? Switching from Vetsulin to Prozinc- Part 2

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Smoky- AMPS 214
+4.5 318
PMPS 330
+3.5 169

Is this a bounce for him, I'm worried since it's happening so early in the cycle.
 
Bounces go UP....that's more of a dive!!

Not terrible though....still in a very safe place.....Hopefully it's the beginning of some better numbers for Smoky though!!

I'd get a +6 just to make sure he's done dropping tonight
 
I can't do a +6 have to go to bed now.
Need to get up in 5 and a half hours.
I gave him a little higher carb food Justin case he drops a little more tonight
 
Yellow is better than pink!!

I don't know about the cerenia .....only time I've had to use it with China was when we had a long car ride and I always gave it on as empty of a stomach as possible just to keep from cleaning up any more barf than necessary from her being car-sick

I know it says on the prescribing information that giving it on a completely empty stomach can cause dogs to vomit, so I'd go with giving it with food on board
 
I was happy about the yellow, haven't been seeing too many blue or yellow's lately. Smoky usually gets sick with pills on an empty stomach. I gave him a little food before the pill.
 
Lisa and Smoky said:
I was happy about the yellow, haven't been seeing too many blue or yellow's lately. Smoky usually gets sick with pills on an empty stomach. I gave him a little food before the pill.
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Give it time, Lisa. The blues will appear. You're definitely making progress - marathon, not sprint, remember?
 
I know, slow and steady wins the race.:rolleyes:
I'm thinking about doing a mini curve on Sunday using the AT2 meter. maybe a AMPS, a +4, +8, and then PMPS. I'll have to wait and see though how he does on another 2 cycles of the 3.5 . I mean before changing doses again, right?
 
Lisa and Smoky said:
I know, slow and steady wins the race.:rolleyes:
I'm thinking about doing a mini curve on Sunday using the AT2 meter. maybe a AMPS, a +4, +8, and then PMPS. I'll have to wait and see though how he does on another 2 cycles of the 3.5 . I mean before changing doses again, right?
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You've just completed three days (6 cycles) at 3.5 u so you could increase tomorrow morning to 3.75 u. Then, if you want to do a mini curve on Sunday he'll be on his third cycle of 3.75 u and you should be able to see its effect in the BG numbers.
 
That's sounds like a good plan. One thing I wld change though is to start the 3.75 dose on Sat pm and then do the mini curve on Monday instead. I would be able to stay up late on Sat night to watch him...just in case.;) and then off work sun and Mon
 
I'd stop trying to use two different meters because it skews the results on the spreadsheet

Trying to compare numbers between the AT and human meter will drive you crazy!! :confused:o_O

You should pick one meter and stick with it.....all our protocols are written with human meters in mind, so that's what we're most used to dealing with
 
Chris & China said:
I'd stop trying to use two different meters because it skews the results on the spreadsheet

Trying to compare numbers between the AT and human meter will drive you crazy!! :confused:o_O

You should pick one meter and stick with it.....all our protocols are written with human meters in mind, so that's what we're most used to dealing with
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I think Lisa wants to use her AT meter just for that mini curve because her current vet refuses to look at any results that aren't obtained with an AT meter. Last curve she used that meter and indicated it on her SS.
 
Smoky amps was 222, a nice yellow. Shld I give am shot, 3.5 or a reduced dose? I can't do any tests until after work today.
 
Lisa and Smoky said:
I think I will just give him the same dose since he is over 200
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Have you dosed him already? If not, I would try 3.25 u because you can't test at lunch time. If you've already given 3.5 u you're probably OK. He seems to really be getting with the ProZinc program and you might start seeing more of those very nice "scary" numbers.
 
Lisa and Smoky said:
Smoky was 194 for PMPS. I was thinking about a possible dose increase but now I'm not so sure.
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No, I definitely wouldn't increase at a lovely PMPS like this, Lisa. You also don't have any data for shooting a recent full dose (in this case, 3.5 u) on a PS this low. At some point you'll have to decide what your no shot number is. I'd say about 200 (194 is close enough) for a total newbie, which you are not. Here are your choices as I see them:
  1. stall another 30 minutes and give a reduced dose if he gets above 200 by a comfortable amount
  2. give a "token" dose of 30 - 50% of his last dose so he gets some insulin tonight
  3. no shot - the safest but least optimal choice because you've been working hard at getting him in better numbers and you don't want to lose ground.
 
Lisa and Smoky said:
I am getting ready to give him a reduced dose and I can check him before bed. Is the 30 % around a 1 unit dose?
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I think you can either give 1 u (about 30%) or 1.5 u (about 40%) because you're at home to test and steer with food if needed. How brave do you feel?

Maybe test both +2 and +4 so you have this sort of data for later reference.
 
Lisa and Smoky said:
What's the steer with food concept mean? I have a basic idea about it
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If you test at +2 or +4 and think Smoky's BG is dropping too quickly, feed him a small amount (1 or 2 tsp) of his regular low carb food to partially counteract the effect of the insulin. If you've had to do this, I'd then test at 1 hour intervals to assess the effect of the food and to decide whether a bit more needs to be given. You don't want to feed too much and fill them up in case you need to give more of these snacks to control the BG. If the low carb food doesn't seem to be doing the job, you can give a teaspoon of sauce/gravy from a higher carb food.
 
Smoky BG was 393 @ +2 after pm shoot of 1.5 units. I'll check him again at +4 to see if he continues to go up or down.
 
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Lisa and Smoky said:
How did you all determine what your no shot number would be?
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When I first got here I went with the general guideline of 23o or so. That dropped to 200 as I got more data. I'm now using around 130 - 140 as my no shot range because I have tons of data. Now "no shot" means no full dose because I'll either: 1. use the stall technique and give a slightly reduced dose if BG gets up to 180 or so or 2. give a token dose that's 30 - 50% of the regular dose if I don't have time to stall or if stalling doesn't get BG up enough.

Note that these are guidelines that work for Teasel based on his trends and patterns. Other kitties might need different guidelines.
 
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