https://www.felinediabetes.com/FDMB/threads/09-11-tommy-amps-102-96-7-pmps-111.268284/#post-2998724 With PMPS at 82 -- do we skip the shot and wait for BG to go over 100 or go with a smaller dose?
I can tag a few members for you but here is what it SLGS says After you post for help you need to come back and see if anyone has replied back Hold the dose for at least a week: Unless your cat won’t eat or you suspect hypoglycemia Unless your kitty falls below 90 mg/dL (5 mmol/L). If kitty falls below 90 mg/dL (5 mmol/L) decrease the dose by 0.25 unit immediately. After 1 week at a given dose perform a 12 hour curve, testing every 2 hours OR perform an 18 hour curve, testing every 3 hours. Note: Random spot checks are often helpful to "fill in the blanks" on kitty's spreadsheet. The goal is to learn how low the current dose is dropping kitty prior to making dose adjustments. If nadirs are more than 150 mg/dl (8.3 mmol/L), increase the dose by 0.25 unit If nadirs are between 90 (5 mmol/L) and 149 mg/dl (8.2 mmol/L), maintain the same dose If nadirs are below 90 mg/dl (5mmol/L), decrease the dose by 0.25 unit I see many members have said in some of your previous posts you need to be getting some tests in after Tommy's PMPS shot. I posted the threads at the bottom I myself would be getting a test @+3 or @+4 and @+6 at night to see how he's doing Is there any reason why you aren't doing this? You are never going to know how low he is dropping and could go hypo Most cats usually drop lower at night I'm no expert when it comes to giving advice about dosing but Tommy has earned a reduction with this BG of 82 . The new dose would be 0.5 units and that's only if you can definitely get some tests in after you shoot, have plenty of test strips, have a hypo kit Even if you wait 20 minutes and it's over 100 you still need to be getting those tests in after his PMPS to make sure he doesn't drop to low and you have to intervene with food med carb or high carb food I'll tag some members for you @Tommy_15 @tiffmaxee @Suzanne & Darcy @Wendy&Neko @Christie & Maverick https://www.felinediabetes.com/FDMB...-back-to-testing-amps-93.267940/#post-2996181 https://www.felinediabetes.com/FDMB/threads/9-7-tommy-amps-96-102-8-pmps-116.268114/#post-2997803 You should have taken reductions on 8-24, 8-25 and 9-5 but didn't, he dropped under 90 all three times
Have you fed? If not, can you test again and see if his numbers are rising? With SLGS you don't shoot below 90. He has earned a reduction to 0.5U today.
@Bandit's Mom Hi Bhooma did you read what I wrote about there has been no testing after PMPS at all since 8-31. I'm just worried for this kitty. I don't want to sound mean at all but he or she has been told this before about getting tests in after PMPS Should have taken a reduction on 8-24, 8-25' and 9-5 but didn't @Bandit's Mom
Please reduce the dose to .5 going forward. The only way to keep Tommy certainly safe is to get some more tests. Please get some evening tests. Please. I hope you are doing all right.
Thank you all for responding. We've re-tested in an hour and BG was heading up. reduced dose to 0.5 u. Will try to do more tests over night as we can. work schedule plus some resistance from kitty are in a way for overnight testing. From the past tests overnight - BG seems mostly flat during this cycle as Tommy always sleeps like a brick
