Nadir within 2 hours and glucose dropping to lower values, help?

Bob's Staff said:
You mean early users of insulin, or early in the downward day curve? ☺️
I gave liquid snack but I just heard here that’s not enough so I put a teaspoon of renal wet food into his mouth after I gave 1/2 ml of honey as recommended above.
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You will need your rest tonight it's been a stressful one, but if you and your cat (what's your cat's name?) we would like you to create your signature and spreadsheet, this way we can all be on the same page, and better guide you with low numbers and dosing, you can if you like take a look at Corky's spreadsheet click below in blue Corky's Spreadsheet, we will always be here for you, let's hope it does not happen again with low numbers, but if is close to shot time 1 hour before make a new thread with the same title but place a 911 in front to get quick response, I am always checking every 1/2 hour the Forum, but I do not give dosing advise, Suzanne does, please continue to post his BG at least for several hours until he can reach the 80's, then you can rest, continue to let us know his BG by the hour, unless it spirals down again, then you will repeat the process, we are here if you need us, in the
Main Forum you will find sticky notes with valuable information ;) 🤗

Sticky - New? How You Can Help Us Help You!
https://felinediabetes.com/FDMB/threads/how-to-create-a-spreadsheet.241706/
 
Keep the portions small

What about dry food? Do you have any of the renal dry food? Dry isn’t our preferred option when trying to manage low numbers, but if he won’t eat anything else you may need to try it.

You are not, by any chance at the very beginning or end of your Libre’s life cycle are you?
 
CORKY said:
You will need your rest tonight it's been a stressful one, but if you and your cat (what's your cat's name?) we would like you to create your signature and spreadsheet, this way we can all be on the same page, and better guide you with low numbers and dosing, you can if you like take a look at Corky's spreadsheet click below in blue Corky's Spreadsheet, we will always be here for you, let's hope it does not happen again with low numbers, but if is close to shot time 1 hour before make a new thread with the same title but place a 911 in front to get quick response, I am always checking every 1/2 hour the Forum, but I do not give dosing advise, Suzanne does, please continue to post his BG at least for several hours until he can reach the 80's, then you can rest, continue to let us know his BG by the hour, unless it spirals down again, then you will repeat the process, we are here if you need us, in the
Main Forum you will find sticky notes with valuable information ;) 🤗

Sticky - New? How You Can Help Us Help You!
https://felinediabetes.com/FDMB/threads/how-to-create-a-spreadsheet.241706/
Click to expand...
Let’s save this for after Bob’s numbers are rising consistently.
 
Suzanne & Darcy said:
Keep the portions small

What about dry food? Do you have any of the renal dry food? Dry isn’t our preferred option when trying to manage low numbers, but if he won’t eat anything else you may need to try it.

You are not, by any chance at the very beginning or end of your Libre’s life cycle are you?
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We have dry food but since he was hospitalised with acute renal failure and switched from Senvelgo to insulin last week, he is not stable at all and not eating well. The last two days, he doesn’t like any food anymore …
 
Bob's Staff said:
We have dry food but since he was hospitalised with acute renal failure and switched from Senvelgo to insulin last week, he is not stable at all and not eating well. The last two days, he doesn’t like any food anymore …
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Well right now when we are trying to manage lower numbers he needs to eat small amounts. What is the Libre saying now?

I am not unsympathetic about this either. I have a cat at home (renal failure/ severe rhinitis, infection) who has not eaten for three days. Today was the third day and I had to syringe feed her. Going home to do it again.
 
CORKY said:
You will need your rest tonight it's been a stressful one, but if you and your cat (what's your cat's name?) we would like you to create your signature and spreadsheet, this way we can all be on the same page, and better guide you with low numbers and dosing, you can if you like take a look at Corky's spreadsheet click below in blue Corky's Spreadsheet, we will always be here for you, let's hope it does not happen again with low numbers, but if is close to shot time 1 hour before make a new thread with the same title but place a 911 in front to get quick response, I am always checking every 1/2 hour the Forum, but I do not give dosing advise, Suzanne does, please continue to post his BG at least for several hours until he can reach the 80's, then you can rest, continue to let us know his BG by the hour, unless it spirals down again, then you will repeat the process, we are here if you need us, in the
Main Forum you will find sticky notes with valuable information ;) 🤗

Sticky - New? How You Can Help Us Help You!
https://felinediabetes.com/FDMB/threads/how-to-create-a-spreadsheet.241706/
Click to expand...
Thanks a lot, he is at 70 again now so for now I think he’s safe and we are now at almost 6 hours after his shot so I think it will be OK for today. My goodness, I’m totally exhausted now, it’s 1 am but I don’t think I will be sleeping soon!
I did not make a spreadsheet yet because his situation is still very uncertain and all my attention goes to keeping him stable without neglecting my husband and daughter. It’s been very heavy lately and we don’t know if he will even make it through the end of the year :confused::confused::confused:
 
Suzanne & Darcy said:
Keep the portions small

What about dry food? Do you have any of the renal dry food? Dry isn’t our preferred option when trying to manage low numbers, but if he won’t eat anything else you may need to try it.

You are not, by any chance at the very beginning or end of your Libre’s life cycle are you?
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Oh and yes, we are at day two of our Libre. Does that mean anything, good or bad? 🙃
 
Bob's Staff said:
Thanks a lot, he is at 70 again now so for now I think he’s safe and we are now at almost 6 hours after his shot so I think it will be OK for today. My goodness, I’m totally exhausted now, it’s 1 am but I don’t think I will be sleeping soon!
I did not make a spreadsheet yet because his situation is still very uncertain and all my attention goes to keeping him stable without neglecting my husband and daughter. It’s been very heavy lately and we don’t know if he will even make it through the end of the year :confused::confused::confused:
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What is his current Prozinc dose? Please reduce his dose by .25 units beginning with his next shot.
 
Please post on the ProZinc forum tomorrow and let me know how everything is going. I understand the stress you are going through. I am in the thick of it too.
 
Suzanne & Darcy said:
Well right now when we are trying to manage lower numbers he needs to eat small amounts. What is the Libre saying now?

I am not unsympathetic about this either. I have a cat at home (renal failure/ severe rhinitis, infection) who has not eaten for three days. Today was the third day and I had to syringe feed her. Going home to do it again.
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Oh I’m sorry to hear that! Is it Mr. Darcy? And will he be OK in the end or do they not know that yet?
 
Suzanne & Darcy said:
What is his current Prozinc dose? Please reduce his dose by .25 units beginning with his next shot.
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He started at 1 unit one week ago, which was not enough. At the vet they raised to 1.5 in the morning and kept 1 in the evening, because he didn’t have access to food at night at the hospital. At home we started at 1.25 two days ago but his kidneys qquickly declined again and the vet strongly insisted on giving him 1.5 to get his sugar stabilised so his kidneys can recover. Because of his acro, too low numbers would be very unlikely, they said … And here we are then. So I guess we go back to 1.25 then in the morning, depending on his preshot value probably?

By the way, what should we expect to see in his values with this honey an hour ago? Will they start skyrocketing soon after nadir?
 
I know is my pleasure to be able to give back to a new member, you’re doing great! You will be great!
 
Bob does look a little nauseous now, he is swallowing things back in, it seems … Is this common after such swings in his values, given the fact that he is already nauseous due to his kidneys? He is given meds for this nausea by the way, but I think what just happened tonight made him even more nauseous 😞
 
I’m not familiar withe kidney issue but it could be from so much food he ate and so much of it, the honey,,the stress, rest, he’s going to be ok, Suzanne made me understand that if I get sick or not sleep I couldn’t function to help Corky, if is 3:00 Am where are you? Is 7:30 here in US
 
We still need to get you set up with a spreadsheet. I can ask @Marje and Gracie to set one up for you so that you don’t have to do anything or stress. I understand. Most days I am just trying to keep my head above water these days and I spend all my time trying to get these cats to eat or giving meds or subcutaneous fluids or just worrying and stressing or taking someone to the vet, etc. etc.
 
Bob's Staff said:
He started at 1 unit one week ago, which was not enough. At the vet they raised to 1.5 in the morning and kept 1 in the evening, because he didn’t have access to food at night at the hospital. At home we started at 1.25 two days ago but his kidneys qquickly declined again and the vet strongly insisted on giving him 1.5 to get his sugar stabilised so his kidneys can recover. Because of his acro, too low numbers would be very unlikely, they said … And here we are then. So I guess we go back to 1.25 then in the morning, depending on his preshot value probably?

By the way, what should we expect to see in his values with this honey an hour ago? Will they start skyrocketing soon after nadir?
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With regard to his numbers— honey will raise blood glucose quickly but doesn’t have a long-lasting impact on BG. It wears off quickly. If his numbers go high it could be a bounce (I can explain if someone else has not already done so) or just that his ProZinc has worn off.
 
CORKY said:
I’m not familiar withe kidney issue but it could be from so much food he ate and so much of it, the honey,,the stress, rest, he’s going to be ok, Suzanne made me understand that if I get sick or not sleep I couldn’t function to help Corky, if is 3:00 Am where are you? Is 7:30 here in US
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I can believe that, this has been very stressful for him too.
Here in Belgium it is 1.30 am now 🥱🥱
 
CORKY said:
I’m so sorry for all that you’re going thru Suzanne, you take care of yourself
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Yes. Thank you so much, Maria. It’s been a really bad 2025 with already losing two cats and looking like I could lose two more very soon. We are fighting on. Things were fairly stable for about a month, but now we have taken a turn for the worse.
 
Suzanne & Darcy said:
We still need to get you set up with a spreadsheet. I can ask @Marje and Gracie to set one up for you so that you don’t have to do anything or stress. I understand. Most days I am just trying to keep my head above water these days and I spend all my time trying to get these cats to eat or giving meds or subcutaneous fluids or just worrying and stressing or taking someone to the vet, etc. etc.
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I feel your pain, I’m in the same situation, I have no idea how I can keep going like this, but still I do. We would do everything for our fur babies, right 😻
 
Suzanne & Darcy said:
How was his acromegaly diagnosed? Did he have the IGF-1 test?
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He did indeed have the test, not because of any symptoms but because at university clinic they thought he was very big. But his value was only a bit above range, confirming he was big by nature but confirming also he was about to have higher numbers soon, after which he also developped diabetes.
 
Bob's Staff said:
Oh and yes, we are at day two of our Libre. Does that mean anything, good or bad? 🙃
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Sometimes the Libre sensors will get a little wacky for a little while if they are new and also at the end of the two weeks — also if the cat is lying on it. Pressure on the sensor will cause a false reading.
 
Suzanne & Darcy said:
Yes. Thank you so much, Maria. It’s been a really bad 2025 with already losing two cats and looking like I could lose two more very soon. We are fighting on. Things were fairly stable for about a month, but now we have taken a turn for the worse.
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I'm so so sorry! You take care of yourself, You are my Hero and Corky's Guardian Angel, for those beautiful souls you take of
 
Good morning, or afternoon for you guys :-)
Quick update on Bob's situation: his numbers went up to 253 on the Libre this morning before his next shot. I gave him 1.25 unit, and a bit more than three hours later he is at 150. I hope he doesn't keep going down as fast as last night ... I'll keep you posted!
Thanks again for your help last night, I can only keep repeating how grateful I am 🙏
 
Bob's Staff said:
Good morning, or afternoon for you guys :-)
Quick update on Bob's situation: his numbers went up to 253 on the Libre this morning before his next shot. I gave him 1.25 unit, and a bit more than three hours later he is at 150. I hope he doesn't keep going down as fast as last night ... I'll keep you posted!
Thanks again for your help last night, I can only keep repeating how grateful I am 🙏
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Good morning, well from here is 6:00 AM, 253 is most likely from all the carbs we gave yesterday 150?is great please give him always, two hours after shot a small snack low carbs , and several small meals like every 4 hours until his next shot a full meal to keep the insulin in check by having this schedule we avoid spikes up or down, important that you have handy what is called a HYPO KIT this should include: Honey or Karo syrup, some medium carb foods between 11-15% carbs and soñé high carb foods between 16-24% carbs, gravies, this way we can stabilize his BG faster than yesterdays just woke up and feeding my cats and insulin, later I will send you some links that will help you calculate the food. if you can please create tge spreadsheet and signature. I hope you had a good rest, today will be a better day, and it does get easier, you did great yesterday!
 
253 is around his usual preshot value when he eats well. In the Prozinc section of this forum I read they're supposed to end around 250-300 on a human meter before injection, and around 100-150 at nadir? I see in your spreadsheet you have totally different numbers, do you know how I should interpret this difference? I'm just trying to find out how to interpret and read all these different spreadsheets and numbers, this new world of insulin is very overwhelming ... o_O

I'll dive into the section about the spreadsheets when I have a free moment, because I don't have any idea yet how this works ;-)

In the meantime his Libre is already down for almost an hour, I hope this does not mean it's finished. It did serve me well last night, but it's an expensive investment if it only lasts three days ... :eek:
 
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Libre went back in business and started back up again with a value of 53 mg at 6,5 hours after injection, so he will be OK and start rising again soon I guess. I tried to verify with my glucose meter. The needle went in 5 times at 5 different spots in his ears, but no drop of blood to be seen, and poor Bob being very very very annoyed. How am I supposed to decide how much insulin to give tonight if the Libre would fail again and I cannot get a drop of blood from his ears? I need to stabilize him and get him to eat again, but when I cannot measure blood, I do not dare to give him the full dose o_O
 
The Libre has a few down falls, it reads lower on low numbers, it tends to stop working before the 14th day, that's how long the sensors work for, so every 14 days it needs to be removed and re-shave the area and place a new on, you can do this yourself you do not need the vet for this. and YES! they are expensive. the numbers on Corky's Spreadsheet will time will be your numbers as well, there is no difference, Corky is regulated, as you saw I shoot at low numbers, after the injection did you give some food? 53 is banging it , in another words Bob needs to eat several times a day, did you lower the dose 0.25u as Suzanne advice you? We need you to create a new Thread we like to keep our threads with no more than 50, because of yesterday's emergency we are at 100, you can name your title the same but place continuation in the front, one of the member will joint this thread with the new one, so your title is going to be "Continuation of Bob's Staff", by the way Bob is Gorgeous. You know I had so many trials and tribulations at the beginning, that I made it very simple, I just go by the numbers on the meter the BG, I constantly read the word Nadir, I am aware of what those numbers are, but I needed to make it simple or was going to lose my head, I spend 3 months after Corky left the hospital after 8 days with a BG of 650 and had lost 8.5 lbs,. without his all-time vet, he fired me, I left the hospital with a bag of supplies a simple explanation and told that a diabetic cat's BG needed to be between 200-300 , and a Libre sensor that fell off that same evening, when I went to the vet he said sorry I can't! I had no idea what I was doing or how, like I said I banged it for 3 months, I kept researching on the Web, and Corky's numbers were all over the place, sleepless nights, crying fits, not eating, I would not leave my house, it was a nightmare, until by coincidence I found this Forum, so I only based his numbers, ( a non diabetic cat's BG should be between 50- 120), the easy way what the meter says, what his Pre-shot numbers are. it took almost 2 years for me to get used to shoot on 2 digits BG, is a process to be learned and have guts, but after the first Hypo and the issue with the Libre, I became a compulsive tester, today I'm
thankful for this forum, Suzanne gave me a very powerful phrase " Take a step Back, Breath in, Breath out, cats are very sensitive to stress, you stress they stress" and I began to say those words in my head every time something went wrong, or it was time to test, at the beginning of learning how to hand test I used as many as 5 strips, but the first time I got it the first time, I said out loud "I GOT THIS"
I began to have confidence in myself, and got better at it and with the assistance of Suzanne and other members, I was willing to do whatever it took for Corky, I adopted him from the shelter at 8 weeks old at a very dark time in my life, he was 10 when diagnosed, he would get on my laps and licked my tears away, so believe me I KNOW your desperation, but it gets better, Bob knows you love him, you can try associating testing with a small bit of a snack, low carb, right after testing, soon the capillaries will swell and it will be a breeze to get blood. You are doing great!
 
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This is the part of the ear called tge sweet spot
 
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