11/7 BuddyM AMPS 116 | +2 44 | +4.5 70 | +6 81 | +7 92

[Mariette]

https://www.felinediabetes.com/FDMB/threads/1-5-buddym-amps-172-2-96-8-59-dose.241045/

i got 46 at +2. Gave him some HC, which took him up to 54 briefly, but back down to 46 at +3. Will I be able to keep him afloat with food or should we be prepared to take him to the hospital? It's still very early in the cycle.

 

[tiffmaxee]

Feed him some hc with a teaspoon of syrup or honey and test in 20 minutes

 

[Katherine&Ruby]

Hi Mariette, don't panic. Does Buddy seem all right to you? Feed him another small amount, about 1 teaspoon, of HC and test again in 15-20 minutes.

 

[tiffmaxee]

Max was in the 30’s at times and never showed symptoms.

 

[Mariette]

He's sleepy.
I gave 1 tsp HC and 3 MC at +3... He's only up to 50 at about 3.5

 

[tiffmaxee]

Feed hc with honey and test in 20.

 

[tiffmaxee]

He’s really flying down the dosing scale! Did you change his diet after diagnosis?

 

[Mariette]

I gave some gravy with Karo. But I'm worried that this is still early in the cycle. Will I be able to keep him afloat with HC and Karo?

 

[thebigfuzz]

The HC and karo should bring him up, but the karo can wear off quickly, so it is good that you also fed HC too.

 

[thebigfuzz]

You are doing great You have support to help

 

[tiffmaxee]

Yes, you can control this by feeding every 20-30 minutes. The build up of hc and karo might even cause him to go high. Otherwise he will flatten out. It’s just a question of rinse, lather, repeat. Just keep him hungry. Don’t feed a lot at an time.

 

[Mariette]

The HC and karo should bring him up, but the karo can wear off quickly, so it is good that you also fed HC too.

I fed mostly the gravy with the karo. He had a lot of food this morning before the low readings

 

[tiffmaxee]

My first under 40 was 3/4 14. Max went from PMPS 340 to 200 to 40 and was green the rest of the day.

 

[tiffmaxee]

I fed mostly the gravy with the karo. He had a lot of food this morning before the low readings

It only takes the gravy amd karo to bring him up. The carbs are in the gravy.

 

[tiffmaxee]

Doesn’t look like a FS, lol. Reduction earned officially this time! Lol.

 

[Mariette]

53 about 20 -25 after the gravy/karo

 

[tiffmaxee]

Rinse, lather, repeat. Not dropping under 50 so all is good.

 

[Mariette]

Only up to 52 after quite a bit of HC gravy and some Karo. He's not so keen on eating anymore. I don't know if it's because he had too much food this morning. Or if it's possible he doesn't like the Karo? Do some of them not want Karo/honey?

 

[tiffmaxee]

My bet is not hungry. Will he eat hc without Karo? That’s fine too. But yes might not like the taste too.

 

[Hercule's mum]

Hercules does not like honey at all! But if I smear outside his mouth he is obliged to lick (cat rules, don't ask...), so if you really need to, you can try this way?

 

[Mariette]

Thank goodness.. All the HC and whatever karo he got has kicked in. He's 70

 

[thebigfuzz]

Cosmo doesn’t like honey either. But, if he needs it, I smear it on his gums. Sometimes I get lucky and he will eat it with some HC gravy.

 

[tiffmaxee]

Hold off on food and check in an hour.

 

[tiffmaxee]

Would you please add the last bg reading to your title? Thanks.

 

[Mariette]

Thank you guys so much for supporting

 

[Mariette]

82 at +5.25. Uhm, I may have overdone it a bit with the HC

 

[Hercule's mum]

It is always better to overdo than under in these cases. You did well! it is stresful!

 

[Mariette]

It is always better to overdo than under in these cases. You did well! it is stresful!

Super stressful!
His nadir should be coming up around this time so hopefully it gives him enough of a bump to stay afloat. Just scared he's going to crash from all the carbs.

 

[tiffmaxee]

It is always better to overdo than under in these cases. You did well! it is stresful!

I agree. Especially until we know how he reacts.

 

[tiffmaxee]

82 at +5.25. Uhm, I may have overdone it a bit with the HC

He might also bounce from being under 50.

 

[Mariette]

He might also bounce from being under 50.

92 at +7... that might be the bounce you're talking about

 

[tiffmaxee]

Perhaps. Take a break and stop testing until PMPS. If he bounces he will likely continue to rise. I don’t think he will be coming down.

 

[Mariette]

Perhaps. Take a break and stop testing until PMPS. If he bounces he will likely continue to rise. I don’t think he will be coming down.

Thank you for the insight

 

[tiffmaxee]

Just checking to see what you were going to do tonight. I see you skipped. Have a nice night.

 

[Mariette]

I've decided to do a token dose instead. Filled the spreadsheet prematurely.
Not sure what to do really.

 

[tiffmaxee]

Maybe 1.0? I’m glad you will give something.

 

[Mariette]

Thanks Elise. I thought about doing 1 as well, but I don't know what's going on with Buddy. I read they can be quite sensitive to insulin after a near hypo and Buddy was clearly not doing well today. Not just talking about the numbers. He sat huddled and at one point lay with these half lidded eyes. No purring or grooming, no appetite. He was just a little lump from +3 to +8.

Sadly I don't trust that TR would keep Buddy safe. With only being allowed 0.25 unit reductions and no back to back reductions either, he would still have been over 3 units if I only reduced him when was considered appropriate. I really think that it needs more flexibility because it didn't fit for Buddy.

 

[tiffmaxee]

He’s responding really well to Lantus. He would have earned those reductions rapidly I think. He might turn out to be a cat that quickly goes into remission. He’s definitely not a bouncer so far. There’s nothing that says you can’t take back to back reductions. For most cats they aren’t successful. Remember which I know you already know, you hold the syringe.