need some help please about dosing etc... cat out of 5 year remission new to prozinc

Ummlee and Vengeance

Ummlee and Vengeance

Member Since 2020
Soo recently my cat came out of remission after 5 years ... long story is on the main forum Well it seems Vengeance and I are back after 5 years and 2 months in remission and things are.....UPDATED he was on vetsulin the first time.. which my vet no longer gives to cats..

so his numbers dont seem to being doing very much on the prozinc ... when he had diabeties the first time his numbers were all very low it was keeping them steady and I go him in remission in about 4 weeks... he had just had kidney failure etc You cand find my old threads on here from back then.... I did a curve the other day and nunbers dont seem to be doing much in movement after 2 weeks... he had a few blues in the beginning now its 300s or so and this morning his highest at 412 ... I dont know if the dose of 2 units is too high or too low... being I wonder if its a bounce effect maybe? being his numbers at +6 never seem to be that great... starting to get worried being like I said the first time here is his old sheet from 5 years ago old spread sheet ( 2020 ) it was more low numbers after a week or so than high numbers... there are also in the first link to main page his blood test results from 2 weeks ago..

I appreciate any help thanks so much
 
I looked at your spreadsheet yesterday and saw all the pink for that day — have you gotten any more tests since then? If your kitty was bouncing that day then those numbers would be high and may not be indocative of what he’s doing on other days.

Also, with the bad tooth, he may not really be able to get regulated. That needs to be addressed as soon as possible, as long as his bloodwork indicates that he can have anesthesia.
 
I can’t really make any dosing recommendations because there are not regular mid cycle tests on his spreadsheet. I see the days you did the curve, but there’s not much except preshot tests after that. With the red AMPS this morning, I wonder if he had a lower number last night (nothing dangerous, but lower than he is accustomed to.) What would really be helpful in making dose adjustments would be to get at least one test during each cycle. One day you could try a +6 and another day a +4, etc.
 
Suzanne & Darcy said:
I can’t really make any dosing recommendations because there are not regular mid cycle tests on his spreadsheet. I see the days you did the curve, but there’s not much except preshot tests after that. With the red AMPS this morning, I wonder if he had a lower number last night (nothing dangerous, but lower than he is accustomed to.) What would really be helpful in making dose adjustments would be to get at least one test during each cycle. One day you could try a +6 and another day a +4, etc.
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HI I tried the last few days to get more numbers... today the 27th his numbers have been very odd I wonder if his AM shot didnt get in etc was no wet fur I always check etc... He had gotten some much better #s yesterday but today now totally nadda change almost.. he is 14lbs and they started him on 2 units should I maybe bump to 2.5 and see if any changes being its been 17 days since started back after 5 years in remission... the odd thing is if you look at his first time before remission he was all low #'s for the most part this time its all high.. I did post all his recent medical records in the main room post... thanks
 
If you can get some tests then you could try increasing to 2.25 units first to be cautious. He has seen some blue and yellow on this dose so I would be cautious. I don’t expect anything dramatic, but I would like to proceed cautiously. If it’s not helping and you are getting a few tests to verify numbers then we can increase again after about 3 days.
 
It looks to me like he is bouncing today from the yellows yesterday. That is definitely possible. It doesn’t have to be really low numbers to create a bounce, but just numbers that his body is not accustomed to being in anymore. I’m actually glad to see a little yellow.
 
Suzanne & Darcy said:
It looks to me like he is bouncing today from the yellows yesterday. That is definitely possible. It doesn’t have to be really low numbers to create a bounce, but just numbers that his body is not accustomed to being in anymore. I’m actually glad to see a little yellow.
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yeah so was I, hope to get more get him back into blues and greens... .. I will be testing him tonight at +3 +4 +5 and +6 to see where #'s go

Thanks :)
 
I think it’s good that you saw a little blue on this dose. He certainly stays high for a while after some blues. Does he eat only FF pates?
 
If he eats an all LC wet diet and you would like to follow MPM (modified ProZinc method) then I would say you could increase to 2.5 units tomorrow morning, unless you see some lower blues tonight (then hold the dose a little longer.) MPM will give you a chance to get him into better numbers more quickly.
 
Suzanne & Darcy said:
If he eats an all LC wet diet and you would like to follow MPM (modified ProZinc method) then I would say you could increase to 2.5 units tomorrow morning, unless you see some lower blues tonight (then hold the dose a little longer.) MPM will give you a chance to get him into better numbers more quickly.
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He only eats FF Pates, Friskies Pates and occasional Sheba pate No gravy etc I will do a 2-4-6 on him tonight and see the numbers trying to give him an ear break from the last few days...today till 7pm I will up to 2.5 tomorrow AM and see how his # do if no blues tonight

again thanks so much :)
 
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Ummlee and Vengeance said:
He only eats FF Pates, Friskies Pates and occasional Sheba pate No gravy etc I will do a 2-4-6 on him tonight and see the numbers trying to give him an ear break from the last few days...today till 7pm I will up to 2.5 tomorrow AM and see how his # do if no blues tonight
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Suzanne & Darcy said:
If he eats an all LC wet diet and you would like to follow MPM (modified ProZinc method) then I would say you could increase to 2.5 units tomorrow morning, unless you see some lower blues tonight (then hold the dose a little longer.) MPM will give you a chance to get him into better numbers more quickly.
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@Suzanne & Darcy if you could check his chart and see if I should start the 2.5 tonight or wait till tomorrow

Thanks So Much
 
Oh I am glad to see more blue. I would wait until tomorrow to increase. Great job with the testing! How does he seem to you behavior wise? How do you think he is feeling in the lower numbers? What about when he’s in the pinks?

What did your vet say?
 
Suzanne & Darcy said:
Oh I am glad to see more blue. I would wait until tomorrow to increase. Great job with the testing! How does he seem to you behavior wise? How do you think he is feeling in the lower numbers? What about when he’s in the pinks?

What did your vet say?
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my vet never got back to me about the pancreatitis.. actually he acts no different at all anytime for the most part... hes a lazy cat for the most part to begin with but he still jumps on my bed cuddles walks around house climbed up on the cat tree thats 7ft tall the other night when I was putting my shoes on....he never seems to me to be lethargic ... he wants food 24/7 lol I have started back with smaller meals with snacks between... like right now just got 406 and hes playing with a box on the floor next to my computer becasue I am typing this and not putting food in his bowl lol...
 
Ummlee and Vengeance said:
my vet never got back to me about the pancreatitis.. actually he acts no different at all anytime for the most part... hes a lazy cat for the most part to begin with but he still jumps on my bed cuddles walks around house climbed up on the cat tree thats 7ft tall the other night when I was putting my shoes on....he never seems to me to be lethargic ... he wants food 24/7 lol I have started back with smaller meals with snacks between... like right now just got 406 and hes playing with a box on the floor next to my computer becasue I am typing this and not putting food in his bowl lol...
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@Suzanne & Darcy hi so I am completely fuzzed about his numbers... they seems besides one good night to be getting higher at amps and pmps... could I have jumped the gun on upping dose from 2??? His numbers kinda looked better then??? thanks so much
 
His numbers are super frustrating! I do not think you increased too quickly. You gave the 2.25 units a fair shot. In fact, I think he’s ready for another increase to 2.75. I think he is really bouncy and also that we haven’t hit his breakthrough dose yet.
 
Suzanne & Darcy said:
May I ask what 6@ 12:45 and 9 @4:25 mean? I am not understanding the notes in the comments.
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I was saying the test times which should have been +6 or +9 were done at the times diff but fit inside that windows of hour.... hes never been on any meds for his asthma my vet goes back and forth if he even has it being she will say he sounds fine no asthma then well maybe the next time.... but he will on occasion have an asthma like cough from videos Ive seen but they are not very regular like once in a while she offered me meds... IF I thought I wanted him on them but she never said HE NEEDS THEM... kinda weird...he has a odd purr and snores a lot... so he is noisy.. very cool north or south South Ga for me... ok will bump to 2.75 in the morning... and I really do appreciate all the help... they odd part by this time when he was first diagnosed and almost died was way way worse health in 2020 he was 95% in remission in 2.5 weeks on insulin..... strange and back then his number were all lows and got to him on almost nothing in 3 weeks...
 
Here is a link to the instructions about how to do advanced recording of numbers on your spreadsheet — for when you have times where you test that aren’t right on the hour (which happens a lot.) Or for when you have multiple tests in a single hour (which usually is when you are managing low numbers.) We need all the numbers in there. Scroll down past the part about basic recording to the section on advanced recording of SS numbers.

https://felinediabetes.com/FDMB/threads/how-to-use-the-spreadsheet.241653/
 
I hear you about what happened last time. You were extremely lucky to get him into remission in a few weeks last time. That’s not the norm, but we do see it happen. I am really sorry he came out of remission. That’s so hard. What was the cause of him becoming diabetic last time?

Something as “simple” as a bad tooth can knock a cat out of remission, although that doesn’t have to be the only thing going on.

That is strange about the asthma (your vet I mean). Usually a chest x-ray is done to look for typical patterns that indicate asthma.

I’m in the middle part of Georgia.
 
Suzanne & Darcy said:
I hear you about what happened last time. You were extremely lucky to get him into remission in a few weeks last time. That’s not the norm, but we do see it happen. I am really sorry he came out of remission. That’s so hard. What was the cause of him becoming diabetic last time?

Something as “simple” as a bad tooth can knock a cat out of remission, although that doesn’t have to be the only thing going on.

That is strange about the asthma (your vet I mean). Usually a chest x-ray is done to look for typical patterns that indicate asthma.

I’m in the middle part of Georgia.
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cause for Diabetes originally too many steroids due to issues with multiple issues with crystals and urinary blockages for like 2 years it was almost non stop issues with it I finally switched him to can food and that thankfully stopped... BUT the many times on steroids was too much for him I guess suddenly he had lost a lot of weight over a few months and was just not himself so I got worried and took him in and he was in Kidney failure and etc and they saw he was diabetic and said it was most likely due to all of the steroids over the previous 2 years... He was in such bad shape my vet mentioned euthanizing him being his Kidneys and etc were in that bad of shape ... I said HE!! NO do whatever it takes to get him well and back normal... they got him stabilized after a long hospital stay and finally let him come home BUT he now had diabetes which luckily went into remission very quickly ... and had no issues for the last 5 years even when he had pancreatitis 2.5 years ago... the vet told me when I took him for his tooth Nothing wrong with tooth BUT hes out of remission sooo thus back here and I honestly trust the people on this board more than my vet being last time and this time they just said here insulin and syringes dont test his #'s just give him what we told you and come back in a few months.... yeah they did xrays and ultrasounds when he had pancreatitis 2.5 years ago I told them test him for everything so I had them do the works and they said he was fine besides the pancreatitis lungs,liver,heart etc all good... same thing back then I asked about taking the tooth out they said no need if he eats like you say he does then hes not having issues with it... I sadly have lost 4 cats in the last few months (non diabetic) and they the Vet has been good about all of that but sometimes I question their methods......

Im in the DEEP south I can be in Fla in 10 minutes lol...
 
I’m sorry about your other cats. I have lost three cats recently. One on September 22, 2025. Another on October 24, 2025 and, most recently on March 12 of this year. I understand. The worst part is that none of them were particularly old cats, but they died of complicated or unknown (in the case of one who was fine in the morning and dead in the afternoon.) With my most recent beloved boy who died in March, I feel like my vet really let us down and completely overlooked signs and warnings. She just gave up on him because she didn’t know what to do (my opinion.) I took him to University of Georgia but it was too late. It takes too long to be seen there by the internal medical service. Now I have to take another cat there on Monday and am not looking forward to it due to the really bad (and recent) memories of losing two of my cats there. For my girl who is going on Monday though at least it’s a follow up appointment and I am not expecting anything bad to happen (but honestly I never expected to lose my boy on March 12 either so it’s still going to be so stressful.)
 
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