08/17 Buddy AMPS 287, + 4.75=84, + =5.50=76, CANNOT GET BG TO STAY UP

Status
Not open for further replies.

Teresa & KitKat

Member Since 2017
I have been having problems getting Buddy to eat LC food lately and today is no different. My problem is I have feed Buddy 2 cans of FF grilled with gravy (HC) and tried to feed him HC dry food, but I cannot get his numbers to come back up very much. He has ate so much of the FF grilled, I cannot get him to eat any more. Any and all suggestions would be appreciated ASAP.
 
Here is your most recent post: http://www.felinediabetes.com/FDMB/...-starting-to-feel-better.182153/#post-2021815

I'm honestly not sure why you want him to come up, His numbers today are awesome!!! This is the kind of cycle everyone strives for. :D

Since you are doing SLGS and he dropped below 90, Buddy has earned a reduction to 5.0.

Have you tried giving him some MC foods? Or, if he likes the gravy foods, Fancy Feast Roasted Chicken, and the Turkey, run 6% and they have a sauce to them he might like.


I hope he is feeling better soon. P-titis is just wicked.
 
Here is your most recent post: http://www.felinediabetes.com/FDMB/...-starting-to-feel-better.182153/#post-2021815

I'm honestly not sure why you want him to come up, His numbers today are awesome!!! This is the kind of cycle everyone strives for. :D

Since you are doing SLGS and he dropped below 90, Buddy has earned a reduction to 5.0.

Have you tried giving him some MC foods? Or, if he likes the gravy foods, Fancy Feast Roasted Chicken, and the Turkey, run 6% and they have a sauce to them he might like.


I hope he is feeling better soon. P-titis is just wicked.
I was worried when he kept dropping, because all he had ate was maybe 2 T of Young Again LC dry food. I gave him his 5.5 U of Lantus because I thought he would eat more a little later, but as time passed I realized he was not going to eat. I was concerned because he had not ate and his numbers kept getting lower. Before diabetes he ate FF grilled with gravy and he loves it. When he kept going down and would not eat, I gave him FF grilled with gravy. He ate 1 can of FF grilled with gravy, his numbers came up and then right back down, same thing happened with the 2nd can. I started to get worried because he would not eat anymore. When I finally got the time to post this, I went back and his numbers were slowly coming up.

I have looked for the FF Roasted Chicken, and the Turkey, but I have not been able to find them. Someone else told me about them and I have been on the look out for a while for them.

I wish that I could find a food he likes, besides FF grilled with gravy, and Buddy eat that and then his numbers would come down. His little pancreas needs a rest, and so do my nerves.
 
I know this is nerve-wracking, Teresa, but this is exactly what Lantus does best - keep them low when they get down to these lovely numbers. As Tricia said above, the greens below 90 have earned Buddy a reduction. Over time you'll get used to the different way that Lantus works and you can always post here for help. :)
 
This is a disease that can be very stressful for the caregiver. That's what we're here for - to help you get through it! :bighug:

The Fancy Feast Chunky flavors - Chopped Grill, Chicken and also Turkey are 4, 4 and 5 respectively. They might be worth a try.

Which flavors of the Grilled will he eat? The chicken and the beef are the lowest % - 12, which is MC. These are better than the Gravy lovers, most of which are 15%.

Chewy.com has the Roasted Chicken and also the Roasted Turkey, and they have free shipping and great prices. Of course, you have to order at least a case, so if he doesn't like it.....
 
I know this is nerve-wracking, Teresa, but this is exactly what Lantus does best - keep them low when they get down to these lovely numbers. As Tricia said above, the greens below 90 have earned Buddy a reduction. Over time you'll get used to the different way that Lantus works and you can always post here for help. :)
Kris, it is nice to hear from you, I always appreciate your advice. I want Buddy to have lower numbers, but since he had not ate but a couple bites of YA, it scared me. When I got him to eat the FF grilled and he did not come back up and stay up, I was afraid. I remember you telling me that Buddy would not be bouncing around on Lantus and he did not bounce.

I don't think I will be able to give him a shot tonight, because he is not eating. Any advice on how to get him to eat LC wet food.
 
I don't think I will be able to give him a shot tonight, because he is not eating. Any advice on how to get him to eat LC wet food.
Here is a great piece by Dr. Lisa Pierson on transitioning from dry to all wet food. For now, tips include crumbling a few pieces of their favorite dry on top, sprinkling parmesean cheese on it, or Forti Flora (Cinco would eat anything with Forti Flora on it - but then, until he got really sick with cancer, he would eat anything. :rolleyes:)

If those don't work, give him what he will eat. It's important to give Lantus consistently, and even more important that he eat something.
 
This is a disease that can be very stressful for the caregiver. That's what we're here for - to help you get through it! :bighug:

The Fancy Feast Chunky flavors - Chopped Grill, Chicken and also Turkey are 4, 4 and 5 respectively. They might be worth a try.

Which flavors of the Grilled will he eat? The chicken and the beef are the lowest % - 12, which is MC. These are better than the Gravy lovers, most of which are 15%.

Chewy.com has the Roasted Chicken and also the Roasted Turkey, and they have free shipping and great prices. Of course, you have to order at least a case, so if he doesn't like it.....

Buddy, has already went through all the Chunky flavors. He likes FF Liver & Chicken Feast in Gravy Grilled. I order Royal Canin Glycobalance from Chewy.com, when Buddy decides he wants to eat that, I believe he might eat a little of that right now.
I have had 3 cases of Royal Canin hanging around for a while, I have decided not to order any thing else by the case. I have the food list printed and when I go shopping I know what I should by.
 
Just wanted to add that YA is very calorie dense. I believe 2T is a full serving. Early on, I free fed YA to my diabetic Rose and 3 civvies. The entire house fell into a food coma because they all ate too much! It went from frequent fights over food to spooky quiet overnight.
 
Here is a great piece by Dr. Lisa Pierson on transitioning from dry to all wet food. For now, tips include crumbling a few pieces of their favorite dry on top, sprinkling parmesean cheese on it, or Forti Flora (Cinco would eat anything with Forti Flora on it - but then, until he got really sick with cancer, he would eat anything. :rolleyes:)

If those don't work, give him what he will eat. It's important to give Lantus consistently, and even more important that he eat something.
I have already tried all of these, I have been trying get Buddy to eat with FortiFlora on it just now, and he will not. I will wait a few minutes and try the FF chunky. He should have had his shot at 8:30 p.m. and it is now 9:16 p.m.
 
Just wanted to add that YA is very calorie dense. I believe 2T is a full serving. Early on, I free fed YA to my diabetic Rose and 3 civvies. The entire house fell into a food coma because they all ate too much! It went from frequent fights over food to spooky quiet overnight.
It is I think, tonight he won't look at it. If he misses a shot tonight, it will probably be his 2nd one.
 
Here is your most recent post: http://www.felinediabetes.com/FDMB/...-starting-to-feel-better.182153/#post-2021815

I'm honestly not sure why you want him to come up, His numbers today are awesome!!! This is the kind of cycle everyone strives for. :D

Since you are doing SLGS and he dropped below 90, Buddy has earned a reduction to 5.0.

Have you tried giving him some MC foods? Or, if he likes the gravy foods, Fancy Feast Roasted Chicken, and the Turkey, run 6% and they have a sauce to them he might like.


I hope he is feeling better soon. P-titis is just wicked.
In the morning should I give Buddy 5u instead of 5.5u.
 
News Alert! I just got Buddy to eat some FF grilled w/gravy. I gave him a reduced shot and it was an hour late, but he did have a shot.
Yay! Buddy, be warned that this kind of trick is not going to work forever!
In the morning should I give Buddy 5u instead of 5.5u.
Yes. He earned the reduction. I see you did a BCS of 3.0 tonight? Keep in mind the depot is still there, so you'll still need to monitor tonight. Your shot in the morning should be no less than 11.5 hours after tonight's shot.
 
congrats on the reduction, you did extremely well managing those really nice greens today. There are days Marvin won't eat much, I don't have air so like us, when too hot and humid he doesn't eat as much.
 
Yay! Buddy, be warned that this kind of trick is not going to work forever!

Yes. He earned the reduction. I see you did a BCS of 3.0 tonight? Keep in mind the depot is still there, so you'll still need to monitor tonight. Your shot in the morning should be no less than 11.5 hours after tonight's shot.
Will the depot be like he had a 5.5 u injection. Should I not have given him the shot. I plan on giving him the shot 12 hours after the one tonight.
 
congrats on the reduction, you did extremely well managing those really nice greens today. There are days Marvin won't eat much, I don't have air so like us, when too hot and humid he doesn't eat as much.
I don't mean to ask a lot of question's, but when Marvin does not eat very much, do you always give the same dose. How do you get Marvin to eat. Sorry, I am having problems getting Buddy to eat,
 
Well I don't have that problem now as he is OTJ, but when I did I would just monitor, and kept presenting him his food. If the food had been out too long sometime fresh food made a difference. I know so folks here use meat baby food sometimes when cat is sick and not eating. As long as Marvin was eating a bit I would shoot. Mind you I didn't get a lot of really low numbers during the times he didn't eat. Sometimes, it was just a matter of changing the food for a bit. I think also people here mention Tikka mousse, think lots of cats like it... unfortunately I don't have it here, so not familiar with it, but since you are in the stats you may have it.

Is it possible he has nausea?
 
I have looked for the FF Roasted Chicken, and the Turkey, but I have not been able to find them. Someone else told me about them and I have been on the look out for a while for them.
I find them at the grocery store and Petco, Teresa. My Walmart nearby decided to stop carrying the flavours I get Maury :facepalm: and some of their prices are worse than Petco!:eek:
If you are still having problems finding them, I could send you a couple to try :). Maybe @Phoebes knows of a more local store for you to look at that is near he as well? Angela, have you seen Fancy Feast Roasted Chicken/Roasted Turkey flavours anywhere when you buy your foods? Please let Teresa know :bighug:
 
Well I don't have that problem now as he is OTJ, but when I did I would just monitor, and kept presenting him his food. If the food had been out too long sometime fresh food made a difference. I know so folks here use meat baby food sometimes when cat is sick and not eating. As long as Marvin was eating a bit I would shoot. Mind you I didn't get a lot of really low numbers during the times he didn't eat. Sometimes, it was just a matter of changing the food for a bit. I think also people here mention Tikka mousse, think lots of cats like it... unfortunately I don't have it here, so not familiar with it, but since you are in the stats you may have it.

He is taking anti-nausea meds.
 
Yesterday, Buddy got a reduction to 5u, this morning his AMPS was 386. Is it possible that I could give him a larger dose like 5.2u. All he will eat this morning is HC, FF with gravy, which will make his bg even higher.
 
Yesterday, Buddy got a reduction to 5u, this morning his AMPS was 386. Is it possible that I could give him a larger dose like 5.2u. All he will eat this morning is HC, FF with gravy, which will make his bg even higher.
Stick with the reduction to 5 u, Teresa. It's best not to change Lantus dose too often because it messes up the depot and that can lead to erratic BGs. He doesn't need much food on board before his shot because Lantus is slower than ProZinc to take effect generally. Getting him to eat small amounts of whatever he will eat is important so do what you have to do, keep the dose unless he drops below 90, and collect the BG data. After 5 to 7 days at a dose, you can increase if the numbers don't drop into blues at least. Lantus loves stability.
 
Stick with the reduction to 5 u, Teresa. It's best not to change Lantus dose too often because it messes up the depot and that can lead to erratic BGs. He doesn't need much food on board before his shot because Lantus is slower than ProZinc to take effect generally. Getting him to eat small amounts of whatever he will eat is important so do what you have to do, keep the dose unless he drops below 90, and collect the BG data. After 5 to 7 days at a dose, you can increase if the numbers don't drop into blues at least. Lantus loves stability.
Thank you, I value what you say.
 
If Buddy likes the YA food, you can crush it up (I used a small food processor) and sprinkle a little bit over his wet food to help entice him to eat.
 
I find them at the grocery store and Petco, Teresa. My Walmart nearby decided to stop carrying the flavours I get Maury :facepalm: and some of their prices are worse than Petco!:eek:
If you are still having problems finding them, I could send you a couple to try :). Maybe @Phoebes knows of a more local store for you to look at that is near he as well? Angela, have you seen Fancy Feast Roasted Chicken/Roasted Turkey flavours anywhere when you buy your foods? Please let Teresa know :bighug:
Walmart in this town has not carried the Roasted flavours. I have looked at all the other stores and I have never seen them.

Are you having problems with Maury eating, if you are would you tell me how you handle it.
 
If Buddy likes the YA food, you can crush it up (I used a small food processor) and sprinkle a little bit over his wet food to help entice him to eat.
Right now he is not having much to do with the YA, but he does like kibble. I have tried this before with various dry foods and he would not go for it.
 
He gets finicky with his wet foods sometimes, so I'll just give him a few pieces of his YA. Sometimes this works, the other times I just have to give him the whole tablespoon so I know he has food in his tummy to get insulin. He *usually* goes back to his wet food.

How is the rest of your crew? :cat:
 
My kittens love freeze dried chicken, and if I crush a few pieces and sprinkle it on their food, they will gobble the whole thing down. Does Buddy like freeze dried treats?
 
He gets finicky with his wet foods sometimes, so I'll just give him a few pieces of his YA. Sometimes this works, the other times I just have to give him the whole tablespoon so I know he has food in his tummy to get insulin. He *usually* goes back to his wet food.

How is the rest of your crew? :cat:
I cannot get Buddy to eat any wet food, except for a FF grilled with gravy and it has 13 carbs. He is not eating YA today. I ordered 2lb of Dr. Easley's dry food, today.
 
He has never tried them, what brand are they. If I can find some freeze dried treats, I will get them for Buddy.
One brand of freeze dried meat treats is called Pure Bites. They're at PetSmart stores. I buy Orijen brand freeze dried treats for Teasel but those tend to be in smaller "natural" pet food stores. You might be able to buy either or both online.
 
Pure bites are also available at petco and online on amazon. The dog ones are cheaper per ounce. Same thing just bigger pieces and they break apart easily. In my house all the animals get the same treats now, which makes things so much easier.
 
Teresa - I found links to the treats people mentioned. I don't know if you can order from Amazon or not, but if you can, here they are:

Freeze dried chicken (cat-man-doo) https://www.amazon.com/CATMANDOO-Dried-Chicken-Pet-Treat/dp/B00II6TGV2/?tag=felinediabetesfdmb-20

PureBites Sampler https://www.amazon.com/PureBites-Cat-Treats-SAMPLER-PACK/dp/B00AQNNLWU/?tag=felinediabetesfdmb-20

Bonito Flakes (Sam looooves these!) https://www.amazon.com/Extra-Large-Bonito-Flakes-Value/dp/B003P4I0MI/?tag=felinediabetesfdmb-20
 
Pure bites are also available at petco and online on amazon. The dog ones are cheaper per ounce. Same thing just bigger pieces and they break apart easily. In my house all the animals get the same treats now, which makes things so much easier.
Thank you.
 
Just checking in, Teresa. I think you could try 5.25 u now. The longer Buddy stays in high numbers, the harder it'll be to get him down.

Your last post was quite a while ago. I know this Lantus forum is big, busy and confusing but we're still here to help. :)
 
Just checking in, Teresa. I think you could try 5.25 u now. The longer Buddy stays in high numbers, the harder it'll be to get him down.

Your last post was quite a while ago. I know this Lantus forum is big, busy and confusing but we're still here to help. :)
Ju st checking in, Teresa. I think you could try 5.25 u now. The longer Buddy stays in high numbers, the harder it'll be to get him down.

Your last post was quite a while ago. I know this Lantus forum is big, busy and confusing but we're still here to help. :)
o
Kris, the first time I raised Buddy dose on Lantus, I raised him to 5.3 u. I received a post from a member on the Lantus group telling me if you were at 5u, you raised your dose to 5.5 u. Then someone else came on our post and said that was correct. I have raised Buddy to 5.5u. Being on 5u, was not good for Buddy, his BG stayed too high and he slept all the time. I am now having problems getting his BG to come down. His BG on or around 8/17, that I was having problems getting to stay up was not because his 5.5u was to high, it was because he would not eat. Now, we are dealing with trying to get his BG back down.

Buddy, is eating now. I took him back to his old vet, she ran a test confirming he had pancreatitis and put him on pain medicine (Bupe). Having a way to control his pain, has really helped Buddy.

I have not had a post because I have been very busy at home.
 
o
Kris, the first time I raised Buddy dose on Lantus, I raised him to 5.3 u. I received a post from a member on the Lantus group telling me if you were at 5u, you raised your dose to 5.5 u. Then someone else came on our post and said that was correct. I have raised Buddy to 5.5u. Being on 5u, was not good for Buddy, his BG stayed too high and he slept all the time. I am now having problems getting his BG to come down. His BG on or around 8/17, that I was having problems getting to stay up was not because his 5.5u was to high, it was because he would not eat. Now, we are dealing with trying to get his BG back down.

Buddy, is eating now. I took him back to his old vet, she ran a test confirming he had pancreatitis and put him on pain medicine (Bupe). Having a way to control his pain, has really helped Buddy.

I have not had a post because I have been very busy at home.
I'm very glad he's eating, Teresa. That means you can resume the Lantus dosing guidelines. If you're following SLGS you'll give 5.5 u for 5 to 7 days and then go to 6 u. He gets dry food occasionally so that means you have to stick to SLGS.

Post a new thread whenever you have time. I'll check in too. :)
 
I'm very glad he's eating, Teresa. That means you can resume the Lantus dosing guidelines. If you're following SLGS you'll give 5.5 u for 5 to 7 days and then go to 6 u. He gets dry food occasionally so that means you have to stick to SLGS.

Post a new thread whenever you have time. I'll check in too. :)
Kris, most of the time 6u is too much for Buddy. His good dose is between 5.5u and 6u. I don't feel comfortable going straight from 5.5 u to 6u. I am not for sure how to handle this, but this is something I will not do.
 
Kris, most of the time 6u is too much for Buddy. His good dose is between 5.5u and 6u. I don't feel comfortable going straight from 5.5 u to 6u. I am not for sure how to handle this, but this is something I will not do.
You're in charge, Teresa. I suggest you do what you know works better for Buddy and try 5.75 u instead. I've tailored Lantus dosing to suit Teasel too. We know our boys best. :)
 
You're in charge, Teresa. I suggest you do what you know works better for Buddy and try 5.75 u instead. I've tailored Lantus dosing to suit Teasel too. We know our boys best. :)
Kris, I may have spoke too soon, I am going to see what happens in the next few days, then decide which dose is best for Buddy. Buddy, has been through so much already, I do not want to do anything that might harm him.
 
Try not to get hang up on a dose.

Tanya is right, being that he get's dry that put's you in the category of following SLGS, as per those guidelines, that would see you hold the dose for a week, running a curve on one of those days and then if you don't see anything below 150 you would take the dose up.
I would take his dose up to 6u. I'll explain my reasoning.

If you think of the dose increase in terms of % a 0.5u increase when he's on 5.5u is a little under 10% increase.
Consider a cat whose on 2U and takes a .25u incease, in terms of % that's an increase of approx 12%.
However taking up Buddy up by ).25u would equate to a %increase of a little under 5%, from the experience on the board this usually isn't enough of an increase to make a difference to BG, this can risk Buddy spending longer than necessary in higher numbers, leading to glucose toxicity, which can then in turn make it harder to get his BG into a better range.

He only appears to have seen a mid blue once in the last 9days, I think that gives you room to take him up to 6u, unless you see low blues in the next few days.

NB with the pancretitis, I would keep up on the monitoring for ketones, especially if he goes off his food, you may need to increase the dose sooner than the 7 days if ketones start showing up.

ETA
Are you aware that the Glycobalance is High Carb? Is there any particular reason why you are using it?
 
Last edited:
Try not to get hang up on a dose.

Tanya is right, being that he get's dry that put's you in the category of following SLGS, as per those guidelines, that would see you hold the dose for a week, running a curve on one of those days and then if you don't see anything below 150 you would take the dose up.
I would take his dose up to 6u. I'll explain my reasoning.

If you think of the dose increase in terms of % a 0.5u increase when he's on 5.5u is a little under 10% increase.
Consider a cat whose on 2U and takes a .25u incease, in terms of % that's an increase of approx 12%.
However taking up Buddy up by ).25u would equate to a %increase of a little under 5%, from the experience on the board this usually isn't enough of an increase to make a difference to BG, this can risk Buddy spending longer than necessary in higher numbers, leading to glucose toxicity, which can then in turn make it harder to get his BG into a better range.

He only appears to have seen a mid blue once in the last 9days, I think that gives you room to take him up to 6u, unless you see low blues in the next few days.

NB with the pancretitis, I would keep up on the monitoring for ketones, especially if he goes off his food, you may need to increase the dose sooner than the 7 days if ketones start showing up.

ETA
Are you aware that the Glycobalance is High Carb? Is there any particular reason why you are using it?
When Buddy was at the vet the first time with diabetes, they feed him Glycobalance and he really likes it. I called RoyalCanin about the amount of Carbs, I cannot remember exactly what amount they said, but it was low carb. I give Buddy FF liver & chicken grilled when his numbers get low and it will raise his BG, it has 13carbs. It raises his numbers a lot more than Glycobalance.
I have a cabinet in my kitchen full of Friskies & FF classic and at this time he will eat none of them. Buddy will eat Glycobalance, I would love for him to eat Friskies and FF, because it is much cheaper. I have problems getting Buddy to eat a lot of the pates because of food aversions he got when he has had pancreatitis and he has chronic pancreatitis.

I will wait and see how he is doing in the next few days, he has been sick all summer. How he is doing will
let me know what dose he needs. Buddy has been on 6u in the past, but not for a long period of time. I have been testing for ketones everyday and it is always negative.
 
Try not to get hang up on a dose.

Tanya is right, being that he get's dry that put's you in the category of following SLGS, as per those guidelines, that would see you hold the dose for a week, running a curve on one of those days and then if you don't see anything below 150 you would take the dose up.
I would take his dose up to 6u. I'll explain my reasoning.

If you think of the dose increase in terms of % a 0.5u increase when he's on 5.5u is a little under 10% increase.
Consider a cat whose on 2U and takes a .25u incease, in terms of % that's an increase of approx 12%.
However taking up Buddy up by ).25u would equate to a %increase of a little under 5%, from the experience on the board this usually isn't enough of an increase to make a difference to BG, this can risk Buddy spending longer than necessary in higher numbers, leading to glucose toxicity, which can then in turn make it harder to get his BG into a better range.

He only appears to have seen a mid blue once in the last 9days, I think that gives you room to take him up to 6u, unless you see low blues in the next few days.

NB with the pancretitis, I would keep up on the monitoring for ketones, especially if he goes off his food, you may need to increase the dose sooner than the 7 days if ketones start showing up.

ETA
Are you aware that the Glycobalance is High Carb? Is there any particular reason why you are using it?
By the way, you have a very cute looking kitty.
 
By the way, you have a very cute looking kitty.
Thank you, your little guy is gorgeous too.

cannot remember exactly what amount they said, but it was low ca
Hmmm, I'm sure that's what you were told, but looking at the ingredients, there's a fair bit of wheat in there, I put the gauranteed analysis numbers through a calculator, and it comes back very hc, I know that we need the as fed numbers to be accurate, but i doubt it's LC. George was put on a diabetic dry food from hills by his vet, that was also HC.

I can see that with the problems his had that finding an appropriate food is difficult, I count my lucky stars that George has never come across various fud he doesn't like, especially as we now have to feed him low phosphorous too, tricky finding food that's good for FD and CKD.
 
Status
Not open for further replies.
Back
Top