10/31 Ming PMPS = 464, +2 = 353

Crista & Ming

Crista & Ming

Member Since 2018
Previous 2-pager lol: http://www.felinediabetes.com/FDMB/threads/10-30-ming-amps-567-pmps-86.205673/

Just starting a new one for the day.

Last post by me with questions:
@Wendy&Neko Sorry, what are we looking for in the +6? Are you thinking: since +2 isn't always indicative of an active cycle, looking at +6 will tell us that?

It's 3 AM and I'm almost done my tasks for the night so I'm really tired and can't think. Definitely appreciate the explanations! And also the reminders to do housekeeping things :D

The last few days since Ming's been home... what a ride. I know I'll burn out soon. I'm always worried, very anxious, and can't concentrate on other things but I'm sticking it out as long as I can (and as much as my schedule allows it). I'm so lucky that I'm working night shifts and can bring Ming along with me to monitor. But anyway, I thought I'd let you guys know what I'm feeling and I'm sure everyone's been through this as Sandy pointed out and as what I've witnessed on the forum elsewhere.

I know what we have to do (Thank you @Sandy and Black Kitty for the thorough and thoughtful explanation!!!) and every new thing we do scares the living bejeebus outta me but I'm so grateful for everyone here for doing a MULTITUDE of things for me. I can't believe what a pot of gold I landed on! Not to sound ungrateful, but I paid an IM specialist hundreds of dollars but here you guys are, giving up your precious time to help someone you've never met before. THANK YOU FROM THE BOTTOM OF MY FRIGHTFUL HEART! Ming thanks you too :)​

Also, I'm kind of ticked. When Ming was in hospital and I was working, I did more than the BG tests every 2 hours because when it was my time to work, he'd be DROPPING. On the Pet Meter, he'd go from 19 to 4 within 2-3 hours. So of COURSE, I would test more often. But I've been told not to test so often by doctors and a tech today jokingly asked me if I'm testing him every hour.

I would LOVE not to test him at all. These strips are so expensive! And I've wished many times Ming's BG would just be printed on his forehead like a stamp that changes. Siigh... they think I'm crazy... and I am but you gotta be crazy to deal with diabetes.

The IM specialist didn't acknowledge my apologies but answered my medical questions. She doesn't think Ming is an acro cat as of right now because the urine creatinine test said otherwise. The same tech warned me that the IM specialist was "intense" and would not like that I didn't listen to her. NN told me again, who cares because if I listened to her, Ming would probably be... *whispers* dead.

But anyway, Ming is holding steady right now in the 200s at +7. Let's see what this dude does when he reaches his nadir again.
 
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Kris & Teasel said:
Most of us have been in your shoes ... :confused::)
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That's sad :( but also comforting :) My mom was saying, if the vets are so wrong, why don't you go be one and do it right??

Maybe, mom. But I don't have any $$$$$ ahah!!!! (and also not smart enough)

Here are some pics of Ming exploring the hospital:
4C9B63F9-B099-4A6B-8F54-9CB973B27DA6.jpeg
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5CB17ACB-05C4-46CD-8ADD-35B9F7CA16D8.jpeg
 
I'm the first one to give vets their due. They can't possibly be experts on everything. Best case is a vet who will work WITH you and not be held captive by his/her ego. My regular vet is like this and I value her expertise on a wide variety of cat health issues but she acknowledges that, at this point, I know far more about FD than she does.

Ming is really handsome and is looking very perky! :D
 
+9 = 326

HMMMMMMMM... this cat... :rolleyes::facepalm:

maybe it's the food... but I swear I only put a teaspoon! I guess we'll know in an hour or two.
 
Crista & Ming said:
+9 = 326

HMMMMMMMM... this cat... :rolleyes::facepalm:
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cats!:rolleyes:

...if you drew a graph for the whole day yesterday 10/30 it would look like good Lantus curve - starting high, slowly going down, nadiring right at the middle and then slowly going up..;)

There are great posts in your yesterday condo. Do bookmark that thread to review in the future.
Hope you 'll have nice and quiet day.

Good to see Ming looking so good. And so confident @the vet's place!:cool:
 
AMPS: 419.

I'm not going to feed him MC food... I would assume lol.

I guess he's gonna let me sleep. I'll do a test at +2.

Tanya and Ducia said:
...if you drew a graph for the whole day yesterday 10/30 it would look like good Lantus curve - starting high, slowly going down, nadiring right at the middle and then slowly going up..;)
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I was JUST thinking that too! But, Ming! That's not how normal cats use Lantus!!!! Lol!
 
Crista & Ming said:
Any explanation on why he went UP at the end? Bounce? Or it's because we stalled and it acted like a reduction?
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Or because there was FS? Or the gravy portion was too large? Or perhaps the combination of all of them.
Keep testing & recording and eventually some sort of a pattern will come thru.
It will become clear later on, give it at least a time for the new dose to settle in.
I wish I had definitive answer for you but I don't, sorry.
Hang in there! It's way to early in the process to be sure of anything.
 
@Crista & Ming
I was thinking about your food stock. ..

It's good idea to get some other foods to steer the numbers up with. As well as some variety of LC.

You currently use FF Beef Gravy Lovers for steering, is that correct?
I wish you had something lower like FF Grilled: Tuna 13%, Chicken 15% - worked so well for Ducia.

20% FF Beef can be reserved for very low or very stubborn low numbers.

I think yo u may need to have a look at what foods are available and experiment with different levels of carbs for daily feeding.
The brand I use (Soulistic) isn't available in Canada or I'd recommend it.
Ranges from 5% to 9%. I have a dozen of each and use when needed.
Unopened cans are good for months!

Have you seen Dr. Pierson chart? Check it out, I was told foods from the list are now available in Canada.
 
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Crista & Ming said:
Sorry, what are we looking for in the +6? Are you thinking: since +2 isn't always indicative of an active cycle, looking at +6 will tell us that?
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No, the +6 might not tell you if it's an active cycle, but it might tell you earlier in the cycle that he's going lower. Apparently he didn't last night. :rolleyes: But there may be times like 10/26 AM cycle where he would. Right now it's too soon in Ming's time on Lantus to predict what he might do. The +6 was just an earlier test to catch if he was going low, and intervene if needed.
Crista & Ming said:
She doesn't think Ming is an acro cat as of right now because the urine creatinine test said otherwise.
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Last I heard, the UPCR was an indicator of kidney function. Not all acros have proteinuria. In fact, Bronx has been tested and been negative a couple of times. Neko didn't have proteinuria until several years after her acro diagnosis. Sorry, the IM might be wrong. The test to get is the IGF-1 test, if and when you do get it.

More later, gotta go out.

One thought for you, ever thought of cross border shopping for test strips? I did. Saved me a bundle, and you are even closer to the border.
 
Crista & Ming said:
Any explanation on why he went UP at the end? Bounce? Or it's because we stalled and it acted like a reduction?
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I think it’s a bounce- you caught 9 consecutive hours he was in blues and greens yesterday, which is not what he has become accustomed to. It very well may have activated his counter regulatory system to pump out hormones and bring BG back up to the recent status quo.
Good call on feeding LC this morning.
You are getting in the groove :cool:
 
Bounces can take up to six cycles to resolve. I found the bounces due to long stretches in nice numbers were long ones. The effects of a fur shot or skip can also be felt in later cycles as you are waiting for the depot to build again.
 
Got it! I’ll be checking ketones. I missed his pee but he’s eating so we got that going for him.

Well I hope he remains “predictable” because I really would like him to stay home for his sake :)
 
+9 = 420

Guess the boy gets to stay home tonight and my sister and mom don’t have to stress too much about it.

Would you suggest them to take PS (of course) and +2? Anything else?
 
+10 = 466

Yay! My sister is going to stay home (well she said she’ll confirm in an hour or so but I doubt she will haha). She’s tired and will watch Ming :)

I’ll give her the link to this condo and she may post tonight and ask questions. I’ll be there too.
 
Hard to guess what Ming will do from here, but if he's down appreciably at +2, I'd get mom to do a +10 if she can. Ming does like to keep us guessing. :cat:

I hope it's quiet at the vet clinic. I hated working at the shelter the day after Halloween fireworks. :mad:
 
I forgot that it’s Halloween! Lol!!!

Well. It’s gonna be a buuuuusy night at the hospital! Many patients staying tonight including a diabetic kitty that’s not eating :(

My sister will be dealing with Ming in half an hour.
 
looks like a save-a-strip cycle :cool:

Todays cycle allowed you hopefully to get some rest and also leave for work tonight with a bit less worry

Crista & Ming said:
Got it! I’ll be checking ketones. I missed his pee but he’s eating so we got that going for him.
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One more important item to help keep ketones at bay is hydration. If you aren't already doing so, mix some water into his food - as much as he will tolerate. It helps maintain proper hydration.
Crista & Ming said:
Many patients staying tonight including a diabetic kitty that’s not eating :(
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You know where to send the CGs...;)

eta- love the pics. He is a snoop-snoop kitty :cat:
 
Sandy and Black Kitty said:
looks like a save-a-strip cycle :cool:

Todays cycle allowed you hopefully to get some rest and also leave for work tonight with a bit less worry

One more important item to help keep ketones at bay is hydration. If you aren't already doing so, mix some water into his food - as much as he will tolerate. It helps maintain proper hydration.

You know where to send the CGs...;)

eta- love the pics. He is a snoop-snoop kitty :cat:
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Yes, I didn't worry too much today and left for work feeling somewhat ok. I'm really glad I didn't have to bring him in. it's been 2 ish hours and I FINALLY just finished doing TPR for the patients, feeding, walking, meds, and changing beds. Usually that takes maybe 30-45 minutes...

The beetus cat ate :) Wouldn't let me take temp but that's okay. And ahah, if I ever get to see the CG..I will!

I actually was thinking about giving him subq fluids tomorrow because why not but wanted to ask if it affects BGs? I vaguely remembering reading about that somewhere in the forum.
 
Crista & Ming said:
I'm guessing we should try to test him at +6?
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Good plan, that's quite a drop.

As for subq fluids, some cats BG's are impacted, some not. Try to separate the insulin shot and the subq both by space and time. When I gave fluids in the scruff, shot was in the flank and I tried to do fluids a couple hours before the shot.
 
I told my sister to feed a bit of gravy with his snack just in case. So she doesn't have to run and do damage control.. hoPEFULLY
 
I had to call my mom to ask her to wake my sister up. not sure what's happening now...

Should be a test coming soooon.... :nailbiting:
 
166 now. She did feed him about a tsp of FF gravy and the meat.

I won't be home until +11

Should she carb him up so she can sleep? She'll be awake around +9
 
Ok we're aborting. She's feeding him a whole can just cause yeah.. that for sure should ruin him LOL

He might have maybe coasted down but who knows? There's just no life jacket to save him T_T
 
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