PZI Dosing Question

Discussion in 'Prozinc / PZI' started by Paul & Spook, Mar 8, 2018.

  1. Paul & Spook

    Paul & Spook Member

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    Feb 24, 2018
    Spook is at 7 doses 0.75 and his BG is staying in the 300s. Is it time to bump back to 1 unit?
     
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  2. Kris & Teasel

    Kris & Teasel Well-Known Member

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    Yes, I think you can try that.
     
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  3. Paul & Spook

    Paul & Spook Member

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    Feb 24, 2018
    Thanks Kris & Teasel
     
  4. Paul & Spook

    Paul & Spook Member

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    Feb 24, 2018
    Going to hold at 0.75 ,low on test strips and buried with work until Sunday afternoon. More strips will delivered
    Today.
     
  5. Kris & Teasel

    Kris & Teasel Well-Known Member

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    Good plan. Dosing is harder when you have a bouncy cat - I know only too well. Try not to overreact to numbers. How is he feeling?
     
  6. Rachel

    Rachel Well-Known Member

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    You do what you gotta do to keep them safe! :)
     
  7. Paul & Spook

    Paul & Spook Member

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    He doing good. Eating well. Regular bms. Thanks
     
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  8. Kris & Teasel

    Kris & Teasel Well-Known Member

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    This is at least as important as the colours on your SS. :)
     
  9. Paul & Spook

    Paul & Spook Member

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    Feb 24, 2018
    Ate alot last night then puked near liter box at 11-12am happens when he gets constipatated. BG 128,135. 160this am.
    No shot. Eating a little.
     
  10. Djamila

    Djamila Well-Known Member

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    With the numbers you're getting right now, I think you could have safely given the shot even on that low number as long as you would be around to get a +2 test to confirm he was staying in safe territory. One way to feel safer about it is to stall for 20-30 minutes without feeding and re-test to confirm that the number is rising. If the second number is higher then you know the previous dose is wearing off and by the time the new dose kicks in he'll be fine.

    You can see on your 3/1 PM cycle that skipping the shot resulted in some pretty high numbers. It's best to avoid skipping whenever possible.
     
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  11. Paul & Spook

    Paul & Spook Member

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    Feb 24, 2018
    BG 256 now can I give him a 0.75 dose now
     
  12. Djamila

    Djamila Well-Known Member

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    You can as long as his next shot is 11-12 hours from now. it means you'll be off schedule and will have to move back to the correct schedule, but if your work/life/etc. allows that, it's okay to shoot now. If you can't move his shot time that much over the next couple of days then it's better to just wait until PMPS tonight.
     
  13. Djamila

    Djamila Well-Known Member

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    And don't forget to calculate in that we are losing an hour between tonights PM shot and tomorrow morning's AM shot. So that might add to the complication of getting back on schedule.
     
  14. Kris & Teasel

    Kris & Teasel Well-Known Member

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    I agree with Djamila's advice.
     
  15. Paul & Spook

    Paul & Spook Member

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  16. Kris & Teasel

    Kris & Teasel Well-Known Member

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    Those yellows after no shot are not bad at all. The fact that he was flatter and lower overall suggests that 0.75 u might be a bit too high. You could try 0.5 u tonight. More data needed to know for sure.
     
  17. Paul & Spook

    Paul & Spook Member

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    Thanks. I was thinking that also
     
  18. Djamila

    Djamila Well-Known Member

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    Hmmm......I'm not quite following the thinking on reducing the dose. Since the 0.75 nadirs are still so high, I would actually think it's time to increase the dose. @Kris & Teasel, is this just different approaches, or am I totally missing something? To be fair, I am running on very little sleep this morning and just poured my coffee, but haven't finished drinking it yet! :coffee::coffee::coffee:
     
  19. Djamila

    Djamila Well-Known Member

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    Oh wait....are you thinking because the numbers looked better on a NS than they've been looking with the 0.75u?
     
  20. Kris & Teasel

    Kris & Teasel Well-Known Member

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    Yes. Just seeing this now - I've been away from home today.
     
  21. Paul & Spook

    Paul & Spook Member

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    Worked til 7pm.300’s again. He is a mystery. Giving. 0.75 this am.
    See what happens. Can test more today.
     
  22. Kris & Teasel

    Kris & Teasel Well-Known Member

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    Unfortunately you don't know how low he went mid day yesterday. It doesn't have to be very low, just lower than usual in a bouncy cat. That can set off another round of bouncing and that can last for up to 6 cycles. My cat is like that. He does better on Lantus and Levemir but he's still volatile.
     
  23. Paul & Spook

    Paul & Spook Member

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    Thanks Kris
     
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  24. Paul & Spook

    Paul & Spook Member

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    Feb 24, 2018
    Tested Bg 67 gave him some food.
    Will test again in a hour.
     
  25. Kris & Teasel

    Kris & Teasel Well-Known Member

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    Ah, yes ... the dive that seems to come out of nowhere. Another thing that volatile cats will do. I suggest you keep the 0.75 u for now if you have the nerve to do that. He'll probably bounce like a mad man after this.
     
  26. Paul & Spook

    Paul & Spook Member

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    Feb 24, 2018
    Bg 114 Going to keep it at 0.75 for few more atleast
    Thanks
     
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  27. Paul & Spook

    Paul & Spook Member

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    Feb 24, 2018
    BG 300’s all night. 261 this am. 8 days at 0.75 After yesterday wondering if stay at 0.75 or back to 0.50?
     
  28. Paul & Spook

    Paul & Spook Member

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    Feb 24, 2018
    Staying at 0.75 this am
     
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  29. Rachel

    Rachel Well-Known Member

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    Sorry I wasn’t on earlier! I like this dose...I think you did fine.
     
  30. Paul & Spook

    Paul & Spook Member

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  31. Paul & Spook

    Paul & Spook Member

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    All 300’s so far today. Can this bouncing be caused by to much insulin?
    What Ive read about the Somogyi effect makes me wonder.
     
  32. Kris & Teasel

    Kris & Teasel Well-Known Member

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    It’s more likely a reaction to yesterday’s lime green. You could try 0.5 u for a few cyclesto see what happens. A case can be made for that reduction because he dropped low yesterday.
     
  33. Paul & Spook

    Paul & Spook Member

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    Feb 24, 2018
    Thanks. Last time we asked the vet also said stay ar .75 Waiting on his reply too. Sent him the SS.
     
  34. Paul & Spook

    Paul & Spook Member

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    Feb 24, 2018
    BG 247 pmps is it to low or can we feed and shot
     
  35. Kris & Teasel

    Kris & Teasel Well-Known Member

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    I hope this isn't too late - yes to feed and shoot.
     
  36. Paul & Spook

    Paul & Spook Member

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    Feb 24, 2018
    Thanks
    Reread the ProZinc Beginners sticky notes and feed him and will give him injection at 8pm
     
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  37. Paul & Spook

    Paul & Spook Member

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    Feb 24, 2018
    Spook is a grazer and misses food being available all the time.
    it takes about an hour to get a couple Tbs. of wet food in him .
     
  38. Kris & Teasel

    Kris & Teasel Well-Known Member

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    ProZinc is slow-ish in onset so he only needs to eat a little bit (to prove he's willing to eat) before you give insulin. Aside from the 2 hours before pre shot test time you can let him graze with no problem. Many people like an automatic feeder so there are small meals available at set times overnight ornwhile you're at work.
     
  39. Paul & Spook

    Paul & Spook Member

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    Feb 24, 2018
    What about grazing on curve days?
     
  40. Kris & Teasel

    Kris & Teasel Well-Known Member

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    We usually say they should eat in their normal pattern on curve days (except for the 2 hours PS) so you capture their response to the dose under typical conditions.
     
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  41. Rachel

    Rachel Well-Known Member

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    Aug 25, 2013
    I let mine graze back when I had a sugar cat. Never seemed to affect her adversely...even now all my civvies graze. :)
     
  42. Paul & Spook

    Paul & Spook Member

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    Feb 24, 2018
    A couple good cycles. Hope it continues . With more improvements
     
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