To shoot or not to shoot?

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babyjackie

babyjackie

Member Since 2013
Jack's not seemed to have had any consistent, stable numbers. My vet says not to shoot under 200, and I've had some say that you shouldn't skip a shot, just adjust the dose. I really am confused, and I need some advice. I'm in the process of finding a new vet so I don't have anyone to talk to about this.
Any thoughts?
 
Hi Laura, we do usually say not to shoot under 200 to new members who have no data, you don't have a lot of data on lower numbers but you do have a lot of data, good for you.

Jack looks like a good candidate for a sliding scale, which is shooting a different dose for different ranges of numbers, the 1.25u looks like a good dose on the higher numbers but is too much on the mid 200 numbers.

I'm working on one for Socks right now but if you would like to try it I can work up a scale for Jack too. Each scale is custom made for each cat, ECID, and we can adjust the scale when we see what works and what doesn't.
 
Your spreadsheet doesn't have any numbers for the past two days - is he still in high numbers at preshot? Have you been able to get any midcycle numbers?

Based on your last two days on the spreadsheet, I think I would reduce again - unless you are seeing something different the last two days. He seems to be bouncing and giving you low preshot numbers, which indicate too much insulin. If you go down to one unit, be sure to test for ketones. Keep the dose for 3 cycles, testing preshot and midcycle when you can, If he is high overall, then we go back up. But I am betting he will drop. What you are aiming for is two shootable numbers twice daily and all numbers in the 100-250 range.

ketones
 
Thanks on the 'stash! It was a costume mustache that I stuck on my monitor. I was using Jacks pic as a screensaver, and the mustache fit perfectly!
Thank you for offering to make a custom scale for Jack. That's very kind of you:) I'd love to see one.
I've got a few more #s in the SS. Tested at 2am, +9, 147. Good, I think.
 
Glad you got more numbers. They are encouraging. I think the scale will help. Instead of shooting the same dose for a red and a yellow, we'd like to see a smaller dose for a yellow and a litle larger dose for a red. Keep an eye on him today. He dropped alot last night on a red. If he drops a similar amount on your yellow, he could go pretty low.
 
Hi Laura,

I've worked up a beginning scale for Jack.

The lower end of the scale is iffy mostly because we don't have any history shooting those numbers.

Jacks sliding scale ONLY!

200 to 249 - .5u
250 to 299 - .75u
300 to 349 - 1 unit
350 to 400 - 1.25 unit

Once we see how the scale works we can tweek any level of the scale that isn't working the way we want it to.

This scale is for Jack only.


/
 
Thank you, Rob, for taking the time out of your life to help me with Jack's. We'll give it a try this weekend when I can monitor his numbers more often.
Thanks again.
 
How do you guys measure .25 increments? Eyeball? Draw on the needles? I'm using u100 needles in .50 increments, and I've been just eyeballing in between to get my needed dosage. Is this okay? Is it bad? I don't want to do something that's not good.
 
It is hard. Some people eyeball what they think looks like .25 on a syringe and either mark with a permanent marker or piece of tape. Then use that as a model each time you draw up a new dose. That should help being more consistent.
 
If you're using u100 needles,.are.you using the conversion chart? If so, .5u on the u100 is.equivalent to .2u in u40 doses.
 
Jack had a seizure on Monday. I've updated his numbers in his SS. I called the vet after he had it, and they didn't do a damn thing to ease my nerves or really help in any way. Just told me to check him at +6 and give karo is low. Believe me, if I typed what I am feeling regarding my vet and their lack of EVERYTHING, your eyeballs would bleed :twisted:
Looking for new vet. I feel so bad for Jack and I don't know what else I can do.
Anyone have any experience or knowledge regarding feline seizures? His seizure was petty, not grand mal. He was laying on the table, I was standing and scratching under his chin. I noticed his head began to wobble, like he was tracking a toy that someone was moving in a circular motion, and I thought that he was watching the ceiling fan. Then I realized the fan wasn't on. :( My friend was over and she noticed that his eyes were going kind of "googley".
He was okay after, eating and being normal.
 
He wasn't low. I came home from work at 5, checked him and he was high-in the 500's. Fed and shot, he threw up and had seizure. He threw up earlier, but I was at work and don't know when. After seizure he acted normal. Tested at +4 and +6 and he was at 200.
 
He wasn't low, and that's just one of the reasons why I don't understand why my vet would talk about him being too low and giving Karo. He was high when this all went down! Ugh.
 
And to Rob- it just says PZI on the vial. I've been reading that when people haven't had success on PZI, some have switched to Levimir? I've heard it's easier on the system than Lantus.
 
I think he is bouncing. He goes from the 500s to the 160s and his cycles are lasting longer than 12 hours. I would lower the dose to one unit and see if he settles down. I think the 1.25 is causing long cycles that give you preshots too low to shoot.
 
Yes, some have switched to Lev or Lantus. Either one is a good insulin and should give you a much flatter curve. It's up to you.

I don't have anything to add about seizures, I've never had to deal with that.
 
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