Thor BG 11.2mmo/l

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Seth And Thor

Seth And Thor

Member Since 2023
Good Day Everyone.

My Name is Seth and I am from South Africa.

My wife and I have 5 cats but my Boy Thor got diagnosed last year with Diabetes so we had to do a complete feeding change with all our cats as they all used to eat at Libb. Since last year I have been doing a lot of research on Thor's condition as I needed to be informed all the time so I can help my boy. He is 9 now in October, I have also put him on pet medical insurance to cover some of his needs but that only kicks in this December as he was already diagnosed before signing him up.

He was started on Canninsulin at 2 units but to no avail, his glucose was just not coming down, I then came across this forum and moved him over to Lantis which led to changes in his glucose coming down but the curves are just not normalizing as he still has spikes. I'm now in the process of just doing a full change of his diet as I have been reading a lot of the forums here on food and diet. My only concerns are he is a picky eater and South Africa hasn't got a huge variety that is best suited to his condition.

He has been on the hills M/D and W/D when it comes to dry food and wet food Royal Caninn is Diabetic as he doesn't like the Hill's wet food. The vet had me move him to W/D dry 2 months ago and now this last week he has missed 2 shots of insulin as he has refused to eat it, the Royal Caninn wet food he has now begun just licking the gravy and leaving the rest.

So last week Monday I had him at the vet for observation and they found him to have some parasitic worm so he was proscribed to a whole week's worth of double dewormers, the Death stares were real.

Then when the refusal to eat came along I took him in again last week Friday and spent all of 4 hours there as I wasn't just going to leave him by himself while they ran tests. They did a urinalysis and blood tests for DKA and clicking kidneys and so on. All tests came back clean. I then told them that I think it's the food but then again come to think of it I have been telling them this for a while and got shot down everytime I present a different food.

Yesterday I went to the vet as I wanted answers as his just refusing to eat still.
The vets told me that I'm going to have to take Thor to a specialist to do more tests as they are stumped they don't know anymore.

I have my own glucose meter at home so I am able to do curve tests on my own learnt to do this quickly as I am a neurotic parent.

His current dosage is 1.2 units lantis mixed with 0.3 units sterilized water as a buffer recommend by the vet.

Lately Thor has seemed a little off in the sense that he dosn't seem to happy. So very concerned for him.

One thing I have started doing is adding a small amount of Aloe water to the drinking water.

I would love nothing more than to move him completely over to a good wet diet as I can see him being a bit constipated and have no choice but to give him Laxapet a stool softener. As I don't what him having any compaction issues. I I'm just not sure what wet food I should give him.

My wife and I have both full time jobs. I'm normally leaving home at 4.30 every morning and arriving home at around 20.00 every evening. So my wife does a lot of the injecting and feeding as food time is 5.30am/pm every morning and evening and injecting time is 6.20am/pm I know it's supposed to be 30mins before but with him being a slow eater most days we started feeding 45min before insulin time.

Please if there is any advice or questions.
 
Hi and welcome Seth to the forum to you and your beautiful Thor.
First of all you are not a neurotic parent, You are just trying to find the best way to treat Thor.
Ill answer some of your questions and starements.
Seth And Thor said:
His current dosage is 1.2 units lantis mixed with 0.3 units sterilized water as a buffer recommend by the vet.
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Please, Please do not mix the lantus insulin with sterilised water or anything else. Lantus insulin should not be given with anything else at all. Just draw up the dose and give it on its own.
By the way, with Lantus you test the BG, feed the cat then inject one after the other. With lantus you dont have to wait any time after feeding to give the dose.
Seth And Thor said:
He has been on the hills M/D and W/D when it comes to dry food and wet food Royal Caninn is Diabetic as he doesn't like the Hill's wet food. The vet had me move him to W/D dry 2 months ago and now this last week he has missed 2 shots of insulin as he has refused to eat it, the Royal Caninn wet food he has now begun just licking the gravy and leaving the rest.
Click to expand...
Hills MD dry is 17% carbs so is high carb...not suitable for diabetic cats
WD dry is 37% carbs and is totally unsuitable for diabetic cats.
Which Royal Canin wet food is it? can you show us the writing of the ingredients on the back please?
Do you have access to normal canned cat food in South Africa? Such as fancy feast? Or Weruva?
You need to find a food he will eat as it is important he does not miss doses of insulin.
Do you test for ketones in the urine using a bottle of KETOSTIX? if not I would recommend you do.

I would recommend you set up the spreadsheet of ours and the signature and start adding BG (blood glucose) data so we can help you with dosing and food choices. Here is the link to the SS and signature
HELP US HELP YOU
Please keep asking questions. We can help you and Thor get on track.
 
Hi Bron and Shiba

Thanks for such a speedy reply.

I went out looking for fancy feasts yesterday but to no avail as it seems South Africa no longer imports it. But we do have weruva I got one sachet yesterday to try him out on but my wife said he ate all the gravy and left the chicken behind so she gave him a little M/D just so she could give him insulin.

I have the Accu check I stand so I can post his reports as I get them on my phone. I chose this glucose meter so that I can track.

I haven't tested myself for ketones I know that's what they did on Friday at the vet and found nothing in his urine. But I will see if I can get Ketostix.
 
Seth And Thor said:
went out looking for fancy feasts yesterday but to no avail as it seems South Africa no longer imports it. But we do have weruva I got one sachet yesterday to try him out on but my wife said he ate all the gravy and left the chicken behind so she gave him a little M/D just so she could give him insulin.
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What Weruva did your wife give Thor?. There is a big variety of it. You may have to try a few different ones.
Do you think he could be nauseated? it might be worth getting an anti nausea medication such as cereina or ondansetron (zofran) from the vet to see if that helps.
The Accucheck meter is a good one!
 
The vet gave me a anti-nausea tablet that she split into 4 and said to give every 48hours will need to look at the pack she put it in for the name, will get back to you on that when I get home tonight. Today he gets another quarter I've that tablet.

The Weruva sachet that was given is the Pumpkin licking chicken.
 
Seth And Thor said:
The vet gave me a anti-nausea tablet that she split into 4 and said to give every 48hours will need to look at the pack she put it in for the name, will get back to you on that when I get home tonight. Today he gets another quarter I've that tablet.

The Weruva sachet that was given is the Pumpkin licking chicken.
Click to expand...
Are there any Weruvas that are unsafe?
 
Seth And Thor said:
Are there any Weruvas that are unsafe?
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If you look at the Weruva website, it has all its products and the nutritional values of them all. Look for foods that are 10% carbs or lower.
Pumpkin Lickin Chicken is part of the cats in the kitchen range and all the cans of the cats in the kitchen range are low carb. Some of the sachets in that range are a bit higher carb.
If you have not been feeding low carb and start to do so you will need to be monitoring the BGs very closely as the BGs can drop up to 5 mmols/L or more.
 
Seth And Thor said:
he vet gave me a anti-nausea tablet that she split into 4 and said to give every 48hours will need to look at the pack she put it in for the name, will get back to you on that when I get home tonight. Today he gets another quarter I've that tablet.
Click to expand...
That sounds like a cerenia tablet to me. If it is cerenia, they can be given each 24 hours.
 
His been on a high carb diet as the w/d and m/d dry plus the Royal canin wet food sachets.

ROYAL CANIN® DIABETIC thin slices in gravy is a complete dietetic feed for cats formulated to regulate glucose supply (Diabetes Mellitus). This feed contains a low level of rapid glucosereleasing carbohydrates. RECOMMENDATIONS: It is recommended that a veterinarian's opinion be sought before use or before extending the period of use. Initially feed DIABETIC for up to 6 months.

Composition: Meat and animal derivatives, derivatives of vegetable origin, cereals, minerals, oils and fats.

Additives (per kg): Nutritional additives: Vitamin D3: 270 IU, E1 (Iron): 3 mg, E2 (Iodine): 0.4 mg, E4 (Copper): 3 mg, E5 (Manganese): 0.8 mg, E6 (Zinc): 8 mg - Technological additives: Clinoptilolite of sedimentary origin: 1 g.

Analytical constituants: Protein: 8.9% - Fat content: 3.2% - Crude ash: 1.7% - Crude fibres: 1.1% - Moisture: 82.5% - Essential fatty acids: 0.54% - Total sugars: 1.3% - Starch: 1.2% - source of carbohydrates: modified corn starch - rice.

  • Feeding instructions: see table. Batch number, factory registration number and best before date: see information on packaging. To be stored in a cool, dry place
 
Seth And Thor said:
His been on a high carb diet as the w/d and m/d dry plus the Royal canin wet food sachets.

ROYAL CANIN® DIABETIC thin slices in gravy is a complete dietetic feed for cats formulated to regulate glucose supply (Diabetes Mellitus). This feed contains a low level of rapid glucosereleasing carbohydrates. RECOMMENDATIONS: It is recommended that a veterinarian's opinion be sought before use or before extending the period of use. Initially feed DIABETIC for up to 6 months.

Composition: Meat and animal derivatives, derivatives of vegetable origin, cereals, minerals, oils and fats.

Additives (per kg): Nutritional additives: Vitamin D3: 270 IU, E1 (Iron): 3 mg, E2 (Iodine): 0.4 mg, E4 (Copper): 3 mg, E5 (Manganese): 0.8 mg, E6 (Zinc): 8 mg - Technological additives: Clinoptilolite of sedimentary origin: 1 g.

Analytical constituants: Protein: 8.9% - Fat content: 3.2% - Crude ash: 1.7% - Crude fibres: 1.1% - Moisture: 82.5% - Essential fatty acids: 0.54% - Total sugars: 1.3% - Starch: 1.2% - source of carbohydrates: modified corn starch - rice.

  • Feeding instructions: see table. Batch number, factory registration number and best before date: see information on packaging. To be stored in a cool, dry place
Click to expand...
I just bought some weruva that I could find while I was at work which is.

Mideast feast
Mack & Jack
Polynesian BBQ
Jam in Salmon
 
Nimi S said:
Looks like the Jammin’ Salmon is one of Weruva’s dog food variants.

Since you have Weruva available where you live, you could visit this link https://www.weruva.com/pages/cat-nutritional-information
And select a low carb variant (under 10% or lower, as Bron suggested). Look at the column for carbs (ME profile).
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Oh wow. :banghead: will go change it out tomorrow. It was in the cat food side. Must have been misplaced.

Will go check the link out. Thanks a lot much appreciated
 
Seth And Thor said:
quick question. is there a how to guide on how to use the SS. sorry I am a totally new to this.
Click to expand...

This is the link which describes how to use the spreadsheet - https://felinediabetes.com/FDMB/threads/how-to-use-the-spreadsheet.241653/

Sharing some beginner level pointers from the above link for you to get started. Keep asking questions! :)

Basic Recording

Each day is a separate row and is comprised of two cycles: A.M. and P.M.
The “AMPS” is the “A.M. Preshot” and the “PMPS” is the “P.M. Preshot”.

Pre-shot is the blood glucose (BG) reading you get by testing your cat with a glucometer, before feeding and injecting your cat with insulin in the AM and PM.

Each column stores different data for the day. The “U” column is for the amount in units of the insulin shot (e.g 1u, 2.25u, etc).

From left to right in each row, enter:
the Date in the first column
the AMPS test in the 2nd column
the Units given; if no insulin is given, record “NS” (no shot) in the “U” column
The “U” column is followed by 11 columns within that cycle labeled +1 through +11.

All tests are counted from the time of the shot. For example, if a test is one hour after the shot, the BG is recorded in the “+1” column, five hours after the shot, the BG is entered in the “+5” column, 10 hours after the shot, the BG is entered in the “+10” column.

Halfway across the page is the column for PMPS (which corresponds to +12 if shots are given every 12 hours).
To the right is another column for Units given at the evening shot.
There is a second set of columns labeled +1 through +11 following the “U” column.

Enter the tests in the corresponding column based on the number of hours since the P.M. shot.

Sometimes, testing will occur at times other than whole hours from the shot. In this case, time is divided into 15 min increments recorded in quarters (round up or down to the nearest quarter so two hours and the minutes would be recorded the same as two hours and 15 minutes):
a test taken two hours and 15 minutes after the shot is recorded as +2.25
a test taken two hours and 30 minutes after the shot is recorded as +2.5
a test taken two hours and 45 minutes after the shot is recorded as +2.75
 
Since you’ve already added Thor’s spreadsheet (SS) to your signature, it would be helpful if you could add to it by sharing some more basic information about Thor, so that it is available to the other FDMB members at a glance :)
You can have a look at signatures of some members to get an idea.

Some guidelines on setting up your signature:
On the left, under Settings, Click on Signature.
This is where you will put information that helps us give you feedback.
There is a limit of two lines which may include two links; you may separate pieces with commas, dashes, | etc.
This is where you paste the link for your spreadsheet, once it is set up.
Add any other text, such as
  • Caregiver & kitty's name (optional)
  • DX: date
  • Name of insulin (do not include dose or date insulin started)
  • Name of your meter
  • Diet: "LC wet" or "dry food" or "combo"
  • Dosing: TR or SLGS or Custom (if applicable)
  • DKA or other recent health issue (if applicable)
  • Acro, IAA, or Cushings (if applicable)
  • Spreadsheet link on the last line by itself (for quick access) in the format “XXXX's Spreadsheet” (where XXXX is your kitty’s name)
Click the Save Changes button at the bottom.
 
should I put all of Thor's previous test results in as well? or just starting from today onwards?
also should I be testing every day? because I don't want to keep pricking his ears. or should I only put his curve test in which i plan to do on Saturday?
 
Nimi S said:
Since you’ve already added Thor’s spreadsheet (SS) to your signature, it would be helpful if you could add to it by sharing some more basic information about Thor, so that it is available to the other FDMB members at a glance :)
You can have a look at signatures of some members to get an idea.

Some guidelines on setting up your signature:
On the left, under Settings, Click on Signature.
This is where you will put information that helps us give you feedback.
There is a limit of two lines which may include two links; you may separate pieces with commas, dashes, | etc.
This is where you paste the link for your spreadsheet, once it is set up.
Add any other text, such as
  • Caregiver & kitty's name (optional)
  • DX: date
  • Name of insulin (do not include dose or date insulin started)
  • Name of your meter
  • Diet: "LC wet" or "dry food" or "combo"
  • Dosing: TR or SLGS or Custom (if applicable)
  • DKA or other recent health issue (if applicable)
  • Acro, IAA, or Cushings (if applicable)
  • Spreadsheet link on the last line by itself (for quick access) in the format “XXXX's Spreadsheet” (where XXXX is your kitty’s name)
Click the Save Changes button at the bottom.
Click to expand...
Thank you for all the information its a great help much appreciated
 
Seth And Thor said:
should I put all of Thor's previous test results in as well? or just starting from today onwards?or should I only put his curve test in which i plan to do on Saturday?
Click to expand...
It would be helpful for experienced members if they could see how Thor has been doing on Lantus. The more data you enter, the better it is for them to see any patterns and suggest any changes to the dose accordingly.

To begin with, you could add in his blood glucose readings for the past 4/5 days or maybe a week, if you have the data for it.
Any other notes you may have taken regarding other aspects of his health/ mood/ behavior/ appetite etc can be mentioned in the Remarks column to the right.
If you’re testing for ketones at home using ketostix, you can mention the results in the Remarks column too.

Seth And Thor said:
also should I be testing every day?
Click to expand...
Yes, it is important that you test Thor’s BG before his AM and PM shots to ensure that his pre-shot BG isn’t too low and doesn’t drop further below (to unsafe levels) post insulin administration.
A few readings during each cycle (AM and PM) help to figure out how low he is dropping on a particular dose.
You can take a couple of readings in each cycle at different points on different days to try to figure out at what point his nadir is. Nadir is the point at which the BG drops the lowest in a cycle (generally between 4-6 hrs after insulin, but differs from cat to cat).
The more readings you take, the better you can spot trends in your cat’s response to the insulin.
Not all cats are receptive / cooperative towards ear pricks, so your hesitation is understandable.
I was worried about the ear pricks hurting my cat too when I started but he (and I) soon got used to it :)
 
Seth And Thor said:
Acro, IAA, or Cushings?
Click to expand...
These are some health conditions that some diabetic cats are sometimes diagnosed with, pre or post diabetes.
You don’t have to include them in your signature since Thor hasn’t been diagnosed with any of these.

Acro - acromegaly is a disorder in which the pituitary gland produces too much growth hormone (GH) that leads to insulin resistance, glucose intolerance and, ultimately, diabetes.
IAA - Insulin autoantibodies (IAA) are early markers of prediabetic autoimmunity.
Cushings disease - Hyperadrenocorticism/ Cushing's syndrome develops when there is a persistent excessive production of the hormone cortisol.
 
Nimi S said:
It would be helpful for experienced members if they could see how Thor has been doing on Lantus. The more data you enter, the better it is for them to see any patterns and suggest any changes to the dose accordingly.

To begin with, you could add in his blood glucose readings for the past 4/5 days or maybe a week, if you have the data for it.
Any other notes you may have taken regarding other aspects of his health/ mood/ behavior/ appetite etc can be mentioned in the Remarks column to the right.
If you’re testing for ketones at home using ketostix, you can mention the results in the Remarks column too.
I will add all the reading I have from the start as I have the AccuChek instant so all of that data is on my phone.

Yes, it is important that you test Thor’s BG before his AM and PM shots to ensure that his pre-shot BG isn’t too low and doesn’t drop further below (to unsafe levels) post insulin administration.
A few readings during each cycle (AM and PM) help to figure out how low he is dropping on a particular dose.
You can take a couple of readings in each cycle at different points on different days to try to figure out at what point his nadir is. Nadir is the point at which the BG drops the lowest in a cycle (generally between 4-6 hrs after insulin, but differs from cat to cat).
The more readings you take, the better you can spot trends in your cat’s response to the insulin.
Not all cats are receptive / cooperative towards ear pricks, so your hesitation is understandable.
I was worried about the ear pricks hurting my cat too when I started but he (and I) soon got used to it :)
Click to expand...
how long before he eats can I do his AMPS? I ask this, as I generally leave home for work at 4.30am and arrive home around 8pm, and my wife gets home just before his time to get his shot. our daughter feeds them in the afternoons.
its tough to get reading in the day as we both work full time jobs. that's why I asked.
 
Seth And Thor said:
how long before he eats can I do his AMPS? I ask this, as I generally leave home for work at 4.30am and arrive home around 8pm, and my wife gets home just before his time to get his shot. our daughter feeds them in the afternoons.
its tough to get reading in the day as we both work full time jobs. that's why I asked.
Click to expand...

Can be right before you put the food down for him, if you can. The rule of thumb is, ideally, not to feed him 2 hours pre-test, to ensure you see his "real" BG number as opposed to a food spiked number. Once you have enough data to see whether he is a food spiker (some cats are, some aren't) you can adhere to free feeding even.
 
Seth And Thor said:
how long before he eats can I do his AMPS? I ask this, as I generally leave home for work at 4.30am and arrive home around 8pm, and my wife gets home just before his time to get his shot. our daughter feeds them in the afternoons.
its tough to get reading in the day as we both work full time jobs. that's why I asked.
Click to expand...
With Lantus you test the BG, feed the cat and then inject, one after the other. All this can happen within 5-10-15 minutes, depending on how calm or fractious your cat is :D
I used to inject my cat with insulin (lantus) while he was eating. I used to take his BG a couple of minutes before feeding him.

Another suggestion is to take away your cat’s food 2 hours prior to the shot time, so that the AM and PM BG tests are not influenced by food. I understand that it may not always be possible for you to get up early enough to do this, but during the day when your daughter feeds Thor, you can ask her to not feed post +10 (that is 2 hrs before the PM shot).
This guidance is more for beginners or caregivers who are yet to learn how their cat’s BG responds to food and insulin.
 
Seth And Thor said:
i have added a bit of Thor's reading. will continue tomorrow.
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I see you’ve also updated your signature.
For the time being, you may have to remove TR from your signature and spreadsheet.
TR (tight regulation) requires complete removal of dry food from the cat’s diet and also testing the BG a minimum of 4 times during the day.
It also differs from the SLGS (start low go slow) protocol in terms of the duration of holding a particular dose and the BG at which you lower a dose.

I’m not sure if you meant to add BGs from Dec 2022 but otherwise you’re on the right track with the spreadsheet :)
 
Welcome to FDMB.

Several of our members have given you great basic information to help you get started.

Just to check on the information on your spreadsheet, it looks like the data is from 2022? If you have test data from the last couple of weeks (or even days) that would be much more helpful if you want feedback from us.
 
Sienne and Gabby (GA) said:
Welcome to FDMB.

Several of our members have given you great basic information to help you get started.

Just to check on the information on your spreadsheet, it looks like the data is from 2022? If you have test data from the last couple of weeks (or even days) that would be much more helpful if you want feedback from us.
Click to expand...
That's 100% I will only go back by a few weeks.
 
I just did a spot check on Thor now which is just under 4 hours after his shot and it's is currently at 5.8mmol/l I'm a little worried its going to dip even more.
 
Is this the first time he’s dropped this low?
Right now, you can feed him some MC carb food (10-15%) if you have it handy, to raise his BG to a number you’re comfortable with.
Or you can test him after another 30-45 minutes to see if his BG is dropping further below.
If you can’t stay awake to test and/or feed, you could feed him his regular HC kibble just to tackle today’s numbers. And keep some out for him to graze during the night.

You’d mentioned that you mix the lantus with sterilised water. Was today’s PM shot just lantus?

One very important thing is to not change the food you are feeding at the moment over to the low carb food until you are testing the blood glucose because a change over to LC food can drop the BGs by up to 100 points and we don’t want you to have a hypo on your hands.

Basically you want to transition Thor from dry food to wet food very gradually since he’ll be moving from high carb to low carb and that will also impact his BG apart from the insulin itself.
 
No this isn't the lowest his been. 2 weeks ago he hit 2.4mmol/l and I rushed him to the vet with mild hypo symptoms. Then again at 3.7 here at home with no symptoms but then I gave him honey to raise it again. That's why I'm concerned about it being this low this soon.

Tonight he was given Lantus without serialized water. And I agree that he should be changed gradually with the LC. How should I go about the change? Any suggestions
 
I
Seth And Thor said:
No this isn't the lowest his been. 2 weeks ago he hit 2.4mmol/l and I rushed him to the vet with mild hypo symptoms. Then again at 3.7 here at home with no symptoms but then I gave him honey to raise it again. That's why I'm concerned about it being this low this soon.

Tonight he was given Lantus without serialized water. And I agree that he should be changed gradually with the LC. How should I go about the change? Any suggestions
Click to expand...
Will also test him again in 30mins and see how much he has dropped since. I did give him his treat after his last test which is the Orijen free dried chicken.
 
Do you know what was his pre-shot, so you could calculate the rate which he is dropping with?
And do you have a rough idea when he usually reaches nadir? It can be any time between +4 and +7/+8

Edit: a 5.8 mmol/L on a human meter is not too low.
 
Seth And Thor said:
I did give him his treat after his last test which is the Orijen free dried chicken
Click to expand...
I think the Orijen freeze dried treats are low carb so you may have to intervene with a slightly higher carb food, either wet or dry, if he has dropped lower when you test later.

Seth And Thor said:
Tonight he was given Lantus without serialized water.
Click to expand...
Since Lantus is a depot insulin, the depot might impact the subsequent cycle too, so you may have to keep a tighter watch since today’s Lantus dose was undiluted.

Seth And Thor said:
And I agree that he should be changed gradually with the LC. How should I go about the change? Any suggestions
Click to expand...
When introducing any new food, it’s good to start by adding / mixing the new food to the current food in a lower proportion (say 80:20 current:new) and then eventually reducing/ removing the current food entirely. You can do this over a couple of weeks.
Keep a watch on the daily calorie requirements of your cat based on his ideal weight.

Some cats are dry food addicts and don’t respond well to the change, so it may take longer to transition them to wet food completely. This is a helpful doc by Dr. Lisa Pierson on Transitioning cats to a canned diet.

Even when trying out different low carb wet food options, it’ll be good to not switch too frequently to avoid upsetting your cat’s stomach.
 
No I'm not sure what it is. I was supposed to do a curve test for the vets this last weekend and didn't go to plan as he missed 2 shots as he wasn't eating properly. And today I got home just before 8 after he already had his shot. Spoke to my wife tonight and asked her to start taking his BG before his shot so that we know what's happening. Just took his BG now and it had dropped to 5.7 so only by 0.1 should I still give him something to eat?
 
Nimi S said:
I think the Orijen freeze dried treats are low carb so you may have to intervene with a slightly higher carb food, either wet or dry, if he has dropped lower when you test later.


Since Lantus is a depot insulin, the depot might impact the subsequent cycle too, so you may have to keep a tighter watch since today’s Lantus dose was undiluted.


When introducing any new food, it’s good to start by adding / mixing the new food to the current food in a lower proportion (say 80:20 current:new) and then eventually reducing/ removing the current food entirely. You can do this over a couple of weeks.
Keep a watch on the daily calorie requirements of your cat based on his ideal weight.

Some cats are dry food addicts and don’t respond well to the change, so it may take longer to transition them to wet food completely. This is a helpful doc by Dr. Lisa Pierson on Transitioning cats to a canned diet.

Even when trying out different low carb wet food options, it’ll be good to not switch too frequently to avoid upsetting your cat’s stomach.
Click to expand...
I will start the transition when I'm in the office as I will be leaving for work around 7am and will be home before his shots too so I can monitor it a bit better. Really does suck not being able to do more
 
Seth And Thor said:
No I'm not sure what it is. I was supposed to do a curve test for the vets this last weekend and didn't go to plan as he missed 2 shots as he wasn't eating properly. And today I got home just before 8 after he already had his shot. Spoke to my wife tonight and asked her to start taking his BG before his shot so that we know what's happening. Just took his BG now and it had dropped to 5.7 so only by 0.1 should I still give him something to eat?
Click to expand...

Can you monitor him for the upcoming 2-3 hours? If you can, I would wait it out without food, because technically he is in a decent range...
 
Seth And Thor said:
Just took his BG now and it had dropped to 5.7 so only by 0.1 should I still give him something to eat?
Click to expand...
It would be good to leave out some food for him to graze on during the night. Some cats intuitively seek food if their BGs drop too low.
If you’re worried about him dropping lower/ too low while you’re sleeping, you / your wife could set an alarm to test or feed him after a couple of hours.
We don’t know his PMPS to see how much he has dropped since then. Another important thing is that we don’t know how undiluted Lantus affects his BG since today’s PM cycle is his first dose on it. You’ll have to collect his BGs over the next couple of days to get some sense so that more experienced members can guide you on the proper dosing going forward.
 
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His current dose is 1.2units per 12hours he was 1.2 units + 0.3units serialized water

I put some pellets 15g out for him and he already just about finished them.
 
Seth And Thor said:
I would love nothing more than to wait up but I need to get some sleep as it's after 11pm and I need to be up at 4
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Then you've definitely done the right thing!
As Nimi said, they're intuitive eaters, so they tend to seek food when they feel their BG dropping rapidly. Although in the future I'd rather leave out medium carb wet overnight as opposed to kibbles (assuming that's what you referred to as pellets?) as they tend to raise their BG more rapidly. But it's early days, and I don't want you to worry about it right now, go and get some much needed rest. I'm just saying this, in case if you're seeing a higher than expected pre-shot number in the morning, you may want to calculate the kibble in the equation as opposed to panicking ;)
And just to state the obvious: You're doing absolutely amazing, kudos to you for being awesome and proactive, Thor is lucky to have you guys!
 
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.:. in.active .:. said:
Then you've definitely done the right thing!
As Nimi said, they're intuitive eaters, so they tend to seek food when they feel their BG dropping rapidly. Although in the future I'd rather leave out medium carb wet overnight as opposed to kibbles (assuming that's what you referred to as pellets?) as they tend to raise their BG more rapidly. But it's early days, and I don't want you to worry about it right now, go and get some much needed rest. I'm just saying this, in case if you're seeing a higher than expected pre-shot number in the morning, you may want to calculate the kibble in the equation as opposed to panicking ;)
And just to state the obvious: You're doing absolutely amazing, kudos to you for being awesome and proactive, Thor is lucky to have you guys!
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I would love nothing more than to leave more food out unsupervised but I have 4 more hungry heathens in this house that will do everything they can to get to that bowl. So it's normally a supervised feeding or split feedings. They all used to eat at Libb until Thor was diagnosed. And yes pellets is Kibbles, sorry it's the South African terminology. Yeah will do anything for my boy.. Super protective over him. Will check his BG before I leave for work in the morning.
 
I can relate, although I only have 3 all together. Nonetheless, all 3 of them have different food preferences, and granted the two non-diabetics are hard-core dry food enthusiasts :rolleyes:
They were all free fed as well pre-diagnosis, so it took great effort (and lots of supervised feeds, begging, yowling and tripping over them) to establish a semi-routine.
Hold on and do what you're doing - it WILL get easier and ultimately better.

Pellets where I'm at are wood pellets - the kind you use for pizza ovens and -in a feline setting- as cat litter :D Thor might be the god of thunder, but I did assume he wouldn't chomp on wood as a snack.
 
.:. in.active .:. said:
I can relate, although I only have 3 all together. Nonetheless, all 3 of them have different food preferences, and granted the two non-diabetics are hard-core dry food enthusiasts :rolleyes:
They were all free fed as well pre-diagnosis, so it took great effort (and lots of supervised feeds, begging, yowling and tripping over them) to establish a semi-routine.
Hold on and do what you're doing - it WILL get easier and ultimately better.

Pellets where I'm at are wood pellets - the kind you use for pizza ovens and -in a feline setting- as cat litter :D Thor might be the god of thunder, but I did assume he wouldn't chomp on wood as a snack.
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All I want for him is to be well. Hate seeing him in his downs. I took his BG before I left home this morning and it was on 18.1 mmol/l
 
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