invitation to Jayla- new to prozinc

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Carol & Murphy (GA)

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@jayla - hi Jayla if it is easier for you - you can just reply to this message and ask your questions There are several experts here who will be able to answer your questions. Also, be sure to read the stickies at the top of the prozinc forum -there is alot of information about prozinc there
 
@jayla - hi Jayla if it is easier for you - you can just reply to this message and ask your questions There are several experts here who will be able to answer your questions. Also, be sure to read the stickies at the top of the prozinc forum -there is alot of information about prozinc there
Thank you Carol :)
 
Hi Jayla,

Wonder how things are going and how we might help? Have you been able to get any tests and if so, how do his numbers look? Please give us some more info on your sweet kitty.
 
Hi,
I test Drevon pretty often(usually 3-6 times a day)--I had a consult with my kitty doc Friday morning and we revised his insulin protocol.
Since then he has been going in the right direction --he did go up some tonight but it is still early in our new regimen …and he was munching.
I am doing tight regulation with PZI but I am using my DVMs chart for the dosing and Dr Hodgkins (time schedule) Dr H. is more aggressive than he can tolerate with dosing (or I am ready for ).. I feel I have a window of opportunity to get him into remission so I am going for it :) He seems to feel really good even with the 276 (11:30) 307 (12:30)tonight--he was 196 they morning and 193 - 8 hours later--I dosed him as per my drs chart but another 8 hours and he jumped-checked 2x just to be sure before I dosed him and I watching him… he ate pretty good too.
I was worried about upping his dose but my dr is a bit more cautious yet she understands we are at a possible turning point so it is a bit perplexing but I have a good feeling and his behavior is awesome--he is like nothing is wrong snuggly and playful. I was reading thru his CBC charts and I think I see a pattern that may be mild pancreatitis so she is sending me a glandular with pancreatic enzymes as well as a homeopathic.
Does anyone use the gerber 2 stage meat baby foods to get food down if they won't eat? I mix the enzymes with a little baby food and some regular low carb wet food if he won't eat-
The gerber meats say 0 carbs 0 sugar but it has corn starch in it…. It is not a large amount but still is starch (I think 5-7 percent as a thickener) I only use a teaspoon to get the enzymes down and he rarely even eats all of that. (I syringe it with enzymes)
Sometimes I mix with A/D--
if he won't eat it is difficult ---BUT the PZI agrees with him so much better than vetsulin.
He is such a trooper with me poking and prodding him--I think the non eating issue is his pancreas elevation issue so hopefully the glandular will work-
Thanks for checking on us… this is nit something most people want to talk about--my boyfriend has been so wonderful and the poor guy never had a pet -didnt even know how to pet a cat-now he checks in for his BG every day-
So tonight I dosed him for 276 BG --1.5 units (most he has ever had)
I have a good gut feeling tho or I would not have shot-
I am learning so much! Just reading others questions is so helpful--;)
 
Glad that you are doing well. I have to say that I am not a big fan of Dr. Hodgkin's tight regulation methods. I especially don't like the assertion that cats on low carb can't hypo. I have seen too many instances of that happening. We do advocate possible 8 hour dosing, but only after a kitty is clearly not doing well with twice daily dosing, and then with great care.

Just a caution to be careful, be sure a number is rising, not still falling before adding any more insulin and test often. If you want to talk to someone who tried that TR method, I know @Elizabeth and Bertie did.

Most people who use baby food as a temporary fix use Beechnut, I think. You want to stay away from any spices or onions.
 
Dr. H's recommendations aren't widely popular here. As Sue said, the assertion that a cat on low carb cannot hypo is patently untrue. I'm not saying don't follow that protocol, just please be careful and do understand that a hypo can happen. Have you got a hypo kit together in case you need it? I always recommend (as was recommended to me!) to print out the hypo instructions and put them on the fridge. That way, in case of a power outage, or ISP problems, you can still get to them. Plus...that way you don't have to panic and look for them. I wrote the location of my hypo kit on the bottom of the instructions because I just knew that would be the time my memory went out on me. It tends to fail when I need it!
 
Hi,
I appreciate your thoughts on this…. I am very cautious and I do think they can go hypo. I am not dosing as Dr H. I do have a kit but I print it out and make sure I know it by heart. I struggled with how to manage him and revert. I feel like he was not staying in normal numbers of far too long as opposed to out of normal range and with his pancreas mildly suppressed I felt (as well as Dr Katz) that it would not get the break it needed to kick in and do its job. I caught the diabetes very early so we both agreed he could revert but the window was not very big as he is 15-heavy and slight pancreatitis -Dr Katz has a much less aggressive protocol as far as dosage and he is responding well, she also has cautioned me about hypo and to have preparation just in case. I am hoping I will go to 2x a day very soon (maybe even today) as he is holding much longer. I will reach out to Elizabeth and Bertie as well. Thank you again--;)
 
Hi Jayla,
I'm very interested in learning more about the treatment routine you and Dr. Katz are doing! From what I've read so far, I think I like your vet. She sounds a lot like my vet was when my cat Bob had diabetes. I used compounded PZI, and shot on a sliding scale from day one. I never did more than 2 shots a day, but they were rarely 12 hours apart. That was more due to my work schedule than any other reason. I just couldn't time his shots that precisely.
I was able to find the link to Drevon's spreadsheet on your profile page and other than a few scattered "pink" numbers, his numbers look really good, in my opinion!

I have read the Hodgkins TR Protocol but didn't follow it. Bob's "protocol" was sort of me and his vet winging it. She was familiar with the protocol, and prescribed only PZI, and was a big advocate of sliding scales. Bottom line, after ten weeks, Bob did go into remission, and remained that way for 2 1/2 years. At that time, the diabetes came back with a vengeance and he didn't respond to treatment. His vet determined that it was something beyond just a relapse into diabetes, and when his organs started to fail I had to let him go, but that's got nothing to do with anything really. Just wanted you to know "my history" with treating diabets.

Like you and Dr. Katz, I am a firm believer that the sooner you catch the illness, and get a cat into controlled numbers, the better the chances for healing and for remission. So I am encouraged by what you have posted here.

I do have a couple of questions...
Because our spreadsheet template is designed for a 12 hour cycle, I want to be sure that I understand the timing of Drevon's doses, assuming you aren't dosing on a 12/12 schedule.
Is there a "time-frame" for his shots, or are they triggered by a BG number that you might catch on the meter? In other words, is there a "line in the sand" where you would give a shot based on where his BG is?
Can you tell me what your scale looks like? Where the limits are that indicate a certain dose should be given? If it is like mine was, it was sort of "fluid" and not etched in stone as time went by. For instance, if my vet said something like "If the BG is 200, give 1 unit, and if it's 300, give 2 units" and I got a 250, I would shoot 1.5u. I did a lot of calculating before drawing up the insulin.

To answer one of your questions, I did feed Bob the Gerber stage 2 meat flavors. He liked chicken and turkey, but not beef. I don't know if the starch had any effect on his numbers. But I also wouldn't worry too much about it. Low carbs of course is ideal for diabetics. But some cats don't agree with our choice of their diet, and some people have to live with a slightly higher carb content or deal with a cat that won't eat. That can be compensated for by slightly higher doses of insulin if worse comes to worse. If you need to mask his meds in baby food in order to get them in him, I don't think it's going to screw up his numbers drastically, if at all. Like Sue mentioned, if you feed Gerbers or Beech-Nut baby food, just look at the list of ingredients and make sure "onions" is not there. I think the early stage meat baby food only says "meat and water".

You mentioned in your signature that you are giving sub-q fluids 2 or 3 times a week? Is that still the case? Do you administer them in the scruff area? If so, where do you shoot his insulin? I ask because I had to give "squids" to Bob a lot early on, sometimes up to 200 ml a day. His fluids had potassium added because his potassium levels were really low, so it was a good way to take care of that plus dehydration at the same time.

Oh, one last thing. Kudos to your boyfriend, for going from not knowing how to pet a cat to sharing this experience with you and Drevon. Too many times, it seems it is only one half of a couple that is involved. Feline Diabetes is a pretty big thing to deal with all on your own.

Best wishes for good numbers!
Carl
 
Hi Carl,
Thank for the awesome reply….
So I have a "regular" DVM that I actually have been a tech for and he is great but this is not his specialty so I (actually my bf) sought out a DVM who was more inclined to help me get him into remission or managed well.
I started on vetsulin because that is what my regular DVM gave me -- I was hoping diet alone would work but no such luck-
So after a week or so of just diet changes which helped but stalled we went to see Dr. Katz who has a affiliation with Dr. Karen Becker who in these part is the "holy grail" of holistic and progressive veterinary medicine. Dr. Katz referenced Dr. H and I had already researched so we decided to go slow and see what his response would be. I did not like the way Drevons behavior changed on vetsulin and I knew PZI was the drug of choice so after about a month on vetsulin at 12/12 I had enough and missed my normally happy loving cat.
So on his chart we started PZI when the date is in red--(10-29) I have only started more than 12/12 as of this Friday….this is how I am charting now--I gave him a shot at 5PM (8 hours) which was +8 so I gave him 1 (skinny) unit which I put in the PM shot box…. when I test at 11 I will record it in the +6 even tho it could be read as +9 --where I have my last recorded number is when I give his shot.
Initially his numbers were just ok--not really getting where I was hoping but certainly not awful--His attitude and behavior was absolutely back to normal on PZI regardless of his number which made me so happy-
However my goal is remission and in my heart I believe it will happen.
SO I had a phone consult with Dr Katz on Friday about the more aggressive approach like Dr. H--she agreed we needed to reevaluate his protocol.
Basically I am using Dr Katz dosing and Dr H timing-
here is my dose schedule…..
120-160--1/4
161-185-1/2
186-210-3/4
211-230-1
231-250-1 1/4
251-275-1 1/2
276-315-2
315-385-2.5
I test him at 6 and 8 hours when I can to see if he is raising or lowering before dosing-
For instance last night he was 286--this was about 7 hours after his dose-I waited and checked at 8 hours and he was 307-
I dosed him at the first number just to be cautious 1.5
This morning he was 155 (+8…1/4 unit)
6 hours later he was 157
now--8 hours he is 229 -- I retested and was 214 so I split it-and did a skinny-
Then test again at 6 and 8 hours before dosing…hopefully he will not need anything then but if he does I don't think it will be much-
He is not a good eater so I "force feed" which he enjoys-LOL if needed -- I use the baby food mixed with a little A/D or something high protein mixed with enzymes.
I know everyone has opinions about baby food but my previous cat was 18 in renal failure and ate baby food until she was 20 and passed from a mass in her abdomen.
I have only started dosing more than 2x a day as of Friday but he seems to be holding much longer and I want his pancreas to reboot so in my gut I feel it is right for him….not for everyone but it seems to be working for us.
As far as his kidneys… when I got the initial blood work done I knew it would be kidneys or diabetes--both suck but I am very experienced at managing kidneys-my other cat Rico has been getting sq for 5 years he is 16 now and his blood work comes back as if he was not in kidney failure. He is a bit more naughty than Dre so other supplants are not really a option. He gets a homeopathic about 1x a month as does Dre-and they are both on adequan injections for arthritis. (to slow it)
Back to Dre-so it came back and his BG was over 300 and the fruc. test confirmed diabetes. His kidneys were high normal at that time-I had another panel done less than a week later and his BUN was out of normal range --I had already started SQ just in case ….. My most recent blood also has a elevated BUN so yes he is getting sq about every other day in the scruff area.
I usually give his PZI in the scruff or between shoulder blades--I know they say is better in side etc… but he doesn't agree and he is going thru so much poking and prodding I am not going to argue with him as he is being so patient with all of this-and it is working so I am not sure how much it matters. He is a big cat 19 ish pounds so I have a large neck area to use.
Thanks for the nod to the bf--he has been so great and I have been a wreck--we had a vacation planned that was cancelled because he knew I would be wanting to come home….he knows how much I love them and he deserves a metal of honor for listening to me ;)
 
Thank you for the detailed reply! Now I think I can keep up with the spreadsheet.
I like the scale, and the approach you and Dr. Katz are taking.
The reason that I asked about where you give squids and insulin.... My vet was convinced that the amount of fluids I was giving Bob (2oo ml spread out over two or three treatments per day at first) would have an adverse effect on the absorption of his insulin if I gave him insulin in the same spot. You may just ask Dr. Katz if she thinks that might be an issue? Maybe if you see a difference in his numbers on the days you give fluids, that might explain them? I saw a diagram on the board someplace that showed about 10 different places where injecting insulin could be done. Of course, kitty cooperation is essential when you are holding a sharp object like a syringe!
 
Oh, and just to be certain... All the numbers in the ranges are the Alphatrak numbers, correct?
 
Yes I use alpha trak…
I will ask about the insulin being diluted--I try to space out the fluids in regards to the insulin--
But good looking out--thank you..
He just jumped on the stove from the floor so I am pretty sure he feels good tonight ;))) opening cabinets LOL
 
That's awesome! Bob was a "blob" at around 15 pounds so I don't think he ever saw the countertops. It was a month after he went OTJ and his potassium was back to normal before he could hop up on the bed. THAT was the day I knew for sure he was really better.
 
Drevon is a ummm "big boned" but he is very tall and just a big boy…. he has lost 1 pound-we are working on 1-2 more…..genetics! Rico is almost 12 pounds and eats 2x as much as Drevon. They definitely do not act like seniors, always into something or chasing each other.
I was trying to see your info page but it says error-your photos are beautiful (natures moments)… have a great night!
 
Probably because there's nothing on my info page.

Thanks for the compliments on my photos!
 
Oh, and if you look at my photo link, and my "albums" there is one called "my cats". There are a few of Bob in there. He'd be the big boned gray and white guy with no tail. Lol.
 
OMG he looks just like my Rico ….. if Rico worked out :) very pretty babies!
Just tested he is at 100--@ +2.5…. he usually drops faster than most and holds for a while, pretty sure he is set for the night tho. He just nibbled but still doubt he will need insulin til tomorrow. Testing again at +6 and 8 if is low or high-120 would be awesome!
 
I saw a diagram on the board someplace that showed about 10 different places where injecting insulin could be done.
Here's the diagram from the LANTUS & LEVEMIR - NEW TO THE GROUP? PLEASE READ... sticky.


INJECTION SITES:
injsitesforcats1.jpg


Alex didn't like being shot anywhere besides the scruff/shoulder area. I'd shoot insulin on one side of the scruff... administer sub-q fluids on the other. It worked for us.
 
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