Trinity crashed. BG 51

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MrWorfMen's Mom said:
That high this morning looks like it could be from a bounce suggesting Trinity may have gone lower last night than she is used to or she ate more than usual of the DM dry. It's important she eats and insulin can be adjusted to accommodate that. BG will also be elevated due to the infection. It looks like a dose increase to 1.5u would be fine but I would change the dose on a day cycle when you can monitor a bit more to be sure she stays safe. Hopefully that will help bring her numbers down till the infection clears.
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Another low. I believe it’s because her UTI is not getting better, taking her to vet again tomorrow, so she’s vomiting her dry kibble. I am still syringe feeding as well.
I’m so frustrated and scared for her. She can’t catch a break and neither can I in regulating her BG. I will not shoot tonight if she’s under 200. Suggestion on dose? @MrWorfMen's Mom
 
The low could have to do with her not having as much food in her system. Is she keeping down the food you are syringing into her?

If BG is 200 and she is keeping down the syringed food then you could do a reduced shot of 1u tonight. If she isn't keeping any food down, then a further reduction may be needed for overnight.

What makes you think the UTI is not getting better? If the infection is clearing her BG will drop too but then the vomiting is still a mystery. Has the vet checked her for pancreatitis? They can do a snap test in office to see if that is a possibility. Is she still on the antibiotics because those can upset the stomach too? Maybe the vet can give you some Cerenia or Ondensatron for nausea and an appetite stimulant to see if you can get her eating on her own.
 
MrWorfMen's Mom said:
The low could have to do with her not having as much food in her system. Is she keeping down the food you are syringing into her?

If BG is 200 and she is keeping down the syringed food then you could do a reduced shot of 1u tonight. If she isn't keeping any food down, then a further reduction may be needed for overnight.

What makes you think the UTI is not getting better? If the infection is clearing her BG will drop too but then the vomiting is still a mystery. Has the vet checked her for pancreatitis? They can do a snap test in office to see if that is a possibility. Is she still on the antibiotics because those can upset the stomach too? Maybe the vet can give you some Cerenia or Ondensatron for nausea and an appetite stimulant to see if you can get her eating on her own.
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She is keeping down all syringe fed food.
She is still straining to pee at times and unable to go. I’m thinking possible kidney stone or pancreatitis... going to vet to see what tests she has the equipment to run. I know she can X-ray. Trinity is not blocked, she can pee sometimes... I will ask about the cerenia etc. I have Mirataz transdermal and it seems to be doing ok up until yesterday... Getting ready to test for pm shot.
 
The problem with Mirtaz is that you don't want to be giving it to a nauseated kitty. Does Trinity lick her lips or approach her food like she wants to eat but then turns away with her kibble?
 
Angie Haynie said:
She is keeping down all syringe fed food.
She is still straining to pee at times and unable to go. I’m thinking possible kidney stone or pancreatitis... going to vet to see what tests she has the equipment to run. I know she can X-ray. Trinity is not blocked, she can pee sometimes... I will ask about the cerenia etc. I have Mirataz transdermal and it seems to be doing ok up until yesterday... Getting ready to test for pm shot.
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BG 439. Shooting 1u
 
Ok so it sounds like she isn't nauseated which makes me think perhaps some of what you are seeing is just from discomfort from the bladder issues. Perhaps an analgesic would help till the infection is eradicated. Something to discuss with the vet.
 
MrWorfMen's Mom said:
Ok so it sounds like she isn't nauseated which makes me think perhaps some of what you are seeing is just from discomfort from the bladder issues. Perhaps an analgesic would help till the infection is eradicated. Something to discuss with the vet.
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Turns out her urinalysis shows NO UTI. Soo the vet has been treating something she doesn’t have. She has arthritis in her hips and low back that make it extremely painful to squat in the cat “pee” position. I bought fortiflora for her gut and duralactin for anti inflammatory to help with arthritis. Also she has no ketones and has gained a couple ounces back in past two weeks. Yay.
As far as dosing should I go back to 1.25 for a bit? Her BG was 426 this morning.
 
YEs I'd go back to 1.25u. Small dose changes ensure you don't skip over the best dose. That higher pre-shot this AM may be some bouncing from the low numbers yesterday. The bounce will clear over the next few cycles and her numbers should come down a bit.

YEAH for no UTI, gaining a bit of weight and no ketones! That's all good news. Hopefully the anti-inflammatory will help her with the arthritis.
 
Damn thing deleted my post and I don’t have the energy to retype. I think Trin needs more insulin. Can you look at my spreadsheet? Both Mom and I are ill with back to back viruses since end of August. We are doing our best.
MrWorfMen's Mom said:
YEs I'd go back to 1.25u. Small dose changes ensure you don't skip over the best dose. That higher pre-shot this AM may be some bouncing from the low numbers yesterday. The bounce will clear over the next few cycles and her numbers should come down a bit.

YEAH for no UTI, gaining a bit of weight and no ketones! That's all good news. Hopefully the anti-inflammatory will help her with the arthritis.
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Angie, I can copy your page in here from the email it sent to me.

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Angie said:
“I’m so worried about Trinity. I e been ill with one virus after another since 8/24/19 and Mom has since 9/1/19. We are able to give Tristan or Trinity the best care right now. We are both striving to do our best but as you can see from the spreadsheet, there are tests missing etc. I want to increase her dose to 2u from 1.5as that is where she was for 1 years when she was eating on her own for the past two years. I fear her numbers are too high am and pm. But worry about her occasional low nadir number. She is still syringe fed and grazing on her own. So far no ketones.
do you recommend I increased the dose, given the limited data on my spreadsheet? Thanks for any advice. “
***********
 
I’m so sorry you and your mom have been unwell. I’ll have to leave it up to an experienced Prozinc user to advise you, but I do hope that things will turn the corner for all of you soon. :bighug:
 
Sandi & Whisper said:
I’m so sorry you and your mom have been unwell. I’ll have to leave it up to an experienced Prozinc user to advise you, but I do hope that things will turn the corner for all of you soon. :bighug:
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Thank you for finding and posting this! I too want to see all of us feeling better soon.
 
Angie, I know you feel poorly, but I just went back and realized that this post has gotten pretty lengthy. You might get more eyes on this if you take the post that I pasted in and start a new thread. Once you get over 50 posts or so, some people are afraid to jump into the middle of it for fear they haven't read the full story. Plus, we have gotten really far away from the issue posted in this title.

Just make a new thread with a title more like "Looking for dosing advice" (with the question mark prefix), paste that text in, and see what people have to say. If you need me to do it for you, I can and I'll just tag you in it so that you can watch the thread and see all the responses.
 
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