BG is 83 and my cat is on two units of Prozinc

Discussion in 'Feline Health - (The Main Forum)' started by edenbee, Jan 12, 2019.

  1. edenbee

    edenbee Member

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    Jan 28, 2018
    Having a little issue my cat was not doing well on 1.5 units of Prozinc and his BG was 360. Was doing great at 121 for half a year now. However a fatty lump appeared slowly around the area where I inject and the vet said well never had this happen before but fat does not absorb insulin well.
    So he shaved some new infection sites for me and bumped it up to 2 units to get that 360 down
    Tonight he was at 83 on the two units and im thinking it needs to be back to 1.5 as it WAS the fatty lump stopping the insulin from doing its job.
    I need to inject him in a few hours and know I should get a vets approval before changing the dose but im not happy giving two units with a reaing that low. May just go with my guy and drop it down half a unit as he was before we realized the lump was an issue.
    Any thoughts?
     
  2. SpotsMom

    SpotsMom Member

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    Feb 10, 2018
    You are the one with the syringe not your vet so the decision is ultimately yours. It is far better to be high for a day than low for a minute so I agree with your thinking to back off to what you know as a safe dose. Are you home testing or are those glucose numbers from the vet?

    Generally we recommend testing before every shot to make sure it’s safe to shoot, then getting in at least one test around mid cycle. Cats on insulin can have wide fluctuations in numbers throughout the day, and it’s impossible to know what the correct dose is without knowing the whole picture.
     
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  3. SpotsMom

    SpotsMom Member

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    Feb 10, 2018
    How long after his shot did he get that 83?
     
  4. edenbee

    edenbee Member

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    Jan 28, 2018
    Yes I test at home about once a week as hes been steady and good for almost a year now on his dose. At her vet he was 360(333 by my reading at home) and I think he wanted to just get that down fast. Not knowing if it was just a fluctuation or that fatty lump I was injecting into maybe.
     
  5. edenbee

    edenbee Member

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    Jan 28, 2018
    It was mid cycle..I am on the pro zinc 12 hour twice a day deal. So I think it was about 5-6 hours after that two unit shot that he tested that low. Fasted him before I pricked his ear. I haven't done pre testing stuff as he would just be miserable all day having it done to him. Though he is pretty chill he is upset about his food changes and eaten less and all that. But hes been very good testing once a week mid cycle. Like amazingly well the same good numbers every week. I just email my vet as taking him in is far too traumatic and I am good at the home test now. He just purrs while I get the drop of blood.
     
  6. edenbee

    edenbee Member

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    Jan 28, 2018
    I think you are correct and in about half hour I will do the 1.5 units. My vet hasn't emailed back but it is almost midnight in nyc right now.
     
  7. SpotsMom

    SpotsMom Member

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    Feb 10, 2018
    83 is actually a really good number if that was his nadir. But if you’re not consistently testing I would also be nervous to stay at 2u.

    On home testing, I will only say this: a cat will only be as comfortable with it as his owner. If you are nervous and scared so will he be. With Spot, jumping into his testing chair is his way of telling me he’s hungry and he wants my attention. For him it’s a positive association with food and snuggles, not traumatic and painful. I would encourage you to go back and start fresh on testing. Pick a consistent place, rub his ears and give him a treat. Do this several times without poking until he’s comfortable.. and only then add in a poke. Eventually, he’ll start to associate the routine with getting a treat or getting some scratches. Once he’s comfortable with the pokes, you can start to get him in a routine of testing before every shot.

    I know we can sound like a broken record in this forum, but it really is in an effort to help you. Hypos do happen.. even to experienced members. The difference is being able to head it off before it gets too serious :bighug:
     
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  8. edenbee

    edenbee Member

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    Jan 28, 2018
    yes I heard from my vet this morning and he said go back to 1.5 and take the blood again today or tomorrow. He is casual about the blood taking so I guess I just follow what he says. But you are correct...I still am a bit nervous about the testing though its been almost a full year now and Delgado actually doesn't mind it. He does go to his testing spot as he knows when I pull out the meter its ear time then food time. So at this point it is just me feeling nervous about it. I could probably take it several times and he would be okay with it a day. This Monday I am taking it on my own fo the first time. My husband holds the flashlight on his ear and pets him usually while I do the rest. Which is another reason we do it only once or twice a week. So tomorrow I do it alone and maybe that will be a good time to start doing multiple tests. If I can do it by myself!
    I had to be talked reluctantly into taking his blood at home by the board and now I am SO glad I can do it so I don't mind the broken record!
     
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  9. edenbee

    edenbee Member

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    Jan 28, 2018
    Delgado was 123 at the vet on 1.5 BUT he is drinking a lot of water and has two+ of sugar in his urine. So Friday we will be doing an at home blood curve starting at 9am and ending at 9pm checking his levels every two hours. Cause something is off here. Could be we got lax about the food as he seemed to be a steady 120 for so long.
    He is a fancy feast addict but hates the classic and pate ones but well..he will have to eat that because the grilled is just too high to give to him as much as he wants.
    I will email the vet to get more info but do I feed Delgado like I normal do during this blood curve check?
     
  10. SpotsMom

    SpotsMom Member

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    Feb 10, 2018
    Yes feed like you normally would because you want to see what a “normal” day looks like.
     
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  11. edenbee

    edenbee Member

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    Jan 28, 2018
    Okay makes sense. thanks!
     
  12. edenbee

    edenbee Member

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    Jan 28, 2018
    I think I know the answer to this...About to do the Blood curve today... I DO feed Delgado before doing the first reading before the shot? My vet is not answering me and I have it written down test before food and shot which seems wrong.
     
  13. SpotsMom

    SpotsMom Member

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    You want to test, feed then shoot. In order to make sure the shot is safe to give, you test before feeding so the number is not food influenced.
     
  14. edenbee

    edenbee Member

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    Jan 28, 2018
    ah thanks. He ate a little bit then I tested. Not too much but his food was out. His blood was 217 before I did the shot. At least I tested pre-shot! It's like puling teeth to get any answers so I am just posting here. His last test is at 9pm. Would I test before the second shot then? That would make sense.
     
  15. SpotsMom

    SpotsMom Member

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    Feb 10, 2018
    Yes same thing before his PM shot :)
     
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  16. Kris & Teasel

    Kris & Teasel Well-Known Member

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    Aug 17, 2016
    Here's the basic testing routine we recommend:
    1. test every day AM and PM before feeding and injecting (no food at least 2 hours before) to see if the planned dose is safe
    2. test at least once near mid cycle or at bedtime daily to see how low the BG goes
    3. do extra tests on days off to fill in the response picture
    4. if indicated by consistently high numbers on your spreadsheet, increase the dose by no more than 0.25 u at a time so you don't accidentally go right past a good dose
    5. post here for advice whenever you're confused or unsure of what to do.
    This is useful: http://www.felinediabetes.com/FDMB/threads/hometesting-links-and-tips.287/

    Would you be willing to set up the spreadsheet we use here? It helps us to help you.
    http://www.felinediabetes.com/FDMB/threads/fdmb-spreadsheet-instructions.130337/
     
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  17. edenbee

    edenbee Member

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    Jan 28, 2018
    Thank you...I will look at the spreadsheet. My husband and I both work freelance so testing multiple times a day can be hard. When he helps me it goes way easier. We both got maybe two hours sleep last night to get up early enough to do this. Night schedules are hard. The first test was done almost in our sleep but luckily we have an easy cat. His BG test at home and at the vet recently read at 123. Which is great but he is drinking a lot of water and seems lethargic. We got a fructosamine test done and it came back poor. High numbers. Vet recommended the blood curve testing today at home where he is not stressed. He got diagnosed a year ago and was steady at around 120's for many months at 1.5 units of PZ. But his behavior recently made us take him in and get that test done. This is the first time we have taken this much blood for testing this often. We really need to see what is going on. Vet advised us to do what we would normally do today with food etc to see what is happening and why his fructosamine test numbers are in the "poor management" category. Will read all the links you provided and I thank you both for answering!
     
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  18. edenbee

    edenbee Member

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    Jan 28, 2018
    Almost done with this. Highest he went was 300..lowest was 119. Will do a test before he gets the shot at 9pm. Should I check his blood post shot too?
     
  19. edenbee

    edenbee Member

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    Jan 28, 2018
    Did the curve no big deal except getting up four hours earlier to do it. Not even sure why..we are all on late schedules and why get up at 8am when my cat Delgado gets his first shot at 11:30am? Other than that he was fine. His fluctuated from 200's to 400 when he ate and then I gave the shot and he was a steady 123 for ours then fluctuated to 446 when it was 9pm and time for food again. He said what I thought which is too much food too many times and no grilled even as a treat. All low carb twice a day no more orijen snacks his fructosmine test was in the poor management section.
    he is already crying from not getting food at 6pm which we usually do. And it was a type he hated. Will be hard to do but he has got to suck it up haha! will try to find new foods he likes that are low carb and better for him. The spot check reading so well was not a good indicator of that was really going on. So as you have all said I need to do the Curve now when I can. Next time is Sunday. I think we will do it on our schedule as my husband and I were exhausted by having 2 hour sleep to do this. Any reason we cant do it at 10:30am-10:30pm? We are night owls. Seems like we should stick to our daily routine to really get this correct no? He NEVER gets a shot at 8am...that is hours before normal. Dont want to do the wrong thing!
     
  20. SpotsMom

    SpotsMom Member

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    Feb 10, 2018
    Yes absolutely do it on his normal shot schedule during the day! The curve starts at shot time :)

    If he’s hungry all the time you can try splitting his food up into multiple small meals instead of just two big ones.
     

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