Not sure why you aren’t seeing it. It’s been on there for several days.Sorry but I don't see a signature with all the information about your kitty,food, type of insulin, dated diagnosed, etc
Not sure why you aren’t seeing it. It’s been on there for several days.Sorry but I don't see a signature with all the information about your kitty,food, type of insulin, dated diagnosed, etc
Hi Marje when click on her avatar this it what I getNot sure why you aren’t seeing it. It’s been on there for several days.
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.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
If I go to Goose avatar and click on it it will say . Profile Page. Follow and then ignore, but no word that says informationOh...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.
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.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
Thanks Marje I was just always wondering why?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.
I don’t know...it’s just the way the board was set up so members could maintain some privacy. There are scammers that come on the board.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
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.
- things change; diabetics can be affected by things such as barometric pressure
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.
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.
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.
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.
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.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 longAnd 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.
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.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.
The standard here is to update the SS as soon as you test. That way, if he drops, everything is current. If the SS is not current, it limits our ability to help you.
Thank you!SS is updated.
Thank you!
If you don’t see any blue numbers tonight, I’d raise the dose to 2u every 12 hours in the morning.
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!
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.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.
Likely all of the longer lasting insulins.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?