Switching from vetsulin to prozinc: Part 7

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Lisa and Smoky said:
He seems very hungry today compared to last night. He ate a 3 oz can for breakfast, a 3 oz can for lunch, my roommate gave him another 3 oz can late afternoon, he was still pretty hungry it would seem.
I gave him about 3 oz of a 5.5 oz can about an hour after that. He finally decided he was full and is now sitting on my lap.
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Excellent! I know that some steroids act as appetitie enhancers. I wonder if budesonide is one?
 
I gave Smoky 1.75 units in am on Jan 10, his AMPS was 242 and PMPS was 222 that day. I think it wld be OK to give him the 1.75U tonight, his PMPS was 258. I'm factoring in that the budesonide will raise his BG in a few hours after his pm shoot.
Thoughts on that?
 
Lisa and Smoky said:
I gave Smoky 1.75 units in am on Jan 10, his AMPS was 242 and PMPS was 222 that day. I think it wld be OK to give him the 1.75U tonight, his PMPS was 258. I'm factoring in that the budesonide will raise his BG in a few hours after his pm shoot.
Thoughts on that?
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Just seeing this now. Should be fine.
 
Smoky: AMPS was 202, gave 1.6 units.
PMPS was 195, might give him 1.6U for tonight. The budesonide is still making him feel yucky, just not as much.
 
Smoky at 327 for AMPS today. That's either a big bounce for him or it's time to open the new vial. I worked yesterday but am home today to monitor him.
Should I open new vial since I only have one day to check him this week? I cld wait until next week when I have two days off and can better monitor him?
My other option is to give him a larger dose of the older vial of prozinc and do some tests during the day. I started the older vial on 11/23/16 so it's almost 10 weeks old. Any thoughts or suggestions?

I looked over Smokys SS and I gave him 2 units with lower PS than 327 and he was OK . I will do some spot checks today in case he goes too low on the higher dose.
 
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Lisa and Smoky said:
Smoky at 327 for AMPS today. That's either a big bounce for him or it's time to open the new vial. I worked yesterday but am home today to monitor him.
Should I open new vial since I only have one day to check him this week? I cld wait until next week when I have two days off and can better monitor him?
My other option is to give him a larger dose of the older vial of prozinc and do some tests during the day. I started the older vial on 11/23/16 so it's almost 10 weeks old. Any thoughts or suggestions?

I looked over Smokys SS and I gave him 2 units with lower PS than 327 and he was OK . I will do some spot checks today in case he goes too low on the higher dose.
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I suggest you open the new vial. One day of monitoring should be enough but maybe give a little less than 2 u because it would be fresh insulin. You could have two factors operating here - old insulin and effects of budesonide. Both of those could raise BG but it's hard to be certain.
 
I gave him two units out of the old vial of insulin this morning. I still have about 15 to 20% left in the vial. I didn't see your post until after his am shoot.o_O
I'm still trying out a few different kinds of food for him, novel sources of protein. It's very difficult to find ones that he likes and still have them be low carb but higher calorie.:facepalm:
 
Lisa and Smoky said:
I gave him two units out of the old vial of insulin this morning. I still have about 15 to 20% left in the vial. I didn't see your post until after his am shoot.o_O
I'm still trying out a few different kinds of food for him, novel sources of protein. It's very difficult to find ones that he likes and still have them be low carb but higher calorie.:facepalm:
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No problem, Lisa. I don't usually get online before 8 AM EST.
 
I just checked Smoky at +3 and he dropped down from 326 to 110. He is eating his lunch now so will check him again soon. I'm guessing this means the old vial of insulin is still working after all.
 
Lisa and Smoky said:
I just checked Smoky at +3 and he dropped down from 326 to 110. He is eating his lunch now so will check him again soon. I'm guessing this means the old vial of insulin is still working after all.
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Whoa! Yup, that insulin is working. The pinks are likely from the budesonide. Good to know going forward. Nice blue though. :bighug:
 
I'm going to check him at 1 pm EST.
About 50 min from now, it wld be a +5 test. What are good BG numbers for him to have during the cycle?
 
He dropped fairly quickly to that blue so I'd expect some greens by +5. You might have to do some steering with food. No need to panic though, just monitor.
 
I did give him 2 oz of higher carb food for lunch. The +5 will be about 90 min after he ate that. Smoky was 116 for +5 BG
 
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Thanks Kris! I was second guessing myself when I gave him the HC food for lunch. At first I was going to give him regular LC food but decided on the HC food since he dropped so fast early in the cycle. Smoky was 122 at +7 and is eating his snack of LC food now.
 
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Lisa and Smoky said:
Thanks Kris! I was second guessing myself when I gave him the HC food for lunch. At first I was going to give him regular LC food but decided on the HC food since he dropped so fast early in the cycle.
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Until you have a lot of experience with greens it's normal to be cautious. I've decided to transition Teasel to Lantus starting tomorrow AM and I'm very anxious about it. I feel that I have to try it because he's SO volatile. Don't worry - I'll still be here on this forum with my ProZinc Pals! :D
 
I'm glad to hear you'll be checking in with your prozinc buddies. We wld miss you if you left Kris:rolleyes: Here are some hugs for you:bighug::bighug::bighug: and some scritches for Teasel. I wish you the best of luck in trying out the Lantus for your boy.:cat:
 
Lisa and Smoky said:
I'm glad to hear you'll be checking in with your prozinc buddies. We wld miss you if you left Kris:rolleyes: Here are some hugs for you:bighug::bighug::bighug: and some scritches for Teasel. I wish you the best of luck in trying out the Lantus for your boy.:cat:
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Thanks a bunch, Lisa! I won't be far from here. :)
 
Update on Smoky: PMPS was 277.
Is there a bounce going on? I'm figuring out his pm dose now, this is his BG before giving him the budesonide.
 
Lisa and Smoky said:
Update on Smoky: PMPS was 277.
Is there a bounce going on? I'm figuring out his pm dose now, this is his BG before giving him the budesonide.
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If it's a bounce, it's tiny - a very slight reaction to the lowest blue maybe. This number is similar to other yellows you've had if you take meter variance into account. What dose are you considering?
 
I think I will have to get a pill gun.
The pill just sat in the back of his mouth for a few minutes. I finally managed to get him to swallow it
 
Lisa and Smoky said:
I think I will have to get a pill gun.
The pill just sat in the back of his mouth for a few minutes. I finally managed to get him to swallow it
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It's a very handy gizmo even if you use it only occasionally. How's his pain and nausea level these days?
 
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I'm more certain as time goes on that the pinks are related to budesonide. You'll have to dose around them because it's more important that his IBD is treated. Are you OK with that?
 
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Smoky PMPS was 198, not sure what dose to give. The budesonide will raise his BG somewhat. I gave him 1.5 units on a BG of 195 two nights ago and he hit 327 the next morning. It's so hard figuring out what dose to give him around the steroid he is taking.:confused:
 
Lisa and Smoky said:
Smoky PMPS was 198, not sure what dose to give. The budesonide will raise his BG somewhat. I gave him 1.5 units on a BG of 195 two nights ago and he hit 327 the next morning. It's so hard figuring out what dose to give him around the steroid he is taking.:confused:
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Instead of looking at that 327 that morning, focus on those nice blues later on. I think you'll learn to predict the budesonide BG wonkiness as you gather more data.
 
Lisa and Smoky said:
I drew up a 1.5 unit dose for tonight.
I have to give him that and the budesonide pill:facepalm: really need to get a pill gun.
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Order two of them while you're at it, in case you misplace one, etc. They aren't expensive. I must have at least 4 of them kicking around.

It good that you've been able to give budesonide nightly and he's tolerating it.
 
Smoky PMPS at 232, up a little from PMPS of 198. Maybe the 1.75 units was a little too much? I'm looking at his SS now to help me decide on a dose for him for tonight. Possibly a 1.6U for tonight.
 
Lisa and Smoky said:
Smoky PMPS at 232, up a little from PMPS of 198. Maybe the 1.75 units was a little too much? I'm looking at his SS now to help me decide on a dose for him for tonight. Possibly a 1.6U for tonight.
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Actually, if PS is over well 200 you could give the same dose. If you want to reduce, I'd keep it very small.
 
Thanks Kris, I wasn't sure if he bounced or not. I thought about giving the sane dose but wasn't sure if it was OK or not. He has about 5 to 10 minutes before pm shoot
 
I'm alright with giving him the 1.75U plus I have to remember that the budesonide raises his BG as well. How is Teasel doing on the Lantus or is it too soon to tell?
 
Lisa and Smoky said:
I'm alright with giving him the 1.75U plus I have to remember that the budesonide raises his BG as well. How is Teasel doing on the Lantus or is it too soon to tell?
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Good idea about giving the 1.75 u because of the effects of budesonide. Would you say that there's an improvement in how Smoky is feeling with it?

It's early days for Teasel and Lantus but we had BG go down into yellow today instead of all pink yesterday. The dose effects are delayed because of that insulin depot that has to fill or empty with an increase or decrease. It's different from ProZinc that usually gives an immediate result.
 
Yah for yellows:) go Teasel!
I think Smoky is a little better, his appetite is improving and his tummy is not making so many gurgling sounds now.
It does seem to make him a bit lethargic for about 3 hours but he is more alert after that.
 
Smoky at BG of 258 for PMPS, it was the same on 2/4 and I gave 1.75U and he was fine. So I'm thinking either 1.75U or pushing it a little and trying 1.8 units?
 
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