Insulin Depot? Bouncing?

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Misterbeesmom

Misterbeesmom

Member Since 2016
Will you please look at our ss? Being a stellar idiot, i skipped the AM dose on 6/2, which has screwed up everything for these 3 days after. tonight i got the highest reading ever recorded. Isnt the depot 3 cycles? Shouldnt his numbers be better by now? I have difficulty understanding the depot concept.

We are on nearly 100% raw RadCat diet, with some Ziwipeak. Cant possibly be diet related.

Thank you.
 
That number you got tonight could be a high just before the bounce breaks. Because the blue numbers he saw were the lowest he'd seen for a while, he could be bouncing. And it's not unusual to see an extra high number right before they come down from a bounce. It doesn't look as though his dose is too high overall - I'm not seeing signs of somogyi as much as I am of bouncing from a lower number than he's used to - I'm not seeing the sort of fast, early drop to very low numbers that might cause somogyi. If anything, since he doesn't seem to see green numbers often, if at all, he might be more of a candidate for an increase than a decrease.

Oh, and no beating yourself up over a skipped shot. We've all done it. I skipped one night because I couldn't stay awake. I skipped another night because we had a show to go to that we'd bought tickets for before Rosa was diagnosed. And I skipped a bunch of AM shots later on because Rosa was running too low for me to feel she was safe to be left for the day while I went to work. The only way to deal with it is to forgive yourself and move on...you always get a brand new day tomorrow! :bighug:
 
Jen, you are not an idiot. :bighug:

You've shot lower numbers before, and you were apparently able to test, so why were you afraid to shoot? Just curious. Did you post for help?

A few thoughts, looking at your SS:

Did the vet tell you that Mr B might be experiencing the Somogyi Effect? If so, next time you talk to him/her, ask what documentation he/she has that proves it exists in cats. I think you will find out there is none. There is even question as to whether or not it happens in people.

Please refresh my lousy memory about your schedule. Are you able to test more during the day? Are you following SLGS or TR? It's really hard to see if Mr. B is overdosed or going low and bouncing without more midcycle tests. It's entirely possible that he has gone low during one or more of the past several cycles, and then bounced. With only the PS tests, all you would see is the bounce numbers. If you could get a curve, or at least get two or three midcycle tests, say at +3, +6 and +9, that would help a lot to fill in the picture.

What is your feeding schedule. Do you feed late in the cycle at all?

On 5/22 you referred to "scary numbers". What numbers were you scared of? Why did the vet tell you to reduce?

Do you have any numbers from the time he was at the vet? What number did they get that showed "borderline hypoglycemia?" A fructosamine test is more of an average than an actual BG reading. I've never heard of it showing "borderline hypoglycemia", so I'm really curious how he/she came up with that.

Larger doses have bigger depots, so when you skip a shot, it takes longer to drain and then longer to refill it. Standard is up to 6 cycles, but ECID. The same is true with bounces. Some clear bounces in one day, some in 3 or 4.

I'll stop bombarding you and let you answer my questions. Stop blaming yourself. You're doing the best you can.
 
Thank you. Ok trying to let that sink in. I'm wicked paranoid now because he was in the hospital last week for 3 days from an apparent Somogyi effect. I dont want him to go through that again. We reduced his dose as a result, and will have checkup this thursday. We frankly dont know if he is on too much or too little. I take his BG but thry might as well be in tibetan numbers. I'm just as confused as ever, and feel rotten seeing my cat unwell.

The irony is i purposely skipped that dose because of that bg reading in the 100's. I was actually trying to prevent a bounce. That worked out really well (enter scoff here).
 
Did the vet say what the numbers were that made them think it was Somogyi? I'm assuming there has to have been a low number in there somewhere, but there's nothing on his spreadsheet that shows it. The curve you did on 5/19 on 5 units doesn't show any sign of Somogyi at all - it's a slightly high curve, but a curve nonetheless even though the drop throughout the cycle was only around 80 points. Maybe you could run a full curve on the 3u on a day when he's had his shot? That would definitely help, especially if you could do it at home so there's no vet stress in the mix.

If it's a bounce, then skipping the shot likely didn't make a whole lot of difference to whether or not he bounced - by the time you were able to see the lower numbers, if he was going to bounce it was already about to happen. It is NOT your fault...not in the slightest. You did what you thought was best...sometimes that works out, and sometimes it affects the outcome not one bit. But you thought it through before making a decision - and that's a good thing.
 
Tricia Cinco(GA) & Harvey said:
Jen, you are not an idiot. :bighug:

You've shot lower numbers before, and you were apparently able to test, so why were you afraid to shoot? Just curious. Did you post for help?

A few thoughts, looking at your SS:

Did the vet tell you that Mr B might be experiencing the Somogyi Effect? If so, next time you talk to him/her, ask what documentation he/she has that proves it exists in cats. I think you will find out there is none. There is even question as to whether or not it happens in people.

Please refresh my lousy memory about your schedule. Are you able to test more during the day? Are you following SLGS or TR? It's really hard to see if Mr. B is overdosed or going low and bouncing without more midcycle tests. It's entirely possible that he has gone low during one or more of the past several cycles, and then bounced. With only the PS tests, all you would see is the bounce numbers. If you could get a curve, or at least get two or three midcycle tests, say at +3, +6 and +9, that would help a lot to fill in the picture.

What is your feeding schedule. Do you feed late in the cycle at all?

On 5/22 you referred to "scary numbers". What numbers were you scared of? Why did the vet tell you to reduce?

Do you have any numbers from the time he was at the vet? What number did they get that showed "borderline hypoglycemia?" A fructosamine test is more of an average than an actual BG reading. I've never heard of it showing "borderline hypoglycemia", so I'm really curious how he/she came up with that.

Larger doses have bigger depots, so when you skip a shot, it takes longer to drain and then longer to refill it. Standard is up to 6 cycles, but ECID. The same is true with bounces. Some clear bounces in one day, some in 3 or 4.

I'll stop bombarding you and let you answer my questions. Stop blaming yourself. You're doing the best you can.
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I didnt shoot because of our vet feeling he might have Somogyi effect going on and when i saw the number in the 100's i was afraid he'd start bouncing. So i held off the shot, and now his numbers are higher anyways. Oh the irony.

Clarification on that hypoglycemia - the fructosamine showed borderline low. That, along with the increased insulin dosing, and with nothing else to blame for all this, suggested somogyi. Every time i tested he was hyperglycemic so this ws a surprise to me.

I'm so confused now. I dont know if there is somogyi or not in cats but i can tell you he was so depressed the night before and the morning of his vet visit. He could barely keep his eyes open, his third eyelids were up, his appetite was down, he was so lethargic like i had never seen before. 3 days at the vets, bunches of tests, decreased insulin, and he came home quite chipper and happier than i had seen in weeks, maybe longer.

If the higher dose before the vet visit was a good dose for him, how could we get into the 100's on a much lower dose? Just thought of that.

The scary numbers prior to the vet visit were the consistent 300's i was getting, which was disconcerting after the increased doses. Its scary to me to see him hyperg. He's gothe pancreatitis and liver involvement which i dont want to worsen.

I have done curves, and i have gotten readings in the middle of the night. With respect i am sick of hearing that i need to do that more. with all the testing i've done i have little to show for it and at this point feel it is useless or perhaps even working against me. I get crap sleep most nights because he is restless and wakes me up, and plus i am worried all the time which keeps me awake. I dont like testing him when i'm groggy. Bear in mind this has been going on for 6+ months and its only gotten worse. I'm his sole caretaker so i dont have another person to lighten the load.

Thanks for your help. Sorry i'm such a crab.
 
Misterbeesmom said:
Clarification on that hypoglycemia - the fructosamine showed borderline low. That, along with the increased insulin dosing, and with nothing else to blame for all this, suggested somogyi. Every time i tested he was hyperglycemic so this ws a surprise to me.
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OK, I do have a similar issue going on right now with our newly adopted girl who we can't get close enough to to really touch at the moment, let alone test. Her fructosamine, taken on Friday, came in only 10 points above a non-diabetic level. And her spot BG reading at the vet was at 165...and she was stressed to the point of hyperventilating. Our vet doesn't think somogyi, but she does think that the dose Roxi was on before she came to us might have been high enough that she was in very low numbers for part of the time a lot of days. I'd already skipped 2 days of shots completely and halved her dose for 2 days before the vet appointment because I couldn't test. However, we're taking that with the stress influenced spot check also in the mix. Did your vet actually test his BG through the day while he was there, or is she just assuming something based on the fructosamine test? I'm shocked and stunned at the idea that a vet would have a diabetic in their care for 3 days and not actually run a full curve, but anything is possible. If the vet DID run a curve, they should be able to share those numbers with you so you can see them for yourself.

What's throwing me off is that neither the curve on 4.5 units nor the curve on 5 units shows any sign of Somogyi. I'm assuming you've shared those numbers with your vet so I'm interested in why she thinks Somogyi is likely unless she's basing everything off that one fructosamine test. My issue is that the lethargy etc could have had a number of causes - I'd be concerned that maybe your vet is assuming that every last thing that happens is diabetes related when there are times when it just won't be.

Misterbeesmom said:
If the higher dose before the vet visit was a good dose for him, how could we get into the 100's on a much lower dose? Just thought of that.
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As it's only happened once, it could have been that he maybe didn't eat quite as much during that cycle...or to be honest a million and one other possibilities. Unless it's a number pattern that gets repeated, there's really no way of knowing for sure why that cycle was different.

Misterbeesmom said:
I have done curves, and i have gotten readings in the middle of the night. With respect i am sick of hearing that i need to do that more.
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I don't think it's that you need to necessarily test more most days - I'm seeing 4 readings most days...3 on the AM cycle and one somewhere during the PM cycle apart from the last 3 days. What would help would be if there is maybe a way that on the AM cycle you could vary the time a little - if there's any way at all you could get a reading at +2, +3 or +4 some days as a good number of the recent tests seem to be around the +7 mark those would really help. There may be instances where you get an early reading that's low enough that you would want to get another one later one, but it would help to confirm or refute the Somogyi theory - those earlier readings are where you will or won't see the early drop that doesn't seem to have shown up on any of the curves you've done. I completely understand how wearing it is caring for a diabetic kitty - I had help available, except that Rosa decided no-one but me was allowed to test her or give her a shot so I was effectively on my own with it all too. But running a curve on a new dose is important. I'm not suggesting you have to do it right now today - but running it on a day when you have the time available would really help with getting the full picture on what's really happening with his numbers.

Misterbeesmom said:
with all the testing i've done i have little to show for it and at this point feel it is useless or perhaps even working against me.
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Please believe me when I tell you that testing is never useless, or working against you. Especially if something like Somogyi is suspected, the only way of proving whether that's what's happening or not is to get those tests. I know it isn't what you want to hear right now and I do sympathize, but please don't give up on the idea of testing Mr B. He needs you to keep him safe and the best way to not have to lay awake worrying is to know that he is safe. You might not have someone in the house to lighten the load for you, but you do have support here on the board. We all understand what you're going through right now and we are here to help. :bighug:
 
manxcat419 said:
Did the vet say what the numbers were that made them think it was Somogyi? I'm assuming there has to have been a low number in there somewhere, but there's nothing on his spreadsheet that shows it. The curve you did on 5/19 on 5 units doesn't show any sign of Somogyi at all - it's a slightly high curve, but a curve nonetheless even though the drop throughout the cycle was only around 80 points. Maybe you could run a full curve on the 3u on a day when he's had his shot? That would definitely help, especially if you could do it at home so there's no vet stress in the mix.

If it's a bounce, then skipping the shot likely didn't make a whole lot of difference to whether or not he bounced - by the time you were able to see the lower numbers, if he was going to bounce it was already about to happen. It is NOT your fault...not in the slightest. You did what you thought was best...sometimes that works out, and sometimes it affects the outcome not one bit. But you thought it through before making a decision - and that's a good thing.
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Sorry, the vet suggested somogyi because despite the high bg readings i was getting, they of course are not from every hour of the day, and his fructosamine came back low normal/borderline hypo. So the guess is his liver was dumping glucose because the insulin dose was too high, so they lowered it in hospital over 3 days there, and he was acting better, and i was actually getting some blues on the lower dose, both recently and a few weeks ago before we started increasing.

Vet followup in a few days will hopefully tell us more.
I've done curves. Its not easy and it doesnt help anyways.

Maybe my cat is just impossible to regulate. Maybe i'm shooting insulin poorly. I'm at a loss.
 
I think a good part of this is on your vet to be honest. They had him for 3 days and instead of running a curve to check for Somogyi, they just relied on the fructosamine they'd got? That, frankly, is crazy and stupid for a qualified vet. I'd be looking for a new vet at this point - they're not helping you or Mr B at all.

You'll have to forgive me not knowing Mr B's full history here - I'm only working from the info on his spreadsheet from when you started home testing. What dose did your vet start him on when he was first diagnosed? What I am seeing is that his dose adjustments have all been made in 1/2 unit increments which is more than we usually alter the dose at any one time. It's possible that his ideal dose for now falls somewhere between the doses you've been trying.

I don't think we can really say that the curves you've done don't help. No, they don't show Somogyi and I get that that's what your looking for because your vet has suggested it, but the fact that they don't show it is also well worth knowing.

I really don't think he's impossible to regulate. I think your vet isn't giving you the help they should be - vets shouldn't assume that something is happening or not happening when they are able to definitively test to make sure. You just said yourself that she guessed that it's his liver dumping glucose. She had your cat for 3 DAYS and didn't check that - just went with a guess. Can you understand why I'm saying that your vet isn't helping at this point based on just that one piece of information? I don't see anything that shows that he can't be regulated - just that you haven't found his ideal dose just yet.
 
I was upset with my vet when we were first dx--now I am grateful he flat out told me he was no expert in FD-
we sought "experts" and found the best advice right here--:bighug:
just to give you an idea --he said "I can't imagine he would need less than 1 unit 2x a day--" no mention of testing :eek::eek::eek:
 
jayla-n-Drevon said:
I was upset with my vet when we were first dx--now I am grateful he flat out told me he was no expert in FD-
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And that makes all the difference. My vet will tell me if what I'm asking goes beyond what she knows. And then she'll research it and find out so she can help me make decisions. What annoys me beyond belief is any vet who 'guesses' and doesn't make any attempt to confirm whether or not their guesswork is accurate. And leaves someone like Jen who is doing her very best struggling to regulate her cat because she's working from guesswork and partial information. :mad:
 
manxcat419 said:
I think a good part of this is on your vet to be honest. They had him for 3 days and instead of running a curve to check for Somogyi, they just relied on the fructosamine they'd got? That, frankly, is crazy and stupid for a qualified vet. I'd be looking for a new vet at this point - they're not helping you or Mr B at all.

You'll have to forgive me not knowing Mr B's full history here - I'm only working from the info on his spreadsheet from when you started home testing. What dose did your vet start him on when he was first diagnosed? What I am seeing is that his dose adjustments have all been made in 1/2 unit increments which is more than we usually alter the dose at any one time. It's possible that his ideal dose for now falls somewhere between the doses you've been trying.

I don't think we can really say that the curves you've done don't help. No, they don't show Somogyi and I get that that's what your looking for because your vet has suggested it, but the fact that they don't show it is also well worth knowing.

I really don't think he's impossible to regulate. I think your vet isn't giving you the help they should be - vets shouldn't assume that something is happening or not happening when they are able to definitively test to make sure. You just said yourself that she guessed that it's his liver dumping glucose. She had your cat for 3 DAYS and didn't check that - just went with a guess. Can you understand why I'm saying that your vet isn't helping at this point based on just that one piece of information? I don't see anything that shows that he can't be regulated - just that you haven't found his ideal dose just yet.
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How would one test to see if liver is dumping glucose? This is the third vet i've gone to and you can imagine i'm loathe to think its another dead end. His liver enzymes were up. I know they did bg tests on him throughout the day but i dont have those figures. Seeing as he was decreased relatively quickly in just 3 days, and that most readings depend on several cycles, she would be limited by that. She has seen my ss, and is supportive of home testing. I'll be sharing the latest when we go back this wk.

The dosing has spanned over the course of 3 vets. We started at 2 units in november.
 
manxcat419 said:
I think a good part of this is on your vet to be honest. They had him for 3 days and instead of running a curve to check for Somogyi, they just relied on the fructosamine they'd got? That, frankly, is crazy and stupid for a qualified vet. I'd be looking for a new vet at this point - they're not helping you or Mr B at all.

You'll have to forgive me not knowing Mr B's full history here - I'm only working from the info on his spreadsheet from when you started home testing. What dose did your vet start him on when he was first diagnosed? What I am seeing is that his dose adjustments have all been made in 1/2 unit increments which is more than we usually alter the dose at any one time. It's possible that his ideal dose for now falls somewhere between the doses you've been trying.

I don't think we can really say that the curves you've done don't help. No, they don't show Somogyi and I get that that's what your looking for because your vet has suggested it, but the fact that they don't show it is also well worth knowing.

I really don't think he's impossible to regulate. I think your vet isn't giving you the help they should be - vets shouldn't assume that something is happening or not happening when they are able to definitively test to make sure. You just said yourself that she guessed that it's his liver dumping glucose. She had your cat for 3 DAYS and didn't check that - just went with a guess. Can you understand why I'm saying that your vet isn't helping at this point based on just that one piece of information? I don't see anything that shows that he can't be regulated - just that you haven't found his ideal dose just yet.
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Just now +3 is 381. Big dip from 501. Thankful for that at least.
 
I don't know the answer but I can tell you I had consults with 3 specialists after my vet told me he was not able to guide me--
they all said something different and I was so lost.... I understand how you feel but I have found the experience here is worth all the vets I saw put together !
1 vet actually told me to leave his ears alone and get a life-
Luckily test test test had already be drilled into me-
Dre responds nicely to .25 units and it seems easier on his body FWIW:bighug:
 
Misterbeesmom said:
How would one test to see if liver is dumping glucose?
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You'd be looking for a fast, hard drop into low numbers early in the cycle followed by a rapid rise back into high numbers. And the pattern would be repeated on pretty much every cycle for as long as he's overdosed. If you can, I would get the numbers from your vet for the readings they did. If they already have those numbers, you shouldn't need to re-do them at home. The numbers are the only way of knowing for sure if that's what's happening. There's no definitive liver test that would tell you.

Misterbeesmom said:
This is the third vet i've gone to and you can imagine i'm loathe to think its another dead end.
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I think that's why most of us, in the end, don't rely on our vets for much help with diabetes and dosing. If you have a vet who's good at most other things and will at least allow you to figure out the dosing yourself without interfering too much, that's often the best you can do. I don't think your vet understands Lantus fully if she thinks she can get meaningful information without letting the depot settle - in either direction.

Misterbeesmom said:
The dosing has spanned over the course of 3 vets. We started at 2 units in november.
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Unless he's a 20 lb cat, it's possible his dosing was started too high and increased too fast. It's a common problem - vets do tend to prescribe too high a starting dose. With that said, at this point in the proceedings I don't know that trying to start over with dosing would be a good idea either. It's more likely to be the case that you'll need to adjust the dose from where it is now - he's not showing a lot of very low numbers so trying to reset would probably only leave him running higher than he is already.

Misterbeesmom said:
Just now +3 is 381. Big dip from 501. Thankful for that at least.
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That's a lot better. :) He's dropping, but not too fast - which is actually good. You don't want him coming off one bounce right back into another one!

jayla-n-Drevon said:
1 vet actually told me to leave his ears alone and get a life-
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Wow! Even the techs and assistants at our vet all say home testing is important! One of the vets was a bit 'maybe, maybe not' with me when Rosa was diagnosed, but when we saw her with Roxi on Friday, and at the follow up phone call I had with her on Saturday, she agreed that I need to get Roxi settled enough with us to be able to home test. I think she was put off with Rosa by how bad-tempered Rosa can seem at the vet. She hasn't seen her sweet nature at home and she was probably scared I'd get hurt.
 
There's nothing easy about taking care of a diabetic cat. Some people do get easier times and if really lucky, their cat goes off of insulin. But for most of us it's more of a slog than that.

I'll try to address some of your concerns.

My first thought is that 501 tonight may be the "high before the break" meaning that many cats go really high right before they clear a bounce. So I'd test tonight as late as possible before you go to bed to see if his BGs are dropping.

Vets use the term Somogyii but I think what they mean is what we call a bounce. Here are links to some discussion from the "Where Can I Find?" thread that relate to Somogyii:
The depot - think of it as a timed release medicine. Only this particular medicine timed releases over about 3 days - not 3 cycles. Your shot on Monday morning can still be slow releasing Thursday morning - 3 days later. The size of the depot in the body is in equilibrium to the size of the dose. A 1u dose has a depot that corresponds in size. If you increase the dose, the depot has to "grow" to "catch up" to this newly larger dose. That can take up to 3 days for the depot to grow to be in equilibrium with the new larger dose. Once the depot has "grown" then you can see what the dose is capable of doing.

By the same token, if you decrease a dose, the depot has to shrink to match the size of the newly smaller dose. That larger depot can still bring down blood sugar. The 1.5u that you shot yesterday morning can still help bring down blood sugar after you've reduced the dose.

Skipping a dose wouldn't deplete the insulin depot entirely, but it would probably reduce it some. Once you've skipped a shot, your cycle count starts over. In other words, if one is following Tight Reg, so therefore counting cycles until considering the next dose increase, the cycle count begins at 1 with the first shot after a skipped shot. Click here for more on counting cycles.

Changing doses too frequently means that you're going to see wonky numbers. I don't think you're doing that, but for example when you skinny a dose or fatten a dose, that's a new dose so you start counting over with the cycles. You get the best benefits of the depot action if you hold doses an appropriate amount of time - how long that is depends on whether you are following Tight Reg or SLGS. The depot is the reason that Lantus and Levemir can cause cats to have almost flat blood sugar once they become tightly regulated. I really liked this particular link that explains the differences between Lantus and Levemir, because in explaining the difference it also tells you how it works.

What it means in real life is that you want to hold a dose for at least 3 days (Tight Reg) or 7 days (SLGS) unless Mr. Biddles earns a reduction by dropping below the reduction point of whichever dosing method you are using.

Just saw your post about him dropping to 381. I'd guess he's clearing a bounce - and the only way to know how low he goes is to get tests to see. I don't want to be the one to suggest you get another test though. ;):bighug:

One last thought - because we aren't vets, all we have to go on to help people is blood sugar tests. No one wants to offer suggestions if it's not really clear what a cat needs, because none of us wants to be responsible for harming someone's cat. All we can do is go by test data. I probably said it before, but don't remember. Lots of people using ATs are concerned about the cost of tests. Human glucometer strips cost about 1/4 the cost of AT strips, so if that's an issue for you, perhaps switching to a human meter would be helpful.

Hope some of that helps.
 
manxcat419 said:
You'd be looking for a fast, hard drop into low numbers early in the cycle followed by a rapid rise back into high numbers. And the pattern would be repeated on pretty much every cycle for as long as he's overdosed.
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Not necessarily. Cats that are overdosed can have straight high numbers - that's more common than dropping and going low, at least in the ones that I've seen.

This spreadsheet is for Teronto, a cat that arrived here overdosed at 10u. Take a look at what happened after his dose was dropped to 1u.

For what it's worth, Mr. Biddles doesn't look overdosed to me, although that 179 on 6/2 would suggest that 3u may be a decent dose. I would've said his blood sugar looked better on 4.5u than it does now. Unless he had diabetic ketoacidosis while at the vet's - which would mean increasing the dose rather than decreasing the dose - I don't know why high blood sugar would be blamed for making him feel sick. We have cats in constant high numbers that never seem to even mind it. Can you get the info on what meds he was given while at the vet's? I'd be curious about the number they got with the fructosamine test as well. I wonder if he either had pancreatitis, which makes cats feel really crappy, or some other infection that has been cleared up with antibiotics.
 
julie & punkin (ga) said:
Not necessarily. Cats that are overdosed can have straight high numbers - that's more common than dropping and going low, at least in the ones that I've seen.
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I've seen that happen a lot too, but that then isn't Somogyi which is what the vet is claiming. If proof of Somogyi is what the vet has been looking for, from what I've read there's always a drop before the high...it's just that the drop is quick and so is the rebound. Mr B. doesn't look particularly overdosed to me on any other level - like you, I think the curve that was done on 4.5u looks pretty good, especially given that the readings are on a pet meter. His lowest number at 116 hit exactly mid cycle and is a nice number on an Alphatrak. He saw some pretty decent numbers on 4u too.

From Jen's signature, it does look as though he was diagnosed with p'titis at the same time as diabetes - he could have had a flare up of that I'd have thought.
 
Dear Jen,
I truly understand your frustration, it is difficult to care for diabetic cat on your own.
You're stressed and tired and the numbers you're getting don't make much sense to you.
I've been doing this sugar dance with Rocky for a long time and it is easier now as he is well regulated but often I get numbers which don't make sense and I test a lot every day.
My life evolves around the cat and my husband rarely helps although he is eager to get involved more as he can see how much I struggle.
As said above here is the place to get advice because our vets are not terribly good with that as you have experienced yourself having to go to yet another vet.
As for the curve done at the vets you are entitled to have a copy of BGs on that curve as you paid for that test, it is your cat and you need to keep it for your record. You could also ask for copies of other results as members here would ask you to provide that information.
So Jen, please don't despair, you will get so much help here but please be assertive with the vet and ask for those results.
Everybody here will support you and be assured you're not on your own.
Sending best regards to you and your kitty.
Marlena & Rocky:cat:
 
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