Low PMPS dosage advice needed please!!

Discussion in 'Feline Health - (The Main Forum)' started by Monica & Josie, Oct 18, 2017.

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  1. Monica & Josie

    Monica & Josie Member

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    Apr 16, 2017
    Hello,
    Josie is on Prozinc, only increased dosage a few days ago 1.5u. Her numbers been a bit of a mix really , unable to work out any pattern or reasons yet..
    Just tested her and her PMPS is unusually low 14.0 compared to her usual readings 19-25.
    Can anyone advice what dosage to give her now please??

    Maybe @Djamila @Rachel @Diana&Tom @Elizabeth and Bertie @Yong ?
    @Tuxedo Mom
    Many thanks guys!
     
  2. Diana&Tom

    Diana&Tom Well-Known Member

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    Dec 29, 2009
    Hi Monica
    I'm not a dosing expert but since you've tagged me I must just say that this looks like good progress! You've been really patient trying to get Josie's bg down and it may be - let's hope - that the current dose has done its job today in not dropping her too drastically and running out of insulin early or causing bounce. As you know, it's partly a matter of getting Josie used to better numbers - she may have a tendency to be more comfortable when she's slightly higher (remembering the weekend's hypo-like symptoms at a bg of around 10).

    So this is an interesting stage. 14 is shootable if you think she's going up but you don't want to give too much and drop her too low at night especially. The more aggressive dosers may say stick to the dose and hope to see some nice blues in the next cycle but I personally err on the side of caution so I think I'd test again in half an hour and see where she's going then... even that short time could make enough of a difference to feel more confident about dosing.

    But that's just MHO. Will be interested to see what the others say.

    Rooting for you!!
     
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  3. Monica & Josie

    Monica & Josie Member

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    Apr 16, 2017
    Hello Diana,

    I knew you would say you were not a dosing expert, I just tagged you in for your outstanding cheerleader qualities and support!:)

    And you didn't disappoint! Thank you!

    Noone else seem to be responding and poor cat is getting really hungry now..
     
  4. Diana&Tom

    Diana&Tom Well-Known Member

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    Poor Josie! So if you tested at 7.30pm could you get another quick test in now, 8pm?
     
  5. Elizabeth and Bertie

    Elizabeth and Bertie Well-Known Member

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    Sep 6, 2010
    Taking quick look at SS. BRB....
     
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  6. Monica & Josie

    Monica & Josie Member

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    Apr 16, 2017
    Just did, she was in a really bad mood... 15.9 so I think I’m going going ahead with a skinny 1.5u..
    Hope made the right decision..
    Thanks Diana! Xx
     
  7. Monica & Josie

    Monica & Josie Member

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    Apr 16, 2017
    Ok just getting dinner ready for her I’ll wait.. thank you Eliz!
     
  8. Elizabeth and Bertie

    Elizabeth and Bertie Well-Known Member

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    Sorry Monica...
    I agree with Diana, can you get another test?
    The trend is falling so far (albeit gently), but it would be good to see that it's not continuing to fall before you give the shot....
    .
     
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  9. Diana&Tom

    Diana&Tom Well-Known Member

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    Dec 29, 2009
    Eliz is looking now I think... hope she agrees with your decision, sounds a good bet to me!
    ETA glad Eliz has posted!
     
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  10. Elizabeth and Bertie

    Elizabeth and Bertie Well-Known Member

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    Sep 6, 2010
    That looks fine to me, Monica. ..Can you test later to check all is well..?
    .
     
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  11. Monica & Josie

    Monica & Josie Member

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    Apr 16, 2017
    Yes will do thanks so much again Eliz and Diana!
    Around what time would you advise me to test again??
     
  12. Diana&Tom

    Diana&Tom Well-Known Member

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    Dec 29, 2009
    Just in case Eliz has had to go... if Josie's having her dinner now that's going to raise her bg so you should be fine for an hour or two... but probably best to check again at least a couple more times this evening before you go to bed. And look back at her recent ps numbers on Prozinc and see if you can work out roughly when the insulin takes effect...
    Paws crossed here that this is all going in the right direction! Good job Monica!
     
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  13. Monica & Josie

    Monica & Josie Member

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    Apr 16, 2017
    Thanks Diana! I don’t think I can do a couple of tests, maybe one if I’m lucky..she was very pissy about the last one and night time ones always been more tricky for some reason anyway..
    I appreciate and admire you being so positive and hopeful, unfortunately the SS and those various numbers throughout are still not making sense to me, they are still all over the place since we started in April!? I don’t think I have much hope left in me anymore for anything..
    The only good thing is that despite all the high numbers/test results and being diagnosed with two serious illnesses incredibly Josie is doing very well herself and looking very healthy..
     
  14. Squalliesmom

    Squalliesmom Well-Known Member

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    Jun 26, 2015
    Hi Monica, I don't really know much about ProZinc, so I can't help much with dosing, but I CAN tell you not to give up hope that the spreadsheet will start making sense! It took me FOREVER to finally get a handle on what Squallie's ss was telling me; then I changed insulins and was right back to not understanding what I was looking at, lol. So now, after another FOREVER (!) I have finally started to understand his numbers on Lantus. So please don't think you will never understand it, the day will come when you realize you do, and it will be a pleasant surprise!:):bighug:
     
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  15. Monica & Josie

    Monica & Josie Member

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    Thank you! I tagged you in my other thread and posted a reply there for all of you, I hope you don't mind....
     
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  16. Diana&Tom

    Diana&Tom Well-Known Member

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    Monica, do take heart from this! You are certainly not alone in feeling frustrated despite all your efforts, but as you see, patience and perseverance pays off!

    Just looked at your spreadsheet and see that Josie went high again in the night. This might be because although the 14 you got at pmps time seemed lower than normal, it was nevertheless a rising number and she was in fact fast running out of insulin... might be an idea to get a couple of tests in late afternoon before the pmps test when you can, to see what direction she's going in so you can be more confident shooting usual dose at usual time.

    Keep going Monica and don't run out of hope. It's easy for the rest of us to be positive and encouraging when we're not the ones struggling to make sense of everything, but think how far you've come and how well you must actually be doing to keep Josie so happy and healthy. As we say here, our kitties are more than just their bg numbers so celebrate - you must be doing something right!
     
    Last edited: Oct 19, 2017
    Reason for edit: Sp
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  17. Monica & Josie

    Monica & Josie Member

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    Apr 16, 2017
    Thank you Diana, I just replied to all of you on the other thread, have a look when you have a moment. Unfortunately I won't be able to test much today as both have a busy afternoon working all the way til evening feeding..

    Thank you for your encouraging words, you are always so supportive xx
     
  18. Yong

    Yong Well-Known Member

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    Jan 11, 2017
    Hi Monica! Sorry I wasn't around. I haven't been on in a few days because of work. I see you got a blue the other day :cool:. You mentioned you were giving a Skinny 1.5 so just make sure to put a "S" in front of the number to indicate and if you do a Fat, put a "F" so we know it's not the exact 1.5 :). Also helps so if you go back and look to see what dose you gave on a lower PS ;).

    Even those red PS numbers are slowly coming down, which is a good sign :cat:. You might even see more blues when you do your next increase to 1.75U. :bighug:
     
  19. Monica & Josie

    Monica & Josie Member

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    Apr 16, 2017
    Hello Yong, thank you and no worries, managed to make a decision at the end.
    Had a bit of a meltdown afterwards on the original thread but I bounced back since then..
    Will update the SS, good point thank you!
    I'm not convinced the red numbers are actually coming down but SS looking healthier overall lately so that's good!:)
    Thanks again for checking on us, hope you're well - don't work too hard!
     
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  20. JanetNJ

    JanetNJ Well-Known Member

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    It looks like you're ready for an increase
     
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  21. Diana&Tom

    Diana&Tom Well-Known Member

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    Mmm so what are you thinking about an increase, Monica? Just had a peek at your ss and seen that nice blue mid-cycle today.... still room to play with ref the pre-shot numbers though!
     
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