Where to find sliding scale

[Pixie's Mom]

I saw a reference to a "sliding scale". Is that available somewhere that I can review and discuss with my vet? I wanted to try to consider that while the libre sensor is on my Pixie.

Just increased the night dose (agreed by vet) to 1.5 (ProZinc). Morning was already 1.5.
Last night her number didn't increase off the monitor range (meaning over 500).
After dinner at time of insulin her level was over 500; dropped to about 340 about 2 hrs after. Stayed in that range until about 4am when it started to slowly climb. Was just under 400 at time of breakfast. 430 after breakfast when insulin given.

My vet indicated that typically dosages are not adjusted quickly and then in low quantity. Is that to be able to best monitor/prevent dropping too low? Which I would be able to catch with the current monitor. Or is it because there needs to be a minimum of 2 weeks at same dose to get a true understanding if it is the correct amount or not?

Without understanding the sliding scale, I would like to figure out if there is a way to do a dosage based on the glucose reading (within safety of course). Like if the current dose is dropping her by about 150, instead of 1.5 at night could 2 be better? Or 2.5?

Just trying to get as "much" done with this sensor as possible to get Pixie feeling better. Would SO like to see her back to eating and playing. Nothing entices her to play right now.

Thanks everyone. Appreciate any knowledge/insight!
Pixie's Mom

 

[tiffmaxee]

I will tag some Prozinc users. @Suzanne & Darcy

Here’s the link to the methods but you need to try the other two first.
https://www.felinediabetes.com/FDMB/threads/prozinc-dosing-methods.225629/

 

[Suzanne & Darcy]

Hi @Pixie's Mom! I’m just reading through your message. I would like to help. Do you think you can get a spreadsheet going? That would be so helpful. As for the sliding scale, there isn’t a standard “sliding scale” that applies to every cat. In most instances it is recommended to give the same dose every 12 hours and to hold that dose for seven days unless the cat drops below the reduction point or has a very low preshot test and may need to have a reduced dose for that cycle (depending on a few different factors.). This is what works for most cats. A few cats here have needed to have dose adjustments so frequently that they have kind of developed their own sliding scales customized to their cat, but this is not the norm.

 

[Suzanne & Darcy]

https://felinediabetes.com/FDMB/threads/new-how-you-can-help-us-help-you.216696/

 

[Pixie's Mom]

I don't have a spreadsheet; I have the graphs from the sensor - but can't figure out how to add those here.
Today breakfast time started at 393; insulin at 7am 428 - lowest from 11-12 got down to 178-184; back up to 400 by 3pm.
Yesterday she was 493 morning, lowest from 11-2 175-300, dinner time number was over 500 lowest from 10p-12a around 350.
Thurs 447 breakfast 470 at insulin, from 10-3 she ranged between 227 at low around 1 to about 265; 304 at dinner weird spike to 400 after insulin around 9 then dropped to 280 around 11:30p

Last night was first higher dose of 1.5; day remained at 1.5.

 

[Suzanne & Darcy]

With the spreadsheet, you just type in a number at a particular point in time. +1 means one hour after shot was given, +2 is two hours after shot was given, etc. we are all on difficult time zones so it is frequently of little use to talk about our clock time. For example, I am on Eastern Standard Time. It is currently 6:31 pm. What is your time? To the + time after the shots are given helps is all to understand here we are in the cycle and what is going on.

 

[tiffmaxee]

Please start a spreadsheet and add a signature . We are very data oriented here and without one you won’t get much if any advice. We have someone that can get it started for you if you like.
You would need to copy and paste your sensor graph.

 

[Suzanne & Darcy]

It’s important that you not feed Pixie for two hours before the morning and evening preshot tests (AMPS and PMPS tests recorded on the spreadsheet.). This way the value that you get on your meter is not influenced (made higher) by the food.

 

[Pixie's Mom]

I have the graphs that I can't figure out to share with notes the times and readings. I have been getting her result before she starts to eat and then as insulin is given. The sensor provides hourly data in the graphs. I thought perhaps there was something printed on the sliding scale that I could reference with the vet. If not no worries.
I have to rely on the sensor readings as Pixie will not let me test her ear or paws. Which I know is important but I am one person and she is not allowing it. So trying to do the best with what I can.

 

[Suzanne & Darcy]

You would take a Libre reading before feeding her and before giving insulin and type the number into the AMPS cell. Then you would feed and shoot the insulin. The procedure is test, feed, shoot all within about 10-15 minutes. Then you can scan the Libre after the shot. You could scan at +1 one hour after the shot and type the number into the +1 cell of your spreadsheet. And so on…. Scan the Libre as often as needed to get an accurate picture of how low the dose is taking kitty (since dose decisions are based on nadirs.). Is this making sense? I’m sorry. We aren’t trying to be difficult or obtuse. If we can’t see what is going on with the dose, then it is not safe to make recommendations on dosing. We want your sweet kitty to be safe.

 

[Bandit's Mom]

Hi @Pixie's Mom, I can help set up your spreadsheet and signature. Will send you a PM with the details I need. Look for it in the Inbox at the top right corner of this page.