Help for Molly #2

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If the treat package says something about single ingredient protein or similar it could be OK. It looks to be one of those squeeze tubes of some sort of delicious (to Molly!) paste. I don't know the carb content of those but I suspect it's not zero. That's why we usually recommend plain freeze dried meat or fish treats that say "single ingredient" on the bag. Pure Bites brand is readily available in Pet Valu, Pet Smart, etc. Another treat you could make for her is a plain poached or roasted chicken breast (nothing added). When it's cooked cut it up into small treat sized pieces, freeze in small packages (enough for a day) and give those freely.

Re what food to eliminate: you want to get rid of the highest carb food first and that's the S/O kibble. Next is the S/O wet food. You can feed as much wet Fancy Feast as she wants/needs because it's very low carb. The goal is to have her eating only low carb wet food for all her meals and getting only low/zero carb treats. That's the optimal feeding method to control her BG and to get the best insulin response from her on a lower dose than the S/O wet-dry food she was one for years.

Yes it's a paste, the lady at the pet store said it was low carb but I'll have to find out for sure. I do giver her the freeze dried treats she likes those. I'll try the chicken she loves chicken. This is my next dilemma is the dry food. She was a hungry kitty this morning. She had the SO wet, all the dry for today and FF. I'd like to eliminate the dry completely but I don't think we're ready yet :(
 
Yes it's a paste, the lady at the pet store said it was low carb but I'll have to find out for sure. I do giver her the freeze dried treats she likes those. I'll try the chicken she loves chicken. This is my next dilemma is the dry food. She was a hungry kitty this morning. She had the SO wet, all the dry for today and FF. I'd like to eliminate the dry completely but I don't think we're ready yet :(
Don't worry, Adrienne. Do what you can slowly. You read Linda's description of the trouble she had with her kitty and dry food. If you reduce the kibble slowly Molly will notice it less and learn to enjoy the Fancy Feast more.

You and Molly are doing great! :)
 
I was thinking about Linda this morning, when I was feeding Molly her dry :cat:. But I was also thinking we've come along way already. The needles ( shot) I was so nervous doing that. I'm afraid of needles. Now Molly sits there and seems to know it's her medicine. Then the testing finally starting to get better with that both of us. Now it's to eliminate the dry! I think I may try that on the weekend ( it's a long weekend here). But next week I start a new job and my afternoon testing will be gone. I won't be home til an hour before her preshot. Not sure what to do about that?
 
If Molly is hungry chances are good that she will eat more wet food in place of the dry so don't be afraid to reduce down a bit every day even if only by a tsp or so and then half a tsp. until its gone. I used a coffee scoop to measure out a tiny bit of kibble when I was holding my transition standoffs with my girl. I think the hardest part of the transition for me was that look they give you like "come on Mom!" when the food in the dish isn't the usual. It pulls at your heart strings and it's tough to hold your ground but you have to remember you are doing it for Molly to keep her healthy.

On the dosing side, perhaps the drop to 1u was a bit too much just yet. @Kris & Teasel what do you think about taking Molly up to 1.5u for now until the transition to all wet food is on the menu?
 
If Molly is hungry chances are good that she will eat more wet food in place of the dry so don't be afraid to reduce down a bit every day even if only by a tsp or so and then half a tsp. until its gone. I used a coffee scoop to measure out a tiny bit of kibble when I was holding my transition standoffs with my girl. I think the hardest part of the transition for me was that look they give you like "come on Mom!" when the food in the dish isn't the usual. It pulls at your heart strings and it's tough to hold your ground but you have to remember you are doing it for Molly to keep her healthy.

On the dosing side, perhaps the drop to 1u was a bit too much just yet. @Kris & Teasel what do you think about taking Molly up to 1.5u for now until the transition to all wet food is on the menu?

Yes, that's my problem she looks at her dish then up at me. Then I feel bad and give her the whole half cup. I'll start the 1.5 unit tonight? and start cutting back the dry more.
 
I see you increased the dose. :) Planning ahead: if you can get a few more tests this weekend it'll help us see how this 1.5 u dose is working so we know what to suggest next. When you start your new job and can't test in the afternoon, aim for a before bed test every day. If you can squeeze in an extra one in the AM before you leave for work it'll help too. Fill in the blanks a bit more on your days off.
 
I see you increased the dose. :) Planning ahead: if you can get a few more tests this weekend it'll help us see how this 1.5 u dose is working so we know what to suggest next. When you start your new job and can't test in the afternoon, aim for a before bed test every day. If you can squeeze in an extra one in the AM before you leave for work it'll help too. Fill in the blanks a bit more on your days off.

Yes, She's staying at pink but she's not going up. So I guess that's a good sign? I'm off Friday til Monday so I can test her more throughout the day :). I noticed this morning she prefers the FF over the wet SO now. I mixed them together so she would eat it. My husbands worried where She's eating the FF now, that her crystals will come back :rolleyes:.
 
Yes, She's staying at pink but she's not going up. So I guess that's a good sign? I'm off Friday til Monday so I can test her more throughout the day :). I noticed this morning she prefers the FF over the wet SO now. I mixed them together so she would eat it. My husbands worried where She's eating the FF now, that her crystals will come back :rolleyes:.
Aim for at least one test in the +4 to +7 part of the cycle.

I'm glad she likes Fancy Feast! Keep on with the food switch. Re crystals: get her accustomed to having Fancy Feast "soup" or tolerating as much water as possible in all her wet food meals. There's no guarantee she'll never have crystals but all wet food and more water go a long way to helping prevent that. It's also a question of risk/benefit. The high carb S/O is not good for a diabetic nor is the high BG level it causes along with the need for a high insulin dose. Running in high BGs is hard on Molly's whole body and her kidneys in particular. High BG levels put her at risk of developing ketones (if she isn't feeling well for any reason), a serious complication of diabetes. A flare of cystitis is less serious and can be treated fairly easily if it happens.

Urinary issues in kitties are manageable as long as they don't show signs of being totally blocked. There are meds to give to get them through a flare and supplements that help a lot. In general female cats are far less likely to get blocked because of their anatomy. I'd stay focused on the low carb food switch going forward. :)

Here are some good articles:
https://icatcare.org/advice/cat-health/feline-idiopathic-cystitis-fic
http://www.thecatclinic.ca/uploads/new-medical-support-item/Feline Idiopathic Cystitis Client Handout.pdf?lbisphpreq=1
The second article is the one my vet gave to me when Teasel started having his episodes many years ago. He doesn't get them anymore. At the time he had crystals in his urine too.
 
Aim for at least one test in the +4 to +7 part of the cycle.

I'm glad she likes Fancy Feast! Keep on with the food switch. Re crystals: get her accustomed to having Fancy Feast "soup" or tolerating as much water as possible in all her wet food meals. There's no guarantee she'll never have crystals but all wet food and more water go a long way to helping prevent that. It's also a question of risk/benefit. The high carb S/O is not good for a diabetic nor is the high BG level it causes along with the need for a high insulin dose. Running in high BGs is hard on Molly's whole body and her kidneys in particular. High BG levels put her at risk of developing ketones (if she isn't feeling well for any reason), a serious complication of diabetes. A flare of cystitis is less serious and can be treated fairly easily if it happens.

Urinary issues in kitties are manageable as long as they don't show signs of being totally blocked. There are meds to give to get them through a flare and supplements that help a lot. In general female cats are far less likely to get blocked because of their anatomy. I'd stay focused on the low carb food switch going forward. :)

Here are some good articles:
https://icatcare.org/advice/cat-health/feline-idiopathic-cystitis-fic
http://www.thecatclinic.ca/uploads/new-medical-support-item/Feline Idiopathic Cystitis Client Handout.pdf?lbisphpreq=1
The second article is the one my vet gave to me when Teasel started having his episodes many years ago. He doesn't get them anymore. At the time he had crystals in his urine too.

Now I'm worried about the ketones where her BG is still high!
 
Now I'm worried about the ketones where her BG is still high!
No need to worry. Her BG will be coming down with the food change and proper dosing. I'm sorry if I scared you. I was referring to how she was doing previously when her food was keeping her red, pink and black even though the dose was getting awfully high. Notice I said "if she isn't feeling well for any reason". That's when the ketone risk goes up. I was trying to give you all the reasons why the food change was so important.

Please read those articles on feline cystitis. My guess is that the symptoms described will be familiar to you. We always have to focus on the health condition that has a more serious impact on Molly. That's the diabetes so you want to give her the best chance to be healthy by managing it well first and foremost. The cystitis can be serious if a total blockage occurs but overall it's less serious and can be managed or alleviated completely. You'll see in the two articles that wet food and extra water are recommended along with other things. The meds that are mentioned are useful in a flare (if it happens) and I have experience using them.
 
No need to worry. Her BG will be coming down with the food change and proper dosing. I'm sorry if I scared you. I was referring to how she was doing previously when her food was keeping her red, pink and black even though the dose was getting awfully high. Notice I said "if she isn't feeling well for any reason". That's when the ketone risk goes up. I was trying to give you all the reasons why the food change was so important.

Please read those articles on feline cystitis. My guess is that the symptoms described will be familiar to you. We always have to focus on the health condition that has a more serious impact on Molly. That's the diabetes so you want to give her the best chance to be healthy by managing it well first and foremost. The cystitis can be serious if a total blockage occurs but overall it's less serious and can be managed or alleviated completely. You'll see in the two articles that wet food and extra water are recommended along with other things. The meds that are mentioned are useful in a flare (if it happens) and I have experience using them.

She seems to be fine, plays everyday and chases me around. She was upset with me last night. I was testing her and she wan't cooperating. She went into her box and looked sad, but she slept down by my feet all night.
I just hope that I'm putting enough water in with the wet food. It's soupy when I feed it to her. I read the articles on feline cystitis.
 
She seems to be fine, plays everyday and chases me around. She was upset with me last night. I was testing her and she wan't cooperating. She went into her box and looked sad, but she slept down by my feet all night.
I just hope that I'm putting enough water in with the wet food. It's soupy when I feed it to her. I read the articles on feline cystitis.
She'll be fine and you'll be fine. You've made great progress already. :)
 
I see the recent pink but don't worry about it. This is a process. If you can add in a before bed test it's good data to have (in addition to the PMPS of course!).
 
As much as none of like seeing red numbers, that is really just within meter variance so overall, Molly had a pretty flat cycle today. No worries. Changes in dose don't show their full potential in the first cycles....it take up to 3 days to see what the increased dose will do for Molly. :)
 
Another red this morning, what’s going on?
Try not to worry - I know I keep saying that. :) Individual high numbers aren't dangerous. It's long runs of high BG that aren't good.

My guess is that somewhere in the time blocks where you have no test data she's dropped lower than her body is accustomed to (not necessarily really low) and the reds are a rebound from that. Another thing that can happen, especially with Lantus, is something members here call "new dose wonkiness". The BG becomes erratic for a few cycles after an increase but it settles eventually. Going from 1u to 1.5 u is a 50% increase in dose and that's substantial. Molly's body needs to adjust.

The only way to uncover what's going on is to increase your testing frequency a bit. You've said you'll be off tomorrow to Monday. Are you off Monday too? This is an ideal time to finish up the food change if you can (or very close to it) and get more tests in at strategic times. Here's that basic testing routine again:
  1. test every day AM and PM before feeding and injecting (no food at least 2 hours before) to see if the planned dose is safe
  2. test at least once near mid cycle or at bedtime daily to see how low the BG goes This is where you want to get extra numbers in the +3 to +8 range (try +3 and +5 one day, +4 and +6 another day, +6 and +8 on a third day).
  3. do extra tests on days off to fill in the response picture. A before bed test each day off is good data to have as well.
I know this is more testing than you're used to but it's data we need to plan the next steps. A little pain for a big gain. ;)
 
Yes, I'm off tomorrow and Monday I'll do the testing in the time spots you have mentioned. But Tuesday I start my new Job and can only test. In the morning and evening preshots. I'm also going to get the new monitor where the strips are cheaper!
 
Yes, I'm off tomorrow and Monday I'll do the testing in the time spots you have mentioned. But Tuesday I start my new Job and can only test. In the morning and evening preshots. I'm also going to get the new monitor where the strips are cheaper!
Which BG meter are you going to get? You'll be glad you switched. You'll see the BG numbers on your SS drop because a human meter reads lower. It's a good psychological boost. @MrWorfMen's Mom and I know how to interpret them and you'll learn too.

Once you're at your new job and can only do AM and PMPSs it'll be doubly important to get a before bed test every night and then fill in the gaps as I outlined in my post #73 above on your days off.

How is the food transition going? We need to know that to figure out safe dosing for Molly.
 
Which BG meter are you going to get? You'll be glad you switched. You'll see the BG numbers on your SS drop because a human meter reads lower. It's a good psychological boost. @MrWorfMen's Mom and I know how to interpret them and you'll learn too.

Once you're at your new job and can only do AM and PMPSs it'll be doubly important to get a before bed test every night and then fill in the gaps as I outlined in my post #73 above on your days off.

How is the food transition going? We need to know that to figure out safe dosing for Molly.

I think it's the freestyle monitor? @MrWorfMen's Mom had mentioned. If you have the coupon and buy the strip. You receive the monitor for free. Going to pick it up tomorrow or tonight. I'll need help understanding the numbers.
So three times a day when i'm working test her and more on my days off.
The food is up and down- This morning for example, fed her SO wet and a little kibble out of the 1/2 cup. She was still looking for food. Gave her FF and dried treats, still looking for food dumped the rest of her dish with the remaining half cup of kibble.
She loves her dry food! I know I have to do what's best for her. But I just feel so bad
 
I think it's the freestyle monitor? @MrWorfMen's Mom had mentioned. If you have the coupon and buy the strip. You receive the monitor for free. Going to pick it up tomorrow or tonight. I'll need help understanding the numbers.
So three times a day when i'm working test her and more on my days off.
The food is up and down- This morning for example, fed her SO wet and a little kibble out of the 1/2 cup. She was still looking for food. Gave her FF and dried treats, still looking for food dumped the rest of her dish with the remaining half cup of kibble.
She loves her dry food! I know I have to do what's best for her. But I just feel so bad
Yes, it's the Freestyle Lite monitor I think. I use that and so does Linda. Do you have a 55 or older friend who could buy your strips for you at Shoppers Drug Mart today? Thursdays are Seniors' Day here in Ontario - 20% off on the strips. Failing that try Walmart for strips. All strips are pricey in Canada but not as awful as the AT strips.

Yes, try following the testing routine as closely as you can. Data helps us keep Molly safe.

Keep working at the food switch. The half cup of kibble is still boosting her BG I think. When it's gone we'll have a true picture of what the 1.5 u dose can do.
 
Yes, it's the Freestyle Lite monitor I think. I use that and so does Linda. Do you have a 55 or older friend who could buy your strips for you at Shoppers Drug Mart today? Thursdays are Seniors' Day here in Ontario - 20% off on the strips. Failing that try Walmart for strips. All strips are pricey in Canada but not as awful as the AT strips.

Yes, try following the testing routine as closely as you can. Data helps us keep Molly safe.

Keep working at the food switch. The half cup of kibble is still boosting her BG I think. When it's gone we'll have a true picture of what the 1.5 u dose can do.

I don't know anyone over the age of 55. But I'll shop around first. I'm almost out of the AT strips $100 is alot of money for 50 strips. But now I have the monitor :confused:. I'm going to try to cut back more on the kibble tomorrow.
 
I don't know anyone over the age of 55. But I'll shop around first. I'm almost out of the AT strips $100 is alot of money for 50 strips. But now I have the monitor :confused:. I'm going to try to cut back more on the kibble tomorrow.
If you have a Walmart try their pharmacy. They're usually cheaper. The box of 100 Freestyle Lite strips is about $90 at Shoppers. Pricey but less than half the cost of AT strips.
 
She only had SO wet this morning. Kibbles this morning. FF at lunch and for supper. She finished the kibble after her shot. She had nothing to eat after her afternoon shot. I don’t get it?
 
Sometimes we get NDW...new dose wonkiness for a day or so. Let's just hold the course and see what Molly does tomorrow. It might be better if you could give Molly 1/4 cup kibble in the morning and then the other 1/4 cup in the evening spreading it over the day more. Also if Molly is only eating twice daily, giving her a snack in between those main meals might help smooth out her BG. If you don't have a feeder, then freezing some canned food that you can leave out for her when you are out at work etc. or in bed, will give her something to munch on in between main meals. I used an ice cube tray to freeze some canned food when I knew I wouldn't be home to feed snacks mid cycle. It will thaw out slowly and be available for Molly several hours after her shot.
 
Sometimes we get NDW...new dose wonkiness for a day or so. Let's just hold the course and see what Molly does tomorrow. It might be better if you could give Molly 1/4 cup kibble in the morning and then the other 1/4 cup in the evening spreading it over the day more. Also if Molly is only eating twice daily, giving her a snack in between those main meals might help smooth out her BG. If you don't have a feeder, then freezing some canned food that you can leave out for her when you are out at work etc. or in bed, will give her something to munch on in between main meals. I used an ice cube tray to freeze some canned food when I knew I wouldn't be home to feed snacks mid cycle. It will thaw out slowly and be available for Molly several hours after her shot.

Ok, I thought maybe I’d put some wet out before I go to bed tonight? I also was thinking when I’m not going to be home at lunch. To put some in the fridge. My husband and feed her on his lunch. How much of the frozen do you put out? Can you use the feeder for wet food?
 
Yes, you can use a feeder for wet food. I don't use a feeder so I can't advise but other members do this. Without a feeder you could leave a frozen ice cube sized chunk (or even two chunks) of wet out for her. She might nibble on them slowly as they thaw. Yes, put out some low carb wet food for her when you go to bed.

You're off the next four days as you've said so this is a great time to experiment with between meal snacks of low carb wet food. It's best to avoid those snacks after about +6 or+7 because they can cause the insulin dose's effect to be lessened toward the end of the cycle.

Today is also a good day to make a point of getting some key tests in. I suggest you try out that plan I described in my post #73 above. Continue with the plan tomorrow and Sunday. Based on those numbers @MrWorfMen's Mom and I will decide on the dose.

Let us know when you're going to start using a human meter. We'll help you understand its readings. I know the increased testing has been a little hard for you but it's showing you how she responds to the insulin, if she's too high, if she's dropped low, what effect her food is having, etc.
 
Yes, you can use a feeder for wet food. I don't use a feeder so I can't advise but other members do this. Without a feeder you could leave a frozen ice cube sized chunk (or even two chunks) of wet out for her. She might nibble on them slowly as they thaw. Yes, put out some low carb wet food for her when you go to bed.

You're off the next four days as you've said so this is a great time to experiment with between meal snacks of low carb wet food. It's best to avoid those snacks after about +6 or+7 because they can cause the insulin dose's effect to be lessened toward the end of the cycle.

Today is also a good day to make a point of getting some key tests in. I suggest you try out that plan I described in my post #73 above. Continue with the plan tomorrow and Sunday. Based on those numbers @MrWorfMen's Mom and I will decide on the dose.

Let us know when you're going to start using a human meter. We'll help you understand its readings. I know the increased testing has been a little hard for you but it's showing you how she responds to the insulin, if she's too high, if she's dropped low, what effect her food is having, etc.

She was fussy this morning on her wet food, I gave her SO ate a little. Tried the salmon FF ate a little. Tried the tuna she ate more of that, and of course her kibble.
Yes more testing today, I have a lot of running around to do. But will get the testing done
 
She was fussy this morning on her wet food, I gave her SO ate a little. Tried the salmon FF ate a little. Tried the tuna she ate more of that, and of course her kibble.
Yes more testing today, I have a lot of running around to do. But will get the testing done
How is she feeling overall, food fussiness aside?
 
Here's a little pep talk, Adrienne: ;)

You're barely two weeks into this new phase of treating Molly's diabetes and look how far you've come! You've gotten over the testing hurdle, you're switching Molly's food to something better for a diabetic, you've learned more about her response to Lantus and will continue to learn about that. Your confidence level has increased and that's a major factor in reducing the stress associated with treating diabetes in your girl.

It's a good idea to reflect on these things again and again. You'll continue to encounter anxiety provoking situations but they'll be less and less scary over time. You'll also get proficient at making dosing decisions for yourself if you can't get a response here on the forum. One of the biggest sources of fear and anxiety we see here among new members is not knowing what's going on with their kitty. They follow what the vet recommends and sometimes that works but it often leads to poor BG control or worse, a serious hypo episode. That saying that "knowledge is power" is so very true when it comes to looking after our kitties. :)
 
Here's a little pep talk, Adrienne: ;)

You're barely two weeks into this new phase of treating Molly's diabetes and look how far you've come! You've gotten over the testing hurdle, you're switching Molly's food to something better for a diabetic, you've learned more about her response to Lantus and will continue to learn about that. Your confidence level has increased and that's a major factor in reducing the stress associated with treating diabetes in your girl.

It's a good idea to reflect on these things again and again. You'll continue to encounter anxiety provoking situations but they'll be less and less scary over time. You'll also get proficient at making dosing decisions for yourself if you can't get a response here on the forum. One of the biggest sources of fear and anxiety we see here among new members is not knowing what's going on with their kitty. They follow what the vet recommends and sometimes that works but it often leads to poor BG control or worse, a serious hypo episode. That saying that "knowledge is power" is so very true when it comes to looking after our kitties. :)

When I suspected Molly had diabetes. I didn’t realize all the stress that came with it. I have no experience with diabetes. I don’t know of anyone or a cat that has had it. I just thought I’d give her, her shot and that was it. Didn’t realize the dosage or the food or the testing. Would have such a big impact. I tried to reach out here in my hometown and only one lady messaged me. I did a search on Feline diabetes and found myself here. I was frustrated and felt some of the members weren’t very supportive. I’m so happy that you Kris and Linda are helping me. I do still have my days where I get frustrated. But not as bad as it has been. My vet must’ve given up on me. He never called me back or emailed me. My gut feeling was telling me that 5 units and 6 units was just too much. To only test her once a week. Not to change her food.
I’m so happy and glad that I took your advice. But I still have questions!
 
When I suspected Molly had diabetes. I didn’t realize all the stress that came with it. I have no experience with diabetes. I don’t know of anyone or a cat that has had it. I just thought I’d give her, her shot and that was it. Didn’t realize the dosage or the food or the testing. Would have such a big impact. I tried to reach out here in my hometown and only one lady messaged me. I did a search on Feline diabetes and found myself here. I was frustrated and felt some of the members weren’t very supportive. I’m so happy that you Kris and Linda are helping me. I do still have my days where I get frustrated. But not as bad as it has been. My vet must’ve given up on me. He never called me back or emailed me. My gut feeling was telling me that 5 units and 6 units was just too much. To only test her once a week. Not to change her food.
I’m so happy and glad that I took your advice. But I still have questions!
You can certain use your vet for any other kitty health issues. I suspect he just doesn't know what to suggest about insulin dosing and probably doesn't have a ton of experience with it. He's probably more familiar with treating urinary issues in cats because they're much more common. In Teasel's pre-diabetic days when he was having a lot of cystitis flares one of the vets I saw in the large practice I use put him on the S/O food and said he'd have to be on it for life. When he was diagnosed with diabetes the vet I see most often (who isn't an expert but has more of an interest in diabetes than the other vets there) told me that his food needed to be changed to low carb wet food immediately.

I too had no experience with feline diabetes and was completely stunned when Teasel was diagnosed. I tried to follow my fairly knowledgeable vet's instructions for 8 months before joining FDMB. I came here because what I was doing wasn't getting his BG under good control. I just bit the bullet, made my peace with multiple daily BG tests, learned why my very tricky cat wouldn't follow my vet's methods and the rest is history.

I'm glad we've been able to help. You'll always have questions - very normal. Somewhere along the way you'll get to a point where you can figure out more of it on your own and that's a great feeling. The forum is always here too. :smuggrin:
 
Something I should have asked a while ago: I see that Molly has asthma. Do you treat it with anything like an inhaler? Was she ever put on steroid meds for it?

OMG! I should have checked your SS earlier. Look at that beautiful sunny yellow AMPS!! :D
 

Yes, she uses an inhaler has a chamber for it. The inhaler in Flovent, I have asthma too and use the same one. We share lol. But I haven’t heard her cough in a very long time. I only give her inhaler when I hear her cough.
She’s sleeping now do I wake her up to test?
Yes, I was waiting for you to mention the yellow this morning
 
Yes, she uses an inhaler has a chamber for it. The inhaler in Flovent, I have asthma too and use the same one. We share lol. But I haven’t heard her cough in a very long time. I only give her inhaler when I hear her cough.
She’s sleeping now do I wake her up to test?
Yes, I was waiting for you to mention the yellow this morning
That's good info. It seems that she isn't getting a steroid puff from the inhaler very often. I asked because steroids can raise BG but that's more of an issue for kitties getting them daily in pill form or for a kitty that needs inhaler puffs often. I use a Flovent inhaler too. ;)

Please wake her up for that test. Will it be the +3 test? With that yellow this Am it's important information about how the dose is working.
 
That's good info. It seems that she isn't getting a steroid puff from the inhaler very often. I asked because steroids can raise BG but that's more of an issue for kitties getting them daily in pill form or for a kitty that needs inhaler puffs often. I use a Flovent inhaler too. ;)

Please wake her up for that test. Will it be the +3 test? With that yellow this Am it's important information about how the dose is working.

She got up and I tested her. She’s eating FF now! Yes the 3+ test when is the next one +7? I could go read and find out.

Ok at +5 is the next one.
 
She got up and I tested her. She’s eating FF now! Yes the 3+ test when is the next one +7? I could go read and find out.
Holy Moly!! Look at that blue! I'm glad she's eating to slow the drop. Don't worry - she'll be fine. Please do the next test earlier at +4 because we need to track the progress of this dose more closely. Sometimes more testing is needed. :)
 
When I said "to slow the drop" I mean that her BG has gone down quite a lot in the first three hours after the dose. That's what we call an "active cycle" where kitty is responding more dramatically to the insulin. Giving food puts more glucose (from the food) into her bloodstream for the insulin to act on and prevent her BG from getting too low.

You're using an AT meter and the so-called "take action" number is 3.8 on it. If she hits 3.8 then you give a snack of higher carb food. Your wet S/O is perfect for that. I'd avoid the dry because it can be a little harder to control the BG properly with it. This whole process of using snacks to control the BG is called "steering with food". Keep the snacks quite small - no more than a tablespoon because you sometimes have to give a few and you don't want to fill the kitty up.

I'm so glad you're getting this experience while you're off because you'll likely worry about what will happen when you're at work again. With 4 days to figure this out @MrWorfMen's Mom and I will come up with what we think will be a safe dose.

Welcome to the world of better BG numbers - exciting but stressful!
 
When I said "to slow the drop" I mean that her BG has gone down quite a lot in the first three hours after the dose. That's what we call an "active cycle" where kitty is responding more dramatically to the insulin. Giving food puts more glucose (from the food) into her bloodstream for the insulin to act on and prevent her BG from getting too low.

You're using an AT meter and the so-called "take action" number is 3.8 on it. If she hits 3.8 then you give a snack of higher carb food. Your wet S/O is perfect for that. I'd avoid the dry because it can be a little harder to control the BG properly with it. This whole process of using snacks to control the BG is called "steering with food". Keep the snacks quite small - no more than a tablespoon because you sometimes have to give a few and you don't want to fill the kitty up.

I'm so glad you're getting this experience while you're off because you'll likely worry about what will happen when you're at work again. With 4 days to figure this out @MrWorfMen's Mom and I will come up with what we think will be a safe dose.

Welcome to the world of better BG numbers - exciting but stressful!

Oh boy, she ate her 1/4 cup of kibble this morning. I’m surprised to see her BG that low. When I seen that number I got a little worried! Ok I’ll test the +4 and when would the next one be? I have to run out to for errands.
 
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