To shoot or not to shoot, part 2

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lmcfrld

lmcfrld

Member Since 2012
Brief update: Yesterday morning was Misha's last insulin shot. His PMPS was below 200, as was this morning's. Upon advice from the board, I waited 3 hours and just now retested. He's at 550, so I gave him half a unit. He's acting very quiet and like he doesn't feel well. Tried to give him a treat after testing just now and he wasn't interested, which is very unusual for him. Is that kind of a spike usual?
As always, any advice is appreciated.
 
I'm sorry I don't know your insulin well enough to advise about it. Maybe you'll be advised to halve the dose to 0.25 so you can shoot twice a day. I don't know. I'm sure others who know PZI better will be around to answer your question.
Have you tried posting in the Insulin Support Group for PZI?
 
Ideally, you want a dose that can be given safely every 12 hours, which does not take him lower than 50 on a human glucometer.

Do you know how much he comes down when starting from different levels? It may be possible to work out a structured dosing schedule for him if you collect the data. The ProZinc forum here can help you work that out. You'll get better feedback if you can set up a spreadsheet. There are instructions in the Technical forum.

Is he eating in a meal pattern, or a grazing pattern? If feeding as 2 big meals, that is likely to cause spikes like that. Mini meals or grazing tends to result in less of a food spike.

Have you checked for ketones? See my signature link Secondary Monitoring Tools for info on how to do that.
 
BJM said:
Ideally, you want a dose that can be given safely every 12 hours, which does not take him lower than 50 on a human glucometer.

Do you know how much he comes down when starting from different levels? It may be possible to work out a structured dosing schedule for him if you collect the data. The ProZinc forum here can help you work that out. You'll get better feedback if you can set up a spreadsheet. There are instructions in the Technical forum.

Is he eating in a meal pattern, or a grazing pattern? If feeding as 2 big meals, that is likely to cause spikes like that. Mini meals or grazing tends to result in less of a food spike.


I've been feeding him two meals, breakfast and dinner. I work during the day so I'm not home to feed more often. He gobbles up his breakfast (1/2 can Friskies Pate) so there's nothing left to graze on. I have a spreadsheet, the link is in my signature. Thanks for your help. :)
Click to expand...
 
So it looks like you gave .5 at +3 and he has come down 300+ points? The next shot will need to be 12 hours from the +3 time ( or later if he isn't high enough.)

It looks like you may be "chasing" the numbers for awhile. You'll need to be watching until he is in the 200s or above to shoot. And then, I would be tempted to give less than the .5. My thought is the 300 point drop on the .5 You wouldn't want a 300 point drop if you start at 200..... This can be stressful, but it is the road to remission and usually doesn't last long.

The automatic feeder helps with frequent small meals. I love my PetSafe5. It has five compartments, is easy to program and my cat can't break into it. You can set it so it moves to an empty compartment two hours before the preshot, so you can get a number without food. It's a little pricey but mine is working 4 years after purchase. You can get them at PetSmart or Amazon.
 
Just one suggestion. If you see a number like 550 again, or any number that sort of looks oddly high or low, try to test again right away. That could be an accurate test, but it could be a meter or strip error.
We have to assume it is correct, in which case a really tiny dose is doing an awful lot.
Carl
 
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