Review of SS & Suggestions

Discussion in 'Caninsulin / Vetsulin and N / NPH' started by ChristineS, Mar 18, 2021.

  1. ChristineS

    ChristineS Member

    Joined:
    Jan 22, 2021
    Hello My WyGuy seems to have stable AMPS and PMPS numbers but I feel like he/we could do better. (more greens and blues possibly) And, he's losing weight again which is concerning to me. Any advice or suggestions would be much appreciated! Thank you!
     
  2. FrostD

    FrostD Member

    Joined:
    May 27, 2020
    It looks like he could use a dose increase, but need a few mid-cycle tests (+2 to +6) to know for sure. Vetsulin dose is based on nadir, and right now you only have one recent day's nadir data.

    Do you let him eat as much food as he wants? Is he eating ok?
     
  3. ChristineS

    ChristineS Member

    Joined:
    Jan 22, 2021
    I agree on the dose increase but wanted to do a curve this Saturday (tomorrow) when I will be home all day just to confirm. (After a fructosomine test at the vet 2 weeks after he was diagnosed they wanted to increase him to 3u but I only went up to 2.25 and he seems to do well there, so maybe that's his "magic" number.)

    Yes he eats well and eats as much as he wants! I think he's not getting enough insulin.
     
  4. ChristineS

    ChristineS Member

    Joined:
    Jan 22, 2021
    @FrostD and @JanetNJ could you please review again, based on the Saturday numbers we bumped up to 2.25U, and now we are getting higher BGs, should I ride it out a few days to see if he adjusts, is he bouncing? I'm concerned. Thank you!
     
  5. JanetNJ

    JanetNJ Well-Known Member

    Joined:
    Jun 8, 2016
    Could be a bounce. While I don't think he's goi G too low he might be going lower than he's used to. Give it some time.
     
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  6. ChristineS

    ChristineS Member

    Joined:
    Jan 22, 2021
    Thank you :)
     
  7. JanetNJ

    JanetNJ Well-Known Member

    Joined:
    Jun 8, 2016
    Can you get a mid day test? if not, try to get a before bed test each night... we want to see how low he's going.
     
  8. ChristineS

    ChristineS Member

    Joined:
    Jan 22, 2021
    Unfortunately, a mid day test during the work week is not possible, I will start doing a bedtime test each night. Also thinking of going back to 1U and starting over since he went right to 2U per the vet. I just want to do what is best for him.
     
  9. JanetNJ

    JanetNJ Well-Known Member

    Joined:
    Jun 8, 2016
    I don't think you need to go back to 1... there's no indication he's going to low. I think the dose was held a little long at 2 and he probably built up a bit of resistance. @Chris & China (GA) what do you think?
     
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  10. ChristineS

    ChristineS Member

    Joined:
    Jan 22, 2021
    okay I will stick at the 2.25U for now, do more bed time testing, and maybe do a curve not this weekend but next.
     
  11. Chris & China (GA)

    Chris & China (GA) Well-Known Member

    Joined:
    May 10, 2013
    without more testing, it's really impossible to know what's going on. We've seen cats that could go from 400 to 40 and back to 400 in one cycle. Without catching the 40, you might think the cat needed more insulin when in fact, they needed less.

    Please get at least 1-2 tests on the PM cycle since you can't get tests on the AM cycle and then on your days off, do a curve (test every 2 hours for 12 hours or every 3 hours for 18 hours)

    I'd try to get curves this weekend so we can get a better idea of what might be going on.
     
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  12. ChristineS

    ChristineS Member

    Joined:
    Jan 22, 2021
    Thank you @Chris & China (GA) & @JanetNJ stay tuned................
     
    JanetNJ likes this.

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