Maury's Progress

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Complicated kitties are...complicated? Why did your first vet say that about him?

Here are the things I wonder. To be very very clear, I don't have an opinion if any of these might be Maury's issue. They are just ideas I've gleaned from other cats that I wonder about here:

1. Are you still on a medium carb diet? Would he do better on lower carb food? Wet food only? The medium carb and YA might not spike his numbers right away, but they may be having a longer duration impact. Kind of like athletes can't eat crap on Tuesday and then perform well on Saturday (not calling MC food crap - just trying to find a metaphor). They might have pooped the food out by then, but there are systems in our body that are impacted by influences over time, not just influences in the moment. Could there be something like that going on with Maury?

2. Would he benefit from a steady dose instead of sliding scale? Obviously you have to adjust if his pre-shot is a blue or green, but if he got a steadier dose, would his numbers start to level out? Some cats work better on sliding scale, some work better on consistency.

3. What Kris said: this is just how he is, and you can find peace in knowing that - but also like Steph said - it might feel like forever, but it's only been three months so far.
 
I'd say that all FD kitties are "complicated" in some ways. I mean, it's very personalized treatment for them. Look at the differences in who we have now! We have some kitties who are staying low and we're worrying over hypos and bounces that keep them in the yellows...others are in black numbers preshot and greens midcycle. Others stay high all day. You have to figure out what is the pattern for your cat and then figure out how to change it to get those lower numbers...and that is just constant. But that's just the nature of FD...nothing is going to be straightforward and easy, and since vets don't treat as aggressively as we do, they get confused more easily by it than we do...and we all know we get confused!

I hope all that made sense. This is one of those days where at the end, I was so mixed up from class that I'm not even sure I'm speaking English anymore!!! :p
 
I remember Sue telling me it's best to give it time. I was ready to try another after about a month! I also had it in my mind that the lantus was way more expensive than it actually is. Turns out the prozinc was more expensive per unit in our area. I'm happy with his first week on Lantus. But I have a feeling that we might see some more of Chuck's crazy antics. I felt like switching was a good idea since about January but I was not sure it was a good idea. He started going down in his dose so I thought we were finally getting somewhere! I was scared (and still am) of the depot idea. I liked the flexibility of prozinc. Once Chuck started getting higher doses I knew it was time to try the switch.
 
Djamila said:
Why did your first vet say that about him?
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Took him there for first curve and after 2 readings his numbers barely moved so they called me to come pick him up and said he was a complicated case. -__-

Djamila said:
1. Are you still on a medium carb diet? Would he do better on lower carb food? Wet food only? The medium carb and YA might not spike his numbers right away, but they may be having a longer duration impact. Kind of like athletes can't eat crap on Tuesday and then perform well on Saturday (not calling MC food crap - just trying to find a metaphor). They might have pooped the food out by then, but there are systems in our body that are impacted by influences over time, not just influences in the moment. Could there be something like that going on with Maury?
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Still on medium carb wet with YA for dry. He really turns his nose to pate:oops:. I have thought about trying to get him on his lunch flavours all the time.

Djamila said:
2. Would he benefit from a steady dose instead of sliding scale? Obviously you have to adjust if his pre-shot is a blue or green, but if he got a steadier dose, would his numbers start to level out? Some cats work better on sliding scale, some work better on consistency.
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I try to keep the dose as steady as possible.

Djamila said:
3. What Kris said: this is just how he is, and you can find peace in knowing that - but also like Steph said - it might feel like forever, but it's only been three months so far.
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It does feel longer than 3 months.
 
StephG said:
I was scared (and still am) of the depot idea. I liked the flexibility of prozinc.
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The depot scares me too until I can read more about how it works. I do like the flexibility of Prozinc. But I am going to try and give another vial a shot and see where we are at the 6 month mark.

Rachel said:
You have to figure out what is the pattern for your cat and then figure out how to change it to get those lower numbers...and that is just constant.
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That's what I try do on a daily basis and I can't see a solid pattern lol. Only thing I can kind of do is predict if he's going to bounce. Just having a moment that I feel like I'm doing something wrong. :(
 
Yong said:
Took him there for first curve and after 2 readings his numbers barely moved so they called me to come pick him up and said he was a complicated case. -__-.
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I bet Maury was just in a flat cycle after a bounce. Silly vets.

Yong said:
Still on medium carb wet with YA for dry. He really turns his nose to pate:oops:. I have thought about trying to get him on his lunch flavours all the time.
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You could try the magical fortiflora. Sam would eat a shoe if I put that stuff on it first.

Yong said:
It does feel longer than 3 months.
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Amen to that. I've only been here for two months (as of today) and it feels like for-ev-er.
 
Just thinking back, Yong: when I was saying yesterday that I'm resigned to getting less than ideal FD regulation for Teasel, I hope you didn't think I meant Maury is in that boat too. Not my intention. Yes, they're both tricky kitties but they might surprise us ... o_O:)
 
Not at all, Kris! Maury wants his own boat, visiting other kitties on his journey. I might call it A.D.D. (Attention Deficit Diabetes:p) but I still hope to get him somewhat better regulated lol. The only regulation he's giving me is a new facial expression :confused:. I know the numbers are better than when we started :cat:. Adding him to the list of "things that make you go hmm"
 
Yong said:
Side note: Going to get new vial now, should I still keep the other vial or use as much as I can up and toss it?
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I always kept a little of the old vial in case I dropped the new one and broke it. At least there'd be some insulin around until I could replace the lost one.
 
Yong said:
Thinking I will try like 1/2 Tablespoon of his non-pate on top first. If he just eats the top, then I'll try mixing it. Maury is hanging with me right now. I just showed him Sam's SS and explained that's where we need to be :D
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Lol...Can't wait to see if that works! :bookworm:;)

And yes, clearly mark the old insulin as the old one, put it in a different place in the fridge, but keep it in case something bad happens to the new one.
 
Okie dokie. Will just use old vial for PM dose and start new vial in AM :). Me too, Djamila :) Will have to get some more pate flavours.
 
Will prob update SS in the morning when I check in but didn't want anyone to worry. PMPS 50. Stalled 20 minutes w/o feeding. 56. No shot. He's asking for another decrease, I think ;)
 
I was just looking at the food list (looking for foods that are lower in phosphorus), and the Friskies tuna and egg is only listed at 6% carbs. Isn't that what you've been feeding? I would call that LC, not MC. I thought you said you were feeding MC. Am I just confused?
 
Djamila said:
I was just looking at the food list (looking for foods that are lower in phosphorus), and the Friskies tuna and egg is only listed at 6% carbs. Isn't that what you've been feeding? I would call that LC, not MC. I thought you said you were feeding MC. Am I just confused?
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I was using those more for his lunches. MC were his meals but I'm trying to change that up :). Will be trying to use them as toppers / mixers for meals.
 
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