What dose for what #'s?

[Meridith and Zeke]

I have just started monitoring Zeke. I am really confused on what dosing for what #'s and when to not give a dose. Any and all help on this will be much appreciated!

 

[Lisa and Smoky]

Hi
Did you try posting on the vetsulin/ R forum for advice on dosing? I don't know much about using R insulin.

 

[Meridith and Zeke]

I have posted here and the board for nph as some have suggested on other posts to he sure it got seen.

 

[Nan & Amber (GA)]

I'm not a Novalin N user-- all I would suggest is some general advice to newbies, which is not to shoot if the pre-shot BG reading is less than 200 (or at least don't shoot unless you have some in-the-moment guidance from an experienced Novalin N user). With a fast-acting insulin like N and a fairly high dose (3U) I might even increase that cutoff to something like 250. I'm concerned, looking at your spreadsheet, about 5/25, when you shot 2.5 on 263 and got a +6 reading of 69. That suggests to me that the 2.5 was too high, but it looks like the vet advised you to increase since then. I'm worried this is going to take Zeke dangerously low-- he's currently running in the 100's midcycle, and you've given the dose at numbers in the 100's. I would be very very cautious about doing this with a fast-acting insulin like Novalin N-- you basically have no safety buffer at all, and it could take him dangerously low. Also, the high numbers you see after these lows probably aren't indicating a need for more insulin-- it's more likely that you are seeing a "bounce", basically the cat's body reacts to the low by dumping a ton of sugar into the blood.

I can't really advise specific dosing with Novalin N, but I will say that if Zeke were my cat, I would back off on the amount of insulin and go from there. It is fantastic that you are testing as much as you are!

 

[MrWorfMen's Mom]

Here is the URL for the other post Janet and I have been responding to for everyone following.
http://www.felinediabetes.com/FDMB/threads/what-dose-for-what-s.178478/

 

[Nan & Amber (GA)]

Here is the URL for the other post Janet and I have been responding to for everyone following.
http://www.felinediabetes.com/FDMB/threads/what-dose-for-what-s.178478/

Just read that after I wrote my (redundant) post above. Looks like you guys have this covered!

 

[MrWorfMen's Mom]

Not redundant....an echo!

 

[Meridith and Zeke]

I think i will delete this one since I am getting advice on the other thread. Thanks everyone.

 

[Meridith and Zeke]

Umm, how do I delete this thread, or does a mod have to?

 

[Yong & Maury GA]

Mod would have to delete it but no biggie to leave it up. Traffic is slower this weekend anyways so might get some more eyes when normal schedules resume.
I've been reading your other post but since I have no experience with Novolin N, I do not feel comfortable giving specific dosing advice. Could just note observations kind of like Nan&Amber did. "X dose seemed to be too much for this reason"

 

[Meridith and Zeke]

Okies