9/8 Copernicus (dose chat) PMPS=318 +6=293 AMPS=263 +5=140 +11=249

Krista & Copernicus

Krista & Copernicus

Member Since 2026
PP

Good news: Keep an eye on us. 💙
Bad news: I set an automatic feeder and he jumped off the table last night when it went off. Usually he uses his step aids when I feed him. But now he's holding up his left paw in pain. His carpal hyperextension has gotten worse. The only effective treatment for this is plates and screws and I am not going to put him through that. I hate acromegaly. Such crap that he has to experience this as soon as his BG hits a blue.
 
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I'm happy to see the +5 140 💙 for your baby. Hopefully it will help him feel better.
Is he on any kind of pain meds for his feet?
 
so he's had a rougher go than a lot of acromegaly cats. He doesn't do great with bupe or gaba. Maybe it's his tumor. His tumor seems large or fast growing imo. And I cannot get this cat to stop jumping off chairs so when I give it to him, he slips worse. He loves being up high. I even confined him to a bathroom once and he jumped in the tub and slipped. I think if I left him confined he would get depressed. I don't know what to do in terms of meds. He had a rehab appointment but it's still 2 weeks away.
 
Blue! Celebrate that win. 💙💙 Curious where he'll be in a couple hours.

Pain meds are a bit of a work of art. You need enough to help with pain, but not too much that impact the gait. Have you tried something like half doses of bupe or gaba?

For his legs, would a soft wrap splint help? Or boots? As I say that, I know from personal experience how hard it is to keep something like that on a cat. You can buy boots for cats, with silicon foot bottoms so they don't slip. @squeem3 used some for Leroy, but I don't know how much they would help his hyperextension. I hope the rehab appointment can provide some answers.
 
Poor baby. I hope these nicer numbers will start helping his neuropathy. You are giving B12 right?

One of the things I saw, and saw commented from others is that acro seems to grow nails thicker and faster. Maybe that's something you can get the vet to help with when he visits? Thankfully Neko was pretty good about her nails being trimmed, but she also didn't have neuropathy. Bupe may have helped with that too.
 
Wendy&Neko said:
Blue! Celebrate that win. 💙💙 Curious where he'll be in a couple hours.

Pain meds are a bit of a work of art. You need enough to help with pain, but not too much that impact the gait. Have you tried something like half doses of bupe or gaba?

For his legs, would a soft wrap splint help? Or boots? As I say that, I know from personal experience how hard it is to keep something like that on a cat. You can buy boots for cats, with silicon foot bottoms so they don't slip. @squeem3 used some for Leroy, but I don't know how much they would help his hyperextension. I hope the rehab appointment can provide some answers.
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Wendy&Neko said:
Poor baby. I hope these nicer numbers will start helping his neuropathy. You are giving B12 right?

One of the things I saw, and saw commented from others is that acro seems to grow nails thicker and faster. Maybe that's something you can get the vet to help with when he visits? Thankfully Neko was pretty good about her nails being trimmed, but she also didn't have neuropathy. Bupe may have helped with that too.
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Yes, I'm giving b12. And I just tested him and he's 163. Can you play out some scenarios for me in case I can't get a hold of someone. I think he will be above 200 in the next 5 hours for his shot. But just in case when do I do a dose reduction and by how much? Thank you.
 
Sending you and sweet Copernicus some hugs and vines, Krista. I am thinking of you both. You are such a wonderful cat mama and attend to all of his needs so well.
I wish this was all easier for both of you :bighug: :bighug: :bighug: :bighug: :bighug: :bighug: 🍀🍀🍀🍃🍃🍃🍃🫂🫂🫂🫂🫂
 
A blue surf, woohoo!

Try getting a test at +10 or +11. That'll give you (and us) a heads up on what we might be dealing with at PMPS. For TR, you shoot full dose if above 50, unless he earns a reduction by going under 50. However, that can be intimidating the first couple times to shoot that low. And with an acrocat on cabergoline, I suggest moving that 50 to a 70 as the reduction point to give you a margin of safety. On this forum for people following TR, we suggest even shooting full dose the first time blue if above 150. Below 150, post and ask for help with strategies. One of the strategies is delaying, without feeding, and seeing if he is going up. But if you get that +10 or +11 test, we'll know how he's trending. Looking at previous history when he saw blues, a bounce may be in his future tonight.
 
Wendy&Neko said:
A blue surf, woohoo!

Try getting a test at +10 or +11. That'll give you (and us) a heads up on what we might be dealing with at PMPS. For TR, you shoot full dose if above 50, unless he earns a reduction by going under 50. However, that can be intimidating the first couple times to shoot that low. And with an acrocat on cabergoline, I suggest moving that 50 to a 70 as the reduction point to give you a margin of safety. On this forum for people following TR, we suggest even shooting full dose the first time blue if above 150. Below 150, post and ask for help with strategies. One of the strategies is delaying, without feeding, and seeing if he is going up. But if you get that +10 or +11 test, we'll know how he's trending. Looking at previous history when he saw blues, a bounce may be in his future tonight.
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+11 is 249
 
Wendy&Neko said:
For TR, you shoot full dose if above 50, unless he earns a reduction by going under 50. However, that can be intimidating the first couple times to shoot that low. And with an acrocat on cabergoline, I suggest moving that 50 to a 70 as the reduction point to give you a margin of safety. On this forum for people following TR, we suggest even shooting full dose the first time blue if above 150.
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Hey Wendy, I think Krista is still using an AT meter. What numbers would you recommend for that?
 
Since it's been about an hour, can you give him a teaspoon of something to sooth his belly, like a pure meat, or even some churu? Do you have a test at +1?
Mainly just posting to bump you up.
You might want to at threw up after PMPS to your thread title.
 
He ate after some Zofran. I didn't do a +1, does Lantus work that quick? He ate all his dinner. Should I have held some in case he needs more food if he goes too low?
 
Typically Lantus takes 2-3 hours to onset - with ECID, some are earlier.

Get a +2, that'll tell you if he's bouncing or planning on coming down again.
JL and Chip said:
Hey Wendy, I think Krista is still using an AT meter. What numbers would you recommend for that?
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Excellent question. We strongly recommend people use human meters in our dosing methods sticky note. We do say that 68 on an AT can be used for a regular TR reduction point. Not that they are the same number, but it can be used. Too many people have tested and tried to find the equivalent, but no consensus. I agree that if you continue to use the AT you might want a higher reduction point while he's on cabergoline, but I have no recommendation for what. Not enough experience here with people with acros, post treatment and using an AT, to have an idea what will work. Pick something and try it. You have to learn what works for Copernicus.
 
Bouncing just means the insulin dose is finally working to get him into better numbers, which he is not used to "yet". You don't want to lower the dose, you want him to get used to better numbers so he gets used to the numbers and slows the bouncing. If you had lowered the dose tonight, you would have had worse numbers with the bounce + not enough insulin. Thankfully he's not skyrocketing.
 
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