30Nov Methos 261@pmps 206@+2 146@+4.5 143@+5.75

SmallestSparrow

SmallestSparrow

Very Active Member
When last seen: https://felinediabetes.com/FDMB/threads/29-nov-methos-367-pmps-359-2.296130/#post-3224743

ok maybe I lied when I said Starry Skies was our goal. Sitting anxiously on my hands trying to make it to +4 before testing and all I can do to leave the proplan in the pantry (hey at least I’m not soaking greenies in Karo. Baby steps as my vet would say)
I was wanting a night of low yellow just evenly floating along…what artist is yellow with touches of blue? El Greco maybe…no, Raphael. Let’s be a Raphael Madonna tonight Methos pleeeaaaase? We can do starry skies in the morning

I should have asked the Dose Whisperer when to expect this….off to make some espresso
 
Responding on today's thread instead of bumping up yesterday's ;)
SmallestSparrow said:
Always something. I also don’t know that sneaking the dose up slowly works either.
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Generally speaking, sneaking up doesn't work. Especially at Methos' size of dose. The 0.25 units is already smaller than what your vet (and many others) do for increases. For Neko I found full 0.25 unit increases helped, but I'd sometimes do smaller decreases. Depending where she was in the post-SRT action phase. This comes with a heavy dose of "Know Thy Cat". Many cats need the 0.25 units changes up and down.
SmallestSparrow said:
My goal for Methos truly is a shot I can give and not worry about.
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Print this out, post it near where you do the dosing. :). Like Neko, Methos has a tumour that will likely prevent him from going into remission. Never say never, I've only see one Cushings cat go into remission in my time here. So what did that mean for me and Neko? I wanted to keep her safe in the short term BG wise, but also keep an eye to how much time she was spending above renal threshold. Acromegaly is hard on kidneys, no need to burden them even more with high numbers.
SmallestSparrow said:
Sitting anxiously on my hands trying to make it to +4 before testing
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Well, so much for that goal. :p. Looks like he might see some lovely blues tonight.
 
Wendy&Neko said:
Well, so much for that goal. :p. Looks like he might see some lovely blues tonight.
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The goal of +4 was made after +2..ie don’t get a +3. So …hopefully not behind in feeding him.
To me (and how he acts which I know may eventually change) lovely is above 150. In the high 100s he is active and alert. Below 150 and he’s weak and apathetic. And I spend a lot of time anxiously waiting my next chance to test wondering how much lower he will be. But it is what it is. Lots of pokes and espresso tonight :(
 
Wendy&Neko said:
Responding on today's thread instead of bumping up yesterday's ;)

Generally speaking, sneaking up doesn't work. Especially at Methos' size of dose. The 0.25 units is already smaller than what your vet (and many others) do for increases. For Neko I found full 0.25 unit increases helped, but I'd sometimes do smaller decreases. Depending where she was in the post-SRT action phase. This comes with a heavy dose of "Know Thy Cat". Many cats need the 0.25 units changes up and down.

Print this out, post it near where you do the dosing. :). Like Neko, Methos has a tumour that will likely prevent him from going into remission. Never say never, I've only see one Cushings cat go into remission in my time here. So what did that mean for me and Neko? I wanted to keep her safe in the short term BG wise, but also keep an eye to how much time she was spending above renal threshold. Acromegaly is hard on kidneys, no need to burden them even more with high numbers.

Well, so much for that goal. :p. Looks like he might see some lovely blues tonight.
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But it is comforting to know the dose whisperer has stopped by. I hate it when he does this
 
123 at +8.75 despite 100 extra calories so far tonight. Refusing low carb food. Loose bm hopefully from the extra fish food or comfort sachets and not his K level. Since his stomach is a mess anyway, breaking out some proplan so if I fall asleep he keeps his head above water. Last time he got proplan this late at approx same BG (and same reason) he stayed high blue then a nice yellow at 3 am amps. One can hope.

edit: of course he spent the next day mid to high pink with ketones. :(. Well the low ketones were nice while it lasted. Good by Raphael Madonna, hello Rathko my old friend.
 
JL and Chip said:
He seems to have slowed the drop and is just drifting a bit. Really nice numbers. I wouldn’t carb him up too much. What’s the carb percentage on the ProPlan?
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15; slowed and drifting bc I pushed 65-100 calories of low carb food every 1-2 hours. When he starts a drop he can do 50 per hour without intervention. Maybe more but as soon as I see it I start trying to put on the brakes. With intervention I can stall him and he can use all the calories I can get him to eat but even with his favorites he starts to get really full. He always makes room for proplan :rolleyes:

I’ve fed him only LC and he will go high. Or not. I’ve fed him proplan and he will be 200. Or 400. He so far doesn’t have a clear pattern to what he will do but once I’ve fallen asleep despite my efforts, or he refuses food, or both, he wins and gets proplan. Esp since so far it doesn’t seem to matter. I don’t like doing it in case it does matter that time and bc it’s junk but…too high better than too low bc i slept through a test or re refused all food
 
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What I can see on his spreadsheet, he isn't spending much time in blues. Hence the bounce today. It doesn't take long for glucose toxicity to set in, think days not old lab work.
 
Wendy&Neko said:
What I can see on his spreadsheet, he isn't spending much time in blues. Hence the bounce today. It doesn't take long for glucose toxicity to set in, think days not old lab work.
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Thanks. My point is he may have never been much below 150 so it’s not new with diabetes the feeling that 150 feels right—that may be his lifelong normal due to the inhaler

regardless I don’t know how he’s going to get past this since as soon as he spends much time on 3 U I need to work extra hard to catch him before he earns a reduction (by AAHA standards or by this forum’s) and eventually he sneaks by me and earns one anyway. If i ignore it (which the internist implied I should stop doing) he just keeps trying harder. He somewhat pointedly said more insulin isn’t the answer when Methos reaches 75 on his current dose. I realize this opinion may not be shared here

I wonder if I need to find higher carb food than his Tiki Cat. I was under the impression his mousses were around ten and his shreds 0-7 but a sheet someone recently posted from Tiki cat makes it appear his mousses are 5 and all his shreds are zero, which means he’s getting an average intake of 2.5 except a pill pocket twice a day. I’ve written to tiki cat to clarify the carbs but he’s usually a suspicious cat unwilling to change foods so it may be academic. I’m shocked and relieved he likes the proplan—I hate it but at least it’s there so I don’t have to resort to greenies (which sadly are probably better for him than proplan)

he gets another cortisol level next week and perhaps he can increase his pm vetoryl as well—maybe then he can drop back to 2.5u which for a while looked hopeful. I wonder if the reason he’s primarily doing this at night is because he gets the higher vetoryl dose mid morning. Which would justify the internist saying what he did. Who knows. He used to get the same dose am and pm and he got it 3 am and 3 pm but to accommodate the clinic being able to draw it at the correct time after the am increase I had to shift when he gets it. We both hate the shift—him because he has OCD and expects a pill pocket first meal of the day and worries I’ve forgotten. Me because I’m old and am terrified I will forget to give it with his first morning snack.
thanks again for all your help
 
Hi Colleen,

I am sorry the night has been tough. But happy to see Methos had great blue numbers! Hope you can use the bounce to catch up with sleep. And less poking today. I also find it hard to find the right food. I have a lot of crab at home for her big drops. Sometimes I feel like feeding my diabetic child a Mc Donalds strawberry milkshake. :rolleyes: I hope the next days show, what the 3 IU can do for him.

You reallly go a lot to manage with all his different conditions. He can be super grateful to have you and to consider everything so carefully.

I am also scared to forget about giving Binie her thyroid meds before her breakfast and dinner. I simply have a piece of papier in my kitchen, where I make a cross morning and evening that I gave it. Of course Binie also expects to get the pill pocket before her meals. :cat:

I send you hugs and hope you do one or several naps today! :bighug::bighug::bighug:
 
Heike & BInie said:
. I have a lot of crab at home for her big drops.
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Is that high carb? I’m so angry with pet food companies. Can’t get a straight answer of any of them. I bought some freeze dried tuna to use a treat and crumble on food bc they both love tuna. AFTER I gave several one day to Methos I noticed on the back that protein was a small amount. Doing the math carbs are something like 30%. Wtf.
 
Heike & BInie said:
make a cross morning and evening that I gave it.
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I move his meds from the top pantry shelf to the bottom, or in the case of twice a day meds most are in a two compartment container I fill each night. The vetoryl is in a blister card in a box. The once a day gets moved to a bottom shelf and the twice a day I flip the box. I’m just worried I will forget and remember late and since he’s getting a level drawn it’s so important to take it on time. I’m just so used to it being with breakfast and dinner

hugs back at you! :bighug::bighug::bighug: And cuddles to Binie!
 
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