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HOW IS HE DOING?

Discussion in 'Prozinc / PZI' started by Merrie, Oct 12, 2019 at 7:04 AM.

  1. Merrie

    Merrie Member

    Joined:
    Aug 9, 2019
    So I have Mel on 1.25 of province now, how would you say his pre shot #s are? I am not scheduling
    another curve until November.
    Comments on the #'s welcome.
     
  2. MrWorfMen's Mom

    MrWorfMen's Mom Well-Known Member

    Joined:
    Feb 18, 2015
    Mel's pre-shots are not too bad but in order to determine how Mel is doing overall, you need to know how low the current dose of insulin is dropping his BG. Dosing cannot be determined based on pre-shots alone. While a full curve is not necessary and would provide a view of only one day, getting one or two mid cycle tests during the day whenever possible during the expected peak of the insulin's action (between +4 and +7 hours post shot) will give you a much better idea of how Mel is doing. You can randomly test at +4 one day and +5 the next for example to find the lowest point in the cycle. It's also important to grab at minimum a before test every night because our kitties have a habit of going lower at night than they do in the daytime.
     
  3. JanetNJ

    JanetNJ Well-Known Member

    Joined:
    Jun 8, 2016
    Great preshots. Try to get more mid cycle numbers
     
  4. Merrie

    Merrie Member

    Joined:
    Aug 9, 2019

    Thanks, will do. Today he was very normal. I work so I will have to do most of this next weekend. I was running home everyday at lunch but that is not always possible.
     
  5. Merrie

    Merrie Member

    Joined:
    Aug 9, 2019
    Hi Janet, I like your video of BG testing, however, what shows on the screen when it is time to touch the blood drop?
    I have been doing it after the blood drop icon is showing and the the test strip have bounced
    across a couple of times. Is this good or do I need to wait longer?
    Thanks,
    Merrie and Mel
     
  6. JanetNJ

    JanetNJ Well-Known Member

    Joined:
    Jun 8, 2016
    As soon as the blood drop shows you can test. Simply dip the little protruding straw where a dot is on one of the sides of the strip.
     
  7. Merrie

    Merrie Member

    Joined:
    Aug 9, 2019
    That is what I have been doing, thanks.
     
  8. Merrie

    Merrie Member

    Joined:
    Aug 9, 2019
    Could someone comment on Mel’s low numbers today? Please see spread sheet. Started the day at 99. It was a no shoot morning, at 10:30 his BG was 231, at 6:30 pm he was only at 187. I gave him his normal dose of 1.25, after testing the strips and machine with the test solution. +2 131, +4 70. I brought him food on the sofa. He ate, will take one more reading before sleep. Do I need to worry? Should I take him to the ER? He is acting ok and is now cleaning himself after his 2nd dinner. He has never been this low sine diagnosis. 1-1/2 months.
     
  9. Jenna Josie

    Jenna Josie Member

    Joined:
    Jun 30, 2018
    Hi Merrie. Can you get another test 30 minutes after you feed him? I think that should be in just a few minutes...? How much did he eat?
    Edit: and was it the savory selects or the classic?
     
  10. Merrie

    Merrie Member

    Joined:
    Aug 9, 2019
    I did just that he is up to 126! Are we ok?
     
  11. Merrie

    Merrie Member

    Joined:
    Aug 9, 2019
    P.s. it is savory selects. He ate over 1/4 can. I hand fed him.
     
  12. Jenna Josie

    Jenna Josie Member

    Joined:
    Jun 30, 2018
    Yes, I think you are okay! Two reasons: first, that's a nice little bump he got there from the food; and second, from the mid-cycle data that's on your chart, he looks like he has a "typical" (whatever that means for a cat!) nadir at +6, and you are nearing that now. (Nearly +5 about now, I think?)

    That was a close call with the lime greens, though, so you might want to check in another hour (or 30 minutes . . . I'm sure it's getting near bedtime!) just to be sure he's staying up.

    Also, if it were me, and especially if I couldn't be home with him tomorrow, I would probably lower the dose down to 1 unit tomorrow morning, assuming, of course, that he is high enough to shoot. He likely will be -- many cats "bounce" after a number that, for them, is unusually low -- but especially since he's still so early in his diagnosis, it's important to keep a close eye on it.
     
  13. Merrie

    Merrie Member

    Joined:
    Aug 9, 2019
    Thank you so much for your help.
    It is 12:30 am. +6 and he is 130!
    Yes I work tomorrow so I will adjust accordingly. Much thanks for your help. It was scary.
     
    Jenna Josie likes this.
  14. Merrie

    Merrie Member

    Joined:
    Aug 9, 2019
    He is only 170 this morning. Spoke to vet. No insulin this morning. I did put a bit of the appetite stimulant in his left ear, but so far not eating . He never is a really good morning eater.
     
  15. MrWorfMen's Mom

    MrWorfMen's Mom Well-Known Member

    Joined:
    Feb 18, 2015
    I agree with Jenna (Hi @Jenna Josie :D) I'd reduce the dose to 1u so you hopefully can shoot morning and night consistently instead of having to skip shots. Besides, Mel dropped low enough last night that a reduction was earned anyway. Mel is doing very well. Keep grabbing mid cycle tests when you are able. :D
     
  16. Merrie

    Merrie Member

    Joined:
    Aug 9, 2019
    Thank you both. I will try 1U if he is high enough.
     
  17. Merrie

    Merrie Member

    Joined:
    Aug 9, 2019
    i went home at lunch to check. 1:00. He is 265. So at 6:30 I will give him his regular dose age.
     
    JanetNJ likes this.
  18. MrWorfMen's Mom

    MrWorfMen's Mom Well-Known Member

    Joined:
    Feb 18, 2015
    Chances are those higher numbers today are bouncing from the lower numbers yesterday. This is normal and doesn't mean dose needs to be increased again. Bounces can last a few cycles so just hold the course for now.
     
  19. Jenna Josie

    Jenna Josie Member

    Joined:
    Jun 30, 2018
    Wow! Did he get his BG down from the 260s to 115 PS?! :woot: I’m thinking maybe his little pancreas is kicking in some insulin of its own!

    Even though you didn’t give him a shot, it would be very instructive to get a +2/+3 anyway ... if his pancreas *is* doing some work, he should be able to keep in low’ish numbers as his own insulin breaks down the sugars from his dinner.

    (hi @MrWorfMen's Mom :D )
     
    MrWorfMen's Mom likes this.
  20. MrWorfMen's Mom

    MrWorfMen's Mom Well-Known Member

    Joined:
    Feb 18, 2015
    2nding that WOW! Mel is looking good. Let's see what that +2 or+3 looks like. :joyful:
     
  21. Merrie

    Merrie Member

    Joined:
    Aug 9, 2019
    I was wondering about the pancreas healing myself! Hoping for only good news from here on.
     
  22. Jenna Josie

    Jenna Josie Member

    Joined:
    Jun 30, 2018
    Hi @Merrie what’s little Mel up to tonight? :confused:
     
  23. Merrie

    Merrie Member

    Joined:
    Aug 9, 2019
    Thanks so much for asking.
    I came home from work to find a BG in the 400,s. I suspected something because he had peed a lot in the box, like before. Had not seen that in a long while. I took it 2x to be sure. Gave him a larger dose of prozinc. Took BG test around 4 hour mark and it said 33. I thought this was not correct. Chris from the FB group, suggested I take another right away to be sure. He was walking eating and drinking well. I took another, just so I could sleep and it is 123 at + 5. Now we sleep. Tomorrow I will give shot of 1U and try to keep that for a while. It is very hard to do all of this and work. Lol ,maybe I should retire. Oh but then I could not afford all this.
     
  24. Jenna Josie

    Jenna Josie Member

    Joined:
    Jun 30, 2018
    Yes, if it were me, I would definitely hold the lower dose for a few cycles, unless/until his BGs indicate otherwise. Since it was just a few days ago that 1.25 sent him too low, I think 1u is good for now to see how he settles. Who knows why they throw those crazy numbers every once in a while, but it's maybe not too surprising given that he hadn't had insulin regularly over the last five days. Hopefully the 1u will keep him in those healing blue/green numbers for you!
     

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