New to Prozinc

Discussion in 'Prozinc / PZI' started by Teenuh, Dec 28, 2017.

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  1. Teenuh

    Teenuh Member

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    Dec 27, 2017
    Hello,
    Newely feline Dx with diabetes. First reading at the vet was 391. Vet said she wanted to recheck in 2 weeks, as I wanted to try to control with diet. I switched to wet food only (Nulo, some FF, and some of the Royal Cainin Glycobalance. Her next reading was 340. She didn't drop as much as I had hoped.

    I initially brought her to vet, as I noticed she was losing weight. I was trying, but I didn't think I was trying hard enough. One day I picked her up and was just like--Wow she is pretty light.

    Anyway, vet suggested I start Insulin. I was hesitant at first, but I want to do what I can for my feline.

    She prescribed me Prozinc. 1u 2x daily as a starting dose. Then she wants me back in 2 weeks for a curve to reevaluate

    One of the reasons I was hesitant to start insulin, as I know my work and school schedule aren't very friendly.

    The problem: I will only be able to give 2 daily doses 4 days a week. The other 3 days I will only be able to give the first dose.
    I have NOT started the insulin yet.
    I can't move my school schedule around (Nursing student) and right now I can't move the hours at my job around either.
    I live about 35 mins from home from my job site--so going home for a short break isn't an option.

    I have no family in he area and my pet sitter isn't available on an on going basis like this.

    My thought process: 1x a day is better than none.

    Should I reconsider insulin? Or should I start and just do what I can.

    The vet knows my schedule and her only words were "just try and if you can''t you can't".
     
  2. Djamila

    Djamila Well-Known Member

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    Aug 1, 2015
    Hi Tina, and welcome! Have you already bought the insulin? Can you tell us a little more about your schedule on the other three days of the week? On the four days when you can give both doses, what times will they be and how do those times compare to the three days you can only give one shot? For example, will you be able to give the AM dose at 5am every day, but only give the PM dose at 5pm four days or the week and 7pm the other three days? Or is it off even more than that? The more details you can share, the better we can try to help get this worked out. As much as we all want to do what is best for our cats, you do have to still be able to work and go to class so we'll try to do our best to help you work this out.
     
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  3. Teenuh

    Teenuh Member

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    Dec 27, 2017
    Hello! And thank you for the welcome.

    I have already purchased it, but have not opened it/started it.

    I arrive home from work at approximately 8:45am M-F. I would plan to give AM dose at 9am. BUT 2 weekends a month I have to leave my house by 7:20am and not back until 9pm (both Saturday and Sunday). 2 weekends a month I'm home all day.

    I'm free to give an evening dose up until 9pm on TUE/THUR.

    M,W, F I go into my shift early. I leave work at 3:30pm--as I commute about 45 minutes

    It's so complicated.
     
  4. Djamila

    Djamila Well-Known Member

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    On MWF, when do you get home?
     
  5. Djamila

    Djamila Well-Known Member

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    Also, are you feeding the Nulo minced, shredded, or pate? And which type of Fancy Feast?
     
  6. Teenuh

    Teenuh Member

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    Dec 27, 2017
    Nulo & FF Pate
     
  7. donnalea

    donnalea Member

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    Jun 18, 2016
    Prozinc is the most flexible of all the insulins. An yes, once a day is better than none. You can do a curve on one of your days home. One of the first things you can do is to pick up a glucose meter. You can buy one at Walmart if there is one nearby. Just remember, with school, your schedule will change for the next semester. The Wonder people here will help you work out something that will work for you and your kitty
     
  8. Teenuh

    Teenuh Member

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    I arrive home the next morning at 8:45. I work evenings/nights.
     
  9. Teenuh

    Teenuh Member

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    Dec 27, 2017
    I plan on buying a glucometer. Walmart is actually where I plan on purchasing it but my vet tech said not to use a human glucometer. Oh my Lord the supplies for the pet one are so expensive!!!!!!
     
  10. Teenuh

    Teenuh Member

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    Dec 27, 2017
    I’m already a little frustrated that I spent $200 on Prozac and u40 syringes.

    When I found that I could get both for about $150 from different sites.

    My vet tech just had me scared because she was like well we don’t know where it’s been so you’re kind of taking a chance.
     
  11. Djamila

    Djamila Well-Known Member

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    Don't buy the pet one -it's way way way too expensive and our protocols are written for the human one anyway.
     
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  12. Djamila

    Djamila Well-Known Member

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    Yes, they like to scare us into all kinds of things. You'll find plenty of good info here to save you money going forward.
     
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  13. Djamila

    Djamila Well-Known Member

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    Okay, here is a whole bunch of info. I hope I don't overwhelm you....

    1. As donnalea said, Prozinc is flexible, but it isn't as long lasting as Lantus or Levemir. If your kitty is still on insulin when you're ready for a new vial you might want to consider switching to one of those to give at least slightly better coverage for the missed shots.

    2. Glad to hear you'll start testing at home. As soon as you're up and running on that you can cancel the curve at the vet. It will save you money, is unnecessary if you're home testing, and will be more accurate at home since stress raises numbers and most cats are stressed at the vet.

    3. Get a spreadsheet set up as soon as you can. http://www.felinediabetes.com/FDMB/threads/fdmb-spreadsheet-instructions.130337/ Let us know if you need any help with that part.

    4. Start your signature with all of the key info: cat's name, age, weight, date of diagnosis, food, insulin type, meter type, any other health issues, anything you want us to know so we don't keep asking the same questions over and over (we have terrible memories :))

    5. Yes, start insulin. And 1u bid is a good starting dose. Make sure you have your testing supplies so you can test just before each shot. The usual sequence is test, then feed, then shoot. You don't want to feed during the two hours prior to the shot as that can inflate the BG number and you can end up over dosing.

    6. Mid-cycle tests whenever you can are really helpful so you can judge if the dose is working, too much, or too little. Nadir on Prozinc is usually somewhere around +4 to +7 hours after the shot is given, but every cat is different - mine has typically hit nadir around +3, I've seen a kitty here who usually hit around +9. And of course the nadir can move from day to day based on activity, food, stress, etc., although most cats will have a "typical" time at least.

    7. Ketones - one more thing to buy while you're at WalMart - ketone test strips are around $15 - you stick it under your kitty's bum when he/she is peeing and catch a drop, then see if it changes colors. Ketones can develop quickly and are deadly if not caught right away. If your kitty won't let you in the room when using the litter box, we have some tricks we can teach you to get these tests done. Usually once/week is enough or if symptoms pop up.

    8. Food - another way that vets mess with us. The Glycobalance is around 14% carbs which is too high for a diabetic cat, so I would recommend that you stop feeding that one. You can click on the blue "food list" words in my signature to check the Nulo and FF to make sure that the style and flavors you're feeding are low carb. The recommendation is under 10% carbs, but generally the lower the better.

    Okay, that's probably more than enough for now. Please let us know what questions you have as this can be a bit overwhelming in the early days. I promise it gets easier. It will be as routine as brushing your teeth in no time, but the first couple of weeks are tough. We've all been there. We are here to help.
     
    Last edited: Dec 28, 2017
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  14. FurBabiesMama

    FurBabiesMama Well-Known Member

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    What?! You can buy Prozinc from reputable pharmacy sites, and you have no more concern over 'where it's been' than you do when you get it from the vet (who has to get it from somewhere). Lots of people use Allivet; I have gotten it from 1800PetMeds. You can get syringes from ADW for cheaper than I have seen them anywhere.
     
  15. Teenuh

    Teenuh Member

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    Dec 27, 2017
    Opps! I meant Prozinc. Not Prozac!!!

    Is sending in the Rx to Allivet and 1800PetMeds smooth?
     
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  16. Teenuh

    Teenuh Member

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  17. Teenuh

    Teenuh Member

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    Dec 27, 2017
    Thank you for all of your advice!

    I created my signature.

    My vet called me today. She suggested I increase to 2u's 1x a day on the days I can't do two. Then on the days I can do 2 shots to do 2u's 2x/daily. What are your thoughts? I had a breakdown in their office today--out of frustration. It just makes me feel bad that I can do two doses daily. But, all I can do is try my best.

    I asked about the Curve again. She said the curve is needed to tell whether or not the insulin is working. She mentioned it helps them gauge whether they need to increase/decrease. But then I head they don't feed them during this time. Do you just provide the vet with your numbers?
    Also, did your vet every question why you don't do curves in office? It is simple to me. I want my cat comfortable and in her own home. Not stressed. and it is expensive!

    I just wasn't sure if that was a god enough leg to stand on.

    Does your vet know you use a human meter? Not that it matters. I'm just curious.

    Shouldn't vets be helping us find the most cost efficient way to help manage our pets health?
     
  18. Djamila

    Djamila Well-Known Member

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    Aug 1, 2015
    Oh wow...umm....no. Please don't double the dose on the days you can't do a second shot. That is dangerously bad advice! That's not quite how insulin works. Yes, a larger dose will also have a longer duration, but it can make the nadir drop way too low and send your cat into hypoglycemia. Let's see what some of the daily numbers are once you start testing at home and we can figure out the best plan from there.

    Now onto better things: Great job getting your signature set up! My kitty doesn't have a known birthday either. Is Gracie a shelter rescue?

    Please don't feel bad about the missed shots. You can only do what you can do. If you weren't working and preparing for your future career you wouldn't be able to take care of her at all. And many people either abandon or put down their pets when they get this diagnosis, so your willingness to do the best you can for her is already better than many kitties get. You'll both be okay. :bighug::bighug::bighug:

    As for dosing, we have a protocol that we follow that helps us figure out dosing, and then as we get to know Gracie and how she responds we can give more specific dosing suggestions based on what the numbers show. So our vets don't tell us how much to dose. If you look at the beginning of the Prozinc forum there are some posts that have a yellow "sticky" marking. Read through those to start to get an idea of how all of this works. Then beyond what's in there, there is a bit of an art to dosing prozinc, but again, we can help with that part as you start to figure it all out.

    My vet knows that I use a human meter and he's okay with it now (it took awhile to win him over on that). Some folks do have an AlphaTrak2 that they use occasionally in order to give numbers to their vet, and then they use a human meter the rest of the time. I'm too cheap for that, so I've just made my vet adjust ;). Most vets aren't used to people taking charge of their pet's care. They aren't used to owners who take the time to really learn about all of this and monitor it. But when they see how well it works, they usually start to trust that you know what you're doing, and even learn from you. It's okay to just hold your ground (politely) for now, and in time you'll win her over.

    There is an article around here somewhere (one of the research articles) that talks about home testing being more accurate because of the stress factor. I can see if I can find it if your vet gets pushy about it, but at least with my vet, when I said I wanted to do the curves at home he was okay with that. Saying you want your cat comfortable, not stressed, and save money should be perfectly acceptable reasons - especially since you won't really need the vet to determine dosing anyway once you get the glucometer.

    As for vets helping to find cost effective ways to treat, that's tricky. On one hand yes, but on the other hand, they are a business and profit matters in a business. I think most vets are good and honest people, but they do have to balance being helpful with taking care of their businesses. And beyond that, they just simply aren't experts in feline diabetes. They are generalists who know a little bit about everything, but don't really have the time to figure out which website or store sells which things for the lowest prices. All we do around here is diabetes, so we have figured out lots of tricks along the way to save money.

    Now back to the food --- my cats get bored easily too so I use a bunch of different foods, but do make sure you check the foods you're feeding on the food list. Pet foods are notorious for not being transparent about carbs in their foods. Just because it says Grain Free doesn't mean it's low enough carbs for our sugar cats. The food list has been put together by Dr. Lisa Pierson and a bunch of other folks around here who have contacted companies and poked and prodded them into sharing the actual carb content of their foods. The list is updated every year, so it's pretty accurate and provides information that you can't get by just looking at the labels. As you already know, getting on a low carb food is super important to getting Gracie's BG down into healthier numbers, so it's worth double checking to make sure the foods you're giving her are okay.
     
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  19. Kris & Teasel

    Kris & Teasel Well-Known Member

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    Excellent advice from Djamila. Once you've learned the basics (those yellow stickies are a great reference) we can help you adjust your kitty's treatment to fit your schedule - safely. :)
     
  20. FurBabiesMama

    FurBabiesMama Well-Known Member

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    We knew what you meant, but it was a funny slip. :D

    I have not used Allivet, so I cannot comment on that one. I am sure you could do a 'chat' with them on their site and find out. Someone from 1800PetMeds phoned my vet's office to verify that there was a prescription and get the info they needed, and they shipped the insulin out right away. I did not have to send in a prescription and wait for them to get it. (They will let you do that, if you want. You cannot fax/email one though.)
     
  21. Teenuh

    Teenuh Member

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    Dec 27, 2017
    Oh gosh-that would be a horrible medication error though! Sounds like an easy verification process. I'm sure my vet will be tickled one they realize I have out sourced my medication. NOT.

    Do you only use the AlphaTRAK2?
     
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  22. FurBabiesMama

    FurBabiesMama Well-Known Member

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    About curves... curves are a valuable tool in seeing how your baby is responding to an insulin dose so a decision can be made on whether to continue or change the dose. You always want to make sure she does not have food at least two hours before you do a pre-shot test. This is so that the pre-shot test result will not be impacted by food. The pre-shot tests are very important because you want to make sure the number is appropriate for the insulin to be given. So, you test, feed her, then give the insulin shot. That should always be the routine, and also on any day you are doing a curve. For a curve, you would then take another test every two hours after that. If you are doing the usual 12-hour curve, your last test of the curve would be the next pre-shot test. Food is not normally withheld during a curve. I feed as normal on days that I do a curve.

    Your vet should not have a problem with you doing your own curve. I recommend that you review the AAHA guidelines, and maybe even share points from them with your vet. Here are a couple of excerpts related to home monitoring and curves (BGCs) : "Home monitoring of BG is ideal and strongly encouraged to obtain the most accurate interpretation of glucose relative to clinical signs. Most owners are able to learn to do this with a little encouragement, and interpretation of glucose results is much easier for the clinician" "In-clinic blood glucose curves (BGCs) are more likely to be affected by stress hyperglycemia than BGCs generated at home. Veterinarians should be cautious of high glucose results and subsequent overzealous increases in dose."
     
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  23. FurBabiesMama

    FurBabiesMama Well-Known Member

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    I do, yes, but most people here do not. I prefer the accuracy of the AlphaTrak, however, I encourage you to consider long-term costs. I pay roughly $1 per test strip. Take a peek at Mia's spreadsheet, and you will see how this could become quite expensive. You will not be doing as much testing as I do based on what you had shared about your situation, but still, it will add up. If cost is not a factor/issue for you at all, go for the AlphaTrak; otherwise, don't. Lots of people manage fine without one!
     
  24. Teenuh

    Teenuh Member

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    Dec 27, 2017
    Yes, Gracie is a shelter rescue. The only way to go. I woud LOVE a Bengal, but there are far to many rescues out there at need a good loving home.

    I like the food chart in your signature by the way. Vet's should be showing all of their diabetic patients that.

    My vet had a animal dietitian "expert". When I told her the Hill's Science Diet M/D was loaded with carbs...she just argued with me. She told me to stay off the message boards, or the internet--it was ridiculous.

    It just confused me--as I know that when humans are diabetes-- less carbs is better!!!! It was almost as equivalent as my doctor saying--I know you are a diabetic, but it's okay to eat ice cream 2x a day.

    I'm hoping to get some BG levels this weekend of early next week and start the chart (couldn't remember the name at the top of my head).
     
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  25. FurBabiesMama

    FurBabiesMama Well-Known Member

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    catinfo.org (where the food list comes from) is by Dr. Lisa Pierson, DVM. So, that info is NOT from just some random person. The better vets (meaning with a little more feline diabetes knowledge) are sometimes already aware of her work with feline nutrition.
     
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  26. Teenuh

    Teenuh Member

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    Ha. Sounds like all of the people at my vet. Like-what are they scared? A vet that has more knowledge.

    The ladies up front who check me out are great though. I remember when my vet suggested I buy the Science Diet from Hills's--D/M and I saw the price tag and I was like let me do some research. They were all for it and said that is what they would do before purchasing.
     
  27. Teenuh

    Teenuh Member

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    Dec 27, 2017
    Is it OK to give my cats chicken? Sometimes I buy the rotisserie chicken from Costco and I'm wondering if I should give my cat more of that.

    One time I even bought liver and gave her that (after I cooked it). It was years ago when my other cat was showing signs of being anemic. My other cat refused to eat, but Gracie sure ate it.
     
  28. Kris & Teasel

    Kris & Teasel Well-Known Member

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    Yes, you can give it as a treat - probably best to remove the skin in case they add seasonings to it that aren't good for cats. It wouldn't work as a meal replacement, though, because it lacks some important vitamins and minerals cats need - eg. taurine.
     
  29. Teenuh

    Teenuh Member

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    Of course. I would remove skin.
    How do you like your Freestyle meter?
     
  30. Djamila

    Djamila Well-Known Member

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    If you're interested in making food at home, there are a few of us who do that. I use the supplement pack at www.foodfurlife.com, then just cut up some raw meat, mix it together with a little water and - done! If you want to go completely from scratch and buy all of the supplements and do it yourself there is a recipe at catinfo.org, along with a TON of information about how to make it work for you and your kitties. Oh, and liver is good for them, so if she wants it as a treat sometimes it's fine to give it to her - cooked or not.
     
  31. Kris & Teasel

    Kris & Teasel Well-Known Member

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    Aug 17, 2016
    I like my Freestyle Lite meter. Its strips need only a tiny blood drop and it gives a reading quickly. I'm in Canada so the Walmart ReliOn models with cheap strips aren't available. All test strips are expensive here.
     
  32. Rachel

    Rachel Well-Known Member

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    Aug 25, 2013
    I use the recipe from catinfo.org (I'm very new at all this food making though). I've found that grinding the meat is the hardest part but my cats prefer pate styled foods so it's best for me to grind rather than cutting up the meat. I do know several people who use the same premix that Djamila mentioned and they say it's very simple and great for cats! I'm considering going that route at some point.
     
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  33. Teenuh

    Teenuh Member

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    Dec 27, 2017
    Attached below you will find the email from my vet. She originally started my cat on 1u, but then decided to go up to 2u. When I called and left a message and asked her to reply via email- this is what she said.

    Thoughts? I really prefer to leave her food out--I don't leave a crazy amount out, but I leave enough that if while I'm gone and she is hungry she can eat. Sometimes I am gone overnights due to my job (medical field).


    Dear Tina Rubinstein,
    The best control for Gracie will be achieved with twice daily dosing, the ideal dosing is 12 hours, but going 8-10 hrs is okay. If you are only able to dose gracie once daily then I would recommend giving her 2 units once a day. To be consitent on day that you can give insulin twice a day i would give 2 units twice a day. This will not results in the best control, but hopefully if will be enough to decrease gracie clinical signs. I would recommend that you feed gracie which ever food she like better wet or dry before giving her the insulin. As long as she eats some of her food then i would give her the whole does of insulin. If she does not eat any of her food then I would give 1/2 the dose of insulin so 1 unit. If gracie does not eat her food for more than 2 days i would recheck.
    I would recommend you feed her in meals instead of leaving food out, that will both help her to be hungrier when you do feed her and will also stop her from having glucose spikes in the middle of the day.
    If you have any more question feel free to email or call back and leave a message,
    Sincerely,
    Dr. Brianna Benedetto
     
  34. Teenuh

    Teenuh Member

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    Odd, but I didn't know there wasn't a Wal-Mart in Canada.

    I'm glad you have a meter that works well for you. How is your cat with it?
     
  35. Teenuh

    Teenuh Member

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    Dec 27, 2017
    I think making food at home is my long term goal. I might look into the site you provided. Is that all your cat gets? Or do you supplement with wet canned food? Also--do you change the raw meat? Or do you keep using the same kind of meat.
     
  36. Djamila

    Djamila Well-Known Member

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    Hi Tina! Have you started testing? Have you starting giving insulin? How is it going?

    I have two cats. My non-diabetic (Atticus) eats all raw food. I made a big batch of chicken with the foodfurlife, and then I also feed commercial raw (Primal and Rad Cat) pork, rabbit, and turkey. My diabetic cat (Sam) eats about a 50/50 mix of canned food and raw food, and he rotates eating the homemade and the commercial raw depending on what I put out that day. He won't eat Rad Cat at all, but he likes Primal and homemade. So basically I run a kitty restaurant over here. :rolleyes: When the chicken starts to run out, I'll choose the next protein by whatever is on sale that week at the grocery. :D I want to keep them on some commercial in case I decide I'm just too lazy to keep up with the homemade. So far it's been super easy though.

    Both of my cats are shelter rescues, and Atticus is half bengal. He pretty much just looks like a domestic short hair, but he's crazy athletic and his body shape is a little sleeker than a typical DSH since he has that bit of bengal in him. You might not find a pure bred at a shelter, but you can occasionally find their illegitimate offspring ;)

    Can't wait to hear how things are going for you and Gracie!
     
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  37. Rachel

    Rachel Well-Known Member

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    Aug 25, 2013
    I think you're fine to leave the food out. Many of us do that. You do want to try to take it up 2 hours prior to testing to make sure your preshot isn't food influenced, but having food out for her to eat when she wants isn't usually an issue around here.
     
  38. Teenuh

    Teenuh Member

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    Dec 27, 2017
    Wow. You do have quit the kitchen over there. I like your methods though! Buying whatever is on sale at the grocery store is the way to go! Besides it gives kitty some variety. I'll get there eventually. Since switched to wet food only-- cat won't even touch dry food. I'm glad she has adapted to this, but in a pinch it would be nice.

    I am very familiar with Bengal's. They are a beautiful. So big though. I want one, but they are close to 2-5k from a reputable breeder. Sounds like you got lucky. Is the half Bengal the one in the photo?

    I'm ashamed to admit, but I have not started testing yet. I ended up having to work last weekend--which was not expected. But I have off this weekend and I am making it a priority to start this weekend.

    I have someone on here helping create the spreadsheet. Its all coming together. Slowly--but surely.
     
  39. Djamila

    Djamila Well-Known Member

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    No, my half-bengal is my non-diabetic. His mom was DSH and his dad was a Bengal.

    Glad to hear someone is helping get the SS set up for you. When you're ready to start testing, let us know what comes up and we can help with lots of tips and suggestions. To get ready for it, I'd suggest getting larger sized lancets - like a 26 or 28 instead of the little 30's or 33's that often come with the meters. You'll also want cotton balls or cosmetic squares (I prefer those) to back up the ear so you don't poke yourself if the lancet goes through the ear (that's pretty common). And if you have some uncooked rice, you can put it in the toe of a small sock or wrap it up in some felt or fleece to make a little pouch. Heat it in the microwave for 20 seconds or so (depends on the microwave) and hold it gently against the ear to get the blood flowing.

    Also, establish a place for testing even today. Put Gracie there, rub her ears, and give her a treat. It will start to establish that as a positive place, and having her ears touched as a positive thing. Then when you start testing she'll already be in a more cooperative mood. Getting started on that right now will really help for when you're ready to do your first real test. Do that fake testing routine several times today and tomorrow to get her ready.
     
  40. srk4cats

    srk4cats Well-Known Member

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    Jan 19, 2017
    lol. Yes, I often confuse the two as well. When you order online, you give them the name and phone number of your vet and the pharmacy will take care of the rest. Be prepared to pay about $30 extra for mailing in a cold pack. The insulin must be kept cool.
    Don't feel so bad about the money. I paid a lot more for Prozinc at the vet because she had just gotten diagnosed. I'm sure I also paid for a curve before I found this website. The Prozinc lasts for about 6 months, and especially at 1 unit, it will last a long time. Just keep it in the fridge. I think I ordered my last vial from 1-800-pet meds because they had a deal for $30 off your first order. I get my syringes at ADW, too. Make sure you order the ones with half-unit markings. Many people use the Relion meter from Walmart that only costs about $10.
     
  41. Teenuh

    Teenuh Member

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    Dec 27, 2017
    I will be sure to let you guys know as soon as I test. I just looked and it seems I ordered the 26 gauge lancets for the human meter. My pet meter is 28 gauge lancets. I ordered both kinds.

    I picked up cotton balls today as well after reading this. Thanks to your tip!

    I didn't even think about the extra cost for keeping it cold. I did a mock shopping cart. In that instance is was $10 more than my vet. I think the fact that it needs to be kept cold plays a factor. I'm going to check back frequently and the second I see a sale I'm going to buy it.

    I'm sure I can at least find the syringes and sharp container cheaper though--that was over $50 at the vet.

    I have plenty of extra rice around here.

    You are awesome!! Thank you so much for the tips!
     
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  42. Djamila

    Djamila Well-Known Member

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    Aug 1, 2015
  43. Teenuh

    Teenuh Member

    Joined:
    Dec 27, 2017
    I just checked. The syringes are much cheaper there!!! Still have to keep an eye out for the ProZinc. It's higher online than at my vet right now--due to shipping needs.

    I picked up a human ReliOn Meter and a Pet Meter.
     
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  44. srk4cats

    srk4cats Well-Known Member

    Joined:
    Jan 19, 2017
    Not so much the supplies, it's the vet bills that are killer.
     
  45. Teenuh

    Teenuh Member

    Joined:
    Dec 27, 2017
    Ha! That seems a bit odd for a cat to be that calm. Mine was certainly not that calm. She didn't hiss or growl, but you could tell you was irritated.

    I tested with my pet meter a few minutes ago. I wanted to do a random test. She was at 214 (a little on the high side). She received her insulin today. I do leave food out to free eat. She could have ate prior to testing. I was reading the set up guide.
    Original Dx she was at 391-then 341 two weeks later. So maybe it's coming down--slowly though.
     
  46. Djamila

    Djamila Well-Known Member

    Joined:
    Aug 1, 2015
    Great job getting started with testing! Do you have your spreadsheet set up too? It's great that the numbers are lower than at the vet. Often the stress of the vet's office can make their numbers go much higher - so the lower numbers could be some improvement, could be from the insulin, or could be because she's more relaxed at home. How many hours after the insulin was that test done?
     
  47. Teenuh

    Teenuh Member

    Joined:
    Dec 27, 2017
    The SS is still being worked on. I originally stated that I would primarily be testing on a human meter--that has since changed. The lady working on it may have to do a little more adjusting.
    I liked the Pet meter much more. The ReliOn irritated me and it kept giving me problems. Going to return it. Since I won't be able to test daily right now the cost shouldn't phase me much right now. And if it gets to that point--I will try again.
    I did do a stock order and ordered an additional 50 test strips and lancets. I found the lancets for $21.95 for 100. The test strips is where it hurts the bank.

    I gave her first shot at 7:15a I tested 9hours post insulin. The plan is I can test 2 weekends a month (usually) and 2-3 days a week 1-2x.
    What times are the best to test?
     
  48. Marje and Gracie

    Marje and Gracie Well-Known Member

    Joined:
    May 30, 2010
    I’ll have the SS done on Sunday. I just needed one more thing from Tina and now have it.
     
  49. Djamila

    Djamila Well-Known Member

    Joined:
    Aug 1, 2015
    So just to clarify from your post - and this may be what you meant to say and I am misunderstanding - but you do need to test daily. You'll give a test before each shot to make sure that the number is high enough to safely shoot. At the beginning we generally say to not inject if they are under 200, especially since you'll be gone the whole cycle. As you collect data and we learn what is safe for Gracie, that "no shot" number can be lowered.

    Then you'll also get mid-cycle tests on the days/nights when you can. Prozinc usually reaches nadir sometime around +4-+7 (four to seven hours after the injection), but every cat is different so it takes some extra tests to figure out if Gracie usually reaches nadir earlier, at a normal time, or later in the cycle.

    Regarding supplies, if you're using the lancet device, you'll need to order the ones that go with your brand, but if you're just using the little lancet itself and free-hand poking, you can save some money here: https://www.adwdiabetes.com/product/1207/advocate-glucose-lancets All of this gets expensive, so every little bit helps. :)
     
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  50. Teenuh

    Teenuh Member

    Joined:
    Dec 27, 2017
    Ok, you are making more sense. Ok-let me clarify AGAIN. Just so I can ensure I get this. Bare with me. :)

    I will test prior to injection. IF she is under 200 then don't inject. I'm guessing I hold off on food until after test? What about the days that I can't give the second shot and test? Should I inject to be safe?

    I can test mid cycle a couple days a week. It'll vary each week though, but it is something I will work in on the days I am home longer. I'll plan on testing at +4, +5, +6 ,+7 for the first few weeks just to help you and myself and others see when she reaches nadir.

    I free hand poked yesterday. I guess it'll vary. I'll go ahead and order those too though. MUCH cheaper!!!

    PS: SS is up. Still learning input stuff.
     
  51. Teenuh

    Teenuh Member

    Joined:
    Dec 27, 2017
    Thank you for taking the time to help with the spreadsheet. Over time it'll be like second nature to me--until then I'm navigating my way through.
     
  52. Djamila

    Djamila Well-Known Member

    Joined:
    Aug 1, 2015
    Your situation is going to be a little on the unique side given your schedule, but don't worry - we'll figure out how to make it work!

    First of all, Sequence: Yes, you are correct. The order is test, then feed, and then give the injection. She doesn't need to eat her whole meal, she just needs to show you that she's willing to eat. If a diabetic cat stops eating it is an indicator of a bigger problem, so we use this order to make sure the kitty is okay for the day.

    Eventually you'll be able to shoot under 200, but at first we need to be certain of Gracie's reaction to the insulin so that you can know she'll be safe while you're at work. So for the first week no shots under 200, but we'll change that after you have a couple of days when you can get the mid-cycle tests done and we know where she's at.

    Prozinc wears off after about 12 hours, so giving more on the days you can't do the 2nd shot doesn't help. It will still be gone by the 12 hour mark. All that's accomplished by giving more insulin is putting her in danger of going hypo. So it won't help, and it could really hurt.

    On the days you can test during the middle of the cycle, I would suggest doing a +4 and a +6 OR a +5 and a +7, but not all four tests. That's just a lot of little jabs and all four aren't necessary. Of course if Gracie is one of those cats that just sleeps through the test and you're just curious, then go for it. ;)

    Okay, now for the spreadsheet, the first column that says AMPS is morning (a.m.) pre-shot (p.s.). That's where you put the blood glucose (BG) number for the first test. Then in the U column you put the number of units (how much insulin did you give?). Then in the +1, +2, +3, etc. columns, those are for the hours after the injection. So if you don't do a test, you leave the cell blank, when you do a test, you put it in the appropriate column. We do it that way since we are all in different time zones. I'm guessing you already got that part though since you said you'll test at +4, etc. ;):p Sorry, sometimes I over explain things. :rolleyes:

    So I think I'm understanding from your posts that you've already been giving insulin, is that correct? If so, then starting at January 1st (dont' worry about it if you were injecting before then), go ahead and put the units you gave for the AM and PM cycles so we can start to see the pattern of which cycles you can shoot and which cycles you have to miss. On the cycles you skip, put NS (No Shot) in the U column. And also put in that 214 you got the other day so we can see where that falls in the cycles.

    I know it's a lot. It's so much to learn and remember at the beginning. Please don't worry about it. Step by step, and ask and re-ask your questions as much as you need to. You're absolutely right that in no time this will all be so much easier. It's just a lot when it all comes at you at once!:bighug:
     
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  53. Teenuh

    Teenuh Member

    Joined:
    Dec 27, 2017
    I would rather have you over explain then under explain. I will let you know when I get my spreadsheet up and running fully. I'm going to work on it at work tonight. Usually there is a little down time.

    Yes, I have already started using insulin. I had my own little notepad of the days I gave 2 shots versus 1.

    The only concern I have--but it really isn''t a concern is the fact that I generally leave food out all the time for Gracie. She free eats. The only time that there is "generally" no food left is when I work. I leave a little extra out--just to hold her over. By the time I get home (the next day at approximately 8:30a) she's got a full appetite and ready to eat.

    So, my thought is--the most accurate preshot will be the days I work? The only other potential problem is--she could have just finished the last bite 20 mins before I got home--so the test won't be as accurate I'm guessing?

    Side question: is 12hrs the max you can be between shots? I was looking at my schedule and it looks like I can actually give 2 shots on a couple extra days, but there would be about 13.5-14hours in between.

    and the other days I could give 2 shots, but there would only be 7.5 hours in between the first dose and second dose.

    I hope that made sense. I was rambling on and on.

    Also, I tested her BS a little bit ago, It was high! 466, but she's been free eating off and on all day and I gave her monthly dose of Revolution--which tends to make her a little tired and blah the day of.
     
  54. Teenuh

    Teenuh Member

    Joined:
    Dec 27, 2017
    SS is updated and accurate.
     
  55. Djamila

    Djamila Well-Known Member

    Joined:
    Aug 1, 2015
    Ah food...the single most important, and most difficult part of managing feline diabetes.

    The easiest way to make sure you get that two hours food-free window is to use a timed feeder like this:
    https://www.chewy.com/petsafe-eatwell-5-meal-timed-pet/dp/48080

    Of course that is yet another expense. The trick then is to leave the last section empty and have it turn to that empty section two hours before you'll be testing. The one that's linked above also has a little compartment underneath that you can fit a small ice pack which helps to keep wet food fresh longer. The compartments in general really help with free feeding wet food since they keep it a little less exposed to the air so it doesn't dry out as quickly (adding extra water to the food really helps with that too). You can get that same feeder off of Amazon if you prefer buying from there.

    Until there is room for that in the budget, don't stress too much about it. Yes, it may impact the pre-shot numbers, but odds are she eats most of the food earlier in the day anyway when it's fresher.

    Also, have you been able to check the carb content for the foods you're feeding on the food chart? Cats who are on a low carb wet diet have about a 70-80% chance of going into remission (depending on which study you read). Cats on a higher carb diet have almost no chance of going into remission. It is really super important to make sure all of her foods are under 10% carbs, and that food list is the most reliable way to be sure. For more background on that you can read catinfo.org.

    If you discover that any of her foods are higher carb, you'll need to take her off of it carefully because for some cats it can have a big and rather sudden impact on her blood glucose. Hopefully they're all low carb, but if you find one that isn't, post and we can help you figure out the best way to transition.

    Shot times: They can be more than 12 hours apart. The problem comes in the next cycle when you only have 7.5 hours left before the next shot. You usually can't shoot that early. In some cats it's possible to safely shoot a little early (+9-+10ish), but we'll need to get to know Gracie's patterns first. So for now you can either shoot at +13.5 and skip the next shot, or skip the late shot and shoot the next one at the normal time.

    Great jog getting the spreadsheet going!
     
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  56. Teenuh

    Teenuh Member

    Joined:
    Dec 27, 2017
    I think that is probably the hardest thing about being a diabetic in general-is food. I have investigated the food list. I have cut out all dry food--now she won't even eat it. At times I find it almost a headache, as it would be easier at times.
    She WAS eating what the vet recommended. The Hills Science diet specifically for diabetic feline--that was until I saw the carb amount. I was pretty upset. I argued with my vet and the dietitian there. We still don't agree.

    She eats Fancy Feast Pate. The carb content is very low. She was eating Nulo--another low carb content, but recently hasn't been a fan of it. So, FF it is. I want to try Friskies too.
    I had some left over Glycobalance from Royal Cainin (14g) and now she isn't a fan of that. I put the FF on top of it and she refused to eat it. I've wasted a few cans to say the least. She wants the bowl clean and washed thoroughly before she will eat out of it again. Almost like its contaminated.

    Glad I asked about the shot times. I'll keep doing what I've been doing--or adjust like you said above.

    I have an Amazon Prime account. I'll look into getting the feeder in the next couple of weeks. It is another investment, but at least it is reasonable.
     
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  57. Djamila

    Djamila Well-Known Member

    Joined:
    Aug 1, 2015
    It does start to feel like I spend more money buying things for my diabetic cat than for myself sometimes. :rolleyes: At least Friskies and Fancy Feast aren't terribly expensive! And that's a good point that food is one of the hardest things for human diabetics too.

    Sounds like Gracie has a good sense of what is making her feel better, and what is making her feel icky.

    And yes, dry food is a lot easier. I miss those days too. I'm so glad my kitties are happier and healthier, but dry food was so convenient!
     
  58. Teenuh

    Teenuh Member

    Joined:
    Dec 27, 2017
    Good news: I did my first AMPS and inputed. Bad news: Still on the high side. :(

    Is insulin supposed to make it be within "normal range"? I know I'm still early in treatment. I just wish I saw better numbers.

    Timed feeder is ordered!
     
  59. Rachel

    Rachel Well-Known Member

    Joined:
    Aug 25, 2013
    Great job! Yes, insulin should bring her to a normal range, but it takes time. We say around here that this is a marathon, not a sprint. She will come down, but it won't be with one shot...but it does happen! I promise!
     
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  60. Djamila

    Djamila Well-Known Member

    Joined:
    Aug 1, 2015
    Woot! Woot! Nice job!!! Not so great about the number, but as Rachel said, in time it will get better. Also, most of the good numbers are going to be while you're at work. The pre-shot numbers are usually the highest numbers of the day, so try not to get too discouraged about that. When is the first cycle when you are planning to get the mid-cycle tests? It will be great to get a sense of how much she's responding to this dose.
     
  61. Teenuh

    Teenuh Member

    Joined:
    Dec 27, 2017
    Really? It seems odd that the pre-shot numbers would be the lowest. Maybe I'm thinking of someone fasting & trying to compare to two.
    I'm going to be home most of tomorrow actually. I was thinking maybe tomorrow? But...I will be gone from 2-4:30pm. I should be home by 8:30/8:45am.

    Let me know what you think? If not...the next time I could do is the 20th or 21st--since my semester starts back up next week. :nailbiting:

    If you think I should give it a go--could you leave me specific instructions? Especially if I need to remove food after her first shot or if you think I should pickup food when I leave for the 2.5 hours.
     
  62. Djamila

    Djamila Well-Known Member

    Joined:
    Aug 1, 2015
    Okay, assuming your shot times is still around 9am/9pm (am I remembering that correctly?), you'll test before the injection, then go ahead and leave her food out as usual. The mid-cycle tests, it's okay if they are grazing/snacking. You want the mid-cycle tests to reflect whatever is happening on a typical day. So I would say to get a test just before you leave at 2, and then get another test as soon as you arrive home around 4:30 - so if I'm calculating this right, that should be around +5 or a little before, and +7.5ish.

    And the pre-shot numbers aren't the lowest, they are (usually) the highest. The reason is that the insulin is pulling the blood glucose down during the cycle, then starts to wear off towards the end of the cycle. So if you were to test every two hours throughout the cycle (a full curve), and then graph it, it should look like a smile - higher on the two ends, lower in the middle. So it would look something like this:

    upload_2018-1-8_20-53-19.png
     
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  63. Teenuh

    Teenuh Member

    Joined:
    Dec 27, 2017
    Ugh. I know . . . well technically I don't, as I had to ask. I can't wait to see the day she comes down.

    This makes me question her number last year. I typically do a blood panel at my yearly vet visit. I think I missed the panel the first few years, but I know I did one last year. I might do a little investigation and figure out how much its changed.
     
  64. Teenuh

    Teenuh Member

    Joined:
    Dec 27, 2017
    Yes. Shot times are about those times. I added a reminder in my phone-to hopefully prevent me forgetting.

    Would you say it is common for the curve to look like that? And very uncommon for it not to? I remember when my vet tech was telling me about curves...I asked how long it would take and she stated it's usually an all day thing. She stated it partially depends on the cat too. She then said that day none of the cats were curving...and if that happens you generally have to come back.

    Uh hello. They are probably stressed out.
     
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  65. Djamila

    Djamila Well-Known Member

    Joined:
    Aug 1, 2015
    Common? yes and no. Before a cat is regulated, you'll commonly see a lot of flat curves while you increase to the "right" dose. I put right in quotes because it changes all the time. So the dose that is right at that moment. Anyway, so you'll see curves that look like this:

    upload_2018-1-9_4-57-39.png

    Or even a little like a frown - the BG might even go up during the cycle when the insulin dose is too small.

    As you increase the dose, eventually you'll get to a curve that looks like this:

    upload_2018-1-9_5-0-7.png

    Here the kitty has dropped low and bounced back up high. Now usually the low isn't as low as this chart shows (48 is too low), so just look at the shape - a steep drop and then a sharp rise. We usually call that sharp rise a "bounce"

    The problem is that kitties are bad a bouncing, so they bounce up, and then they stay there. So after a lower-than-normal number they will look like this for a few cycles again.

    upload_2018-1-9_4-57-1.png

    So we wait, and usually somewhere around 3-6 flat cycles later, you get that nice, smile shaped curve, and you can see if that dose is really a good dose - if the nadir is in the greens or low blues, you're doing well and hold the dose a bit longer. If the nadir is mid-blues or yellows, you increase the dose.

    Of course, every cat is different, so no guarantees Gracie is going to follow this pattern, but it's a pretty typical pattern, so you'll likely at least see some elements of it, even if she doesn't follow the whole cycle exactly.
     
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  66. Teenuh

    Teenuh Member

    Joined:
    Dec 27, 2017
    Good visuals. Thank you for including and give an brief example. THIS helps.

    I won't expect a perfect curve today, as I assume her dosing still may need to be adjusted. I'm also guessing with my partly inconsistent schedule it might be more difficult to get her fully regulated.

    She was a little more hungrier this morning than normal. Normally I give her a small can and she eats some then walks away. This morning was the first time she ate some--followed me to the bedroom then went back and finished it. I'm wondering if I didn't leave out enough food.

    And she was a little more irritated that I was poking her today . . . I think because she was more hungry, but she was moving around a bunch too. Very antsy.

    Her BS was definitely not low this morning. Higher than yesterday even.
     
  67. Djamila

    Djamila Well-Known Member

    Joined:
    Aug 1, 2015
    Whoa! Is that 51 right? Are you using the pet meter or the human meter? That’s too low on a pet meter. Can you test again to make sure that’s accurate? If it is, please give her some higher carb food to eat as soon as you can.
     
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  68. Teenuh

    Teenuh Member

    Joined:
    Dec 27, 2017
    YES!!!! I tested twice because I couldn't believe what I saw. I'm using the AT.

    I gave her some Glycobalance. I can go to the store and buy something with higher carbs if needed.

    She's eating OK. Doesn't appear wobbly. Just irritated cuz I tested twice.
     
  69. Kris & Teasel

    Kris & Teasel Well-Known Member

    Joined:
    Aug 17, 2016
    How many hours past this morning's dose are you right now? When did she get the Glycobalance - right after that lime green number?
    I suggest you test her again because she might not yet be a nadir.
     
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  70. Stephanie & Quintus

    Stephanie & Quintus Well-Known Member

    Joined:
    Dec 9, 2017
    We've been in touch with Teenuh on Facebook, and she called me just a moment ago, wanted to give you an update as she's busy taking care of her kitty.

    She hasn't managed to get another test after the 51 (which she double-checked) over an hour ago. Her kitty is acting normal. She fed her HC and also some karo/honey (didn't ask which). She made an appointment an hour from now with her vet. I suggested it was really important she test again as soon as possible, but given she was not managing, I suggested giving her more karo/honey (better safe than sorry if you're "blind") and going to the vet earlier if she was worried. Even though this is probably the kind of situation that is manageable at home, between the fact she is not managing to test and that she is "starting out" with the sugar dance, I felt the vet course was the safer option and told her as much.
     
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  71. Kris & Teasel

    Kris & Teasel Well-Known Member

    Joined:
    Aug 17, 2016
    I'm really glad you were there to help. Stephanie. If she's having difficulty testing the vet clinic is the safest place. She also has a really complicated school/work schedule.
     
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  72. Teenuh

    Teenuh Member

    Joined:
    Dec 27, 2017
    Thanks guys. This post below is for Djamila. I appreciate the help.



    Yes, you read that right. I tested twice, as when I got the first got the reading I thought I was seeing things. I gave her some food with gravy and a little honey.

    Actually taking her to the vet right now to get tested with my monitor. I will keep you posted.
     
  73. Teenuh

    Teenuh Member

    Joined:
    Dec 27, 2017
    Thanks Stephanie. I need a break right now.
     
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  74. Djamila

    Djamila Well-Known Member

    Joined:
    Aug 1, 2015
    Take care, Teenuh. Sending you and Gracie hugs!:bighug::bighug::bighug:
     
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  75. Teenuh

    Teenuh Member

    Joined:
    Dec 27, 2017
    Will update you soon!!! Phone is on limited battery.

    Glad I had today off though...well most of the day.
     
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  76. Djamila

    Djamila Well-Known Member

    Joined:
    Aug 1, 2015
    Hi Teenuh! I hope everything went well at the vet today! Please no rush on responding to anything - you guys had a rough day today - but I wanted to mention that Gracie is likely to be quite high tonight after that low number. Assuming she is, please lower her dose to half a unit, or one unit (let's see what other folks think is best). Two units is clearly too much for her. If she isn't high tonight, you may need to skip tonight completely.

    I believe your dosing time is around 9pm Pacific Time Zone, and there aren't a lot of people around here at that time. If you need help and no one responds here, post out in the Main Health forum http://www.felinediabetes.com/FDMB/forums/feline-health-the-main-forum.28/ And there is almost always someone keeping an eye out there - even in the middle of the night. :)
     
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  77. Kris & Teasel

    Kris & Teasel Well-Known Member

    Joined:
    Aug 17, 2016
    I agree that a dose reduction is needed and she'll be insulin sensitive after the lows today. For that reason I think 0.5 u is safest for tonight if the pre shot BG is high enough.
     
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  78. Teenuh

    Teenuh Member

    Joined:
    Dec 27, 2017
    Hi!
    We are home.

    The vet visit went well. I'm glad I went--I was able to see MY vet (Dr.Thomas). I had to show up crying and in panic, but it worked. It was not the most ideal route to go, but it worked and it got the job done. The vet who prescribed the insulin was not Gracie's regular vet (her name was Dr.Benedetto--I just found out she switched practices). We reviewed dosages and notes. She was not approving of the 2u's. She didn't understand why we wouldn't try the 1u first and then recheck.

    She also said NO CURVES. She said that due to the fact that my schedule is a bit inconsistent she is suggesting a fructosamine in 3 weeks--instead to see how her body is adjusting and handling the insulin.

    She was trying to feed my cat the Science Diet--specifically for diabetics. I told her she wouldn't eat it. They ended up giving her what I sent her with.

    She is advising again't home tests until after the next test. She thinks numbers will not be what I like and I will likely freak myself out again.

    The thing is--we wouldn't have made this adjustment without the home test.
     
  79. Teenuh

    Teenuh Member

    Joined:
    Dec 27, 2017
    She is no longer on 2u's. 1u is the new dose. I will adjust my signature to reflect the change.
     
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  80. Djamila

    Djamila Well-Known Member

    Joined:
    Aug 1, 2015
    You are absolutely right that without home testing you wouldn't have known she was that low. You are doing the right thing. It's nice of your vet to worry about your feelings, but not testing is just dangerous.

    Glad to hear she's going to be on a lower dose. Curious to see what her BG is tonight after all of this....?
     
  81. Critter Mom

    Critter Mom Well-Known Member

    Joined:
    Jun 16, 2014
    This.

    Speaking from absolutely terrifying personal experience, I think that dosing 'blind' and not having a clue about whether or not one's cat is at a safe BG level - in real time - is far less 'likeable' and is liable to freak a person out far, far more than seeing a test result that's higher than one might wish for.

    Pound to a penny your vet would be highly unlikely to advise a parent not to test their human diabetic child.


    Mogs
    .
     
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  82. Teenuh

    Teenuh Member

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    Dec 27, 2017
    Yes! VERY anxious to see.
     
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  83. Critter Mom

    Critter Mom Well-Known Member

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    Jun 16, 2014
    I think vets should concentrate more on effective management of their patients' diabetes instead of trying to manage their clients' feelings. (The gods gave us therapists for that! ;) )

    But then I am incredibly cynical. :rolleyes:


    Mogs
    .
     
  84. Teenuh

    Teenuh Member

    Joined:
    Dec 27, 2017
    I had a weird feeling today anyway. I originally wasn't going to test at 2+ but then I decided to. I definitely don't regret it. In my opinion we made progress. Even though we are starting over at 1u--I feel, as if it is the best new first step.

    Very disappointed with the other vet though. I feel, as if she steered me in the wrong direction.
     
  85. Teenuh

    Teenuh Member

    Joined:
    Dec 27, 2017
    Or message boards to vent. Haha
     
  86. Teenuh

    Teenuh Member

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    Dec 27, 2017
    What should BG be to give 0.5 vs 1 or none for tonight?
     
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  87. Djamila

    Djamila Well-Known Member

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    Aug 1, 2015
    Well, she went from 439 to 51 in two hours today, so I wouldn't shoot 1 unit no matter what number tomorrow. That was a really fast drop. 0.5u is probably not going to be enough long term, but I think you need to give her a little rest for a couple of cycles and let her body reset. Vets can't tell you to do half doses because Prozinc is sold with whole unit syringes by the manufacturer. So they have to suggest whole unit doses. We are under no such obligation. :p

    Is tomorrow a day when you're home all day, or a day when you're at work?
     
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  88. Teenuh

    Teenuh Member

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    Dec 27, 2017
    I am taking your advice. I want her little body to reset.

    Would you say I should hold off on dosing tonight too then?

    "Have to" that is just greed on their part.
     
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  89. Kris & Teasel

    Kris & Teasel Well-Known Member

    Joined:
    Aug 17, 2016
    I agree with Djamila’s recommendation of 0.5 u. At this point I would say no insulin unless the pre shot BG is over 200 if you’re using a human meter. If you’re using a pet meter, I’d raise that no shot number to 250. As you accumulate more data, you’ll be able to lower your no shot number.
     
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  90. Djamila

    Djamila Well-Known Member

    Joined:
    Aug 1, 2015
    I would say to give 0.5u tonight too - assuming she's over 250.
     
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  91. Djamila

    Djamila Well-Known Member

    Joined:
    Aug 1, 2015
    Jinx! :smuggrin:
     
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  92. Critter Mom

    Critter Mom Well-Known Member

    Joined:
    Jun 16, 2014
    That drop was possibly worse than what Vetsulin/Caninsulin can do! :eek:

    @Teenuh - while things are in flux dose-wise, it's probably a good precaution to regularly test for ketones. (You can use Ketostix or similar for this.) More info:

    Testing cat for ketones

    Urine collection tips



    Mogs
    .
     
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  93. Djamila

    Djamila Well-Known Member

    Joined:
    Aug 1, 2015
    Yes, I think this one might be a record. I don't think I've ever seen a Prozinc dose drop that hard and fast!
     
  94. Teenuh

    Teenuh Member

    Joined:
    Dec 27, 2017
    Vet just called me. She forgot to mention they tested her at 3pm. Just before pickup. Her number was over 400.
     
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  95. Teenuh

    Teenuh Member

    Joined:
    Dec 27, 2017
    I'll definitely look into this. I just ordered an automatic/timed feeder--that should be there tomorrow.
     
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  96. Teenuh

    Teenuh Member

    Joined:
    Dec 27, 2017
    This stuff happens from being on too high of a dose I'm guessing?

    PS: I forgot to get her recent lab work from Dx. They tested all kinds of stuff. I think I saw a place to input on the spreadsheet.
     
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  97. Djamila

    Djamila Well-Known Member

    Joined:
    Aug 1, 2015
    Oh sweet Gracie! That's a rough day in blood glucose land! Extra chin scratches for your little one!
     
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  98. Djamila

    Djamila Well-Known Member

    Joined:
    Aug 1, 2015
    Yes, there is a tab with reference ranges in the speadsheet. Do you know which lab they use? My vet uses IDEXX which has slightly different references than the ones that are already in there - so if you notice a difference, that might be why.
     
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  99. Critter Mom

    Critter Mom Well-Known Member

    Joined:
    Jun 16, 2014
    I thought Caninsulin/Vetsulin drops in the 300mg/dL range were bad.

    .
     
  100. Teenuh

    Teenuh Member

    Joined:
    Dec 27, 2017
    Ah, good to know. This will help avoid any huh's when I get it.
     
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