New member with Oliver

Discussion in 'Prozinc / PZI' started by Adriana Di Prospero, Dec 9, 2020.

  1. Adriana Di Prospero

    Adriana Di Prospero Member

    Joined:
    Oct 31, 2019
    I have been trying to follow the guidelines in this forum to try and regulate my sugar cat Oliver. I started keeping track of his numbers when I switched him from Friskies wet and DM dry to Friskies/FF wet and a 50/50 blend of Young Again Zero Mature dry. He is now on Tiki Cat zero carb/FF wet and a 50/50 blend of Young Again and Dr. Esley's CleanProtien Salmon. He is a long term diabetic 10+ years. He is on Prozinc and, with the help of the new low carb dry food have been able to reduce his units from 6U 2 x a day to 4U 2 x a day. I now need help with his dosing. I've attached his spreadsheet. I work during the week and am only able to do close monitoring on the weekends. Recently he has had three episodes of very low numbers followed by spikes. Is someone able to review my numbers and give advise. He can be very grumpy about year pricks. I can usually do 3 per 12 hour period.
     

    Attached Files:

    Deb & Wink likes this.
  2. Shelley & Jess

    Shelley & Jess Member

    Joined:
    Jan 23, 2020
    @Adriana Di Prospero if you are using the Alpha Trak like your excel spreadsheet indicates, 28 & 32 in different cycles are dangerously low numbers.

    Please create your own new thread so we can help you help Oliver. If you need help creating your own thread, please let us know.

    Tagging
    @Marje and Gracie
    @Deb & Wink
    @JanetNJ
    so more are aware of your post and my recommendation.
    (ETA and that this post/my post is not a "bump" post)
     
    Last edited: Dec 9, 2020
    Deb & Wink likes this.
  3. Wendy&Neko

    Wendy&Neko Senior Member Moderator

    Joined:
    Feb 28, 2012
    New thread created for Adriana and Oliver.
     
  4. JanetNJ

    JanetNJ Well-Known Member

    Joined:
    Jun 8, 2016
    You've had some really scary low numbers. I think you need to drastically reduce your insulin. I would go down to 2 units 32 is like scary low numbers. You're lucky she didn't have seizures!
     
    Deb & Wink and Shelley & Jess like this.
  5. Shelley & Jess

    Shelley & Jess Member

    Joined:
    Jan 23, 2020
    Thanks @Wendy&Neko Thanks @JanetNJ
    I'm really worried about those low numbers.

    @Adriana Di Prospero
    When you get a chance, can you set up your signature and an FDMB version of your spreadsheet please. Many members can't access your excel version.
    The link to set up the FDMB spreadsheet and instructions how to create your signature can be found here:
    HOW YOU CAN HELP US HELP YOU!
    If you need any help, please let us know.
     
    Deb & Wink likes this.
  6. Adriana Di Prospero

    Adriana Di Prospero Member

    Joined:
    Oct 31, 2019
    How do I set up a signature and do a FDMB version of the spreadheet.
    Thank you for creating a Thread for me


    Oliver's numbers began rising after a stick of squeeze up and 1 tbsp of HC food. The PMPS reading was 477. I did a reduced shot of 3.5U. at +2 the BG was 350. This morning his AMPS # was 357 again shot 3.5U. I had to leave for work so will not be able to take another # until 5PM. But this has been a recent pattern with him. I began to reduce his dose from 6U 2 x day to 3.5U 2 x a day in November.
     
    Deb & Wink and Shelley & Jess like this.
  7. Shelley & Jess

    Shelley & Jess Member

    Joined:
    Jan 23, 2020
    Create your signature:

    When you're signed in, click on your user name top right corner (beside Inbox & Alerts).
    A drop down menu may appear, if it does Click on Signature.
    Or, if when you click on your user name the click takes you to your personal details page, on the left, under Settings, Click on Signature.
    (the click works differently for me if I'm on my phone or using my desktop)

    This is where you will put information that helps us give you feedback. (You can check out any of our signatures, the grey writing at the bottom of our posts to get an idea of what kind of information we include)
      • There is a limit of two lines which may include two links; you may separate pieces with commas, dashes, | etc. This is where you paste the link for your spreadsheet, once it is set up.
      • Add any other text, such as
      • Caregiver & kitty's name (optional)
      • DX: Date
      • Name of Insulin
      • Name of your meter
      • Diet: "LC wet" or "dry food" or "combo"
      • Dosing: TR or SLGS or Custom (if applicable)
      • DKA or other recent health issue (if applicable)
      • Acro, IAA, or Cushings (if applicable)
      • Spreadsheet link. Please put the signature link on the bottom line of your signature information, on its own, so it is easy to find.
      • Please do not put any information about your location in the signature for security reasons. If you wish to add your country location, please add it to your profile.
    Be sure to click the 'Save Changes' button at the bottom. If you need help urgently it is important we know these things at a glance. We don’t want to waste valuable time finding out information.

    Set up the FDMB Spreadsheet:
    Click on the blue link inserted below. It will take you to the spreadsheet instructions and template(s) download page. If you have any difficulties, please let me know, we have members that are more than happy to set it up for you.
    FDMB SPREADSHEET INSTRUCTIONS
     
  8. Deb & Wink

    Deb & Wink Well-Known Member

    Joined:
    Jan 31, 2013
    p.s. I reported the post in the New 2021 spreadsheet thread and asked one of the moderators to split out Andriana's post to it's own thread.
    Thanks to Wendy&Neko for doing that.
     
    Shelley & Jess likes this.
  9. Shelley & Jess

    Shelley & Jess Member

    Joined:
    Jan 23, 2020
    Thanks Deb, glad I tagged you :)
     
    Deb & Wink likes this.
  10. Adriana Di Prospero

    Adriana Di Prospero Member

    Joined:
    Oct 31, 2019
    I was finally able to copy the spreadsheet to my signature. I can't update the spreadsheet. Please advise what I need to do next. Thank you for all your help.
     
    Shelley & Jess and Deb & Wink like this.
  11. Deb & Wink

    Deb & Wink Well-Known Member

    Joined:
    Jan 31, 2013
    @Bandit's Mom
    Are you able to help Adriana figure out what is going on?

    @Adriana Di Prospero
    Are you signing into your google account, to update your SS? You can't update it from the link in your signature. Only from your google account.
     
    Shelley & Jess likes this.
  12. Adriana Di Prospero

    Adriana Di Prospero Member

    Joined:
    Oct 31, 2019
    I believe Oliver's SS is now in google doc's. I need someone to look at his numbers. I know doses should be equal AM & PM but from his numbers I think Oliver's dose may need to be higher in the PM than AM. Thank you for any input.
     
    Deb & Wink likes this.
  13. JanetNJ

    JanetNJ Well-Known Member

    Joined:
    Jun 8, 2016
    You will need to switch the access on the spreadsheet so anyone with a link can view. Right now only you can see it.
     
    Deb & Wink likes this.
  14. Adriana Di Prospero

    Adriana Di Prospero Member

    Joined:
    Oct 31, 2019
    Sorry. This is all new to me. I believe I've changed the access. Please try again and let me know if it worked.
     
    Deb & Wink likes this.
  15. JanetNJ

    JanetNJ Well-Known Member

    Joined:
    Jun 8, 2016
    Ok great
    ! Yes I see it! Great job getting the spreadsheet going.

    Is hard to say if the dose is good without seeing many mid cycle readings. On days that you are home try to get a number 5-7 hours after the shot so we can see how low the dose is taking him. I also recommend getting a before bed test in.
     
  16. Adriana Di Prospero

    Adriana Di Prospero Member

    Joined:
    Oct 31, 2019
    I added the 2020 tab to the spreadsheet for more information. I've reduced his dose from 6 U 2 x a day to 3.5 U 2 x a day. I've had a few scary moments during this transition.
     
    Deb & Wink likes this.
  17. Deb & Wink

    Deb & Wink Well-Known Member

    Joined:
    Jan 31, 2013
    Hi Adriana,

    Next time you are updating your SS, would you please drag that 2021 tab over to the far left? That left most tab is the one that opens for us, when we click on the SS link in your User Id signature.

    Thanks for getting that link in your signature. That should really help us.
     
  18. Adriana Di Prospero

    Adriana Di Prospero Member

    Joined:
    Oct 31, 2019
    I moved 2020 tab to the right of 2021. Thank you for letting me know about this.
     
    Deb & Wink likes this.
  19. Deb & Wink

    Deb & Wink Well-Known Member

    Joined:
    Jan 31, 2013
    Thanks for moving that 2021 tab to the left!

    I see you missed the AM dose today, 1/15/21. Please put 0 (zero) in the dose column whenever you do not give a shot of insulin.

    Good chance that Oliver will be quite high at PMPS, with the missed dose. Hope not, but be prepared for that.
     
  20. Adriana Di Prospero

    Adriana Di Prospero Member

    Joined:
    Oct 31, 2019
    I did miss a shot, I hectic morning. He was HI for the PM shot, I upped his dose to 4U. But it seems that his BG was reset by the missed dose. His numbers have been really good yesterday and do for today. At 3:30p today he was at 64. I will retest at 5:30P and then again at 7:30P (his normal dose time). Any guidance, if his numbers stay below 200.
     
    Deb & Wink likes this.
  21. Pookie (GA)

    Pookie (GA) Member

    Joined:
    Oct 10, 2020
  22. JanetNJ

    JanetNJ Well-Known Member

    Joined:
    Jun 8, 2016
    You earned a decrease. 3.25. If the number is under 200 at shot time stall up to 60 minutes and see if the number goes up.
     
  23. Adriana Di Prospero

    Adriana Di Prospero Member

    Joined:
    Oct 31, 2019
    Thank you. At 5:30P he was at 74.
    I willl. Thank you
     
    Deb & Wink and JanetNJ like this.
  24. Adriana Di Prospero

    Adriana Di Prospero Member

    Joined:
    Oct 31, 2019
    Oliver continues to baffle. His PMPS # at 7:30P was 181 so I waited until 8:30P to shoot 3.5U. I check at 5:30AM and he was up to 416. I decided to wait, and shoot at the normal time of 7:30AM and by then he was at 515. Any insights???
     
    Deb & Wink likes this.
  25. Deb & Wink

    Deb & Wink Well-Known Member

    Joined:
    Jan 31, 2013
    Oliver is actually due for a dose reduction. Anytime your cat drops < 90 mg/dL (5 mmol/L), they have earned a dose reduction.

    To me, that black BG at AM pre-shot is saying that Oliver bounced from the low greens yesterday.
    It can take 3-6 cycles to clear a bounce.

    But in the meantime, I do think you need to reduce the dose to 3.25U.
     
    Adriana Di Prospero likes this.
  26. Adriana Di Prospero

    Adriana Di Prospero Member

    Joined:
    Oct 31, 2019
    Thank you for the advise. I reduced the dose by .25 (need to get new syringes with this marking). It looks like he has come down much quicker from the bounce. Keeping my fingers crossed the numbers tonight will be good.
     
    Deb & Wink likes this.
  27. Deb & Wink

    Deb & Wink Well-Known Member

    Joined:
    Jan 31, 2013
    Unfortunately, there are no syringes that have the 1/4 unit (0.25U) markings on the barrel. The best available only have 1/2 unit (0.5U) markings on the insulin barrel.
    You "eyeball" the dose, to see where the bottom of the plunger sits in between. The goal is to try to be consistent with where the plunger is placed in between the lines.

    Looks to me like Oliver is really still bouncing from his low BG levels a couple of days ago. Give it a couple more cycles to see when he clears the bounce. Patience my dear.
     
    Adriana Di Prospero likes this.
  28. Adriana Di Prospero

    Adriana Di Prospero Member

    Joined:
    Oct 31, 2019
    Thank you for all your help. I feel so much more able to deal with his numbers.
     
    Deb & Wink likes this.
  29. Adriana Di Prospero

    Adriana Di Prospero Member

    Joined:
    Oct 31, 2019
    Looking for advise to see if I handled yesterday and today correctly. Just when I thought we had gotten through the bounce, I had what would have been a good number if I had been able to stay at home yesterday to monitor him. His # was 174. I choose not to shoot. And as expected, Oliver had a high number for his PMPS "HI". I thought Oliver's # would be high this morning as well but, the BG# was 189. I gave him a token shot of 1 U. I will be able to do a modified curve this weekend to see what the #s are at the +6 +8 +10. Any guidance is appreciated.
     
    Deb & Wink likes this.
  30. Adriana Di Prospero

    Adriana Di Prospero Member

    Joined:
    Oct 31, 2019
    So Oliver continues to baffle. Will you review the latest #s I've posted on his SS and give me any thoughts you may have. He has lost weight recently. About 5 years ago, I experienced this weight loss with him when I started using Young Again Zero Maturity. I am currently using FF & Friskies Pate and supplementing with a mix of 1/3 Young Again and 2/3 Dr. Elsey's Clean protein. I am going to just use Dr. Elsey's going forward. His fur has improved. It is now soft instead of tacky. Also, I have 4 other cats in the house, 2 have hyperthyroidism, so I need to be mindful of there nutritional needs as well.
     
    Deb & Wink likes this.
  31. Deb & Wink

    Deb & Wink Well-Known Member

    Joined:
    Jan 31, 2013
    First off, that 79 at PMPS tonight earned Oliver a dose reduction, with our SLGS dosing protocol for prozinc. See the sticky at the top of the forum for more information. Reduce the dose by 0.25U. Since you skipped the shot last night, he'll probably be very high in the morning. He was, with that black BG number. But you should absolutely reduce the dose for the next shot. Wait out the highs and the bounce he will have from the skipped shot.

    So you would reduce to 3U.

    He may need to be fed more Adriana. Until a cat's BG levels are regulated, they can't process the food as well.

    Improved fur, soft and silky is a VERY positive sign. We focus on the BG levels a lot, because that gives us a good gauge of how well the insulin is working. But the 5 P's and appetite are good indicators of what is going on too.

    It's an extra challenge for you to have to deal with some many other cats with health issues. Do the hyper-T cats get methimazole?
     
    Adriana Di Prospero likes this.
  32. Adriana Di Prospero

    Adriana Di Prospero Member

    Joined:
    Oct 31, 2019
    I will reduce his dose to 3U going forward. I haven't found a treat yet that he likes. The Young Again food was the cause of his weight loss some years ago when I was trying to find a low carb dry food. I will try just Dr. Esley's going forward. I've tried the purebites freeze dried chicken and duck. He looses interest quickly. He isn't a fan of fish pate. Maybe warm chicken broth in the wet food. Anyway, I will figure something out with the food.

    Both hyper-T cats are on methimazole. One on pills (14 yrs old) , the other transdermal (16 yrs old), both are responding well to treatment. Two of my previous cats had the radioactive iodine treatment, which was successful very successful.

    I do sincerely appreciate your input. Thank you for taking the time to review Oliver's progress.
     
    Deb & Wink likes this.
  33. Deb & Wink

    Deb & Wink Well-Known Member

    Joined:
    Jan 31, 2013
    Does Oliver like any kind of people food? Any kind of plain cooked meat is fine. Or egg. Or cheese, although he may not like the cheeses flavored with dill and herbs like I do or the really strong flavorful cheeses like Asiago! ;)

    Other ideas for treats are here, in this link.
    List of Low carb healthy treats It may be a bit outdated, since it's from a version of the message board that is a decade old.
    Basically any kind of pure protein is good. A treat could even be a tiny bit of his regular food.

    I found these Vital Essential freeze dried minnows that my cat really likes. https://www.vitalessentialsraw.com/product/minnows-freeze-dried-treats/
    I got them on Chewy.com but they only ship in the USA. They have other flavors than the minnows.
     
    Adriana Di Prospero likes this.
  34. Adriana Di Prospero

    Adriana Di Prospero Member

    Joined:
    Oct 31, 2019
    Oliver does not beg for people food. I will try the minnows. FF has a pure protein treat, but it may be cheaper to cook chicken and give it to him. He does like the water from canned chicken. I can our some in his food as well. Prior to the diabetes diagnosis, he loved the meaty sticks. I will check out the carbs on the sticks that are available now.
     
  35. Deb & Wink

    Deb & Wink Well-Known Member

    Joined:
    Jan 31, 2013
    Do you mean something like the Sheba Meaty Tender Sticks? They do have sugar in them. How about something like the Tiki Cat Stix?

    Plain cooked chicken is a fine treat. I simply boil a small piece of chicken, or cook it in the microwave and cut it into tiny pieces. Freezes well too, and you can take out as much as you need for a few days.
     
    Adriana Di Prospero likes this.
  36. Adriana Di Prospero

    Adriana Di Prospero Member

    Joined:
    Oct 31, 2019
    I just purchased a package of raw chicken tenders to cook this weekend. I will set aside several for Oliver's treats. I did so the Tiki Cat Stix. I will look on Chewy or Petsmart website about ordering to have on hand. There is a local store that sells the freeze dried minnows. The store is actually on my way home from work, so I can swing by today and check it out.
     
    Deb & Wink likes this.
  37. Adriana Di Prospero

    Adriana Di Prospero Member

    Joined:
    Oct 31, 2019
    I didn't realize its been so long since I last checked in with Oliver. I just wanted to give an update. There were a few bumps, wrong food (FF Naturals Gravy was mixed with the Naturals Pate I ordered), a donated bottle of ProZinc that turned out to be bad, leaving a 3/4 full replacement bottle out for 2 hours that went bad. All caused bounces galore, and a hypo event on 5/3. Everything is finally stable and I've been able to get evening numbers. Oliver just earned a .25U reduction in dose. Now down to 2.5U 2 x a day. I really appreciate having this venue to discuss Oliver's journey.
     
    Shelley & Jess and Deb & Wink like this.
  38. Deb & Wink

    Deb & Wink Well-Known Member

    Joined:
    Jan 31, 2013
    Wow! Long time no "see". Glad to get the update on Oliver.
     
    Adriana Di Prospero likes this.
  39. Adriana Di Prospero

    Adriana Di Prospero Member

    Joined:
    Oct 31, 2019
    Hi Oliver is loosing weight and I am concerned. I will be calling the vet today to make an appointment. Are you able to look at his spreadsheet to see if there is a pattern I am missing. He was in the 50s from 1 - 2 this morning and then jumped to 461 at 6:45 AM. I still reduced his dose by 1/4 U. The vets in my area are not well informed about diabetes. So any questions you think I should ask are appreciated.
     
  40. Hshray

    Hshray Well-Known Member

    Joined:
    Feb 26, 2021
    Based in his spreadsheet, it looks like he is most likely bouncing (seeing higher numbers) from the greens he saw last night. Bounces can be caused by low numbers, quick drops or numbers the cat isn’t used to, and it looks like all three of those could be the case for Oliver last night. Bounces can take up to six cycles to clear. Since he has been in the low 50s a few times that you have caught, it would be really good to get at least one test during the day and one before bed test every night (if possible) to really get a good picture of what he is doing every day.

    Maybe @JanetNJ will have more advice.
     
    Adriana Di Prospero likes this.
  41. JanetNJ

    JanetNJ Well-Known Member

    Joined:
    Jun 8, 2016
    It’s a bounce. I am glad you reduced.
     
    Adriana Di Prospero likes this.
  42. Adriana Di Prospero

    Adriana Di Prospero Member

    Joined:
    Oct 31, 2019
    The bloodwork results for Oliver came in and it shows that he has the onset of Kidney insufficiency. Since the day of the very trumatic Vet visit, Oliver's numbers have been in the 400's. I went back to 2 U. The Vet is recommending a change from Prozinc to Lantus. I don't know how to post his results on this page for review. Any suggestions or comments are appreciated.
     
  43. Adriana Di Prospero

    Adriana Di Prospero Member

    Joined:
    Oct 31, 2019
    I just found the instructions for inserting a file. Below is Oliver's Bloodwork report. How serious are his kidney numbers?
     

    Attached Files:

  44. JanetNJ

    JanetNJ Well-Known Member

    Joined:
    Jun 8, 2016
    Ok a few things. First your cat got to 50bg so lower the dose to 1.75. ProZinc is a good insulin.... Not sure why he wants to switch you, but you could.

    Looks like he's got an infection brewing. The wbc count is a little higher than it should be.

    The red bc count is on the low end of normal. You may want to start giving b 12 methylcobalamin supplements and b complex to stave off anemia who's is common in ckd cats.

    Did the vet give any fluids? He looks a little dehydrated. Add extra water to his wet food.

    The kidneys are stage 2 ckd. The phosphorus really isn't bad though which makes me wonder if the infection and dehydration are making the numbers look inflated. This is an amazing ckd site. http://www.felinecrf.org/how_bad_is_it.htm

    One thing you could do is change to a low carb food that is also low in phosphorus such as weruva.

    There's a great ckd group on Facebook called Cats with Renal Failure.
     
  45. Adriana Di Prospero

    Adriana Di Prospero Member

    Joined:
    Oct 31, 2019
    Thank you so much for your input. I would prefer to keep him on Prozinc, since changing would require going to the lowest level of lantus and then going up if warranted. I will check out the ckd site. He drinks a lot of water, and I also add water to the pate. The vet does want to give him either an antibiotic or convenia shot. The convenia would be an easier dose. He can get very grumpy, he is prone to UTI but hasn't had one in over a year. I will look at a low phosphorus food and begin tomorrow with a local supply and order more online. I will also order a b12 methylcobalamin supplement from Chewy as well as the b complex. I wanted to wait until there was a response to my post before I contact the vet. Again, thank you so much. I feel I can speak with some knowledge now when I call the vet.
     
  46. JanetNJ

    JanetNJ Well-Known Member

    Joined:
    Jun 8, 2016
    at some point you may start doinG sub q fluids.. Usually when they hit 3 creatnine... But again I think that number might go down a little with the antibiotics. I'm so glad your dr mentioned giving them.
    This is what I fed my diabetic ckd cat. there are other suitable choices as well.


    Weruva slide and serve pate foods Family Food (.97 phosphorus and 0 carb).

    Jeopurrdy Chicken (0.97 P 6.1 carb)

    What a Crock 0.71 phosphorus and 8 carb lots of gravy so she loved it.

    Goody stew shoes 0.71 phosphorus, 8.5 carb. This one was a big hit

    Weruva Steak Frites (0.57 phosphorus 5.5 carb although I take out any big pieces of potatoes to try to limit the carbs just a bit)

    Weruva LA isla Bonita - phosphorus 0.77 carb 4.5 (used to like, not a favorite anymore)

    Glam and punk 1% carb, 0.93 phosphorous.

    Weruva paw lickin chicken 3.3 carb 0.82 p

    Press your lunch 5.9 carb. 0.82 phosphorous

    Bff play Laugh Out Loud chicken and lamb 7.7 carb, 0.82 phosphorous

    BFF play destiny (chicken and duck) 0.87 phosphorus 7.7 carb

    Bff play chicken cherish 0.71 phosphorus 7.6 carb

    Bff play best buds chicken and beef 7.9 carb 0.9 phosphorus

    Bff play chicken Checkmate. 7.7 carb 0.7 phos

    On the Cat Wok 3.8 carb 0.74 phos
     
  47. Adriana Di Prospero

    Adriana Di Prospero Member

    Joined:
    Oct 31, 2019
    This is great. I was just getting ready to look up possible foods. Unfortunately, there are 5 cats in the family and what I feed one I need to fed to all, two of whom have hyperthyroidism.
     
  48. JanetNJ

    JanetNJ Well-Known Member

    Joined:
    Jun 8, 2016
    Oh boy you have your hands full. 3 of my five are seniors. So far right now just one has issues. (Ckd and recently had 7 teeth pulled). My CC had ckd, diabetes
    (acromegaly), Hyperthyroidism, heart murmur, arthritis.... But she was large and in CHARGE. LOL
     
  49. Adriana Di Prospero

    Adriana Di Prospero Member

    Joined:
    Oct 31, 2019
    There is a Petco close by so, after dinner tonight will pick up the slide and serve and another variety. I have 8 in total. Three live in the large sunroom, these were my "ferals" I needed to take with me when I moved. It's a revolving door at the vet office.
     
  50. JanetNJ

    JanetNJ Well-Known Member

    Joined:
    Jun 8, 2016
    If the three are seperate you can feed them their own thing. So kind to take them with you. All 5 of mine were backyard finds. Two were born outside, and I believe the other three were dumped. We also care for three outside ferals. We put a pet door on our garage door so they can go inside when they want and have beds and heated cat tents in there.
     
  51. Adriana Di Prospero

    Adriana Di Prospero Member

    Joined:
    Oct 31, 2019
    That is wonderful.
     
  52. Adriana Di Prospero

    Adriana Di Prospero Member

    Joined:
    Oct 31, 2019
    HELP please, Oliver's numbers are coming very high. I double checked the Relion meter reading with the Alpha Trak and both showed a very similar number. He has recently been diagnosed with Stage 2 Kindney disease. He received a Convinia shot on 9/12. My next plan is to get a new bottle of Prozinc but the vet is closed until Monday. This bottle of Prozinc was opened on 7/18/2021 and has been refrigerated continuously during this time. Should I give him a small dose now increase his dose to 2.25 at the evening shot. I can monitor today and tomorrow, but need to be at work during the week.
     
  53. JanetNJ

    JanetNJ Well-Known Member

    Joined:
    Jun 8, 2016
    He's overdue for an increase. Bump the dose up to 2.25. We can see what the numbers are over the next several days and if still too high, reevaluate. Any time you can get any mid cycle readings, please do.
     
  54. Adriana Di Prospero

    Adriana Di Prospero Member

    Joined:
    Oct 31, 2019
    Thank you for your reply. I did bump him up to 2.25 with last nights dose. I updated his chart through this morning. I did a 2AM reading and he was at 179 then at 7 he was back up to 594. I think he is dehydrated. He usually pees a lot and I noticed there is less in the litter box over the past several days. I will make an appointment with the vet to give him fluids. By the way, he has turned up his nose on all the low phosphorus foods I've tried. Quite a few on your list are not currently available. I am still trying to find one he will eat.
     
    JanetNJ likes this.
  55. Adriana Di Prospero

    Adriana Di Prospero Member

    Joined:
    Oct 31, 2019
    I need help please. I left the Pro Zinc Bottle out after Oliver's morning short. I found it in his supply box when I went to prepare for his evening shot. I was hoping it would still be good. His number at 6:15PM was 547. The vet is closed. I did give him 3U retested at 8PM numbers are up to 598. I called the emergency vet to try and get 2 doses but they will not issue them. What can I do. The vet doesn't open until 9AM tomorrow. I just checked his BG at 9PM and the number is going down. Looks like the bottle is till good. But I will get a new one tomorrow just in case.
     
    Last edited: Nov 19, 2021
  56. JanetNJ

    JanetNJ Well-Known Member

    Joined:
    Jun 8, 2016
    It's fine. We've all left it out overnight. One night or day isn't going to make a difference. The high numbers are a coincidence. Could be he went too low today and he's bouncing. Please whenever possible get a mid cycle number. ProZinc dosing is based on how low they go, not by the preshot.
     

Share This Page