? 2/20 Sebastian AMPS 273 +3 260 +6 212 +10 271 PMPS 358

Justin & Sebastian

Justin & Sebastian

Member Since 2019
Got switched to the human meter. I notice the color ranges don't change until we get to the greens. Is there a quick way to modify the conditional formatting?

I have him on all LC diet now. A combination of Dr Elsey dry and Wellness Core wet. Does he need to be fully on wet before we can start making adjustments? Not sure where to go from here to start getting him regulated.

Also want to start learning about the R injections so I can start preparing. I think we'll need them given his long history of high dosage.
 
I'm tagging @Marje and Gracie to see if she can help you change your spreadsheet.

If you are giving both dry and wet, then you need to follow SLGS (Start Low, Go Slow). That means you need to hold a dose for a week, run either a 12-hour curve with tests every 2 hours or a 18-hour curve with tests every 3 hours, then adjust your dose accordingly. Only if you see a number below 90 during your spot tests during the week, you would reduce 0.25u without needing to run a curve first.
 
55DB9E58-1063-4778-9579-3CC0BE55FD08.jpeg
What’s the latest ketone reading?
 
Much better start from the depot building and the lower carb food! I am linking yesterday's thread to today's which is what we do so there is continuity and we can quickly refer back to what transpired recently.
Yesterday
 
Bobbie And Bubba said:
Much better start from the depot building and the lower carb food! I am linking yesterday's thread to today's which is what we do so there is continuity and we can quickly refer back to what transpired recently.
Yesterday
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Gotcha, I'll start doing that.

Sandy and Black Kitty said:
View attachment 42754
What’s the latest ketone reading?
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Was negative yesterday. Should be able to get a reading on him soon, if he hasn't peed by +6 time I'll get a blood reading.
 
Glad to hear that ketones remain negative.

Are you planning a complete transition to LC wet?

Mr Funk said:
Also want to start learning about the R injections so I can start preparing. I think we'll need them given his long history of high dosage.
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R is a fast acting insulin- generally in and out in 4–5 hours and it does not form a depot. If IAA is in the mix onset might be delayed and duration might be extended. Some kitties see s significant drop in numbers the cycle following the one where R was used.

We started R due to a ketone crisis, which of course happened in the middle of the night and required a trip to a 24 hour pharmacy where the pharmacist on duty had to be convinced that a prescription was not needed. Even if you never need it, with a ketone prone kitty that has never seen blue much less green, having R on hand is a good idea. It’s not expensive or fussy to handle like Lantus and it will last a long time.

While ketones are absent you have the opportunity to determine Sebastians’ Lantus onset, nadir and duration, which I strongly encourage you to do as it will be essential to know for safety sake if you have to use R.

Once the dust of the change in diet and the transition back to Lantus settles, and the high dose conditions test results are in, it will be time to evaluate if R might be beneficial.
 
Sandy and Black Kitty said:
Are you planning a complete transition to LC wet?
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I am, he's just being difficult about it. Yesterday he ate only wet and got me to think it was okay, then today he won't touch it and wants the Dr Elsey. I'm going to do a slow transition between the two and hope it works out.

As far as the R, that's all pretty much what I'm thinking. Want to wait until the test results come back and the diet transition is done and we've been on Lantus for a bit before we do anything drastic. We might not even need to if these numbers keep up and all it takes is a diet change. It's been a long time since I've seen numbers this low and an actual curve.

I'll probably pick up some R just in case, though I'm not overly concerned about the ketones. The only time they've ever shown is when he was initially diagnosed and obviously not on insulin, when he had the pancreatitis attack (which we had rechecked last week and his amalyse is at 7, was 50 during the attack), and when we tried the Vetsulin.
 
I swear, it's always something with this guy... He's been throwing up a lot today. He seems fine otherwise, actually up and walking around for a change, so I'm going to assume he ate something off the floor that upset his stomach. He's been eating the Dr Elsey for at least a week now so I don't think that's it.
 
Mr Funk said:
his amalyse is at 7, was 50 during the attack
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Just a FYI amylase is not an indicator of pancreatitis in cats, it is only of value in dogs. Many vets seem to think otherwise, including mine, Marje pointed this out to me only recently.

https://www.manhattancats.com/article-archive/gastroenterology/pancreatitis-in-the-cat/
As for diagnostic testing, it has been suggested for years that two enzymes found in serum, amylase and lipase, were good indicators of pancreatic inflammation if they were elevated, but multiple studies have shown that almost 50% of dogs with elevated serum amylase or lipase levels did not have pancreatitis. In cats, the situation is even worse. Serum amylase and lipase levels have no clinical usefulness at all for the diagnosis of feline pancreatitis. This is mostly because other organs in the body produce these enzymes, such as the stomach and small intestine. Also, these enzymes are excreted by the kidney, and the presence of concurrent kidney disease (which is fairly common in cats) can falsely elevate the serum amylase and lipase levels. Occasionally, an elevated white blood cell count and elevated liver enzymes may be present, but these findings are also not specific for pancreatic disease per se, and in fact may mislead clinicians into thinking that the primary problem is the liver, rather than the pancreas.

Now there is a better test for assessing pancreatic inflammation in the cat. This test measures serum pancreatic lipase immunoreactivity (PLI). Experimental studies and clinical experience have shown that the fPLI test correlates very well with pancreatic inflammation. This test is now the blood test of choice for diagnosing pancreatitis in cats.
 
Sonuva... these vets, I swear... Well, the good news, when I Google "fPLI", my top result is actually a page on my local vet's website (NOT the specialist who prescribed the Vetsulin and treated the pancreatitis). So I would hope they ran the test on him. He just threw up again so I'm actually gonna take him over there and get another anti-nausea shot and some fluids and I'll check if they ever did that test while I'm there.
 
Mr Funk said:
He just threw up again so I'm actually gonna take him over there and get another anti-nausea shot and some fluids and I'll check if they ever did that test while I'm there.
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Perhaps they did run it.
Good idea, I hope he stops being sick soon.
 
I like that lowish yellow at +6, I wonder if he will drop lower this cycle, if you can test him before you take him to vet (to exclude vet stress which can raise numbers) it would be good.

Cats don't always nadir at +6, as an example my George nadired at amps this morning;)
 
I skimmed the test results from our local vet and they did run the fPLI back in August. I'm actually gonna spend the next couple days entering all the test results we've gotten and the dates of the tests, just to see if you all have any recommendations.
 
Gill & George said:
I like that lowish yellow at +6, I wonder if he will drop lower this cycle, if you can test him before you take him to vet (to exclude vet stress which can raise numbers) it would be good.

Cats don't always nadir at +6, as an example my George nadired at amps this morning;)
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I missed getting one before we left, but I'm going to take the +9 here in a minute and I'll try to get a +2 tonight, +1 at least.
 
Mr Funk said:
I skimmed the test results from our local vet and they did run the fPLI back in August. I'm actually gonna spend the next couple days entering all the test results we've gotten and the dates of the tests, just to see if you all have any recommendations.
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I was going to suggest you get hold of the blood test results and enter them on the SS. When you've done it just shout and we can look them over we have one member in particular who is very good at interpreting the results.
 
Sorry to hear that he has been vomiting today. Just curious, is it shortly after he eats that he's been throwing up? Did you start with a new flavor of food by any chance? Bubba throws up within 20 minutes of eating beef, so that is off the table for him now.
 
Bobbie And Bubba said:
Sorry to hear that he has been vomiting today. Just curious, is it shortly after he eats that he's been throwing up? Did you start with a new flavor of food by any chance? Bubba throws up within 20 minutes of eating beef, so that is off the table for him now.
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No, he ate this morning with no issues and didn't start throwing up until the afternoon. And it wasn't new food, the same Dr Elsey he'd been eating for a week. He was being weird and snuffling around on the floor, licking stuff up, and my wife saw him eat a silverfish, so we think he probably just ate something weird that upset his stomach. Everything else seems normal, and he's been fine after the cerania shot.
 
Mr Funk said:
358 on the PMPS. Any ideas? He did get a sub-q at the vet today and is sporting the bubble. Would that do it?
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It’s likely all those hours of yellow got the attention of his counter regulatory system, which has become accustomed to red and pink. Sensing danger from a sudden shift to yellow counter regulatory hormones are released into the bloodstream to bring BG back up.
 
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