Kris & Teasel
Very Active Member
Not a dumb question at all. Many people use a relatively small area but vary the injection site a little within it - eg, the scruff area. If she’ll let you use her sides you have a much larger area to work with.
Maybe Not Moving
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G & I
Active Member
I hope I have not made a mistake here. I'll be watching. Will be checking @+2 in the next 25 minutes.Oh Goma....She's just messin' with us now! Giving that lower AMPS number right as you do the increase....Last time she did this was on 1/17 and you ended up with a green....keep an eye on her today.
G & I
Active Member
I am using the export version of FF (Mon Petite) which we figured was about the same so I am guessing the carbs is 6 or under. I think the FRW was higher than the Hills M/D if I remember correctly, but will have to go back to my previous posts to find it for certain.
G & I
Active Member
Should this go bad, would a reduction back to 2.5 be the right thing to do? You all may not be available at that time of day(night) so I am just checking in now.Definitely not a mistake! She really needs more time in the good numbers. That pre-shot just makes me more hopeful that maybe she'll find her way back towards the blues/greens again.
Kris & Teasel
Very Active Member
If she gets to nice dark green and doesn’t need heroic efforts with food intervention to keep her from going lower, keep the dose. If she dives into lime green numbers you should go back to 2.5 u.
Sometimes a cat will have a short-lived exaggerated reaction to a small dose change and then will settle into more usual numbers. This is one of many patterns that can become evident as you build your BG data base.
Djamila
Very Active Member
Honestly, I wouldn't really want to see a reduction right now unless it's absolutely necessary. If she goes lower today, she'll be high and flat again, which means you can most likely hold this dose for at least another cycle or two while she bounces. I'll be surprised if she goes below 68 (although sometimes they do surprise us!), so odds are you won't need to worry about it.
Maybe it'll just be an invitation to try feeding the curve! Below is a link to a long discussion. The good stuff starts at Jill's post #15. The only difference I take with it is that I am quite averse to using medium (MC) or high carb (HC) foods to feed the curve. If it can't be done with low carb regular food, I think the dose is too high. I don't even like MC or HC foods for mild hypos (although they do of course have a purpose for if the numbers continue to drop. )
From the reading I've done about diabetes, and from studying spreadsheets here, I believe that giving a cat carbs throws things off for several cycles after and creates even more bouncing in many cats. However, most people around here use them freely whenever a cat hits a lime green number or to manage the curve as you will read in the linked discussion.
http://www.felinediabetes.com/FDMB/threads/8-10-tashie-pmps-high-questions.101989/#post-1087990
Maybe it'll just be an invitation to try feeding the curve! Below is a link to a long discussion. The good stuff starts at Jill's post #15. The only difference I take with it is that I am quite averse to using medium (MC) or high carb (HC) foods to feed the curve. If it can't be done with low carb regular food, I think the dose is too high. I don't even like MC or HC foods for mild hypos (although they do of course have a purpose for if the numbers continue to drop. )
From the reading I've done about diabetes, and from studying spreadsheets here, I believe that giving a cat carbs throws things off for several cycles after and creates even more bouncing in many cats. However, most people around here use them freely whenever a cat hits a lime green number or to manage the curve as you will read in the linked discussion.
http://www.felinediabetes.com/FDMB/threads/8-10-tashie-pmps-high-questions.101989/#post-1087990
G & I
Active Member
+2 is at 416 . Tested three times (1) 458 (2) 345 (3) 416.
Still a lot of hours to go though. She may yet find a blue for you.
Critter Mom
Very Active Member
I've seen this phenomenon on several insulins. Why is this the case? Counter-regulatory measures to try to keep to the familiar homeostatic 'setpoint'?
I've often noticed that when a kitty first gets insulin it may have a few good days and then numbers start edging up again, and then a dose increase is needed soon after.
Mogs
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Djamila
Very Active Member
Sigh. Okay, Goma. You can do better than this!
And in answer to your earlier question (sorry I missed this before!), you can move the baby steps as quickly as you'd like since normally you'd go straight from 2.5 to 2.75 in one cycle. I wouldn't hold each one for three cycles - two at the most, but just one is fine. Up to you.
And in answer to your earlier question (sorry I missed this before!), you can move the baby steps as quickly as you'd like since normally you'd go straight from 2.5 to 2.75 in one cycle. I wouldn't hold each one for three cycles - two at the most, but just one is fine. Up to you.
G & I
Active Member
Okay thank you for the clarification. I have already given the fat 2.5 tonight. I am finding these last couple of cycles eerie. Really uncomfortable not seeing any movement whatsoever. Prefer not changing doses at night cycle as I may get a deep sleep (in my dreams)...Will take a look in the morning... at around +7 (6:00 a.m. my time).
If no action again, will increase next increment.
Critter Mom
Very Active Member
G & I
Active Member
I may do that. We have a vet visit which I never look forward to anymore, but she continues to have subcutaneous injections for liver and pancreas support. Has been reduced to every other day with me giving meds on the off days. Since Saturday was an off day and Sunday they are closed, it has been two days so I have to go.
G & I
Active Member
I can always hope right?Wise move.
Mogs
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Critter Mom
Very Active Member
Sorry to hear about you two having to traipse to the vets so often.
When you get a moment, it would be really helpful if you could add some details of Goma's meds and sub-q injections and what they're for to your signature line. It'd also be handy if you could make brief notes in the Remarks column of when she gets her treatments. Every little bit of information helps build a better picture as so many things can influence how an individual kitty responds to its insulin.
Mogs
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G & I
Active Member
Great Idea! However, I don't think they will allow me to have the vials of medications that are in the injections. If it was just the lactate fluid I could do that as I have done it in the past for others in my care. I will get firm information regarding the medications that are included (plus vitamin c, b12, potassium and calcium) and see if they can be put in her food. Some I am already doing so I need to get a clearer picture of the sub q fluids. Thanks for the suggestion - much appreciated..
G & I
Active Member
UPDATE - I have moved directly to 2.75u beginning with this mornings injection about 13 minutes ago (11:00 am Japan Standard Time). While the amps was high, I attribute part of it to the vet visit and sub q fluid injection (and then waiting for the bill - That part even stresses me). Then home, cleaning of the skin irritation points prior to the amps test. Have cleared matters outside the home so I can be here throughout the day. I am really hoping this gets her moving downwards again.
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G & I
Active Member
I regret being so remiss in providing all necessary information. As I gather more from her medical history I will post somewhere in the spreadsheet as I have now reached the limit in the signature line. Kindest Regards.
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Kris & Teasel
Very Active Member
She seems to have some (possible) glucose toxicity built up, barring any other infection/inflammation issue. I suggest you go to 3 u next AM injection. It's not uncommon to see some action at a dose and then a relapse to higher numbers until you get closer to her good dose range.
G & I
Active Member
That was my plan initially this morning and I started to post but changed my mind when I noted the stuck numbers coincided with the antihistamine. However, it is more likely as you say - I am having a blood test performed in the morning at the vet to see where her wbc is (it was sky high last week) and also ALT. With the antibiotics she is on I am hoping the infections or whatever else is going on is cleared up. I will go to 3.0u. Since she was (and still is) in those high numbers can the glucose toxicity build up be overcome? Is there a guesstimate of a time frame if so?
Kris & Teasel
Very Active Member
The way through it is by careful dose increases and not lingering too long at an ineffective dose. Sometimes the toxicity reduces quickly when you reach a good dose and the BG can drop sharply. Toxicity can recur any time a cat who's prone gets stuck in high numbers, whatever the reason. It's more difficult to sort out all the factors when there are several things going on at once.
G & I
Active Member
Okay Thank you
Kris & Teasel
Very Active Member
If you go to 3 u tomorrow AM and after 3 cycles at that dose there's not much improvement in BG put it up to 3.25 u at the 4th cycle. Three cycles, then 3.5 u and so on until you see blue and hopefully green. Your goal is to break the toxicity before it's too entrenched.
G & I
Active Member
And if we are able to break the toxicity is there a time when dosage can be reduced?
Kris & Teasel
Very Active Member
You'll know it when you see that a dose is dropping her lower than what you want or dropping her too quickly - ie. all the signs of a dose that's too high. At that point you'd reduce the dose slightly, collect data and go from there. One thing that can take a while to truly understand is that the good dose is a range rather than a set amount and a cat can move up and down within that range. The good range can also change over time. It's extremely rare to find one dose that gives ideal BG numbers day in and day out for the long term. It's a moving target.
G & I
Active Member
I guess what I really want to know is does the cat become dependent on the higher dose?
Kris & Teasel
Very Active Member
No, it doesn’t work that way because insulin is a hormone and not a drug. They need as much insulin as they need at a given point in time and that can fluctuate or stay relatively stable. Giving insulin doesn’t suppress the body’s ability to produce its own from all that I know and have learned. It allows cells to get glucose from food they way they should and in cats there’s a possibility for the pancreas to heal to some degree.
G & I
Active Member
Thanks. I felt that I understood insulin worked the way you describe but - well - I'm having a senior moment I guess. Gave 3.0 this morning, but still do not see any movement. I am wondering if the vial of ProZinc has somehow gone bad after 6 weeks. I know it shouldn't but it just seems so odd that I have not seen any appreciable movement in numbers in a long time even with dose increases. Again - appreciate your taking the time to respond.
Kris & Teasel
Very Active Member
If your vial has been stored in the fridge and handled gently (rolling, not shaking before use) it should be good for a few months. The other thing to consider is that one or another of Goma's health issues might be flaring and raising her numbers. The usual culprits are bladder or dental infection. She's being treated for a variety of health issues and that makes everything more complicated.
Another endocrine disease that is treated similarly to diabetes is hypothyroidism where replacement hormone is dosed to a level that raises the blood thyroid markers to the desirable range. The replacement hormone dosesn't suppress the body's production of thyroid hormone but replaces what's missing. Isulin treatment is similar in that respect.
Let's see what some other the other ProZinc folks think: @Djamila @Rachel
Kris & Teasel
Very Active Member
Barring another issue clouding the picture, keep the 3 u dose tonight and tomorrow morning then raise it to 3.25 u tomorrow night. Three cycles, raise dose by 0.25 u, three cycles raise dose by 0.25 u. Do that until the numbers improve. It seems aggressive but it's the best way to get ahead of the toxicity if that's the complicating factor here.
Djamila
Very Active Member
I agree with Kris that this is most likely either (A) glucose toxicity or (B) the other meds/medical issues inflating her number. Either way, the "remedy" is to increase the dose. My cat gets pancreatitis and when he has a flare, I have to increase his insulin until the flare subsides. That's why on my spreadsheet you'll see his dose flow up and down between 2u and 3u as his health issues change. So if one of Goma's other issues is causing the trouble, you'll need to keep increasing until the insulin is sufficient to counterbalance it. And if she's having a little toxicity, you have to increase the dose to "break through" the stuck-ness.
On her other meds, are any of them steroids?
On her other meds, are any of them steroids?
Rachel
Very Active Member
I agree with Kris and Djamila! We see a lot where another medical issue can cause high numbers. Cats who have more medical issues are complicated...and the usual remedy is to dose around their other issues. Oftentimes that means they are on a higher dose than kitties who only have diabetes. And that’s okay because it’s what they need. I think the aggressive increases are the way to go. If it’s toxicity (which is definitely a possibility) or other medical issues that’s how you solve it.
G & I
Active Member
We had a vet visit today and blood test results were much improved to the extent that she will no longer be needing subq injections every other day. WBC was within normal range as were most other areas. The liver issue seems to be resolving itself now as well. The meds she is on now are included in my signature. The only real visible issue we have now is the ongoing skin problem that we are slowly getting to heal. She still scratches the area on top and sides of her neck but with twice a day cleaning we hope to stay ahead of it.
She is on antibiotics and has been for quite some time. Previously she had been prescribed steroids for an extended period but that was stopped long ago. I am wondering if probiotics would help her. Goma is definitely feeling better and continues to regain her weight. Another area I think I need to look at. I have been feeding her quite often to encourage the weight gain, perhaps I am overdoing it. I do not want to give her large amounts in fear she will eat so fast it will make her sick. But she does get more than I would probably feed her if she were at her ideal weight. Just trying to figure everything out.
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G & I
Active Member
No steroids to my knowledge. The meds listed in my signature line are all she is on. As mentioned in my response, she was given them previously for the continuing skin problem but was gradually taken off at my request due to what I perceived as a non rational approach to the problem yielding no results and opening the door for potential problems down the road.
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G & I
Active Member
I may have to go a 4th cycle if possible.
Kris & Teasel
Very Active Member
Yes, you can do this if starting a new dose in the AM is better for you.
Djamila
Very Active Member
So glad to hear the positive report from the vet! What great news!
I agree that a probiotic might be a good idea since she's been on antibiotics for awhile. s. boulardii is the one that is most often recommended around here. Here is one that I've used, and I've also heard good things about Florastor brand if either of those might be available to you.
https://www.amazon.com/dp/B00E0NDTP6/_encoding=UTF8?coliid=I2ZSDA2QREOPF6&colid=2FJ85LO4ON0NC&psc=0
Steroids are a frequent cause of FD, so if at all possible, you'll want to keep her off of those in the future. If there is no other effective treatment, then there are folks around here who have learned to dose around them (higher doses of insulin to counteract), but it's just best to keep her off of them if you can.
As for food, is she getting over her goal weight? If she's still underweight I'd say keep feeding her what she wants. When she reaches her goal weight, then you can start to control her portions more.
Fingers crossed the dose increases get her moving again soon!
I agree that a probiotic might be a good idea since she's been on antibiotics for awhile. s. boulardii is the one that is most often recommended around here. Here is one that I've used, and I've also heard good things about Florastor brand if either of those might be available to you.
https://www.amazon.com/dp/B00E0NDTP6/_encoding=UTF8?coliid=I2ZSDA2QREOPF6&colid=2FJ85LO4ON0NC&psc=0
Steroids are a frequent cause of FD, so if at all possible, you'll want to keep her off of those in the future. If there is no other effective treatment, then there are folks around here who have learned to dose around them (higher doses of insulin to counteract), but it's just best to keep her off of them if you can.
As for food, is she getting over her goal weight? If she's still underweight I'd say keep feeding her what she wants. When she reaches her goal weight, then you can start to control her portions more.
Fingers crossed the dose increases get her moving again soon!
G & I
Active Member
I will check into the availability of the probiotic you referred to.So glad to hear the positive report from the vet! What great news!
I agree that a probiotic might be a good idea since she's been on antibiotics for awhile. s. boulardii is the one that is most often recommended around here. Here is one that I've used, and I've also heard good things about Florastor brand if either of those might be available to you.
https://www.amazon.com/dp/B00E0NDTP6/_encoding=UTF8?coliid=I2ZSDA2QREOPF6&colid=2FJ85LO4ON0NC&psc=0
Steroids are a frequent cause of FD, so if at all possible, you'll want to keep her off of those in the future. If there is no other effective treatment, then there are folks around here who have learned to dose around them (higher doses of insulin to counteract), but it's just best to keep her off of them if you can.
As for food, is she getting over her goal weight? If she's still underweight I'd say keep feeding her what she wants. When she reaches her goal weight, then you can start to control her portions more.
Fingers crossed the dose increases get her moving again soon!
As for steroids, I have never been a big fan of their use and approach them as a last resort option.
Goma is still underweight and needs another 3-4 lbs to return to where she was long ago. I have been spending a lot of time on line trying to find specific information about the carb level in the mon petite food I have been giving her with no luck. While it appeared to be the same as ff classic seafood pate, I just don't want to leave any stone unturned to determine the continued high numbers. She still eats three cans of this each day accompanied by some home cooked chicken breast. Would probably eat even more if I let her. I was considering reducing the amount to the calorie level she should have each day which is about 2.5 cans minus the chicken. However, if she can be allowed to eat as much as she wants minus the two hour window I'll let her, but think this may be affecting her numbers to some extent (not a lot I recognize). I used to leave food out all the time and still do for other cats but if I left it out for her the bowl would be perpetually empty.
Will be looking hopefully to better numbers in the days to follow. 3.00 today and tonight, and then 3.25u in the a.m. if needed.
Her energy level is still fluctuating with good days and bad. I am waiting to receive the order of Zobaline to see if that will help her as well.
Thanks for the thoughts and additional information.
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Kris & Teasel
Very Active Member
You're doing very well in a complex situation. Most of us here would say let her eat as much as she wants but in small meals spread out over the day, except for the 2 hour PS test window. In my book, eating well trumps any small effect food might have on BG at various times in the insulin cycle. It's a blessing to have a cat who eats well - that's a huge plus for you.
Do the best you can with carb level, avoid the gravy style foods but don't fret too much. It's like many other things that owners have to dose around. We can only work with what's available to us. This is a balancing act and it's a marathon. You have to find the best path you can sustain over time while getting Goma's BG to decent if not perfect levels.
Her energy will fluctuate for any number of reasons, BG included. My cat is doing fairly well over all but still has days where he's a little lacklustre. Goes with the territory I think ...
It's very helpful to step back periodically, review the SS, see that there's true progress and think about what you can reasonably manage with your own life and other constraints. Your goal is to optimize her treatment within those parameters.
Do the best you can with carb level, avoid the gravy style foods but don't fret too much. It's like many other things that owners have to dose around. We can only work with what's available to us. This is a balancing act and it's a marathon. You have to find the best path you can sustain over time while getting Goma's BG to decent if not perfect levels.
Her energy will fluctuate for any number of reasons, BG included. My cat is doing fairly well over all but still has days where he's a little lacklustre. Goes with the territory I think ...
It's very helpful to step back periodically, review the SS, see that there's true progress and think about what you can reasonably manage with your own life and other constraints. Your goal is to optimize her treatment within those parameters.
FurBabiesMama
Very Active Member
You may want to reach out to the Purina and request the info on the food. I did a 'chat' on their site once to ask for information on a food, and they said they would get back to me. It took several days, but they did email me back with the requested info. Dr Pierson gives you the questions to ask to get the correct information back:
“I would like to know the percentage of calories that come from protein, fat, and carbohydrates.” (metabolizable energy (ME) profile)
“How many milligrams of phosphorus are in the food per 100 kcal?”
This is from here: http://catinfo.org/commercial-cat-foods/#Contacting_Pet_Food_Companies_
G & I
Active Member
Thanks for expressing this option, (reaching out to the company). I'll try to do that in the next day or two, time permitting. I needed to read that information again from Dr. Pierson and I am appreciative that you have pointed me back in that direction.
Critter Mom
Very Active Member
While Goma is still so underweight then it's OK to feed her as much as she wants when she wants it (with the exception of the 2 hour fasting period before each preshot test). Remember that she is likely to be losing some of the calories she eats as glucose in her urine. For general background information, here's a post by Meya on the importance of getting enough calories into a kitty:
http://www.felinediabetes.com/FDMB/threads/underfeeding-as-a-trigger-to-dka.179520/
Just as getting enough insulin is important to a diabetic, so is getting enough food to meet the individual cat's needs. If the extra food does affect her numbers a little, remember that the insulin dose can be adjusted as needed. The patience part is, of course, the trickiest thing for us mere bipeds!
I was glad to read that Goma's most recent blood test results are good.
Mogs
.
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G & I
Active Member
I am at the point of feeding her every 2-3 hours but can't seem to satisfy her completely. Rarely is there any food left even if I add more. I'm just glad she has not tired of the sole choice I have been able to find. I just want to ensure she is truly getting the necessary balance of nutrients but it is difficult without knowing what is really in the can.You're doing very well in a complex situation. Most of us here would say let her eat as much as she wants but in small meals spread out over the day, except for the 2 hour PS test window. In my book, eating well trumps any small effect food might have on BG at various times in the insulin cycle. It's a blessing to have a cat who eats well - that's a huge plus for you.
Do the best you can with carb level, avoid the gravy style foods but don't fret too much. It's like many other things that owners have to dose around. We can only work with what's available to us. This is a balancing act and it's a marathon. You have to find the best path you can sustain over time while getting Goma's BG to decent if not perfect levels.
Her energy will fluctuate for any number of reasons, BG included. My cat is doing fairly well over all but still has days where he's a little lacklustre. Goes with the territory I think ...
It's very helpful to step back periodically, review the SS, see that there's true progress and think about what you can reasonably manage with your own life and other constraints. Your goal is to optimize her treatment within those parameters.
G & I
Active Member
It appears that I may have been approaching this all wrong with too low carbs for a severely underweight cat. From the readings this could be contributing to the previous swings and high numbers at both ends of cycles. Am I getting (reading) this wrong or would it be beneficial to include some higher carb foods here. There has been no movement in days regardless of dosage increases. Today is no different and I have to admit I am becoming more confused, discouraged and frustrated by the minute. I also never claimed to be the smartest person in the room .While Goma is still so underweight then it's OK to feed her as much as she wants when she wants it (with the exception of the 2 hour fasting period before each preshot test). Remember that she is likely to be losing some of the calories she eats as glucose in her urine. For general background information, here's a post by Meya on the importance of getting enough calories into a kitty:
http://www.felinediabetes.com/FDMB/threads/underfeeding-as-a-trigger-to-dka.179520/
Just as getting enough insulin is important to a diabetic, so is getting enough food to meet the individual cat's needs. If the extra food does affect her numbers a little, remember that the insulin dose can be adjusted as needed. The patience part is, of course, the trickiest thing for us mere bipeds!
I was glad to read that Goma's most recent blood test results are good.
Mogs
.
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Kris & Teasel
Very Active Member
Yes, this is a very difficult and frustrating disease to treat when you have a cat that doesn't follow the rules. You could try feeding a slightly higher carb food to see if that helps. It's true that diabetic cats who are substantially underweight can be more erratic in their responses to insulin. You would dose around any effect the higher carb food has on BG levels.
Have you tested her urine ketones regularly? That's important because she's been in higher numbers for a while.
It's a small gain but her SS shows far more numbers in the 300s and 400s and almost no 500s or 600s as you've raised the dose. You had some hopeful action around the 2.5 u dose level but then she became stuck. Aside from her other health issues, she's likely struggling with glucose toxicity. It's a common problem and you have to be more aggressive with your frequency of dose increases - no more than 2 days (4 cycles) at a dose for now, something you've only begun recently. It's possible to raise the dose by 0.5 u for a while until you see some better numbers. That's not a large % increase and it might help to get her moving more quickly.
Many people worry when the insulin dose has to be raised beyond what they thought was "reasonable". Many unregulated cats are insulin resistant until a certain dose range is reached that seems to wake them up and they start to respond better. I don't think you're there with Goma yet.
On another note, given the difficulty you had getting a fresh vial of ProZinc last time, I suggest you get whatever process you need to activate going soon so you aren't caught with no insulin.
Have you tested her urine ketones regularly? That's important because she's been in higher numbers for a while.
It's a small gain but her SS shows far more numbers in the 300s and 400s and almost no 500s or 600s as you've raised the dose. You had some hopeful action around the 2.5 u dose level but then she became stuck. Aside from her other health issues, she's likely struggling with glucose toxicity. It's a common problem and you have to be more aggressive with your frequency of dose increases - no more than 2 days (4 cycles) at a dose for now, something you've only begun recently. It's possible to raise the dose by 0.5 u for a while until you see some better numbers. That's not a large % increase and it might help to get her moving more quickly.
Many people worry when the insulin dose has to be raised beyond what they thought was "reasonable". Many unregulated cats are insulin resistant until a certain dose range is reached that seems to wake them up and they start to respond better. I don't think you're there with Goma yet.
On another note, given the difficulty you had getting a fresh vial of ProZinc last time, I suggest you get whatever process you need to activate going soon so you aren't caught with no insulin.
G & I
Active Member
I may start giving her a small portion of Hills m/d. I had the Vet do a urine test on the 17th which was negative for ketones and I did a home test on the 24th also negative. Did another today but had to push the stick into the litter and still saw negative. I have been doing these pretty regularly.Yes, this is a very difficult and frustrating disease to treat when you have a cat that doesn't follow the rules. You could try feeding a slightly higher carb food to see if that helps. It's true that diabetic cats who are substantially underweight can be more erratic in their responses to insulin. You would dose around any effect the higher carb food has on BG levels.
Have you tested her urine ketones regularly? That's important because she's been in higher numbers for a while.
It's a small gain but her SS shows far more numbers in the 300s and 400s and almost no 500s or 600s as you've raised the dose. You had some hopeful action around the 2.5 u dose level but then she became stuck. Aside from her other health issues, she's likely struggling with glucose toxicity. It's a common problem and you have to be more aggressive with your frequency of dose increases - no more than 2 days (4 cycles) at a dose for now, something you've only begun recently. It's possible to raise the dose by 0.5 u for a while until you see some better numbers. That's not a large % increase and it might help to get her moving more quickly.
Many people worry when the insulin dose has to be raised beyond what they thought was "reasonable". Many unregulated cats are insulin resistant until a certain dose range is reached that seems to wake them up and they start to respond better. I don't think you're there with Goma yet.
On another note, given the difficulty you had getting a fresh vial of ProZinc last time, I suggest you get whatever process you need to activate going soon so you aren't caught with no insulin.
Djamila
Very Active Member
I don't believe that thread is advocating for adding more carbs. Instead as i read it, the recommendation is to make sure to be looking at calories, protein, and fat - not just carbs when choosing a food to ensure that the cat is getting sufficient calories, and not just obsess about the carb level. Many cats do fine up to 10% carbs, while some folks in an effort to control BG will only feed their cats 0% foods. Sometimes 0% carbs is also a lot of water and fat, and not much protein which can contribute to being under nourished. Hills MD is 13%, so I would be cautious if you decide to introduce that into her diet. That being said, I know you are somewhat limited in food choices, so whatever you have to do can be dosed around.
I agree with Kris that if you don't start seeing some movement in the next cycle or two, your next increase can safely go up by 0.5u. Goma was making some good progress, and she'll get back to it. But it is oh-so-frustrating when a kitty gets stuck like this. Hang in there! Sending healthy vines to little Goma!
I agree with Kris that if you don't start seeing some movement in the next cycle or two, your next increase can safely go up by 0.5u. Goma was making some good progress, and she'll get back to it. But it is oh-so-frustrating when a kitty gets stuck like this. Hang in there! Sending healthy vines to little Goma!
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