Shelley & Jess
Very Active Member
Thinking out loud again....did you start a new vial of Prozinc yet? You mentioned over a week ago you were getting to the end of your vial.
Nico’s New Thread - 1.21: AMPS 397, +3 361, +7 290
- Thread starter Emily Tuomey
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Emily Tuomey
Active Member
We’ve not. I was thinking that just this morning actually. I anticipate we will be pretty much through it in the next day or so, but I also think it may be the culprit as it was “opened” back in October.. I just couldn’t bring myself to toss it though, as it’s pretty expensive. I just wish I could get him back into the blues/dark greens; he was doing so well!!!
JanetNJ
Very Active Member
It's only 3 months old. It's still good.
Emily Tuomey
Active Member
I had a feeling that it is/was...
Shelley & Jess
Very Active Member
I questioned/exchanged the last vial I got from our vet in December. The expiry date was March or April of this year (carries a 2 year shelf life) and it was heavily frosted at the top of the vial. I've got part of an old vial in the fridge from a year ago that has no frost or floaties whatsoever.
Deb & Wink
Very Active Member
Heck no. I don't see a bit of grumpiness Em. We can't always be on when you need an answer, so I was trying to say to use your best judgement. I'm not a "night owl" or an "early bird" but I try to get on in the evenings every day. Didn't want you to wait around for an answer when you might not get feedback for quite a while.
Frosted? Toss it. That says it's been frozen, and the insulin won't work anymore.
Sounds wonderful!
I haven't been to Trader Joe's since the pandemic started. Closest one is about 1 hour away from me, so I only go a couple of times a year, and stock up
on some of their frozen entrees. One of my friends kids is a caterer, and he started up a meal delivery service the beginning of this year. I have 3 options to choose from, house salad is included, quart of soup if you want it. My delivery today was a huge salad with lots of veggies and cannellini & kale soup. Fresh bread to go with it, and I'm all set.
p.s. Em, would you start a new thread please? This one is getting long at 50+ posts. Link to this old thread at the top please. Thanks.
Emily Tuomey
Active Member
New thread posted. https://felinediabetes.com/FDMB/threads/dosing-increase-not-working-nico-1-20-amps-392.241789/
Our AMPS was 392. I’m so over this
Our AMPS was 392. I’m so over this
Shelley & Jess
Very Active Member
For those that may not know what frosted means - if insulin is subjected to temperature extremes, such as freezing or overheating, the insulin can precipitate on the vial's walls, giving it a frosty or frosted appearance.
The only other thing I can think of EM, and if you know this already just ignore me
If you draw out excess insulin are you pushing the extra back in the vial or squirting it in the air?
Lubricant from in the syringe barrel may contaminate the insulin if excess insulin is pushed back in the vial.
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Emily Tuomey
Active Member
I read this very thing last night, and yes, I certainly have squirted excess insulin [from the syringe] back into the bottle. I did shoot 2.5u this morning, per @JanetNJ ’s input to see if that might push him out of this rut. Perhaps it’s also time to open his new insulin though. Or maybe give the 2.5u these two cycles today, then open a new insulin vial if he’s still sitting at 250-350 tomorrow morning...?The only other thing I can think of EM, and if you know this already just ignore me
If you draw out excess insulin are you pushing the extra back in the vial or squirting it in the air?
Lubricant from in the syringe barrel may contaminate the insulin if excess insulin is pushed back in the vial.
I’m planning to test a +3 in a little over an hour, so I’ll be back with that number shortly too.
AMPS, 397.
+3, 361.
+7, 290.
PMPS, 393.
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Emily Tuomey
Active Member
Shelley & Jess
Very Active Member
Not saying this is the problem, but have learned anything is possible - like Janet mentioning constipation, or is there any chance of an infection brewing or sneaking contraband food, stuff like that.
Just good to rule out any culprits if possible so you can move forward.
Emily Tuomey
Active Member
Difficult to tell about constipation because he shares a litter box with his sister, but there hasn’t been a decrease in stool in the box when it’s scooped 2-3x per day, so I don’t suspect so. No symptoms of a potential infection afoot, and no possible chance he’s gotten into something he’s not supposed to— food or otherwise. I’ve literally been systematically ruling things out every cycle to see if there was change and nothing. Even when I gave him a higher dose this morning (2.5u), still no change hours later. So unlike my bouncy boy.. I’m left thinking it’s the vial. Did read that silicone presence in insulin will greatly reduce efficacy and may potentially be directly related to heightened blood sugar, not to mention a whole host of other things researchers are studying. Don’t google it, scary! Idk...
Deb & Wink
Very Active Member
I'm really thinking new vial too Em.
The old vial may still be ok, so save it just in case. Prozinc does lose some efficacy with time. Some people can use the vial to the last drop. Some people can't.
As well as starting the new vial, it's time to start a new thread please, as this one is up to > 50 replies. Please.
Emily Tuomey
Active Member
^^ @Deb & Wink I did! Yesterday actually. Just was responding to @Shelley & Jess ’s posts here as well. Let’s move on over, team!
New vial tonight it is! I’ll be getting a +7 from him in the next half hour or so; I’ll post new numbers in the new thread— ps my autocorrect wants “new” to be “mew”
kitties much???
Emily Tuomey
Active Member
I read that yesterday as I was surfing around looking for advice, totally a great tip!!