? should I dose this mornin? & when to visit vet

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MHHCoach

Member Since 2020
So I know the rule of under 200 don't dose.

but I guess is the goal to start getting Tux into the green/under 120 consistently? He was at 158, so if anything was given it would only be a line.

but can someone look at his chart for me

.5 - 1U moves him about 80 points

I am a little concerned that more often than not, he isn't getting insulin because he is in the mid 100s. I also realize we just figured out that .5 - .75 seems to be enough. is this the right process to possibly get into remission?


Secondly...the vet...the vet said to start at 2U blindly, with only 1 appointment having high BG, urine and fructosamine...but he also we learned had a lose molar causing him issues. and after looking over the labs may have also had/have a bladder infection.
So I want to feel empowered and confident when I speak to the vet about the insulin levels.
Since I just figured out the .5 in the last few days, and sometimes he doesn't get a dose because he sits in the mid 100s, when should I actually let them schedule the curve appointment? OR should I give them my results instead?
 
MHHCoach said:
I guess is the goal to start getting Tux into the green/under 120 consistently?
Click to expand...
That's the ideal goal, but it's usually a tricky ask with Vetsulin because of its mode of action (big drops, even on small doses).

A vet can't really argue against data that clearly show the efficacy and safety of the smaller dose.

You could perhaps discuss the possibility of switching to a gentler-acting insulin (Lantus/Basaglar, Levemir or Prozinc). Tight regulation (keeping a kitty in the 50-120 range as measured on a human meter) is a realistic prospect because it's possible to give insulin at lower preshot numbers safely (with adequate testing). The depot insulins in particular are very good at keeping low numbers down and producing gentle 'smile-shaped' curves when a cat comes into good regulation and an effective dose is found. Helping a kitty to stay in the 50-100 range for longer helps the pancreas to rest more and hopefully will aid the beta cells to rest and recover more function (especially if the cat can spend most of the time between 50-80). That paves the way to possible remission.

I've attached a copy of the Roomp Rand peer-reviewed study for you below. It might be a good document to use when having discussions with your vet. Also, here's another helpful link:

AAHA Guidelines for Management of Feline Diabetics

If any infection present and the dental issue are sorted that could potentially further improve Tux's regulation.


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