2/11 MAKI, AMPS 212, PMPS 273, +1 304, +2 201, +3 182, +4 171

Stop insulin and try the food change first. Normally a food trial is done to see if the diabetes can be controlled with a diet change. That has not been done in Maki's case. Not your fault. Vets' solution to diabetes is to feed high carb prescription food and give insulin!

I checked this with @tiffmaxee and considering Maki had a symptomatic hypo 10 days back and is seeing green while eating HC & MC food - even before the Lantus depot has stabilized, we thought it would be safer to go off insulin while you try the food change first and the restart insulin if needed.

Do you think you can get rid off the dry and feed only the FF pate?
 
We will do only FF pate. We can do this. It is for Maki and the best for her so we will make it work.
I had already fed and her and done her 1.5U this morning though. She only had wet food.
 
OK. Since you have shot today, you may need to continue to feed higher carbs. Let's see how this cycle plays out.
Do you have any HC which is not dry? FF gravy?

Watch her closely today. Elise and I will be around to help you.
 
Patricia, I want to add the dosing history of Prozinc to your SS. As well info on the symptomatic hypo. When did Maki start on Prozinc?

Can you add rows above the current Lantus rows and fill in the Prozinc dates and doses? I can do this for you if you give me editing rights to your SS.
 
FrostD said:
If I recall correctly, the vet never mentioned anything. Not sure if tested recently.

I just wasn't sure since she was losing a bit of weight, and stopping insulin "cold turkey".
Click to expand...

The stopping of insulin is only for a week till the food change is done. Normally we would gradually make the food change and adjust the dose as per the numbers- but that involves a lot of testing day and night and it can be a pretty hairy ride for the caregiver. Throw-in a history of a symptomatic hypo on the mix which could mean Maki is extra sensitive to insulin, we chose to be safe.

Below is the link of Simba who went from 3U to nil in a matter of days after a change from prescription food to LC. Lina his caregiver, was able to test night and day and saw some pretty scary numbers. As low as 27.
https://docs.google.com/spreadsheet...rJs4_u_cUBmIdGP1COrsWAOSInfdXkOQAG6hR/pubhtml

We suspect Maki will be diet controlled and will not need insulin.
 
Bandit's Mom said:
The stopping of insulin is only for a week till the food change is done. Normally we would gradually make the food change and adjust the dose as per the numbers- but that involves a lot of testing day and night and it can be a pretty hairy ride for the caregiver. Throw-in a history of a symptomatic hypo on the mix which could mean Maki is extra sensitive to insulin, we chose to be safe.

Below is the link of Simba who went from 3U to nil in a matter of days after a change from prescription food to LC. Lina his caregiver, was able to test night and day and saw some pretty scary numbers. As low as 27.
https://docs.google.com/spreadsheet...rJs4_u_cUBmIdGP1COrsWAOSInfdXkOQAG6hR/pubhtml

We suspect Maki will be diet controlled and will not need insulin.
Click to expand...
Not to derail the thread, but for understanding - when reducing/stopping insulin, are ketones not a worry if (1) no history and (2) the cat maybe doesn't actually need insulin to begin with (such as diet controlled, or vet jumped the gun with a diagnosis)?

There's a few instances like this currently hanging out in FH and the Vetsulin/PZ groups, so I'm curious.
 
Patricia & Maki said:
We will do only FF pate. We can do this. It is for Maki and the best for her so we will make it work.
I had already fed and her and done her 1.5U this morning though. She only had wet food.
Click to expand...

Patricia, did you only feed FF pate this morning? No RC wet or dry? Can you please get a +1.5 and post it here please? I am concerned about Maki diving at onset with only LC on board. Thanks! :-)
 
No history of ketones or DKA, but any attempts at testing have been ..umm..less than successful.
Strips in litter, buried and not peed on.
Strip in stream....bahaha...she runs any time I go near box while she is in it.
Tried the plastic liner instead of litter, she won't go. Gets in rustles around and leaves.
 
Patricia & Maki said:
Sheba pate signature seafood, pate tender whitefish and tuna
Click to expand...

SHEBA - Perfect Portions - Pates are all LC.

Ok. Let's not waste any more time figuring out what HC you have. Could you feed her some more RC wet and test in an hour? We may have no choice but to feed the RC dry again this cycle.
 
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Patricia & Maki said:
I can run to town, there is a grain and hay store that has cat food (limited) but I can go get gravy one? Would take ~45 minutes to drive to town.
Click to expand...

OK. Feed her some of her RC wet now and get some cans of FF Gravy. Let's see were she is when you are back and feed accordingly.

Is that 45 minutes one way? That might be too long between tests. We can add honey or karo to the RC wet food to increase the carb%.
 
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I was trying to fix Maki's SS but I think I did something wrong. Suddenly 2/11 line disappeared. I have tried the Prozinc updates, but pretty obvious I don't know what i am doing. Maki just finsihed eating about 3 minutes ago so testing as of 3+
 
Patricia & Maki said:
I was trying to fix Maki's SS but I think I did something wrong. Suddenly 2/11 line disappeared. I have tried the Prozinc updates, but pretty obvious I don't know what i am doing. Maki just finsihed eating about 3 minutes ago so testing as of 3+
Click to expand...

Will send you a PM for the spreadsheet.
 
so, I can't seem to edit SS at all now. No idea what I did to it.
Should say for today:

2/11 Maki, AMPS 212, 2+ 116, 3+ 84....ate 2 cans of glycobalance wet this morning, normal behavior thus far

As for the Prozinc data entry.
1/4/2021 Prozinc 2U and changed to glycobalance wet and dry per vet.
1/4-1/21 gave 2U prozinc each day morning and night after food. Missed a couple doses during those days...one dose went in me, others on her skin/fur. So probably a mixed blessing and saved her crashing hypo sooner, harder?
1/21 2U prozince then 1600 EST rush to vet in seizures and then went limp.
BGs at vet 50-30-90-33-30, then sent us to Emergency vet for overnight and next day
 
thanks for catching any of the math and timing errors, I so appreciate another set of eyes.

Ok, yes, she finished eating 15 minutes ago or so
I really have tried to update SS, i guess I just don't get what I am doing wrong. Visual learner!
 
ok, just staying with her, in sight of her, seems good right now. I should not be going to town to get food, correct? Too far and long for her to be alone?
Just making sure I understand what I am doing right now. Waiting and doing another BG in 1+, correct?
 
Patricia & Maki said:
ok, just staying with her, in sight of her, seems good right now. I should not be going to town to get food, correct? Too far and long for her to be alone?
Just making sure I understand what I am doing right now. Waiting and doing another BG in 1+, correct?
Click to expand...

Yes. No leaving her. We need to watch her this cycle since we have removed the dry and see how she fares. And yes, test 1 hour from the previous test.
Is she asking for food? Was she free-fed on the RC dry?
 
I have no idea where another not read only copy of the SS, I just don't get that stuff.
If you give me step by step, I will follow, but I am getting overwhelmed looking on my own as I don't know what I am doing.
SOrry. It's just my brain doesn't work all the time like other people's.

Critter Mom helped me start the spreadsheet and then kept telling me things to add.
 
Don't worry about the SS now. I will check with Mogs (Crritter Mom) or set-up a new one for you.

Let's just focus on Maki's numbers this cycle.
 
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