maybe once a week if even that. Unfortunately, I didn’t start testing until May. He has been getting insulin shots way before I started home testing.
     
    Last edited: Jun 3, 2020
    Deb & Wink likes this.
  2. Deb & Wink

    Deb & Wink Well-Known Member

    Joined:
    Jan 31, 2013
    One really important item, is to get tests in both cycles, beyond the pre-shot test. The pre-shot test is only telling you that Milo's BG level is high enough to give him insulin in the first place.

    Many people get at least 1 more test in each PM cycle. A regular "before bed time" test is a good one to get. Many cats drop lower at night, because they are more active and burning up more glucose for energy to fuel them in play or whatever. So another reason why some PM tests are important. Plus, our protocols use the nadir or low to base the dose changes on. Not much on your SS to make a good judgement call. The data is pretty thin, outside of the pre-shot tests.

    You want to fill in the pieces of the puzzle, sprinkling the tests around at different times. Maybe one cycle, get a +6 or +7. A different cycle, get a +4 and a +10, to see what is happening earlier and later in the cycle.

    The one day you did the curve, back on 5/30/20, Milo's BG levels stayed pretty flat. You have caught some lower blue numbers, but not many. You want to see him in the greens, <99 mg/dL.

    Based on his curve, it doesn't look like the 3U is enough for Milo. If you decide to increase the dose, we only increase in 0.25U increments. Please monitor a bit more when you increase. To help keep Milo safe.
     
  3. JanetNJ

    JanetNJ Well-Known Member

    Joined:
    Jun 8, 2016
    Does he have any kidney issues in addition to the diabetes?
     
    Deb & Wink likes this.
  4. Deb & Wink

    Deb & Wink Well-Known Member

    Joined:
    Jan 31, 2013
    Sounds like you may need to lock up the Panera bread and any other carb foods, somewhere Milo can not get to them. Closed drawer perhaps, or get one of those childproof locks and put your bread in a cabinet with that lock on it. (Saw the note on the SS from 6/13/20).

    That bread will cause the BG levels to be higher in the next cycle.
     

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