? Should I increase?

good morning!

So, my vet wanted me to up Navi’s Vetsulin dose from 2 to 3 units and I started to do so slowly and her numbers bounced all over the place. I took a step back, as suggested here, and got her calmed down. Now I’m back to the 2 units and wondering if I should increase, stay put, or go back. Her preshots are still in the 400s for the most part, but I’ve tried testing during the day at random times when I can (usually between +2 and +6) and she’ll drop down to the greens and blues rather nicely.

Just wondering what some of you would do. I’m worried if I increase she’ll bounce again.

Thank you!!

 

Ideally, I will defer to someone who has more knowledge, as I am still a newbie as well, but I think I would personally stick with 2u because you don't want Navi to dip too low after the insulin shots.

 

Well, you're sort of on the margin. Vetsulin can drop a kitty quickly and fairly low so we look at the nadir to judge. Because of Vetsulin"s "dramatic" action, it's best to have a bit of a cushion at nadir for safety and that translates into a goal BG in the 90 to roughly 110 range. The 2 u dose has recently knocked her down into the 60s and that's a bit too low for comfort. The dark greens are nice but safety first, always. My suggestion would be to go back to 1.8 u for a couple of days to see if the nadir will be a bit higher and maybe the PSs a bit lower. A very low nadir can trigger a more extreme rebound at PS.

Here's a guideline that describes a good BG range: ideally, you want the PS numbers in the low to mid 200s and the nadir about 50% lower, or high double digits to low 100s. That can be hard to achieve with Vetsulin because of its action so I'm focusing on the nadir for safety's sake.

 

@JanetNJ what do you think?

 

I definitely wouldn't increase. She would drop way too low. I like the idea of reducing slightly (skinny 2-1.8) and then maybe going back to 2. 3 units no way.

 

Thank you all. I gave her 2u this morning and at +5 she was at 336, so she prob bounced again. Tonight I went down to the 1.8u and will stick with that for a week or so - I feel when I was giving her 1.8u before she responded better, as well, so I’m looking forward to what that dose on a longer stretch will do for her.
Happy holidays!

 

Yeah I was always a little weary of that 3u, esp with her bouncing so much when I slowly increased her dose. I was actually really shocked when he said to up it in the first place!

 

Yeah I’m wondering if when I get low on this vial if I should ask her vet about another insulin option. I’ll see how the 1.8u does for a week and go from there. Thank you!