? Shot low

[Joyce and Kallie]

I am uncertain of the protocol. My cat’s PMPS was 99, so I gave her less insulin. I can’t find any information on how much insulin. AMPS, I gave her 1 unit. For this PMPS AT 99, I gave her a little less than 0.25. The syringe is very difficult to read and seemed inaccurate. I will check at +1; +2 and post. So, if these numbers are the same or lower than PMPS, I will have to stay up thru the cycle and keep testing every hour? Is that right?
Thanks

 

[Joyce and Kallie]

Made a mistake. Not 0.25, but 0.5. The syringe is very hard to read and the plunger line was a bit slanted. Close to 0.5.

 

[Briere Fur Mom]

I cross posted on the FB group associated with the FDMB to get you some more attention.

 

[KarenRamboConan]

It's not terribly low compared to other times that you shot that amount, at that level, so he probably will be fine. But yes, I would test and possibly leave some food out if you can't stay awake. Checking in an hour or two will let you know if the BG is on its way up before the insulin kicks in in a few hours. That would be good. Then you may want to set an alarm and check at the + 6 mark.

 

[Nan & Amber (GA)]

You're good so far-- 99 is lower than you've shot before, but still a very safe number. Let's see where the +1 lands.

In the meantime, could you take the 911 down from your post? We try to reserve that for immediate, life-threatening emergencies. Since Kallie is still in good numbers and safe for the moment, you'll want to reserve the "911" for use in case that situation changes.

She's a very cute kitty by the way-- love her expression in the avatar pic!

 

[Joyce and Kallie]

+1 went up to 114 from 99 PMPS

 

[Joyce and Kallie]

You're good so far-- 99 is lower than you've shot before, but still a very safe number. Let's see where the +1 lands.

In the meantime, could you take the 911 down from your post? We try to reserve that for immediate, life-threatening emergencies. Since Kallie is still in good numbers and safe for the moment, you'll want to reserve the "911" for use in case that situation changes.

She's a very cute kitty by the way-- love her expression in the avatar pic!

Sorry about the 911, I misunderstood.

 

[Nan & Amber (GA)]

Sorry about the 911, I misunderstood.

Totally not a problem. It definitely gets the eyeballs on the post!

Happy she's moving up already! Hopefully this means you will have an uneventful and safe night, although you do still want to get some more tests in, as suggested.

 

[Joyce and Kallie]

Totally not a problem. It definitely gets the eyeballs on the post!

Happy she's moving up already! Hopefully this means you will have an uneventful and safe night, although you do still want to get some more tests in, as suggested.

Yes, I will be doing tests on the hour. Thanks

 

[Joyce and Kallie]

+2 160

 

[Joyce and Kallie]

+3 226

 

[Chris & China (GA)]

I am uncertain of the protocol. My cat’s PMPS was 99, so I gave her less insulin. I can’t find any information on how much insulin. AMPS, I gave her 1 unit.

Just an FYI....when you increase, you should only go up by .25....going from .5 to 1U is a 100% increase. As you've seen, a little bit can make a big difference!

Here's what that looks like:

The "front" part of the plunger is between the .5 and 1.0 lines. When you have a few minutes, it can help to practice and decide where you want .75 to be and then make up a sample syringe with colored fluid of some kind so you can compare when it's time to do the real thing.

What's important is making it as consistent as possible, not that it's exactly .75

Looks like Kallie is going to let you get some sleep tonight after all!

 

[Gill & George]

Hi Joyce and Callie

I am uncertain of the protocol. My cat’s PMPS was 99, so I gave her less insulin. I can’t find any information on how much insulin.

To help you decide how much insulin you should be giving, you need to first determine how low the dose is taking the BG's. Unlike the in out insulins, Lantus is a depot insulin and it's dosing is based on how low the dose is getting the cat, in other words, the nadir.

The best way to do that is to regularly get a couple of tests in each cycle, as well as the amps and pmps.

As you are following SLGS, really you should be reassessing the dose weekly, determining whether the dose is too low or not too much by looking at the spot checks you have been able to get and running a curve at the end of the week.

As Chris noted we additionally only make adjustments in 0.25u so from 0.5u you would go to 0.75u, but only once you have determined how low the 0.5u is getting Kallie, you should be holding the dose for a week before changing it.

So going forward, my suggestion to you would be to go back to the 0.5u, because she hadn't been on that dose long enough and you don't know what her nadirs were on this dose, try to get some spot checks in each cycle, run a curve at the end of the week and then based on the numbers you are getting alter the dose. Remember on SLGS if you see her drop below 90 that earns her a reduction.

Do you think that is feasible for you?

If you work long hours getting a +1 or +11 just before you leave for work or just as you walk in the door can be helpful. If that is not possible then at least a just before bed test in the evenings.

Do post here and ask for advice before changing your dose, we can talk you through your options and help you make an informed decision.