? I need help dosing the insulin

  1. The 3U dose seems to be a better dose for Kuqi. But even that dose does not look to be quite enough.
  2. Caninsulin (Vetsulin) often only lasts 8-10 hours in a cat. It was developed for dogs, and is not the best insulin for cats. Some cats can do well on this insulin.
  3. Testing at around +10 and +11 will let us know what the duration of the insulin is for Kuqi.
  4. Seeing the blood glucose levels dropping down into the yellow color coded ranges (200-299) on the SS is encouraging. But they could be lower still.
  5. He may need to be increased to 3.5U dose of Caninsulin.
  6. Please try very hard to get at least a pre-shot blood glucose test before giving Kuqi a shot of insulin. This test is needed for both the AM and PM dosing cycles.
  7. Have you found a better, lower carbohydrate food option for Kuqi?
  8. Could you please make notes in the Remarks column on the spreadsheet (SS) as to what food you are feeding? That would be very helpful to see. Remarks for each day would be good to see.
  9. I would not drop the dose at night. That is simply going to make the BG (blood glucose) levels higher in the morning.
  10. Even a test at pre-shot or +1 during the PMPS cycle is important information.
  11. If you can not test at night due to work, then you might think about adjusting your dosing schedule to 1 hour earlier for both the AM and PM doses. That may give you time to test at +1 or at +11.
  12. We need to get Kuqi out of those HI blood glucose levels, >500.
  13. That may require a different insulin. Lantus or glargine is a different insulin that works better for cats. Prozinc is another insulin that works better in cats.
  14. Are either of those insulins available in Italy where you live?
 
Deb & Wink said:
  1. The 3U dose seems to be a better dose for Kuqi. But even that dose does not look to be quite enough.
  2. Caninsulin (Vetsulin) often only lasts 8-10 hours in a cat. It was developed for dogs, and is not the best insulin for cats. Some cats can do well on this insulin.
  3. Testing at around +10 and +11 will let us know what the duration of the insulin is for Kuqi.
  4. Seeing the blood glucose levels dropping down into the yellow color coded ranges (200-299) on the SS is encouraging. But they could be lower still.
  5. He may need to be increased to 3.5U dose of Caninsulin.
  6. Please try very hard to get at least a pre-shot blood glucose test before giving Kuqi a shot of insulin. This test is needed for both the AM and PM dosing cycles.
  7. Have you found a better, lower carbohydrate food option for Kuqi?
  8. Could you please make notes in the Remarks column on the spreadsheet (SS) as to what food you are feeding? That would be very helpful to see. Remarks for each day would be good to see.
  9. I would not drop the dose at night. That is simply going to make the BG (blood glucose) levels higher in the morning.
  10. Even a test at pre-shot or +1 during the PMPS cycle is important information.
  11. If you can not test at night due to work, then you might think about adjusting your dosing schedule to 1 hour earlier for both the AM and PM doses. That may give you time to test at +1 or at +11.
  12. We need to get Kuqi out of those HI blood glucose levels, >500.
  13. That may require a different insulin. Lantus or glargine is a different insulin that works better for cats. Prozinc is another insulin that works better in cats.
  14. Are either of those insulins available in Italy where you live?
Click to expand...
Hi! For the first time, the pre shot value was not high!
I tested him just now and he had 301mg/dl. I don't know the correct dose to give him now. I'll skip this PM shot since I can not monitorate him tonight and I don't want to put him at risk.
Tomorrow I'll test his blood at the same time as always and if it's high again I'll give him 2U and see how it goes.
 
No I work from home so my schedule can be quite flexible, but I can't test him while sleeping :D
By the way today with a 2U dose his +4 test gave a 229mg/dl reading. I'll test him again at +5 and +6 too see how it's going.
The good news though is that his pancreas is finally waking up and doing its job!
+5 result is 166!! The lowest value in a long time!

Update: +6 is 124!
 
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To think that my vet had recommended that I'd start with 5 units....
Good thing I asked here :)
Thanks again to all who helped! Especially Deb!
 
Good news!! Kuqi's blood glucose readings are definitely looking better.

Since Kuqi has started to drop lower in the middle of the cycle, you probably do want to consider how you could get a few BG tests in during the night cycle.

Many cats are more active at night, use more energy, thus use up more blood glucose and drop lower. Sometimes much lower.

Some people adjust the insulin test, feed, shot routine so they can get a test or 2 in at night.

For example.
Say your current routine starts with the AM cycle at 8 am, and then the night time cycle is at 8 pm. If you head off to sleep at 11 pm, that would allow you to get a +2 and/or a +3 test in during the night cycle.

You might adjust your routine and times for the 12 hour dosing cycles.
Maybe get up at 7am to test for the AM cycle and then your PM cycle is at 7 PM. Now, you have the option to test at +2, +3, +4.

Some people set an alarm to wake themselves up and take a blood glucose (BG) test.

Options for you to consider. You do what fits your schedule and life.

p.s. Did you find a good low carb food that Kuqi likes to eat?
 
Hi Mattia,

Not sure if you saw my recent reply to you. Some members have been having problems recently and not receiving their alerts when a reply is made.

One way you can let us know that you have seen and read our replies, is to click on the word "Like" in the lower right hand corner of the post.

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Hi Mattia,

Time for some updates to be made on the spreadsheet.
You should have a row for each date. Even if you did not do a BG test, you did give some insulin. So right now. Yiy are missing rows for 2/15 through 2/18, 2/21, and no data for 2/24 through 2/28.

Would you please update the Spreadsheet to include these dates. Thank you.
 
Hi Mattia, Are you ok there in Italy? Haven't heard from you in quite some time, and I'm worried about you.
 
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