? TANK hasn't been dropping much. A lot of YELLOW?

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harleywulf

harleywulf

Member Since 2018
Hasn't seemed to be dropping much post injections +6 since raising his dose. Nothing else has changed. Maintaining weight, eating normal, no increase in drinking or urine output.
 
It looks like Tank needs an increase to 7.0 units. He is getting some blues , which is a good sign, but still all upper blues so you can increase per SLGS. I do see the odd spot on his spreadsheet where you didn't get any preshot tests or didn't enter them. The PM cycle of the 5th and AM cycle of the 6th. We are very data driven here, any and all test data you have should be entered into the spreadsheet. It'll help us help you and Tank.

Here is the link to your last post here, so people can see the history.

One thought to leave with you. When kitties get over 6 units in dose, we suggest getting them tested for what we call high dose conditions, specifically acromegaly and IAA (insulin auto antibodies). My Neko had both of them. One in four diabetic cats has acromegaly, which is a benign tumour on the pituitary that sends out excess growth hormone, causing the diabetes. There are quite a few of them on this forum. Not all acrokitties have high doses, but cats with high doses usually have some secondary condition contributing to the need for higher amounts of insulin. To get these tests done, your vet would draw blood and send it to Michigan State University.
 
Ok thanks. Yes there were a couple days I was not present to test him. I'll have to run that past our vet then. We just were told to drop to 6 units from 7 not long ago and have worked our way back up to 6.5 now. He does not travel well at all so I will see if we can get a house call blood draw perhaps.
 
By the way, the research that 1 in 4 diabetics has acromegaly is fairly new, so if your vet hasn't kept up to date with it, he/she may be part of the old school that thinks it's rare. I had to do some convincing of my vet to get the tests done. Finally asked her to humour me.
 
Wendy&Neko said:
By the way, the research that 1 in 4 diabetics has acromegaly is fairly new, so if your vet hasn't kept up to date with it, he/she may be part of the old school that thinks it's rare. I had to do some convincing of my vet to get the tests done. Finally asked her to humour me.
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Ok thank you
 
the protocol does say it's time for an increase.
you can increase to 6.75 or to 7.0 units Unless you aren't going to be around to monitor, I would go with the increase to 7.0.



INCREASING THE DOSE:
  • Hold the dose for 3 - 5 days (6 - 10 consecutive cycles) if nadirs are less than 200 before increasing the dose by 0.25 unit.
    • if your cat is new to numbers under 200, it is recommended to hold the dose for at least 8-10 cycles before increasing.
    • when your cat starts to see nadirs under 100, hold the dose for at least 10 cycles before increasing.
  • After 3 days (6 consecutive cycles)... if nadirs are greater than 200, but less than 300 increase the dose by 0.25 unit.
  • After 3 days (6 consecutive cycles)... if nadirs are greater than 300 increase the dose by 0.5 unit.
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sometimes you wind up chasing a good dose amount.
 
rhiannon and shadow (GA) said:
the protocol does say it's time for an increase.
you can increase to 6.75 or to 7.0 units
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SLGS is not a formal protocol, but rather a dosing method based on years of experience here. TR is the only formal protocol.

I would increase to 7.0 units. At 6.5 units, a 0.25 unit increase is a drop in the bucket. Plus you get to stay on the line for measuring the dose. :cool:
 
Wendy&Neko said:
SLGS is not a formal protocol, but rather a dosing method based on years of experience here. TR is the only formal protocol.

I would increase to 7.0 units. At 6.5 units, a 0.25 unit increase is a drop in the bucket. Plus you get to stay on the line for measuring the dose. :cool:
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My eyesight is bad enough trying to see half and quarter ticks. Last time he was on 7 he had a good curve. Thanks
 
rhiannon and shadow (GA) said:
the protocol does say it's time for an increase.
you can increase to 6.75 or to 7.0 units Unless you aren't going to be around to monitor, I would go with the increase to 7.0.





sometimes you wind up chasing a good dose amount.
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So today Tank at 7 units was AMPS 282, +6 132 and just now PMPS was 202. Should I be safe with the 7 units again? I'm planning on cking +4 and hopefully +6 tonight still
 
As long as you have plenty of test strips and some high carb food tonight, I would shoot and monitor like you have suggested.
 
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