PZI Dosing Question

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Going to hold at 0.75 ,low on test strips and buried with work until Sunday afternoon. More strips will delivered
Today.
 
Paul & Spook said:
Going to hold at 0.75 ,low on test strips and buried with work until Sunday afternoon. More strips will delivered
Today.
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Good plan. Dosing is harder when you have a bouncy cat - I know only too well. Try not to overreact to numbers. How is he feeling?
 
Ate alot last night then puked near liter box at 11-12am happens when he gets constipatated. BG 128,135. 160this am.
No shot. Eating a little.
 
With the numbers you're getting right now, I think you could have safely given the shot even on that low number as long as you would be around to get a +2 test to confirm he was staying in safe territory. One way to feel safer about it is to stall for 20-30 minutes without feeding and re-test to confirm that the number is rising. If the second number is higher then you know the previous dose is wearing off and by the time the new dose kicks in he'll be fine.

You can see on your 3/1 PM cycle that skipping the shot resulted in some pretty high numbers. It's best to avoid skipping whenever possible.
 
You can as long as his next shot is 11-12 hours from now. it means you'll be off schedule and will have to move back to the correct schedule, but if your work/life/etc. allows that, it's okay to shoot now. If you can't move his shot time that much over the next couple of days then it's better to just wait until PMPS tonight.
 
And don't forget to calculate in that we are losing an hour between tonights PM shot and tomorrow morning's AM shot. So that might add to the complication of getting back on schedule.
 
Those yellows after no shot are not bad at all. The fact that he was flatter and lower overall suggests that 0.75 u might be a bit too high. You could try 0.5 u tonight. More data needed to know for sure.
 
Hmmm......I'm not quite following the thinking on reducing the dose. Since the 0.75 nadirs are still so high, I would actually think it's time to increase the dose. @Kris & Teasel, is this just different approaches, or am I totally missing something? To be fair, I am running on very little sleep this morning and just poured my coffee, but haven't finished drinking it yet! :coffee::coffee::coffee:
 
Oh wait....are you thinking because the numbers looked better on a NS than they've been looking with the 0.75u?
 
Unfortunately you don't know how low he went mid day yesterday. It doesn't have to be very low, just lower than usual in a bouncy cat. That can set off another round of bouncing and that can last for up to 6 cycles. My cat is like that. He does better on Lantus and Levemir but he's still volatile.
 
Paul & Spook said:
Tested Bg 67 gave him some food.
Will test again in a hour.
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Ah, yes ... the dive that seems to come out of nowhere. Another thing that volatile cats will do. I suggest you keep the 0.75 u for now if you have the nerve to do that. He'll probably bounce like a mad man after this.
 
All 300’s so far today. Can this bouncing be caused by to much insulin?
What Ive read about the Somogyi effect makes me wonder.
 
Paul & Spook said:
All 300’s so far today. Can this bouncing be caused by to much insulin?
What Ive read about the Somogyi effect makes me wonder.
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It’s more likely a reaction to yesterday’s lime green. You could try 0.5 u for a few cyclesto see what happens. A case can be made for that reduction because he dropped low yesterday.
 
Spook is a grazer and misses food being available all the time.
it takes about an hour to get a couple Tbs. of wet food in him .
 
Paul & Spook said:
Spook is a grazer and misses food being available all the time.
it takes about an hour to get a couple Tbs. of wet food in him .
Click to expand...
ProZinc is slow-ish in onset so he only needs to eat a little bit (to prove he's willing to eat) before you give insulin. Aside from the 2 hours before pre shot test time you can let him graze with no problem. Many people like an automatic feeder so there are small meals available at set times overnight ornwhile you're at work.
 
I let mine graze back when I had a sugar cat. Never seemed to affect her adversely...even now all my civvies graze. :)
 
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