10/03 pmps 83

Tiger and the squid

Tiger and the squid

Member Since 2018
Tiger and I still haven't gotten the hang of this regulation thing. He hasn't eaten much today, maybe 2oz all day. He got 1u this morning.

At this point, I'm planning on skipping (Or trying .75?)

You're going to ask me if I'm doing TR or SLGS. I don't know. I've been on lantus for a month, I should know but I don't.
 
It does not look like TR to me. More SLGS.

As there is not too much data between shots & you are unsure with regard to regulation or when nadirs are ATM I would skip the dose if this were my pusscat.

Better a day too high than far too low.

I find the spread sheet a bit confusing with the differing monthly sheets. It is quicker to see all the data if it is all on the one sheet.
 
After about 30m he was up to 99. I went ahead and dosed him .75u

PussCatPrince - GA said:
It does not look like TR to me. More SLGS.

As there is not too much data between shots & you are unsure with regard to regulation or when nadirs are ATM I would skip the dose if this were my pusscat.

Better a day too high than far too low.

I find the spread sheet a bit confusing with the differing monthly sheets. It is quicker to see all the data if it is all on the one sheet.
Click to expand...

I was just nervous with all of the skipping that I do that it's messing him up more. I have it split up for easier editing for me - I do most of my updating on my phone, so having the sheet smaller helps me. I know I don't have a lot of midnumbers. I've been slacking.
 
PussCatPrince - GA said:
Ah! OK. Then perhaps keep with him overnight - if it is your night-time - and recheck his BG levels often. If he falls very low , you'll want to catch that .
Click to expand...
Yeah, I'll keep checking him. I tested, posted the thread, reread the sticky, retested

idk I'm a mess tbh. I thought I was putting Tiger to sleep today and my vet told me I should hold off. Thank you so much for your response.
(My husband judges me all of the time for asking a question, and then doing the opposite of the answer he gives alllllll the time)
 
Yes, lantus. It is the lowest I've shot. I did another test, it's +1 from preshot, but only 30m since insulin, and he's inching up. 113.

He ate a little, and 7 snuck up on me, so I didn't give him his new medicine to help with appetite, which was supposed to be given 20m before food. I guess I'll start tomorrow.
 
Tiger and the squid said:
Yes, lantus. It is the lowest I've shot. I did another test, it's +1 from preshot, but only 30m since insulin, and he's inching up. 113.

He ate a little, and 7 snuck up on me, so I didn't give him his new medicine to help with appetite, which was supposed to be given 20m before food. I guess I'll start tomorrow.
Click to expand...
Get a +2 because the +1 could be a food bump. If at +2 he is the same or lower than the pre shot, then it could indicate an active cycle and you would need to test more to make sure he is safe.

ETA: And if you don't think he ate enough at pre shot time, keep offering some more food.
 
Bobbie And Bubba said:
Get a +2 because the +1 could be a food bump. If at +2 he is the same or lower than the pre shot, then it could indicate an active cycle and you would need to test more to make sure he is safe.

ETA: And if you don't think he ate enough at pre shot time, keep offering some more food.
Click to expand...
Just took his +2. Stayed steady at 113. He did eat some more on top of that though, so I'm still going to do another test at 10 and 11 (+3, +4) before I go to bed.
If I can't sleep I'll keep testing hourly. I just hate poking my poor boy. He's been through so much today.
 
Could I make a suggestion? Since there are many mid-cycle tests missing, unless you can do those regularly, I'd follow SLGS for the time being. You can always adjust to TR if you can do some more mid-cycle test more frequently. With that 52 a few days ago, I would have tested again, in an hour or so, just to make sure the BG numbers weren't continuing down, not meant as a criticism, just an observation :), anytime I see lower numbers like that early in the cycle, it usually means they will drop lower, but not always. And, in your case with that 52, I think I would have reduced the dose to 0.75.., we try and base our dose decisions on how low the dose is taking the kitty, not preshot numbers. As you've probably noticed with your kitty, jumping around in doses, skipping shots etc., doesn't really work so well. You've had a few really low numbers, skipped, then you went right back to shooting the same dose you were doing prior to the skip, and some of those numbers even following TR (BG under 50) would have called for a reduction in dose. My thoughts...Let's see if you can keep a few days with 0.75u and see where the numbers are.
 
Last edited:
Krystina & Nelli said:
Feline diabetes is not a death certificate. It takes lots of extra hours of attention, increase in expenses and, c.a.r.e-ing.
Click to expand...
It was for something else. We've been dealing with the diabetes for three months now. I know it's not a very long time, but it is three months of time my FIRST vet didn't want me to have because HE said it wouldn't make a difference and I should euthanize. But in four months (That's including the month before his diagnosis), his weight has dropped by half. He went from a nice solid 11 or 12 pounds down to 5 pounds today. We're looking at kidney failure now too. On Friday, he wasn't walking. On Saturday, my husband and I discussed Tiger's quality of life, when he's not as active as he was even a month ago, when I have to carry him to the litter box several times a day to make sure he's not peeing on himself. When I have to take off from work to take Tiger to the hospital. When I got up this morning and there was blood in Tiger's urine, I prepared myself for the worst. Given those extremely heavy and serious conversations we'd been having, given Tiger's age, given the horror stories I'd read online about kidney stones and surgery and how that might not even help, I planned on easing Tiger's suffering. I laid on the floor with him for HOURS today with Tiger, soaking up his bloody urine because he couldn't even get up to use the litter box and I didn't want him peeing on himself. And then when my doctor said it was probably just a UTI and she could treat that with antibiotics, and we could help - not cure - his kidneys with even more fluids, when she said she would support our decision to euthanize if C.A.R.E-ING was too much for us but that she thought we could get a few more months - not even a year, but just a few more months - I brought Tiger home. I have spent nearly three thousand dollars in three months and don't give a single care about the increase in expenses as long as I am doing it for HIM. Not because I can't bare to say goodbye. My pain is nothing compared to his.

Krystina & Nelli said:
Seriously?
Click to expand...
No, it's all a joke, obviously.
I'm sorry I guess I don't know what you're asking this in regards to?
That I lost track of time and didn't prepare to give him a BRAND NEW medication to help with his appetite? Yep, it sure did happen.
That I didn't want to put off his dinner time to try to get him to eat a pill? I didn't.
That I'll try to remember to wake up in time to give him the pill to help his appetite starting tomorrow? I'm going to do my best.

Christie & Maverick said:
Could I make a suggestion? Since there are many mid-cycle tests missing, unless you can do those regularly, I'd follow SLGS for the time being. You can always adjust to TR if you can do some more mid-cycle test more frequently. With that 52 a few days ago, I would have tested again, in an hour or so, just to make sure the BG numbers weren't continuing down, not meant as a criticism, just an observation :), anytime I see lower numbers like that early in the cycle, it usually means they will drop lower, but not always. And, in your case with that 52, I think I would have reduced the dose to 0.75.., we try and base our dose decisions on how low the dose is taking the kitty, not preshot numbers. As you've probably noticed with your kitty, jumping around in doses, skipping shots etc., doesn't really work so well. You've had a few really low numbers, skipped, then you went right back to shooting the same dose you were doing prior to the skip. My thoughts...Let's see if you can keep a few days with 0.75u and see where the numbers are.
Click to expand...
Not that it's an excuse, but both my husband and I work full time, so getting midcycle day tests is really difficult. Neither of us are in a position where we can come home to test during lunch, either. I'll try harder to get more evening and weekend tests. I hate having to skip shots because I know it'll mess up his depot and cause his numbers to just jump back up, but I also know that it's better to have him too high when I'm not around than too low. I went back to the same dose ... I don't know why. I guess I thought it would be better to ... keep to a schedule? I don't know. When I had decreased his dose previously, it was "too soon" to have seen the effects of the dose he was on, according to some. So I guess that's why I went back to the same dose. I keep thinking we're doing better and then he gets a little worse.
 
Oh, honestly I understand :bighug: like I said it's not a criticism, I did see some good midcycle tests in September, I just wanted to highlight that regardless of what method you follow, you need to be conscious of lower numbers, they are telling you the dose is too high, and you really should reduce. I think many of your higher numbers are because you have got a bouncy kitty too...my Mav is like that, he'll either bounce because of a really sharp drop, or because he hits a too low number, then I see higher numbers for a few cycles. My suggestion remains the same, I'd stick to 0.75u tomorrow and a few more cycles if possible and see where you go. If the numbers are starting to trending upward, you can always increase to 1u. What's your usual feeding schedule like?
 
Christie & Maverick said:
Oh, honestly I understand :bighug: like I said it's not a criticism, I did see some good midcycle tests in September, I just wanted to highlight that regardless of what method you follow, you need to be conscious of lower numbers, they are telling you the dose is too high, and you really should reduce. I think many of your higher numbers are because you have got a bouncy kitty too...my Mav is like that, he'll either bounce because of a really sharp drop, or because he hits a too low number, then I see higher numbers for a few cycles. My suggestion remains the same, I'd stick to 0.75u tomorrow and a few more cycles if possible and see where you go. If the numbers are starting to trending upward, you can always increase to 1u. What's your usual feeding schedule like?
Click to expand...
7 and 7. I put out at least two cans (2.8oz or 3oz) for each meal (two cats, that's four cans daily)

Lately I've been putting out three though, making sure it's a little different. I've been trying to get Tiger to put some weight back on. I got him something today that is either supposed to help with his appetite or help with some nausea he might be experiencing. I'm not really clear on it, but either way its 1/4 poll every three days to help him eat more.
 
Oh dear, so there's a lot going on, more than just diabetes. I just read your post above with possible UTI..I can't really offer any help there, as I don't have any experience with UTIs, but I would think some antibiotics would be in order? I hope the meds help with Tiger's appetite, that makes things a bit tricky, if he's not interested in eating all the time. I've had two kitties with different stages of kidney disease, it's important to get them to eat, I'd say the BG takes a back seat to that. Did you happen to get any blood work done at the vet's recently? Sometimes there are issues that may be addressed, like high phosphorus, or electrolyte imbalances...that can make cats not want to eat. If you have bloodwork, you can add them to your SS, there are a few folks here that might be able to offer some suggestions/comments, if you'd like :bighug::bighug:
 
I did get bloodwork done but I forgot to take home my copy when the results came in. Kidney function was an immediate concern- was reccomended amphojel to help, but have settled for the more accessible maalox, which is supposed to help bind the phosphorus I guess?? His potassium was also a concern, and have some tumil k powder I try to give him. I tend to only give half the amount though because it is next to impossible to separate what each cat gets and I dont want to mess up Discordia.

We did get an antibiotic for the UTI today so that should help. He's eating again, after I set my alarm to get a +6 shot. 63. I know that I'm still leaving some gaps but I took today (yesterday?) Off work already, I am trying to avoid having to take another day and can't really get by testing him every hour or even two for the rest of the night.
 
You must log in or register to reply here.
Back
Top