Tucker dosing thread 3

Discussion in 'Prozinc / PZI' started by LoveforTucker, Jul 27, 2020.

  1. LoveforTucker

    LoveforTucker Member

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    Last edited: Jul 28, 2020
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  2. LoveforTucker

    LoveforTucker Member

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    @Deb & Wink I have been giving Tucker his injections on the rump area, like above his Ilium. That's where the vet said to do so. It seems as though Tucker is more sensitive "painful" when I inject the scruff of his neck. Will this make a difference with the effect of the insulin?
     
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  3. Deb & Wink

    Deb & Wink Well-Known Member

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    See if any of this helps you Jami.

    There are many spots on the body where you can inject the insulin. There is some "anecdotal " stories of insulin being absorbed more slowly in the scruff of the neck.

    This info is quoted directly from the thread in the Sticky INDEX: Health Links/FAQs
    within the Hometesting Links and Tips - includes numerous links, instructions, pictures, & videos


    specifically, Marje and Gracie's Testing and Shooting Tips
    Shooting
    We all have our own techniques for shooting but just a few thoughts and others may bring some of their ideas in as well.
    • Injection sites:
    You can shoot the scruff, side of chest, side of belly, side of flank....wherever your kitty is comfortable and you have the least chance of doing a fur shot.

    [​IMG]
    • Site Rotation is a good idea too.
    It's actually a great idea to rotate sites in order to prevent development of a lipoma or scar tissue. A lipoma is just a thickened area of fatty cells right under the skin. If you shoot in the same place repeatedly and your kitty develops one, they often will go away on their own if you switch to another site. However, if you change injection sites every day (if possible), there is a much decreased chance in developing either a lipoma or scar tissue. Both of these can affect absorption negatively. If your cat prefers scruff shots only, you can shoot one side in the morning and the other side at night; you can also move the scruff site so the first day, you shoot at the inner scruff on one side, the next day, the middle scruff, and the third day, the outer part of the scruff. Or, if kitty is tolerant of any injection sites, you can shoot one side in the mornings and shoot the scruff the first day, the chest the next, the flank the third day. In the evenings, you can shoot the other side of the kitty but in the same order.
    • Absorption Rates
    Theoretically, shots absorb slower when given in the scruff area as opposed to the chest, belly, or flank. This does not mean the BG numbers will be different. It just affects the absorption rate....faster or slower. But, ECID and you can keep track of where you shoot and see if the absorption rates vary for your kitty depending on shot site.
     
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  4. LoveforTucker

    LoveforTucker Member

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    Perfect! Thank you Deb!
     
  5. LoveforTucker

    LoveforTucker Member

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    AMPS 434. I'm guessing he bounced from a lower BG last night while he was having his evening kitty crazies. I really need to have more time off work. Luckily I have another long weekend coming up where I can do more testing during the day and evening.
     
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  6. LoveforTucker

    LoveforTucker Member

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    Ugh.. I normally have the auto feeder go off at 2am, I checked it this morning and the food was still in a covered spot, So, Tucker didn't eat last night. That could explain the bounce to 434.
     
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  7. LoveforTucker

    LoveforTucker Member

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    Doing a curve today! 285 AMPS.
     
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  8. Deb & Wink

    Deb & Wink Well-Known Member

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    Curve day!!!
    Unless Tucker throws you a low PMPS, I think it's time to increase the dose.

    Not sure if any information in this thread would be useful to you. It's from the Lantus ISG (Insulin Support Group) about using the TR protocol for lantus and working a full time job. You are using the SLGS method. The Prozinc MPM method (protocol) is closer to the Lantus TR (Tight Regulation) protocol.

    IS TIGHT REGULATION POSSIBLE WITH A FULL TIME JOB? YES!
    You never know when ideas will be useful. So check it out.
     
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  9. LoveforTucker

    LoveforTucker Member

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    @Deb & Wink I'm so glad you're here! I feel at a loss today! We increase, decrease, skip.. ugh! I feel like I'm failing Tuckie! I'll increase to 1.75 and I'll check that thread out! Thank you Deb!
     
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  10. LoveforTucker

    LoveforTucker Member

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  11. LoveforTucker

    LoveforTucker Member

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    I'll increase to 1.75 tomorrow and do another curve.. thankfully I'm off on Monday so I can keep checking him.
    .you're such a blessing to us Deb! Thank you!
     
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  12. Deb & Wink

    Deb & Wink Well-Known Member

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    You are NOT failing Tuckie. Absolutely, unequivocally, no way, no how are you failing him.

    Do you realize how many people on learning of the feline diabetes diagnosis, put their cat to sleep? YOU DID NOT DO THAT! and I bet you never even considered it. (Sorry for shouting at you a bit.)

    It takes time to regulate a cat. Then it takes time to get the BG levels better and better. You are working very hard at that, and helping Tucker immensely. Never forget that, ok? Less than a month from diagnosis to where you are today? "One small step for man, one giant leap for mankind."

    Marathon, not a sprint. Long trip sailing the coast, not a day trip out and back in a few hours. Growing an oak tree from an acorn. How many more analogies would you like ma'am?

    His BG numbers are a bit wacky.
    But how are his diabetes symptoms? The 5 P's (peeing, pooping, playing, purring, preening) and appetite are a good assessment tool.

    Jami, give it time. Be kind to yourself and take care of yourself too. We forget to do that, especially if we are the main caregiver for our families.
     
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  13. LoveforTucker

    LoveforTucker Member

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    Sigh. Thank you! I needed that! Loving shouts and all that! Lol. Thank you for being my cheerleader! I'll do ANYTHING for him! Baby steps! We will get there!
     
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  14. NoahFL

    NoahFL Member

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    @Deb & Wink is pretty amazing. She got Max into remission. Baby steps, you’re doing great!
     
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  15. LoveforTucker

    LoveforTucker Member

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    I cant believe that ppl put their cats to sleep because of diabetes! Would they do that to their kids or parents! Really angers me! Or do what they did to Wink! Put them in a shelter. Makes me so sad!:(
     
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  16. LoveforTucker

    LoveforTucker Member

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    Thank you! I appreciate you!
     
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  17. LoveforTucker

    LoveforTucker Member

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    Lol! Love them all!
     
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  18. NoahFL

    NoahFL Member

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    Max is my second sugar kitty. Part of me wants to give people the benefit of the doubt. It is VERY overwhelming when your cat is first diagnosed and I think some people feel so helpless and un-empowered. My vet really made me feel like I could do this, however, the second time around I learned so much more about the disease and learned just how much I could control Max’s BG just by food and insulin dosage (through this site), especially during hypo events. I’ll admit the first time he went near hypo, I was scared and in tears, but it got better with every hypo event.

    Now, the people who euth or drop their cat off at the shelter because FD is an inconvenience, shame on them!
     
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  19. LoveforTucker

    LoveforTucker Member

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    Hes acting very well! Jumping ,running, playing, cuddling. Love it!
     
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  20. LoveforTucker

    LoveforTucker Member

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    Rebecca, you did an amazing job with Max! I looked over your process with him. Plus all the support you had was indescribable! I haven't had any hypo experiences with Tucker, but I'm ready just in case. However I'm so happy for you, again that max is ofj!
     
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  21. NoahFL

    NoahFL Member

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    Thank you The support I got was awesome. Lots of smart and compassionate people on this board.
     
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  22. LoveforTucker

    LoveforTucker Member

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    I'm so excited!! +5 122 BG!! YAY! Or.. oh ooh? 2 color drops, but not from the amps Hmm.. never the less. Its exciting to see some blues again. :joyful: Fed 1/2 can ff. Hoping that he wont bounce too high later this afternoon.
    "nadirs are between 90 (5 mmol/L) and 149 mg/dl (8.2 mmol/L), maintain the same dose"

    Looks like we'll keep the dose at 1.5u?

    (Just a reminded posted here from my previous thread) Thanks Deb!!
    "Your cat drops 2 color ranges between pre-shot and the +2, pull out your hypo kit and plan on staying up to test.
    Your cat drops 2 color ranges between pre-shot and the nadir, that is to be expected. But you don't want the drop to be much more than 50% between pre-shot and nadir with Prozinc.
    Cats tend to bounce high if the drop is 50% or more from pre-shot to nadir.
    So you steer those mid-cycles with food, to slow down the steep drop and stop the bounces from being too high."
     
    Last edited: Aug 2, 2020 at 11:20 AM
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  23. NoahFL

    NoahFL Member

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    That’s great!!! Keep up the good work!
     
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  24. LoveforTucker

    LoveforTucker Member

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    Thank you!! Bigger thanks to Deb!!
     
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  25. Deb & Wink

    Deb & Wink Well-Known Member

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    Awwww shucks ma'am. You're embarrassing me.:oops:

    SS says that Tuckie got 1.75U this AM, 8/2/20.
    If it were me, I would have left the dose at 1.75U. Your reply in post #22 says it all. Nadirs were >50 and < 149.

    Just a heads up for you, in case tropical storm Isaias hits the east coast hard with winds, the power may go out and I won't have any internet either. So a reminder to post on the Feline Health forum if you don't hear from me.
     
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  26. LoveforTucker

    LoveforTucker Member

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    Last night I shot 1.75. Not 1.5 That was a mistype! :facepalm:
    LOLOLOL :)
    OH goodness!! Be safe! :nailbiting:
     
  27. LoveforTucker

    LoveforTucker Member

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    nadir +5 151. I had a dream last night that I forgot to give Tuck his shot. I woke up at 3 am in a panic, LOL Then, I honestly couldn't remember if I gave him he shot or not! Ok, off subject.. Can I also say that this is the most beautiful day we had here in MO! This is the time of year its usually in the 100's.. Its 72 sunny not humid at all. Perfect day!
     
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  28. Deb & Wink

    Deb & Wink Well-Known Member

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    Perfect weather days are to be treasured.
    One suggestion that I've seen other people mention. Put 2 insulin syringes into a mug or cup near your testing area each day. That way, you can check the mug for the number of syringes remaining, to see if you gave the shot.
     
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  29. LoveforTucker

    LoveforTucker Member

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    Great idea!! Thank you! I did see the orange cap from the syringe that I left on the counter. Then I went through this memory rewind and I remembered.. I swear, I have a memory of a banana sometimes!

    APMS 509 He must have dipped low last night! With the high amps lately, I'm going to have to set my alarm to do another test during the night.
     
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  30. LoveforTucker

    LoveforTucker Member

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    212 pmps, 1.75 shoot
     
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  31. LoveforTucker

    LoveforTucker Member

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    +3 pmps 77 bg fed 1 tbs ff
    20 min later 74 BG fed few licks of FF gravy. I was afraid he would dip lower and I wouldnt catch it because I would have fallen back to sleep.
    +5 PMPS (130 am) 411
     
    Last edited: Aug 5, 2020 at 6:16 AM
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  32. LoveforTucker

    LoveforTucker Member

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    :coffee::coffee::coffee: Yawn! 0.25 dose reduction this morning due to BGs dropping to 74 last night. Woke back up last night around 130 am, normally his +5 day time nadir drops low. So I retested 411 BG.. HUH?
    Tucker this morning doing his usual "kitty crazy" routine. Sprinting up and down the hallway, hiding below a step and behind a door so he can JUMP and scare me. As I'm rubbing my eyes yawning and drinking coffee..
    Editing to add.. I should have given a reduced dose last night due to lower than normal preshot levels.. :(
     
    Last edited: Aug 5, 2020 at 12:02 PM
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  33. Deb & Wink

    Deb & Wink Well-Known Member

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    Hindsight is great isn't it? ;)

    If we could only have that working crystal ball, we wouldn't have those sleep deprived nights and worrisome days.

    Tuckie did earn that dose reduction. But boy is he BOUNCING like he is on a trampoline. Hold steady with the reduced dose. Let the bounce clear. Patience. Patience pants in green, to celebrate those low BG levels, even if Tucker isn't used to them.

    Green Patience pants.png
    The faster the drop, the higher the bounce.
     
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  34. NoahFL

    NoahFL Member

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    Love your confidence! Keep up the good work!
     
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  35. LoveforTucker

    LoveforTucker Member

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    Its definitely a learning tool!
    Right!! BUT, those days and nights hopefully will lead into remission.. Its just like having a newborn baby all over again. Le sigh..
    When I saw that 500 my eyes felt like THEY bounced out of my head.. LOL But, I was expecting to see highs again. HAHA "Patience pants" So many pants we have to wear at a given moments!
    Alright! Holding steady. Just 2 more days until I'm off of work for 4 days.
    BTW.. How are you holding up with hurricane Isias?
     
  36. LoveforTucker

    LoveforTucker Member

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    Thank you Rebecca! I'm definitely learning some good information!!
     

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