? Should i increase dose for am, please advise

he everyone, I am sorry for this late post. I did a 10p BG reading tonight and it was 81 so I gave him 1/2/can of fancy at 6p it was 350, please refer to SS. I am wondering if he will go lower by his next BG read about 6a, please advise for am

 

Those numbers
81
97
151
are pretty much fine. He could have gone lower, so it was good to give him the food. I dose Leo a little less in the evening because he doesn't eat much after PMPS +4hrs.

I would probably give him 2U in the morning. Especially if he has a good appetite and is eating well during the day. You might consider the reduced dose at night, like I'm doing.

 

Perfect numbers last night.

 

If you're am bg is over 320 stick with 2 units. If it's under (like 280-320) then reduce it slightly to 1.75. 250-280 try 1.5

 

Hi janet- marmalades BG per SS was 279, should I try 1.5?

 

Yes! Great preshot! Keep it up, marmalade!

 

Make sure to test around +4 to make sure it's not too low

 

K. Thank u, see u around 10a

 

Why did you only do 1.5 at pm? That should have been 1.75

 

I was going by the numbers that u posted the other day, I misread, now what should I do since I screwed it up. That’s what happens when I post at 6 am and am not really awake. How do us think this will affect his AMPS the next morning? Hopefully I won’t have a bounce

 

The more I post numbers the more I get confused

 

I think you are misunderstanding what a bounce is. A bounce is when a cat goes too low and releases stored glucose causing the next preshot to be high.

It's not screwed up, just may stay a little higher this cycle. No biggie. Next time its 280-320 try 1.75.

 

Imgave him the 1.5 units at 6, how can I correct this to accommodate for the 1.75/units? Or is it to late?

janet I’m so sorry, should I give him any additional insulin given number I just posted

 

When u say cycle; you mean for a 24 hour period?

 

If it’s okay, can u be on the look out for me in the am, I just want to make sure I am dosing correctly. I know that I am being repetitive but that’s one of my worst qualities

 

So if his bg requires a different dose age in the am I should still ge by the number guidelines that were previously posted, how does that work?

 

I guess what I am asking is that is it common to administer different units in the am and pm. For example an am may be 3 units and a pm maybe 2 units, does situations like that happen

 

Here is a summary of Janet's recommended dosing. Corrections welcome. I agree with the recommendations.
over 320 - 2 units
280-320 - 1.75
250-280 - 1.5
adding
under 200 - no dose

If BG = 197, that is close enough. A single kibble would probably take Marmalade up to 220.

 

If you've given a smaller than normal dose then you need to wait until the next regular dose time before giving any more insulin.

The same rule goes if you mess up the injection - a 'fur shot' as they're called here. You wait until the next regular dose time to give insulin again because there's no way of knowing how much insulin did/didn't get into the kitty.


Mogs
.

 

Yes, some people provide different AM and PM dosages. Leo eats almost nothing after 9pm. His daily doses are:
AM - 4.5 units, sometimes 5.0 units
PM - 2.5 to 3.0 units

And we sometimes get a BG = 102 for AMPS. But it cranks up high after his first breakfast.

 

A cycle is 12 hours

 

Don't shoot more. It's really not a huge difference.

 

tha

nk u so much Jeff, this is easier for me to read as much as janet posted it for me.

 

Let's see what the numbers so tomorrow. I may revise that scale to increase on some of those numbers.

 

what is a good time to post given marmalade eats at 6a? I tend to,panick when stalling until I hear from someone

 

Did my mistake prompt a revision

 

Waiting to hear from someone is really hard for me as I am not the type of person who works well kind being in limbo, so I apologize if I sound impatient. I am not as nervous when I have a “game plan” in advance, if that’s possible with nature of diabetes

 

i never knew that doseage could be different, my vet only made any insulin changes at .5 for atnleast a week, now I see where I made my mistake,

 

"Waiting to hear from someone is really hard"
Ha ha. Don't panic. Really we are trying to get Marmalade regulated. It will be a week or so. Even with accidental low doses, you are doing good. The dose wasn't that low.

There are 2 dangers in diabetes:
- hypo, under 50, which can kill. I assume you read about it by now. If not, there is hypo info in the lantus subforum
- hyper (high), not as dangerous daily

With insulin dosing we are trying to bring the BG out of the high numbers. Over time, high BG causes glucose toxicity and other bad stuff. But a few high BG numbers in a one month period, doesn't have much effect on the cat (or human). Well, in humans it actually seems to make them friggin cranky. At least with the dude I used to know.

One thing you can do in your spare time is read some of the FAQs. I read them multiple times when I was getting started. Maybe there are some super smart people that just memorize them the first time thru.
.

 

just to be on the same page as everyone the “rule of thumb”would be to give insulin per these numbers no matter what

 

For me, the AM posting is irrelevant. I'm on CST and not fully cognitive until 9:30am.
Janet will be up and at 'em by then.

 

I am definately not a number person which bites me in the butt, all the time

 

Those numbers are for your cat only. Each cat has their own insulin needs. Janet has customized the dose for the current period.

Example: Leo gets 3.0 to 5.0 Units to keep him regulated. His insulin demand is different.

 

I will post by 6 am so would my window still be half an hour after AMPS or PM
PS stand to give insulin while waiting to hear from someone? How long does it take to hear back from someone? Should I start a new thread when I post tomorrow am?

 

You can just dose based on the recommended sliding scale that Janet provided. Typical protocol for daily routines is:
- test BG
- dose
- food immediately

I usually dose Leo after he starts chowing into his breakfast or dinner.

 

That’s pretty much what I do too

 

If marmalade is really Hungary in the am he won’t let me dose after testing his BG, I have to shoot while he is eating​

 

Sounds good. That is a good method to test and dose.

 

I am so hoping that he is still in the yellow tomorrow am, now I’m worried that he will bottom out by the am

 

With the lower dose you provided (1.5U), he will likely be fine.

 

Marmalades BG this morning was at 307, go to 1.75 units?

 

Yes. If it's not enough then going forward we can do 2 at this preshot. Let's see what happens.

 

K, thank u. I will test after work around 12/1

 

I am the same. Don’t worry. Someone will respond.

 

No we just need to see what her numbers are like. We don't have data at how she responds aThe this preshot. Even for myself I'm constantly reevauating what dose to give my cat based on how she responds the previous few days.

 

Should I continue to test as much as I have been or is it okay to test at the AMPS and PMPS intervals

 

The amount of testing can vary depending on where you are in trying figure out a dose. When you try a new dose it's a good idea to do PS of course but also a mid cycle in the day and a bedtime test at night. If you're seeing some nicer numbers with these you might want to do a curve at that dose on a day off to get a fuller picture.

 

Hi Mary,
mid cycle data is very useful to assess the dose effectiveness. If possible it is best to test as you have.

 

Just adding my 2 cents.....we usually Test/Feed/Shoot

You don't want to shoot and then find out that kitty won't eat!!

With Vetsulin, we usually test (to make sure they're high enough for insulin), Feed (to make sure they eat a normal amount), wait 15-20 minutes and Shoot.

Since Vetsulin can hit "hard and fast", it's important that there's food on board.

With the longer acting, gentler insulins, it's not as important that they eat a certain amount....the "onset of action" isn't for 2-3 hours so you have time to get the cat to eat more, but with Vetsulin, they really need to eat a pretty normal sized meal first.

 

Hi , do I still have window to give insulin at 7 instead of 6, I had to run out and get test strips, do I still have my window, please help panicking

 

+1 hour is fine. Go ahead. I do not dose if it is +1.5 or more. And at that point, I dose just a little less. You could do a smaller dose like 1.25 to feel safer.

 

I have responded to a lot of threads this week. You can get very inexpensive test strips online. I think the Relion strips are cheap already. Just saying.

 

Yes, you're fine....Vetsulin has a little more flexibility with dose times

 

Yes they are very affordable for unfortunately Walmart is the last place I wanted to be tonight

 

Could I do a curve starting at 6a through 6p? It’s a thought. Maybe after the holidays when things calm down

 

When you decide to do a curve you test BG at AM as normal and then every 2 hours until the usual PM pre shot. When I do/did them, I'd feed lunch right after one of the curve tests so there would be a gap of two hours with no food before the next curve test.

 

Could u set up the times given marmalade eats at 6a and 6p, thank u

 

Jeff, with marmalade insulin being an hour later I just noticed that I,put it in the +1 column of PMPS. Should I change it and put in the regular PMPS column?

 

That is up to you. I usually put notes and deviations in the right column, like you have been doing.

281 is a good reading. I hope Marmalade is starting to feel better with this insulin therapy.

 

Yes I think he is feeling better but he is still scratching his ear a little bit.overall he is more active and his coat even feels softer. I am very glad that I decided to take the plunge. I’ll just make s notation. I am so tired and am in desperate need of down time, thank god thevweekend is almost here

 

BG 247 this morning, would it be to give 1.75 units, per dosing scale?

 

If you follow the dosing scale that would be a 1.5. But, if you will be around to test you could try 1.75.

 

PMPS BG 228, would that be 1 unit or the same at 1.5?

 

Let's cut the difference and try 1.25? Can you get a test at +4

 

Loving these numbers today.

 

Hi janet, I was thinking 1.25 also. I am also loving,these numbers, maybe we can get marmalade into remission eventually that is. I can defiantly do a +4 tonight. Marmalade is still scratching occasionally so I’ve decided to cut out the fish out and stuck with mainly chicken and beef classics fancy feast.
* I also bought some friskies pates tonight, would I be going backwards if I wanted to try it for a day to see if the scratching stops, I welcome any thoughts

 

Try it

 

Just did BG @ 10 was 214

 

Not bad. Next time its over 200 let's stuck to 1.5. I don't think the 1.25 was quite enough.

 

Hi folks:
I need some direction because my daily routine has changed today and I will be working at marmalades normal meal time which is 6 pm. I know I have asked this before but wanted to what is best for him. I have two main questions:
* so fat today marmalade has had 2 3oz. Cans of fancy feast. One at 6 a and 1 at 3p.
* should I get another reading on him just before I leave at 3?
* should I double up on his food when I get home around 10 and do insulin then per janet’s sliding scale? I’m not sure my daughter who is 13 can get a reading on him.
* should I have my daughter feed him at 6, then when I get home around 10 I can give him another can of food and do his insulin?

* SS just updated

 

Janet can you please post marmalades sliding scale again, I will get confused. Thank y. You have 250-280 1.5 units. Thank you again

 

Yes I know, but I think when it's 200-280 lets keep it at 1.5

 

so the insulin will be four hours late tonight? are you going to adjust it back gradually over the next few days? I would let her feed him at 6 if he's hungry.

 

Yes insulin will be 4 hours late. I don’t think that my daughter would be able to get a reading on him at his 6p feeding time

 

How should I adjust it back over the next couple of days? Should I just skip his 6p dose tonight permhis latest number on SS?

 

Four hours is a big change to compensate for time wise. Skipping the evening dose is simplest.

 

off to work, I’ll post when I get home. I’ll just skip the 6insulin and feed him when I get home.

k

 

I agree, I'd just skip with it THAT far off.

 

Janet. Ugh to my surprise the missed dose of insulin this past Saturday only affected his BG this morning, Sunday, a little bit. I was almost in the yellow this morning. Oops was in the yellow (AMPS) and purple in the evening at his PMPS. Not bad

 

oh man, just realized that I as supposed to give marmalade 2 units at his
PMPS, how will the morning numbers be affected by this

 

Vetsulin does not have a residual effect like the other insulins (Lantus, Levemir, Prozinc). Maybe the BG will be a bit high.

It might be a good idea to jot down the current sliding dose "chart". When I had Theresa doing dosing, we had written instructions posted next to the insulin supplies.
.

 

After looking at janet’s scale 320 and up is 2 units, I am good. He was just under that insulin doseage

 

Occasionally one can see evidence of some carryover of Vetsulin effect into the next cycle. (It can be quite subtle.)


Mogs
.

 

Do u think by looking at his SS he could possible go into remission

 

The 300's on the AMPS and PMPS are pretty high. I don't have the remission definition. But a cat should be completely under their renal threshold, 100% of the time. For Leo, his renal threshold is 180-200. Over that threshold, he gets excess glucose in his blood that gets filtered out by the kidneys. Under that threshold the external symptoms are more obvious - a lot less water ingested and normal amounts of urine.