3-8-21 Squeaky! AMPS = 292 +7=199 PMPS=467

Jan D & Squeaky

Member Since 2020
https://felinediabetes.com/FDMB/thr...ead-about-homemade-kibble-100-protein.244285/

What do you get when you cross a chick with an alley cat? A peeping tom.

Squeaky is not doing great. I had to spoon feed him yesterday and today. He didn't play this morning, but did let me chase him for the medicine routine. However, now, after his shot, he is hiding in the closet. @THH & Snowcrash (GA) @Wendy&Neko do you have any thoughts for us?

His last increase was about 7 days ago, can I go ahead and increase him again? @carfurby I know he won't be able to tolerate extra ear pricks today so I'd just like to skip the curve. Anyway we know his numbers are high so why hurt him more.

I'd really like to do a round or two of fluids but I would like someone to come and hold him. I guess I'll have to pay the vet tech to come over.
 
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Hi Jan, I'm so sorry that Squeaky is not doing well. The high numbers are not helping I am sure, but I would not increase unless you are committed to testing a bit more. Those pink numbers might be him bouncing from really low ones but we don't know if you don't test. I know it's hard to see him like this but I think momentary discomfort is better than long term pain. :bighug::bighug:
 
I'm not sure if you should increase. With SLGS you hold the dose if the nadirs are between 90 and 149. I see some numbers in that range over the last seven days. If he's going lower, the higher numbers you are seeing may be bouncing. It really is best if you can get a curve done. I'm sorry he is not feeling well. I hope he feels better soon. Sending prayers. :bighug::bighug:
 
Hi Jan, I'm so sorry that Squeaky is not doing well. The high numbers are not helping I am sure, but I would not increase unless you are committed to testing a bit more. Those pink numbers might be him bouncing from really low ones but we don't know if you don't test. I know it's hard to see him like this but I think momentary discomfort is better than long term pain. :bighug::bighug:
I'm not sure if you should increase. With SLGS you hold the dose if the nadirs are between 90 and 149. I see some numbers in that range over the last seven days. If he's going lower, the higher numbers you are seeing may be bouncing. It really is best if you can get a curve done. I'm sorry he is not feeling well. I hope he feels better soon. Sending prayers. :bighug::bighug:

Thanks you two. Well I am having a really hard time understanding how this works, and I do know that Squeaky does very poorly any time I have to poke him, especially he doesn't eat after testing and before his shot. He gets neurotic if I keep testing him. I think maybe what I really need is someone to come over and explain to me how this whole thing works, because I don't understand it, and if I keep testing him and he stops trusting me and gets more and more neurotic, despite how much love and affection I give him, I'm not at all sure this is going to work. So I'm totally confused and dismayed, and upset. And I'm trying to figure out how to do this without testing him all the time. Because, he can't stand it. Not sure what to do here.
 
Thanks you two. Well I am having a really hard time understanding how this works, and I do know that Squeaky does very poorly any time I have to poke him, especially he doesn't eat after testing and before his shot. He gets neurotic if I keep testing him. I think maybe what I really need is someone to come over and explain to me how this whole thing works, because I don't understand it, and if I keep testing him and he stops trusting me and gets more and more neurotic, despite how much love and affection I give him, I'm not at all sure this is going to work. So I'm totally confused and dismayed, and upset. And I'm trying to figure out how to do this without testing him all the time. Because, he can't stand it. Not sure what to do here.

I hear your frustration. I was very frustrated and worried about hurting Ruby and our bond. I realized though that I was doing it all wrong! I got a lancing device and it made testing fast and easy to the point where Ruby comes to me when it's time and sits and purrs while she waits for it. She gets a little impatient if I take too long or have to take more than one jab to get enough blood, but testing has become a huge bonding experience for us, and I think this could happen for you and Squeaky too. I even pricked my civvie Olive's ear and she loved having the warm sock rubbed on her ears and head.

I think 99% of it is the attitude YOU bring to the interaction. If you're upset about having to do it to him, he will feel it and take on your energy.

If you're on the Feline Diabetes Facebook group, perhaps you could ask if there's someone in the Boulder area who can come to show you another pricking technique perhaps that you haven't thought of that might be less stressful for you and Squeaks?
 
I'm so sorry Squeaky is so hard to deal with for testing. The idea is to adjust the dose based on nadirs. When they bounce it makes it look like they are staying in high numbers, but this is not always the case. It is ideal if you can find a way to test Squeaky and see how low the dose is taking him. Furball is a good example of a bouncy kitty. When I'm at work all I can get during the day is the PS numbers. It looks like she stays high all day. However, when I'm home I can see she is getting to lower numbers and the PS numbers are bounces. Eventually you get a number that is below 90 and you'll earn a reduction. I hope you can figure out a way to get Squeaky to go along with testing easier. Maybe try giving him some of the new kibble treats after each test along with loving. Furball was difficult to test when she was first diagnosed. Eventually she realized she was going to get loving at each test and a small treat and got used to it. :bighug::bighug::bighug:
 
I hear your frustration. I was very frustrated and worried about hurting Ruby and our bond. I realized though that I was doing it all wrong! I got a lancing device and it made testing fast and easy to the point where Ruby comes to me when it's time and sits and purrs while she waits for it. She gets a little impatient if I take too long or have to take more than one jab to get enough blood, but testing has become a huge bonding experience for us, and I think this could happen for you and Squeaky too. I even pricked my civvie Olive's ear and she loved having the warm sock rubbed on her ears and head.

I think 99% of it is the attitude YOU bring to the interaction. If you're upset about having to do it to him, he will feel it and take on your energy.

If you're on the Feline Diabetes Facebook group, perhaps you could ask if there's someone in the Boulder area who can come to show you another pricking technique perhaps that you haven't thought of that might be less stressful for you and Squeaks?
I think fluid therapy could be helpful. It sounds like his pancreatitis could be flaring again? If so, fluids could be the missing treatment piece he needs to start feeling better.
agree 100% with katherine on the frustration and the techniques pointers.


one (silly?) thing that we started doing was thinking of them not as pokes, but as vampire kisses.
:kiss::kiss::kiss:
:cat::cat::cat:
I'm so sorry Squeaky is so hard to deal with for testing. The idea is to adjust the dose based on nadirs. When they bounce it makes it look like they are staying in high numbers, but this is not always the case. It is ideal if you can find a way to test Squeaky and see how low the dose is taking him. Furball is a good example of a bouncy kitty. When I'm at work all I can get during the day is the PS numbers. It looks like she stays high all day. However, when I'm home I can see she is getting to lower numbers and the PS numbers are bounces. Eventually you get a number that is below 90 and you'll earn a reduction. I hope you can figure out a way to get Squeaky to go along with testing easier. Maybe try giving him some of the new kibble treats after each test along with loving. Furball was difficult to test when she was first diagnosed. Eventually she realized she was going to get loving at each test and a small treat and got used to it. :bighug::bighug::bighug:

Thanks you thank you thank you everyone, I so appreciate your answers. They make me feel cared for. I was so frustrated this afternoon, I texted the gal who came over and showed us how to do the ear pricks many months ago. (it helped, we are successful at ear pricks) She is out of town and can come over in 2 weeks when she is back. I think she can look over what we're doing and answer my questions. There is something about this process that I don't understand.

I hear what you are saying about the energy, and I think I am doing well with the ear pricks. And we are doing well because Squeaky is also making an effort. But if I do more than 4 BG a day, plus 2 shots, he gets upset about it. Tries to hide in the litter box, runs away if I just look at him.

Used to be when we only had the inhaler to do, I'd get that lovely reaction -- it was our bonding time, and he would run to me for it, purr and fun for both. The diabetes is different. The inhaler doesn't hurt him. But now.... He doesn't feel well a lot. Now he has inhaler, ear prick, force a pill, put oral fluid (buprenorphine, he told the animal communicator it hurts his mouth), and THEN a shot. You know, can you blame him for not liking this? But he is strong and brave, he has learned how to swallow the pills, tolerate the ear prick, deal with the mouth hurting, and put up with the shot. I gotta hand it to him for being such a cooperator. But if I do too much of this, he gets neurotic about it, hiding in his litter box, running away. Can you blame him?

Hey, before the whole routine, I pick him up, walk him around the house and show him things in the kitchen and through the windows. He gets to smell whatever is in the kitchen. He gets a full body massage before each ear prick (he loves it). Also I "tenderize" him before the pilling, very tenderly stroking his face. Homemade beef jerky kibble after the medicines and after the insulin shot. It's not bad! He just gets very unhappy if more than 4 BG/2 shots per day.

I also think he needs fluids. I need someone to help me with it. I emailed the vet tech, no answer today and if she comes over will probably cost me $50 to have her come over and coach me and hold him. Heather could help but she won't be here for 2 weeks. What's a mom to do? Except feel frustrated.... if Squeaky's picking up frustration this is it. @THH & Snowcrash (GA), would you kindly remind me of the protocol.... how much, how many times? Seems to me you recommended giving him fluids 3 times. I do think he is dehydrated now.

When his BG #s are high, like tonight, he was very playful and happy. Most of the time when they are lower, he's not so interested in play. I get that the high numbers give him energy but would like to see him happy in the normal range.

Well good night everyone. With a 467 I'm going to sleep through the night.
 
I usually do fluids about 100-150mL once daily until the cat isn't dehydrated, though some cats may need to get them longer.

There is risk with fluid therapy if the cat has a cardiac issue, so sometimes people start at 50mL.
 
I usually do fluids about 100-150mL once daily until the cat isn't dehydrated, though some cats may need to get them longer.

There is risk with fluid therapy if the cat has a cardiac issue, so sometimes people start at 50mL.

Thanks so much THH. I have thought of someone who can come and help me administer the fluids. I have a bag that expired October 2020. I trust that expired Ringers can't be used?
 
I also think it’s a pancreatitis flare. When I had a difficult cat a vet nurse came and helped with fluids. With Covid I don’t know if that’s possible. With my next cat a nurse came once and showed me the best place and her way to administer fluids and my neighbor watched too and helped me until I could do it solo.
 
I also think it’s a pancreatitis flare. When I had a difficult cat a vet nurse came and helped with fluids. With Covid I don’t know if that’s possible. With my next cat a nurse came once and showed me the best place and her way to administer fluids and my neighbor watched too and helped me until I could do it solo.

Hi Elise, thanks for your comment. Yes the vet tech could come I'm sure. I need a refresher on how to do it. I have found someone who might be able to come hold Squeaky. Good to hear your confirmation of what is probably happening. Nice to hear from you I hope you're doing great.
 
I think fluid therapy could be helpful. It sounds like his pancreatitis could be flaring again? If so, fluids could be the missing treatment piece he needs to start feeling better.

Hi THH, The vet nurse is coming over Thursday to review fluids with me. Is there anything else I need to be doing to help Squeaky? Do you know what is the max. amount of buprenorphine a cat can have in a day? He's also getting cerenia and budesonide. And I switched him completely off the offending food. Thanks in advance.
 
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