June 7th, newbie - stressed

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A Lantus (and Levemir) pen contains 3ml which is 300, 1ml doses.
Not sure what kind of pen you are using but my Lantus SoloStar pen has 100 units in it. It's right on the label so I don't have to guess. :-)
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p.s. I am so impressed with myself that I actually got the picture to show up in the post! lol
 

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I will keep trying and feel better knowing other people have had similar struggles. I just hate not being able to do all the things he needs me to do to help him in managing his illness. He's being such a trooper.

I'm grateful too to know that other people have had difficulty with the testing. Clawdius was doing well with the ear massage practice and I thought we were going to be ok but he has apparently decided that he doesn't want that now and keeps flicking his ears. I don't think I'll have time to get the lancet in and get a drop before he flicks it off. I got the stuff to make a rice bag so will see if he will accept that. Let me know how it goes with your baby. I got some of those freeze dried chicken treats others have suggested. My goodness what do they put in those? It's like cat crack! I had to take them out of the package and put them in a glass jar in the hopes that they couldn't smell them in there. No luck. I caught both of them trying to paw their way into the jar! I'm going to give them only after testing in the hopes that will help him cooperate. Clawdie has been so good for the insulin shots and the testing looked so easy when the vet tech did it that it never occurred to me that we would have a problem. Silly me. You'd think I'd know by now not to assume anything with cats. Sigh. Are you doing random testing to get him used to the routine before trying a full glucose curve? That's what I'm thinking but would like advice.
 
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What size lancets are you using. Size 26 or 28 gauge is best in the beginning.
Don’t give up….I couldn’t get any blood in the beginning either………you will be successful…..some cats just take a bit longer than others.
Are you letting him eat a treat as you are testing?
I’ve read most of the thread but I couldn’t see how many times a day you are feeding your boy.
 
Not sure what kind of pen you are using but my Lantus SoloStar pen has 100 units in it. It's right on the label so I don't have to guess.
The 100 is NOY the number of units in the pen, it is the concentration which is 100 units/ml. The lower right of your image says 3 ml which is the number of ml in the pen. So 3 ml of 100 units/ml insulin means there are 300 units in the pen.
 
The 100 is NOY the number of units in the pen, it is the concentration which is 100 units/ml. The lower right of your image says 3 ml which is the number of ml in the pen. So 3 ml of 100 units/ml insulin means there are 300 units in the pen.
Wow! That makes even more sense then that the dose is just a couple of drops. Thanks for setting me straight. I wish the vet clinic or the pharmacist would have explained this. I'm so grateful for the information I've gotten here. I'm seriously thinking of putting together a package for the vet clinic to give out to people with newly diagnosed sugarbabies. In it would be all the stuff I've learned here that I wasn't told. I'm a teacher so it would be just like making a teaching unit. I know I would have loved having something like that for myself and it would have alleviated some of the panic. I love my vet tech and she's a big help but I think she's forgotten what it's like to be new to all this.
 
What size lancets are you using. Size 26 or 28 gauge is best in the beginning.
Don’t give up….I couldn’t get any blood in the beginning either………you will be successful…..some cats just take a bit longer than others.
Are you letting him eat a treat as you are testing?
I’ve read most of the thread but I couldn’t see how many times a day you are feeding your boy.
Not sure if this is meant for me but I have to ask, how do you test while they're eating a treat? Clawdius gobbles it down and immediately looks around for more. I don't think I could do the test quick enough but I will give it a try today.
 
Not sure if this is meant for me but I have to ask, how do you test while they're eating a treat? Clawdius gobbles it down and immediately looks around for more. I don't think I could do the test quick enough but I will give it a try today.
It was meant for @Acadaca but if it helps you too that is great.
Don’t put the treat down until you are completely ready to test. Get everything ready first, then put down the treat and do the test. I used to give Sheba some home made chicken stock to lap up while I tested.
 
I used to give Sheba some home made chicken stock to lap up while I tested.
That is a great idea. I just assumed the treats would be like the freeze dried chicken ones and Clawdie gobbles them up and immediately looks for more. I never thought of something liquid. The friskies pates often have a lot of juice in the can, do you think that would be enough?
 
I'm grateful too to know that other people have had difficulty with the testing. Clawdius was doing well with the ear massage practice and I thought we were going to be ok but he has apparently decided that he doesn't want that now and keeps flicking his ears. I don't think I'll have time to get the lancet in and get a drop before he flicks it off. I got the stuff to make a rice bag so will see if he will accept that. Let me know how it goes with your baby. I got some of those freeze dried chicken treats others have suggested. My goodness what do they put in those? It's like cat crack! I had to take them out of the package and put them in a glass jar in the hopes that they couldn't smell them in there. No luck. I caught both of them trying to paw their way into the jar! I'm going to give them only after testing in the hopes that will help him cooperate. Clawdie has been so good for the insulin shots and the testing looked so easy when the vet tech did it that it never occurred to me that we would have a problem. Silly me. You'd think I'd know by now not to assume anything with cats. Sigh. Are you doing random testing to get him used to the routine before trying a full glucose curve? That's what I'm thinking but would like advice.

I am random testing to try and get us both used to it as much as possible in preparation for the curve. I'm still not doing great. He loves the treats, but just refuses to keep his head still. This morning I got a perfect blood bead, but it ended up all over the place before I could get it. The more I try and gently hold his head in place the unhappier and squirmier he gets. I tried doing it while he was getting a grumbled treat on the floor, but he attacks those with such gusto that his head moves all over the place. Ideally I want to be testing before each shot and at least one random time throughout the day. Currently that is not happening, but I am still trying at least three times a day and usually more. I limit it to three poke attempts at a time right now.
I'm going to give them only after testing in the hopes that will help him cooperate

That is my new approach as of today. We'll see what happens. Let me know if you have success. Thankfully he also takes his insulin well so I don't have to worry about that part as well.

What size lancets are you using. Size 26 or 28 gauge is best in the beginning.

I couldn't find 26 so I am using 28.

Don’t give up….I couldn’t get any blood in the beginning either………you will be successful…..some cats just take a bit longer than others.
Are you letting him eat a treat as you are testing?
I’ve read most of the thread but I couldn’t see how many times a day you are feeding your boy.

Thank you. I'm not giving up, I'm just worried we won't get it sorted in time. It doesn't help that he is less chill than before. I tried to get him while he was sleepy, but he goes from 0-100 pretty fast.

He gets lots of little meals throughout the day and two big ones before insulin. Typewriter is too much of a grazer to stick to two meals and I haven't been feeding them separately.

I wish I knew what was causing him to flick his head around before he was diagnosed. It was a newly developed habit that would occur after getting head and ear scratches (which he loves) and I did bring it up to the vet. He cleaned his ears, but didn't offer any further advice. It's just not great to have that on top of trying to keep his little head still. I feel like his ears are stating to look roughed up, but I still don't think it hurts him. He's just annoyed.

Don’t put the treat down until you are completely ready to test. Get everything ready first, then put down the treat and do the test. I used to give Sheba some home made chicken stock to lap up while I tested.

I put it down just after the jab, but before trying to get the glucometer to his ear. I don't know that he'll respond to my attempt to withhold until after the test, but I figure it it's worth a try. Stock is a good idea. I want to try and be consistent, but also figure I need to explore different ways until something sticks. It's just so much more frustrating that I seem to be having more problems as time goes on.

I hear you. I don't think I'm that bad a singer but when I do it Clawdius comes from anywhere in the house and stares at me with a very concerned look on his face. It's a little insulting to be honest.

Haha. I love it.

Thank you everyone. I had a dream about the forum and it just reiterated how helpful it is to have a place to get wisdom, encouragement, and support.
 
As for holidays and weekends away, it will be doable. My current pet sitter does insulin shots and you can often find a vet tech or assistant at the clinic who is willing to help for a fee. Autofeeders are also a great help on the feeding side of things. I got my Petsafe 5 at Petsmart on sale.

When you use this pet feeder do you find any issues with having wet food without ice packs in it throughout the day?

I think I have done my signature and a spreadsheet. If someone could let me know if there are any problems I would greatly appreciate it. I know the information is sparse, but I'm still struggling with the testing.

Also, I did notice that in the FAQ the strips that are mentioned for the AccuChek Advantage says only the Comfort Curve strips. Is there a reason for me to worry about using the strips I have? I don't know what kind they are as they came bundled with the meter when it was given to me. I only know that they aren't expired.

I know I don't have a lot of entries, but how concerned should I be about how much his numbers bounce around and how high they are?

Thank you kindly!
 
Well done getting the SS up and running. If you can try and get the Preshot BGs. Also a before bed test is very good if you can. I know you are still learning to test.
Signature looks great!

with the feeder and no ice packs. I think it depends how hot it is where you live.

don’t know about the test strips sorry. One should use the ones that go with the meter though for accuracy.
 
When you use this pet feeder do you find any issues with having wet food without ice packs in it throughout the day?

You can also make "food-sicles" by adding water to canned food and freezing it in ice cube trays. Put the frozen nuggets into the feeder and by the time it opens, it should be melted.

Some people also just put an ice cube on top of the food. It helps keep the food cooler as well as adding the extra water we like to have them get.
 
I know I don't have a lot of entries, but how concerned should I be about how much his numbers bounce around and how high they are?
You are getting some good mid-cycle tests in! You will often read here that we talk about the "before bed" test. This is around +2 PMPS. It is useful because it can be a helpful predictor for if FCC will be having an extra active cycle where he drops low, so then you will know if you need to stay up or can sleep soundly. It is also good to get some tests in at night (like if you wake up in the middle of the night). I don't know about FCC, but cats are often more active at night and will have lower values than their day cycles.

His numbers aren't really bouncing around. Glucometer results have a variance from the 'actual' blood sugar (I think around +/-20%?), so you don't need to worry as much about the exact values and how they differ. Instead, you can focus on the trends.

You are right that his values are high. Looks like the insulin is starting to work though as it is bringing him down to the yellow range! This is the first step.

Following SLGS, looks like his nadirs are above 8.3 mmol/L so you can consider a dose increase of 0.25 units, but I would recommend you:
* Prioritize getting AMPS/PMPS each day. Start the test process early on so that you have more time to get some blood out.
* Get some more tests in the +4 to +7 range. Each cat will have its nadir at a different time. You want to know the time that FCC hits his lowest value of the day. He might be dropping lower than he did at +3 today!

Have you tried using the syringes yet? The pen won't be able to handle the 0.25 unit increase
 
You should use the test strips that should be used for the meter you are using :cat:
I was looking up that meter and it says the advantage meter is discontinued, in case you can't get the test strips for it anymore , just wanted to let you know .. I even looked up the comfort curve test strips and most places said unavailable.
Someone gave it to you?
Just a heads up if you will need to buy another meter :cat:
 
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Well done getting the SS up and running. If you can try and get the Preshot BGs. Also a before bed test is very good if you can. I know you are still learning to test.
Signature looks great!

with the feeder and no ice packs. I think it depends how hot it is where you live.

don’t know about the test strips sorry. One should use the ones that go with the meter though for accuracy.

Thanks for the encouragement! Testing is finally getting a little easier. I am not always successful and I do worry his ears are going to get irritated with the amount of attempts I am making.

You can also make "food-sicles" by adding water to canned food and freezing it in ice cube trays. Put the frozen nuggets into the feeder and by the time it opens, it should be melted.

Some people also just put an ice cube on top of the food. It helps keep the food cooler as well as adding the extra water we like to have them get.

I think I might try putting some ice or some frozen food out while I am home to see if they will eat it later in the day. Hopefully that will give me a better indication of what to do.

You are getting some good mid-cycle tests in! You will often read here that we talk about the "before bed" test. This is around +2 PMPS. It is useful because it can be a helpful predictor for if FCC will be having an extra active cycle where he drops low, so then you will know if you need to stay up or can sleep soundly. It is also good to get some tests in at night (like if you wake up in the middle of the night). I don't know about FCC, but cats are often more active at night and will have lower values than their day cycles.

His numbers aren't really bouncing around. Glucometer results have a variance from the 'actual' blood sugar (I think around +/-20%?), so you don't need to worry as much about the exact values and how they differ. Instead, you can focus on the trends.

You are right that his values are high. Looks like the insulin is starting to work though as it is bringing him down to the yellow range! This is the first step.

Following SLGS, looks like his nadirs are above 8.3 mmol/L so you can consider a dose increase of 0.25 units, but I would recommend you:
* Prioritize getting AMPS/PMPS each day. Start the test process early on so that you have more time to get some blood out.
* Get some more tests in the +4 to +7 range. Each cat will have its nadir at a different time. You want to know the time that FCC hits his lowest value of the day. He might be dropping lower than he did at +3 today!

Have you tried using the syringes yet? The pen won't be able to handle the 0.25 unit increa

I am glad that his numbers aren't doing what it feels like they're doing. I know I'm just worried about him and that I don't really have a grasp on how it all works yet. Thank you for the time suggestions. I will try and get some of those in. I made sure to stay up tonight to get the +2 PMPS. He is a pretty lazy cat overall so I don't know that he's too active at night. He usually stays downstairs because Typewriter rules the roost and terrorizes him sometimes if he comes up at bedtime (I feel terrible about this and have often tried to make adjustments). Whenever I go downstairs at night he is fast asleep in his chair. I wonder if all his energy is taken up watching his back. Poor FCC. I am happy to get more data before increasing his insulin. I just want to do what is best for him. Tomorrow I will attempt to get him at different hours. Sorry, I have tired brain so I hope I'm still mostly making sense.

We have moved to syringes, but I haven't taken over that duty yet. I do all the ear pricking. I know I should start doing the insulin as well, but right now it feels more doable if the tasks are split. I don't know how to make such a minuscule draw because I can't imagine breaking those lines down to 1.25, but maybe I should start using a practice syringe with water so I can get a hang of making sure I have the right amount.

I am really grateful for the guidance and appreciate all the experience and knowledge I don't have yet. I have no idea when the best time to change his dose is myself and I would be lost without this help.

You should use the test strips that should be used for the meter you are using :cat:
I was looking up that meter and it says the advantage meter is discontinued, in case you can't get the test strips for it anymore , just wanted to let you know .. I even looked up the comfort curve test strips and most places said unavailable.
Someone gave it to you?
Just a heads up if you will need to buy another meter :cat:

I am using the strips that came with the meter, but it was generously donated so I hadn't checked to see if they were still available. Luckily I have quite a few strips and they aren't expired so I hope they last for this first little bit. I will order the Bravo meter mentioned on here when I need to, but I guess if the strips for this meter are discontinued it doesn't make for a very good backup device. That's a heads up that is greatly appreciated.
 
I will order the Bravo meter mentioned on here when I need to
Just checking to make sure that you know about this site. It looks like a decent price. Wish I'd seen it before I went to Walmart. Oh well, live and learn.

https://diabetesexpress.ca/products/bravo-meter
FREE* BRAVO METER
k
$39.99
SKU: BRAV-001
Select Your Product FREE Bravo Meter + 100 Bravo Test Strips Bravo Meter Only
FREE Bravo Meter + 100 Bravo Test Strips - $39.99 CAD Bravo Meter Only - $29.99 CAD
 
Just checking to make sure that you know about this site. It looks like a decent price. Wish I'd seen it before I went to Walmart. Oh well, live and learn

Thank you. Someone kindly sent me that way earlier. I figured I might as well wait until my other strips are getting low, but does anyone have a rough estimate for how long the strips are good for? The ones I received are okay into November I believe, but I have no idea when they were purchased.

Also, I don't know if anyone has suggestions about my starving cats. We feed them in the middle of the night (going to get an autofeeder) and then a tiny bit very early in the morning. I get up and take their food away soon after that. The way things are set up here FCC needs to get his injection at 10 because we can't be back earlier than that some nights. When I get up and am moving about they act like they haven't been fed in days and I feel terrible about not doling out food. I interpret it as they expect breakfast when I wake up and I am depriving them.
 
If you are going with the Bravo meter, you will need to always have 200-300 (or more) strips on hand because you have to order the strips online and cannot get them at pharmacies. During a low numbers event you will go through more strips than you can imagine.
 
When I get up and am moving about they act like they haven't been fed in days and I feel terrible about not doling out food.
I get the same thing but then I did when there was dry food down all the time too. Now about half an hour before each feeding time (which they know as breakfast no matter when it is served) I have two very good friends who follow me everywhere and generally end up sitting tight beside me, front feet on my chest and faces staring unblinkingly as close to my face as possible. I also get the bedroom eyes, you know, the slow half blink when they're trying real hard to look cute? And don't forget the pitiful little chirps that say they don't really have the strength for a full meow. I try to stay strong and keep them on schedule but sometimes it's darn hard to resist them!
 
We have moved to syringes, but I haven't taken over that duty yet. I do all the ear pricking. I know I should start doing the insulin as well, but right now it feels more doable if the tasks are split. I don't know how to make such a minuscule draw because I can't imagine breaking those lines down to 1.25, but maybe I should start using a practice syringe with water so I can get a hang of making sure I have the right amount.
When you first start out, it is actually good for just one person in the home to give the insulin shot. This prevents accidental double-doses and means the doses measured out will be relatively the same. When you get more settled in, you could fill up a syringe with food colouring so that both you and your partner can measure out a similar dose. Then compare the food colouring one to your dose each time. Don't feel too scared about getting the "exact" dose each time. There will always be some air bubbles, measuring differences, and also the syringe markings themselves can vary between syringe batches! Just try to get it as close as you can reasonably and then go from there.

I am really grateful for the guidance and appreciate all the experience and knowledge I don't have yet. I have no idea when the best time to change his dose is myself and I would be lost without this help.
Just keep referring to the SLGS stickied post. I think I read it most weeks in the first 6 months of Dixie's diagnosis! There is no need to memorize it.

I figured I might as well wait until my other strips are getting low, but does anyone have a rough estimate for how long the strips are good for? The ones I received are okay into November I believe, but I have no idea when they were purchased.
If you received them in closed containers then I would think they would be good until the listed expiry date. After that, we can't really say. Since you are starting out, I think you should avoid experimenting with expired strips for now.

I buy 5 boxes of the Microlet 28G lancets, 4 boxes of Bravo test strips (400), and 1 box of BD alcohol swabs for $203.17 CAD + free shipping at DiabetesExpress, and the strips expired 14 months later. I honestly never have to worry about expiry dates on newly purchased ones because I go through them reasonably fast even with <4 tests a day.

Also, I don't know if anyone has suggestions about my starving cats. We feed them in the middle of the night (going to get an autofeeder) and then a tiny bit very early in the morning. I get up and take their food away soon after that. The way things are set up here FCC needs to get his injection at 10 because we can't be back earlier than that some nights.
Unregulated diabetic cats can be ravenously hungry :D. When I first got Dixie and didn't know that she was diabetic yet, I left dry food out and she gobbled down 340 calories of dry food, drank over half a litre of water, and wanted more!

When I switched to set feeding times, it also took a while to get her used to it. I think the multiple mini meals throughout the day was the best switch though. She doesn't beg for food anymore and waits for the feeder to turn instead.

When I get up and am moving about they act like they haven't been fed in days and I feel terrible about not doling out food. I interpret it as they expect breakfast when I wake up and I am depriving them.
Try to think of this as a good thing. They are currently trained that if you wake up, then they know they will get fed. So that means that they can be trained! What you want to do it switch FCC's routine so that he knows that if you test him, then he gets fed. That will make him MUCH more likely to put up with testing. Be consistent each time you test him. Always give him a treat no matter how poorly the test goes. And don't give in and feed them when you get up. Keep very consistent and after a few weeks, you might notice that they get used to the new routine. Avoid giving out treats unless you are training them to do behaviours you want (I used to be bad at doing this!)

Switching Dixie's routine to test/feed has been so powerful that sometimes I will test her just to encourage her to eat! After her test she will go straight to her food bowl. I always thought dogs were the ones that could be trained, but cats are pretty darn clever.

Remember, avoid thinking that you are "depriving" him of food. You got the calorie number from the vet and you measure out the food. You are the one in control, not FCC! And don't worry about his ears being "irritated". You really don't know how he feels. You are in the learning stages and things will get better. You need to get the BG data to properly and safely control his diabetes.

Luckily I have quite a few strips and they aren't expired so I hope they last for this first little bit. I will order the Bravo meter mentioned on here when I need to, but I guess if the strips for this meter are discontinued it doesn't make for a very good backup device.
As Red said, make sure you have a backup of 200-300 strips for hypo events. You don't want to wait till you are on your last bottle before getting new strips.
 
When you get more settled in, you could fill up a syringe with food colouring so that both you and your partner can measure out a similar dose

That's a great idea. I want to focus on establishing a schedule and stressing out FCC as little as possible. I figure if we each do one of the jobs then we're all less stressed out. FCC doesn't really want two people hovering over him while I'm poking his ears. He wasn't noticing the syringe injections at all to begin with, but how he always seems to turn back when the needle goes in. Hopefully it's not hurting.

Just keep referring to the SLGS stickied post. I think I read it most weeks in the first 6 months of Dixie's diagnosis! There is no need to memorize it.

It is helpful to have so much information stickied. I read it often and then try and read other things bit by bit so that hopefully more of it stays lodged in my brain.

Avoid giving out treats unless you are training them to do behaviours you want (I used to be bad at doing this!)

I have been doing this with FCC and sneaking typewriter a few on the sly because all she sees is attention being lavished on her nemesis and a change in food and feeding. She's so much older than him too so I imagine change is harder, but of course there's no way to tell.

Does anyone have any suggestions or opinions about getting the one super low carbohydrate dry food and using it to do a bit of a hunt around the living room? Typewriter loves this game and I can't do it without FCC getting somewhat involved. He is now getting only freeze dried chicken which he seems to like, but the old gal is less impressed.
Remember, avoid thinking that you are "depriving" him of food. You got the calorie number from the vet and you measure out the food. You are the one in control, not FCC! And don't worry about his ears being "irritated". You really don't know how he feels. You are in the learning stages and things will get better. You need to get the BG data to properly and safely control his diabetes

All useful to remember. I know in the end this is all in the name of getting him healthy.

I will definitely make sure I have a backup and I think I will try and get a more current monitor at the drugstore when these strips run out. It just makes sense to have something where I can get strips fast if necessary.

If you go away and leave your cat to either be boarded or checked on twice a day has anyone skipped the blood monitoring for this time? I know for sure of a place that will do insulin and also a service that will come twice a day for injections and food. I also think it's possible for me to convince my neighbours to do the injections, but highly unlikely they would agree to do the monitoring. I would never want to put him in danger though. Obviously this wouldn't be happening until after we have established what his insulin dose should be.

Thank you!
 
He wasn't noticing the syringe injections at all to begin with, but how he always seems to turn back when the needle goes in.
Clawdius has started to do this too but I'm sure I'm not doing anything different. I would be interested to know if this is common and whether it will pass?
 
Thank you for sharing your experience and support. I will keep trying and feel better knowing other people have had similar struggles. I just hate not being able to do all the things he needs me to do to help him in managing his illness. He's being such a trooper.

He's very chill, but his favourite place is to be curled up in a good which is generally not optimal for testing because he squishes himself in and startles at a touch. I will try running him around first, he does like his laser pointer. Thank you.



I appreciate all of your advice. Using the flashlight as a one time measure is a smart way to go about it and not something I had thought about. I will definitely try this although I will spare us both from being subjected to my humming. Relaxing music is a great idea though.

Almost time to try again.
How is the testing coming? Did you get the hang of it? I use the ReliOn Premier Classic meter because it takes so little blood to get a reading. And it is such a hot summer here, I have never had to massage ears or create a rice bag. I got results immediately using the lancing device with the alternate clear top where I can SEE that I am hitting the sweet spot. I have it set on the most shallow setting so as not to go too deep or through the ear. The device gives me control. I shoot, continue to hold the ear between my fingers (because when Sister feels the blood, she will shake and it will go flying somewhere), and watch the small bead of red appear. Oh, Sister is used to squeezing in beside me on the left when I am in my recliner. So that is where I test. She is held firmly between my thigh and the chair arm. It allows me better control of her as well. She faces forward, like me, and both ears are accessible to me. I sure hope you are having better luck. I cannot believe mine.
 
How is the testing coming

It's getting better, thank you for asking. I'm also getting hardened and meaner so I'll stick him one or two times more than I could bear at the beginning. He definitely enjoys his post-mauling treat. Every once in a while he does a headshake and sends blood everywhere, but at least he's bleeding! I'm relieved that I'm able to get these numbers into the spreadsheet. I was so sure I was going to have to end up getting the vet to do it. I still have a couple failures and hopefully there will come a time when I won't have to do it as often. A clear top makes so much sense, but I've gotten used to the blind jab so hopefully that will keep working. I'm so glad you're having success. It definitely feels like a big hurdle.
 
The only low carb dry food in Canada is Dr Elsey's Clean Protein.
A kibble ball for cats might work. Saves having kibble all over your living room.

You can scrape the blood off his ear onto your (clean) fingernail and test from that.

Every morning, put two syringes in a mug on the counter – less chance FCC will get double dosed if two people shooting. If one syringe is gone, then FCC has had his morning shot.
 
A kibble ball for cats might work. Saves having kibble all over your living room.

That's a good idea. I still haven't decided what to do because I really don't want FCC to eat any. Two cats complicates things. At least it does when one is finicky. I haven't figured out how to do ketone strips either because there's no way to tell which one peed.
 
I keep reading and re-reading the dosing methods. Do cats have a better chance of hitting remission with TR? Does it matter how high his numbers are to start?
 
I haven't figured out how to do ketone strips either because there's no way to tell which one peed.
I have been looking into getting a blood ketone testing meter because I have the same problem. If I try to lock Clawdie up until he pees then there is loud yowing and clawing at the door from both of them until I let him out. I think they each believe the other is getting something special they need to know about. I wouldn't care at home but this is my dad's house. They even make some meters that test both glucose and ketones (different strips for each) but all that I've found so far are pretty pricey or don't ship to Canada. I'll be talking to some of the drugstores and Walmart in the area tomorrow and see what I can get. My brother gets his 20% off Walmart employee discount day this Friday so I'm hoping I can get something reasonable there.

I got results immediately using the lancing device with the alternate clear top where I can SEE that I am hitting the sweet spot.

I read about this clear top in my owners manual, it's for taking blood on the palm of the hand. I never thought of using it to test Clawdius so I'll have to check and make sure I got one with the kit. Thanks for the tip, I'm going to try that. He let me handle his ears and didn't even flick one of them so I think we're ready to try a reading. This has been hard on me because I am needle phobic but I guess we can get used to anything when it's for our sugarbabies!
 
Darn it, I know I saw one of those clear caps but I think in my organizing frenzy I threw it away. I figured I'd never use it and I'm trying to be a good example for my brother and dad. They never throw anything out. When I first came to look after dad I started looking through his bathroom cabinets to clean and organize them and found FIVE old broken shavers carefully put away! May I should just be keeping everything kitty diabetes related until I look through these posts and see if I can use it. :-P
 
We are supposed to go learn how to give injections, but I am not confident that either of us will understand well enough to pass it on.
When I needed to learn this I asked the vet tech if I could video tape her instructions so I wouldn't forget anything and so my partner would be able to see too. It was really helpful and we watched it several times before doing things ourselves.
 
I have all the thoughts of never being able to go away for the weekend again because of an insulin/feeding schedule to never being able to go away again because I won't be able to afford it.
I thought the same thing. We just factored in the cost of boarding or pet sitting into the vacation. It's just one of the expenses, like a hotel or dinner bills.


You are doing an awesome job and your cat is lucky to have you. Remember it is not a death sentence and they can live long healthy lives with it.
 
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I haven't figured out how to do ketone strips either because there's no way to tell which one peed.
Is FCC iffy about you being near him in the litter box? I put a spoon under Dixie and she doesn't notice it. There are various other ways to catch it if that doesn't work for you.

If you want a ketone blood tester (works just like the glucometer), then there is the NovaMax meter which can measure both glucose and ketones. This is the one I started out with. But the ketone pee strips ended up being so easy, and the NovaMax's glucose strips weren't cheap enough so I eventually switched to the Bravo ones. I used the NovaMax meter as my backup. Both the NovaMax and the Bravo meter come with lancing devices if you want more options.

Do cats have a better chance of hitting remission with TR? Does it matter how high his numbers are to start?
Yes, I believe it is better to be on TR. Looks like your testing is going very well and you are getting lots of mid-cycle tests. If you are able to consistently get AMPS/PMPS and commit to 2 mid-cycle tests (1 day and 1 night) then I would encourage you to consider TR! As far as how high his numbers are to start, it is really impossible for any of us to say how his regulation will go. Each cat will react differently to the insulin. You will need to gradually increase his dose until you reach that breakthrough dose where his numbers start to come down. Then his body will start to heal and you can (hopefully) gradually lower the insulin dose.

But you can't do that without getting those AMPS/PMPS tests in! So just focus on that for a few days and follow SLGS. Looks like FCC is up for a dose increase to 1.25u.
 
I have been looking into getting a blood ketone testing meter because I have the same problem. If I try to lock Clawdie up until he pees then there is loud yowing and clawing at the door from both of them until I let him out. I think they each believe the other is getting something special they need to know about. I wouldn't care at home but this is my dad's house. They even make some meters that test both glucose and ketones (different strips for each) but all that I've found so far are pretty pricey or don't ship to Canada. I'll be talking to some of the drugstores and Walmart in the area tomorrow and see what I can get. My brother gets his 20% off Walmart employee discount day this Friday so I'm hoping I can get something reasonable there.

I hope you have success and I hope it's not too expensive. It's great that they make meters that test both things.

I thought the same thing. We just factored in the cost of boarding or pet sitting into the vacation. It's just one of the expenses, like a hotel or dinner bills.


You are doing an awesome job and your cat is lucky to have you. Remember it is not a death sentence and they can live long healthy lives with it.

Thank you. I think everyone here has the same thoughts at one time or another. I know it will get easier and that I will readjust things until it just becomes part of the norm, but for the moment it is still feeling big and my family keeps asking if I am coming on vacations in the next month (little family trips to our cabin - not national or international endeavors). The bottom line is that FCC has given me love his whole life and that he deserves the best shot he can get (no pun intended).

Is FCC iffy about you being near him in the litter box? I put a spoon under Dixie and she doesn't notice it. There are various other ways to catch it if that doesn't work for you.

If you want a ketone blood tester (works just like the glucometer), then there is the NovaMax meter which can measure both glucose and ketones. This is the one I started out with. But the ketone pee strips ended up being so easy, and the NovaMax's glucose strips weren't cheap enough so I eventually switched to the Bravo ones. I used the NovaMax meter as my backup. Both the NovaMax and the Bravo meter come with lancing devices if you want more options.
Is FCC iffy about you being near him in the litter box? I put a spoon under Dixie and she doesn't notice it. There are various other ways to catch it if that doesn't work for you.

If you want a ketone blood tester (works just like the glucometer), then there is the NovaMax meter which can measure both glucose and ketones. This is the one I started out with. But the ketone pee strips ended up being so easy, and the NovaMax's glucose strips weren't cheap enough so I eventually switched to the Bravo ones. I used the NovaMax meter as my backup. Both the NovaMax and the Bravo meter come with lancing devices if you want more options.

I don't know how he feels about me getting all up close and personal in his business. Right now I just feel like he is being poked, prodded, injected, and monitored so much that I don't want to start messing with his litter routine as well. I would be fine using a spoon if he would let me, but I'm not convinced that he would appreciate my presence. Both my cats tend to follow me into the washroom so it is plausible for me to catch him in the act. They have two litter boxes with different kinds of litter in them, but that's a relatively new thing so I don't know if there's a routine involved. I know it's something I have to figure out going forward because I understand how important it is to monitor this. Maybe I need to start with a meter if it's not too expensive and then figure out how to do the strips later on.

Yes, I believe it is better to be on TR. Looks like your testing is going very well and you are getting lots of mid-cycle tests. If you are able to consistently get AMPS/PMPS and commit to 2 mid-cycle tests (1 day and 1 night) then I would encourage you to consider TR! As far as how high his numbers are to start, it is really impossible for any of us to say how his regulation will go. Each cat will react differently to the insulin. You will need to gradually increase his dose until you reach that breakthrough dose where his numbers start to come down. Then his body will start to heal and you can (hopefully) gradually lower the insulin dose.

But you can't do that without getting those AMPS/PMPS tests in! So just focus on that for a few days and follow SLGS. Looks like FCC is up for a dose increase to 1.25u.

I think this is excellent advice. I was feeling pretty confident until I didn't manage an PMPS last night or an AMPS today. Then I felt like the world was caving in on me again. He is so good, but he was starting to meow and was definitely showing me he was unhappy. I would be too if someone kept poking me and couldn't figure out how to get it right. I think this morning I poked him six time and at least four of those drew blood, but never enough. I was wondering if it is ever okay to take their PMPS after they eat their breakfast? At the very beginning that's what I thought you did, but then after reading all the things that said AMPS, food, then insulin I realized I had it all wrong. Sometimes I think it would be easier if he weren't also squirming for food. He does like his treat at then end, but last night and this morning it just wasn't enough. I had my sleeves rolled up before his shot today, but as I said it took me six times before I gave up and it was mostly because he was clearly unhappy. I did get him a couple times today just to make sure to continue to get both of us used to it and hopefully encourage the blood in those ears.

For TR I guess I will make sure I can get several AMPS/PMPS in a row over a handful of days before I commit, but it really does seem like the best way to go as long as we can all handle it. Tonight I am determined to get it right (although I was equally determined the last two times) and I am not going to give up. I'll just allot some more time and take some breaks in between attempts if need be. I noticed that those two days where we had numbers in the yellow seem to have not held. We are going to do our best to increase by .25, but I am worried that it's such a small number we'll mess up. I've been looking at the pictures of the example doses to try and get a really good feel for it.

In terms of 2 mid cycle tests, I am definitely committed to doing that, but is there a time at night that is best to aim for? I can set my alarm. It's very possible I have read this answer and forgotten or not quite figured it out. I've been trying to go over everything multiple times and then come back to the important stuff again later.

Thank you so much! The last test turned the day around a little and made me feel like maybe I can do this again.
 
We just had to put our kitty of almost 16 years down. She was on insulin for about 6 years. It did get in the way of our "going away for the weekend together" by having to inject every 12 hours. My wife would take trips with her sister or daughters but I chose to stay home to care for Snicky. I have no one else I trusted to be here twice a day, and refused to put her up at the vet because I didn't want to stress her out. I guess I sacrificed a lot in the few years but would gladly do it again, as it prolonged her life so we could enjoy her company longer. Not quite sure she felt the same though. You know how cats are. Now that she's gone I don't know what to do with myself.
 
We just had to put our kitty of almost 16 years down. She was on insulin for about 6 years. It did get in the way of our "going away for the weekend together" by having to inject every 12 hours. My wife would take trips with her sister or daughters but I chose to stay home to care for Snicky. I have no one else I trusted to be here twice a day, and refused to put her up at the vet because I didn't want to stress her out. I guess I sacrificed a lot in the few years but would gladly do it again, as it prolonged her life so we could enjoy her company longer. Not quite sure she felt the same though. You know how cats are. Now that she's gone I don't know what to do with myself.

Oh no. I'm so sorry to hear that. Truly gut wrenching. I know there's nothing I can say to make you feel better. I definitely would not leave FCC at the vet. He would hate that. I am sure your cat loved you to bits even though she might never have shown it. You gave her the gift of having someone to love her and someone she could trust.
 
We just had to put our kitty of almost 16 years down. She was on insulin for about 6 years. It did get in the way of our "going away for the weekend together" by having to inject every 12 hours. My wife would take trips with her sister or daughters but I chose to stay home to care for Snicky. I have no one else I trusted to be here twice a day, and refused to put her up at the vet because I didn't want to stress her out. I guess I sacrificed a lot in the few years but would gladly do it again, as it prolonged her life so we could enjoy her company longer. Not quite sure she felt the same though. You know how cats are. Now that she's gone I don't know what to do with myself.
I admire your dedication to Snicky. I am so sorry for your loss.:bighug: I went home to see my 93 year old dad for Father's Day on Sunday, a 3 hour drive each way, for the first time since 2018. Left a couple of hours after Sister's shot and returned just in time for evening test, feed and shoot. I did alert a nearby friend and left a hidden front door key just in case. Took me two days to recover. It was exhausting.
Hugs to you...
 
I was wondering if it is ever okay to take their PMPS after they eat their breakfast? At the very beginning that's what I thought you did, but then after reading all the things that said AMPS, food, then insulin I realized I had it all wrong.
Just to clear up terminology: AMPS is the morning test (AM, breakfast time) and PMPS is the evening test (PM, dinner time).

You want the AMPS/PMPS to not be influenced by food. These BG values will determine how safe it is for FCC to his insulin shot. If he is too low, then you will want to skip or stall the shot.

In terms of 2 mid cycle tests, I am definitely committed to doing that, but is there a time at night that is best to aim for? I can set my alarm. It's very possible I have read this answer and forgotten or not quite figured it out. I've been trying to go over everything multiple times and then come back to the important stuff again later.
You want to fill in the missing data points. Think of it like a glucose curve but over the course of a few weeks.

Here is an example of an active Lantus cycle. Not all cycles will be "active" in the start as you find the right dose. More info here

+0 - PreShot number.
+1 - Usually higher than PreShot number because of the last shot wearing off. May see a food spike in this number.
+2 - Often similar to the PreShot number. Onset begins around +2 for most cats. You'll probably see an active cycle if the +2 is the same/similar OR lower than the preshot number. Continue testing!
+3 - Often lower than the PreShot number.
+4 - Lower.
+5 - Lower.
+6 - Nadir/Peak (the lowest number of cycle. NOTE: ECID. Not every cat has a mid-cycle nadir. Adjust the hours on this example to fit your cat.)
+7 - Surf (hang around the nadir number).
+8 - Slight rise.
+9 - Slight rise.
+10 - Rising.
+11 - Rising (one of the quirks of Lantus/Basaglar/Levemir: some cat's blood glucose numbers dip around +10 or +11... not to be confused with nadir).
+12 - PreShot number.

FCC likely won't conform to this cycle exactly. It is up to you to slowly gather up data and figure out what his cycle looks like. To start off, I'd recommend getting the +2 in at night, since that is a good predictor of whether or not his cycle will be active. The next best thing would be getting some tests in the range +5 to +7 in if you can to figure out what his nadir is at night.
 
Can you bring him with you?

I would love to, but our family cabin isn't really much of a cabin as a rickety building that we use as a hub and sleep around in tents. I thought about it and FCC would also hate the journey there. Most summers it wouldn't be that big of a deal, but I think because we haven't really gotten together in more than a year it holds more weight. Hopefully I can leave my partner behind and we can get organized enough that we are both able to do all the necessary jabs and tests. It's unfortunate for him, but probably the only solution so early on in the diagnosis.

Just to clear up terminology: AMPS is the morning test (AM, breakfast time) and PMPS is the evening test (PM, dinner time).

You want the AMPS/PMPS to not be influenced by food. These BG values will determine how safe it is for FCC to his insulin shot. If he is too low, then you will want to skip or stall the shot.

Oh sorry, that was totally my bad. I was having a frustrating testing day and clearly wasn't paying close attention to my language. Along with trying to read over everything so many times it gets a little jumbled in my head.There have been a couple times I've had to give him a tiny treat during the test because it has taken me so many attempts. Is that going to be detrimental to the integrity of the numbers? I've only done it twice. For both the AMPS and PMPS I do make sure there is no access to food for the two hours beforehand.

You want to fill in the missing data points. Think of it like a glucose curve but over the course of a few weeks.

Here is an example of an active Lantus cycle. Not all cycles will be "active" in the start as you find the right dose. More info here

+0 - PreShot number.
+1 - Usually higher than PreShot number because of the last shot wearing off. May see a food spike in this number.
+2 - Often similar to the PreShot number. Onset begins around +2 for most cats. You'll probably see an active cycle if the +2 is the same/similar OR lower than the preshot number. Continue testing!
+3 - Often lower than the PreShot number.
+4 - Lower.
+5 - Lower.
+6 - Nadir/Peak (the lowest number of cycle. NOTE: ECID. Not every cat has a mid-cycle nadir. Adjust the hours on this example to fit your cat.)
+7 - Surf (hang around the nadir number).
+8 - Slight rise.
+9 - Slight rise.
+10 - Rising.
+11 - Rising (one of the quirks of Lantus/Basaglar/Levemir: some cat's blood glucose numbers dip around +10 or +11... not to be confused with nadir).
+12 - PreShot number.

FCC likely won't conform to this cycle exactly. It is up to you to slowly gather up data and figure out what his cycle looks like. To start off, I'd recommend getting the +2 in at night, since that is a good predictor of whether or not his cycle will be active. The next best thing would be getting some tests in the range +5 to +7 in if you can to figure out what his nadir is at night.

Thank you. I think this is where him getting his shot so late at night becomes a pain because it is much harder to stay up to get several numbers. I think maybe I will do my best to stay up for the +2 a more times and then set an alarm throughout the night to fill in the other numbers, but over a few days.

We are going to figure out this testing together FCC and me, but I just wish I was the one getting poked all the time. Thanks so much for that info. I read all I can, but I miss some of it, forget some of it, and probably just don't understand some as well. It really helps to have such a clear summation.

I am deeply appreciative.
 
Now that you are more situated, you might want to move over to the Lantus board. They follow some specific posting guidelines over there (found here) where you name the thread a specific way and make a new thread each day. A nice thing about FCC being on Lantus is that the Lantus board is very active and supportive. You don't need to post everyday if you don't think you require it, but you can post when you want advice or want support!

For questions that aren't related specifically to Lantus, such as what to do when you go on vacation, you can put those in the Feline Health Main Forum. If you make the title name the question, then you will get a lot more activity from other people with similar experiences. When threads get this long, not many people will be able to catch up!

.There have been a couple times I've had to give him a tiny treat during the test because it has taken me so many attempts. Is that going to be detrimental to the integrity of the numbers? I've only done it twice. For both the AMPS and PMPS I do make sure there is no access to food for the two hours beforehand.
That is fine. You can always write it in the spreadsheet notes section if the AMPS or PMPS is food influenced (the other midcycle tests are fine to be food influenced and don't need to be noted). We really can't say how FCC will react to food at this time. Some cats will spike their BG when eating a bit of food, some don't. You can experiment by feeding him and seeing how the food raises his levels with tests.

We are going to figure out this testing together FCC and me, but I just wish I was the one getting poked all the time. Thanks so much for that info. I read all I can, but I miss some of it, forget some of it, and probably just don't understand some as well. It really helps to have such a clear summation.

I am deeply appreciative.
You will get the hang of it :) I know it is hard in the beginning. I have Dixie regulated right now so I don't really need to hang out here. I just like to pop in and if I see other Canadians just starting out then I try to help, because I know how difficult the start is. Most info here is for the glucometers and test supplies is from the US, so I have tried to put together as much info as I can about where to test supplies in Canada on a budget. I found it very overwhelming to find a glucometer and pet feeder when I started out! I spent a lot of time searching the forum and just found little tidbits here and there. I never made an introduction post, and maybe I should have because it was hard going it alone at first. I am glad that you are reaching out for help, because this is a very supportive community.

FCC is very young still. Don't get too caught up with remission and getting him off the juice. I have Dixie regulated and I don't think she will ever go into remission, but it doesn't really matter to me. The BG tests are so easy nowadays, the insulin shots don't take much prep, and she is into a good routine. I don't think of her as a diabetic cat. I suppose it is more limiting to have to schedule around her insulin shots, but even then... I can work around a missing a shot or giving her a reduced dose for a few days. Just thought I would try and give you some perspective that it isn't so black and white as unregulated vs remission. You can achieve a good routine with FCC where you feel comfortable treating him without it interfering with your life so much. The beginning is the hardest part, but it will get so much better from here! And hey, maybe in a year you will see someone here asking for help and you can point them in the right direction ;)
 
I admire your dedication to Snicky. I am so sorry for your loss.:bighug: I went home to see my 93 year old dad for Father's Day on Sunday, a 3 hour drive each way, for the first time since 2018. Left a couple of hours after Sister's shot and returned just in time for evening test, feed and shoot. I did alert a nearby friend and left a hidden front door key just in case. Took me two days to recover. It was exhausting.
Hugs to you...
It's killing me to think we had to put her down. She was getting worse and to put her thru another vet stay, cramped cage, poking holes all over her, another catheter in her leg, and for what? I desperately wanted to keep her going. But her quality of life was decreasing. I had nobody I could trust or wanted to have to care for her while I went away, so I stayed home with her. I'm still grieving yet. The last look at her as her life faded away will stick with me forever. I appreciate your kind words.
 
You will get the hang of it :) I know it is hard in the beginning. I have Dixie regulated right now so I don't really need to hang out here. I just like to pop in and if I see other Canadians just starting out then I try to help, because I know how difficult the start is. Most info here is for the glucometers and test supplies is from the US, so I have tried to put together as much info as I can about where to test supplies in Canada on a budget. I found it very overwhelming to find a glucometer and pet feeder when I started out! I spent a lot of time searching the forum and just found little tidbits here and there. I never made an introduction post, and maybe I should have because it was hard going it alone at first. I am glad that you are reaching out for help, because this is a very supportive community.

FCC is very young still. Don't get too caught up with remission and getting him off the juice. I have Dixie regulated and I don't think she will ever go into remission, but it doesn't really matter to me. The BG tests are so easy nowadays, the insulin shots don't take much prep, and she is into a good routine. I don't think of her as a diabetic cat. I suppose it is more limiting to have to schedule around her insulin shots, but even then... I can work around a missing a shot or giving her a reduced dose for a few days. Just thought I would try and give you some perspective that it isn't so black and white as unregulated vs remission. You can achieve a good routine with FCC where you feel comfortable treating him without it interfering with your life so much. The beginning is the hardest part, but it will get so much better from here! And hey, maybe in a year you will see someone here asking for help and you can point them in the right direction

Thank you! I will start asking all my insulin questions in the other forum. Before I closed this off I just wanted to say that you have all been such a huge comfort and help through this.

FarmKitty I appreciate the fact that you are just posting to help people out so much and I hope that I am in your position some day. You are so right in that I need to not look at the black and white of remission/illness. FCC and I have plenty of time to figure this out together and once he is regulated and I am used to all the poking without feeling like a jerk things will be so much better. I didn't anticipate how overwhelming this would feel and I already think it's starting to feel doable. Without the support here I don't know what I would have done (now and in the future).
 
Thank you! I will start asking all my insulin questions in the other forum. Before I closed this off I just wanted to say that you have all been such a huge comfort and help through this.

FarmKitty I appreciate the fact that you are just posting to help people out so much and I hope that I am in your position some day. You are so right in that I need to not look at the black and white of remission/illness. FCC and I have plenty of time to figure this out together and once he is regulated and I am used to all the poking without feeling like a jerk things will be so much better. I didn't anticipate how overwhelming this would feel and I already think it's starting to feel doable. Without the support here I don't know what I would have done (now and in the future).
You're definitly not alone! Every poke is in FCC's best interest. You got this.


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FCC is very young still. Don't get too caught up with remission and getting him off the juice. I have Dixie regulated and I don't think she will ever go into remission, but it doesn't really matter to me. The BG tests are so easy nowadays, the insulin shots don't take much prep, and she is into a good routine. I don't think of her as a diabetic cat. I suppose it is more limiting to have to schedule around her insulin shots, but even then... I can work around a missing a shot or giving her a reduced dose for a few days. Just thought I would try and give you some perspective that it isn't so black and white as unregulated vs remission. You can achieve a good routine with FCC where you feel comfortable treating him without it interfering with your life so much. The beginning is the hardest part, but it will get so much better from here! And hey, maybe in a year you will see someone here asking for help and you can point them in the right direction ;)

Thanks, FarmKitty. I needed to hear this as well. I have been feeling like I am on a treadmill I can never get off of. :bighug:
 
Please start a new thread. It would be helpful to give a brief summary of this thread as soon as it makes sense to do so. Over 100 posts is a lot to ask people to read.
 
I am very bad at summaries, but here we go:

I am new and freaked out and everyone on this board is so wonderful and supportive so if you need help, start a post.
Testing BG levels in the beginning is very hard and upsetting (for me), but cats ears bleed more and a routine is super important. Use a warm rice bag. Low carb treats as a reward.
Immediately switching FCC to low carb wet food (both friskies and fancy feast pate) was an important first step. Don't fall for expensive wet foods that your vet might try and get you to buy.
You can use an autofeeder to dispense wet or dry food and it can make feeding in the night/while you're out during the day way easier.
Lantus insulin is available over the counter and the best way to administer it is with a syringe so you can change the dose in increments. Get the 5 pack of cartridges and make sure you have the u-100 syringes.
There is a ton of information and wisdom on this board and in the articles on the site.
I don't actually think I can summarize everything, there is information on pricing, dosing, and testing linked various times in the thread.
This post was the most helpful thing for me and FCC since his diagnosis. I would have fallen apart without it so thank you all so very much. I know that doesn't begin to cover it, but it's the bare bones.
FCC and I are getting the hang of things slowly and there is still a lot to learn and a lot of stress, but it is getting better and will get better still. We are working on testing and we still fail several times, but filling out his spreadsheet is an important way of getting a whole picture view.

Mostly, thank you all again. I can't say it enough. I haven't cried in days! FCC is brave and wonderful and he can live a happy and full life as long as we manage his disease. Sorry for all of the information I missed in here
 
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