Glucose level

Discussion in 'Feline Health - (The Main Forum)' started by Carol Noverati, Oct 22, 2017.

  1. Carol Noverati

    Carol Noverati Member

    Joined:
    Sep 28, 2017
    GM
    My cats BG level this am was 221. Last shot of 3 units last night at 7. Do I inject? If so how much?
    Ty
     
  2. JanetNJ

    JanetNJ Well-Known Member

    Joined:
    Jun 8, 2016
    Is that lower than usual? What insulin is it? What were the readings last night? It's hard to give dosing advice without any information. If you could set up a spreadsheet or for the time being snap a picture of a log of readings that would be helpful.
     
    Elizabeth and Bertie likes this.
  3. Elizabeth and Bertie

    Elizabeth and Bertie Well-Known Member

    Joined:
    Sep 6, 2010
    Carol, I second Janet's request (above) for further info. We can't give specific dosing advice without knowing more about your cat.

    The only thing I would say - in the absence of any other information - is that 3 units of any insulin seems a high (higher than average) dose for a preshot BG of 221....
     
    Last edited: Oct 22, 2017
  4. Elizabeth and Bertie

    Elizabeth and Bertie Well-Known Member

    Joined:
    Sep 6, 2010
    Carol, it would also be great if you could add a few details to your signature; things like date of diagnosis, insulin type, diet, any concurrent health issues, whether kitty had DKA or ketones at diagnosis. Then, anyone replying to your posts will be able to see that important stuff at a glance.

    To add info to your signature just hover your cursor over your name on the top right hand corner of this page, and you'll get a drop down menu which includes 'signature'. Once you've added info there just 'save' it and it should appear beneath all your posts.
     
    Last edited: Oct 22, 2017
  5. Elizabeth and Bertie

    Elizabeth and Bertie Well-Known Member

    Joined:
    Sep 6, 2010
    Hi again, Carol. Just had a look through your past posts and see that you're using Prozinc.
    Also noted that your kitty was hospitalised for ketones (DKA?) at diagnosis.
    And you've mentioned in the past that his blood glucose was high?

    If it's the case that you're seeing a lower than usual preshot (and in the absence of our being able to give you specific advice without more info from you) you may be interested in this general info from the FDMB FAQ's:

    Q4.4. My cat's pre-shot level was way below the usual value. Should I give the injection?


    A4.4. There's no hard and fast rule, but if you don't have data on how your cat responds to insulin, here are some general guidelines. Below 150 mg/dl (8.3 mmol/L), don't give insulin. Between 150 and 200 (8.3-11.1 mmol/L), you have three options: a.) give nothing; b.) give a token dose (10-25% of the usual dose); c.) feed as usual, test in a couple of hours, and make a decision based on that value. Above 200 (11.1 mmol/L) but below the cat's normal pre-shot value, a reduced dose might be wise. In all cases, if you are reducing or eliminating insulin, it's wise to check for ketones in the urine. Above the normal pre-shot value, give the usual dose, but if the pre-shot value is consistently elevated, it's a good idea to schedule a full glucose curve to see whether a change in dose or insulin is appropriate. In most cases, the target "peak" value should not be below 100 mg/dl (5.6 mmol/L), and for some cats it might be higher. Keep in mind that these are general guidelines, and they should be personalized to your own cat's reactions to insulin. If your experience is that your cat does not became hypoglycemic with a dose which is close to her usual, then your experience should be your guide.
     
  6. Carol Noverati

    Carol Noverati Member

    Joined:
    Sep 28, 2017
    Sorry guys. So new to all this. Makes my head spin!
     

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