Buddy's SS up and going 5th part about dosing

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Kris & Teasel said:
Any numbers today? How is he doing?
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He is much better, I think the Metacam helped him. I talked to his vet and he said he was not surprised that Buddy had not been eating because his numbers were so high. He is going to the doctor tomorrow to have his belly checked after surgery. At AMPS #269 (number goes down a little every day) +3 #338, going now to take +6, will post on SS.
 
Kris & Teasel said:
Any numbers today? How is he doing?
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What do you think about the dose Buddy is taking, I know his dose will need to be raised at some point. How or when do you decide to change a dose. Buddy has a stitch still in his belly that should not be there. The doctor said that could mean that something had fell down, he wants to check him out tomorrow, I hope he does not need another surgery.
 
wolfey said:
What do you think about the dose Buddy is taking, I know his dose will need to be raised at some point. How or when do you decide to change a dose. Buddy has a stitch still in his belly that should not be there. The doctor said that could mean that something had fell down, he wants to check him out tomorrow, I hope he does not need another surgery.
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The numbers in the middle of the cycle, provided they aren't high and flat from bouncing, will tell you if the dose needs to go up. You're aiming for low 100s or high double digits. Buddy's blues are high enough to indicate that a dose increase can be tried. The next step is 2.5 u. You had a green 59 on that a while ago so you would need to be able to monitor on the day you try 2.5 u again.
 
Kris & Teasel said:
How did he do last evening, Teresa?
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He did well yesterday, Buddy had 1 dose of Metacam (could have 2) and several times he had anti-nausea medicine. Today I started out to give him none of these meds, but he was not wanting to eat. When I saw he was not wanting to eat, I gave him an anti-nausea pill, then by 1/2 hr., he had ate all of his food. He is going to see the doctor today, because 1 of his stitches did not dissolve. His doctor did say that this stitch should not be there, so he wants to check his stomach. I hope everything is alright, it would be awful if he has to have surgery again. His numbers seemed to be running lower for a few days, then this morning at AMPS #377. One step forward and two back.
 
wolfey said:
He did well yesterday, Buddy had 1 dose of Metacam (could have 2) and several times he had anti-nausea medicine. Today I started out to give him none of these meds, but he was not wanting to eat. When I saw he was not wanting to eat, I gave him an anti-nausea pill, then by 1/2 hr., he had ate all of his food. He is going to see the doctor today, because 1 of his stitches did not dissolve. His doctor did say that this stitch should not be there, so he wants to check his stomach. I hope everything is alright, it would be awful if he has to have surgery again. His numbers seemed to be running lower for a few days, then this morning at AMPS #377. One step forward and two back.
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If it's a stitch that you can see on the outside it's probably a simple matter of snipping it to remove it. There are layers of sutures underneath the skin but they shouldn't be poking out.

That pink this AM might be from a lower blue he had overnight. Not to worry. Just keep on with what you're doing. Are you feeding him smaller meals?
 
Kris & Teasel said:
If it's a stitch that you can see on the outside it's probably a simple matter of snipping it to remove it. There are layers of sutures underneath the skin but they shouldn't be poking out.

That pink this AM might be from a lower blue he had overnight. Not to worry. Just keep on with what you're doing. Are you feeding him smaller meals?
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It is a Stitch you can see, but it is a different color than stitches that were on the outside. The doctor said that something must have slipped down, it should not be there. He wants to check him out. I am not feeding him smaller meals, he is eating all of his food around shot time. I would like to get him eating FF classic all the time, tried this morning and he was having none of it. I am giving him FF classic as a snack.
 
Kris & Teasel said:
What's the verdict on the stitch that you could see?
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The doctor examined Buddy and took out the stitch. He did not go into any explanation, just that everything is fine, hoping since he got out all the fat around pancreatitis that it would stop the pancreatitis. Good for Buddy. Please check numbers on yesterday PMPS, I thought we had turned the corner with the numbers he had last night, until this morning. Buddy is not wanting to eat, he has ate some but not a lot. Wondering if it is because of his number this morning. How is your kitty doing on the Lantus, I have always had a soft spot for kittys with a dark nose. I think your boy has a dark nose.
 
wolfey said:
The doctor examined Buddy and took out the stitch. He did not go into any explanation, just that everything is fine, hoping since he got out all the fat around pancreatitis that it would stop the pancreatitis. Good for Buddy. Please check numbers on yesterday PMPS, I thought we had turned the corner with the numbers he had last night, until this morning. Buddy is not wanting to eat, he has ate some but not a lot. Wondering if it is because of his number this morning. How is your kitty doing on the Lantus, I have always had a soft spot for kittys with a dark nose. I think your boy has a dark nose.
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Hi Teresa,
Good news about the stitch. The red this AM is a bounce off those lovely blues of last night. I think it was time to try 2.5 u and a bit of extra monitoring today is in order. If Buddy is eating a bit that's fine - small snacks are probably better for him anyway.

Yes, Teasel has a very cute dark grey nose. You can't tell in the photo too much but he's extremely spotty, almost like a checker board on one side and back of legs. He's a wonderful kitty, full of personality, as are his brother and sister.
 
Kris & Teasel said:
Hi Teresa,
Good news about the stitch. The red this AM is a bounce off those lovely blues of last night. I think it was time to try 2.5 u and a bit of extra monitoring today is in order. If Buddy is eating a bit that's fine - small snacks are probably better for him anyway.

Yes, Teasel has a very cute dark grey nose. You can't tell in the photo too much but he's extremely spotty, almost like a checker board on one side and back of legs. He's a wonderful kitty, full of personality, as are his brother and sister.
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I had gave Buddy his dose before I ever got on line (2.25) He does need the increase, however this week coming up is not the week for extra monitoring. A lot of appointments for my mother and myself. At one time I had a gray kitty for 19years, 1 side of his face was gray and the other was white. I guess he also was a tuxedo cat, with a very dark nose. His name was Tom, a lot of times Buddy is called Tom.
 
wolfey said:
I had gave Buddy his dose before I ever got on line (2.25) He does need the increase, however this week coming up is not the week for extra monitoring. A lot of appointments for my mother and myself. At one time I had a gray kitty for 19years, 1 side of his face was gray and the other was white. I guess he also was a tuxedo cat, with a very dark nose. His name was Tom, a lot of times Buddy is called Tom.
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I had to take my Mother on some errands, when I came back I looked at Buddy's SS, I had put down for his dose as 2.5, but I only gave him 2.25. Maybe he should have been changed to 2.50. Trying to figure out when would be a good time for extra monitoring.
 
wolfey said:
I had to take my Mother on some errands, when I came back I looked at Buddy's SS, I had put down for his dose as 2.5, but I only gave him 2.25. Maybe he should have been changed to 2.50. Trying to figure out when would be a good time for extra monitoring.
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Leave the dose at 2.25 u until you have a day at home.
 
Kris & Teasel said:
For your own comfort, two consecutive days would be better. Two days - including the night cycles - should give a clear idea how the dose works.
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I appreciate your reply, tomorrow I would be home, but from there on out most of next week appointments. I am optimistic about Buddy's dosing since he had lower numbers yesterday. Believe we are getting closer.
 
wolfey said:
I am taking 1 of my other cats to the vet this morning, home later.
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I am not for sure what is going on with Buddy, he is not eating as much as had been. This last week he is eating 1 can of Royal Canin at shot time, and I have been offering him FF classic instead of 1/2 can Royal Canin, also at shot time. Most of the time I think he would have ate anything, because he seemed so hungry. That is not happening now. I wonder if this could have anything to do with him over eating and getting sick last Sunday. He was at the vet 1 day this week, he said Buddy was not painful in the abdomen. This worries me, I hope nothing else is wrong.
 
wolfey said:
I am not for sure what is going on with Buddy, he is not eating as much as had been. This last week he is eating 1 can of Royal Canin at shot time, and I have been offering him FF classic instead of 1/2 can Royal Canin, also at shot time. Most of the time I think he would have ate anything, because he seemed so hungry. That is not happening now. I wonder if this could have anything to do with him over eating and getting sick last Sunday. He was at the vet 1 day this week, he said Buddy was not painful in the abdomen. This worries me, I hope nothing else is wrong.
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How is his weight?
 
wolfey said:
I am not for sure what is going on with Buddy, he is not eating as much as had been. This last week he is eating 1 can of Royal Canin at shot time, and I have been offering him FF classic instead of 1/2 can Royal Canin, also at shot time. Most of the time I think he would have ate anything, because he seemed so hungry. That is not happening now. I wonder if this could have anything to do with him over eating and getting sick last Sunday. He was at the vet 1 day this week, he said Buddy was not painful in the abdomen. This worries me, I hope nothing else is wrong.
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Is he showing any signs of feeling ill like lethargy, nausea, hiding, etc.?
 
Pati said:
How is his weight?
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Yes, since this all started he has lost weight. At one time he could eat as much Purina OM dry as he wanted and FF grilled with gravy. Now he has no dry food. Today he ate Friskies Poultry Platter Pate, I think that is 1 of the foods that can be eaten. He ate 1 can Royal Canin this morning and a small amount of FF classic. Hoping Friskies Pate is alright for him to eat. Buddy used to be pretty chubby, but that has changed.
 
Kris & Teasel said:
Is he showing any signs of feeling ill like lethargy, nausea, hiding, etc.?
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No, he has been acting alright. He does not act lethargic, or that he has nausea, or hiding. He just does not want to eat like before, it seems like this started this week. In the morning he eats 1 can of Royal Canin, then he goes and lays down, or cleans his self up, or looks out the window. Just cat stuff. Today he ate Friskies Poultry Platter Pate, I hope that is 1 of the foods he can eat, because he has ate some. I am trying to wean him off Royal Canin, today he was more interested in Friskies than FF classic.
 
wolfey said:
No, he has been acting alright. He does not act lethargic, or that he has nausea, or hiding. He just does not want to eat like before, it seems like this started this week. In the morning he eats 1 can of Royal Canin, then he goes and lays down, or cleans his self up, or looks out the window. Just cat stuff. Today he ate Friskies Poultry Platter Pate, I hope that is 1 of the foods he can eat, because he has ate some. I am trying to wean him off Royal Canin, today he was more interested in Friskies than FF classic.
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He can eat any of the Friskies or Fancy Feast pate versions (all low enough in carbs) so try a variety to see what he likes.
 
Kris & Teasel said:
He can eat any of the Friskies or Fancy Feast pate versions (all low enough in carbs) so try a variety to see what he likes.
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Today it seems like he is eating more of the Friskies Pate, I thought that was mentioned as being alright to eat. Hoping to get him off he Royal Canin soon. I had just been thinking Buddy had been diagnosed on 12/20/17 as having a polyp in his ear, he was given prednisone to take for the polyp. That is what got this show on the road, wonder if that could affect his appetite (the polyp).
 
Hopefully! I've heard over time a lot of cats lose their taste for the RC food too so it might be that...
 
Rachel said:
Hopefully! I've heard over time a lot of cats lose their taste for the RC food too so it might be that...
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Buddy loves the RC wet, I am trying to wean him off the RC. He ate friskies pate pretty good today, tonight his BG # are sky high, wonder if the friskies could have caused that. Are you back to work yet.
 
wolfey said:
Buddy loves the RC wet, I am trying to wean him off the RC. He ate friskies pate pretty good today, tonight his BG # are sky high, wonder if the friskies could have caused that. Are you back to work yet.
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That red tonight could be a bounce from the green.
 
I think with Buddy's tendency to bounce you really have to focus on the middle cycle numbers to judge a dose. The PSs will almost always be on the high side because he zooms up at the end of most cycles. That's just his response to ProZinc. You've had some nice blue/green on this dose so it's working quite well.
 
Kris & Teasel said:
I think with Buddy's tendency to bounce you really have to focus on the middle cycle numbers to judge a dose. The PSs will almost always be on the high side because he zooms up at the end of most cycles. That's just his response to ProZinc. You've had some nice blue/green on this dose so it's working quite well.
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I had Buddy at the vet last week and he said his numbers looked better. Hope they get even better. How is Teasel doing on the Lantus.
 
wolfey said:
I had Buddy at the vet last week and he said his numbers looked better. Hope they get even better. How is Teasel doing on the Lantus.
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Teasel is doing quite a bit better on Lantus - still bouncy and makes up his own rules but I get long stretches of good numbers and he feels better because the fluctuations in his BG aren't as extreme.
 
Do I need to limit the amount of Friskies pate or FF classic. He has a limit of 1 1/2 cans of RC wet per shot and nothing else, if that is what he eats.
 
wolfey said:
Do I need to limit the amount of Friskies pate or FF classic. He has a limit of 1 1/2 cans of RC wet per shot and nothing else, if that is what he eats.
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Is it your vet that has recommended this feeding schedule? My vet recommended twice a day feeding for Teasel too but I said that wasn't what he was used to and I'd rather continue with a mid day meal. I've recently added a before bed small meal too. Many people on FDMB feed multiple small meals a day and some use auto feeders to feed while they're out or overnight.

If Buddy needs to gain back some weight, feed him more as small meals more often. Do you track his weight?
 
Kris & Teasel said:
Is it your vet that has recommended this feeding schedule? My vet recommended twice a day feeding for Teasel too but I said that wasn't what he was used to and I'd rather continue with a mid day meal. I've recently added a before bed small meal too. Many people on FDMB feed multiple small meals a day and some use auto feeders to feed while they're out or overnight.

If Buddy needs to gain back some weight, feed him more as small meals more often. Do you track his weight?
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The vet I saw at 1st with Buddy's diabetes wanted him to eat RC wet no more than 1 1/2 cans @AMPS & PMPS. This was because of carb count, he was to have 2 meals a day. I have been giving him snacks lately. What I was wondering is there a certain amount of food he should have or a cut off amount of FF classic or Friskies pate. Buddy was rather chubby before this all started, all of my cats are. I don't believe his weight is a problem, I do not track his weight. When this all started he weighed 12 lbs, I can tell from looking he does not now. He is probably better off with the weight he is now.
 
wolfey said:
The vet I saw at 1st with Buddy's diabetes wanted him to eat RC wet no more than 1 1/2 cans @AMPS & PMPS. This was because of carb count, he was to have 2 meals a day. I have been giving him snacks lately. What I was wondering is there a certain amount of food he should have or a cut off amount of FF classic or Friskies pate. Buddy was rather chubby before this all started, all of my cats are. I don't believe his weight is a problem, I do not track his weight. When this all started he weighed 12 lbs, I can tell from looking he does not now. He is probably better off with the weight he is now.
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If you like his weight now, take his proper daily ration (3 cans?) of Friskies or equivalent in Fancy Feast (6 small cans?) and split it into several small meals - breakfast, lunch, supper, bedtime, for example. I think the total carb count with Fr and FF is less than the RC.
 
Kris & Teasel said:
Teasel is doing quite a bit better on Lantus - still bouncy and makes up his own rules but I get long stretches of good numbers and he feels better because the fluctuations in his BG aren't as extreme.
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Glad that Teasel is doing and feeling better. The main thing is for our Kittys to be feeling better. I know Buddy is better than he started out. Don't know if I will ever get familiar with ProZinc.
 
I think you will over time. Prozinc is tough to become accustomed to since it doesn't have a if this, shoot this protocol like the Ls.
 
Rachel said:
I think you will over time. Prozinc is tough to become accustomed to since it doesn't have a if this, shoot this protocol like the Ls.
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Do you know if ProZinc is good until the expiration date on the bottle, or if it is so many days from the date you opened the bottle.
 
He was @ 468 at 8:19 a.m., I got up at 1:55 to check his BG. He started out at #77 and got down to #67, got back up too high with the help of FF grilled with gravy. I got up at 1:55, did not get back to bed until 3:45. I would not have been as concerned if it had been during day hours, but I could not go back to bed and leave him to go lower.
 
wolfey said:
He was @ 468 at 8:19 a.m., I got up at 1:55 to check his BG. He started out at #77 and got down to #67, got back up too high with the help of FF grilled with gravy. I got up at 1:55, did not get back to bed until 3:45. I would not have been as concerned if it had been during day hours, but I could not go back to bed and leave him to go lower.
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If your schedule today permits, you could try 2.25 u again. however, those greens will likely have left him more insulin sensitive so you could dial it back to a fat 2 u.
 
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