8.16 Kitty amps 276, +2 372, - Insulin Advice!

Samantha - Kitty

Samantha - Kitty

Member Since 2021
Hey there! My cat, Kitty, keeps having continuous accidents. We have tried an antibiotic which will run it's full 14 day course next Thursday 8/12/21. She keeps pooping and peeing outside the litter box. I'm assuming she has nerve damage because she walks very stiff and almost waddles when she walks.

In the past we've given her T-Relief to help with her bad hip. I figured, why not try it again to help her out? Well now her numbers are climbing. We were holding steady in the 100s and now this morning a reading of 447.

Can anyone tell me if T-Relief (Traumeel) is a high carb item? Or is something else going on?

Thank you!
 
Hi :bighug: Sorry no one stopped by thee other day, board must have been busy! Just so you know, if no one responds, you can comment on your own thread with "bump" and it will move your thread to the top of the page. I also always found it helpful to edit my title to put my question there (and then the details in a post).

Personally, I have no idea on Traumeel - I did a quick search on the board and a few condos came up but no one mentioned anything about carbs. Maybe ask your vet about the ingredients (or are they on the bottle/box)?

As for the higher numbers, are you able to get any mid-cycle tests in? e.g., a +2 and or a +3? I know you are following SLGS but even on SLGS those tests can give some insight. I wonder if Kitty is just bouncing from some lower numbers that maybe we aren't seeing as you had some nice low blues just a few days ago (bounces can take 6 cycles to clear...). Specifically, I am wondering where the cycle took Kitty when you shot the 112 at PMPS 08/04 and then the 111 at AMPS 08/05. Maybe someone with more experience than men will come by - I see @tiffmaxee and @Marje and Gracie and @Red & Rover (GA) have stopped previously.

As for the nerve damage, has anyone mentioned methyl-b12 yet? I used zobaline but you can also buy just the b-12 from a place like vitacost.

https://www.felinediabetes.com/FDMB/threads/8-4-kitty-amps-271-8-119.250885/
https://www.felinediabetes.com/FDMB/threads/7-24-kitty-pmps-262-1-331.250289/
 
I’ve never heard of Traumeel. I tried to search for side effects but only saw they can exist. Which antibiotic and was a culture and sensitivity run?it might not be the right antibiotic . Originally she could have been going outside of the box due to her high bg although she is starting to see blue which should make her feel better.

When you get a preshot that low you need to get more tests. You need a minimum of 2 tests every cycle and more with a pmps of 112. I bet your cat dropped even lower that night. Now you are seeing a bounce. Cats new to Lantus on SLGS don’t shoot a full dose if under 150. We suggest you stall, don’t feed, and retest in 30 minutes to see if going up.

Please get a +2 every cycle. If lower than the preshot more tests are needed. Hold this dose.
 
JaxBenji said:
Hi :bighug: Sorry no one stopped by thee other day, board must have been busy! Just so you know, if no one responds, you can comment on your own thread with "bump" and it will move your thread to the top of the page. I also always found it helpful to edit my title to put my question there (and then the details in a post).

Personally, I have no idea on Traumeel - I did a quick search on the board and a few condos came up but no one mentioned anything about carbs. Maybe ask your vet about the ingredients (or are they on the bottle/box)?

As for the higher numbers, are you able to get any mid-cycle tests in? e.g., a +2 and or a +3? I know you are following SLGS but even on SLGS those tests can give some insight. I wonder if Kitty is just bouncing from some lower numbers that maybe we aren't seeing as you had some nice low blues just a few days ago (bounces can take 6 cycles to clear...). Specifically, I am wondering where the cycle took Kitty when you shot the 112 at PMPS 08/04 and then the 111 at AMPS 08/05. Maybe someone with more experience than men will come by - I see @tiffmaxee and @Marje and Gracie and @Red & Rover (GA) have stopped previously.

As for the nerve damage, has anyone mentioned methyl-b12 yet? I used zobaline but you can also buy just the b-12 from a place like vitacost.

https://www.felinediabetes.com/FDMB/threads/8-4-kitty-amps-271-8-119.250885/
https://www.felinediabetes.com/FDMB/threads/7-24-kitty-pmps-262-1-331.250289/
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I try to be patient about all this :) I know others have a busy life as well! Traumeel is also T-Relief. It's a plant based anti-inflammatory. I can definitely ask her but she hasn't been as responsive about a lot of this. Somedays I feel I'm on a personal trial and error with her. I come up with the ideas and present them to her and she pretty much does whatever I say.

I was mid cycle testing but I just don't know how often to do it. Is one or two mid cycle enough? Maybe when I know about when her NADIS I could test her? I completely agree. I should have tested mid day. I regret that decision now. What if she was low and I trusted her to be OK but she actually really wasn't?

Question - what is a normal blood sugar level prior to insulin? What should I actually be seeing for steady numbers? I'm so incredibly new to this and I feel you all are my best options to actually healing her the best I can.

I have not tried methyl-b12 yet. I mentioned it to the vet - no return call on it..... I could just buy it myself? I'm ready to try whatever with her. I just want her better. I know it's going to take time. I truly know but I'm also very stressed about it all and confused.
 
tiffmaxee said:
I’ve never heard of Traumeel. I tried to search for side effects but only saw they can exist. Which antibiotic and was a culture and sensitivity run?it might not be the right antibiotic . Originally she could have been going outside of the box due to her high bg although she is starting to see blue which should make her feel better.

When you get a preshot that low you need to get more tests. You need a minimum of 2 tests every cycle and more with a pmps of 112. I bet your cat dropped even lower that night. Now you are seeing a bounce. Cats new to Lantus on SLGS don’t shoot a full dose if under 150. We suggest you stall, don’t feed, and retest in 30 minutes to see if going up.

Please get a +2 every cycle. If lower than the preshot more tests are needed. Hold this dose.
Click to expand...
Traumeel is also know as T-Relief :) I'm not sure which antibiotic and because I trust my gut that she definitely seemed like she had a UTI (licking down there a lot when she hasn't groomed herself in months) and a few other things. She also has inflammation occasionally in her mouth so I figured we would take care of 2 things at once. Any potential mouth issues and a UTI. We never actually tested her urine.

The blue didn't seem to make her feel much better. She's been the same even when she lowers her numbers. A little less water I would say and less giant clumps of urine but she still misses the box. And from what I read when they have nerve damage, it can cause them to miss the litter box AKA go on the side because they are in pain.

I thought it was under 90 I don't shoot. Ugh I always feel like I do the wrong thing for her. I was not aware but I will start testing her more when I see those numbers. You are probably 100% correct. She probably dropped low and then had a bounce. Thank you for letting me know on the +2 every cycle. I can handle that!
 
Under 90 you don’t shoot and a reduction is earned. Under 200 when new you stall and don’t feed. You want to see if the bg is going up on its own. If not you have choices based upon how low and if you can monitor. As you accumulate data you lower the no shot number but with SLGS never shoot under 90. You have shot the low 100’s more than once so you might not need to skip or shoot a reduced dose IF you can get tests in. Not testing again until amps or pmps is dangerous because if she drops under 50 she could have a symptomatic hypo. Lantus usually onsets at +2 so if that test is lower than the amps or pmps she might go lower. If you aren’t home or can’t test you need to leave out higher carb food.

There’s a lot to learn. I’d print out the directions for SLGS and how to handle low numbers.
 
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I’ve used Traumeel homeopathic as an anti-inflammatory for sprained ankles, inflammation, etc. but not on a cat. T-relief formulation has lactose in it which can definitely raise the BG.
 
Marje and Gracie said:
I’ve used Traumeel homeopathic as an anti-inflammatory for sprained ankles, inflammation, etc. but not on a cat. T-relief formulation has lactose in it which can definitely raise the BG.
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Sorry I'm late replying - THANK YOU for letting me know! I immediately stopped it once her numbers increased. They have been leveling back out. I need to update my spreadsheet here.
 
I need advice! I'm pretty sure this is 100% nerve damage in my poor cat. This explains the pooping/peeing outside the litter box, unexplained accidents and her lethargic behavior. My vet keeps saying cancer but I don't feel deep down like it is. I feel she is going through some things along with trying to figure out how to manage diabetes. How can I make her more comfortable and pain free? I ordered some B12 (Methan?? forgot spelling) and it arrives tomorrow but I can't stand to watch her suffer! Hoping you guys have some ideas I can tell me vet. Thank you!!!
 
tiffmaxee said:
Try meth B12. It could be neuropathy and if it is that should help. That is what it looks like to me.
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By the way, thanks for your previous detailed post! I have that coming as we speak! I ordered some yesterday. I was just wondering if there is anything else to do in the meantime for her. :)
 
Hey there! I need some advice regarding Kitty's insulin. When she receives 1.25 she seems to get into the normal readings and then I reduce to 1 and she goes back into the 300/400's. I was wondering what her dosage should actually be maybe? Could I do 1.25 in the mornings and 1 in the evening? Would that maybe help her regulate better?

The b-12 has given her some life back! She's had more days where she feels like herself than other and she's stopped pooping outside the litter box but still pees outside of it. Thankfully it's staying contained to her litter box area for now! I feel if I could just get her numbers under control, this could all slowly get so much better but her numbers are literally all over the place. And I've been bouncing back and forth between 1.25 and 1 for awhile now. My insulin needle doesn't show 1.125 otherwise I would try that for her! She still drinks quite a bit of water which is expected with her numbers and I've been taking away her dry food now so she can finally get on the road to recovery!

Let me know your thoughts!
 
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