? MARKIES HELP NEEDED. PMPS (443) 1.25 uLev 0.5 u R +9 (452)

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First of all, Humulin R is the same thing as "rapid" that you've used before

You might just want to start a new spreadsheet.....if you can get the last 2 weeks or so worth of numbers in there, those are the most important....if you have time later, you can always go back and fill in the older numbers
 
Chris & China said:
First of all, Humulin R is the same thing as "rapid" that you've used before

You might just want to start a new spreadsheet.....if you can get the last 2 weeks or so worth of numbers in there, those are the most important....if you have time later, you can always go back and fill in the older numbers
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yes Im completing the last days, starting from today from the back
 
Hi Silvina, read your post that was linked above on the main forum. I am not experienced in using either R or Levimir, we only have experience with Lantus and some with vestulin. But I wanted to come and offer support to you. I am so sorry for what you are going through. That's a lot for any one person to go through. Then to deal with your sweet kitty issues on top of everything just compounds the pressures. I feel for you Silvina and am sending prayers your way.

The only comment about your diabetes treatment that comes to mind is that I was under the impression that the R was used for high dose kitties and your kitty seems to have been on low doses of Levimir (never higher than 2Us) the entire time you have recorded on your spreadsheet. Did your vet recommend this insulin combo? Maybe you need to take the R out of the mix and stick with the longer acting insulin and follow one of the protocols recommended here: either tight regulation or start low go slow.

I am sure some of the more experienced members will be along shortly and can offer advice. Tagging @Wendy&Neko so she can offer advice when she comes along. I believe she is experienced in using R.

Another concern I have after looking at your SS is that your kitty went into DKA after 7 months of being on insulin and seeing a lot of blues and some greens on your SS. My vet had told me that kitties will likely not develop DKA again after being on insulin so this is a clear warning to me to keep testing my kitty for ketones (he also had DKA in the past). Your cat's DKA could have been contributed to by the other issues going on (dental, etc).

My heart goes out to you and I wish you the very best in getting this sorted out.

Good Luck! :bighug::bighug:
 
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Ozzy Pawzbourne said:
Hi Silvina, read your post that was linked above on the main forum. I am not experienced in using either R or Levimir, we only have experience with Lantus and some with vestulin. But I wanted to come and offer support to you. I am so sorry for what you are going through. That's a lot for any one person to go through. Then to deal with your sweet kitty issues on top of everything just compounds the pressures. I feel for you Silvina and am sending prayers your way.

The only comment about your diabetes treatment that comes to mind is that I was under the impression that the R was used for high dose kitties and your kitty seems to have been on low doses of Levimir (never higher than 2Us) the entire time you have recorded on your spreadsheet. Did your vet recommend this insulin combo? Maybe you need to take the R out of the mix and stick with the longer acting insulin and follow one of the protocols recommended here: either tight regulation or start low go slow.

I am sure some of the more experienced members will be along shortly and can offer advice. Tagging @Wendy&Neko so she can offer advice when she comes along. I believe she is experienced in using R.

Another concern I have after looking at your SS is that your kitty went into DKA after 7 months of being on insulin and seeing a lot of blues and some greens on your SS. My vet had told me that kitties will likely not develop DKA again after being on insulin so this is a clear warning to me to keep testing my kitty for ketones (he also had DKA in the past). Your cat's DKA could have been contributed to by the other issues going on (dental, etc).

My heart goes out to you and I wish you the very best in getting this sorted out.

Good Luck! :bighug::bighug:
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I feel that on of my issues is that I never strictly stick to ANY PLAN. When I did things were smooth but then he got hospitalized and things start all over. Usually hospitalizations comes when he stops eating. Most of the times he was hospitalized or may be all, he had hemobartonella and his mematocrit went very low, last one went till 6!!! he almost die and specially by neglicence from the clinic. I took him out from there and took to another clinic he was hospitalized before and they saved his life. We made a fast transfussion with my other cat as donnor and then treated the hemobartonella. So probably the reason for the relapse is the huge anemia, weakness, anemia, fasting, and so on. Then as he also has cardiomiopathy may be under this circumstances may be his heart behaves weird and he gets affraid, I dont know.

Now he is very hungry, all time hungry and I see he is loosing weight. A couple of months ago (about three I think it was before dad died) I tested for hemobartonella and It came negative). The vet told me that this will be always bothering. Once hemobartonella comes to the body never dies. And that under stress and other situations it can activate.

Then on the other hand I don´t know what is what activates the gingivitis worsen. Sometimes gingivitis stays ok and sometimes starts to bleed.

Here is the end of summer and some days were little cold. And they were all sneezing. Herpes virus is also here. When I adopted Markies that he was adopted from the PASPCA (when we lived there) he already came with herpes virus. So, poor boy, he has many many issues going on. Im wondering if there is any alternative medicine that can cure all together.

May be not.. if it existe, probably we would all be cured.

I don´t have a vet here that takes care of Markies diabetes. Just myself and the forum. Here They only prescribe not useful insuline and dry food so I decided not to follow them any more. And I give raw food. But this Tuesady I will visit a new vet and I hope I can trust her (but diabetes specialist they not prescribe low carb, they only prescribe dry Royal Canin food so I rather follow the forum)
 
Ozzy Pawzbourne said:
Hi Silvina, read your post that was linked above on the main forum. I am not experienced in using either R or Levimir, we only have experience with Lantus and some with vestulin. But I wanted to come and offer support to you. I am so sorry for what you are going through. That's a lot for any one person to go through. Then to deal with your sweet kitty issues on top of everything just compounds the pressures. I feel for you Silvina and am sending prayers your way.

The only comment about your diabetes treatment that comes to mind is that I was under the impression that the R was used for high dose kitties and your kitty seems to have been on low doses of Levimir (never higher than 2Us) the entire time you have recorded on your spreadsheet. Did your vet recommend this insulin combo? Maybe you need to take the R out of the mix and stick with the longer acting insulin and follow one of the protocols recommended here: either tight regulation or start low go slow.

I am sure some of the more experienced members will be along shortly and can offer advice. Tagging @Wendy&Neko so she can offer advice when she comes along. I believe she is experienced in using R.

Another concern I have after looking at your SS is that your kitty went into DKA after 7 months of being on insulin and seeing a lot of blues and some greens on your SS. My vet had told me that kitties will likely not develop DKA again after being on insulin so this is a clear warning to me to keep testing my kitty for ketones (he also had DKA in the past). Your cat's DKA could have been contributed to by the other issues going on (dental, etc).

My heart goes out to you and I wish you the very best in getting this sorted out.

Good Luck! :bighug::bighug:
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and of course thank you for your sweetness
 
I used R for J.D. and he was on a low dose of Levemir. I normally gave at the zero line or 0.1 of R when needed, and often it was too much or at the wrong time, but I did my best and it helped him.

Lysine might help Markies to combat the herpes. I use it whenever Jackson starts sneezing, and it helps him right away.
 
Dyana said:
I used R for J.D. and he was on a low dose of Levemir. I normally gave at the zero line or 0.1 of R when needed, and often it was too much or at the wrong time, but I did my best and it helped him.

Lysine might help Markies to combat the herpes. I use it whenever Jackson starts sneezing, and it helps him right away.
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Yes I loved Lysine, here in Argentina is extremely expensive but I will have to make the effort, since I have four cats at home and they may all be sharing the virus.

on the other hand let me understand your English. What means this expression? "I normally gave at the zero line or 0.1 of R ".
Could you scroll down on my spread sheet and check what I have been doing with the dos of R and Levemir? I have been administering one complete unit of R (in a U100 syringe the one that charges 100 units) and also his for example 1 unit of Levemir in his U100 syringe (the one that charges 30 units)

Hope to be clear, if not I may be needing to post a picture if you think so.
 
This is someone's version of 0.1 units
01unit-1.jpg
I say that because not everyone's 0.1 unit is the same. You just do the best you can to be consistent.

I called "at zero line", when I would push in the plunger hard on the empty syringe and then would continue holding the plunger in tightly as I inserted it into the vial, then I would release the plunger while the syringe was in the insulin vial and just a little tiny drop of insulin would fill the vacuum that was made when the plunger was released.
 
Silvina said:
I normally gave at the zero line or 0.1 of R ".
Could you scroll down on my spread sheet and check what I have been doing with the dos of R and Levemir? I have been administering one complete unit of R (in a U100 syringe the one that charges 100 units) and also his for example 1 unit of Levemir in his U100 syringe (the one that charges 30 units)
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Typically the amount of R that is given is a lot LESS than the amount of Levemir. When Neko was on small amounts of Levemir (less than 1 unit), she was getting just drops of R. When she was on larger doses of Levemir (7 units), I was giving at most 0.5 units of R. It's possible your Levemir dose is too low, and the R dose too high. But we need a bit more data on the spreadsheet first.

When you give R, your goal is to lower the blood sugar no more than 100 points, or you will cause a fast drop that will lead to even more bouncing. And you need to test more often when you give R to see how it is working.
 
Silvina said:
Yes I loved Lysine, here in Argentina is extremely expensive but I will have to make the effort, since I have four cats at home and they may all be sharing the virus.
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I would shop around if you can. I have seen many different forms of lysine. I've just always used the ones I showed you in the link.
 
oh here in Argentina there is only one brand. believe it or not. There is only one chance, to call a pharmacy and see if they sell it. But I doubt it.
 
Wendy&Neko said:
Typically the amount of R that is given is a lot LESS than the amount of Levemir. When Neko was on small amounts of Levemir (less than 1 unit), she was getting just drops of R. When she was on larger doses of Levemir (7 units), I was giving at most 0.5 units of R. It's possible your Levemir dose is too low, and the R dose too high. But we need a bit more data on the spreadsheet first.

When you give R, your goal is to lower the blood sugar no more than 100 points, or you will cause a fast drop that will lead to even more bouncing. And you need to test more often when you give R to see how it is working.
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perfect!!!! I will copy this in my facebook notes"!!
 
Dyana said:
This is someone's version of 0.1 units
01unit-1.jpg
I say that because not everyone's 0.1 unit is the same. You just do the best you can to be consistent.

I called "at zero line", when I would push in the plunger hard on the empty syringe and then would continue holding the plunger in tightly as I inserted it into the vial, then I would release the plunger while the syringe was in the insulin vial and just a little tiny drop of insulin would fill the vacuum that was made when the plunger was released.
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oh I see... just nothing to do with what Im doing... Im doing a real mess.
 
Dyana said:
I would shop around if you can. I have seen many different forms of lysine. I've just always used the ones I showed you in the link.
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@Dyana do you know any cheap and good Lysine there in the US that can be easily bought? My brother and sister in law are skying not sure where, I think in the west side, so may be its cheaper than purchasing it here, obviously in case it doesn´t require prescription.
 
Leaving to have dinner with mom, I will continue later with the spread sheet. Also I will have to decide what protocol to follow.. (Im edditing the text).

I also need your advise on which you advise me to follow if start slow go slow or TR. For sure I will not be able to apply strict numbers since I will not be able to be home at times since mom is also with cancer and may be I will be having the same story as I had with dad (runs to the hospitals, many hours out, etc.), so far everything is smooth, but still things are not easy.

Silvi

Thank you so much!!
 
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I feel bad that you have so much to deal with Silvina. I think with all that you should try to get as simple and consistent a routine as possible set up for your kitty's diabetes treatment. We can help you with that.
 
Thanks for working on the spreadsheet.
It looks like Petsmart has lysine: http://www.petsmart.com/search/?q=lysine&ps=false
and Walmart has some: https://www.walmart.com/ip/Pet-Naturals-of-Vermont-L-Lysine-For-Cats/22841981
and Petco: http://www.petco.com/shop/SearchDis...ize=24&fromPageValue=search&searchTerm=lysine
I've also asked @Larry and Kitties to help you because I've seen him posting about lysine.
You can also do a Search on the FDMB board to see what matches you come up with.
Good luck getting your brother to bring you home a bunch.
 
It's possible that the places Dyana mentioned only carry Lysine online and not in their stores. If your brother can't find it at those places, tell him to check a store that sells nutritional supplements, like GNC or the Vitamin Shoppe. He should look for 500 mg capsules that have no ingredients besides Lysine.

Has Markies been tested for Hyper Thyroid? That can make a cat eat a lot and still lose weight.

Hang in there, Silvi. We'll do our best to help you and Markies. :bighug:
 
Tricia Cinco(GA) & Harvey said:
It's possible that the places Dyana mentioned only carry Lysine online and not in their stores. If your brother can't find it at those places, tell him to check a store that sells nutritional supplements, like GNC or the Vitamin Shoppe. He should look for 500 mg capsules that have no ingredients besides Lysine.

Has Markies been tested for Hyper Thyroid? That can make a cat eat a lot and still lose weight.

Hang in there, Silvi. We'll do our best to help you and Markies. :bighug:
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next blood work I will have him test for this. Yes at the very beggining he was test for thyroids, but not lately.

LOOK TODAY´S NUMBERS... Im clueless looks like infection or something else going on...what could that be... it doesnt look like bouncing.. that´s what I feel.. I don´t feel its bouncing, obviously I could be totally wrong due to my mess but Ive checked at +6 and +8 then +4 + 7 which are Markies usually two nadirs and nothing happens.. mumbers are totally flat. At the very beggining about three monght ago I believe even before dad died (before December 3rd) it was because I thought insuline was corrupted. But then I changed for a new one and I realized it has nothing to do with it, actually I acquired a new pen and it got worse, probably just because not related with the new pen.

I feel that something is going on with Markies. I feel that is could be Markies heart problem, or the stress caused by the foster cat which is pretty bothering, but mostly I feel Markies has some tonsil or virus issue in his mouth (gingivitis+calicivirus+his heart condition+his herpes that comes and go + his haemobartonella that comes and go) or some other issue that I still never discover like a tumor somewhere.

So, I wish I can find a vet that can have a big picture overview and ask me for complete blood work and myself can have the energy to complete the ss daily and be able to follow the protocol I choose whatever it is strictly, not doing whatever I think should be.
 
yes, it does.. unfortunately..

Markies mouth has gingivitis which some times bleeds at some spots.

Then, last year when I took him to the vet, she said he has calicivirus (she saw some little very little sores in his mouth at the back).

Lately (this last months) ha has been meowing without sound, like not having voice (disfonic) and he reminds me when this hole diabetes started three years ago when he had tonsils swallen and he was mewoing with weird voice. This time he has no voice or he efforts to be heard (he wants to be hears in order to be fed).

This Tuesday I want to take him to the vet in order to have a good clinic check up. This throat/mouth issue concerns me. I have some pictures that I can show you, but they are old,may be from June last year. or even older.

Silvi
 
oh sorry its late already to purchase online, he is already having fun and no time to bother with online purchases, I know my brother and he might get upset. But thos shops may be good option. Anyway, I will check some optionsan then will see if the Argentinian medicine is still cheaper I will have to purchase it anyway. It´s a must.
 
he is begging for food now... Lord..

@Chris & China I need your help if your are there. (Im edditing this message to all. This is addressed to all of you too obviously)

I need to decide at least for tonight what dose to administer. Im very slow completing the ss. It is taking me too long but Im trying to put all the most that I can. I will take long late tonight.

But dosing will be in 30 minutes (I will shoot 30 minutes earlier).

Numbers are already high.

I see that on March 3rd we had a blue number we had a blue number. At that time the dose was much lower. I don´t know if this high numbers are due to my own miss dossing or Markies unregulated diabetes at this moment.

I feel his BG is truly high but there is a chance that I messed it up.

What do you think I should do tonight.? Markies is eating only almost zero carb, no more canned whiskas (only raw chicken, raw pork, meaty bones, meaty pork, egg yolk, tunna fish, etc).

Silvi
 
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I would continue on the 1.25 for now

You need to get at least 6 cycles in at the same dose before you're going to know how it's going to work

And I have absolutely no experience with R, but if Markies were my cat, I might try stopping it for a little while and lets see how he does on a consistent dose of Levemir
 
Silvina said:
After this 6 cycles I should do a curve? Should I stop using Rapid?
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If you can, I'd get the Pre-shot tests and at least 1 mid-cycle on the AM cycle (like around +5 to +7) and then a "before bed" test on the PM cycle

If you absolutely can't do the daytime mid-cycle, try to always get the "before bed" test

If you can get a curve in, that's great, but we need to see at least 3-4 tests a day

I'd hold the dose for 6 cycles and post here as often as you can so we can just see how he's doing. You don't need to write a whole lot but we need to see updated spreadsheets as often as possible

Others may have better ideas for you about the rapid, but most people that use it here only use very tiny amounts, not 1-2 units (unless they've done a lot of testing and have learned how to use it effectively and correctly)

I'd stop it at least for a little while and see how he's doing in a few days
 
Chris & China said:
If you can, I'd get the Pre-shot tests and at least 1 mid-cycle on the AM cycle (like around +5 to +7) and then a "before bed" test on the PM cycle

If you absolutely can't do the daytime mid-cycle, try to always get the "before bed" test

If you can get a curve in, that's great, but we need to see at least 3-4 tests a day

I'd hold the dose for 6 cycles and post here as often as you can so we can just see how he's doing. You don't need to write a whole lot but we need to see updated spreadsheets as often as possible

Others may have better ideas for you about the rapid, but most people that use it here only use very tiny amounts, not 1-2 units (unless they've done a lot of testing and have learned how to use it effectively and correctly)

I'd stop it at least for a little while and see how he's doing in a few days
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Ok thank you Chris. I will hold the dose and try to avoind the Rapid, may be I see a change in the pinks and my anxiety goes down. Hopefully. Now Markies is desperate for food.. poor guy.. he keeps begging for food and he already ate. It´s 4.25 AM and I didn´t go to bed yet but I will in an hour or two.
I will still work in the ss. Then I will wake up to test.

As you see I didn´t stop testing, my problem was the spread sheet. Is an issue that I usually have with tresspassing my handwritten notes to the computer. But if I need help I have to comply whith this... there is no other way and I will do it.

Thank you and good nights!!!
 
I forgot to tell you, I used to have a cheat sheet (thos papers that you use to not remember things and you put them in the fridge) with the previous protocol that I used to use in Gayle Charambura´s Facebook Group and I used to have a sliding scale. I checked it before using it and 1 unit was the smallest dose (you will see that I never used more than 1 unit).

But well, this is not Gayle´s group. Still, it would be good if we can build a protocol for Rapid that I can use when BG is not going down and we can say there are no bouncing reasons.

One big mistake that I have been making here is changing the Levemir dose all the time, I don´t know why I did that, can´t tell.
 
1 unit is a HUGE amount of R

We usually start a .1....that's 1/10th of a unit (photo above) and do a lot of testing every hour the first several times we use it

If you want to consider using it again in a few days, let us know.....there are others here that have a lot more experience than I do using it. I'm not comfortable giving advice using R
 
Chris & China said:
1 unit is a HUGE amount of R

We usually start a .1....that's 1/10th of a unit (photo above) and do a lot of testing every hour the first several times we use it

If you want to consider using it again in a few days, let us know.....there are others here that have a lot more experience than I do using it. I'm not comfortable giving advice using R
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ok Chris, you may be of much help if you can tagg those people that are good at Rapid. I was just thinking that Markies was about four times on DKA so Im concerned that he ends this new high BG period having again something like this.

When Markies starts whith this weird behaviors (bleeding gingivitis, possible tonsil problem, possible hemobartonella, or whatever the previous mentioned issues back on) or all together at the same time or the change of season or whatever reason but I know that something is going on with him (I know is not only my mess, I am doing a mess because he is not doing good on the dose he was at, he was on 0.75)
 
Hello again,

What method (special blood meter or urine ketostix) are you using to monitor for the presence of ketones?
With his history of DKA you should test for ketones daily. They can develop very quickly. My BKs ketone level once went from "trace" to "large" in exactly 24 hours.
Silvina said:
Markies mouth has gingivitis which some times bleeds at some spots.
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Is there a veterinary dental specialist that you can take Markies for consultation and possible treatment?

To avoid another episode of DKA it is very important to address any and all infections/inflamations
  • not enough calories + not enough insulin +infection/inflammation = development of ketones
R can help battle ketones while you work on safely reaching an optimum Levimir dose.

Silvina said:
Is an issue that I usually have with tresspassing my handwritten notes to the computer.
Click to expand...
The data you collect on the ss is critical in making the best dosing decisions, especially when adding R as a bolus to the Levimir. Can you bypass handwritten notes and place the numbers directly to the computer, on the ss, as they occur?
Silvina said:
(I know is not only my mess, I am doing a mess because he is not doing good on the dose he was at, he was on 0.75)
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You will need to methodically raise the Levimir dose, perhaps as soon as every 4 cycles, in an effort to get Markies to safer numbers soon. Are you typically available to closely monitor his BG?
Silvina said:
I forgot to tell you, I used to have a cheat sheet (thos papers that you use to not remember things and you put them in the fridge) with the previous protocol that I used to use in Gayle Charambura´s Facebook Group and I used to have a sliding scale.
Click to expand...
We can help you with a new R sliding scale based on Markies current circumstances.




 
Silvina -

I'm going to say this with all due respect, I would urge you to decide if you are going to get help here or from Gayle. There is a reason that Gayle doesn't post here. For many of the people who have had experience with Gayle et al's high dose group vs the help they get here, many leave here and then come back. I'm sure that some stick with Gayle. There have been any number of instances where her help conflicts with how we approach dosing. It will only cause you more confusion if you try to rely on your notes AND work with people here who have experience with R.

I would also urge you to read through the Tight Regulation Protocol and SLGS and decide which you want to follow. One huge advantage of following a method is that you have a set of instructions to guide you. In looking over Markies' spreadsheet, one thing that struck me is how long you hold doses. With either of the dosing methods we use, you do not hold a dose for more than a week if the numbers aren't where you want them. As Sandy noted, one of the factors that contributes to the development of ketones is not enough insulin. While R can help to bring numbers down, if Markies isn't getting enough insulin, that means he's not getting enough Lev. I know things have been very chaotic for you given all that has been going on with your family. We'll do our best to give you the support you need both for you and Markies. I do think you need to take a few deep breaths and begin to work with getting Markies' numbers down in a systematic way.

 
Thank you for updating the spreadsheet. If you get a ketones test, it'll help us if you put the result in the spreadsheet too. I hope you see some movement on this dose today.
 
Sandy and Black Kitty said:
Hello again,

What method (special blood meter or urine ketostix) are you using to monitor for the presence of ketones?
With his history of DKA you should test for ketones daily. They can develop very quickly. My BKs ketone level once went from "trace" to "large" in exactly 24 hours.

Is there a veterinary dental specialist that you can take Markies for consultation and possible treatment?

To avoid another episode of DKA it is very important to address any and all infections/inflamations
  • not enough calories + not enough insulin +infection/inflammation = development of ketones
R can help battle ketones while you work on safely reaching an optimum Levimir dose.

The data you collect on the ss is critical in making the best dosing decisions, especially when adding R as a bolus to the Levimir. Can you bypass handwritten notes and place the numbers directly to the computer, on the ss, as they occur?
You will need to methodically raise the Levimir dose, perhaps as soon as every 4 cycles, in an effort to get Markies to safer numbers soon. Are you typically available to closely monitor his BG?

We can help you with a new R sliding scale based on Markies current circumstances.




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@Sandy and Black Kitty can y ou help me now. He is showing a high number in the 400,s. Can you tell me if I should give him a little of R? In the meantime I will start answering all the questions you asked me. Im just up from bed.

PMPS is 443
 
Sandy and Black Kitty said:
Hello again,

What method (special blood meter or urine ketostix) are you using to monitor for the presence of ketones?
With his history of DKA you should test for ketones daily. They can develop very quickly. My BKs ketone level once went from "trace" to "large" in exactly 24 hours.

I have urine ketone sticks "Keto Diabur Test 5000" from Accu Check". Sometimes its easy to be able to get the urine and some times not, so I put the stick in the litter (which I guess is not correct. I try tu use a spoon. I will try to improve the technique.

Is there a veterinary dental specialist that you can take Markies for consultation and possible treatment?
Yes, there is a dental specialist, but actually Im not sure that this is only a dental issue. I rather take him to a good general clinic vet and then she can tell me if its a dental issue or if there is something else.

To avoid another episode of DKA it is very important to address any and all infections/inflamations
  • not enough calories + not enough insulin +infection/inflammation = development of ketones
R can help battle ketones while you work on safely reaching an optimum Levimir dose.

The data you collect on the ss is critical in making the best dosing decisions, especially when adding R as a bolus to the Levimir. Can you bypass handwritten notes and place the numbers directly to the computer, on the ss, as they occur?
Not really. That is very important for me, since its something that I usually take everywhere, to the vet when I take Markies, to the hospital when dad was hospitalized, and I feel safe. But I understand your question. I will manage to do both. I was having issues since I was much time out of home and having trouble with the forum password, changing computers, not being able to log from the hospital etc.. that´s why technology for me was difficult at times when my dad was whith his cancer and after when I was with no energy. But now I need to start all over. Before the same story starts with mom and I lose the energy again.

You will need to methodically raise the Levimir dose, perhaps as soon as every 4 cycles, in an effort to get Markies to safer numbers soon. Are you typically available to closely monitor his BG?
Yes, I live and work at home so Im clos Markies to monitor.

We can help you with a new R sliding scale based on Markies current circumstances.
I do need that sliding scale asap dear, numbers are on the sky and Im terrified. Im taking Markies on Tuesday, still we have two days and high numbers for long perids scare me a lot. Today as I couldnt find you (I got up very late since I went to bed very late, usually is like this, my life change dramatically) I decided to give Markies litlle less than 0.5 of Rapid. I know that yesterday I talked with Chris and China that I would stick only to levemir but ketones are there threatening and I just cant allow this to happen.

So Im anxius to have thta sliding Rapid scale.

Thank you!!!!

Silvi
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@Sienne and Gabby (GA) Im not intending to offend you at all. Please if it sounds offensive I apologize. Im very sensitive. Its not easy for me to understand all and also to express all what I want to express.

Im also very passionate and sensitive and going through the worst time in my life. Please, don´t get offended with my words. I got frustrated because I am not foillowing Gayles and I am here anywere else. Not doing things right, yes.. but Im not following Gayle, it was a bad decision of mine which came from doing things fast.

Sorry if I was aggressive or offensive.
 
I didn't interpret your meaning as offensive in the least.

Just so you know, Gill (@Gill & George) speaks Spanish fluently. (She lives in Spain.) If you have any question about what we're saying or what you're trying to communicate, she can help. She's currently having problems logging on to the board, though.
 
Dyana said:
Does he get the added supplements he needs, to the food you are feeding, like Taurine?
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I
Sienne and Gabby (GA) said:
I didn't interpret your meaning as offensive in the least.

Just so you know, Gill (@Gill & George) speaks Spanish fluently. (She lives in Spain.) If you have any question about what we're saying or what you're trying to communicate, she can help. She's currently having problems logging on to the board, though.
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@Sienne and Gabby (GA) I just deleted my message hoping you didn´t read it not to offend you... shut..

ok well... I will continue to respond other messages.. thank you..
 
Dyana said:
Does he get the added supplements he needs, to the food you are feeding, like Taurine?
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Dyana first when I started with raw I used to follow BARF (Biologically Apropriate Raw Food) and I used to follow Dr. Lisa Pierson and all thos webs that you also follow trying to add supplements we have in Argentina. The only thing we can´t find in Argentina is taurine but as taurine can be found in muscle meat I do use much of muscle meat (for example cow heart, chicken thig, etc). I used to prepare raw paté with suplements almost as Dr. Piersons web

Then as I didn´t have any time and as I also have been reading a lot and Im very interested in investigating in Feline Nutrition issues, I got to know that there are different types of raw diets, such as whole prey, franken prey. And as I have huge lack of time I spontaneously started doing franken prey (chunks of prey) so I feed chinken thig, chicken breast, cow meat, liver, kidney, egg yolk, etc.. so diet is pretty complete.

I run in Argentina a group and Im a big searcher of information food related so I keep posting information from different webs, from Mercola (Dr. Karen Becker), Dr. Pierson, Tanyas, Feline Nutrition, etc.etc. anything from trustable sources.

And fortunatelly we started to find ARgentinian vets that follow raw diets and that they teach them. I still didn´t wach the video, but this vet sustains that there is no need to add any suplement (this is the typical whole prey view, as long as you feed as much complet possible with meat, organs, bones, etc).
 
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