? 4/19/17 Sprocket, AMPS/410. +3/347,+6.75/285.PMPS/236, +2/222, +4.5/277. Issue with meds

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Darnell & Sprocket (GA)

Darnell & Sprocket (GA)

Member Since 2015
http://www.felinediabetes.com/FDMB/...0-4-5-378-3-25u-confused.176529/#post-1943304

Yesterday's link

Today. 410.
Ugg! Gave kitten food last night since higher protein n calories but still only 2 carb.
Or is it from furshot of 1 night ago?? Chris said it can effect several cycles.

This is 6th cycle on 3.25u. Do I go up tomorrow? Or tonight?

He had some soupy poop this am. Smelly.
Gave some probiotic with food this am.
He ate about 1.5oz this morning so far.
He got syrnged famotidine & liquid cyproheptadine.

He gets liquid meds for all but ondansetron.

Anyone find ingredients to marbofloxacin? Does it contain sugar?
 
Good morning, Darnell!

With Sprocket's high numbers and the DKAs, I think you want to be pretty aggressive with the dose increases, but we might need to let things settle a bit more after the recent furshot. Let's see what some of the more experienced folks advise on this.

How is Sprocket feeling today?
 
Nan & Amber said:
Good morning, Darnell!

With Sprocket's high numbers and the DKAs, I think you want to be pretty aggressive with the dose increases, but we might need to let things settle a bit more after the recent furshot. Let's see what some of the more experienced folks advise on this.

How is Sprocket feeling today?
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I agree about pushing the dose increases more. The lime green you got on 3.5 u was a while ago and Sprocket is in a different place now. You know how to steer through the lows with food but treating another DKA is a much bigger deal.
 
Question: when he oddly goes up to 400s at shot time. Knowing he may go down because of no more antibiotic (possible sugar ingredient).
Why would I not shoot a 3.5 to get him lower then go back to 3.25?
I think its because of the depot of previous doses but not sure.
 
Yes... it is because of the depot. And the TR protocol is already the more aggressive approach.

Also keep in mind, that those gaps in testing are unknown. He does tend to bounce a bit when he sees a lower number than he is used to ( such as blue)
After all, why should any of us ever get to sleep .....:rolleyes:
 
Ok. Ya if we could at least get him to dip in 150s n a high in 200s will allow his body to get used to it.
Is that correct?

Just did bg at +6.75/285.
Got 100ml fluids at 150pm.
Got his liquid ursodiol
And his ondansetron.

Should i test a 4pm?
 
I would shoot 3.5 units. You reduced from 3.5 to 3.25 units on April 16th, but he hadn't earned a reduction that day. With the history of DKA, I would be more aggressive with the insulin. Even on the few cycles he did on 3. 5 units, he was a long way from the danger zone.

And it doesn't help to get a cat to seeing mid blues to help them get their body used to it. It's best to get them used to high greens or low blues or else they'll just bounce more with higher nadirs. That little bit more insulin helps lower the bounces too.
 
@Wendy&Neko
Question though. Not sure who told now. I have lost track.
Anyway. Someone said its possible his body is throwing that glycogen out to the low numbers because thinks its in hypo because its not used to numbers like that. Could that be possible?

And if I keep feeding the greens so he doesn't go too low how long can I do that before i just reduce the dose?
I can't live with that stress that long.
Its not good for my health or his.
So how does that work?
 
Yes he could be bouncing, and cats will bounce from blue and even yellow numbers if they aren't used to it. It doesn't mean they were anywhere near hypo, just not what they are used to. Someone compared it to drinking a lot of coffee (blood sugar). When you cut back, you feel miserable. The only way to get them to accept lower numbers is for them to see them more often. You do a good job testing, I don't think you missed any lows on the 3.5 unit dose.
 
Wendy&Neko said:
I would shoot 3.5 units. You reduced from 3.5 to 3.25 units on April 16th, but he hadn't earned a reduction that day. With the history of DKA, I would be more aggressive with the insulin. Even on the few cycles he did on 3. 5 units, he was a long way from the danger zone.
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I agree with Wendy for the reasons stated. I'd increase the dose to 3.5 units.
I had a ketone prone cat who went into DKA a day after diagnosis so I've been where you are... stress and all. What's not good for Sprocket's health is for him to remain in numbers that are that high. Feeding the curve allows you to increase the dose which will lower his curve safely without allowing him to bottom out. It's really a beautiful technique once you get the hang of it. :)
 
Sorry, don't know the ingredient. Have you searched on it? You are right, you usually have to double and triple check when you get meds that they don't have sugar in them, which I don't get, cause apparently cats taste buds can't detect sugar. :rolleyes:
 
Darnell & Sprocket said:
Anyone familiar with the ingredient Orasweet??
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Nope. Never heard of it, but a quick search describes it as a sugar substitute.

Ingredients:
Purified water, sucrose, glycerin, sorbitol, and flavoring. Buffered with citric acid and sodium phosphate. Preserved with methylparaben and potassium sorbate.

I don't know anything about orasweet, but not so sure it's "diabetic friendly"... given the ingredients.
 
Wendy&Neko said:
Sorry, don't know the ingredient. Have you searched on it? You are right, you usually have to double and triple check when you get meds that they don't have sugar in them, which I don't get, cause apparently cats taste buds can't detect sugar. :rolleyes:
Click to expand...

Ya I did ask about sugar free flavors. Told her my cat was diabetic as she is taking all my information. Yet she wrote my address wrong and email too.
I was told by my vet is was on script too.
 
Jill & Alex (GA) said:
Nope. Never heard of it, but a quick search describes it as a sugar substitute.

Ingredients:
Purified water, sucrose, glycerin, sorbitol, and flavoring. Buffered with citric acid and sodium phosphate. Preserved with methylparaben and potassium sorbate.

I don't know anything about orasweet, but not so sure it's "diabetic friendly"... given the ingredients.
Click to expand...

Ya Kelly whom used to work at compounding pharmacy found this.

Someone online whom used to work at a compounding pharmacy found this for me.
https://www.pattersonvet.com/msds/078435137

It had % of ingredients plus a warning to diabetics.
 
3am
Get up to feed.
He is starting to plastic seek. Ignoring me as i go to get food.
Test n 328. Up from earlier at midnight of 277.
I feed 1 carb. Eating well.
Lesson learned.
 
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