Not sure if I should continue on this thread? PMPS 423 (using alphatrak 3) - do i still just continue with 1 unit?
@Wendy&Neko @Lisa & Lady Arya Stark 🦋 @squeem3
Thanks
Good that you shot the 1 unit! I wasn't sure if Wendy might suggest a larger dose at this point, so I didn't want to intervene.
Moving forward, you're following SLGS, so the dosing guidelines say the following:
"Hold the dose for at least a week:
- Unless your cat won’t eat or you suspect hypoglycemia
- Unless your kitty falls below 90 mg/dL (5 mmol/L). If kitty falls below 90 mg/dL (5 mmol/L) decrease the dose by 0.25 unit immediately.
After 1 week at a given dose perform a 12 hour curve, testing every 2 hours OR perform an 18 hour curve, testing every 3 hours. Note: Random spot checks are often helpful to "fill in the blanks" on kitty's spreadsheet. The goal is to learn how low the current dose is dropping kitty prior to making dose adjustments.
- If nadirs are more than 150 mg/dl (8.3 mmol/L), increase the dose by 0.25 unit
- If nadirs are between 90 (5 mmol/L) and 149 mg/dl (8.2 mmol/L), maintain the same dose
- If nadirs are below 90 mg/dl (5mmol/L), decrease the dose by 0.25 unit
As your cat's blood glucose begins to fall mostly in the desired range [lowest point of the curve approaching 100 mg/dl (5.5 mmol/L) and pre-shot value around or below 300 mg/dl (16.6 mmol/L)], do lengthen the waiting time between dose increases. If you decide to change another factor (e.g., diet or other medications), don't increase the insulin dose until the other change is complete (but decrease the dose if your cat's glucose numbers consistently fall below 90 mg/dl (5.0 mmol/L) as a result of the change)."
Pop back in here any time you're concerned or have questions. You're doing a great job with Odin!!
