81!!! PMPS 235 Baby G +2 310

I do have DM dry but she's not very food driven and hasn't been eating well lately.
 
The thing is, in my thinking, is if I'm not comfortable as it stands, why do I need to see a below 90 to know I need to reduce, other than following to the letter a particular method. I'm already nervous.
 
Is this just a late nadir? I've heard of some cats doing that at shot time and so it makes it more confusing what to do. That's why I've been stalling to see if she'll go up without food.
 
I can't stall a whole lot longer though thanks to that blasted DST. I'm going to test once more.
 
babyg said:
I'm already nervous.
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I understand!!!
babyg said:
Is this just a late nadir? I've heard of some cats doing that at shot time and so it makes it more confusing what to do. That's why I've been stalling to see if she'll go up without food.
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Sometimes stalling without food will make the numbers go down a bit too making the decision to shoot even more difficult.
If it helps she is higher than her +10 last night so it could be a late nadir. My Cleo does this to me all the time :banghead:.
Maybe get another test in. You hold the syringe but FWIW I would shoot as long as I would be able to monitor. I would also feed but a smidge less and shoot and test and give a tsp at +1 and +2.
 
She's 131. Unfortunately she doesn't do a tsp of anything. :( She's very finicky, especially now. Trying to see if she'll eat now but she won't. My question is what's the goal for her nadir? What are we looking for
 
She ate some dry finally but she's now 114. Sorry I think I'm just going with half the dose. I can't always monitor like crazy and even if I could, I'm too far from an emergency vet if something goes south. Not sure if I'm doing the wrong thing but I have to feel like she's safe and I don't feel safe about that.
 
I think if she needs to drop below 90 for us to say yes, reduce her a quarter unit, that's too low for me to handle, especially since she doesnt eat great now
 
You hold the syringe and you are there with Baby. You have to do what's best for you :bighug: I'm glad you will shoot and not skip.

Please keep in mind that because Lantus is a depot insulin, you might still have some action in the first half of this cycle.
 
Thanks, I'm really sorry if I've disappointed anyone. I don't want you all to think you're wasting your breath or time on us. I really do take in and try to listen to everyone's advice because you all do know a lot more about FD than I do or even some vets. Maybe some day as I get more and more comfortable with her being in the 100s range I can feel more confident shooting lower, but for now this is already a big step for me, considering last time she had a low preshot I completely skipped. She may not be a new diabetic, but these low numbers are new to us since the vets always kept us higher. I need her appetite to improve more too because then I can feel better that she'll take care of herself on her own. Now I have to try to scrounge up a wet food flavor she'll eat. :banghead:
 
babyg said:
I'm really sorry if I've disappointed anyone.
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Please don't be sorry :bighug:

babyg said:
in my thinking, is if I'm not comfortable as it stands, why do I need to see a below 90 to know I need to reduce
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Here is an excerpt from the sticky about regulation:

'What is Regulation?':​

There are different definitions of regulation. As hometesting becomes more common, we've been getting a better understanding of what cats and their humans might be capable of. Janet & Fitzgerald propose the following "regulation continuum":​
  • Not treated - blood glucose typically above 300 mg/dl (16.7 mmol/L), poor clinical signs
  • Treated, but not regulated - often above 300 (16.7) and rarely near 100 (5.6), poor clinical signs
  • Regulated - generally below 300 (16.7) with glucose nadir near 100 (5.6), good clinical signs, no hypoglycemia
  • Well regulated - generally below 200-250 (11.1-13.9) and often near 100 (5.6), no hypoglycemia
  • Tightly regulated - generally below 150 (8.3) and usually in the 60-120 (3.3-6.7) range, no hypoglycemia, still receiving insulin
  • Normalized - 60-120 (3.3-6.7) except perhaps directly after meals -- usually not receiving insulin
It might help you and those who are helping you, if you have a goal as defined above.
 
Angela & Cleo said:
Well regulated - generally below 200-250 (11.1-13.9) and often near 100 (5.6), no hypoglycemia
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Thanks, this is helpful. This is probably the closest one that matches my goal, with the caveat being that I'm not comfortable yet with preshots much lower than 200. I did a 180 yesterday, which was my first time shooting a full dose below 200, and that turned out okay. Maybe as I see more of those I'll feel better to go lower on the pre-shot. Nadir-wise, I don't like anything lower than 100. I'd rather leave her a little wiggle room for days she doesn't eat or feel as well because believe me, they happen. I've come home from work to find she ate nothing or barely anything, and it was a surprise because she'd been eating super great up to that point and was acting completely normal so you'd never suspect that was coming. Thankfully that's not super common but it'd be nice to allow a cushion for it. I look at the numbers some of ya'll shoot and think man, you guys have some real cajones, lol. :eek::joyful: I don't know that risk-averse me will ever be like that, but I say never say never and we are definitely making progress and seeing better numbers. Need her behavior to match now too; still hiding under the futon. :banghead:
 
babyg said:
Thanks, this is helpful. This is probably the closest one that matches my goal, with the caveat being that I'm not comfortable yet with preshots much lower than 200. I did a 180 yesterday, which was my first time shooting a full dose below 200, and that turned out okay. Maybe as I see more of those I'll feel better to go lower on the pre-shot. Nadir-wise, I don't like anything lower than 100. I'd rather leave her a little wiggle room for days she doesn't eat or feel as well because believe me, they happen. I've come home from work to find she ate nothing or barely anything, and it was a surprise because she'd been eating super great up to that point and was acting completely normal so you'd never suspect that was coming. Thankfully that's not super common but it'd be nice to allow a cushion for it. I look at the numbers some of ya'll shoot and think man, you guys have some real cajones, lol. :eek::joyful: I don't know that risk-averse me will ever be like that, but I say never say never and we are definitely making progress and seeing better numbers. Need her behavior to match now too; still hiding under the futon. :banghead:
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Maybe she's having a pancreatic flare, can you make a vet appointment for the beginning of the week?
 
I actually had an appointment scheduled for today as a last-resort backup plan in case I couldn't get her to clear the constipation, but of course when she went I then cancelled. The thing is I don't know what they can really do for the pancreatitis other than tell me to keep getting her to eat and maybe taking pain meds, which I still have some (not sure how long they're good for; I'd have to look at the bottle). Last time she had a bad flare-up I just gave her anything and everything to entice her to eat and eventually she got over it. Basically the vets did poop for us when it came to the pancreatitis last time. I'm hoping the new food isn't going against her. I'd hate to give it up because I really think it's helping the diabetes a lot.
 
babyg said:
I actually had an appointment scheduled for today as a last-resort backup plan in case I couldn't get her to clear the constipation, but of course when she went I then cancelled. The thing is I don't know what they can really do for the pancreatitis other than tell me to keep getting her to eat and maybe taking pain meds, which I still have some (not sure how long they're good for; I'd have to look at the bottle). Last time she had a bad flare-up I just gave her anything and everything to entice her to eat and eventually she got over it. Basically the vets did poop for us when it came to the pancreatitis last time. I'm hoping the new food isn't going against her. I'd hate to give it up because I really think it's helping the diabetes a lot.
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I know, it's a Catch 22 situation. Her numbers are pretty awesome, so I am personally doubtful there's something going on. Just stay the course and see what happens overthe weekend.
 
babyg said:
Thanks, this is helpful.
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I'm glad :)!

babyg said:
I'm not comfortable yet with preshots much lower than 200. I did a 180 yesterday,
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That's good, and soon you can lower that 180 to 150 maybe? One of the great things about Lantus insulin is that it tends to give "flatter" cycles especially when shooting a blue (and green) BG.

babyg said:
still hiding under the futon.
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Oh the poor girl. I am not familiar with chronic pancreatitis. Have you seen this sticky? https://www.felinediabetes.com/FDMB/threads/a-primer-on-pancreatitis.79693/
 
I think 150 could be doable, now that I've seen the 180 was okay. It's not that far off. She is actually at the moment out and about. She finally went and took a nap on top of the futon, and now she's roaming around the kitchen looking for something to get into, I'm sure, lol. I wanted to go grocery shopping but am waiting a little longer just to make sure she's eating and continuing to look better.
 
she ate several temptations. watiting for vet to call me back. i live a half hour away from vet.
 
81 is a safe number. How long after the shot is this? There is no need to take her to the vet. How is she doing? Test again in an hour.
 
Shes going crazy for the temptations. She puked a little frothy liquid beforehand and that's when I went to test her
 
Is she not willing to eat anything except the Temptations?

I'm more concerned about why she is vomiting so much. Pancreatitis? When is the last time you had her labs done and kidney values checked?
 
when she does puke, it's barely anything, just liquid. Right before she puked, she was wandering around the kitchen and trying to find cobwebs and anything like that she could eat (she's a weirdo). so far she'll only eat Temptations. Tested and she's 102. vet is useless; they said they're busy and to call the emergency vet, which is over an hour away.
 
sorry, just saw the rest of your post and forgot to answer it. She had bloodwork and stuff checked I think around July 2022, when she got diagnosed with chronic pancreatitis.
 
Go easy on the temptations now. 102 is a little over the normal range so you don't need to worry about a hypo. Don't bother with the vet.

Please take off the 911? Thanks.
 
babyg said:
She's 181. I have no idea what to give her for her shot tonight nor what her PMPS will be, but I definitely don't want a repeat of today ever.
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The 3 appears to be a good dose, provided she eats. You need to figure out how to tempt her. Do you only feed FF? Maybe a different brand will help. Sprinkle some Fortiflora or freeze dried chicken on it to get her going.
 
babyg said:
She's 181. I have no idea what to give her for her shot tonight nor what her PMPS will be, but I definitely don't want a repeat of today ever.
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Oh what an exciting day o_O!
Do you mind filling in today's numbers in the SS please?
How long before PMPS? BabyG might just zoom to the moon after today's cycle and the reduced dose. Maybe a wait and see is the best approach and then you can decide.
 
babyg said:
She's 181. I have no idea what to give her for her shot tonight nor what her PMPS will be, but I definitely don't want a repeat of today ever.
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I will remind you of this once you get used to lower numbers and they become addictive. :)

Try 2.75U from tonight. She earned a reduction with that 81 today.
 
I've tried soooo many brands, felt like I was buying out the store. Literally spent a couple hundred dollars. Fortiflora doesn't always entice her, unfortunately. I usually don't have problems with her eating at least her DM but ever since the new food she's been acting like this and isn't even excited about that, so I don't know if it's that or what. I think unless her eating dramatically improves tonight, she's going to have to get something less. I don't see what the vets can do, especially if it is pancreatitis and we've been down that route before, but I may take her in this week if she doesn't get better.
 
Angela & Cleo said:
How long before PMPS? BabyG might just zoom to the moon after today's cycle and the reduced dose. Maybe a wait and see is the best approach and then you can decide.
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About six and a half hours. We got behind due to stalling this morning, so she got her shot around 6:40 CST. That's going to mess me up with work tomorrow if I don't push her back a little thanks to DST, so tomorrow morning I need to do about a 7:25. Whatever dose I give, it's going to be super conservative because I have to work and I really can't endure it anymore. Heart pounding and flipping; been up past 24 hours; she's been poked more times than I care to count. I'm fine with her being a bit high tonight and tomorrow, at least until I can get her eating and/or checked by the vet.
 
Oh the worry the furbabies put us through has added quite a few gray hairs to my head.
It does look like she's heading up in numbers and might not give you a choice but to shoot. :banghead:( and worry :rolleyes:)
You can shoot 30 mins early tonight, 610pm, and then tomorrow morning you'll be able to give the dose at 710am.
 
babyg said:
I've tried soooo many brands, felt like I was buying out the store. Literally spent a couple hundred dollars. Fortiflora doesn't always entice her, unfortunately. I usually don't have problems with her eating at least her DM but ever since the new food she's been acting like this and isn't even excited about that, so I don't know if it's that or what. I think unless her eating dramatically improves tonight, she's going to have to get something less. I don't see what the vets can do, especially if it is pancreatitis and we've been down that route before, but I may take her in this week if she doesn't get better.
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@Bandit's Mom replied to you above, she earned a reduction to 2.75 tonight.
 
I'm going to guess she's got a pancreatic flare up. She napped good but is now back again behind the couch. She ate some salmon bites I offered but won't eat any dry, new or old. Hasn't eaten more salmon pate either. At this point I'd say I'm not concerned any more about the food change; what's most important is that she's consistently eating, whether high carb or low carb, I'll just adjust accordingly. It sucks but considering she once had hepatic lipidisis, I'm just going to have to prioritize that eating something ... anything... is ok, so I've got it all out right now and she can pick whatever.
 
Looks like the gabapentin is expired and so is the ondansetron but the ondansetron has a refill so I think I'll call that in. I don't really recall those helping last time anyway though. Opened her a can of tuna and she doesn't want it. I think that food messed her up.
 
Ondansetron ready to pick up. I'm guessing it can't hurt to give it and see if it will help? So far she's turning up everything except Temptations and salmon bites and keeps hiding
 
babyg said:
Ondansetron ready to pick up. I'm guessing it can't hurt to give it and see if it will help? So far she's turning up everything except Temptations and salmon bites and keeps hiding
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I don't know much about Ondansetron. Is this how she behaved when she was DX with the pancreatitis?
 
I just got back from the store with the prescription, plus a bunch of random foods to try to entice her.
Those of you with kitties with pancreatitis, do you always keep a stash of meds/fluids for it and give as needed as soon as you see any possible signs? I'm not 100% sure that's what's going on right now, but it makes sense and matches her symptoms that that is what it is again. The Ondansetron is for 4 mg and says take 1 tablet by mouth every 8 to 12 hours. I don't like giving unnecessary meds but am thinking it good to catch this before it gets too out of hand, and of course now vets are closed. :(
 
babyg said:
I just got back from the store with the prescription, plus a bunch of random foods to try to entice her.
Those of you with kitties with pancreatitis, do you always keep a stash of meds/fluids for it and give as needed as soon as you see any possible signs? I'm not 100% sure that's what's going on right now, but it makes sense and matches her symptoms that that is what it is again. The Ondansetron is for 4 mg and says take 1 tablet by mouth every 8 to 12 hours. I don't like giving unnecessary meds but am thinking it good to catch this before it gets too out of hand, and of course now vets are closed. :(
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You could post on the main forum for the pancreatitis help, That way someone will see the topic.
 
My thread for the day is getting long...
She's not liking majority of what I bought her. I'll see what her PMPS is, but I'm thinking if she's giving trouble eating, 2.75 might still be too much... thinking 2.5 because of eating situation. Not sure but we'll see in a bit what she shows up
 
I'm thinking one and a half again, simply because she's not eating and her PMPS is lower than it's been the last several nights on this dose. If she were eating I'd feel more like 2 - 2.5.
 
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