Bron and Sheba (GA)
Member Since 2015
It is a pleasure to help you. 
I would increase to 1.75 now that she’s eating better as long as you can test.12:14am BG 448. May I feed her now? Or wait the about insulin dosage? @Bron and Sheba (GA) @JanetNJ
I won't give extra dose! I was waiting to hear from anyone, wringing my hands. I syringe fed 60ml a/d + gave 1.75u of insulin. Going to let her rest and in a couple hours will test. Thinking along the lines of getting her to eat anything, I gave her maybe 2 tsp ice cream last night. That couldn't have caused such a spike in BG numbers, could it?Do not give extra insulin. The numbers will start to come down, I promise.
She doesn't look well, you know the tired, ragged look? That's what she looks like today. Trying to drink water, but getting her beard/chest fur all wet.How is he feeling and acting?
Those are massive skills! I set up the baggies again to get another sample.I would wait quietly until he started peeing and then get up and put a little cup under him once he started the process of peeing.
Hi Sam@Bron and Sheba (GA) will writing the time this way work?
11:20am urine test negative for ketones (tested twice), 12pm /AMPS 60ml a/d + 1.75u, +3/3:12pm BG 290, +5/6pm BG 339, ate a little bit of Friskies + treats + gave Veraflox + Cerenia- put on balcony for sunshine, +9/9:48pm BG 460 + gave 100ml fluids, +11/11pm urine test negative for ketones, PMPS / 12:30am BG 456, ate a little bit kibble, boiled egg + drank water. *will test in a couple hours/+3+4*
She's eating some on her own but not enough. I shouldn't have given that little bit of ice cream.
How often + how much is to be syringe fed when they aren't eating anything on their own?
Sometimes you can only do 40ml. Then let him rest, and try for another 40ml in an hour or so. Go slowly, and try to slowly build up how much he will tolerate at a time.She's very much not eager to be syringe fed. Poor girl let's me do it although after I've gotten to about 40ml she starts not tolerating well.
Her teeth are fine as far as I know. However, she acts like she can't grab things with her teeth much. I do not think she's in pain but just an "eating style"? She really does well with pate and I even mix some water with that to get her to eat it but that's if she's eating good. As for water, I know she's drinking on her own although I cannot be sure how much because much of her face and chest hair get sosking wet in the water bowl and she creates a trail everywhere she goes.How are her teeth? Will she eat plain chicken on her own? Will she drink on her own?
I add only a little water with the a/d to syringe so it'll stream easily. I have been doing 60ml twice daily in addition to offering treats + pate (the pate she won't eat much of, I'll have to buy more of the expensive soft treats).how much you are managing to give her?
What a great idea. I'll do this with the next can.used to count how many syringes it took to feed one can of food, and then divide the number of syringes by the calories in the can.
After her PM insulin she ate a little bit of previous higher carb kibble I've saved, a couple treats and a tiny amount of the egg. I meant to test her earlier than now but didn't wake up.Did she eat some boiled egg?
60ml twice a day in addition to other food offerings. She sniffs + licks a little bit but not much on her own.How much of the a/d are you giving each time? You write in the SS you gave 60 mls on one occasion. Do you give that much each time?
And how many times a day?
How much food is she eating on her own at the moment?
You are doing a wonderful job. I've only had to assist feed a few times, and I understand how much work and stress it is. She's very lucky to have you. Have you ever tried forti flora on the food?+7/7:42am BG 530, drinking lots of water, ate some egg w/ mayo, negative ketones, +9/9am 60ml a/d.
Her teeth are fine as far as I know. However, she acts like she can't grab things with her teeth much. I do not think she's in pain but just an "eating style"? She really does well with pate and I even mix some water with that to get her to eat it but that's if she's eating good. As for water, I know she's drinking on her own although I cannot be sure how much because much of her face and chest hair get sosking wet in the water bowl and she creates a trail everywhere she goes.
I add only a little water with the a/d to syringe so it'll stream easily. I have been doing 60ml twice daily in addition to offering treats + pate (the pate she won't eat much of, I'll have to buy more of the expensive soft treats).
What a great idea. I'll do this with the next can.
After her PM insulin she ate a little bit of previous higher carb kibble I've saved, a couple treats and a tiny amount of the egg. I meant to test her earlier than now but didn't wake up.
60ml twice a day in addition to other food offerings. She sniffs + licks a little bit but not much on her own.
I hope I answered everyone's questions. -Sam + Aggy
Hi Dyana, I have 14- 8mg pills of ondansetron a friend gave me back in January.It's probably been mentioned before, but have you thought about trying Ondansetron (Zofran) in place of or in addition to the Cerenia?
Thank you for your kind words. I have the Fortiflora and when eating normally she's eaten it several times. Right now it's not tempting her, she won't eat it or on top of Friskies.
I haven't. I'll get some tonight. Fancy Feast pate.Have you tried Fancy Feast instead?
The zofran (ondansetron) I gave Sheba in Australia has aspartame in it. I just looked it up.My sister has 4 mg tablets of ondansetron but they are the dissolvable kind with a sweetener, I think aspartame. Can I give this to her?
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Thank you, I'm so glad I could get what she needed. I got a 24 variety pack of FF pate and will offer again tonight but if she doesn't eat it I will syringe feed another 60ml a/d and then give insulin.The zofran (ondansetron) I gave Sheba in Australia has aspartame in it. I just looked it up.
I had the 4 mg wafers and gave her 1/2 wafer. You just need to be sure that your hands are dry because the wafer will stick to your fingers if not.
You just need to put it on the tongue and it will stay there.
Thank you so much for your encouragement! I have tried so many things with the wet foods to get her to eat, including that with the gravy. Blending to puree, adding water, adding broth, adding Fortiflora, adding bonito flakes, adding fresh chunks of meat.Really hope you see some improvement overnight. You are doing such a great job for aggy. I guess you have tried squeezing the gravy out of food and giving that. Will be thinking of both of you and sending good vibes during our day.
@Wendy&Neko @Marje and GracieI wasn't able to check Aggy's BG during the night, I was so exhausted. Now at +10/11:57am BG 598. The reading before that said "HI" + I have never seen that before. She's going from water bowl to water bowl. She only had access to water, FF pate + a bit of not LC kibble.
I'm so scared for her. Should insulin be raised at her next cycle 2 hours from now? I know I'll to have to syringe feed. Should I be offering treats? The only ones I have are HC + she won't eat them.
Edit: +11/12:54pm BG HI, 2mg ondansetron. Mixing up a/d to syringe feed.
She's is at 1.75u; this increase would bring it to 2.25u, is that correct?I think that a 0.5U increase may even be needed, since the nadirs are only down in the high yellow BG range right now.
I will continue syringe feeding with at least 1 can a/d + 100ml fluids daily.Please keep syringe feeding her as you are doing, as much as you need to.
CorrectShe's is at 1.75u; this increase would bring it to 2.25u, is that correct?
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I will call him in the morning to see if he thinks I need to bring her in + what could be done.Are you able to take her back to the vet to get her checked again to see if the infection she had is resolving or has resolved and maybe you need to look at a feeding tube so she can get all the nutrients she needs. There may be something else the vet could do or prescribe to help things along.



He definitely said to bring her back if she wasn't eating good on her own in a couple days and it was be a week tomorrow. He did not mention the fPl test. Is that a blood or urine test? Do you have any approximation of how much that test might be? Either way I want to get it done for her.When cats stop eating like Aggy, it is usually something doing it, such as pancreatitis or an infection somewhere. Some cats get over it quickly and some cats take longer.
Do you know if the vet did a fPL test for pancreatitis. He didnt mention it. You are doing almost everything needed to help pancreatitis except she may need some pain meds if it happened to be that. The vet said most of the blood work was good including the kidneys so that is really good.
The vet did say to bring her back if she hadn’t started eating, didnt he? Maybe ring him. I do understand the financial side of things and vet are expensive.
I think I took what I read in the beginners guide to explaining how to give insulin. The first time I saw a lower number I didn't know what to do so the second day when it happened again I looked up about those lower numbers and the original post I saw said if it was below 200 to not shoot. I really wish I had asked.Im sorry if you were given conflicting advice. If you are unsure always post again and tag someone.
I've studied that link like the Bible! I'm pretty sure I tried all of those things. She was never a picky eater but also I unfortunately never strayed from giving her anything but kibble. She was never really interested in human food before. She wasn't picky but now that she's dealt with so much nausea since the diabetes I would have no clue how to entice her with food. The last time she stopped eating in February the only thing that would work was the baby food BeechNut. Right now she will only readily eat soft cat treats.What are her favourite foods? Any particular canned foods? Dry foods? Cooked chicken, meat, minced meat?.
Have you seen this link https://www.felinediabetes.com/FDMB/threads/suggestions-on-how-to-stimulate-kittys-appetite.130770/
This gives me so much hope. Even if it's just for tonight. It is exactly what I needed to hear, to not give up.I wouldn’t give up yet.
I will ask for that test + whether he thinks it's pancreatitis and if pain meds. So ondansetron + Cerenia can be taken together- is it like a double whammy for anti-nausea?Ask the vet for some more ondansetron and cerenia, ask about the fPL test for some pain meds. We are here to support you for as long as you need us.
Y'all have helped me so much so far. I cannot thank you enough. I will keep you updated. <3 -Sam + Aggy <3We are here to support you for as long as you need us.
Try and make sure you are getting enough sleep if you can as that is just as important.
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It should not be expensive. There are two tests you can get done. The fPL Snap which is done in the vet office and only takes 10 minutes to get a result and it will tell you yes/no if she has pancreatitis. In Australia this test costs around $50 I think...I haven't had it done for about 5 yearsDo you have any approximation of how much that test might be? Either way I want to get it done for her.
Just keep trying different foods. Any she wont eat...freeze the rest of the can in a small container for later so its not wasted. I used to do that when Sheba would not eat. Would she eat the gravy foods do you think? Or the dry?I've studied that link like the Bible! I'm pretty sure I tried all of those things. She was never a picky eater but also I unfortunately never strayed from giving her anything but kibble. She was never really interested in human food before. She wasn't picky but now that she's dealt with so much nausea since the diabetes I would have no clue how to entice her with food. The last time she stopped eating in February the only thing that would work was the baby food BeechNut. Right now she will only readily eat soft cat treats.
I had Sheba very sick at one point and I really thought it was the end. The vet gave her a medication for pain and she was a different cat.This gives me so much hope. Even if it's just for tonight. It is exactly what I needed to hear, to not give up.
Cerenia and ondansetron work on different pathways in the body and when one doesn't work, the other one often will.will ask for that test + whether he thinks it's pancreatitis and if pain meds. So ondansetron + Cerenia can be taken together- is it like a double whammy for anti-nausea?
We are really happy to help you and just want to see Aggie back to her former self eating well!Y'all have helped me so much so far. I cannot thank you enough. I will keep you updated. <3 -Sam + Aggy <3


I think ondansetron can be given up to 3 times per day (every 8 hours). I asked Wendy to confirm.You can give the ondansetron, 2 mg dose, at least 3 times per day. It doesn't last a long time in a cat.