? Help! PM dosage advice needed

Discussion in 'Prozinc / PZI' started by Jena4277, Jan 28, 2018.

  1. Jena4277

    Jena4277 Member

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    Aug 8, 2017
    hi. Cat tested 174 20 Min ago. Today I upped her Insulin by .25. Tested her just now 20 Min later and it is 164. I’m going to feed her dinner and test in an hour or so to see what it is. Last time this happened I didn’t shoot and at +3 she was in the high 300s. I want to shoot tonight so I will see how she’s is doing in a bit. Sound ok?
     
  2. Sarah Smith

    Sarah Smith Member

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    Apr 20, 2016
    I'm not versed enough for dosing advice sorry :( Hoping to bump this and someone better with prozinc can help you out!
     
  3. Jena4277

    Jena4277 Member

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    Aug 8, 2017
    THanks. I most likely will give reduced dose if she isnt going up enough. This forum doesn’t get that much traffic compared to them Lantus one...
     
  4. Jena4277

    Jena4277 Member

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    Aug 8, 2017
    @Rachel @Kris & Teasel what do u think if u have time?

    I want this 1.25 dose to work and on the first day she’s too low...how frustrating. I don’t want to have to stall everyday. Im going to retest her soon
     
  5. Jena4277

    Jena4277 Member

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    Aug 8, 2017
    It’s 254 an hour and 10 min after the 174. Im going to wait another half hour and shoot the whole 1.25. She didn’t eat very much yet so I think it’s ok.
     
  6. Sarah Smith

    Sarah Smith Member

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    Apr 20, 2016
    Sorry I'm not more help, will be around tonight though if you need someone to talk to while keeping an eye on her
     
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  7. Jena4277

    Jena4277 Member

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    Aug 8, 2017
    It went down to 236. I’m going to only give 1u. I will prob regate this decision...
     
  8. Djamila

    Djamila Well-Known Member

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    Aug 1, 2015
    I know I'm late to the party, but maybe this will be helpful sometime in the future: The 174 was most likely high enough to take the whole dose. It's hard to be certain since there isn't a lot of PM data, but based on the AM data, and the follow-up tests that show she was rising, she most likely would be just fine. When you know that the previous dose has worn off (the numbers are rising), and you are near to 200, it's most often fine to stick with the regular dose.
     
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  9. Sarah Smith

    Sarah Smith Member

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    Apr 20, 2016
    Its so hard to judge sometimes! Keeping my fingers crossed it works well!
     
  10. Jena4277

    Jena4277 Member

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    Aug 8, 2017
    Thats what I was thinking. Oh man I missed it.
     
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  11. Kris & Teasel

    Kris & Teasel Well-Known Member

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    Aug 17, 2016
    Just seeing this now. Did you give 1 u? It shows beside, not in, the dose cell on your SS. I also don't see the 254 and 236 info on your SS.
     
  12. Rachel

    Rachel Well-Known Member

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    Aug 25, 2013
    Oh so sorry! I'm just seeing this too. I was at the park taking a walk when you posted. Looks like you gave 1 unit. I think that was fine...she probably would have been fine with the whole dose too. But this way you can get some good data on what she does on a 1 unit dose at this number. All data is good data!

    So sorry again...we'll know when to check in on you next time!
     
  13. Jena4277

    Jena4277 Member

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    Aug 8, 2017
    No prob. I will try to get her twice tonight but I may fall asleep lol.

    @Kris & Teasel Idk how to show the extra shots when they r within the hour on the spreadsheet. I don’t have a pc just my phone so it’s hard to read if the cells are overcrowded.
     
  14. Kris & Teasel

    Kris & Teasel Well-Known Member

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    Maybe just put them in the "notes" section of the right side of the SS?
     
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  15. Jena4277

    Jena4277 Member

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    Aug 8, 2017
    OK. also she is at 102 three hours in. She usually rises and she has eaten about half a can already so I am a little worried but not yet. I will check her in an hour
     
  16. Kris & Teasel

    Kris & Teasel Well-Known Member

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    Aug 17, 2016
    This drop is a sign that you might see dark green at nadir. Maybe try to control her drop by feeding 1-2 tsp regular low carb food every 30 minutes or so.
     
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  17. Jena4277

    Jena4277 Member

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    Aug 8, 2017
    @Djamila @Kris & Teasel it’s 81 now and she may get lower. She ate a half hour ago a lot of wet with some cheese on it and she still tested 81 25 Min later. I gave her 2 temptations treats as a safety precaution bc I have to go to bed and unless I wake up cannot test her anymore as I get up at 4:45am for school and need some sleep.
     
  18. Djamila

    Djamila Well-Known Member

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    Aug 1, 2015
    It looks like the 81 was at +5, so she was probably fine at that point, plus the regular food may not have fully kicked in yet. So all that to say, I hope you sleep well! And hooray for a nice safe green!
     
  19. Jena4277

    Jena4277 Member

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    @Rachel @Kris & Teasel @Djamila
    I was able to come home an hour early and grab a 10.75ish test. It is 422. Is this a bounce? I gave her 1.25 this morning on a number in the 300s. Do u think she’s went low today? I think to still shoot the 1.25u later and monitor...what do u think?


    On second look her number this morning might as well have been 400 it was 392. I should stay with this 1.25 dosage still correct?
     
  20. Rachel

    Rachel Well-Known Member

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    Aug 25, 2013
    I think you’re seeing a bounce. Hard to know for sure but what you’ve got indicates she probably stayed high and flat today after that low last night. Not uncommon or unexpected. I’d stick with your dose for now...don’t want to adjust on a bounce cycle. :)
     
  21. Jena4277

    Jena4277 Member

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    Thanks!
     
  22. Kris & Teasel

    Kris & Teasel Well-Known Member

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    My opinion is that it's a bounce. Keep the 1.25 u dose. :)
     
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  23. Jena4277

    Jena4277 Member

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    Aug 8, 2017
    Hi! So this morning she was in yellow and I just tested her and she is yellow again. My only concern is that she might be going too low during the day but I won’t be able to tell until Saturday when I can curve. If I see a high number tomorrow it’s probably another bounce right? How does the bouncing game work - if she keeps showing numbers all over the place like she’s has been I will have to reconsider the dose? Hopefully today’s data stays consistent and I don’t have to worry!
    She had some diahrea today. I have been sprinkling cheese on her food. Perhaps too much. I will keep an eye on it. I don’t want her getting another UTI
     
  24. Kris & Teasel

    Kris & Teasel Well-Known Member

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    The two yellow PSs are good. If you can get a +2 and a +4 this evening that would be good data for today. Stay with this 1.25 u dose for now. Chances are if she had dipped low mid day today her PMPS would be quite a bit higher.
     
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  25. Jena4277

    Jena4277 Member

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  26. Kris & Teasel

    Kris & Teasel Well-Known Member

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    Yes, she's a bit erratic. She's only been on ProZinc for 2 weeks though so I suggest you stick to the 1.25 u dose for now.
     
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  27. Rachel

    Rachel Well-Known Member

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    Aug 25, 2013
    She sure is! I do think you're seeing some minor bouncing...and as Kris says, it's only been 2 weeks. She might need some time to settle into the new insulin before she calms down. The good news is you're seeing some beautiful and healing numbers mid cycle, which means her pancreas has time to rest and heal. I know it's tough, but be patient! I think you'll see things get better soon.
     
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  28. Jena4277

    Jena4277 Member

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    Aug 8, 2017
    THANKS! Just wanted to make sure I was kind of on the right track. She must not feel so hot bc of the bouncing :confused:
     
  29. Djamila

    Djamila Well-Known Member

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    Aug 1, 2015
    Please forgive me if we've already talked about this, but which type of Fancy Feast are you feeding her? Also, what kind of treats does she get, if any? Are there other pets in the house that eat anything different? And is she taking any meds for the arthritis or any other health issues? Anything for the neuropathy? Just looking for any factors that might be contributing to the bouncing. It's most likely just as Kris and Rachel said - she's new to the insulin and needs some time to settle - but might as well check on everything else while we're at it! :)
     
  30. Jena4277

    Jena4277 Member

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    Aug 8, 2017
    Fancy feast classics
    Never treats
    No other pets
    No meds

    I’m staying the course! :D
     
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  31. Djamila

    Djamila Well-Known Member

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    Aug 1, 2015
    It is okay to give treats - as long as they're low carbs! ;) You also might consider giving her some zobaline to help with the neuropathy. Many cats see quite an improvement after a few weeks on it. How much does the arthritis effect her? Inflammation can increase BG numbers, so I'm wondering if some meds for that might help her?
     
  32. Jena4277

    Jena4277 Member

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    Aug 8, 2017
    I used to give freeze dried but she turned her head to those after a couple of weeks. She’s doing fine without treats . I mean sometimes she gets table scraps (purely meat only) so she is doing just fine lol.
    Her arthritis is severe, she has carpal hyperextension to the nth degree and has hip and joint issues. I tried meds but she just won’t take any and I stopped forcing her. She has slowed down plenty so although there may be some daily pain, her body is not requiring her to do more than lay around in her elder years so she is not making it worse by a huge amount of activity. It is a huge deal getting Meds in her and in her frail senior state, I really don’t want to put her through a daily fight/struggle. She is better just left alone as much as possible. The neuropathy has improved. She used to drag her leg around and slip around when she ate , now she can put weight on it a bit more and looks much more comfortable. Not sure why. Anyway, I think she will just always be a high kitty and I will do my best to keep her low in the time I have left with her. Thanks again.
     
  33. Kris & Teasel

    Kris & Teasel Well-Known Member

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    Aug 17, 2016
    Some people have found Adequan injections help a lot with arthritis pain. Have you ever investigated that? @JanetNJ has used it I believe.
     
  34. JanetNJ

    JanetNJ Well-Known Member

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    Jun 8, 2016
    Definitly try adequan shots for the arthritis!!! No pill to force in. Easy shots 2x a week for 8 weeks, then once every 2-4 weeks to maintain.
     
  35. Jena4277

    Jena4277 Member

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    Aug 8, 2017
    The bouncing is insane! :nailbiting: I wasn’t able to get a number last night but boy i am curious ...
     

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