Hi from me and Molly, any advice please

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Sue Hammond

Sue Hammond

Member Since 2017
I'm Sue, my Molly, recently diagnosed with Diabetes and on Caninsulin twice day....Her BG results are up and down, and it's still very overwhelming to me ...Sometimes her BG is as low as +6 2.8, sometimes as high as 27 ( early morning pre insulin test) my Vet says she should be having 2u morning and night, despite the up and down figures...she was fairly steady a while back with BG of 10 throughout the day and being on 1.5u twice a day...she went for a curve test last week and since then has gone haywire again, that's when I was told to give 2u...TO be honest, m not sure what I'm doing, I phoned the vet yesterday as was worried, and he still says give her 2u twice a day...She is on low carb food (Mac's)...I use a Acutest human meter, and record results on a spreadsheet..I'm in the UK
https://docs.google.com/spreadsheet...ExtuhRdrjON9odPpZtFXhoN7DNk/edit?usp=drivesdk
 
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Hi Sue.... I'm responding to your question on the welcome forum here. If it were my cat I would reduce to 1 or 1.5. You mentioned you were keeping a spreadsheet. Can you post a link to it please?
 
Sue Hammond said:
I'm Sue, my Molly, recently diagnosed with Diabetes and on Caninsulin twice day....Her BG results are up and down, and it's still very overwhelming to me ...Sometimes her BG is as low as +6 2.8, sometimes as high as 27 ( early morning pre insulin test) my Vet says she should be having 2u morning and night, despite the up and down figures...she was fairly steady a while back with BG of 10 throughout the day and being on 1.5u twice a day...she went for a curve test last week and since then has gone haywire again, that's when I was told to give 2u...TO be honest, m not sure what I'm doing, I phoned the vet yesterday as was worried, and he still says give her 2u twice a day...She is on low carb food (Mac's)...I use a Acutest human meter, and record results on a spreadsheet..I'm in the UK
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JanetNJ said:
http://www.felinediabetes.com/FDMB/posts/2052873/

https://docs.google.com/spreadsheet...ExtuhRdrjON9odPpZtFXhoN7DNk/edit?usp=drivesdk

OK so looking at your chart.... It looks like 2 is too much. I would go Back to 1.5.

What do you feed?
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JanetNJ said:
http://www.felinediabetes.com/FDMB/posts/2052873/

https://docs.google.com/spreadsheet...ExtuhRdrjON9odPpZtFXhoN7DNk/edit?usp=drivesdk

OK so looking at your chart.... It looks like 2 is too much. I would go Back to 1.5.

What do you feed?
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I feed her Mac's,
 
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I'm glad you went back to 1.5 units. 2 was brOught her down to 2.8. If 1.5 isn't enough you could try 1.75. How many carbs is Mac's food?
 
Do you think you could set in a signature? That way people can easily see basic information without asking it over and over.

Just click on your name at the top right corner and choose signature. Add info such as your pets name, date diagnosed, insulin type and dose, food you're feeding,and anything else you want. Also add the link to your spreadsheet.
 
Out have a different color coding in your chart than most of us.... Where is the dark greens? When people look at your chart and see the lime green we assume it's a hypo number. It looks like she really only went too low one time. Still you would want to lower that dose to 1.5-1.75 to try to stop the bouncing.
 
Sue Hammond said:
I can't give 1.75 as I use a Vetpen which goes up in 0.5u measurements
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Ah I see. Ok then I'd do 1.5. I believe you CAN use a syringe with the pens though if it becomes necessary to do fractional doses, especially if you start getting into low doses.
 
JanetNJ said:
Out have a different color coding in your chart than most of us.... Where is the dark greens? When people look at your chart and see the lime green we assume it's a hypo number. It looks like she really only went too low one time. Still you would want to lower that dose to 1.5-1.75 to try to stop the bouncing.
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There is no dark green on the sheet, should I do a new one, but have no idea how to, this current one was done for me
 
JanetNJ said:
Ah I see. Ok then I'd do 1.5. I believe you CAN use a syringe with the pens though if it becomes necessary to do fractional doses, especially if you start getting into low doses.
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I have syringes, but the measurement only also goes up in 0.5u
 
You can use syringes to draw from a pen, it's what the majority of us Lantus users do :). If you can get some syringes with half unit markings, it makes it easier to draw those 0.25U and 0.75U doses. Sue, who setup your SS for you? I can help but it's probably easier if you contact the member that initially set it up since they probably still have access. If not, I'll request permission this weekend :). Looks like there's a little bouncing today, can you try to get those before bed tests again? They help show where a kitty is going overnight, especially since most run lower overnight for an idiopathic reason :cat:
 
Yong said:
You can use syringes to draw from a pen, it's what the majority of us Lantus users do :). If you can get some syringes with half unit markings, it makes it easier to draw those 0.25U and 0.75U doses. Sue, who setup your SS for you? I can help but it's probably easier if you contact the member that initially set it up since they probably still have access. If not, I'll request permission this weekend :). Looks like there's a little bouncing today, can you try to get those before bed tests again? They help show where a kitty is going overnight, especially since most run lower overnight for an idiopathic reason :cat:
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Hi yes I can can do a pm before shot test at 9pm...A lady in a group I used to be in did the spreadsheet, I have since left that group after her having a go at me about dosing etc...she wasn't a very patient person with a lot of us, when she said I could end up killing Molly, id had enough and left....her name is Gayle Charambura, she runs a group called Feline Diabetic support group on Facebook... she does still have access
 
Sue Hammond said:
Hi yes I can can do a pm before shot test at 9pm...A lady in a group I used to be in did the spreadsheet, I have since left that group after her having a go at me about dosing etc...she wasn't a very patient person with a lot of us, when she said I could end up killing Molly, id had enough and left....her name is Gayle Charambura, she runs a group called Feline Diabetic support group on Facebook... she does still have access
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Sorry you had such a negative experience. I hope you find here to be a helpful, positive place.
 
JanetNJ said:
Sorry you had such a negative experience. I hope you find here to be a helpful, positive place.
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I think it's just her way Janet, I just can't deal with comments like that, made me feel really upset....This is a very helpful place to be
 
If it makes you feel better, my cat was diagnosed may 19, 2016. I didn't even see a number below 300 (about 17 your numbers) until July 22nd. So two months. You are already ahead of where I was! She went into remission for a year after 4 months. (Unfortunately out of remission now.... I think from dental issues.... Hopefully she'll get off the insulin again! We are working on it. )
 
Sue Hammond said:
It seems like it's out of control and I don't know what to do, my vet still says give her n2u
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She's still unregulated but sometimes it takes a while.... It's a marathon. It took me three months to get my cat regulated.... For some it takes less time, for many it takes much longer then that. I know we want our babies to be all better right away and it's frustrating. Some cats take along time to regulate. It may be that a longer acting insulin would be beneficial in the future. For some cats canisilun doesn't last long.
 
JanetNJ said:
She's still unregulated but sometimes it takes a while.... It's a marathon. It took me three months to get my cat regulated.... For some it takes less time, for many it takes much longer then that. I know we want our babies to be all better right away and it's frustrating. Some cats take along time to regulate. It may be that a longer acting insulin would be beneficial in the future. For some cats canisilun doesn't last long.
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I had some goodish results a while back, but now it's all gone haywire again...My Vet won't prescribe Prozinc
 
Sue Hammond said:
I think it's just her way Janet, I just can't deal with comments like that, made me feel really upset....This is a very helpful place to be
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Ok so out of curiosity I joined that group... And you're right! Frankly she came off as a know it all asshat lecturing me right off the bat. Lmao I'm glad that wasn't the first group I turned to for help. Yeah, you're definitely in a better place now. Lol
 
I'm really worried about Molly's BG results the last couple of days.. She's having 1.5u after being advised to not give 2u, but now her levels are remains high throughout the day, pre insulin test 25.2, +2 24 and +5 24.2 should I go back to giving 2u .. It's hardly falling at all the last 2 days, surely if they this high, she will become very sick, and can't these constant high result, damage her organs, like human diabetics, which my husband was ?
 
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Sorry you had such an unpleasant experience with the other group :bighug:. We are pretty patient here and if anyone ever says you might kill your cat, there's explanations to explain why it was said and it's not typically directed at the owner. Mostly to help teach people, if you do this than this can happen sort of statements. I should be around a little more tomorrow, it's my only day off again :rolleyes: to help with your SS. If you can, you should post the link in your Signature so it's readily available for us to look at :).

If you're worried about giving 2.0U, you could try drawing up 1.75U :).
 
The other day when she had that 2.8.... Was she eating less? Anything else different? I agree I would Go back to 2 as long as you can do spot checks and steer if need be.
 
Yong said:
Sorry you had such an unpleasant experience with the other group :bighug:. We are pretty patient here and if anyone ever says you might kill your cat, there's explanations to explain why it was said and it's not typically directed at the owner. Mostly to help teach people, if you do this than this can happen sort of statements. I should be around a little more tomorrow, it's my only day off again :rolleyes: to help with your SS. If you can, you should post the link in your Signature so it's readily available for us to look at :).

If you're worried about giving 2.0U, you could try drawing up 1.75U :).
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I can't give. 1.75 as I use a Vetpen, which only goes up in .5u...My spreadsheet link is already on my signature, thanks a lot for your help
 
Right, that's why I suggested you can buy syringes with half unit markings. Then use the pen cartridge as a mini vial :). Oh I don't see the link in the Signature... am I missing something? :smuggrin: I have to run so I will check in later :bighug:
 
JanetNJ said:
The other day when she had that 2.8.... Was she eating less? Anything else different? I agree I would Go back to 2 as long as you can do spot checks and steer if need be.
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No she was eating the same, that drop 2.8bg was +4, then it rose to +6 4.6, then +9 was 11.1bg, then it shot up to to 21.3bg pm shot time ...
 
Yong said:
Right, that's why I suggested you can buy syringes with half unit markings. Then use the pen cartridge as a mini vial :). Oh I don't see the link in the Signature... am I missing something? :smuggrin: I have to run so I will check in later :bighug:
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It wouldn't let me add the spreadsheet link, that explains it, as I tried to add it yesterday, too many characters apparently
 
Hi Sue and Molly. It's nice to be here isn't it? What happened to you on Facebook is no surprise, another member bailed on that group after having a strip torn off of him for not conforming to some idiotic protocol. We don't care about the socks people wear or concert tickets, we try to help diabetic cats and the people that care for them. That kind of abuse doesn't fly here.
 
Noah & me said:
Hi Sue and Molly. It's nice to be here isn't it? What happened to you on Facebook is no surprise, another member bailed on that group after having a strip torn off of him for not conforming to some idiotic protocol. We don't care about the socks people wear or concert tickets, we try to help diabetic cats and the people that care for them. That kind of abuse doesn't fly here.
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Hi, what a beautiful cat you have, this is indeed a lovely friendly place to be, I wish I'd found it when Molly was first diagnosed around 5 weeks ago....I was told by that woman in question that I would do irreprepal damage to Molly if I didn't get things right...
 
Molly's BG still remains high, should I now be giving her 2u instead of 1.5u..., I can't give 1.75 as I don't have the syringes with .25 markings...I really don't understand why they have started being so high, I have been giving her the same food, she's not drinking like she was, so something good I guess...The last time I gave 2u she dropped to 2.8 at +4
 
That's why we promote syringes. From 1.5 to 2.0 is a 33% increase which can sound drastic. When I get Noah almost where I want him I'll change his dose by 5 or 10%, just fine tuning the old yellow cat. What is Molly's body weight?
 
Noah & me said:
That's why we promote syringes. From 1.5 to 2.0 is a 33% increase which can sound drastic. When I get Noah almost where I want him I'll change his dose by 5 or 10%, just fine tuning the old yellow cat. What is Molly's body weight?
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She weighs 5.5 kg....What I don't understand is why her results have dramatically risen so suddenly, I haven't changed her feeding or anything...On the plus side, she's stopped the endless drinking, her coat has improved ( the dandruff has cleared up) and she seems very happy in herself, playing , grooming, and being generally interested in everything....I just don't understand why we are getting such high bg tests
JanetNJ said:
I would go Back to 2
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I will give her 2u tomorrow morning, when I will be home all day to keep my eye on her, I'll be too afraid to give it tonight, as can't watch her all night
 
You're certainly getting some very steep drops on 2u yet 1.5 isn't doing much - it's impossible to say what's best at this point but it would certainly be worth investigating syringes so you can draw up other doses... the difference of half a unit doesn't seem much but when you look at it in percentage terms it is!

You mention improved clinical signs which is a sign that the diabetes is better controlled so the high numbers are a mystery, I agree, but other factors such as infection can cause raised BGs so there might just be something else at play. It might be worth a quick vet visit to get Molly checked out... even a bad tooth, for example, could be the culprit. Not saying this is the case but a sudden change in pattern might warrant some investigation.
 
Sue Hammond said:
She weighs 5.5 kg....What I don't understand is why her results have dramatically risen so suddenly, I haven't changed her feeding or anything...On the plus side, she's stopped the endless drinking, her coat has improved ( the dandruff has cleared up) and she seems very happy in herself, playing , grooming, and being generally interested in everything....I just don't understand why we are getting such high bg tests

I will give her 2u tomorrow morning, when I will be home all day to keep my eye on her, I'll be too afraid to give it tonight, as can't watch her all night
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Well glad she's feeling better. Good plan to wait until tomorrow. Maybe the lower dose will have helped with the bouncing anyway.
 
Now you know what "Part science, part art" applies to. She's boinking around the house with her tail in the air but a machine says something else. Like Diana&Tom say, investigate, never discount anything, never panic. Well they didn't say all that! Just for now enjoy your Saturday together with your cat-of-mystery!
 
Diana&Tom said:
You're certainly getting some very steep drops on 2u yet 1.5 isn't doing much - it's impossible to say what's best at this point but it would certainly be worth investigating syringes so you can draw up other doses... the difference of half a unit doesn't seem much but when you look at it in percentage terms it is!

You mention improved clinical signs which is a sign that the diabetes is better controlled so the high numbers are a mystery, I agree, but other factors such as infection can cause raised BGs so there might just be something else at play. It might be worth a quick vet visit to get Molly checked out... even a bad tooth, for example, could be the culprit. Not saying this is the case but a sudden change in pattern might warrant some investigation.
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She had a thorough check up at the last visit, dental check, full bloods, urine test, everything came back normal
 
Noah & me said:
Now you know what "Part science, part art" applies to. She's boinking around the house with her tail in the air but a machine says something else. Like Diana&Tom say, investigate, never discount anything, never panic. Well they didn't say all that! Just for now enjoy your Saturday together with your cat-of-mystery!
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I can't really enjoy anything at the moment, I'm too worried , she had a full health check, a few days ago, full set of bloods, dental exam, urine, everything was normal,
 
Sue Hammond said:
I can't really enjoy anything at the moment, I'm too worried , she had a full health check, a few days ago, full set of bloods, dental exam, urine, everything was normal,
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She's going to be fine. it takes a while. She'll get there. You said she seems to be feeling better so that's great!

Tell us about her food schedule. Just making sure, you aren't allowing her to eat at least 2 hours prior to the preshot test, correct?
 
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