He was 352 in am today. The Cerenia seems to be helping with the nausea. He has been eating a lot lately but don't know how much nutrition he is actually getting. I'm glad to see the lower numbers, just not used to them.
Seeing the nice blue is scary but in a good way. You'll get used to it! Meanwhile I think the 3.5 u is a good dose. Let's see what his PMPS is.I was worried about higher numbers and now I'm worried about his numbers being too low.
Now you have some data for next time.
It depends. If the dose is too low (likely the case here but it was done to keep him safe) the BG will rise. Sometimes there'll be a food spike after dosing, often around +2. Your SS tells me that Smoky doesn't tend to spike at +2 so it's more likely from the low "token" dose you gave him.OK so I thought insulin was supposed to bring BG down not up. I'm learning that regulated means that the cat goes up and down, I think?
The lower dose might well put him higher at AMPS. As you get more experience dosing at lower PSs, your no shot number will probably come down and you'll be able to try larger doses at low-ish numbers with more confidence.
This is to be expected, Lisa. You had to lower the dose on last night's low-ish PS because you have no data to tell you whether you can shoot a larger dose at this number. That's why we call it a token dose, meant to get a little insulin into him even knowing it's not enough. A no shot might have set him back further. Next time this happens, you can try the stall for 20 minutes and retest technique until he gets over 200 and then shoot a dose that's only slightly reduced.AMPS 331, back to the drawing board and the 3.5 unit dose I think. I hope this doesn't set him back too much. I guess the mini curve will have to wait.
it is his lowest number yet.
That's wonderful! He sure got over the too low dose from last night quickly.Smoky was 143 at +6! That is in the blues.
With ProZinc, dosing decisions are made on the basis of both PSs and the nadir. However, if you have a bouncy cat, the PSs are often inflated from bouncing so more weight should be given to the nadir. Smoky doesn't seem to be particularly bouncy and that's a good thing.
Whatever evening tests you can get are good data. A bouncy cat might go from a yellow AMPS to a low blue nadir then up to a red or black PMPS. That's an example.
Teasel is Teasel - keeps me on my toes and guessing because he never makes it simple! Nice AMPS and +6 today but his PMPS could be anything and the same is true for tomorrow's numbers.
All I'm hoping for with Teasel is some degree of regulation. He's one tough customer and I've been labouring at this since the end of January 2016.I was thinking the same about Smoky, have to check him for PMPS in 30 minutes. I'm inspired by all the stories I've read on here about cats going into remission after a few months time. I don't know if smoky will get there, he has various other health issues.
Yes, stall for 20 minutes and retest. No food. If needed repeat the stall. If after 1 hour he's still under 200 you'd be safest giving a token dose again. Then thought needs to be given to lowering the AM dose in the hope of getting shootable AM and PMPS.
Give it another 20 minutes, Lisa, and I think you'll be at a number where you can give more than just a token dose. He'll be close to an hour late for his PM dose but that's not a problem with ProZinc. You'll still be able to dose at your normal AM time.
I think that's a good choice for this number. It'll give you more data to use in future. Now you know two techniques for dealing with a low PS - 1. stall and retest or 2. token dose. It'll be interesting to see tomorrow's AMPS.
Good dose this AM. Data today will (hopefully) validate what I said about him being consistent in his responses.
just took smokys BG at +6.5 and it was 82. I waited about a minute and checked again and it was 74!
Yes, it is a big drop but he now has food on board and you're getting past ProZinc's usual peak action time period. I suggest monitoring at +8 and +10 or more often if you wish. His PMPS will be important in determining his next dose. The +6.5 BG alone tells me that 3.5 u is now too high. We need the PMPS to make a decision on the next dose.Trying not to panic...
Isn't that a rather big drop from am. (351). I just gave him his lunch now. Should I be worried?
Yes, his good dose is likely lower now that he's responding well to the ProZinc. You switched him about 3 weeks ago and he'd been high for quite a while from his UTI, etc. Staying high can make them less responsive to insulin because the excessive BG affects the ability of the cells to behave normally. It can be called glucose toxicity. His UTI has been dealt with and switching insulins has, over time, remedied the problem so he responds well to the ProZinc now.
