1 week into prozinc and my cat is now hates the shot's what do i do?

hello!
I'm very new the whole feline diabetes and I'm still learning along as i go so bear with me here haha...

ill try to paint as best of a picture here.

so around June 1st 2024 fidget (cat) was found to have a very high GLU ( 16.7 ) and high keytones. After a fructosamine test the vet concluded that she was diabetic and needed to start insulin to prevent a risk of DKA.
they provided 2 options prozinc and some oral stuff that was like $500 a bottle...so Prozinc it was...

the vet tech showed me one time how to inject my cat by the scruff on the neck and look for a feeling a slight "pop'' ( this was done with saline solution)
then I was told to start the first dose of insulin the following morning when she not so stressed out from her vet trip.

6 days went by and the injections was as smooth as butter! after day 7 things went south fast...at around this time my Gf had wanted to part ways with me and naturally that brought ALOT of stress on me.
and i have no doubt my Kitty could feel on that emotion. but none the less the shots needed to get done.

the first time i screwed up her shot i was stressed i think i may NOT have tented her skin properly and hit her muscle...so i pulled pack fast gave her Lots of treats and said sorry a million times and tossed the needle since i didn't push the plunger. So tried a new syringe drew a new dose and went SLOW as a turtle with her and made sure she was nice and calm and i made a perfect tent skin and NOPE! she freaked right out!....so i skipped the dose because i was stressed and she was stressed and i felt i was doing more damage then good...

i had spent all day watching every video on insulin injections for cats on Youtube to see what i was doing wrong...the things i notice that i didn't have was: A. second person to help keep the kitty busy B. smaller syringe. however learning to change inject locations was something they didn't tell me and had to learn from a 9yr old video....hmm

4 more days of injections went by i tried shaving a small patch to see better and not hit the same area and i tried CBD oil to help calm her down...and she would growl/hiss/run/jolt... even when i was very confident i was doing everything right it was becoming a 50/50 shot i was succesful (ie.furshots,poke n run)

its day 12 now and my stress levels are feeling more ''normal'' from ''parting way's'' but not perfect since fidget is still hurting from the shots.

so after some digging i called up my vet and asked if they could order me some U-40 31G 1/2'' 0.3ml syringes to see if this would help....well my vet didn't want to order them and told me it would not make any change to the pain aspect of it...and nor did they give me any help how to deal with her injection pain.
since my vet is being "silly'' to say in a polite way...id like to try with U100 31G syringes anyway since everyone on here seem to use them and say its better then 29G.

so here is the question/s

what can you guys advise to help with her pain/fear before its a ''too late'' kinda thing and just always fearful of the shots? should i just try the U-100 syringes and see if it helps and dose her as accordingly to the charts? or is there a numbing cream? or is she just being a drama queen and just not used to all the pokes and prods and will get used to it over time..?

any kind of help would be wonderful as im running out of ideas and my vet is acting kinda seedy...

 

First thing I want to say is that you can use the U-100 syringes BUT you must use the conversion chart in order to get the correct dose. The U-100 and U-40 syringes are not equivalent (there are more differences than just the needle size.) I just wanted to get that out there first because I don’t want any harm to come to Fidget.

Since ProZinc is a U-40 insulin, most people using ProZinc use U-40 syringes. It’s the Lantus and Levemir users that use the U-100 syringes — and a few ProZinc users who need to make very small changes to insulin doses.

 

I found some U-40 syringes in 31 gauge size with half unit markings. They are made by PetTest. Chewy.com sells them (do they ship to Canada?) and it looks like PetTest sells them directly at shoppettest.com. You definitely want to have half unit markings regardless because you will need to make small adjustments in dose based on blood glucose numbers. If you can get a spreadsheet set up, I can help you with that.

 

https://felinediabetes.com/FDMB/threads/how-to-create-a-spreadsheet.241706/

 

Have you tried giving her treats before and or after the shot? You could try deconditioning her to the shots — maybe give food and treats and get an empty syringe with the cap still on the syringe and pull up a small amount of skin and pretend you are going to give her the shot - even touching her skin gently with the capped syringe— and keep the treats coming. Every time she’s calm about it, praise her and reward her. Either way just keep it positive and let her figure out that it’s not going to hurt her. Some low carb all meat treats would be good here — like Pure Bites freeze dried chicken pieces or just boil up a little chicken breast yourself and cut it into cubes for her — any pure meat treat would do.

 

I sometimes used to shoot while my cat was eating. He was very compliant, yes, but he never flinched or stopped eating.

 

hey and thank you for getting back to me!

So yes i did read that if i wanted to go for the U-100 syringes to get a very particular syringe as to not ''misdose'' as fidgets is currently on 1U twice daily (from a U40 syringe). So getting the U-100 31G 1/2'' 0.3ml seemed to appear to be the most ideal and most instock local in my area (according to this link) http://www.diabeticcatinternational.com/knowledge/u40-insulin-conversion/ I wanted to buy a box of the U40 syringes off of chewy or pet test however i was just wanting to buy a pack of 10 U-100 syringes for like $3 and to''see if it helps'' before i would have to pay the $60 for the box of 100

the idea would be to get some U-100's 31G syringes at my walmart adjust the dose to the 2.5mrk(per the chart) on said syringes and if all works out for a few days then i can place an order on chewy for the U-40 31G syringes and revert back to the 1U mark on the U-40 syringes....no harm no foul ....right?

oh! i forgot the spreadsheet i will try to work on that for more info on fidget thank you!

yes! I AWALYS ALWAYS give her some of freeze her dried treats (orijen brand) and lots love and pets before and after every shot. I don't want her to think the shots have to be a negative exp every time so i try to have her thinking about the treats she gets after.
however i didn't try ''faux'' injections to try to get her used to that...ill give that a try and let her get more used to everything and i don't have purebites but i have lots of the INABA chicken fillets in broth!

currently this morning was lucky with her shot and she got it in with minimal issue....however she did flinch...
and sadly i did try to shoot while she was eating but she would growl and run away from me then took awhile to go back to eating as she was thinking it was a trap

 

Okay good you found this chart, I see.
http://www.felinediabetes.com/insulin-conversions.htm

 

How long are your needles? Are they half inch? Be sure to go in at an angle. Hopefully she is just nervous because of remembering the shot that went bad — and she will gradually get more comfortable with the shots. Or maybe she’s extra sensitive? Some people do shoot the insulin in places other than the scruff. I also used the ultra fine lancets for ear testing, and I did it free hand and did not use the noisy lancing device. I found that the ultra fine lancets really helped) once his ears were bleeding well.

When and how often are you feeding Fidget? If you have been reading this Board very long you will see me recommending feeding at about +2, +4 and maybe +6 but not anything except testing treats after nadir. You have really gotten yourself up to speed on a lot of things, which is great. I am really sorry that you had a personal crisis like that when you have a newly diagnosed diabetic cat (which is really stressful on its own.). Good job persevering through it all to help Fidget.

 

the needles are half inch yes.

ahhhh i didn't know that....it looked like in all the videos and how my vet showed they kept the syringe horizontal...ill try it at an angle next time and see now that goes.

She's being fed 3x a day @ half a can and i feed her at 10am for her morning shot then i feed her at 3:30pm for dinner and then 10pm for her nighttime shot.

and yes this website has been a gold mine of information! and helped me alot more then i ever thought in the first days i started. But every situation is unique and didn't find much on this issue so i figured it was time to start a thread on it lol

and yeahhh the timing wasn't ideal on that...but i've have fidget since the day she was born so i cant and wont give up on her as she was there when i needed her and now i got to return the favor!
thank you! 2024 is just being a weird year so far.... -_-

 

She really needs to be fed more often. If her shot time is 10 a.m. she should obviously eat then, but after that she should have a small snack at noon and again at 2 p.m. The largest portion of food is given at the main mealtimes (shot time) and the snacks are very helpful to stabilize the cycles and prevent steep drops that can trigger a bounce. A snack can be a teaspoon or two depending upon the cat and how their BG is and their weight, etc.

Don’t forget to set up a spreadsheet, please. Do you have any BG cycle numbers you can share now?

 

When was she diagnosed? How long has she been on ProZinc? How many units is she receiving?

 

hey sorry for late reply!
no worries i will bump up her main feeding to a full can and throw in a snack time in the day as well.

steep drops? bouncing? haven't learned those terms yet...i was only aware to never to give her the shot without food i didn't know it can go all wonky during the day...yikes
and i was just currently trying to figure out how to build this spread sheet...but its not like the one i've got on paper...what is the AMPS and PMPS? worst case i can scan and upload what i've written down.
and i diagnosed on may 25th 2024 i think.

 

Did you see this link I sent previously? https://felinediabetes.com/FDMB/threads/how-to-create-a-spreadsheet.241706/

Just let me know if you have any trouble setting it up because we have people who can get it set up for you in a jiffy. You do need a google account (gmail, etc.) set it up.

 

AMPS - a.m. preshot test
PMPS - p.m. preshot test

More tomorrow. I am on Eastern time and I get up at 5 a.m.

 

https://docs.google.com/spreadsheet...ELxNoY2IovTnan2mOVE6_7BKy8tscqlqZox1S/pubhtml

here is a revised version since i kept messing up the first one lol.... how often should i be testing her on a daily basis? sorry if my testing does not give a good picture im just completely lost..

 

Hi there. I see you have been able to get a few tests! How’s it going?

What’s really important is to always test before giving insulin (both a.m. and p.m.) and to enter that number into the AMPS and PMPS cells. You need to make sure that Fidget is high enough to give insulin. And we need to be able to see where she is before the insulin kicks in. If I see at test during the cycle without knowing where she started out at preshot time, then I can’t interpret the numbers.

 

So what is your dose now? I see a variety of doses on the spreadsheet. Are you using U-100 syringes or U-40s now?

 

hey! uhhh i was just giving the greenlight to go to 2U....but my morning pretest was 8.9......idk what to do now im convinced 2U is too much....im currently on the U40 again 31g.

 

Who said go to two units?

 

Absolutely do not give 2 units with that 160 preshot. I hope you didn’t already.

 

my vet. he looked at my SS and said go two units. i called them a momnet ago and told them my pretest was 8.9 and i felt it was too much so they said go back to 1 unit

 

i havent even drawn anything yet.....i kinda wanna just go half a unit and play it safe

 

Now you can see the importance of getting a preshot test before EVERY insulin injection. You can also understand why we need to know how low a particular dose is taking Fidget during the cycle. We must keep her safe.

 

Whew! I think you could try the 1 unit dose as long as you are able to monitor her some during the cycle. Can you give her a snack at +2 and +4 also. About a teaspoon or two of wet food (hopefully low carb under ten percent carbs.)

 

i will be home alll day to keep an eye on her!

okay ill draw the 1U then and keep a sharp eye on her do lots of tests and lots of food....do note....i went out last night and bought some cans of royal canin 12+ageing wet food because it was packed with b12 suppliments normally she is on fancyfeast pate chicken/turkey/beef.....i almost wonder if the food ws the culprit of if it was the 1.5U i gave her last night...hmmm

 

I’m also glad last night that you didn’t give her 2 units. We still don’t have enough data to be jacking the doses around a whole bunch and. Now that you are getting better at testing, we could hold the 1 unit dose for a little while until we can see how LOW the dose is taking her. It doesn’t matter that much if she’s pink at +2 or +3 like last night. She obviously had a nadir (lowest point) much lower than that. We know that because of her blue 160 preshot this morning.

 

I DO NOW!!!! im very sad that my vet wasn't on top of this i kinda felt like they told me the very bare minimum... but im very glad i came across this forum its a god send!

 

I’m not sure of the carbs in that food. I’ve been giving it to one of my older cats too — because it is low in phosphorus and that’s good for older cats. It is a little low in calories though. I will look it up. Right now it’s important that she gets the small snacks up to +6 of her cycle.

 

Post here if you have any concerns about the cycle. I will try to check in and also you can send me a private message (conversation) just to let me know you would like me to take a look. Okay? That way, I should get an email in my regular email telling me that someone has posted here on the PZ forum and that I have a new conversation.

 

i just gave her the one unit and a churu stick after..lol
yeahhh i didnt feel too comfortable bumping up a whole unit without seeing her and last night i was tired and just pretested and gave her 1.5U then passed out (thats why no tests done afterwards)

yeah i have read alot of the food charts on this forum but wasn't sure if the canada and USA one are different when i come to royal canin. I will give her lots of freeze dried treats and snacks throughout the day and ill test her when i reach the +2 mark and post it on my SS

and yeah! ill open a convo here in a few all info is good info

 

Yikes. I just looked up the RC Aging 12+ food on a food chart. The slices in gravy are 14 percent carbs and the loaf in sauce is 18 percent. Both are too high for a diabetic cat (although they can be used if you need to raise BG during a hypo episode because of the carbs.

 

Here’s a good food chart. You want to go to the chart that has the Diabetic list on it as those are low carb options. Here’s what I found:

 

whoops....i got the loaf in sauce.....im surprised i didnt see a spike from her this morning ( did her pre test's after she ate) go to know going forward!

 

And here’s the whole list. I think the list for diabetic cats is about the fifth one down in the various food lists. Click on that one.

https://www.bizave.com/foodlists/?f...76wfH5kehteCajlm-qPPTi3u1c307wE0dcV4pqGfRaj2Q

 

Oh okay. It’s important to get that preshot test before the cat eats so that we know the number isn’t influenced by food. For example, let’s say she was really at 99 this morning but you fed her high carb food and she had spiked to 160. Then we think… oh okay she’s at 160, let’s go ahead and give her 1 unit. Then her carbs start to wear off at about the same time as the insulin os beginning to kick in and her BG could go way down. I’m not saying this will happen today, but it’s just a scenario to explain what could happen if the preshot test is raised up by food.

The preshot tests are supposed to be taken before the cat eats. In fact, the rule is “no food for two hours prior to the preshot tests.”

 

oh! i didnt know that! okay i will start doing the pretests before her feedings.
And i make sure shes not had any snacks 2 hours before her test.

 

Good job with those tests today. I am glad she’s come back down into a yellow number now. That’s better. I hope that you can get another test two hours after the last one (245 at +4.).

 

The higher +2 is probably just a result of:
1) insulin from the previous night’s shot having worn off and the new morning’s insulin shot just beginning to kick in
2) a “food bump” from the high carb breakfast,

For many cats, ProZinc starts to kick in at around +2. That’s what we call “onset” time.

 

thank you! im not very good at getting the drop of blood so takes me a few pokes to get the good sample if drop is too small then test wont work proper....i hope that doesn't alter the numbers too much

Im gunna try to keep doing them for the day every few hours. and then tomorrow i will stagger the times i test to get the best idea whats going on.

 

Yes. Like tomorrow you could try a +3 and a +5.

 

Just so you know— a lot of cats drop into lower numbers at night (not all but many do.). It’s always a good idea to at least get a “before bed test” to see if it’s much lower than the preshot test. Then you will have a good idea of whether you should set an alarm to wake up and get a test.

 

Many people use timed feeders at night (or when they’re at work) to dispense some LC snacks at certain times of the cycle.

 

exactly my thoughts on the testing times. so ill try that tomorrow.

not sure if its overkill or not but i see people on here you the flash glucose sensors (freesyle) on there cat...is that worth the time and money or is that for a particular diabetic issue that wouldn't apply to me?

or just stick with old fashioned ear pokes n strips?

 

funny enough i have a auto feeder from when i was feeding my cats orijen kibble. i can reuse it for her freeze dried treats if thats a good idea

 

Did you get a +6?

 

im currently trying to....im getting alittle frustrated ive poked her ears like 10 times (poor kitty is just taking it like a champ) and for the life of me cant get that blood drop...i wasted like two strips so far thinking it was a enough...im stumped

 

Oh, I am so sorry. Poor Fidget. Do you happen to know how much blood your meter requires? Some require a little less blood than others.

 

0.6ul i think

 

You have seen this?

 

Are you warming her ear?

 

Just give her a break. Try to get the PMPS test. If she is similar to or higher than this morning then shoot 1 unit and get a before bed test.

 

shee was ay okay! infact she just sits on my lap and purrs while im trying. didnt try the ear warming thing so ill try that later....just got my pre test without her eating...ill feed her now and you sure one unit is enough for tonight? ive nevr seen hee hit past 450/27.0

update: ended up just going 1 unit till we feel comfortable giving a higher dose

 

i did see some videos but didnt find the ''how to'' link in the forum...in the videos they are half the time using a syringe to poke and also the make it look super easy by ''poking once'' and the drop appears.. -_-

 

Many people use a rice sock that they microwave to warm it - and hold it against the cat’s ear for a few minutes. I used warm/hot water in a small glass bottle that I happened to have. Some people will use an empty pill bottle with warm water in it. After a while my cat’s ears bled a lot more easily. This happens as they build up their capillary bed. It does get easier, I promise.

Also the size of the lancet that you are using makes a difference. At first, it’s easier to get blood using a larger lancet. After her ears start to bleed more easily, you can switch to the ultra-fine lancets. I also never used the lancing device because it makes that loud (next to the ear) clicking noise. I would not use a syringe because the small “handle” of the lancet is easier to manipulate. Try to go into the ear at a 45 degree angle with the lancet.

Another thing that can help in the beginning is to put a small amount of vaseline (petroleum jelly) on Fidget’s ear. This can really help the drop of blood to bead up instead of flowing into the fur on her ear. Then your test strip can “sip” up the blood drop. And I think I may have mentioned “milking” the ear to gently squeeze a drop of blood after you poked it. And another thing I just thought of (sorry this is so rambling) is that you can scrape the blood drop onto the top of your thumbnail and hold the test strip to that drop (as long as your hands/nails are really clean, of course.). These are just a few of the things I just thought of that may help you. You will find what works for you, and Fidget sounds like the sweetest cat ever!

 

I am glad you only shot one unit. We can’t base doses off of the preshot numbers (except when we may need to shoot a little less is preshot numbers are low and we don’t have data to support shooting the full dose.). We largely base the dose on the nadir because that’s the most important number we need in order to keep Fidget safe. Now that you are getting tests, I would like a little more data to see where he nadir is on 1 unit. If it looks like she needs more insulin based on her nadir, then we can move to 1.25 units.

 

yeah my gut just said to stay on to 1unit even though her PMPS number was a ''teeth grinder'' of a number... but you did say it was better to be sitting on higherBG then lowerBG. (plus i needed more tests done)

she didnt care for a warm washcoth lol ... so ill try the rice sock sock next test. I was just rubbing her ears to get the blood flowing (that helped a little bit) for her AMPS

Im using the ''microlet next'' and the ''click'' has never ever bothered fidget its quite silent (knock on wood)

I've never heard of using the vaseline but i do think i have some plain unscented jelly i can try and see how that fairs for her. the nail idea i might try last if all else fails. But mostly all i would be is poke and kinda manipulate the ear/milk out the drop.

so doing this wont affect the vaule/numbers of the test?

 

No. Vaseline won’t affect the BG test. We often advise new mementos on that as well as the thumbnail/fingernail thing. A lot of people find they have more control with the lancet free hand, but maybe you will be good with the lancing device.

 

Good blue 112 number today at +3. I am really hoping for a +5 test! Is it time yet? What time zone are you in and what is your shot time?

 

juuuust logged it a second ago and im on PST.

 

is there a reason/normal she swings like that? its like a tease when i see numbers low then shoot up like that

wait.......is it possibly the snacks i give her...? hmmm might need to investigate

 

Not if the snacks are all low carb. If it’s thatRC aging food then yes, that will spike her up and will also shorten the duration of the insulin.

 

no i gave her the royal canin can 1 time for the b12 in it... But after you showed it was 18% carbs i returned the rest. (kept one for emerg)

here is ALL the snacks she been getting (if your wondering) it was my understanding these should be ''safe''

https://www.orijenpetfoods.com/en-CA/dogs/dog-food/original/064992584320.html (is the same as the cat ones to the T...just bigger format and cheaper)

https://inabafoods.com/products/chicken-fillet-grilled-10pk/

https://inabafoods.com/products/tuna-recipe-4pk/

this is the fancy feast box that i buy from my local walmart 98% of the time. (this is the ONLY BOX i get this one because in canada the other flavors contain soy/grain/corn/carrangeenan/ect

https://www.walmart.ca/en/ip/fancy-...MZucDrja89x5YyvMPT8aAiT8EALw_wcB&gclsrc=aw.ds

i tried the tikicat ''silver'' and she hates it so i stopped that. lol

i try to mix something higher end waruva/wellness core/orijen in there one in awhile because i know FF pate isnt the best option out there (but most cost effective when trying to start up and get the finances in check after paying for the startup)

 

What did she eat at +2 today? She’s had a bit of an early nadir today. But that’s okay. She is having a blue nadir and that is good. Many cats who are just starting out will have pretty irregular cycles. Their body needs time to adjust to the lower numbers. The pink number at +5 is probably just her reaction to being in a blue number. She’s not used to being in those numbers since she’s been diabetic.

 

Most importantly, that blue nadir that you caught today means that we will not be increasing her dose at this time. I hate to think what 2 units would have done to her. So we hold this dose and ride out the high numbers for now— and you gather as much data as you can. Okay? We will hold for a full 7 days. If you get a very low preshot number we may want to reduce her dose slightly for that particular cycle- depending on the number.

 

i have her a nugget of the orijen freeze dried treats ( that is the main treats i use for her shots and BG testing after)

im guessing she goes low because im not feeding her treats the time im sleeping

yeah the first few weeks were not the best...now that she's unphased with the injections and pokes its much much easier for me. so i guess yeah ill just keep testing till the canvas if filled and hopefully we wont need to even raise the dose...i am getting low on test strips from all the dud tests due to a lack of experience... so ill have to see if i have enough to order some more here haha

 

It looks like she dropped a little more quickly than we would have liked — then she had an early nadir and went back up. I recommend feeding more tha just a freeze dried treat. The snacks at +2 and +4 should be a spoonful or two of low carb wet food (like the Fancy Feast Classics or similar). If she drops too quickly then it cause her to bounce up again too quickly.

 

yeah my guess is she'd be hitting reallly close to the ''danger zone'' if she got 2U and like the link said....''may i never need to open my karo syrup or honey''' so yeah ill hold the 1U for the week and see if her numbers can try to calm down on the SS.

when you say low preshot to decrease a bit what number/range you mean? like anything 5.0/92 or less kinda thing?

 

okay ill beef up her snack times a bit! and hopefully that will see better results...

 

Well so far you have shot 1 unit when she was at 160 so we can feel confident in that. If she goes into green numbers I would probably only shoot half a unit (.5) at this point. If it’s closer to 50 though, we would skip the shot. If it’s closer to 100 then shoot .5 units. This is just guidance for now, while we gather data. Shooting a lower number always is predicated upon your ability to monitor the cycle and intervene if necessary. If you were going to be away from home then I am sure I would not advise shooting a green at this point. Hopefully she will not present us with this problem.

When in doubt, you can stall for 30 minutes (or longer) and do NOT give food. Then retest the BG to see if she’s rising on her own without the influence of food. If she is, then you have more confidence in shooting. Also remember that she then has some more time to rise before the insulin onsets and starts to lower BG — and she also will then have food to help stabilize numbers.

 

So what time Pacific do you give her shots? I am on Eastern time.

 

just got the +7 filled and i fed her a spoonful of pate. on my time the shots are 10am( 1:00 p.m ET) and 10pm (1:00 a.m ET)

 

sounds good!

since she wasn't any of those numbers i just stayed the 1U this morning and i just fed her a snack of FF at the +2. will keep testing but i'm guessing that the +3 is her lowest point she goes after the shot? i can just assume after that low (nadir) she will slowly rise back up? (until adapted to inulin?)

 

She’s doing well. Get another test by +4. She does seem to have early nadirs right now. But we need to give her more time to adjust. I’m happy with the yellow AMPS and the subsequent blue. I hope she will stay blue for a while longer.

 

okay sweet! just got the +4. I was like ''huh...first time seeing her keep dropping like that'....... she mostly just sleeping around all day and i assume thats also a byproduct to her adjusting

ill try to get a +6

 

Awesome! I am excited. Get a +6, please. And again- no increase in dose as this is very good.

Many cats feel odd when they are first getting back into normal cat glucose numbers. It takes a while to adjust back to normalcy. Some cats sleep. Some cats hide.

 

Oh, and I hope she got a snack at +4. LC wet food

 

haha yeah shes doing a bit of both sleeping and hiding but nothing really active unless i get the lazer pointer out.

i gave her a whole inaba chicken fillet for her +4 snack and ill have to go get some more FF cans and ill get the +6 logged!

 

also was able to pick up a bottle of 5000mcg of b-12 methyl. ill give her a caplet with her dinner tonight and should it be okay to give her another for her morning meal? like you said she just pees out what she doesnt need? no chance of some type of b12 overdose?

 

That was really a nice cycle today! She’s responding much more quickly than a lot of cats I see. She was nice and steady in blue with very little change from +4 to +6. With “meter variance” the +4 and +6 are considered flat. Things are going so well!

 

Is she having trouble with her back legs?

 

awesome! thats what i like to hear!
sounds like giving her proper/bigger LC snacks throughout the day also helps those numbers too!
ill try my best to duplicate what i did today (might not be able to test as much as today)
and yeah any info i find on it showed it being spot back to back same as the alphatrack

 

no shes walking perfectly fine! (i think) i mean she isnt walking on her hocks.

she is twitching in her face and arms every few seconds looks rough and very misrable for her (even when she sleeps) vets dissmissed it as issues with her tooth and that gabapentin would temp help her but it did squat...

 

The low carb snacks can definitely help smooth the cycle, preventing steep drops (which can cause bounces into high numbers). In Fidgit’s case, I wanted to slow her down a bit with the snacks and let her nadir occur closer to +5/6 and it worked! She was nadiring too early and going back up too soon. A lot of the time, small amounts of low carb foods can help them surf — hopefully one day in the green numbers!

 

I used Zobaline for my cat 3 mg. Methylcobalamin plus 200 micrograms Folic Acid. It would be hard to overdose it, but once you have reached a therapeutic dose you don’t need additional b-12.

 

ahh okay i ended up just getting a tablet form one and crushed it into a really fine powder into her food. ughhh i didnt know i needed foilic acid too! okay ill pick some of that up aswell!

 

wait i was just on google....folic acid....? the ''prenatal'' vitamin(sometimes sold as)? does that help her absorb the vitamin b12?

i didn't seem to find any ''low dose''(500mcg or less) tablets so what ill do is pick up some of this stuff later and cut them in half or in quarters and add it to the food with her b12.

https://www.londondrugs.com/wellness-by-london-drugs-folic-acid---1mg---180s/L0904156.html

 

sorry with so many questions...but something ive noticed for a few days now is my cat is sorta ''standing'' when she pees also completely stopped burying it as well...this would indicate a UTI from the insulin correct? shes not in pain/straining from what i can tell but i didnt see much on how to help correct this..? ive been really on top of her litter box scooping to i can keep tabs her urine intake/outake but i recall seeing something about how to prevent this this but now i cant find it lol

 

First things first. I would like to see how low she’s dropping at night. Is there any way you can get a +2 and +4 tonight? The pink AMPS this morning makes me want to find out how low she’s going at night. Many cats do drop lower at night. Right now we are only getting half the picture.

 

i can certainly try to get the +9 and +2 and +4 time slots! yeah it was higher then i was expecting! and looks like its been kinda steady the day today even with the same snacks at the same time.

 

About this, I am not sure. I have cats who act like that, but if it’s a change of her normal pattern, I would suggest taking a urine sample to your vet or taking her in for a sterile urine sample to check for a UTI. but first, how long has this been going on? It would not be the insulin causing a UTI, but high glucose levels can definitely contribute to a urinary tract infection.

 

yeahh i dont think vet have been much help at the moment....
they would probably tell me it a uti (also not able to dish out another 100 for a urine test this month...she does have keytones so i mean that isn't working in her favor...figured id ask since this is a very weird to adjust process

 

Yes, very flat today so far — she could start dropping toward PMPS and into the evening cycle. We need to get a handle on her evening patterns as well. Normally a high AMPS like that makes me suspicious that she dropped too low — now “too low” can mean simply lower than she’s used to or lower than we want her to go. So we really need to make sure.

 

Oh, I totally understand about the vets not being helpful. She may not have a UTI. Unless she shows signs like going into the litter box frequently and squatting and then nothing comes out — or going in there and crying, I would probably just watch her.

 

What do you mean she has ketones? What kind of ketone readings have you been getting lately? She’s been seeing better numbers so hopefully ketones will go away.

 

If you really are concerned about UTI, you can try mixing D-Mannose powder (or from a capsule) into her food. It helps at least with E Coli bacteria, which are fairly common. It prevents the bacteria from adhering to the bladder wall.

 

yeahh i might have to migrate to a more caring one they are just either telling me not too or that they wont help and no super oter but always peeing not just like a drip or something...

 

like my GLU meter can tell me if they are keytones present (or not) also the day i found out she was diabetic the vet did a urine sample and her keyones were ''high''

 

wasnt major at this moment just more general info/question

 

okay ill try to pull my best all nighter and get some tests in... hopefully she will be okay