New here and Concerned about the numbers.....

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Not sure why you aren’t seeing it. It’s been on there for several days.
Hi Marje when click on her avatar this it what I get
Feline Diabetes Message Board - FDMB - Error
This member limits who may view their full profile @Marje and Gracie
I get this on a lot of other members on here, I just want to see the name of their cat, the insulin used, meter, just the usual stuff someone puts in their signature
I even get this if I click on FurBabiesMama , it's weird
 
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Hi Marje when click on her avatar this it what I get
Feline Diabetes Message Board - FDMB - Error
This member limits who may view their full profile @Marje and Gracie
I get this on a lot of other members on here, I just want to see the name of their cat, the insulin used, meter, just the usual stuff someone puts in their signature
I even get this if I click on FurBabiesMama , it's weird
Oh...so sorry. I thought you meant in the signature block. I am sure that is what he meant, too. What you are referring to is the profile. It is a member’s prerogative as to whether they want that info out there or not. They can choose to keep it private. It’s also possible they don’t know they can edit it.
 
Oh...so sorry. I thought you meant in the signature block. I am sure that is what he meant, too. What you are referring to is the profile. It is a member’s prerogative as to whether they want that info out there or not. They can choose to keep it private. It’s also possible they don’t know they can edit it.
If I go to Goose avatar and click on it it will say . Profile Page. Follow and then ignore, but no word that says information
Then I click on Profile Page and that's what comes up.
I was just wondering how would someone be able to see the information about their kitty, no biggie
 
If I go to Goose avatar and click on it it will say . Profile Page. Follow and then ignore
Then I click on Profile Page and that's what comes up.
I was just wondering how would someone be able to see the information about their kitty, no biggie
Because I have Moderator’s permissions, I can see all of it but I do know what you mean because, before I had Moderator’s permissions, there were many that I couldn’t see. I know exactly where you are talking about, but, again, it’s up to Goose as to whether he wants to change it. Some people really want privacy and don’t want to have that information out there. Yes, it makes it much easier for all of us because when I was not a moderator, if I was looking for a member’s posts and they had it selected like Goose, I couldn’t find their previous posts.

But again, either he isn’t aware that is how he has set it up or he wishes it to be that way.
 
Because I have Moderator’s permissions, I can see all of it but I do know what you mean because, before I had Moderator’s permissions, there were many that I couldn’t see. I know exactly where you are talking about, but, again, it’s up to Goose as to whether he wants to change it. Some people really want privacy and don’t want to have that information out there. Yes, it makes it much easier for all of us because when I was not a moderator, if I was looking for a member’s posts and they had it selected like Goose, I couldn’t find their previous posts.

But again, either he isn’t aware that is how he has set it up or he wishes it to be that way.
Thanks Marje I was just always wondering why?
 
You had zero nighttime tests for the dates you gave so missing half your data means you can’t interpret anything from those dates.

Glucose toxicity is when they are hyperglycemic too long. The consistently high numbers start to impact the body in negative ways and cause increased insulin resistance making it harder to get to a dose that works.

While it might look to you that the BG was seeing a lot of variation, it wasn’t on those dates.

What Linda (@MrWorfMen's Mom) was saying is she couldn’t tell whether the dose was too high or too low and glucose toxicity has set in.

It looks to me like 1.5u is not enough insulin. I know he has dropped low on it before and there are reasons why he likely did:

  • insulin syringes are notoriously inaccurate even some being up to 0.5u off; many use calipers to dose accurately especially if more than one person is shooting
  • absorption can vary up to 50% from shot to shot
  • If you don’t test enough to know onset, nadir, and duration then you probably aren’t feeding the curve appropriately and if food is not given at the right times, numbers can tank even if the dose might actually be ok
  • things change; diabetics can be affected by things such as barometric pressure
I have seen cats on this board die from prolonged hyperglycemia and definitely hypoglycemia when vets instructed the caregiver to shoot a dose (too much as it turned out) without testing. Both are terrible deaths.

The only way we can really help you and find out what is going on so we can get the dose to the right place is for you to test enough, even just for seven cycles, at one dose so we can see the full picture. It’s your decision whether you want to do that or not.

The SS has been updated from last week. We had 179k in the area again without power, so no Net was available. Twice in the last 2 weeks, the first was over 200k without power.

I've gone back to the original decision by the Vet, the dosage was 2U in the AM and 1U in the PM. This testing dosage has been going on for 5 days already. We'll carry on with this testing dosage for the 7 days as mentioned, if he's doing better, we'll continue longer. Let me know your opinions....

Let me know how the SS looks to you guys. Within the past day or two, the numbers look a little better. I've noticed that with the advent of wet food, he is drinking less water. Before he was drinking like a fish.

The wet food, Fancy Feast Classic, has been introduced into his schedule for eating as his first choice. He's eating about 25% of the 3oz. can at a time, and then some of the Dr. Elsey's dry cat food until he's finished eating.

I do have the 1/2 syringes now if suggestions on insulin need to be smaller dosages. Not great to hear that the syringes are notoriously inaccurate....

The added wrinkle is that we have a total of 8 cats. 5 are indoor only, the other 3 are in and out. These are drop off strays for he most part who have wandered here over the years and stayed. All have been fixed and aside from one, all are over 10 years old. 2 out of the 8 are MANX, with a 3rd almost a MANX with 3" tail.

So, some of my frustration is coming from the fact that separating them so Do Daa can eat is more difficult. He is the only cat we have ever had who has diabetes.

Thank you all for your help so far, it is appreciated.

In my Sig:
Do Daa (male cat), 11.5 years old, First Diagnosed 9/27/19, Prozinc insulin dosage 1.5U at the moment, Relion Prime, Dr. Elseys Clean Protein, No other meds or health issues. Goose in Coastal Maine. Do Daa's SS
 
While giving different doses AM vs PM can work for a few cats, it's generally something that is only works once kitty is reasonably regulated. The full unit difference between the AM and PM doses is huge and at this point in time, I think it's just setting Do Daa up for more bouncing and skews the view of how much either dose is dropping BG. Consistent dosing at least until kitty is regulated is recommended. It doesn't look to me like numbers have changed much if at all on the new dosing.

I would suggest trying 1.75u consistently morning and night along with some monitoring to see how that works but the decision is yours to make.
 
While giving different doses AM vs PM can work for a few cats, it's generally something that is only works once kitty is reasonably regulated. The full unit difference between the AM and PM doses is huge and at this point in time, I think it's just setting Do Daa up for more bouncing and skews the view of how much either dose is dropping BG. Consistent dosing at least until kitty is regulated is recommended. It doesn't look to me like numbers have changed much if at all on the new dosing.

I would suggest trying 1.75u consistently morning and night along with some monitoring to see how that works but the decision is yours to make.

Hi,

We wanted to try the Vets numbers more thoroughly as not to completely dismiss her suggestions.

1.75U am and pm is upping his dosage to 3.5U per day vs. 3U per day now. Is this the route you'd like me to try? Slightly more insulin for better numbers? How long do we try this dosage? We did the 2U am and 1U pm for 7 days.

Don't know how accurate/consistent I'll will be trying to get 1.75U each time if the syringes are notoriously inaccurate.

The SS is updated. The numbers do seem to be constantly high still no matter the dosage. But, seeing a lot more in the 300's and 400's now also....
 
I suggested 1.75u because that would be the next logical dose adjustment based on the data you have. 1.5u wasn't enough and we recommend 0.25u dose increases so as not to inadvertently miss the best dose. You were giving 3u per day and increasing each shot by 0.25u will increase the daily dose to 3.5u. We usually just refer to the singular dose amount here.

I'd hold the dose for at least 3 days (6 cycles) and if numbers are improving, up to a week. And don't forget to get those night time tests EVERY night. If you make it a habit to test Do Daa as part of your bedtime routine, it will become second nature. Most cats go lower at night than during the day so missing that data leaves half the picture blank.

While syringe markings can be inaccurate, the important part is to be consistent. Get a used syringe and draw up what you consider to be 1.75u using coloured water. Use that sample syringe as a way of measuring future 1.75u doses consistently.
 
I suggested 1.75u because that would be the next logical dose adjustment based on the data you have. 1.5u wasn't enough and we recommend 0.25u dose increases so as not to inadvertently miss the best dose. You were giving 3u per day and increasing each shot by 0.25u will increase the daily dose to 3.5u. We usually just refer to the singular dose amount here.

I'd hold the dose for at least 3 days (6 cycles) and if numbers are improving, up to a week. And don't forget to get those night time tests EVERY night. If you make it a habit to test Do Daa as part of your bedtime routine, it will become second nature. Most cats go lower at night than during the day so missing that data leaves half the picture blank.

While syringe markings can be inaccurate, the important part is to be consistent. Get a used syringe and draw up what you consider to be 1.75u using coloured water. Use that sample syringe as a way of measuring future 1.75u doses consistently.


Ok. So starting tomorrow morning through Saturday we'll set the dosage at 1.75 am and pm and see what his numbers look like Sunday AM. He actually ate 3/4 of a fancy feast can today, he hardly has ever eaten wet food for 11 years, but still likes the crunch of the dry food more.

:)
 
Just noticed you are shooting different doses a.m. and p.m. I agree with @MrWorfMen's Mom that this is not the best strategy. I thought you were going to shoot 1.75u twice a day? He looks to me like he needs more insulin at a consistent dose.

We went back to what the Vet had suggested to us more than a month ago, 2U am, 1U pm - we did that for a week for consistent numbers on that dosage.

We just started him on 1.75U or a rough/best guess on the syringe, on 11/7. I've noticed that he's numbers are showing more 500's than the previous 300's with 2U/1U. We'll see what they look like after 3 days like MrWorfMens's Mom mentioned. Seems like this isn't getting easier to find the correct dosage.
 
We went back to what the Vet had suggested to us more than a month ago, 2U am, 1U pm - we did that for a week for consistent numbers on that dosage.

We just started him on 1.75U or a rough/best guess on the syringe, on 11/7. I've noticed that he's numbers are showing more 500's than the previous 300's with 2U/1U. We'll see what they look like after 3 days like MrWorfMens's Mom mentioned. Seems like this isn't getting easier to find the correct dosage.
I’m afraid I can’t comment since the SS isn’t updated. But it is really my thought that his dose is going to need to go up above 2u; however, it’s best to get there by 0.25u increments after doses are held several cycles.

You haven’t found the right dose because you’ve been holding the wrong dose for too long ;) And you only recently started testing more at night (great job!!) so that we could actually see the dose wasn’t correct. We have found that dosing different amounts just doesn’t work in cases like this. Vets suggest it because they don’t understand FD.
 
I’m afraid I can’t comment since the SS isn’t updated. But it is really my thought that his dose is going to need to go up above 2u; however, it’s best to get there by 0.25u increments after doses are held several cycles.

You haven’t found the right dose because you’ve been holding the wrong dose for too long ;) And you only recently started testing more at night (great job!!) so that we could actually see the dose wasn’t correct. We have found that dosing different amounts just doesn’t work in cases like this. Vets suggest it because they don’t understand FD.

Holding the dosages that we have tried was based on getting a consistent, thorough readings over a/the 3-7 day stretch. We've come a long way in 6 weeks, and dosages have been different many times since the beginning.

I was planning on updating the SS on Sunday when there were more numbers available. Testing more at night is more difficult as +3 at his 9PM shot is 12AM. Do Daa is being a good sport about it but obviously we'd like to find the correct dosage or maybe switch to a different insulin if this one is proving non-effective.
 
Holding the dosages that we have tried was based on getting a consistent, thorough readings over a/the 3-7 day stretch. We've come a long way in 6 weeks, and dosages have been different many times since the beginning.

I was planning on updating the SS on Sunday when there were more numbers available. Testing more at night is more difficult as +3 at his 9PM shot is 12AM. Do Daa is being a good sport about it but obviously we'd like to find the correct dosage or maybe switch to a different insulin if this one is proving non-effective.
With his numbers, I wouldn’t be holding doses 7 days. Why leave him in higher numbers? PZ is not a depot insulin like Lantus and Levemir and so you easily see the effects within a 3-6 cycles of consistent dosing.

None of us can give dosing advice if the SS is only updated once a week. We typically say give an insulin like Lantus, Levemir, PZ six months of proper dosing and see how it goes before switching. Of course, it’s fine if you choose to switch to Lantus or Levemir. They are more gold standard insulins. But the approach is completely different.
 
With his numbers, I wouldn’t be holding doses 7 days. Why leave him in higher numbers? PZ is not a depot insulin like Lantus and Levemir and so you easily see the effects within a 3-6 cycles of consistent dosing.

None of us can give dosing advice if the SS is only updated once a week. We typically say give an insulin like Lantus, Levemir, PZ six months of proper dosing and see how it goes before switching. Of course, it’s fine if you choose to switch to Lantus or Levemir. They are more gold standard insulins. But the approach is completely different.

I really don't want to leave him in high numbers at all, and his Ketones have been negative. The SS is usually updated a couple times a week or more. I was just going to wait to update it until I got more numbers on 1.75U, no other reason. We are absolutely looking for proper dosing as soon as we can.
 
Thank you!

If you don’t see any blue numbers tonight, I’d raise the dose to 2u every 12 hours in the morning.

SS Updated.

No blue numbers. He hasn't been in the blue in a long time. We'll start 2U (am/pm) in the morning. This will be for the same 3/4 days?
 
If you can get a few tests tonight. Honestly, unless you see lower than 200, you should not hold any dose longer than six cycles.

Thanks for updating!
 
If you can get a few tests tonight. Honestly, unless you see lower than 200, you should not hold any dose longer than six cycles.

Thanks for updating!

I'm not sure I understand. Any dose longer than 3 days? So if 2U doesn't work than ..

He's been in the 200's 6 times since we started.
 
I'm not sure I understand. Any dose longer than 3 days? So if 2U doesn't work than ..

He's been in the 200's 6 times since we started.
Things change. The longer he’s at high numbers, the more resistance to the insulin. We are just looking where he’s been most recently.

So yes, I’d give 2u every 12 hours for three days. If no numbers below 200 and you have enough tests for us to tell he didn’t likely go lower, then we raise the dose to 2.25u every 12 hours.
 
Things change. The longer he’s at high numbers, the more resistance to the insulin. We are just looking where he’s been most recently.

So yes, I’d give 2u every 12 hours for three days. If no numbers below 200 and you have enough tests for us to tell he didn’t likely go lower, then we raise the dose to 2.25u every 12 hours.

Looking back over the SS, he's been quite high to really high the whole time. I would rather he not develop a resistance to the insulin. Now, is that just a resistance to Prozinc or all insulin?
 
Looking back over the SS, he's been quite high to really high the whole time. I would rather he not develop a resistance to the insulin. Now, is that just a resistance to Prozinc or all insulin?
Likely all of the longer lasting insulins.

He’s been high because your vet had you drop the dose back and then shoot different doses a.m. and p.m. And....we needed more tests to see how low he might be going. All these things contributed to numbers staying high longer.
 
Well, the Vet is another story altogether.

Ok. Well, we'll start with the 2U tomorrow morning thru Wednesday and see how he is on Thursday.

Ketone test is negative.

Updated SS. He went up 89 points. No food since last test at 9pm.
 
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