Buddy's Mom needs help part 10

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Rachel said:
I hear you! We totally get it when folks can't help out here...I'm only on here limited times due to work..and I know you have a lot going on in your life. Never worry about not being able to help out! You've been a huge help to Yong with her Maury's pancreatitis issues and that's something most of us know nothing about. That's been a giant help, so you've definitely done your bit here too!
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I do not have the knowledge that some of the people have, anything I know I am glad to share. You ladies who work really have no time to give. I appreciate all the help I receive.
 
Hi Teresa,

I was away from my computer all evening and am just seeing the excitement now. I generally leave myself signed in to the forum all the time so I might show in the "who's on" section but I'm not really there. Sorry! However, you have other good helpers like Yong, Rachel and Djamila.

I think I said yesterday that Buddy's dose was getting close to "pay attention" territory and I was right. The feed, wait, shoot thing helped you again last night. I'm glad. It's scary but you'll get better at handling these situations. They're part of the process of getting Buddy's numbers down.

I hope you were able to get some sleep last night. :)
 
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Kris & Teasel said:
Hi Teresa,

I was away from my computer all evening and am just seeing the excitement now. I generally leave myself signed in to the forum all the time so I might show in the "who's on" section but I'm not really there. Sorry! However, you have other good helpers like Yong, Rachel and Djamila.

I think I said yesterday that Buddy's dose was getting close to "pay attention" territory and I was right. The feed, wait shoot thing helped you again last night. I'm glad. It's scary but you'll get better at handling these situations. They're part of the process of getting Buddy's numbers down.

I hope you were able to get some sleep last night. :)
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I kind of knew what to do, just needed the back up. This morning I gave Buddy a larger dose than I intended to. I got syringes at Wal-mart instead of ordering on line and they are just a little different than what I am used to. I intended to give him between 5.6u-5.8u, instead I gave him between 5.8u-6.0u. He has had larger doses, but both of us can do without the stress. No problems sleeping, just getting up in the middle of the night to check.
 
wolfey said:
I kind of knew what to do, just needed the back up. This morning I gave Buddy a larger dose than I intended to. I got syringes at Wal-mart instead of ordering on line and they are just a little different than what I am used to. I intended to give him between 5.6u-5.8u, instead I gave him between 5.8u-6.0u. He has had larger doses, but both of us can do without the stress. No problems sleeping, just getting up in the middle of the night to check.
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I hear you about the stress! Can you grab a +2 before you leave for church?
 
Which syringes do you order online, Teresa? The one's I found are nice but like $20 from ADW but have heard Walmart's are better priced and not much quality difference. But I'll need my own power source to light up the dim bulbs :p.
 
Yong said:
Which syringes do you order online, Teresa? The one's I found are nice but like $20 from ADW but have heard Walmart's are better priced and not much quality difference. But I'll need my own power source to light up the dim bulbs :p.
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The ones that I got from ADW were fine, just trying to save the shipping cost. The syringes from ADW were CAREPOINT VET, the lines do not look as bold from the Wal-mart syringes. I think the ones from Wal-mart were around $12 for a whole box.
 
Sometimes the BG can continue on a slow downhill slide so that the PMPS is the lowest number. That can mean that the dose is a bit too high, a bounce is clearing or the insulin dose has extra duration that day. Sometimes a too high dose goes hand in hand with longer duration. So complicated ...
 
Kris & Teasel said:
Nice, slow drop. Try for +5 and +7 to get a mini curve. :)
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I have been gone, so I just took a reading and he is at 179. My Mother has feed him while I was gone, she feed him Royal Canin Wet. After I took a reading he was wanting to eat again, so I went ahead and feed him. He is allowed to have 1 1/2 cans of this per meal and he only had 1 this morning. This reading was at 8.25 hrs. Tomorrow I am taking Old Guy Back to the vet, I will try to get these readings as close as possible to +2 or +3, +5 & +7. Right now the biggest problem with this is to get him to stop eating long enough to take the readings.
 
Kris & Teasel said:
Sometimes the BG can continue on a slow downhill slide so that the PMPS is the lowest number. That can mean that the dose is a bit too high, a bounce is clearing or the insulin dose has extra duration that day. Sometimes a too high dose goes hand in hand with longer duration. So complicated ...
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When Buddy has low numbers, it is at AMPS or PMPS. Do you know anyone on the Lantus form who has a kitty with pancreatitis. I would like to ask them how they handle a kitty that will not eat at AMPS or PMPS, as far as a shot is concerned.
 
wolfey said:
When Buddy has low numbers, it is at AMPS or PMPS. Do you know anyone on the Lantus form who has a kitty with pancreatitis. I would like to ask them how they handle a kitty that will not eat at AMPS or PMPS, as far as a shot is concerned.
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It's usually a case of hoping they'll eat a little because Lantus is slow in onset and a full meal isn't necessary. Some people have to syringe feed when their kitty stops eating all together. @Carol & Murphy has a hard time with her guy.
 
wolfey said:
I have been gone, so I just took a reading and he is at 179. My Mother has feed him while I was gone, she feed him Royal Canin Wet. After I took a reading he was wanting to eat again, so I went ahead and feed him. He is allowed to have 1 1/2 cans of this per meal and he only had 1 this morning. This reading was at 8.25 hrs. Tomorrow I am taking Old Guy Back to the vet, I will try to get these readings as close as possible to +2 or +3, +5 & +7. Right now the biggest problem with this is to get him to stop eating long enough to take the readings.
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179 at +8.25 is a nice blue. It'll be interesting to see where he is at PMPS.
 
Rachel said:
When is your PMPS?
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Are you wanting to know what time. Most of the time it is around 7:30 p.m., but this morning his AMPS was at 8:26 a.m. Last night his PMPS was at 9:33 p.m., because of feeding and then waiting 45 min., to give is shot. I am trying to work my way closer to his original time, I might start a little earlier than 8:26. I have 2 other cats that need to get their meds this evening and they are starting to run into each others time.
 
Hi - I just got the tag from Kris. I have a cat with IBD and pancreatitis issues and a totally lousy appetite much of the time. Is the problem that your cat isn't eating? When Murphy isn't eating at amps or pmps, I can read him pretty well at this point. things I take into consideration about what to do:
If his tail is not straight up - it is a bad sign for him
If his amps or pmps is low (low blue on human meter)
He won't even look at food or if he seems interested but just won't eat

What I usually do is give him (in addition to his cerenia) ondansteron and cyproheptadine immediately (anti-nausea and appy stimulant) - if his preshot number is high enough, I can have enough faith that the drugs will kick in within 60-90 minutes and he will eat evenutally - so I give him insulin
If his preshots are low, I'll give him the drugs but also give him so higher carb kibble (like DM) and he will usually eat a little in this case, I'll delay giving him the insulin until his sugar increases a bit

This may or may not be helpful - I may be able to be more specific with a bit more details on your situation
 
Carol & Murphy said:
Hi - I just got the tag from Kris. I have a cat with IBD and pancreatitis issues and a totally lousy appetite much of the time. Is the problem that your cat isn't eating? When Murphy isn't eating at amps or pmps, I can read him pretty well at this point. things I take into consideration about what to do:
If his tail is not straight up - it is a bad sign for him
If his amps or pmps is low (low blue on human meter)
He won't even look at food or if he seems interested but just won't eat

What I usually do is give him (in addition to his cerenia) ondansteron and cyproheptadine immediately (anti-nausea and appy stimulant) - if his preshot number is high enough, I can have enough faith that the drugs will kick in within 60-90 minutes and he will eat evenutally - so I give him insulin
If his preshots are low, I'll give him the drugs but also give him so higher carb kibble (like DM) and he will usually eat a little in this case, I'll delay giving him the insulin until his sugar increases a bit

This may or may not be helpful - I may be able to be more specific with a bit more details on your situation
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Thanks for replying, Carol. :)
 
Hi Teresa,

Carol has a lot of experience with a tricky kitty and other health issues. You could ask her for more info directly if you need to. Let her know your specific problems with Buddy.
 
Carol & Murphy said:
Hi - I just got the tag from Kris. I have a cat with IBD and pancreatitis issues and a totally lousy appetite much of the time. Is the problem that your cat isn't eating? When Murphy isn't eating at amps or pmps, I can read him pretty well at this point. things I take into consideration about what to do:
If his tail is not straight up - it is a bad sign for him
If his amps or pmps is low (low blue on human meter)
He won't even look at food or if he seems interested but just won't eat

What I usually do is give him (in addition to his cerenia) ondansteron and cyproheptadine immediately (anti-nausea and appy stimulant) - if his preshot number is high enough, I can have enough faith that the drugs will kick in within 60-90 minutes and he will eat evenutally - so I give him insulin
If his preshots are low, I'll give him the drugs but also give him so higher carb kibble (like DM) and he will usually eat a little in this case, I'll delay giving him the insulin until his sugar increases a bit

This may or may not be helpful - I may be able to be more specific with a bit more details on your situation
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Hello!! My cat Buddy currently uses ProZinc Insulin, I have been thinking of changing to Lantus. Buddy has a history of pancreatitis, in February he had partial pancreatectomy. (spelling) With Prozinc you do not have to be exactly or really close to 12 hrs. between AMPS & PMPS. How long do you or can delay giving insulin when having low preshot numbers.

Buddy has all the medications you are speaking of and I do use them from time to time. With ProZinc, I have always waited until his numbers were over 200 before I gave him his shot. At what number do you say this is too low and don't give a shot. Have you ever given a shot and then you could not get your kitty to eat. I appreciate you contacting me, for some reason I could not figure out how to handle this. Hopefully I will see you on the Lantus forum. Best wishes for you and your kitty.
 
Kris & Teasel said:
Hi Teresa,

Carol has a lot of experience with a tricky kitty and other health issues. You could ask her for more info directly if you need to. Let her know your specific problems with Buddy.
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Kris, That was so nice of you to have Carol contact me. In her post she covered about all I had concern about and that was how she handled a kitty that does not want to eat at shot time.
 
Carol & Murphy said:
Hi - I just got the tag from Kris. I have a cat with IBD and pancreatitis issues and a totally lousy appetite much of the time. Is the problem that your cat isn't eating? When Murphy isn't eating at amps or pmps, I can read him pretty well at this point. things I take into consideration about what to do:
If his tail is not straight up - it is a bad sign for him
If his amps or pmps is low (low blue on human meter)
He won't even look at food or if he seems interested but just won't eat

What I usually do is give him (in addition to his cerenia) ondansteron and cyproheptadine immediately (anti-nausea and appy stimulant) - if his preshot number is high enough, I can have enough faith that the drugs will kick in within 60-90 minutes and he will eat evenutally - so I give him insulin
If his preshots are low, I'll give him the drugs but also give him so higher carb kibble (like DM) and he will usually eat a little in this case, I'll delay giving him the insulin until his sugar increases a bit

This may or may not be helpful - I may be able to be more specific with a bit more details on your situation
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I forgot to tell you how beautiful your kitty is, he looks a lot like Buddy. Buddy is a true blonde.
 
Hi Teresa
wolfey said:
I forgot to tell you how beautiful your kitty is,
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Murphy is blushing
The strict 12 hour dosing for Levemir (and Lantus) was one of the reasons I delayed switching from Prozinc for as long as I did - in the end, I am glad I made the switch. They say you have a 30 minute leeway per 24 hr period to give the insulin - if you delay, it can act as a dose decrease, and if you move the dose up, it can act as a dose increase. If you really have to delay by several hours, that is what you have to do, but then you work back to your regular dosing time in 30 minute increments per day - does that make sense? Alternatively, some times you can just skip a dose (that is where having the depot can really help - you can skip a dose but they still have insulin in them) - then you just resume the next dose at your normal time or move it up a bit. So that is what I do. However, I have to say, that is one aspect of Prozinc I sorely miss - the flexible dosing
 
Carol & Murphy said:
Hi Teresa

Murphy is blushing
The strict 12 hour dosing for Levemir (and Lantus) was one of the reasons I delayed switching from Prozinc for as long as I did - in the end, I am glad I made the switch. They say you have a 30 minute leeway per 24 hr period to give the insulin - if you delay, it can act as a dose decrease, and if you move the dose up, it can act as a dose increase. If you really have to delay by several hours, that is what you have to do, but then you work back to your regular dosing time in 30 minute increments per day - does that make sense? Alternatively, some times you can just skip a dose (that is where having the depot can really help - you can skip a dose but they still have insulin in them) - then you just resume the next dose at your normal time or move it up a bit. So that is what I do. However, I have to say, that is one aspect of Prozinc I sorely miss - the flexible dosing[/QUOTE Is he more regulated now, than he was on Prozinc. I have been worried about the days Buddy won't eat until I can give him some meds and they start working. You have given me lots of info I did not know. I know all things will be very helpful to Buddy & me. What changed your mind to switch.
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Buddy is @197 AMPS, coming down and I will be gone today. My Mother has waited 1 month to get in to see a orthopedic doc and today Buddy 's number's are lower. Hopefully, he will be alright this afternoon if I leave him a little food out.
 
wolfey said:
Buddy is @197 AMPS, coming down and I will be gone today. My Mother has waited 1 month to get in to see a orthopedic doc and today Buddy 's number's are lower. Hopefully, he will be alright this afternoon if I leave him a little food out.
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I see this, Teresa. Great PS. You knew he could do this at this dose range. What dose are you thinking of giving?
 
Kris & Teasel said:
I see this, Teresa. Great PS. You knew he could do this at this dose range. What dose are you thinking of giving?
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I am not for sure I would like to get between 5.6& 5.8 if I could. I don't want to go to low on his insulin, but I will be gone this afternoon for several hours. The last several days he has been in the 300"s and I don't like that.
 
wolfey said:
I am not for sure I would like to get between 5.6& 5.8 if I could. I don't want to go to low on his insulin, but I will be gone this afternoon for several hours. The last several days he has been in the 300"s and I don't like that.
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If you're home until mid cycle you could try 5.8 u and get a first test at +2. That will tell you if he's going to dive. You can steer with food then. By afternoon he should be at/past nadir so the pressure will be off. If that worries you, try 5.6 u but same plan for testing.
 
Kris & Teasel said:
If you're home until mid cycle you could try 5.8 u and get a first test at +2. That will tell you if he's going to dive. You can steer with food then. By afternoon he should be at/past nadir so the pressure will be off. If that worries you, try 5.6 u but same plan for testing.
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I gave him between 5.6U & 5.8U, or as close as I could get to it. I will be gone at nadir and Buddy seems to go really low at the end of a cycle, but he could go really low at nadir also. I will be testing before I leave and if necessary I will leave out some food.
 
We had a bad thunderstorm yesterday and lost power until around 11:p.m. I took my Mother to the doctor yesterday, while at the doc's we had a bad storm.

Yesterday, we had a very bad thunderstorm while I was at the doctor with my Mother. When we left at noon Buddy BG #258, when we came home at 4:15 p.m., he was at 99. Buddy was hungry so I gave him some LC wet food, I decided to check him in 45 min. to see what his numbers were, it was 94. I decided to keep checking every 45 min., next #106, #128, #133, at that time I decided to add a little HC wet food to his LC wet food. After about an hr., he came up to 219. We had l0st power while we were gone and it did not come back on until around 11:p.m. Since we had no power and not knowing when it would come back on, or if I could test Buddy later on I gave him 4U. Of course this morning he was at #357 and in 3hrs. he has come down to #245 . At least I can monitor him today. I need to update SS. This morning I gave him between 5.6 u & 5.8., if he is lower at PMPS I am going to give him 5.6U.




,
 
I raised Buddy's dose to 5.8u at AMPS. Trying to get up enough nerve to e-mail his vet and ask for script for Lantus. If he would write script, how would I know what dose to start out with, because I sure would hate to go back to 1u. I think that would be hard on Buddy too. If he should start Lantus, does that mean he would need 24 hrs. before 1st dose to get ProZinc out of his system.
 
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