9-10 Bailey AMPS 100

Kiera

Member Since 2021
@Bandit's Mom @tiffmaxee @Chris & China (GA) @Daddy Jack's Mommy I did remove food 2 hours prior, as recommended. We are 2 hours earlier since I skipped the dose last night. Do you still think I should take a break from insulin while I get the hang of the process or should I shoot?
I appreciate you telling me it would be ok to get comfortable with everything, but if you think I should shoot a very small amount then I will. I was able to remove food, test, and now he’s eating.
 
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I purchased new dipsticks because the ones I have for ketones were almost gone. I bought the wrong thing and accidentally got one that not only tests ketones, but 9 other things. Not sure if these are accurate but if so, I’m worried. The readings show a moderate or large number of leukocytes. The specific gravity is higher than it’s supposed to be too.

Not sure if I trust these because it also read a color in between negative and trace for ketones.closer to trace. I immediately tested the urine with one of my last few remaining keto-diastix and the ketones tested negative, like they always do. It was from the same urine sample within minutes after collecting it.

I haven’t found a new vet yet but wasn’t in a rush to do so. Honestly, you guys have been way more helpful. The strips are called “checkup pet urine testing strips”. Should I be worried about those positive reading?
 
Negative to trace is fine. They are likely only accurate for glucose and ketones. Make sure you follow the directions as to timing. Do your syringes have half unit markings? You could shoot .25.
 
Negative to trace is fine. They are likely only accurate for glucose and ketones. Make sure you follow the directions as to timing. Do your syringes have half unit markings? You could shoot .25.
Yes. I do. Ok.

I’ll give 0.25. I’ll be positive this time.

I will test again but hoping I could do a little less than yesterday. His ears are horrible looking. I’m sure that’s common in the beginning but we had a rough go if it yesterday. What’s the minimum amount of tests I can do while still keeping him safe?
 
I have 1/2 unit markings but it’s still hard to see. After yesterday, I wanted err on the side of caution. So it may have been a little less than 0.25, but a small amount of insulin was given.
 
I also don’t smell bandaids in the sink. I think it’s because I’m dealing with smaller amounts and not squirting as much out as I used to. So maybe I gave the right amount yesterday after all. Frustrating that I don’t know but I’m just going to look forward. It’s all I can do
 
I’m glad you erred on the side of caution. Please try not to stress about yesterday. All it will do is make you nuts.
 
You want to catch any drop under 50.
Not sure if he went below 50 or not because I wasn’t able to test. I tried and failed. I warmed the ear and did everything right. The problem was with the test strips and user error (meaning me).

The first time I accidentally got some of the blood on the top instead of only the side where it gets sucked up. I would have got a number the next attempt but the meter timed out a second before I got the blood. It’s really silly that I only have a minute or 2 to get the sample. I try to put the strip in without pushing it in all the way so the timer doesn’t start but that’s literally impossible on this particular meter. The second the slightest tip touches, the timer begins. If I keep the strip to the side, I have to let go of my cat to grab the meter and put in the strip. Bailey uses that opportunity to get away every time. I’m getting better but still a work in progress.

I assume I have to toss the strips that time out? Such a waste. I’ve wasted WAY more strips than used successfully at this point. A lot because of the time issue or not enough blood. The meter I got uses the most expensive strips. I didn’t have the luxury of researching my options before purchasing. The second I found out about home testing, I rushed to the store. The meter itself was $35. However, I just checked and refill strips are $78 for 100. It’s such a scam!

I should mention the +6 number is very food influenced. He ate a good amount an hour prior. I slid it under where he was hiding in effort to lure him out. He ate almost everything I put under there.
 
You want to catch any drop under 50.
Question— I read somewhere that Lantus is a depot insulin. I’m not even going to pretend like I fully understand how it works. Because I don’t.

If I’m getting the basics… that means that I still can’t know for sure how much insulin I gave him yesterday comparing to today, right? It doesn’t work that way.

In a perfect world it would be this simple:
For example, it seems like his numbers are pretty similar to yesterday. So logically, it would be due to the same dose given. However, the depot part of Lantus and the fact that it’s a hormone and not a medicine means I can’t look at the numbers that way. Right? Of course it wouldn’t be that easy.
 
The only tests that must not be food influenced are the Amos and pmps. Most of our cats eat in between those tests.

The depot stays with them usually 4-6 cycles so it is likely influencing this cycle. It’s hard to say not because you dint know how much he got yesterday but also because to keep him safe you have had to skip a lot of shots. We don’t know what his bg was like when you were not testing. From 8/5 until 9/4 were you giving insulin every 12 hours? Did you skip at all? Was his dose the same the whole time? Remind me what that dose was please.

Edited. I went back and saw he was on 2.0 so that is also possibly influencing things.
 
I know I’m probably driving you crazy and over analyzing every little thing, but Bailey is acting a little odd again. He’s crying— not like in pain or distress or anything like that — more like a whining. No clue what he wants.
He has fresh food, fresh flowing water, a clean litter box. He’s whining in an empty hallway at nothing. I don’t see a bug anywhere (I got a flashlight and looked really good). A bug in the house can sometimes wind him up. Especially if it’s out of reach because he thinks it’s a toy.

He’s purring and responding lovingly to my touch but when I walk away he starts whining again.
I picked him up and brought him next to me on the couch. He likes to lay by me most of the time these days. But he doesn’t want to sit still right now. Just goes back to the hallway like a weirdo. No clue what his deal is. I’m hoping it’s a bug I just don’t see.

Should I be worried?
 
He’s not been in hypo territory that we know about. We will see his pmps and might need to skip again. It’s 5 hours away so we don’t know. I can’t answer your question because I’m not with you to see him and I don’t know if his bg is still going down further.
 
The only tests that must not be food influenced are the Amos and pmps. Most of our cats eat in between those tests.

The depot stays with them usually 4-6 cycles so it is likely influencing this cycle. It’s hard to say not because you dint know how much he got yesterday but also because to keep him safe you have had to skip a lot of shots. We don’t know what his bg was like when you were not testing. From 8/5 until 9/4 were you giving insulin every 12 hours? Did you skip at all? Was his dose the same the whole time? Remind me what that dose was please.

Edited. I went back and saw he was on 2.0 so that is also possibly influencing things.
Yes 2 units, twice a day. Always at 11am/11pm. I never skipped. Although I may have done a fur shot 2 separate times.

Knowing what I know now, that was insane to be doing. The vet actually recommended I increase to 3 units because he was still peeing a lot (that’s the only thing he was basing his advice on) but I didn’t listen. Literally (and probably luckily) the day after he suggested the dose increase was when I started seeing the symptoms which was September 1. So I ignored him based on a gut feeling that it was a bad idea.

September 3rd I found this site and did my first home test. That’s when I basically stopped giving insulin altogether and asked for help
 
He’s not been in hypo territory that we know about. We will see his pmps and might need to skip again. It’s 5 hours away so we don’t know. I can’t answer your question because I’m not with you to see him and I don’t know if his bg is still going down further.
So do you think I need to test again? Or can I wait until PMPS. He’s not crying anymore. He decided he wanted to lay by me on the couch after all. He loves to rest his head on my hand and go to sleep… which is adorable but making it impossible to get any work done. I have to do the talk to text to write my messages on here at the moment LOL
 
So cute. He’s acting fine and you have to be able to get a pmps which might be a pmbg if too low to shoot. Let him eat between now and +10. If testing were not such an ordeal I would say yes.
 
Yes 2 units, twice a day. Always at 11am/11pm. I never skipped. Although I may have done a fur shot 2 separate times.

Knowing what I know now, that was insane to be doing. The vet actually recommended I increase to 3 units because he was still peeing a lot (that’s the only thing he was basing his advice on) but I didn’t listen. Literally (and probably luckily) the day after he suggested the dose increase was when I started seeing the symptoms which was September 1. So I ignored him based on a gut feeling that it was a bad idea.

September 3rd I found this site and did my first home test. That’s when I basically stopped giving insulin altogether and asked for help


Thankfully you found us. He might very well be going into remission but it’s too soon to know. I dint want to get your hopes up. If he acts odd at any time please test.
 
So cute. He’s acting fine and you have to be able to get a pmps which might be a pmbg if too low to shoot. Let him eat between now and +10. If testing were not such an ordeal I would say yes.
Thank you! I appreciate you being so considerate of my situation. He’s being a trooper but testing is still a challenge. We are getting through it. One day at a time.
Thank you so much for helping me these past few days! I don’t know what I would have done without you! It means more than you know and I don’t think I will ever be able to thank you enough!
 
Yes. I will.
Great. Thank you!
I know you said it’s probably ok to ignore but I just want to double check. These new urine strips I got for testing ketones keep showing the highest reading for both leukocytes and specific gravity. The reading is the same every time. I even tested on myself out of curiosity and it was negative/normal.
I just want to make sure I don’t have anything to be worried about with him. Sorry for asking something you already answered but I just need to hear you say it’s ok one more time so I can stop worrying …because I’m turning into a basket case
 
Great. Thank you!
I know you said it’s probably ok to ignore but I just want to double check. These new urine strips I got for testing ketones keep showing the highest reading for both leukocytes and specific gravity. The reading is the same every time. I even tested on myself out of curiosity and it was negative/normal.
I just want to make sure I don’t have anything to be worried about with him. Sorry for asking something you already answered but I just need to hear you say it’s ok one more time so I can stop worrying …because I’m turning into a basket case

I don’t think the strips are accurate for anything but ketones and glucose from what I have been told. Cats have a high urine specific gravity. If low it means kidney disease. That’s when you need to make sure they don’t have kidney disease. If cats are given fluids because of dehydration the ushers may temporarily be low but should return to normal. So he has good kidneys.
 
How long does it usually take for cats to adjust to low numbers? Bailey does nothing but sleep anymore.

PMPS 73. Do I shoot?
 
No shot. Let’s see what it is in the morning. If green no shot. If higher we may try just a drop.
How old is Bailey?
 
No shot. Let’s see what it is in the morning. If green no shot. If higher we may try just a drop.
How old is Bailey?
I’m really not sure how old he is since I rescued him. They didn’t know his age when I got him. My guess is 12-13 years. He normally doesn’t act like a senior… With the exception of the past couple days where he is in nonstop sleep mode
 
I don’t think it’s from his bg. They usually get more active with normal bg.we don’t know how low it got earlier though.
 
No shot. Let’s see what it is in the morning. If green no shot. If higher we may try just a drop.
How old is Bailey?
I realize now I’m not sure how old most cats live. Do you? I hope I still have a lot more time with him….
 
I don’t think it’s from his bg. They usually get more active with normal bg.we don’t know how low it got earlier though.
It could be a coincidence but it seems like (for the past week) the times I don’t shoot he acts his normal self but after giving insulin he starts wanting to do nothing but sleep almost immediately after. Like an hour after insulin for the rest of the day and night. I hope nothing else is going on if you think it’s unrelated
 
I don’t think it’s from his bg. They usually get more active with normal bg.we don’t know how low it got earlier though.
Do you get an alert if I don’t use the “reply” feature? A lot of times I’m not actually replying to what I hit reply on. i just thought that’s how it alerted people I posted a new message.
 
I hope not as well. I think the vet started insulin too soon. A diet change should have been tried first. If he’s going into remission you will soon know if the negative changes go away that he might have been diet controlled from the beginning. He will still be a diabetic bit one controlled by diet rather than insulin.
 
Do you get an alert if I don’t use the “reply” feature? A lot of times I’m not actually replying to what I hit reply on. i just thought that’s how it alerted people I posted a new message.

Yes. I get your message if I already have answered you on the day you start the condo. By hitting reply it quotes what was said. Tags only work when on line but do show up if you scroll through alerts. So tags sometimes get missed.
 
I hope not as well. I think the vet started insulin too soon. A diet change should have been tried first. If he’s going into remission you will soon know if the negative changes go away that he might have been diet controlled from the beginning. He will still be a diabetic bit one controlled by diet rather than insulin.
So should I stop insulin for awhile even if I see numbers over 100 again? Or what do you suggest?

Diet change alone was never presented as an option. His glucose was very high when he was first diagnosed. I am ashamed to admit that I didn’t recognize the warning signs (even thought looking back they are so obvious) for quite a while. I think he had untreated diabetes for well over a year.

He had all of the symptoms— excessive thirst, increased urination, incredibly sticky pee, increased appetite, weight gain, decreased grooming and dandruff, difficulty jumping up on things, I could go on and on. I will never forgive myself for not putting it all together sooner than I did.

I brought him to the vet for various symptoms I just mentioned over the year. However, my vet dismissed them all as part of the aging process. He never even tested blood. I believed him. I should’ve known better.

I was feeding both dry food and expensive wet food that I thought was healthy. Turns out, it had a RIDICULOUSLY high carb content. The lowest one I was feeding was 18%.

My recent concern is that he seems noticeably off on insulin lately. Almost like a shell of himself. He doesn’t do anything but sleep. However, I didn’t see any of that for the first month when I was treating a much higher dose.

Now, every time I give him insulin his entire personality disappears. I worry about how much he’s sleeping and how deeply he sleeps.

Of course, if it’s better for him in the long run and will save his life, I don’t want to stop.

I don’t trust my vet anymore. Actually, I don’t have a vet anymore! So I’m going to trust you and do whatever you suggest.

Thanks again for everything!
 
I think you have to take it day to day, actually cycle by cycle. If he stays under 100 for 2 weeks he’s in remission. If his bg is under 100 every morning and night he’s in remission. If he is in the livery low 100’s feed him and test in 3-4 hours and see if green. Keep your ss up to date and post. If his numbers start to rise he might need a tiny amount of insulin, possibly a drop.

Most of us how no idea the carb content of our cats’ food before our cats became diabetic. Max was eating wet food due to his having blocked and later chronic pancreatitis. His wet food was almost all high carb the cans did list carb content. He turned his nose up to the pates. But when he became diabetic he luckily liked them.

There are lots of wonderful people helping here. You can help yourself by going to the stickies at the top of this forum and reading them all. I know you have read a lot but reread them. There’s way too much information to absorb. It is overwhelming I know. Read some of other people’s condos and how they handle things too. That’s very helpful. We will keep checking on you and Bailey.
 
I think you have to take it day to day, actually cycle by cycle. If he stays under 100 for 2 weeks he’s in remission. If his bg is under 100 every morning and night he’s in remission. If he is in the livery low 100’s feed him and test in 3-4 hours and see if green. Keep your ss up to date and post. If his numbers start to rise he might need a tiny amount of insulin, possibly a drop.
AMPS 101. Shoot? It’s so close to know for sure which way I should lean. It’s pretty much the same as yesterday. The only reason I’m hesitant is how he acts on the insulin. Maybe that will change as he readjusts to being given the injections again though. Sorry to bother you again but can you please advise?
 
You could tru a drop dose or not shoot but then it’s important you feed now and then not feed again until 3-4 hours after he eats and test to see if he’s green then.
 
I assume I have to toss the strips that time out?
No. Just turn the meter back on. Some meters require you pull the strip out and re-insert. But don't toss the timed out strips! They are good to use, just make sure you always see the indicator on the meter that the strip is good and the meter is ready to go.
 
You can help yourself by going to the stickies at the top of this forum and reading them all. I know you have read a lot but reread them
So I was re-reading the stickies as you suggested and I have a question. I didn’t know that you weren’t supposed to squeeze insulin back into the vial. I’ve been doing that to get close (with some extra). Then, I squirt the extra into the sink. It’s easier for me to see and get accurate dosing that way. However, I didn’t know it was bad to push insulin back in after drawing too much into the syringe in the first place. I’ve done that many times. Does that mean my insulin is contaminated? It cost me $400! Why doesn’t it say that on the instructions? I read them 10 times before starting.
 
It’s not contaminated unless it’s cloudy or has particles in it. It might not last quite as long if you continue to do that. If you need to get more most of us buy it from Canada and get pens instead of vials. My first two were vials which I had to discard after about 6 months with over half left as it lost potency. The pens I used to the last drop. I have a feeling you won’t need more. Anti jinx.

Those stickies are really good, aren’t they?
 
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