9/12 Fritz AMPS 322 +4 328 +6 343 PMPS 296 +2 278 +4 147 +6.5 162 +8.5 188

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I don't understand this FD at all..... I wonder if I missed Fritz magic dose? With giving him the higher doses can that cause his numbers to rise like this? What happens if I try going back down the dosing scale?
I made an earlier Apt. with the Cardo & IM in Arizona the soonest I could get there. October 7th unless he turns for the worse. I shudder to think of how high his dose is going to be if I keep increasing till then.
Can I please ask for some brainstorming :bookworm:.
 
DebG said:
Can I please ask for some brainstorming :bookworm:
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DebG said:
With giving him the higher doses can that cause his numbers to rise like this? What happens if I try going back down the dosing scale?
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@Woodsywife did the go back down in dose thing I believe and it didn't work out. @Jill & Alex (GA) can you take a look at Fritz's SS to see if you think there is any indication of too much insulin causing the mystery? Many others have, not sure you have or not.
 
Darn I sure was hoping for better news. For tonight's dose do you think it would be ok to try a new pen?
Sounds like I need to put back on the patience pants:mad: desperate beans doing desperate things. :nailbiting::eek:
 
DebG said:
Darn I sure was hoping for better news. For tonight's dose do you think it would be ok to try a new pen?
Sounds like I need to put back on the patience pants:mad: desperate beans doing desperate things. :nailbiting::eek:
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I think it's fine to start a new pen. Hopefully Jill will take a look and confirm. When Doodles became a mystery we were using the vile $365 here. I threw out 2 of them, called Sanofi asking about recalls because both had the same lot number. Then I was convinced the pharmacy (Walgreens) mishandled it so changed pharmacies. So yes, I understand the desperation you are feeling :bighug::bighug::bighug:
 
Deb - :bighug::bighug::bighug: I'm not Jill but I'll offer an opinion. First, you are seeing NDW today. Put on the patience pants for the day. Second, you have followed the protocol, increasing in safe amounts and are testing plenty. It's very difficult to get over dosed when you do that. I have seen many a caregiver "reset" back to a lower dose and yet to see that work IF the caregiver had been increasing according to the protocol. Worst case I've seen ketones happen. Back when Neko's acro tumor stopped shrinking and started back up again, I even tried reducing myself. I lasted all of four cycles before biting the bullet and going up instead. Last year Neko started the year around 2 units dose and ended up going up to 7. Starting late July last year it was someone switched out the cat and I was chasing up the numbers. I know how frustrating it is. But if you've been increasing safely and te doing a good job testing, then you aren't missing the lows.
 
Deb, with us it isn't because to much insulin. Smokey starts going down the scale and then just turns around and his BS starts back up. He doesn't hold his reductions so we have to go back up in dose to get him down again. That's what we're doing now. Someday I hope he will figure this out. He is a long term diabetic who missed months in the middle of not getting any treatment. This year he has battled pancreatitis, asthma, and heart disease. So I've been taking it slow with him.
 
Woodsywife said:
Someday I hope he will figure this out. He is a long term diabetic who missed months in the middle of not getting any treatment. This year he has battled pancreatitis, asthma, and heart disease. So I've been taking it slow with him.
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Wow ! He sounds like Fritz, he has long time asthma , DX Feb 2016 FD and he's scheduled for a Cardo & Im apt. . I need to add he is 28lbs and going up the scale. He eats what a 14lb would eat. I make his raw food, rabbit, venison and quail all low in fat. Nothing seems to help.
I'm sorry that you and Smokey have been battling so many things. Just one issue is hard enough:(. My heart aches for all our furbabies struggling:cat: and the beans, this FD has changed our lives:eek:. So I should just keep following protocol (that is proven).
 
DebG said:
Wow ! He sounds like Fritz, he has long time asthma , DX Feb 2016 FD and he's scheduled for a Cardo & Im apt. . I need to add he is 28lbs and going up the scale. He eats what a 14lb would eat. I make his raw food, rabbit, venison and quail all low in fat. Nothing seems to help.
I'm sorry that you and Smokey have been battling so many things. Just one issue is hard enough:(. My heart aches for all our furbabies struggling:cat: and the beans, this FD has changed our lives:eek:. So I should just keep following protocol (that is proven).
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It is hard. Smokey had his 2nd echo today. He is now mild instead of severe.heart disease. Dr. thinks he will make it to his 19th year. Before FD he was 22lbs. When I got him he was 12 lbs. I had him up to 18 lbs then he started losing again. Now 14lbs and it's not enough in my opinion. I just started homemade cooked food. My life has changed because of it. We just keep chugging along and do what we have to.
 
The protocol is pretty methodical. I like that since it take lots of questions and decisions and frustrations out of my hands. I trust the protocol. It has worked for us even when Polly was such an enigma to me. Easy? Nope. Frustrating? Yes. But as my mantra through all those tough months/year claimed: we would just keep plugging along. It's all we could do.

In the meantime, :bighug::bighug::bighug::bighug: .

Marilyn and Polly
 
Marilyn thank you for taking me back to the roots of t
pollydoodle said:
I trust the protocol. It has worked for us even when Polly was such an enigma to me. Easy? Nope. Frustrating? Yes. But as my mantra through all those tough months/year claimed: we would just keep plugging along. It's all we could do.
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Marilyn thank you for steering me back to the roots of this FD! It just scares me to see Fritz when he was regulated and doing well at 4 units and now all the way up to 7.5. Iv'e heard a kitty needs what a kitty needs. It's not in my control....
I'm not a quitter;) !
 
Carol & Murphy said:
Please keep us apprised of the homemade cooked food - I keep toying with the idea but will wait until I hear how it goes for you, Paula
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He's loving it. Not sure turkey is a big hit though. That's what he's getting this week. He won't touch commercial food now and we are only on week 2. Tomorrow I go for groceries. Going to check out the beef organs this particular store sells.

Why not try a small amount of chicken thighs. And see if he likes it. EZ will send you a sample I think it's for 4.5 oz of meat.
 
Doodles & Karen said:
@Jill & Alex (GA) can you take a look at Fritz's SS to see if you think there is any indication of too much insulin causing the mystery?
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Wendy&Neko said:
Deb - :bighug::bighug::bighug: I'm not Jill but I'll offer an opinion. First, you are seeing NDW today. Put on the patience pants for the day. Second, you have followed the protocol, increasing in safe amounts and are testing plenty. It's very difficult to get over dosed when you do that. I have seen many a caregiver "reset" back to a lower dose and yet to see that work IF the caregiver had been increasing according to the protocol. Worst case I've seen ketones happen. Back when Neko's acro tumor stopped shrinking and started back up again, I even tried reducing myself. I lasted all of four cycles before biting the bullet and going up instead. Last year Neko started the year around 2 units dose and ended up going up to 7. Starting late July last year it was someone switched out the cat and I was chasing up the numbers. I know how frustrating it is. But if you've been increasing safely and te doing a good job testing, then you aren't missing the lows.
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I'm not seeing any indication of Fritz being over dose.

I agree with Wendy (thanks for typing that out, @Wendy&Neko) and emphasized parts of her remarks. I know it can be frustrating and confusing, but try not to put much into the amount of the dose. Some cats need more insulin than others. All we can do is remain flexible by not becoming attached to a dose and give them whatever they need.
DebG said:
It's not in my control....
I'm not a quitter;) !
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No, as much as we try, we aren't in control... maddening, isn't it! ;)
 
Jill & Alex (GA) said:
Some cats need more insulin than others. All we can do is remain flexible by not becoming attached to a dose and give them whatever they need.
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I agree completely. You've been methodical about holding the dose appropriate amounts of time. You've got plenty of tests to make it pretty clear there are no hidden low numbers that are being missed. I think he just needs more insulin.

Once a kitty gets past 6u we suspect a high dose condition. I know you've tested for iaa and acro, so we know it's not those. However something is going on with him, otherwise he wouldn't need this much insulin and he wouldn't be eating as much as a 14lb cat and weight 26 lbs. People told me that the important numbers are the blood sugar numbers, not the dose. I found that helped me a lot.

Hang in there - this is one of those situations where slow and methodical wins the race. You will get to a dose that will move him - and oddly enough, many times there isn't much along the way to show evidence that you're increasing the dose, but all of a sudden you hit the right dose and the blood sugar finally responds.:bighug::bighug:
 
julie & punkin (ga) said:
I know you've tested for iaa and acro, so we know it's not those.
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I've read that there can be false positives and false negatives for the IGF-1 test. It's not a perfect test. Newly diabetic acromegalic cats can test normal for IGF-1 (false negative). Maybe something to discuss with the IM vet when you see him/her. I'm glad you got an earlier appointment. :bighug:
 
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