5/27 Belle, AMPS 422, +2 372, +4.5 339, PMPS 347, +1 369

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I know you haven't been feeling well and hope things are a little better. I'm concerned about Belle. Have you changed his dry food recently? I believe you were looking for a new one. Also is there any reason you increased instead of holding the dose for 7 days? I'm certainly not criticizing as you are a great mama mean but those over-night tests are becoming even more important with these numbers. Any way you can take him to the vet for a check up to make sure there is no infection or something?
 
he has not change his dry food recently, i was looking to change, but he still hasn't finish the old food, and i hvn't time to look.
i would want to bring him to the vet, but my budget is really tight right now, i cannot afford it. few other sick animals, and i m still trying to look for a job...

Doodles & Karen said:
I know you haven't been feeling well and hope things are a little better. I'm concerned about Belle. Have you changed his dry food recently? I believe you were looking for a new one. Also is there any reason you increased instead of holding the dose for 7 days? I'm certainly not criticizing as you are a great mama mean but those over-night tests are becoming even more important with these numbers. Any way you can take him to the vet for a check up to make sure there is no infection or something?
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Helena

I’m so sorry you haven’t been feeling well. I hope you will feel better much sooner.

There are a few reasons why we see a kitty’s SS change so much. One is that you’ve increased the dose when he didn’t need it. With SLGS, you wouldn’t have increased the dose from 0.05u when his nadirs were in green. It’s possible you were missing some lower numbers at night which might have indicated he was ready to go off the insulin. In fact, on 5/2 with a 67 and SLGS, he earned a reduction. So I’m wondering if you’ve got him really overdosed.

The other reason he might look like this is because he’s got an infection somewhere.

The best way to try and find out if you can’t afford the vet and he’s eating and seems to feel well is to do your absolute best to grab some tests at night and see where he’s going. If there’s any way at all to get a before bed test and even for a few nights grab a mid cycle test, we would have a lot more info. Cats often go low at night. And I am also not being critical but I just see the dose going up way too fast.

What do you think....is it possible to get a few more tests at night just for a few nights?
 
i don't know if he has any kind of infection, but he is on long-term antibiotic ... which should keep him from infections, right?
 
Yes. My feeling is that he is overdosed. Why is he on long-term antibiotics and has he ever had DKA? Cats become resistant to antibiotics and so it might or might not still be working.

There is the option to just stop the insulin and give him at least six cycles but if he's got something going on, that is a risk. You can also drop the dose back to 0.25u and see what happens.
 
icesnow said:
@Marje and Gracie i don't quite understand what you meant, i will sit down and read ur comments again tomorrow.

PMPS @ 12am, BG 347
0.5u + food
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Sorry to confuse you. There are a few ways to find out if he's overdosed:

  • Leave the dose and test more to see if he's dropping low at night and then bouncing up; you'd have to grab some tests more towards midcycle for 3-4 consecutive nights in case he is bouncing for six cycles and clearing at night
  • Reduce the dose slightly ....say to 0.25u; that way, he is still getting insulin but you'd also have to grab some nighttime tests
  • Stop insulin and give him a solid six cycles in case he's bouncing off ally low numbers
I, personally, think the first option is the best just in case he suddenly needs more insulin...it can happen. While I think the increases when he earned decreases has likely caused an overdose, I could be wrong and I'd hate to see him stay in high numbers if his insulin needs have suddenly changed.

Does that make more sense?
 
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