? 26April2020/Maxi/AMPS:274/+2:223/+4:136/+6:78/+8:109/+10:81/+11:69/PMPS:58, 72/Diarrhea/Inappetence

bambinaki

bambinaki

Member Since 2010
Last thread: http://www.felinediabetes.com/FDMB/...-to-increase-cabergoline.228770/#post-2561818

Sorry for putting the 911 in the title, but I'm nervous about giving Maxi his regular big dose of Lantus in 10 minutes...

Is there a number at which I should NOT inject Maxi tonight?

Or a number at which I should reduce his dose? Reduce to what?

Maxi's Lantus increased all the way up to 9.25 last night.

The last few days, his appetite hasn't been what it was, but he has still eaten well. He hasn't had as much of an appetite, seemed like he wanted to eat but wasn't thrilled with the food, left 2 or 3 bites in the bowl, whereas he used to eat everything with gusto.

This early afternoon (around +3), he was active and very cutely did yoga with me. During that, he had diarrhea. At +6, his test showed the shocking number of 78, and at his +6 small meal, he seemed to want to eat but seemed not to like the food (which he loved before). I mixed other food in and coaxed him. Leaving the bowl and coming back, he slowly ate most of his meal.

He went under a chair where he does not normally go.

At +8, he came out for a treat that he hasn't gotten in a while - he heard the bag - and he was very enthusiastic and purring. His number was 109.

He has come out and seems ok.

I was planning to increase his cabergoline tomorrow.

@Wendy&Neko @Marje and Gracie @Sandy and Black Kitty @Bron and Sheba (GA)
 
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Hi, I'm giving you a bump so maybe someone experienced will see your thread. I suggest NOT giving a shot until someone experienced talks to you.

I see he went down to 69, that's really low. You need to keep checking to make sure he doesn't become hypoglycemic. (Don't panic if he does, you can help him through it.)

Do you have any medium or high carb food for him?

(I love that he did yoga with you, that is too sweet.)
 
SingsToCats said:
Hi, I'm giving you a bump so maybe someone experienced will see your thread. I suggest NOT giving a shot until someone experienced talks to you.

I see he went down to 69, that's really low. You need to keep checking to make sure he doesn't become hypoglycemic. (Don't panic if he does, you can help him through it.)

Do you have any medium or high carb food for him?

(I love that he did yoga with you, that is too sweet.)
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Thank you so much!

Yes, I have high carb food.
 
SingsToCats said:
You might want to give him a little high carb food. 69 is low and it looks like he's going down.
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It says this (below) here:
http://www.felinediabetes.com/FDMB/threads/new-how-you-can-help-us-help-you.216696/

That's what I've done.

Dealing with a lower than usual preshot number: Initially we encourage using a ‘no shoot number’ of 200 mg/dL (11 mmol/L) on the Main Health page and
  • For newbies in the Lantus, Basaglar, and Levemir Group, if you get a blood glucose of 150mg/dL (8.3 mmol/L) or below, while you are gathering data and experience, stall without feeding, post and ask for assistance. This applies to both the Tight Regulation and the Start Low Go Slow methods
  • For people in the other Insulin Specific Groups, 200 mg/dL (11 mmol/L) is used as the ‘no shoot number’ while you gather data and experience.
If you are unsure what to do, stall, don’t feed and test again in 20 minutes to see if the BG level is rising. Also post and ask for help. Write something like… “BG level xxx, stalling, please HELP” to alert people to your dilemma.
 
Do you think he is nauseated? If so do you have any cerenia or ondansetron to give him which may he,p his appetite.
Has he had anymore diarrhoea?
I’ll wait for the test you just said you will get
 
Well it looks like he is dropping further.
I am not sure what is going on. It looks like he has had some sort of breakthrough, which is good.
I don’t feel qualified to give advice in this situation as I have no experience with Acro cats and that are taking Carbergoline.
I think the best thing to do is to wait foe one of the ladies that are experienced with this situation.
I would feed him in the meantime.
Sorry I can’t help further.
 
Bron and Sheba (GA) said:
Well it looks like he is dropping further.
I am not sure what is going on. It looks like he had had some sort of breakthrough, which is good.
I don’t feel qualified to give advice in this situation as I have no experience with Acro cats and that are taking Carbergoline.
I think the best thing to do is to wait foe one of the ladies that are experienced with this situation.
I would feed him in the meantime.
Sorry I can’t help further.
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So, no stalling per the instructions copied above?
 
bambinaki said:
So, no stalling per the instructions copied above?
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When you stall you don’t feed. You have fed him so any BGs you get will be food influenced.
Normally I would be happy to help in this situation but with the Acro and the carbergoline which could be the reason the BGs have dropped, and with food now in the mix, I would not like to advice.
How far off the schedule are you now?
 
To be fully helpful, the instructions above should continue with advice about what to do if you stall, ask for help, and no one replies!
 
Levemir has a later nadir so it is not uncommon to have a lower number at preshot time. Levemir's depot is at work right now too. Are you restricted with your shoot time, or do you have some flexibility if you shoot late?
 
Judy and Freckles said:
Levemir has a later nadir so it is not uncommon to have a lower number at preshot time. Levemir's depot is at work right now too. Are you restricted with your shoot time, or do you have some flexibility if you shoot late?
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His insulin is Lantus. I have been as much as 25 minutes late before. It's now 35 minutes late.
 
Enter you 58 in your spreadsheet, so it's already when more experienced help arrives.

I know when I had a low number, an option I had was a BCS (Big Chicken Shot) which was 2/3 or 1/2 of regular dose. I'll try and find that thread.
 
I’m sorry that you aren’t getting help but as Bron mentioned she doesn’t feel comfortable given the medication and high dose conditions. I too don’t feel qualified to help in this situation. The people tagged are qualified but aren’t on the board right now.

Even a few spoonfuls of food can bring up the BG. With Max it would.
 
I’m sorry no one got back to you earlier. I would not be comfortable with you shooting that high dose with a preshot of 58, which is so much lower than what you have shot before.
What Judy says is true, you can shoot a lower amount but I would wait and see if one of the ladies comes on.
I’m not sure how the carbergoline is influencing all this.
 
Judy and Freckles said:
I know when I had a low number, an option I had was a BCS (Big Chicken Shot) which was 2/3 or 1/2 of regular dose. I'll try and find that thread.
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BCS... interesting.

Though I'm scared to give him insulin now, I would certainly like to know if I should give him a BCS later, maybe.

I hate to throw any good momentum that might be in action off.
 
bambinaki said:
BCS... interesting.

Though I'm scared to give him insulin now, I would certainly like to know if I should give him a BCS later, maybe.

I hate to throw any good momentum that might be in action off.
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I understand. What happened is good. Those green numbers are wonderful but none of us here understand quite what is going on with it all and once the insulin is given, there is no way we can get it out if he drops too low.
 
At this point what I would like to know is if I should give him R at any time between now and AM shot time.

And if I should, when, with what glucose numbers, and how much?
 
No, don’t give him any R. You need to wait for the others for that. He’s too low to give any R to.

It’s not just the preshot that concerns me, it looks to my untrained eye that the carbergoline may be reducing the need for so much insulin.
 
tiffmaxee said:
A BCS doesn’t add to the depot usually but there’s no guarantee that the depot already built won’t be in play. I’ve never used R so I can’t help with that either.
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Very good point Elise. With a dose of 9.25 there is sure to be a good sized depot!
We may not be giving the best advice in this situation but we sure don’t want to give bad advice.

yes take down the 911 please Karen
 
bambinaki said:
I have read that once past a certain point one should not shoot at all and wait until the next shot time, in this case AM.
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I had to be 2 hours late last week for the pm shot. I gave Freckles an extra snack. It took 4 days to get her back on schedule but it worked fine for us.
 
The post that Judy found seems to indicate a BCS dose would be something like 2.5 but the appetite and diarrhea concern me too.

As to shooting tonight can you be off schedule tomorrow?
 
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