10/25 Tibbs need your expert advice please help

Status
Not open for further replies.
Nadine - what is your goal with Tibbs? Are you looking for regulation or do you want to try for remission? In either case, it's much better on his system if he spends more time under renal threshold (around low yellows). Tibbs still has a way to go before he gets there. If you are looking for remission, then the goal is the majority of time between 50 and 120. Other than a possible faulty strip the other day, he's hardly seen any green.

I would try 2.0U again. Tibbs is bouncy and 2.0U will get him bouncing worse for the short term. Until his little body spends more time in good numbers, his liver is going to go 911 and send him bouncing. Neko is also very bouncy. I started seeing a lot of black when we started getting into good numbers, but over time the black went away, then the red, .... pink is still a work in progress. :lol: You have to try to ignore the bounce numbers and focus on the nadirs, or how low a dose is getting Tibbs. Those are the important numbers.
 
so those high numbers when i went to 2u were still a bounce? even his nadirs were high. i would love remission but i would be happy right now with just regulated. i was so concerned when he got terrible numbers all the time when we were at 2. so i should keep increasing and just ride out those high numbers? thanks wendy
 
In my opinion, Tibbs isn't getting enough insulin. In particular, if Tibbs is experiencing an inflammation (colitis), it is NOT the time to reduce the dose especially if your kitty is in high numbers. If a cat is dealing with inflammation or infection, reducing the dose can be inviting ketones to come for a visit. I would be increasing like Wendy suggested.
 
I also second what both Sienne and Wendy suggested about increasing the dose, as well. You don't want ketones to come around. In fact, it's may not be a bad idea to try and get a ketone strip behind the stream (or use clean aquarium gravel as a "kitty litter" as it doesn't absorb liquid for 1 time if you can't get behind the stream of urine. It's best to test for ketones when the #s are still high. Just a little peace of mind.

Someone once told me... In order to go down in #s, you need to go up in doses. Just remember that with each new dose, you may or may not experience some bouncing to come around. As hold continue to hold those doses for 3-5 cycles, they usually settle down until the next dose adjustment.

Hang in there... You're both doing a great job!
 
thanks so much everyone. since Tibbsey had DKA at the start of all of this, i got a blood ketone meter so i have been monitoring his ketones. he did have trace ketones for 2 days but he is back to negative today. he def needed the blood ketone meter as he has a tendency to have ketones. he is def better today. so i will continue to increase every 3 days or so and ride out those bounces. he is definitely my trampoline boy. thanks so much for your help.
 
the protocol takes into account the possibility of bouncing - i'd encourage you to re-evaluate his nadirs every 3 days, compare it to the protocol and decide how to proceed. If you want help figuring it out, just ask. you know we're all glad to help. I'm glad you increased him to 1.75u.

I'd encourage you to power through and not reduce his dose unless you catch him going under 50. Especially with ketones in his background! Cats who are prone to ketones really, really need to get enough insulin in them so they don't return. The "recipe" for ketones is "not enough insulin + not enough food + infection/inflammation." If he has ongoing colitis/bowel issues - that's 1/3 of the recipe already there. With a history of ketones you have to make sure you don't allow the other two parts of the recipe to occur.

Reducing the dose always lessens bouncing. That's because the cat doesn't have enough insulin in their bodies to get them into lower BG numbers. A diabetic cat not on insulin won't bounce at all. The consequence of that, however, is that the cat just stays high and flat - a very bad plan for any cat, but especially a cat with a history of ketones.

Even bouncy kitties can get controlled with perseverance. Just keep on going and you'll get there, nadine! :YMHUG:
 
thank so much Julie. i will keep increasing until i get him down. it was just so odd that his numbers were getting worse as i went higher even at nadir. so confusing. he is playing by his own rule book. i will def post for advice. thank you.
 
Hi Nadine.

No advice here. I just wanted to offer a little moral support. I can tell how worried you are about your dear Tibbs. You are doing a great job, and you have some excellent advice from some very smart people. Hang in there. It will get better. :YMHUG:
 
i noticed you have that he has a history of fatty liver in your signature line - it would be good to add ketones in there too. that's vital info.
 
Status
Not open for further replies.
Back
Top