Comet update, advice/encouragement appreciated

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Jenny and Comet (GA)

Member Since 2020
Hi, everyone. I first posted last month after Comet was diagnosed. Everyone here was so helpful and encouraging; I really appreciated it. I have been reading here when I can but have not been able to post. I thought I would try now.

We've had a challenging time. Comet was originally prescribed 1 unit of Lantus 2x day but reduced to 1/2 unit 2x a day after his food had changed. By late September, as per the vet, it was 1/4 2x day, but only if his glucose was at least 300 and he had eaten half a small can of wet food (Fancy Feast Classic pates or something else low carb). That amount drops him between 150-200 at a time, and the vet and I were worried about administering it any lower than 300.

On 9/26 I gave him a shot in the p.m. because he met those guidelines, and he hasn't met them since. We have been using a FreeStyle Libre sensor on the advice of his vet. (One difficulty we've had is that he absolutely will not let me do blood testing with his ears. He is a total sweetheart of a cat, and is an angel about shots, but will not will not will not let me work on his ears. I am still working on getting him accustomed to ear handling in the hopes that we will be able to move to that one day, but I am really discouraged. I see all the tolerant laidback cats in the blood testing videos, and that is not my guy when it comes to that!) He has ranged between 150-250 for most of the day, with dips to 100 or lower sometimes, and getting closer to 300 at odd times when I am not actively checking (like midnight) but that I find out about when I scan later.

His vet thinks that the change in food (pre-diagnosis, a mix of wet and dry; post diagnosis, we moved to low-carb wet exclusively) made a real difference and thinks he might be heading into remission. Another vet at her practice who saw him a couple of weeks ago said the same thing. That seems not right to me; he had insulin for so little time and with changing doses; would a depot even have had time to form? Plus, his glucose numbers seem too high still; what I have read on the forum suggests that they should be lower before thinking that remission might be happening. When I test his pee, the glucose level has never been lower than olive (ketones have always been negative). His hind legs still aren't as strong. He may still need some insulin, but what would be appropriate when he has often been between 200 and 250 when it is time to shoot, and when he drops so much from just 1/4 unit -- it doesn't feel safe.

We are headed to the vet tomorrow for a checkup, so hoping for more guidance from her. His sensor needs to be replaced. I feel terrible that we need to go that route. The vet said that she has a lot of cat patients that use it, and it doesn't seem to bother or hamper him, but I feel like a failure and bad person for not being able to get the ear testing to work. I just want so much for him to feel good.

It isn't the same as the Google spreadsheets, but a friend of mine put together a chart for me based on the FreeStyle Libre readings that I am including here.

SuperChart thru 10-9-20.jpg


I just want so much for him to feel well and good in his body, and to not cause him any harm. All the detailed and caring posts here make it clear that everyone here wants that for their little buddies.
 

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Hi Jenny I cant give dosing advice but wanted to let you know that I too had a fractious cat. A lover boy till it came testing time. Alone I failed miserably It took tow of us. So if you have a mate, a BF, or anyone, that can help that would be ideal. The only other thing I can think of is just what people say here. Give a treat when he gets into the spot you want to test him at ...let him go. Keep doing that until he sits and waits for a treat . then do the next step play with ears rub then even squish them in your fingers (not hard just enough to let him know you're there ) give a treat let him go... Next if you are doing the clicker device (for the poke) click it. give a treat, let him go. And so on
You want him to associate everything testing with good nummy things.

I am a firm believer in singing or humming while you do all of this incorporate his name in the song. They will help YOU calm down more than him. If you approach him with anxiousness or stress that stress will travel right down your arm into his brain and he will think uh oh somethings wrong and he will react accordingly.
Youve probably been told this all before but it bears repeating. ;)

Also your graph is very hard to read. I cant make out any of the numbers. If you like we can get someone to set up a spreadsheet for you. @Chris & China (GA) can help you with this PLEASE LET US KNOW this will only serve you and help keep Comet SAFE.
It will help us help you faster!
jeanne
 
Thanks, Jeanne, I appreciate it. I had started a chart and then stopped a few days after the sensor started as I was overwhelmed. I will pick it up again once we have the new sensor. I am sorry that the graph is unreadable, I had hoped that you'd be able to click on it and get it to expand that way, but I guess not.

And thanks for the tips! I have not tried singing and will try that. The treats so far aren't motivating enough -- he like them, but not enough to be persuaded to do this. Unfortunately it is just me and another cat, so I'm on my own figuring it out.
 
You may have noticed we have different dosing guidelines, especially for Lantus which is a gentler long lasting insulin. Any number above 200 for us is a full dose regular number. The goal is for your cat to be between 60-120 most of the time, so dropping to 100-150 is not at all alarming. The take action number for us on a human meter is 50. So as you can see 100 is considered pretty safe. I think if you continue to try to work on home testing, you’ll feel safer shooting at our range. Have you read the yellow sticky notes on the Lantus forum about the 2 dosing protocols we use here?
 
Thanks, Jeanne, I appreciate it. I had started a chart and then stopped a few days after the sensor started as I was overwhelmed. I will pick it up again once we have the new sensor. I am sorry that the graph is unreadable, I had hoped that you'd be able to click on it and get it to expand that way, but I guess not.

And thanks for the tips! I have not tried singing and will try that. The treats so far aren't motivating enough -- he like them, but not enough to be persuaded to do this. Unfortunately it is just me and another cat, so I'm on my own figuring it out.
Are you also warming up the ear and aiming for the sweet spot and all? What gauge lancet are you using? At first we recommend 28 or even 26 which make slightly larger holes than a 30
 
. I see all the tolerant laidback cats in the blood testing videos, and that is not my guy when it comes to that!)
Hi Jenny
Don't get disheartened - after all no-one is going to post of video of a Kitty that struggles or turns into demon-kitty at testing time! It's a bit like seeing all those women with perfect model figures glowing skin& perfect hair in the clothes ads - you compare & feel like you fail by comparison - I'm speaking for myself of course - you may match up to that model!
Seriously though those cats are either robots or (more likely) very laid back naturally or have just been tested for a long time and got used to it.
Mac is difficult to test but we are slowly (very) getting there. Don't put yourself under too much pressure you are doing the right thing by trying to get him used to it gradually and have done him proud by getting a sensor in the meantime.
So gold star to you & lots of hugs - you'll get there and find what works for you both over time.
Gill:bighug::bighug::bighug:
 
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You may have noticed we have different dosing guidelines, especially for Lantus which is a gentler long lasting insulin. Any number above 200 for us is a full dose regular number. The goal is for your cat to be between 60-120 most of the time, so dropping to 100-150 is not at all alarming.
Ooh, I am so sorry, I don't think I was clear. I meant that if I shoot 1/4 unit, he drops 150-200 -- so if he starts at 300, he ends up between 100 and 150. If we were to shoot 1/4 when he was at 200 and he dropped that much? I can't do it.
 
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Are you also warming up the ear and aiming for the sweet spot and all? What gauge lancet are you using? At first we recommend 28 or even 26 which make slightly larger holes than a 30
I haven't even been able to get to that point, I am still just trying to get him to let me handle his ears.

I just looked at what I have. I have 33 lancets, which are clearly too fine. I will get 28 or 26. Thank you!
 
Hi Jenny
Don't get disheartened - after all no-one is going to post of video of a Kitty that struggles or turns into demon-kitty at testing time! It's a bit like seeing all those women with perfect model figures glowing skin& perfect hair in the clothes ads - you compare & feel like you fail by comparison - I'm speaking for myself of course - you may match up to that model!
Seriously though those cats are either robots or (more likely) very laid back naturally or have just been tested for a long time and got used to it.
Mac is difficult to test but we are slowly (very) getting there. Don't put yourself under too much pressure you are doing the right thing by trying to get him used to it gradually and have done him proud by getting a sensor in the meantime.
So gold star to you & lots of hugs - you'll get there and find what works for you both over time.
Gill:bighug::bighug::bighug:
Thank you, Gill. I am so glad that you are getting there with Mac, that's encouraging. Hoping that Comet will decide to follow suit.
 
Ooh, I am so sorry, I don't think I was clear. I meant that if I shoot 1/4 unit, he drops 150-200 -- so if he starts at 300, he ends up between 100 and 150. If we were to shoot 1/4 when he was at 200 and he dropped that much? I can't do it.
Trust me I’ve been having the same concerns with Minnie’s drastic drops lately but I don’t think it works quite that way. Anyway, if you’re not up with home testing yet don’t risk it. You’re right about that 100%!
 
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