Dosing advice

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manxcat419

manxcat419

Member Since 2015
Hi
My cat Rosa was diagnosed this week. Her BG at the vet on Friday was 680. They wanted her switched to MD food (which she won't eat so she's on Friskies low carb, low phosphorus at the moment) and on 2 units of Lantus morning and evening.

The opinion on the forum was that that was a very high starting dose for her current weight of 8.8lb combined with switching her to a low carb food and might well cause a hypo, so I reduced her dosing to 1 unit twice a day and allowed her a little of her old food (Royal Canin SO dry) between mealtimes in case she needed it.

I wasn't able to get a blood test from her until tonight when, after buying the 26 gauge lancets for the Relion Confirm, I was successful in getting a test at the 1st attempt. However, her number at +11 was 566. She was a little stressed earlier today as there was thunder which she hates, but clearly her number pre-shot is still very high.

Can anyone advise on whether I should stick with one unit for another few doses (her first dose was Friday night) or whether I should increase back to the 2 units the vet recommended. Her dose is due in about 20 minutes.
 
Hi April! Welcome to the Lantus and Levemir Insulin Support Group area of the board.

Here's a link to April and Rosa's initial Health post: Rosa's Background

Congratulations on your first successful pokie! :joyful::joyful::joyful:

Can you get another pokie at pre-shot time? I'd suggest holding the 1.0 for the time being and see how she does, by getting some mid-cycle tests in if at all possible. It's hard not to want to increase when you see those high numbers at pre-shot, but Lantus is dosed on how low the dose can take them, rather than how high. High numbers that are seen just at pre-shot can often hide much lower numbers that happen at nadir, or the lowest point of the cycle. On Lantus, nadir is commonly between +5 and +7 hours after the shot, but nadir can vary.

Have you had a chance to peruse the stickies at the top of the Lantus/Levemir forum to learn a bit about how these types of insulins work?

Generally, you're going to want to hold the starting dose for a minimum of 5-7 days to allow the "depot" to build up.

From the Tight Regulation Protocol, which is set forth in this sticky: http://www.felinediabetes.com/FDMB/threads/sticky-lantus-levemir-tight-regulation-protocol.1581/

"General" Guidelines:
  • Hold the initial starting dose for 5 - 7 days (10 - 14 consecutive cycles) unless the numbers tell you otherwise. Kitties experiencing high flat curves or prone to ketones may want to increase the starting dose after 3 days (6 consecutive cycles).
If kitty goes below 50, you will reduce the dose by 0.25.
 
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Thanks for the reply. She was absolutely fine with me getting the blood from her tonight and although it looked like I had hardly any, there was more than enough for the meter to be happy with. I'm glad I won't have to poke her ear any harder to get enough blood for testing - she was very settled and just gave a slight twitch as the needle went in but didn't try to run away or anything. She's my very good, brave girl. I didn't get an extra test tonight - I'm trying to keep everything calm for her and having got one successfully I reckoned I'd call it at that for now. I did stick with the 1 unit which she had about 10-15 minutes ago - as soon as I started reading a bit more about Lantus, I realized that increasing the dose really might make her go hypo even though the one number I got today isn't looking great. I'll try and get one before bedtime and I'll get a mid-cycle one from her tomorrow afternoon as well as her pre-shot one in the morning to give me a better idea of where she is around +6. I was just reading about the bounce effect when I got the alert for your reply - I wonder if that's what's happening with her at the moment but I should be able to get a better idea tomorrow. She's due her first curve test on Friday - the vet wanted me to bring her in for it, but now I see how easy the test is to get here with the right lancet - it was the work of about 20 seconds start to finish even though I'm still learning and she was bribed a little before, during and after with low-carb treats, I'll be doing it here for sure and calling or emailing her results in. She doesn't need the stress and I don't need to spend the day worrying about how she's coping with being there.
 
Great job!!! I see you got her SS up and going already, too. I said in your other thread, and I'll say it again, you are really picking all this up and running with it. :joyful::cool::D

The high number at her AM +11 could also be in part due to the crunchies that you've been putting out for her to keep her safe till you could get a handle on the testing. Once the crunchies are out of her system, her numbers may very well change dramatically. That number could also be a bounce, which in very basic terms is a cat's body's "panic" response to seeing either a steep drop in numbers, or seeing truly dangerously low numbers, or numbers that are simply lower than the cat's body is used to. Those mid-cycle tests will help sort it out. :cool:

A before-bed-test tonight is a great habit to get into. Specifically, for many cats, a +2 can be a good indicator as to what kind of cycle might be ahead. If the +2 is significantly lower than pre-shot, but might be a "busy" cycle, and you may need to monitor further. However, when these pesky high numbers are involved, in evaluating whether there's a drop, you should also be aware of the annoying 20% meter variance, meaning that a given number can be 20% higher or lower than the meter actually reads.
 
Just dropping by to say "Welcome to Lantus Land!"

You're in the best place you never wanted to be!!

Congratulations on the testing success too...and Welcome to the Vampire Club!!
vampire smiley.jpg
 
Thanks! I've always enjoyed vampire fiction and movies but I never thought I'd actually be one! ;) I will definitely be getting into the habit of a pre-bedtime test. That way, if all looks good I can get a decent night's sleep instead of waking up every hour or so to crawl under the bed where she's decided she's going to sleep and check on her...all while trying not to wake hubby. And if it doesn't, one sleepless night won't kill me. I'm sure I'll be able to get a better picture tomorrow when I can test part way through the cycle - I hadn't tested earlier today because I thought it would take me 2 or 3 tries again, possibly unsuccessfully, and I reckoned that at least getting the pre-shot one would be a decent enough starting point for today. I'll still be leaving the crunchies out for her tonight just in case, though I don't think she bothered with them last night. Regan did, but then that's still her main food for now though I might switch her over to the Friskies too as she always demands some anyway - she has to have whatever her twin has of course. I doubt it could do her any harm to be on a high protein, low carb diet along with Rosa - the only reason Regan's been on the Royal Canin SO is because Rosa needed it.

To be fair, I have worked with spreadsheets fairly extensively over the years for financial reporting for various jobs I've had, so that was one part I found fairly easy to pick up about all of this. I'm feeling more confident today after getting a test done without any bother and that I've managed to get all her shots into her so far without trouble. Having a CKD kitty in the house probably helps with that one - the needle for insulin is so much smaller it seems to go in much easier than the one for fluids.
 
I may well be up for your bed-time test, as I'm keeping an eye on my own guy, who's decided to surf in the low 50's tonight. It does tend to be a little quiet around here this time of night, but there will almost certainly be folks on tomorrow at your morning shot time if you run into any weird numbers. Now that you've got the basics down, I'd encourage you to continue to post right here in the L/L ISG, as this is where most folks that have extensive experience and knowledge of the L insulins tend to hang out. :)
 
If I'd only known then what I've just read, neither of them would ever have been on the SO dry food. Of course the vet I was with at the time prescribed it because of Rosa's stones and I didn't think to question it as it said it was formulated to prevent them. Regan's never had any problems with anything - apart from when they both had cat flu as kittens when I got them from the rescue place. I guess she just got lucky, but the Friskies is cheaper by far and they both seem to like it - I think the bag of SO I have in the house at the moment is going to be the last one I buy. I'll let them have it part and part with the Friskies for now both to avoid a sudden diet change and so Rosa still has the crunchies in case she needs them for a bit, but it looks like the wet food is going to be the best option for both of them moving forward. Thank you for the information - of course I'm not happy that I wasn't given the best information way back when, but changing now is better than waiting for Regan to hit some sort of problem too.
 
Perfect, thank you. I may not get around to posting the number until the morning if it's not anything too alarming. I'm hoping she'll be doing well enough at that point that I can get a few hours' decent sleep. But it's good to know you'll be around if she does seem to be heading for a problem. I hope your kitty's numbers improve quickly so it's not too long a night for you. And I'm sure I'll be posting here regularly with updates and questions so people with experience of the insulin Rosa's on can take a look.
 
Ugh - reading about 10 minutes before +2 is HI. She took the test really well again. I guess she's not likely to hypo on me tonight at least - I should be able to get more meaningful numbers tomorrow when I can test further into the cycle and see what she really is dropping to at her lowest point or close to it.
 
Thank you. I know there's nothing I can change for tonight - she'll be in the bedroom with us in case she gets into any sort of distress anyway. I hope your little guy lets you get some rest too. :)
 
She's still reading HI at her pre-shot test this morning. She just might have taken a little of the dry food overnight but I've taken it away for now and keeping her at 1 unit. I might put a little back later depending on her numbers as I have to go out for about an hour this afternoon. If her numbers don't drop at all, she's stuck with low carb only for now though. Regan has also had a low-carb breakfast as I want to take the dry away completely for a while. I'm going to get a mid-cycle test on her today to see if she's actually dropping at all or if she's in the crazily high zone all the time.

@Jen&Eddie How did your guy do in the end last night? I hope all is well. :)
 
Oh, and I don't think I managed a fur shot last night - she's black and relatively fluffy so not the easiest cat to see what's going on. I'm so used to the 18 gauge fluids needle for CKD kitty that the small needle just seems to go in with no resistance so I always check her fur for moisture afterwards. I'd notice a drop of moisture even at 1 unit wouldn't I?
 
That helps, thanks. I didn't realize it has a smell but that's something easy to check for too - I didn't notice either that or any kind of dampness on her fur so it seems she did get the dose just fine. I really didn't think I'd screwed it up and of course with no mid-cycle data yet, she might well have dropped lower at some point overnight. I'll get that fixed today anyway and get her a test as close to +6 as I can.
 
Oops - and just moved the dry food I noticed our housemate had left down for his 2 cats....Purina One Smartblend chicken and turkey...the ingredients list isn't pretty. Plus an entire bowl of Temptations treats - I can guarantee she'll have been sneaking a few of those when no-one's looking. Like all cats, she just can't resist them. I guess his cats will have to get used to either eating from somewhere raised off the floor for now or to being shut in his room a good chunk of the day. I can't blame her for sneaking treats if she can smell them and get to them.
 
Maybe you can get him to switch to the Evo Cat and Kitten or the Young Again 0 Carb?
 
I can certainly try. I see his point of view when he says he's never had a cat get sick from it...but then neither had I until now. I'll talk to him when he gets home from work and see what we can figure out to keep everyone (human and kitty) happy. The treats, however, have to go or at least unless he's home and giving them to his 2 behind a closed door. I'll see if maybe they might like some of the low-carb treats instead!
 
Ooh I'll have to get some of that. Mine have always had a weakness for freeze dried tuna - I'll have to try them with the chicken too. It'll mean I can mix it up a bit for them so it's not the same thing every time. My 2 were feral as kittens too, though they've been very tame lap-cats for a long time now.
 
Can you show him the cat info website. If he reads some of the information it contains He might change his mind about dry.
 
I will do. I don't know for sure that he'll change his mind about it but I can certainly try. If he really won't then his cats are going to have to get used to asking to go get their food while he's not home - I can't risk Rosa pigging out on those ingredients.
 
Her reading is still HI at +6 and she's only had low-carb food today. Ideas ahead of her PM shot...please...anyone?
 
You need to hold the 1 unit for at least 5-7 days (10-14 cycles) to "Fill the depot"

I understand you started insulin before you started your spreadsheet....when did you actually start shooting? How many days/cycles?
 
OK, thank you - it's just scaring me a bit that her numbers don't seem to be coming down at all even mid-cycle. She measured 680 at the vet on Friday before she started insulin on Friday night. I'll try and test her around +9 or +10 as she was a bit lower at +11 last night. Maybe she's just hitting her best point late?

I started the insulin on Friday night but wasn't able to get any tests from her until yesterday as I had the wrong size lancets. So she's in the middle of her 6th cycle now. I'll keep things as they are for now on dosing, but I'm thinking maybe withdraw the higher carb food completely now as she clearly isn't even close to dropping dangerously low. I took it away this morning and didn't give it back as her reading was so high but I had been leaving a little out overnight in case she needed it because I hadn't been able to test.
 
Yeah...getting rid of any high carb food should help a lot! We've seen one kitty who's caretaker was SURE she wasn't getting into any kibble and was on 3.5 units....as soon as she totally removed the kibble from the house, she was OTJ in 36 hours (a very busy 36 hours too!)

That's definitely rare, but getting onto low carb only food is the first step in gaining control.

Are you testing for ketones? It's especially important when they're running that high since DKA is very dangerous (as well as very expensive to treat...and not always successful)

Here are some Urine Testing Tips .....you get the urine ketone strips at any pharmacy that has diabetes supplies....If you catch them early (at "trace") it may be able to be managed at home, so it's important to catch it early
 
Yeah - I had to remove dry food and a whole bowlful of Temptations treats from where she could reach them in our housemate's room. He's used to free-feeding his cats purely on dry though I very much doubt the amount of treats they had was necessary or healthy even for young, active cats - I only ever used to feed them 2 at a time when I was handing them out to all the cats here. Of course, I'm not giving out any of those anymore no matter how much the cats are addicted to them - I've seen Regan chew through the packaging to get at them before now!

I'm hoping taking away the bit of SO she's been getting overnight in case she needs it might help over the next day or so too. Her twin doesn't seem to be too upset at only being given low-carb either so as it's healthier for them both, no matter that Regan has no health issues at all, at least they're going to be easy to feed the same food. I just have to split it equally between 2 plates because of course, being cats, they'll take one bite from their own plate and then switch!

We do have KetoDiaStix which aren't showing a problem for her at the moment - she was also tested for ketones at the vet and that test at least came back clear. At least that's one thing that doesn't seem to be adding to the problems at the moment.
 
Still HI at +10. I guess she goes without the higher carb food overnight tonight too - see if we can get those numbers down a bit. I'd be happier if I could even get a high 500s like yesterday - at least then I knew exactly how high. What are the chances that she peaks really, really late on Lantus and that +11 last night was as good as it's getting at the moment? Or should I try for testing around +3 or +4 next time to see if she's going lower a bit earlier in the cycle? I'm going to hold off on testing her again until her next shot's due - she's being very patient, but she's probably not feeling great as it is at the moment - I'd like to give her a couple of hours break before I stick her again.
 
Really, you just can't rush it

Dropping the dry may make a big difference, but we won't really know until it's totally out of the picture..it can take up to several days to completely clear, although it's usually within about 24 hours

You also really have to wait until the depot is full before you're going to see what the dose is capable off.

I know it's really tough to see the meter greeting you with "Hi!" all the time, but hopefully getting the dry out will help bring those numbers down a little

Until you've been testing awhile longer, there's no way to answer the question about nadir (the lowest point in the cycle) Some cats nadir early...some cats late, and some right around +5 to +7....and once you've figured it out, it can change.

It's always going to be best to vary when you get tests during each cycle. ALWAYS before shooting, and then at least 1 somewhere else in the cycle.

Think of the spreadsheet as a puzzle. If the only pieces you have filled in are the edges, it's hard to see the entire picture, but if you sprinkle pieces throughout, you can begin to tell what the picture is!
 
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I know I need to be patient, it's just so difficult to keep seeing that reading of HI and knowing how bad it is for her to be at that level. It scares me that I don't feel like what I'm doing is helping her yet. I'm trying to keep things calm for her, but with 6 cats in total and 3 adults in the house, it's not always easy - any time anyone's temper flares or there's any raised voices I keep thinking it's stressing her out and making her worse. And then there's the youngest cat who likes to try and bully the others. :( It's probably not helping that I'm exhausted - I've not slept much since she was diagnosed and I'm scared to go to sleep in case something goes wrong. Sorry to rant, but I'm struggling to cope today - I thought it would all be better once I could get some numbers but if anything I feel worse about the readings I am getting.
 
Take advantage of the higher numbers and get some rest!!

When they're that high, they have a long way to fall before you're going to be into any kind of "danger", so while she is running this high, REST!

There are going to be plenty of nights you're going to need to stay up late further down the line....We promise!
 
Rosa didn't become diabetic overnight and isn't going to be regulated over night. It takes some time and care to get things managed optimally and there are always hitches along the way.
 
Thanks, both of you. I just checked for ketones again (yeah, I'm being obsessive about it now). She's still good on that at least. I'll pre-shot test again tonight of course and then see where she's up to in the morning. I'll try and rest, I promise - I know I'm not good to her when I'm stressed out either.
 
Hi April!

Looks like you're getting some really excellent starting info from Chris and BJ. Like Chris said, you've really got to pull on those patience pants for the first few doses, even though those high numbers are hard to see. The could be due to any number of different things, or combination thereof, e.g. high BG, dry food, Temptations, bouncing, etc. You're spot on checking for ketones - frequently. I have no personal experience with it, but DKA an awful thing to deal with. Deep breaths! These first few weeks are the hardest. Like BJ said, Rosa didn't become diabetic overnight, so it's going to take some time to get things back to good. Lots of kitties start in those high numbers, and they do make their way down...some faster, some slower, but all at their own pace. Chris is absolutely right - take the opportunity to relax and enjoy Rosa's company and get some rest. There will almost inevitably be some late nights in your future. It's just part of this dance. :rolleyes:

The TR protocol does provide for fast tracking increases if the high numbers continue for a few days, so hang in there! :bighug:

Just think - even though it's hard to see the meter saying "Hi!" right now, you're putting together the puzzle pieces to get her headed in the right direction.
 
Hi Jen and thanks :)

I don't really even know how she's feeling right now - she seems to have got some bounce back in the last hour - she spent most of the afternoon sleeping under the bed, but she's just taken off at full speed through the kitchen - maybe she's perking up just in time for me to feed her and probably send her number higher again of course!

I'm not sure how often I should be checking for ketones, but I'm doing it as often as possible for the moment until I can get her numbers into some sort of acceptable range - I don't need her getting emergency-style sick with the way she is at any vets. She's still being cuddly even though I've spent the last few days sticking her with needles repeatedly, so at least she doesn't seem to hate me for it which was something I was worried about as she's always been a very loving cat. I agree, if things don't improve in the next few days, I might have to follow the fast track for a bit until all the numbers start looking better, but at the same time I don't want to skip over her optimal dose and finish up with her overdosed and bouncing indefinitely.

How did your guy go on in the end last night? All good I hope! :)
 
manxcat419 said:
I'm not sure how often I should be checking for ketones, but I'm doing it as often as possible
Click to expand...

I'm not actually sure how often, but if you can get multiple ketone tests in a day, the more the better. From what I understand from others who have gone through it, ketones can go from trace to large within a day, so if you can catch them at trace, you may be able to knock them back down. If you do catch a trace reading, definitely post a separate topic noting something like "Trace Ketones" in the title to catch the attention of folks who know how to deal with that situation.

manxcat419 said:
How did your guy go on in the end last night? All good I hope! :)
Click to expand...

Eddie did fine, thanks for asking. :D He was surfing safely in the low 50's - for hours. My guy tends to nadir pretty early these days, and doesn't really go real low (anti-jinx) these days, and having done my fair share of PJ parties with high carb/karo/etc., and knowing Eddie's patterns, I knew he was perfectly safe. I'm a bit of a testaholic, because I like to know exactly what Eddie's doing, and getting lots of data at night time helps me figure out what he's up to during the day when I'm at work. He wasn't always so flat and easy going, though LOL. He was on the varsity dive team until recently, when he joined the surf team. ;) :cool::D
 
Check my signature link Secondary Monitoring Tools for some other assessments you may find helpful. Your cat is more than a glucose or ketone number and observing those changes can help you identify other signs of progress.
 
OK, I'm getting clear results for her at the moment on the ketones. Hoping it stays that way for her too! :)

I'm glad Eddie was OK last night. I don't doubt I'll be awake all night monitoring if Rosa ever heads down anywhere near the 50's - I'll be just as scared of that as of being greeted with a "Hi" from the monitor. ;) Long may Eddie's stability at those nice numbers continue! :D No doubt whenever I do manage to find work, I'll be just as keen to get data at night so I know I can leave her safely in the day.

@BJM - she does seem to be doing pretty well on everything except the weight loss, which of course was the reason we took her to the vet to begin with, and the still high numbers. She purrs a lot and is happy to be picked up and cuddled, everything else is good and she's grooming and moving around a bit more than she was last week, and although she still camps out by the water bowl at times, she does seem to be drinking and peeing just a little less than she was - still more than I'd like, but definitely a slight reduction (told you I was obsessive about checking everything she's doing ;) ).
 
Kitten food tends to have a bit more fat and thus higher calories.
Also, feeding a touch more at mini-meals keeps the calories coming in without overloading the GI tract.
 
Hmm - I might try picking up some low carb kitten food for her, see if I can get a little weight back on her. She's definitely too skinny at 8.8lb. I've been letting her have a little more food, split over the day, than the 1 1/2 5.5oz cans the vet recommended when she seems to be hungry enough to eat it but her appetite's still very variable. She'd really like me to give her the Friskies flaked either Tuna or Tuna and Egg but I'm a bit concerned about too much fish. I might let her have some of it the days she's not eating much though - she'll always eat tuna even when she won't touch anything else.
 
Weight loss is one of the big reasons a lot of us found out we had sugarcats. I took China in thinking she was going to be hyperthyroid just to find out she was diabetic!

As you get Rosa under better control, she'll start gaining weight back.

China when she was first diagnosed

China before diagnosis.jpg

China after 4 months of insulin
China after 4 months insulin therapy_zpsf9fd87af.jpg

I think a picture's worth 1000 words!
 
Hi April! I wanted to welcome you and Rosa to Lantus/Lev Land!

You've been given lots of good info, but i wanted to just add that we've seen cats that had only 3 pieces of dry food go high for the folowing 24 hrs or so. The HIs you're seeing are likely from her snitching the roomie's kitty food. One thing that people do is to pick up the dry food and put it in a drawer that the diabetic cat can't possibly open. It might mean that your roommate is picking up the bowl and putting it down a couple of times a day, but it will protect Rosa. I used to feed my guys dry food (like most everyone else) - they each had to have different prescription dry food - and i put one in the laundry room and the other outside the laundry room. Opened the door after about 10 minutes and let them out. Repeat again in 12 hrs.

Punkin had repeated bladder infections at least once a year for maybe 8 years. The vet had him on prescription dry easy-on-your-bladder food. When he became diabetic and I switched him to canned low carb, he never had another bladder infection. I'm glad you had a chance to read the catinfo.org site. good info there on diet and bladder issues.
 
Thanks Chris. Yeah, Rosa looks pretty much like China's 'before' picture at the moment - and she's always been a fairly big cat. Not fat, or not most of the time, just naturally fairly big. At the moment she weighs 2.5 lb less than her twin which makes the difference even more noticeable every time I look at them. China's looking great in the 'after' pic though - she's clearly in good health following treatment. Hopefully Rosa will be back to her usual self soon.

That's definitely interesting Julie. And she could easily have got to 3 or more pieces of dry food this morning before I noticed it was there. If it was the treats, I don't doubt they'll have had an effect, and if she grabbed those she'll have taken more than 3 too as they all seem to get addicted to them after one bite - I just didn't think it would last quite that long! It does seem as though we may have to separate the cats at feeding time to make sure she can't do that again. I don't mind opening and closing the door for the other cats on and off during the day at the moment while I'm home and with any luck they'll get used to the idea that sometimes they have to wait by the time I find a job so they won't be too upset at not having free access to their food 24/7.

It's also interesting that the high-protein food reduces bladder infections. The vet who prescribed the SO said that too much protein would be a bad thing for crystals. Yet it seems as though that may have been old advice that I was never updated on as everything on the catinfo.org site demonstrates the exact opposite. So by fixing this problem, I should be able to fix the crystals and infections too which is great news for both Rosa and me. :)
 
It's not the "high protein" that helps with the bladder infections....it's the extra water in the canned diet!

Cats don't drink anywhere enough water, so by going with canned, you're already increasing the water from around 8% to around 78%

A lot of us add extra water to the canned too...by adding a couple of teaspoons to each meal and making it into more of a "slurry", you're going to add even more water into Rosa's diet

You just have to experiment a little to see how much water you can add and have her still willing to eat it
 
With some flavors, she actually won't eat it without a little water mixed in. She always did prefer wet food to be in gravy or sauce, but of course the gravy types are out now. She has always got through a fair amount of water, but I think a lot of that might have been the SO diet - there's something in that to make them drink more apparently. Of course she still wouldn't get as much water that way as she would from wet food. I still think I might let her have one of the tuna foods tomorrow - she's been pretty picky about eating today but that's probably because her BG is so high. I gave her shot anyway - she usually eats the food later if she doesn't eat it at meal time and she's high enough that she should still be OK even if she only eats some of it.
 
Going to try and get a +4 on her tonight if she's not too mad at me sticking her with needles by now for the day as it looks like I'll still be up then. I had a thought though - the very first dose I gave her was 2 units as per the vet on Friday night before I was sent the link here that showed that she'd be prescribed on the old protocol for Lantus not the new one. It clearly didn't drop her dangerously far but as she'd been running at 680 earlier in the day...am I understanding it right that if that dose dropped her into the lower 500's or upper 400's she could still be bouncing and running high as long as now - 3 days later? She hasn't really eaten much tonight, only a few bites. I think I might try her with a different flavor of the low carb food to see if she'll eat a little overnight when I'm not watching her as closely to see how much she actually eats.

I do appreciate that without numbers from Friday night/Saturday morning this is all guesswork - just trying to figure out possibilities here.
 
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