PierreW
Member
7hrs. (and 15 minutes)
Pierre *19 aug 2025 dx*
- Thread starter PierreW
- Start date
PierreW
Member
i was just looking at that. the reference ranges are different on my lab sheet. I'm still working through the different abbreviations, I did plan on putting them back.
Diane Tyler's Mom GA
Very Active Member
Ok I saw you put it in the 8 cell or square
The way we would enter it if it wasn't exactly on the hour you would put in the 7 cell or square like this
156 +7.025 . The 0.35 means 15 minutes and you would then have to color code it manually to blue
If you can't do that I would put the 156 in the 7 square and leave it there
@PierreW
squeem3
Very Active Member
The ER vet doesn't know what she's talking about
It's on her for failing to tell you exactly what to ask for and what exactly the thing is. You could make a complaint to the ER manager if you want.Asking for 12.7mm or 3/10 means nothing to a pharmacist. U100 could be insulin or syringes.
Any pharmacy sells the Lantus pens. Human diabetics use them. The prescription from the vet has to specify the pens. If your vet is not familiar with pens, share the info here on FDMB with the vet.
Diane Tyler's Mom GA
Very Active Member
PierreW
Member
the entire experience was messy to say the least. i was shocked when they said "your pharmacy doesnt carry it" and i was thinking "my pharmacy doesnt have insulin? how strange"...why would we need to be contacting 20 local pharmacies for syringes, i could have easily ordered them had they given me exactly what i needed. they specifically said not to refrigerate the insulin or other meds.The ER vet doesn't know what she's talking about
Asking for 12.7mm or 3/10 means nothing to a pharmacist. U100 could be insulin or syringes.
Any pharmacy sells the Lantus pens. Human diabetics use them. The prescription from the vet has to specify the pens. If your vet is not familiar with pens, share the info here on FDMB with the vet.
i dont think ill have any issues with the insulin rx itself. i just saw that my request for the syringes to be mailed with my flea/tick meds was approved so hopefully i only have to find 8-10 syringes to hold me over until they arrive. and then after im done with the 100 that come in that box, ill be able to buy them cheaper somewhere else.
Diane Tyler's Mom GA
Very Active Member
Ok if the ranges are different on your labs then you would put your reference ranges in and then put Pierre's numbers in to the right of them
@PierreW
156 is a very nice number for early on. Well done getting that test! The normal process at preshot time (AM and PM) is to test the blood glucose (BG) to make sure it's safe to shoot, then feed, then shoot. Often people give the insulin while kitty's head is in the food bowl. Mine finished her food is less than 30 seconds so I did it afterwards.
As far as feeding after that, it's best to give the majority of food in the first half of the cycle (time between the shots) as that's when the insulin it most effective. And that's also the time when kitty may need food to help his numbers from dropping too fast or too low. A "typical" Lantus cycle has the low point around 6 hours after the shot, but there is a lot of variability over cat and time.
Several small meals are fine. Over time, you'll fine what feeding mechanism works best for Pierre. We have a saying here, ECID or every cat is different. How they react to food/carbs can differ, as well as how they utilize the insulin in their body.
As far as feeding after that, it's best to give the majority of food in the first half of the cycle (time between the shots) as that's when the insulin it most effective. And that's also the time when kitty may need food to help his numbers from dropping too fast or too low. A "typical" Lantus cycle has the low point around 6 hours after the shot, but there is a lot of variability over cat and time.
Several small meals are fine. Over time, you'll fine what feeding mechanism works best for Pierre. We have a saying here, ECID or every cat is different. How they react to food/carbs can differ, as well as how they utilize the insulin in their body.
Not true, I didn't. A number of members do, as they can be cost effective. Fancy Feast is fine, but if a cat also has kidney disease (common in older cats), it's not a good option as it's too high in phosphorus. What you feed your cat is personal choice.
Diane Tyler's Mom GA
Very Active Member
Thank you Wendy
PierreW
Member
this is exactly what i mean when i said "i know nothing"...why wouldnt they want me to test and record bg? safe to shoot? ya know? why not tell me all of this stuff. im just over here giving him his shot at specific times all willy nilly...
ok so what is safe to shoot? how do i find out what will work for him? the ER told and gave me absolutely nothing but a $11,000 bill
*i will have access to it tomorrow hopefully via my primary* and i also hope she gives me way more info.
Diane Tyler's Mom GA
Very Active Member
In case you ever want to switch food
You might want to try Weruva Pates
low carb/ low phosphorus
if you tap on this link and look at post #32 I listed some Weruva pates for another member that's low carb/ low phosphorus with kitties with CKD and diabetes
New member 11/8 and I am tired
You want the metabolizable energy profile percentage of carbs to be less than 10%, and the phosphorus which Weruva lists in Minerals to be less than 250 mg per 100 cals. So you have to look at two different places in the Weruva charts. This is where I was told where to look by a member
You can even check out the soulistic pates
PÂTÉ — Soulistic Pet
When you click in one of the flavors then click on
COMPLETE NUTRITIONAL INFORMATION (link to page)
and look at the same two places like on the weruva
@PierreW
You might want to try Weruva Pates
low carb/ low phosphorus
if you tap on this link and look at post #32 I listed some Weruva pates for another member that's low carb/ low phosphorus with kitties with CKD and diabetes
New member 11/8 and I am tired
You want the metabolizable energy profile percentage of carbs to be less than 10%, and the phosphorus which Weruva lists in Minerals to be less than 250 mg per 100 cals. So you have to look at two different places in the Weruva charts. This is where I was told where to look by a member
You can even check out the soulistic pates
PÂTÉ — Soulistic Pet
When you click in one of the flavors then click on
COMPLETE NUTRITIONAL INFORMATION (link to page)
and look at the same two places like on the weruva
@PierreW
Diane Tyler's Mom GA
Very Active Member
I'll let @Wendy&Neko answer your questionthis is exactly what i mean when i said "i know nothing"...why wouldnt they want me to test and record bg? safe to shoot? ya know? why not tell me all of this stuff. im just over here giving him his shot at specific times all willy nilly...
ok so what is safe to shoot? how do i find out what will work for him? the ER told and gave me absolutely nothing but a $11,000 bill
*i will have access to it tomorrow hopefully via my primary* and i also hope she gives me way more info.
@PierreW
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FWIW, I was shown how to shoot by a locum vet who said it might be a good idea sometime to learn how to test. It took 3 monthe before I did my first home test. And that was by a different (and better) locum vet who also switched us to Lantus. Not all people home test, but we also see people here who are prescribed way too high a dose and are fighting to keep their cat from hypo. People with diabetic children always test the blood sugar before shooting. Cats are the same, they can't tell us how they feel.
As far as safe to shoot goes, we almost always shoot at least something if a kitty has recently had DKA. We may wait a bit for his numbers to come up a bit first. DKA comes from not enough food+not enough insulin+some infection or systemic inflammation. Hence the need to make sure he eats well and gets his insulin at this point. Once you do the test tonight, post what it is. Anything over 200 is OK to shoot right away but below that, hold off and we can strategize how/when to shoot.
As far as safe to shoot goes, we almost always shoot at least something if a kitty has recently had DKA. We may wait a bit for his numbers to come up a bit first. DKA comes from not enough food+not enough insulin+some infection or systemic inflammation. Hence the need to make sure he eats well and gets his insulin at this point. Once you do the test tonight, post what it is. Anything over 200 is OK to shoot right away but below that, hold off and we can strategize how/when to shoot.
PierreW
Member
330 he’s eaten and received his insulin
Diane Tyler's Mom GA
Very Active Member
@PierreW
As Wendy said
Once you do the test tonight, post what it is. Anything over 200 is OK to shoot right away but below that, hold off and we can strategize how/when to shoot.
So it was ok to shoot the 2 units please enter it on your spreadsheet
Try to get some tests in after that
Diane Tyler's Mom GA
Very Active Member
@PierreW
Hi can I ask you your name if you don't mind.
Hi Michaele
There are 65 posts here, when we hit 50 posts we like to start a new one and link this post to the new one .
You can start this tomorrow morning .
Tap on the Feline Health ( welcome and main forum above where you have Pierre *19 Aug 2025 dx* and tap Post Thread
In the title you can put the Date, Pierre,and his AMPS number , then where you would write something copy and then paste
To past it just press your finger down and tap paste.
I hope I explained it correctly because they have changed the site and I knew how to explain it better. I'll look for it tomorrow morning
We always link the previous posts in case members want to go back and re read something
@PierreW
Hi can I ask you your name if you don't mind.
Hi Michaele
There are 65 posts here, when we hit 50 posts we like to start a new one and link this post to the new one .
You can start this tomorrow morning .
Tap on the Feline Health ( welcome and main forum above where you have Pierre *19 Aug 2025 dx* and tap Post Thread
In the title you can put the Date, Pierre,and his AMPS number , then where you would write something copy and then paste
Pierre *19 aug 2025 dx* where you have it up top
to your new post tomorrow morningTo past it just press your finger down and tap paste.
I hope I explained it correctly because they have changed the site and I knew how to explain it better. I'll look for it tomorrow morning
We always link the previous posts in case members want to go back and re read something
@PierreW
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PierreW
Member
Michaele
tomorrow is follow up day from the original dx as well as the ER visit so I’m sure I’ll have plenty to add.
Good luck with the vet visit tomorrow.
PierreW
Member
ok. any specific amount of time? hours? thank you
Diane Tyler's Mom GA
Very Active Member
Diane Tyler's Mom GA
Very Active Member
Try and test again @+3 and @+6 and if you are still up a +8
Same goes for the day cycle
Then the next day you can get a test in @+4 and a +7 for both cycles
The more tests the better
Like filling in the pieces of a puzzle
Of course if you get a really low number Post for Help in your Title
To add the additional tests in your title to the right tap on where it says Thread Tools , then tap on Edit Title add the additional tests and tap save
Here is just an EXAMPLE ONLY
Date Pierre AMPS 300, 250 @+3, 200 @+6
Please add how many units you gave tonight on your spreadsheet
2-3 hours is a good amount of time. If Pierre is going to have an active cycle that needs more monitoring, typically that +2-+3 test will be quite a bit lower than the PMPS test.
PierreW
Member
Got it
PierreW
Member
Is any kind of feeding typically withheld for this repetitive monitoring?
I’m still reading through to better understand exactly how food has an affect on everything.
They have always been “multiple small meals throughout the day” and they don’t always finish in that same sitting. Do I pick it up after a specific amount of time.. I’m looking at what’s best for Pierre, but with 2 other cats I sometimes have to take them into consideration. I’ll feed them all the same thing at the same time and the same portion BUT if food is left over or they bowl hop, is that a problem? Sorry that was a ramble. I do want what’s best but it’s truly daunting with a house full of busy kids and this part of life is 100% on me to manage.
They all really only recently started to let me sleep longer than 4 hours before I was being crawled all over and nibbled. Of course once there is movement in the house, the entire menagerie is expecting something too.