09/12 Cooper AMPS 190 +1.25 219 +4.25 257 PMPS +0.5 247 +1.5 209 +2.25 131 +3 98 +4 83 +5 75

Hi Gabrielle, sorry no one responded earlier. Did you give him the full dose? He might very well head up from here into a bounce from the blues of last night. Will you be able to test him at +2?
 
No worries!

Yes, I gave him the full dose. :( And I'm only able to get a +1 before I leave for work, which I am about to test him now. He typically goes up at +1 for whatever reason, and then drops back down.
 
Gabrielle17 said:
He typically goes up at +1 for whatever reason, and then drops back down.
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They go up because of the food bump and because insulin glargine is usually not onset by then. After onset (which is typically at +2 but ECID), you could see numbers come down - if he is not bouncing.
 
Yes, he might go down or he might slowly head up in a bounce. Feed him a little now, leave out some food and try a get a test in your lunch break, if you can.
 
A blue preshot…how exciting! I’m glad you gave the full dose. He’s on a bit of a roll, so we don’t want to stop that. At what point in the cycle is your lunch break?
 
Trying to plan ahead here as I won't have much time once I get home if I want to get back to work within my allotted hour for my break. What should I do if Cooper happens to be low blues or even in the green?
 
Depends on how low he is. If he is green, you could leave some higher carb food for him in the auto feeder if you are concerned. And feed him when you are there as well. If it is around +4.5 or +5 he will probably be nearing nadir.
If you get another test before you leave now it might give you an idea of what he has in mind for the cycle or have you left already?.
 
Sorry, guys, I am needy today! Is Cooper still considered "new" to nadirs under 200? Just wondering if I should increase the dose tonight, or hold for a little longer due to the blues we've been having the past few days (though only in the evening mostly). :)
 
Cooper is not new to blue or nadirs under 200. He's been seeing them since 3.5 units dose. Another thing I looked at was how low in blues he got. High blues, go for the increase. Mid blues, maybe hold 8 cycles. Low blues, that is close to green, maybe hold for 10. The other thing to consider is whether he's bouncing, and what cycle he might break that bounce. Try to avoid increasing on the same cycle as he breaks a bounce, or you can get a little extra exciting downward action.

Note: I take longer to type than Bhooma does.

Follow on, did you talk to your vet about additional tests for secondary conditions for Cooper?
 
Wendy&Neko said:
Cooper is not new to blue or nadirs under 200. He's been seeing them since 3.5 units dose. Another thing I looked at was how low in blues he got. High blues, go for the increase. Mid blues, maybe hold 8 cycles. Low blues, that is close to green, maybe hold for 10. The other thing to consider is whether he's bouncing, and what cycle he might break that bounce. Try to avoid increasing on the same cycle as he breaks a bounce, or you can get a little extra exciting downward action.

Note: I take longer to type than Bhooma does.

Follow on, did you talk to your vet about additional tests for secondary conditions for Cooper?
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Do you mean the tests for acromegaly and IAA? I thought that since he had that breakthrough and saw some green numbers that we were out of the woods with that, but maybe I got ahead of myself. So I should still ask my vet about getting these test done then?
 
I came home and Cooper was not acting excited to see me as he usually does. He had thrown up as well. I tested him, and his BG is pretty normal for him. Went to get his food ready. Came back, he had thrown up again (bile). He is ALWAYS extremely over excited about food, but he wasn't. He won't eat at all. I thought maybe it was a bad batch of cans, so I opened a new box, new can. Still won't eat. He will take a freze-dried chicken treat. Otherwise acting normal. Is this just an upset stomach? I know I can't give his shot on an empty tummy. Maybe a smaller dose?

My other cat, Charlie, also threw up today, and he did have a little bit of the same canned food as Cooper this morning. Charlie is eating and acting fine.
 
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Gabrielle17 said:
I know I can't give his shot on an empty tummy.
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If you think you can get food in him before onset (a couple hours away), it's OK to shoot now. But I see I'm typing an hour too late. And you shot full dose. Well done. Now we have to get Cooper eating. Here are some ideas from the Health Links forum (see the FAQ post) Suggestions on How to Stimulate Kitty's Appetite If he still doesn't eat, he may be fine if his numbers are high. Hope he feels better soon. :bighug:

Gabrielle17 said:
Do you mean the tests for acromegaly and IAA? I thought that since he had that breakthrough and saw some green numbers that we were out of the woods with that, but maybe I got ahead of myself. So I should still ask my vet about getting these test done then?
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Green is not an indicator. Neko first saw green at 3.75 units, then lost green, gained it, lost it again, lather, rinse, repeat. Which is a sign of something causing insulin resistance. Didn't earn a reduction until over 8 units. She had both IAA and acromegaly. Cats don't have to be over 6 units to have IAA and/or acromegaly, but if they do get over it, the chances are pretty high one of the two is present. Unless there is some other condition, like really bad teeth, high carb dry food, etc. present.
 
Wendy&Neko said:
If you think you can get food in him before onset (a couple hours away), it's OK to shoot now. But I see I'm typing an hour too late. And you shot full dose. Well done. Now we have to get Cooper eating.
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Sorry, I was unsure so I didn't shoot at all yet! Should I go ahead with the full dose then? He still won't eat. He acts like he wants it, but when I put it down, he just sniffs it.

*Oops, read too fast in my worry. Okay, I will shoot full dose now and try my best to get him to eat!
 
Wendy&Neko said:
If he sniffs and walks away, that's a classic sign of nausea. Good luck with feeding.
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Oh man. I got him to eat two small bites, and I'm going to keep trying. Should I give him a few pieces of dry food if he'll eat it or is that a bad idea? It is just regular cat food, for my other cat.

Also, sorry, thank you so much for the information about acro and IAA. I guess I got too excited about the greens lol. I will ask my vet about this in that case!
 
Try spacing out some feedings, try variety. Lots of suggestions of things to try in the links above. I would try to avoid HC unless his numbers tank. If he's not feeling super, that might cause his BG to go up anyway.
 
Yes, the link was helpful! I mixed in some freeze-dried chicken. I will try other flavors. Appreciate your help!
 
Update: I got him go eat a little, but he threw it up. :( It will be the vet for us in the morning if he's still the same.
 
Do you think he'll eat a bit of higher carb food? More important, can he keep it down? Sounds like he needs some Cerenia for that vomiting.

Not the greatest time for him to be showing greens again. Which also means holding the dose longer.
 
He has not vomited for a couple hours, but he also hasn't eaten anything besides a few teeny pieces of freeze-dried chicken since he threw up what little food I was able to get him to eat. :( I probably should have skipped the shot, but I thought perhaps the nausea had passed.

Let me try some HC food.

Where can I get that medication? Unfortunately it is nearly midnight here, so no pharmacies will be open.
 
Wendy&Neko said:
It's a vet medication for vomiting.
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Darn, that's what I was afraid of. Was hoping I could find it at Walmart for the poor baby.

I had some HC Fancy Feast. I put just half a tsp, and he lapped up a bit, but not all of it. I'll offer him more soon if he keeps it down.
 
Nope. He just threw up. I'm worried about him getting dehydrated as he doesn't seem interested in water either.
 
Unfortunately I don't have anything like that. Only the canned food. :( He just perked up a bit now. He followed me out into the kitchen and was nosing around a plastic bag (he loves plastic). Should I try the HC food again? Maybe just the gravy bit?

**Edit: I do have a very small syringe that I was given to administer gabapentin to my other cat. It could work possibly, but again, I only have the canned food. :/

He's at 75 now. I fear I made a bad decision earlier. :(
 
He does seem to be acting a little better. He was very keen to sleep earlier, but now he's up and interested in the food. Fingers crossed. He lapped up some gravy and a few slivers of the food (I was afraid to give too much too quickly so didn't let him get too many pieces).
 
Update: good news is that he kept the last feeding down! Also he is at 75 again, so at least not lower. He is very hungry now and trying to get more food than I am giving, but again, I don't want to give too much too soon. If he keeps this down in a half hour, I'll give him more!
 
These BG numbers lower than he's used to may be making him hungry. Hope he keeps it down this time. Good plan on the feeding timing.
 
He kept the food down, thank goodness! I gave him a teaspoon more a half hour later and he ate it. Now he's at 93! If I remember correctly, I need to wait for 2 rising tests? Also, since I fed him HC, do I need to worry that he may drop again once it wears off or are we late enough in the cycle that he should be rising anyway? I hope that isn't way off, I really am trying to learn lol.
 
You aren't way off at all. You are right. We usually do test 2 hours after feeding higher carbs to ensure numbers don't drop dangerously low after the carbs have worn off. However, in Cooper's case it is late enough in the cycle that you could call it a night and get some rest.

ETA: I'm going by the 93 at +7 in your SS.
 
Oh, yay! Thanks once again to you both for the support today—it was a crazy one! I am off to sleep and hopefully won't be too much of a zombie tomorrow, hah!
 
Gabrielle17 said:
Oh, yay! Thanks once again to you both for the support today—it was a crazy one! I am off to sleep and hopefully won't be too much of a zombie tomorrow, hah!
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Gabrielle, I’m sorry Cooper wasn’t feeling well and hope he has a better day ahead! Sending you and Cooper support hugs! :bighug::bighug::bighug:
 
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