? 5/2 Gus so far OK BG @+3 75

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elizabeth and gus

Member Since 2015
Gus earned dose reduction couple days ago and I am happy to see lower BG numbers mostly blue and green. Today at +6 he was 51 and this is making me very nervous. He eat 1.5 oz FF 17% carbs and I will stay home and retest. For PM should I decrease his dose?

Elizabeth
 
In reading the SLGS PROTOCOL it looks like a .25 reduction has been earned but please let the dosing pros advise you. Congrats on hitting green.
 
SLGS protocol says to reduce under 90 on a human meter, but Gus could still be working on a 1 unit depot, so I think it would be your call if you want to go for a reduction. It looks like you only reduced to a fat .75, so you might want to go ahead and reduce to .75u and hold there for another day or so, unless he is showing those low numbers again.
 
Thank you Tina and Elise

Just as I was enjoying nice BG numbers Gus had lately I noticed that he had BM second time today and was near LB hissed and throw up. It was obvious that he was in pain. He continued to meow and walk around, pee little outside LB. Had couple more trips to LB. His BG was 130. Now little bit over an hour later he is back to normal. I am just hoping that HC food that he had earlier irritated his stomach. So far he has no interest in eating. I am going to watch him closely. I have meds for pain for tonight if needed and the vet is open tomorrow. Dosing for PM is now more questionable if he is not going to eat.

Elizabeth
 
Sorry to hear that Gus isn't feeling great. Yes, if the HC food was something he hasn't eaten before then there is a possibility that that could be the problem, hopefully that is all it is.
 
The SLGS says to immediately reduce by .25u if kitty goes below 90. I would go down to a .50F tonight. Congrats on the reduction.

Some kitties GI systems react poorly to the wheat in the gravy that is in some high carb foods. Your alternative is to find another HC without wheat (I use Merck Cowboy Cookout which uses potato starch as carbs) or add a drop or two of karo, honey or syrup to regular low carb food. Paws crossed Gus is all better now. Or as Tina suggests, it could be a food or protein he's allergic to. What meat was it?
 
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Gabby doesn't do well with gravy-based foods. She's sensitive to the gluten. I use a couple of drops of Karo to steer her numbers when they're low.
 
Hi Wendy

It was FF Beef Feast in Gravy Grilled. He had this food before in small amounts mixed with FF Fish & Shrimp Feast Flaked (0% carbs) or Baby food. I noticed that this combination helped his appetite. He had Merck Cowboy Cookout before and tolerated it well I will get some more just in case.
His PMPS was 237 so we injected 0.5F. He is slipping now and had couple of nibbles on baby food so far no more throw up. I am going to let him rest for awhile and monitor BG and eating. When his insulin starts lowering his BG he usually eats much better and feels better. I am hoping that this isn't another pancreatitis episode.

Elizabeth
 
Gabby doesn't do well with gravy-based foods. She's sensitive to the gluten. I use a couple of drops of Karo to steer her numbers when they're low.
Thank you

I am sure Gus would like sweet addition to his food. . He also loves cantaloupe, we just don't eat it anymore because he would smell it from a mile.

Just keeping my fingers crossed.

Elizabeth
 
Hoping it wasn't anything significant and he's on his way to feeling better already.

Some people put those couple of drops of syrup (honey is usually pretty innocent) onto a teaspoon of the regular low carb food when steering low numbers.
 
Gus is more active now walking around like he is looking for the food but turns his nose on all offerings. His BG @ +3 is 125 so I am expecting it to go bit lower. Just nibbled on the baby food with crushed treat mixed in. I am monitoring him and have meds ready if needed. I just wish that he could tel me if he is in pain or just need more time to recover.

His PMPS was 237 we injected 0.5f (decrease from 0.75f two days ago) @ +3 BG 125. I am not going to be able to test him @ +6 but it is very possible that he will go lover. For tomorrow morning his dose should be 0.75 or 0.5f ? It was only three cycles on the reduced dose o.75f when he had BG 51 @ +6 and other things happen. This PM we reduced to 0.5F and still getting nice blue readings. I am not sure how to dose tomorrow?


Elizabeth

Thank you all for your support
 
His new dose is .50. He was probably bouncing from hitting green and it can take as many as six cycles to clear but Gus has come down nicely already.

Has Gus eaten beef lately. Along with grains beef and fish are often food allergies for cats. Do you have cerenia or ondansetron for nausea? I hope he feels better and eats soon.
 
Sorry I meant how far off schedule can you get, eg if you shoot an hour late in one cycle you need to shoot an hour late in the next cycle and then move the shot back a half hour per day so it would take two days to get back to your normal shot time
 
Can you test his BG again and we'll see where we're at. Are we about up to +13?
Is he currently having pancreatitis? Is that what the meds are about? Does he have any other issues?
 
Can you test his BG again and we'll see where we're at. Are we about up to +13?
Is he currently having pancreatitis? Is that what the meds are about? Does he have any other issues?
@ +13 bg 100. At the moment he is active purring walking around meowing like he wants food but only takes couple of bites and walks away. He drinks water. so far no other issues. He was dx with pancreatitis 3/25 based on the fPLI 6.7 on 3/25. That day he was in pain, throw up, urinated outside LB) since he cleared. The other results including kidney markers were OK. So I don't know if it is another pancreatitis episode or ??
 
How long does the cerenia usually take to work on Gus? I would shoot the full dose as soon as he shows he is going to eat.

Alternatively you could shoot a BCS of .25 now - if he does go too low and won't eat you can use syrup on his gums to get him up
 
How long does the cerenia usually take to work on Gus? I would shoot the full dose as soon as he shows he is going to eat.

Alternatively you could shoot a BCS of .25 now - if he does go too low and won't eat you can use syrup on his gums to get him up
In the past Cerenia really didn't do much for Gus so we switched to Ondansetron. He just nibbled some more on food so I waiting to see if he is going to hold it.
What is BCS ??
 
Big chicken shot - a one time reduced dose because you're too nervous to shoot the full dose. Usually you wouldn't stall and reduce but it's a little concerning that Gus isn't eating properly. If he keeps the food down for an hour and his number hasn't dropped I would shoot the full dose.

You would then shoot again 12 hours later and the next day start moving his shot back to his regular time 15 mins per shot or half an hour on one cycle per day until you're back to his regular shot time.
 
Big chicken shot - a one time reduced dose because you're too nervous to shoot the full dose. Usually you wouldn't stall and reduce but it's a little concerning that Gus isn't eating properly. If he keeps the food down for an hour and his number hasn't dropped I would shoot the full dose.

You would then shoot again 12 hours later and the next day start moving his shot back to his regular time 15 mins per shot or half an hour on one cycle per day until you're back to his regular shot time.

We just did 0.25 . He is eating little now. I hope he keeps it.
 
It is always so frustrating when our kitties appear to throw up for no reason. I hope Gus is feeling better and eating his food.
 
Sometimes when Gus is not eating I crush 1 treat "Pet Naturals". I don't know how bad they are.
Ingredients:
fish meal, brewers dried yeast, glycerin, soy lectin, salmon oil, and supplements.
protein 32.6 %
fat 10.6 %
fiber 1.2 %
moisture 17.4 %

I also use freezed dry treats but he doesn't like them much.
I just don't want to jinx his recovery.
 
We recently started using Orijen Cat Treats Wild Boar and Sammy loves that sprinkled over his food. There are other Orijen flavors also, but Sammy likes the Wild Boar the best.
 
It is always so frustrating when our kitties appear to throw up for no reason. I hope Gus is feeling better and eating his food.[/QUOTE

I am very panicky mom. Gus comes back often to his many food bowls and nibbles. No throw up so far. I am hoping that he is not in pain. He is resting by the glass door watching birds.

Thanks a milion for the support. I couldn't make it without guidance for members of this board. My third vet is not very helpful and he recommends stopping insulin as soon as Gus not eating well.
 
I am also very panicky, and every little nuance that is not normal makes me freak out a bit. So just know that you are not alone.
 
I am also very panicky, and every little nuance that is not normal makes me freak out a bit. So just know that you are not alone.

It looks like members of this board guided me in all his health problems and the vet just pockets the money and tells me stop insulin and I don't know what is going on.
So far Gus is doing fine @ +3 BG 75.

Thank you so much
 
It sounds to me like another pancreatitis episode. If the appetite returns with the meds by tonight, I would continue with ondansetron twice a day and cerenia once a day throughout the weekend. Is he constipated by any chance or having harder than usual stool? Has he ever gone outside the box?
 
It looks like members of this board guided me in all his health problems and the vet just pockets the money and tells me stop insulin and I don't know what is going on.
So far Gus is doing fine @ +3 BG 75.

Thank you so much

I totally know what you mean. I went against the wishes of my VET more than once when it came to how I administer insulin. It seems like the advice I got here and the way I went worked out. Not sure what would have happened if I had gone with the Vets advice. I really like my VET but when it came to treating feline diabetes the advice just wasn't very good.
 
It sounds to me like another pancreatitis episode. If the appetite returns with the meds by tonight, I would continue with ondansetron twice a day and cerenia once a day throughout the weekend. Is he constipated by any chance or having harder than usual stool? Has he ever gone outside the box?

Yesterday he had BM three times and the last BM was much looser than normal. Two last BM were after he throw up and started to have pain and was going often to the LB and the utility room where his LB was. He peed very little on the floor and twice in the LB. It lasted about 3 hours and he improved. This morning he was not eating so he got ondansetron later he throw up (it was food and his fur). Gus started eating better very small frequent meals. No poop today. He is drinking and urinating as normal.

He went outside LB on three other occasions when he was not well (not eating, very high BG etc). We took him to the vet and get blood and urine tests. Vet dx him was pancreatitis. All labs are in his ss.
 
Max has had chronic p'itis for 5 years. He's had loose stool with it only a couple of times but it was gone before I needed to treat it. I have flagyl now because it happened once on a Friday and my vet doesn't work weekends. Sounds like Gus is doing better.
 
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