Need dosing advice please

Discussion in 'Caninsulin / Vetsulin and N / NPH' started by Kerstin, Dec 21, 2017.

  1. Kerstin

    Kerstin New Member

    Joined:
    Jul 20, 2017
    Can someone please take a look at Sam's spreadsheet and give me some advice?
    He had some low readings earlier this month and I lowered his dose, now he is all over the place...thank you so much!
     
  2. Sharon14

    Sharon14 Well-Known Member

    Joined:
    Aug 16, 2015
    Hi Kerstin. Is there a way you can get some mid cycle tests? It’s hard to see what’s going on without them. If you work, try to get a test just before you leave or right when you get home and one before bed. You can also grab some extra tests on your day off.
     
  3. Kris & Teasel

    Kris & Teasel Well-Known Member

    Joined:
    Aug 17, 2016
    Hi Kerstin,

    Congrats on testing AM and Pm before shooting. :) I'll suggest that you leave the dose where it is for a couple of days and try hard to get either a daytime mid cycle (+4 to +7) test or two and if that won't work, at least a before bed test. We need more data showing how low this dose takes him before the dose can be properly evaluated. Vetsulin can drop BG quickly and by a fair amount. We need to know if he's going too low around nadir and then bouncing up high.

    Is that possible for you?
     
  4. Kerstin

    Kerstin New Member

    Joined:
    Jul 20, 2017
    Hi Kris and Sharon, I got a couple of mid-cycle readings in...this morning he was too low to shoot again and just now at 418 again...I test agin at +4....
     
  5. Kris & Teasel

    Kris & Teasel Well-Known Member

    Joined:
    Aug 17, 2016
    It looks like the 3 u dose on a PS of 201 like last night's was too much. That's likely why you has a low PS this morning. I suggest you learn how to measure out fractional doses. I'd try lowering the dose to 2.75 u tomorrow AM if the PS is high enough. Testing tonight at +4 will give useful data. You're just starting to build a more complete picture with these extra tests.

    Are you using a vet pen or similar? I ask because all of your dose changes are in whole unit increments.
     
  6. Kerstin

    Kerstin New Member

    Joined:
    Jul 20, 2017
    He's on vetsulin and we use U-40 syringes, so it would be hard to get 2.75 u, are there other syringes available that would allow for that?
     
  7. Kris & Teasel

    Kris & Teasel Well-Known Member

    Joined:
    Aug 17, 2016
    I believe you can order U40 insulin syringes with half unit marks from adwdiabetes.com if you're in the US. Another way to greatly increase your dose fraction options is to use U1oo syringes with half unit marks and the conversion chart:
    http://www.felinediabetes.com/insulin-conversions.htm
    These syringes are available from that same online vendor.
     
  8. Kerstin

    Kerstin New Member

    Joined:
    Jul 20, 2017
    So he's at 150 at +4. I just ordered the 1/2 unit syringes.
     
    JanetNJ and Kris & Teasel like this.
  9. JanetNJ

    JanetNJ Well-Known Member

    Joined:
    Jun 8, 2016
    Try to get more mid cycle numbers like around +4-5
     
  10. Kerstin

    Kerstin New Member

    Joined:
    Jul 20, 2017
    He just had 132, that's the lowest we ever had at night! I did not shoot and just fed him, am I doing the right thing here?
     
    JanetNJ likes this.
  11. Kris & Teasel

    Kris & Teasel Well-Known Member

    Joined:
    Aug 17, 2016
    Yes, you did the right thing.
     
  12. Kerstin

    Kerstin New Member

    Joined:
    Jul 20, 2017
    So today Sam drinks pretty much every 2 hours from what I am seeing....numbers appear ok, he is his usual self aside from the constant drinking. It's abnormally cold in FL so I actually have the heat on, not sure if that could trigger the drinking. The other cats don't seem to be bothered....
     
  13. Kris & Teasel

    Kris & Teasel Well-Known Member

    Joined:
    Aug 17, 2016
    Many unregulated diabetic cats will drink more. Is he peeing more or larger lumps?
     
  14. Kerstin

    Kerstin New Member

    Joined:
    Jul 20, 2017
    Hi Kris, yes, he definitely pees more. He's always been a good drinker but today he drinks a lot. BG was just at 93 at +93. Other than that he acts normal, his appetite is great, he seems constantly hungry and definitely gain his lost weight and muscle mass back.
     
  15. Kris & Teasel

    Kris & Teasel Well-Known Member

    Joined:
    Aug 17, 2016
    Those are good signs. Has he had a blood panel that also evaluates kidney function? Just throwing that out there as something else that can affect drinking/peeing.
     
  16. Kerstin

    Kerstin New Member

    Joined:
    Jul 20, 2017
    He had full bloodwork done at diagnosis and the kidneys were ok then, I think it's the higher BG numbers again....
     

Share This Page