I am concerned also. I don't want to screw anything up. That pink I think was a either a bad strip, or just really high from the vet visit. He did have about 20 treats on 3.20 and only got up to 160. That's a good sign. Treats are were gone for a while, then came back, but will going away again. I just don't know what to do. There are no clear answers with any of this. And I will be switching foods, so hopefully the carbs will be ok, and I'm sure they will be under 10%, but it will not be fancy feast anymore. But like she said .25 units for a 22 pound cat is nothing.
Rufus did have an ultrasound. He had mild thickening, lymph nodes were normal. IM thought that the nauesa and inappetance was a combination of teeth, being unregulated and foold allerigies. Now that teeth are fixed and he's regulated he's eating better but still not eating like he used to. I'm 99% sure his food allergies turned into IBD "light". I just don't want it to progress into full on IBD or lymophoma. Problem is he will not eat novel proteins. I have him eating fish now, even thoug 'm not happy with that, he's really never had it before.
I was ready to. Vet wants me to start the Atopica and doesn't want me to introduce anything else right yet.
Sound like a good idea! Problem is he won't eat food that has been sitting out. I can give this a try though!
Hi Sean, I think 16% carbs is too high especially with no insulin; it is too high with insulin. We like to see the food to be under 10%
Yeah, I'm doubting it now too. I could possibly get the dry lower in carbs, but they will not eat the YA on its own.
I know every cat can have different symptoms, but what were Gizmo's? What were the results? I don't want Rufus back on steroids, but if they would help reduce inflammation long enough to keep GI ok to get Rufus eating better I would strongly consider it. IM vet doesn't want to go down that road. We are trying the Atopica and I did read that it can be good for IBD. It is super expensive and has some not very desirable side effects, but at least it wont raise BG.
That's not what I wanted to hear. I asked the tech if there would for sure be an answer, and she said yes. So a surgical biopsy would be going in through the belly? We never even discussed that. I don't know if I could do that.
Sienne explained it in her post...
So it came back as IBD I take it? It seems to me my IM vet is more concerned with getting Rufus in remission over anything, which I undersatnd would be a nice goal, but if he needs steroids I wouldn't mind having to bump up his dosage. Rufus had many things going on at once when this all started. First wouldn't eat a new protein when introduced, switched back proteins and then ate less and less dry. Then started to eat less and less of wet. Never lost weight. I suspected teeth. Wat told MANY times it wasn't his teeth. Well it was his teeth. He did lose 3 pounds from Nov to Jan when unregulated. His symptoms are nausea and constipation. He used to be all over me for any type of food, no matter what I was making. Not really anymore. He'll sometimes look at what I'm eating but then walk away. He used to vomit 4 or 5 times a week. That was 6 or 7 years ago. He stopped doing that about 2 years ago. But then about 5 years ago he began the gnawing and itching constantly. He was on a novel diet last summer, except I was stupid and fed him deli turkey as a treat. He then developed a severe ear infection. That is why we all think it's food allergies that manifested into food intolerance/IBD?
I think our plan is to keep him on this for a month or 2, and in the meantime switch him to novel. Then remove the Atopica and see if he still has inappetance and nausea. If he does, then we go for endoscopy.
I did try the Dr Elseys, but they wouldn't eat that either!
The Wysong won't work for us now, we have to be on a novel protein diet now to. Ugh! Thanks though 
No shot tonight. Do you think that if/when he starts eating dry food that the insulin needs would be greater then if I were to keep giving him insulin now? Does that make sense the way I worded it? Is he he going to need more insulin to get him in good numbers, then if I hadn't stopped?
No way of knowing in advance. I've seen it go both ways...
Do you think he should be on a token amount? He had a 90 & an 85 so he technically earned another reduction from the .25. Just not sure where to go from here.
He can't "earn" a reduction if he's not on insulin.
Understandable. I know you already know this, but even .25 is hard to measure in a syringe. How in the heck would I get .2 or .1? Would the next step be giving .2, and then .1 and then be starting the trial?He can't "earn" a reduction if he's not on insulin.
Here's the deal...
We've found the best way to start an OTJ trial is to gradually wean kitty off insulin. That means taking them down to 0.1u or less prior to withholding insulin. It seems to offer kitty the best chance for a strong remission.
However, I'm not going to lie. We've also seen caregivers withhold insulin before reaching that tiny dose and it's worked out just fine for kitty. These cases are in the minority rather than the majority, but they occasionally happen.
Basically, it's up to you. Take a chance on what you're doing now (it could work out just fine) or go with a tried and true method. Your decision.
. So 145 2 hours after meal. Don't think it's a horrible number, but this was after a low low carb meal. Can only imagine what it would be after a higher carb meal.
Practice. All you need to be concerned about is giving less insulin than you were before and then trying to reproduce that amount at each shot time. That's all I ever did and Alex was the queen of 0.1u dose adjustments... I eyeballed it, remembered the amount, and never used calipers. Would my measurements have held up with calipers... probably not. Giving less insulin and being consistent about it was the important part. That's all one has to do!
The next step is to drop to 0.1u bid. As far as dropping the dose from there... let the numbers be your guide. If Rufus is still throwing some higher numbers, but has earned a reduction you could try giving him "some" insulin: push the plunger in tight, inset into vial/pen and then release the plunger. The syringe will "suck up" some insulin.
The 0.25u depot is emptying. See how things go. You can always restart insulin in the morning.PMPS +2, 145
He did have a couple treats today too, so that could be why his numbers are a little higher tonight. Hopefully when/if he starts eating dry it wont throw it off too much.Practice. All you need to be concerned about is giving less insulin than you were before and then trying to reproduce that amount at each shot time. That's all I ever did and Alex was the queen of 0.1u dose adjustments... I eyeballed it, remembered the amount, and never used calipers. Would my measurements have held up with calipers... probably not. Giving less insulin and being consistent about it was the important part. That's all one has to do!
The next step is to drop to 0.1u bid. As far as dropping the dose from there... let the numbers be your guide. If Rufus is still throwing some higher numbers, but has earned a reduction you could try giving him "some" insulin: push the plunger in tight, inset into vial/pen and then release the plunger. The syringe will "suck up" some insulin.
Looking at his numbers... I don't think you'll have to worry about this much longer. Just my opinion.
The 0.25u depot is emptying. See how things go. You can always restart insulin in the morning.
ETA: That's 145 @ +38.
Oh boy! I was never willing to sacrifice all the blood, sweat, and tears involved to even chance re-introducing dry food back into Alex's life when she was OTJ.
Oh I know. If I could get him to eat a novel wet/canned diet this wouldn't be a discussion. But he has underlying issues beyond diabetes that I beleive brought us here. He'll eat dry novel proteins. Other option might be steroids to calm tummy, but then again he might need even more insulin then. We're are just going in circles and at this point the question is would I rather have Rufus go back on insulin and eat dry food, or would I rather have him have IBD/lymphoma and be in remission.
