3/1 Ming PMPS = 104, +2 = 146, +4 = 173

[Crista & Ming]

http://www.felinediabetes.com/FDMB/threads/2-28-ming-pmps-383-4-338-amps-230-2-301.211303/

AMPS = 257

My night shifts are over. Won't be until June that I get my next night shift rotation, I believe.

Ming's bouncing is getting so frustrating. Is this "normal"? How long should I allow this bouncing to occur before I do something about it? What DO i do about it?

I need to sit down and decide with my family if it's time to try Levemir. I wish I could've started it like I had planned in the beginning of February but things happened: Ming was getting good numbers and we were seeing if he can get off pred.

I guess my next step is: talk to the vet who advocates for CBD oil and think about Levemir. If Ming didn't have chronic pancreatitis that's had him hospitalized 7+ times within a year, wasn't on pred, and needed such a high dose, I would just start him on it but I just kind of need some hand-holding and a third opinion on Ming.

Edit: putting him on CBD would mean taking him off pred which would 1) affect his dose, and 2) maybe affect his pancreatitis, so that's why it's a big-ish issue.

 

[Wendy&Neko]

All you can do about bouncing is try to make sure you are safely maximizing the amount of normal numbers he is seeing. Which you are doing now. If you see he doesn’t keep coming back to safe green range, then increase. Where possible, try to see if there is any particular time of the cycle where he does big drops (which also cause bounces), and feed to try to slow those drops. It’s ECID on size of drop causing a bounce, but I would try to avoid big drops over 50ish points an hour.

BTW, it took Neko about a year to stop bouncing to reds. She got even better on Lev, I am a fan of it.

One question for you, why CBD oil in place of pred? Prednisolone is an anti inflammatory, not something I have ever heard claimed for CBD. I have heard it used successfully for nausea. On a separate aside, I think going on pred for chronic pancreatitis is very rare here.

 

[Crista & Ming]

BTW, it took Neko about a year to stop bouncing to reds.

Oh boy, patience is a real thing that needs to be learned over and over again for me hahah

One question for you, why CBD oil in place of pred? Prednisolone is an anti inflammatory, not something I have ever heard claimed for CBD. I have heard it used successfully for nausea. On a separate aside, I think going on pred for chronic pancreatitis is very rare here.

The main reason I want to try without pred is to see if, at all, there's an effect on his BSL. I don't know if it's a separate thing. Does pred mess with dose or does it mess with BSL? Or both? If it's just the dose, that's fine. The solution is more insulin. But if it's BSL... then that's just a huge headache.

He's on pred and he was still sitting with a fPLI value of 34.1 with no symptoms so that concerns me in a couple of ways. Maybe the pred is working! Or maybe the pred isn't working and we're just making regulating his FD harder. Either way, he's still got that chronic pancreatitis.

And then, yes, I've been told by a few people on the forum that pred is rarely used for pancreatitis and even when it is used, it's never known if it's the body naturally getting over pancreatitis or if it's actually the pred working.

So that's where CBD oil comes in: can I use it to prevent nausea and to smother symptoms of pancreatitis? It's like a safety net if I'm not giving pred anymore. Does that make sense? Maybe my way if thinking is convoluted but I guess my main goal is to see how Ming does without pred and to take preventative actions if taking him off pred gives him a flare up. Plus it seems many cats with chronic pancreatitis are taking CBD to help during flare ups.

 

[Crista & Ming]

On another note, Ming went low and I missed it haha! I fell asleep.

I fed him HC mixed with LC when I saw him at 56. Then I had to leave for an appointment and my sister took over. She fed him HC with LC too but I wish she hadn't but maybe this will help him not to bounce?? I really think Ming needs a lot of HC to even make a dent on his BSL when he's low. I know I've been told not to feed HC late in the cycle but I'll take this miscommunication/panic-feed on my part as a test to see how Ming does and if he'll bounce haha. The PMPS number might even be food influenced unfortunately. I'm here all night and tomorrow to monitor as needed.

 

[Wendy&Neko]

The main reason I want to try without pred is to see if, at all, there's an affect on his BSL. I don't know if it's a separate thing. Does pred mess with dose or does it mess with BSL? Or both? If it's just the dose, that's fine. The solution is more insulin. But if it's BSL... then that's just a huge headache.

I had a civvie on pred. I tested his blood sugar, cause I could and was paranoid. He ran in the 50's before pred, 80's after. So I think it impacted BSL. Which if on insulin, means changing the dose to compensate.

I wouldn't say Ming went low, but rather he spent some time in normal numbers today. HC mixed with LC might be MC, depending on the proportions. Preshot test had been over two hours since he last had HC? Should be OK. Paws crossed for a nice surf tonight.

 

[Crista & Ming]

I had a civvie on pred. I tested his blood sugar, cause I could and was paranoid. He ran in the 50's before pred, 80's after. So I think it impacted BSL. Which if on insulin, means changing the dose to compensate.

Haha!! I'm always so tempted to test BSL of non-diabetic cats at work but it's probably already high because of work. Good to know. I sort of flip flop around with my understanding of BSL, doses, and pred. I'm just concerned if the pred randomly kicks the liver and makes BSL rise or if it's just a consistent, gentle, pat that can be managed LOOL!!!! (It's probably a gentle, consistent pat and Ming is just a super bouncy kitty and I'm just too paranoid)

wouldn't say Ming went low, but rather he spent some time in normal numbers today.

Right! I need to use a different word. I'll use "drop" to lower numbers.

Preshot test had been over two hours since he last had HC?

A little under but yes, hope he surfs!

 

[Wendy&Neko]

Tne timing of how pred impacts kitties seems to differ, in other words ECID. We had one other Vancouver member here who had a kitty on pred (can't remember if it was for p'titis or her GI issues, probably the latter). Anyway, that kitty seemed to react to it fairly quickly and it was out before the cycle was over. That means the caregiver gave the pred in the AM cycle, cause she knew it meant kitty would be safe while she was at work.

I have tested a couple of other non diabetic kitties, including one of a friend whose kitty was drinking more. Unfortunately, kidney issues instead.

 

[Crista & Ming]

Ohhhh interesting!! I remember someone mentioning that too back in the day when I first posted.

Hmmmmmm... there's no pattern to Ming as of yet XD At least not what I can tell. He's never been on Lantus without pred. But I like the idea of pred wearing off rather than staying in the system and randomly doing its thing.

 

[Crista & Ming]

+2 = 146

 

[Crista & Ming]

+4 = 173

up but still blue!!