5/30/17 Cinnamon Amps 395 +10 384

[storm]

A curve test was done on Sunday 5/28, vet wanted it done using the AT meter as the software they use is set up for that specific meter, he never came out of the 500's, a change in dry food was done on saturday ( wet food has stayed the same with switching between the 4 low carbs cheap brands), not a huge change but enough to cause the high numbers BUT since starting on Lantus on 5/20, every day after 5/20 his numbers have been increasing. I took away his bowl of dry food yesterday, looking at 2 other brands since he stopped eating the YA Zero, just waiting for nutritional analysis from the manufacturers to confirm they are high protein under 10% carbs with under 300mg Phosphorus

This morning I sent the link to his SS to the vet as was requested, she recommended increasing his dose to 2 units twice a day but I am not comfortable increasing it a whole unit as nobody is home to monitor him if its too much and he crashes. I would prefer to increase by half a unit, just for a few days until his friday pm dose when i can give him the 2 units as I am home all weekend to monitor him and catch him if he does crash.

What do you all think?

 

[Tanya and Ducia]

Hi,
I just want to confirm that what I read in the Signature is correct - Cinnamon eats about 20 oz (1 1/2 13 oz can)of wet food in addition to access to dry food and his current weight is 6.3 lb? Are you trying to get him gain some more weight? For how long has he been eating 20 oz wet and kept this weight?

 

[storm]

Hi,
I just want to confirm that what I read in the Signature is correct - Cinnamon eats about 20 oz (1 1/2 13 oz can)of wet food in addition to access to dry food and his current weight is 6.3 lb? Are you trying to get him gain some more weight? For how long has he been eating 20 oz wet and kept this weight?

yes he eats that much per day of wet 1/2 can am, pm and before i go to bed .. he had access to dry until yesterday .. we are trying to get him to gain weight .. the 6.3 lbs is what he weighed at the vets when he was first diagnosed back in April, he may have gained a little since then but he is still very thin, when you pet him, you can feel spine, ribs and hip bones, he also lost a lot of muscle mass, he has been eating the 20 oz wet for about 2 weeks, he was eating 2-13 oz cans in a 24 hours period but with the available dry, i cut him back as he started leaving 1/2 can between am and pm feeding

he is due for his pm shot and just wondered if i should give the increase the vet recommends he have, 2 units 2x a day or just increase it by 1/2 to 1.5 units 2x a day .. i just dont want him to go hypo while im at work and come home to find he passed away .. its my biggest worry

 

[Tanya and Ducia]

Thank you! My kitty gained very nicely on Frieskies - sending Cinammon gaining vines and to keep the good appy vines , good luck!

she recommended increasing his dose to 2 units twice a day but I am not comfortable increasing it a whole unit as nobody is home to monitor him if its too much and he crashes. I would prefer to increase by half a unit,

I understand you completely it is way too risky to increase and not be able to be there to monitor/interfere if going too low; both protocols of increase/decrease used here do go by 0.25U increments at the time so not to over shoot the "good" dose. The thing with dose increase/decrease is that you have to keep it for a while - how long depends on method or protocol you are following to make sure you know what each particular dose does and that takes time.

It is common to start testing urine for ketones with higher numbers - I do with my cat. Not gaining weight and high BG isn't good combination and has to be watched closely.

I hope you'll find working dose soon and Cinnamon improves.

Hopeful someone with dosage experience replies soon before you PM shot but of course not being able to monitor changes things.

 

[Tanya and Ducia]

Sorry, totally out of my memory - if you change the prefix of you title to the question mark and add words "dose increase" to the title you will attract more eyes and get to hear more opinions about the dosage.

 

[storm]

Sorry, totally out of my memory - if you change the prefix of you title to the question mark and add words "dose increase" to the title you will attract more eyes and get to hear more opinions about the dosage.

already gave the PM dose with the increase .. i can try testing for ketones but it may be a test that needs to happen at the vet as he is not one for peeing in the litterbox unless its either empty with no litter ( he will also poop in it too so not sure how accurate the test would be if i dip a strip in the urine) or it hasn't been used yet by himself or one of the other cats. i have 8 boxes for them all

 

[Tanya and Ducia]

lready gave the PM dose with the increase

I see, hopefully it works out for the good and you'll see nice numbers tonight!

Because of this increase - are you able to take the +2 test?

It is usually good indicator as to what is coming at you - if the +2 reading is the same or higher than the PMPS then you can expect further lowering. How much lower, or how fast depends on the difference between the PMPS and the +2. It will also tell you if you need to test after that and/or how often to test.

i can try testing for ketones

I'd give it a try at home... even if difficult to do. Ketones formation is extremely dangerous condition and, sadly, could develop very fast. I am glad I do it with my cat at home after her DKA episode - life threatening. And, yes cats are soo private and picky about going in the bean presence.... but it is doable.

Have you read this STICKY about cumulative nature f Lantus?

 

[storm]

I see, hopefully it works out for the good and you'll see nice numbers tonight!

Because of this increase - are you able to take the +2 test?

It is usually good indicator as to what is coming at you - if the +2 reading is the same or higher than the PMPS then you can expect further lowering. How much lower, or how fast depends on the difference between the PMPS and the +2. It will also tell you if you need to test after that and/or how often to test.

I'd give it a try at home... even if difficult to do. Ketones formation is extremely dangerous condition and, sadly, could develop very fast. I am glad I do it with my cat at home after her DKA episode - life threatening. And, yes cats are soo private and picky about going in the bean presence.... but it is doable.

Have you read this STICKY about cumulative nature f Lantus?

yes i can test at +2 was planning to test at +3 but can do it an hour sooner and at +5 as that is about when i go to bed

its not so much that he is private, he was basically a stray until Oct 2015 when i moved and took him with me, he always came around my house as i kept food and water out for all the neighborhood strays, he was caught in a TNR sweep in spring of 2013 and from that point on he decided my house was his house, he stayed outside refusing to come in but became very friendly, and then that winter he decided that he wanted to try being inside but only at night and he never pooped or peed in the house but held it until he was let out in the morning but if we forced him to stay in because the temps were way too cold he would poop in the boxes but he just peed where ever he was at .. closet, under chairs, on furniture or the floor .. so when i moved into my current location, first thing i did was cover my bedroom floor with plastic sheeting and get peepads , area rugs, carpet remnants and bath sheets as i knew he was not going to just magically start peeing in the litterbox .. he has no issues with peeing on the floor in front of me lol he just refuses to go in the litterboxes

+2 reading is higher than pmps will test again at +5 just before i go to bed

 

[Tanya and Ducia]

he has no issues with peeing on the floor in front of me lol he just refuses to go in the litterboxes

Hmm..well that just makes it even more difficult... If you buy the strips - they are packed in to very small narrow plastic vial can you carry it in your pocket and just dip it once you see him go? wherever it is? I don;t mean to make your life more difficult - my cat survived DKA episode by a miracle and I advocate for the ketone testing as no one else...I really think it worth it..

PS. I just saw the +2=479. I think you can skip testing until your pre-bed time, it was at +5, right?

If you got a chance to look thru the Sticky on the Depot you know that larger depot will be built by tomorrow and you have good reasons to expect action in the AM cycle.

 

[storm]

Hmm..well that just makes it even more difficult... If you buy the strips - they are packed in to very small narrow plastic vial can you carry it in your pocket and just dip it once you see him go? wherever it is? I don;t mean to make your life more difficult - my cat survived DKA episode by a miracle and I advocate for the ketone testing as no one else...I really think it worth it..

PS. I just saw the +2=479. I think you can skip testing until your pre-bed time, it was at +5, right?

If you got a chance to look thru the Sticky on the Depot you know that larger depot will be built by tomorrow and you have good reasons to expect action in the AM cycle.

yes +5 is about when i got to bed and yes i have read the sticky, my vet basically explained the same thing to me when he was started on insulin

 

[Tanya and Ducia]

i have read the sticky, my vet basically explained the same thing to me when he was started on insulin

Is it possible to test tomorrow AMPS +2?

 

[storm]

Is it possible to test tomorrow AMPS +2?

unfortunately his Am shot is at 6am and i leave for work by 6:30, i chose the 6am-6pm 12 hour shot time as i average getting home from work by 6pm, i considered an Am shot time of 5am when i wake up but i know this time of year im rarely home from work by 5pm so i had to go with 6am

 

[Tanya and Ducia]

it is very to balance work/travel and caring for the FD cat.. I am not sure if you can keep that dose tomorrow...I would leave enough food for him out, to make sure he has eaten well before/by the onset - most often from +2 to +4 and then some by nadir.

There are people on the Board who successfully managed being full time employed, increasing doses and avoided hypo. Unfortunately I am not one them - I stay home - and cannot offer any good suggestion.

Maybe you can post a question about help with dose/ scheduling and ask if you should get back to the smaller dose if no one is able to monitor? Chances are the new dose brings lower numbers; staying safe is a must.

 

[storm]

it is very to balance work/travel and caring for the FD cat.. I am not sure if you can keep that dose tomorrow...I would leave enough food for him out, to make sure he has eaten well before/by the onset - most often from +2 to +4 and then some by nadir.

There are people on the Board who successfully managed being full time employed, increasing doses and avoided hypo. Unfortunately I am not one them - I stay home - and cannot offer any good suggestion.

Maybe you can post a question about help with dose/ scheduling and ask if you should get back to the smaller dose if no one is able to monitor? Chances are the new dose brings lower numbers; staying safe is a must.

well he gets 1/2 of a 13 oz can when i go to bed and then another 1/2 for breakfast, i can give a whole can if need be to make sure he has enough to last him all day until i get home or i can give him a 1/4 cup of the dry i have, i have a little bit of YA Zero left and then i have the EVO turkey and chicken grain free but its 12% carbs now as they recently changed the formula, i should be home by 5pm tomorrow at the latest .. i have tried leaving frozen wet for him to nibble on but after the first 3 days he wouldn't touch frozen wet any more.

 

[Tanya and Ducia]

I'd feed as much as possible out for the day and also feed larger portion in the AM to go with the insulin - if you will decide to give increased dose. It is important that he has enough on board for the onset thru the nadir. I hope it works out fine for both of you tomorrow. Good luck!