? Navigating the BG roller coaster with Gary

Status
Not open for further replies.

Drew Morey

Member Since 2021
I'd be grateful to learn how others are managing the unpredictable BG roller coaster. Gary is a 14 year old male tabby who is the quiet, understated Alpha over our two younger cats, Jazz and Rosie. He loves to be spun around and tickled unpredictably on our office chair. He actually considers this to be his inalienable right, and I suppose he has a point.

We've been managing his diabetes for more than 2 years, and though we have been largely successful, it has been a continuous game of catch up, trying to find the balance point. We never seem to 'arrive' at the sweet spot. Is this normal for everyone else?

I should clarify here that our resources are limited, and testing is something we can afford to do only sparingly.

The highest dose we've ever had him on is 2 units (.05ml), and for quite a while we were at just half a unit (.0125ml). We were most recently dosing him at at 1.25 units, and yesterday he exhibited the dreaded signs of a crash - staggering and disorientation. His BG had dropped to 30.6 (1.7 on our Alpha Trak). Now I have him back down to .75 unit.

There really is no middle ground with Gary, at least not for very long. I predict that the drinking / urine will skyrocket again very shortly. I like to joke that we could build our own pyramid from the gigantic blocks of litter that we discard most days, as we continue to play catch up, trying to give him just enough insulin to keep him healthy without 'flying too close to the sun' and triggering the next crash.

I should conclude by clarifying that we have had him exclusively on Fancy Feast Pate (we're in Canada - so it's the nutritional equivalent of your 'Classic' in the US). This is all that we allow him to eat, and he gets it in in set amounts at regular meal times.
 
Drew:

Have you had a chance to look at our Prozinc dosing guidelines? This is the link to the Prozinc forum and you may want to take a look at the sticky notes at the top of the board. There are two ways that we use to dose Prozinc. From what it sounds like, you may want to look over the modified method which allows for dose adjustments in small increments.

In general, it's easier for us to provide input if you are able to put together a spreadsheet. It will give us a sense of your cat's numbers and how he responds to dose changes. We generally recommend getting at least 4 tests per day -- your two pre-shot tests and at least one additional test during the AM and PM cycles so you know how low the dose is taking Gary's blood glucose levels.

I'm also linking a post on helping us to help you that will provide some basic information including how to set up a spreadsheet.
 
Welcome. Waving from Ontario.

The best way to figure out Gary's ups and downs is to test. AlphaTrak strips are crazy expensive in Canada. You don't necessarily need a pet specific meter. A human meter works just fine. In fact, that was what vets used until fairly recently.

A lot of Canadians use the FreeStyle Lite meter. Strips run roughly $80/100. You can save up and use PC points to buy them. Also take advantage the discount on Seniors Days at Shoppers.

There is also the Bravo meter. https://omnipod.diabetesexpress.ca/products/bravo-meter-only

There are two downsides to this meter:
1. The meter takes a very large drop of blood.
2. You can only order strips online. $40/100. If you have a hypo event and are short on strips, you cannot run out and grab a pack at the local drugstore. It is highly recommended that you have a minimum of 200-300 strips at all times. Currently out of stock.

As Sienne said, if you can set up a spreadsheet, we can help you try to figure out what's going on with Gary. There are many people on this forum who are experienced with reading spreadsheets.
 
Last edited:
I live in Canada and I use the Contour Next meter. You can get strips at Walmart for $72.99 for 100 strips and you can get a free meter the first time you buy the strips. It may require a slightly larger drop than the Freestyle but I usually don't have a problem.

It is still expensive though and I am still looking at cheaper options like buying strips on Ebay. Someone has mentioned Costco has better prices on strips too but I don't have a membership.
 
This is a very late reply to the much appreciated input from several kind people. Our family is currently in the happy situation of enjoying Gary remaining stable in the healthy BG range with no insulin at all for about a month now. We are very fortunate in this regard, and we are celebrating his good health for as long as it will last. Thanks again.
 
Status
Not open for further replies.
Back
Top