? Cont. lowering dose?

Discussion in 'Feline Health - (Welcome & Main Forum)' started by Emily C, May 18, 2020.

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  1. Emily C

    Emily C Member

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    http://www.felinediabetes.com/FDMB/threads/bg-higher-now-on-ff-pate.229425/

    I have linked the previous thread as per @Deb & Wink advice, hopefully I did it correctly! :)

    My sugar kitty has been transitioning to FF pate from Glycobalance, and is totally off the Glycobalance. Now just trying to navigate the lowering of her insulin, Prozinc. She is currently at 3u, however she was very low at her +6 today, 48, I gave her some FF and then two hours later BG was back up to 94. However before her dinner tonight her BG was 88. She has eaten her usual 1.5 cans FF pate, and acting fine. I’m assuming I should skip her dose tonight? Or should I just go down to 2.75u? I was going to test her again now (about an hour after her last BG), but she grazed and just finished eating. Love to know your thoughts!
     
  2. Bron and Sheba (GA)

    Bron and Sheba (GA) Well-Known Member

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    You have earned a reduction in dose.
    Have you stalled and not fed.? I see you have fed, and as you have fed that will mean you would have to wait at least an hour afterwards before deciding what to do.
    That 88 is too low to shoot for Prozinc unless it comes up quite a bit. May be best to skip.
    I'm not experienced with Prozinc but hopefully @Deb & Wink will be along soon.
     
  3. Bron and Sheba (GA)

    Bron and Sheba (GA) Well-Known Member

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    Could you take down the 911 now please:)
     
  4. Emily C

    Emily C Member

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    No I did not stall to fed, still learning all the ins and outs of this, but thank you for the tip. I will definitely test her again an hour after she finished eating. Luckily she is acting super normal during all of this!
     
  5. Emily C

    Emily C Member

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    Sorry - I was just getting back on because I thought about it and didn’t think it was 911 worthy :)
     
  6. Deb & Wink

    Deb & Wink Well-Known Member

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    A BG of 88 at pre-shot, with the little bit of test data you have?
    That would be a big SKIP recommendation.
    That is too low to give Ginger any insulin, without knowing how she may react.
    Please get a "before bed" test this evening, with the skipped shot and that will help us see how low Ginger is tonight.
    Could you do that please?

    Taking a look at Ginger's SS again, and looking at the last few days since you eliminated the dry food.
    That 3U dose looks too high. Even a 2.75U dose looks too high for her right now.

    How about 1.5U dose of Prozinc for now? Until you see more how Ginger will do without the dry food.
    So far, she has dropped VERY low once that you have caught.
    She could have been lower last night too, after the 3U PM dose.

    BUT that 1.5U dose recommendation is ONLY for tomorrow, 5/19 AMPS and is dependent on Ginger's pre-shot BG level being high enough to give her insulin.

    NO insulin for tonight, 5/18/20. OK?

    p.s. Cats can be MORE sensitive to insulin, after a very low number like Ginger got today. Better to lower the dose down more than the Prozinc dosing protocol guidelines suggest.
     
  7. Emily C

    Emily C Member

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    Just took another BG reading - 169 an hour after eating. I guess I’ll give her the 2.75u. I’ll wait a bit to see if anyone has
    Phew! I had just tested her an hour after her last food and it was 169. I’m so glad I waited to hear from you - thank you!! I will skip tonight and start tomorrow am at 1.5u :bighug:
     
  8. Deb & Wink

    Deb & Wink Well-Known Member

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    "Better too high for a cycle, than too low for a moment."
     
  9. Emily C

    Emily C Member

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    What is a BG pre shot number that would be high enough to give insulin?
     
  10. Emily C

    Emily C Member

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    Good morning! So BG was 330 when I went to bed last night after no insulin. Her AMBG was 376. I just gave her 1.5u. We’ll see how this goes today!
     
  11. Deb & Wink

    Deb & Wink Well-Known Member

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    For Ginger, with the amount of test data that you have?
    A BG pre-shot of around 150 is a normal BG to give insulin, when you don't have much test data.
    You don't have much nighttime test data, and many cats drop lower at night.

    I suggested you drop the dose quite a bit, and I see you have done that.

    Ginger is bouncing right now, partially because of the skipped shot, but also because of the low 88 at last night's (5/18/20) pre-shot AND because of the really low 48 at yesterday's AMPS.

    You have to be patient and wait out the bounces, as they can take anywhere from 3-6 cycles to clear.

    Keep us posted on how Ginger is doing, please.
     
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  12. Emily C

    Emily C Member

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    Thank you @Deb & Wink
    I’m glad to hear that these higher than normal numbers are probably bounces, her +2 just now was 322. I’ll just watch and see. Luckily she is acting and eating fine, however her drinking and peeing have increased. And I’m sorry I don’t have more night testings, I have an autoimmune disorder and if I don’t get to bed early I’m a mess the next day.
    I’ll keep with the 1.5u and hopefully the bounces will balance out. Thank you!
     
    Last edited: May 19, 2020
  13. Emily C

    Emily C Member

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    AMPS was 394. She isn’t very interested in her food and she is just keeping quiet. I gave her the 1.5u but worried she may need some more?
    And I woke up in the night worried and took her BG, +6 (1:30am) was 322. She hadn’t finished her food or her treat at that time either.
    Does she need an increase in her dose? Or still bouncing? I haven’t had her have a low BG but I realized that doesn’t mean that she isn’t.
     
  14. Emily C

    Emily C Member

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    I’m worried about Ginger - her +6 was 189 which is better but she has been hiding under our bed all day, and barely eating anything. I got her to slink out to get her BG and she ate a little bit more of her breakfast (maybe ate close to a full FF can now today) but she just slinked back to her hiding spot. :(
     
  15. jt and trouble (GA)

    jt and trouble (GA) Well-Known Member

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    Oooohhh I hate when they do that. :(

    I have no advice on dosing but sending positives Ginger is feeling better soon.
     
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  16. Emily C

    Emily C Member

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    Thank you :bighug:
    She’s out now from under the bed, but been drinking water constantly. I’m so confused.
     
  17. jt and trouble (GA)

    jt and trouble (GA) Well-Known Member

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    I know. It is confusing. I'm wondering if you've tested again. I'm thinking its going to be a high number.
    Maybe we should get more eyes on this . Ive never used prozinc. Have you posted this on the Prozinc board?
     
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  18. Emily C

    Emily C Member

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    Yes I tested her PMPS which was 283.
    I have posted on the Prozinc board before but I was told to post over here (I thought) to get more eyes on it. But I will try and post over there as well - thanks!
     
  19. jt and trouble (GA)

    jt and trouble (GA) Well-Known Member

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    Good for you! Thats what it takes sometimes. Our experts get so busy. I applaud them all for the way they respond and care.
     
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  20. Deb & Wink

    Deb & Wink Well-Known Member

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    A little bit of a bounce. But not bad. Certainly high enough at PMPS to give Ginger the full dose.
     
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  21. Emily C

    Emily C Member

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    The full dose - you mean the 1.5u? That is what I gave this pm.
    +2 tonight was just 367. She had only eaten about a fourth of a can for dinner, she’s eating a bit more now.
     
  22. Deb & Wink

    Deb & Wink Well-Known Member

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    Yes, I meant the 1.5U.

    Or by my saying the full dose, whatever the current normal insulin dose is.
    The dose is not always going to stay the same.
    So you adjust your thinking in terms of what the current dose is.
    So if you need to give a reduced dose, because the BG pre-shots are a bit low, you know how to calculate that reduced dose based on the current dose.

    See the Prozinc SLGS protocol for more info.
     
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