10/10 Mai AMPS 355, +2 341, +4 299, +6 272, +8 169, PMPS 96, +2 329, +3 348
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Bandit's Mom
Very Active Member
He didn't bounce to black. That's progress 
Mai & Dad
Member
I know! So happy for it. And thanks to you too!He didn't bounce to black. That's progress
Bandit's Mom
Very Active Member
Get a test later in the cycle - around +6 - like you did yesterday and if you see a similar trend of him dropping, feed him after each test.
He might stay high in the day and keep you up at night clearing the bounce!
He might stay high in the day and keep you up at night clearing the bounce!
Mai & Dad
Member
Sounds good. I got +4 299 and +6 272. He got about a tsp of LC wet food each time (+2 he got his churu as normal).
Bandit's Mom
Very Active Member
Wow! He cleared that bounce real quick! Did you give him a snack after the +8 test as well? He seems to be the kind of cat that nadirs at the end of the cycle when clearing bounces, so a little food after each test in cycles like these will slow him down and reduce that dive at the end of the cycle.
Did you give the PM dose? You shot 66 yesterday
Did you give the PM dose? You shot 66 yesterday
Mai & Dad
Member
Wow! He cleared that bounce real quick! Did you give him a snack after the +8 test as well? He seems to be the kind of cat that nadirs at the end of the cycle when clearing bounces, so a little food after each test in cycles like these will slow him down and reduce that dive at the end of the cycle.
Did you give the PM dose? You shot 66 yesterday
Good morning! I feel like you are our new best friend already xD. So happy to see you message nowadays.
Yes, I did give him his normal 5.25u shots. I fed him a churu at +2 and then 1x tsp of LC food at +4, +6, +8, and +10 (if I remember the last one correctly). I agree with you, feeding him a bit of food seems to help him quite a bit! Thank you for that advice. I am planning on feeding him at +2 and +4. If I go to sleep after that, I will try to find this auto feeder so he can get a bit more at +6 +8 and +10.
One more quick question: I picked up his new insulin bottle yesterday. My vet has this pharmacy that offers smaller bottle of insulin (drawn from Lantus). They calculate how much you need and give you one month worth of supply each time. I liked the idea in the beginning and the first bottle, which we are finishing, seems to work fine. However, yesterday when I was about to give him his shot, I realized the top cap of the insulin bottle is bulging up (since the middle part is pretty soft and flexible). And as soon as I put the needle in, air starts to push the injector back really quickly. When I pull the needle out, there were literally insulin shooting out in liquid with a sizzle sound. Do you think this indicates the insulin is bad? Like some sort of chemical / bio reaction has happened? I called the pharmacy and they told me it's fine, but the first bottle definitely did not have this issue.
Bandit's Mom
Very Active Member
Excellent!
Test and feed at +2 and +4 sounds good. If he heads up like he did yesterday, you needn't test or feed after +4. Let's see what he does.
Bandit's Mom
Very Active Member
Why are you buying repackaged insulin from the vet? We have had cases where it goes bad. You want to get a prescription and shop around in pharmacies for pens. It seems that the price of Lantus has gone down quite a bit in the US. See this thread:
https://www.felinediabetes.com/FDMB/threads/10-10-bella-amps-86-4-69-6-72-9-74-pmps-106-2-72.294798/
Going by his numbers, the insulin doesn't seem to have gone bad though. If you are using a vial rather than a pen, you need to inject air in it before drawing out insulin in the syringe. See this sticky for a video on how to draw insulin from vials:
Insulin Care & Syringe Info: Proper Handling, Drawing, Fine Dosing
Mai & Dad
Member
https://www.felinediabetes.com/FDMB/threads/10-10-bella-amps-86-4-69-6-72-9-74-pmps-106-2-72.294798/
I thought it might be good idea so I don't have to keep wondering whether the Lantus I started using three months ago is going bad. And at that time, after not being able to get him well under control made me willing to try pretty much anything. But honestly at this point maybe I should just order another bottle from Chewy like I have been doing in the last year.
I didn't want to risk it so I actually have been using what's left from the first bottle lol.
Bandit's Mom
Very Active Member
I think Chewy is more expensive than pharmacies. Just check the thread I linked earlier? I've never had a Lantus pen go bad. I kept them in the fridge and used them to the last drop. In any case, considering the dose Mai is at, a pen won't last you more than a month.
Mai & Dad
Member
@Bandit's Mom +2 at 325. I am 95% sure I may actually didn't shoot him. I could not find the needle and I think I might've shot him in my head. I am at +2. Can I give him something? Omg I feel so guilty right now.
Mai & Dad
Member
As I thought about it a bit more carefully, maybe I did shoot him. But could why would he suddenly bounce this much?
Bandit's Mom
Very Active Member
Can you check for the discarded needle? It's unlikely he would go so high if you have shot him. But if in doubt, do not shoot again.
Mai & Dad
Member
I tested him again and he is 307, so within testing errors with the first one.
Ok so...I have a system where I keep an empty glass next to my fridge and leave the injector in there after shooting him. I empty it before morning shoot so there should be two in there right now but there is only one. However, I sometimes throw it in the trash can and forget about the system, but there are 3 syringes in there and honestly I am not sure.
I have a second system with a camera pointing toward the station where I shoot him...but guess what?! It lost connection to the server since this morning at 3am...
I am so worried now. Should I take him to an ED and maybe get a dose of short act insulin?
Mai & Dad
Member
On the other hand, I remember shooting him tonight and thought his skin was thicker than normal, and I should have asked the doctor about this (I took him in for this regular blood test check up). But at this point, I am not sure.
Bandit's Mom
Very Active Member
There is nothing to worry about for now. Just feed him and test for ketones. No need to take him to the ER as long as he is okay - eating and drinking well and not looking lethargic/off.
This can happen if you shoot at the same spot every day. That's why we suggest rotating the shooting location.
Mai & Dad
Member
Do I still test him to see how things go to gain some insight?
The more I think about it, I think I did give him the shot and I was just overwhelmed by the numbers. Could this be a bounce? My way of thinking is that his number typically doesn't really rise that much at +1 and +2, and based my understanding the shot he got (or not) at PMPS doesn't really kick in until +3? And the last shot should have a bit of effect? So even if I had missed it, we probably still shouldn't see such high numbers?
Mai & Dad
Member
+3 at 348
Bandit's Mom
Very Active Member
Take a break from tests for the night. It could just be bounce. Get some much needed sleep!