11/11/20 - Squeaky! PMPS 600+ AMPS 373 +7=235 PMPS=82 +.5=70 +1.5=73

https://felinediabetes.com/FDMB/threads/11-10-20-squeaky-8-350-amps-334-7-100-pmps-600.238370/

Bounce bounce bounce

How do two cats end a fight? They hiss and make up!

 

Bounce be gone!

 

I hope Squeaky clears the bounce soon.

 

Thanks for looking after us you two! It means a lot!

 

Squeaky hardly ate anything today, mostly some treats. He's down to 82 from 600 last night at this time. I'm stalling at the moment, did not feed. What to do? @Diane Tyler's Mom @Butters & Lyla @Vyktors Mum @Wendy&Neko

 

Hi Jan, if he is not eating, I would be worried to shoot. Can you test in 20 minutes without feeding and see where he is?
With TR you can shoot any number over 50 provided kitty will eat and you can monitor.

Why is he not eating?

 

I see from the notes on his SS that he didn't eat much in the AM yesterday - did he eat alright in the PM (yesterday)?

 

Yes I will retest, someone advised to re-test in an hour..... not sure about timing. Not sure why he is not eating. Perhaps all the bouncing? So extreme, I think he is not feeling very well.

 

I think he ate all right yesterday. I started giving him the B12 in his morning food. I think he didn't like it. However this afternoon I gave him all clean food and he didn't touch it, just some treats.

He's been asking to go out on the porch, I wonder if he is nauseus. Sometimes he likes to go out and eat grass and vomit. Oh, yes, that is what he did yesterday. Went outside and ate grass and then came in and vomited.

 

Did he eat any new food that might have aggravated his IBD? We usually say retest in 20. He might go lower since he hasn’t eaten.

 

YES the methyl B12 with folic acid. He is at 70 right now, I am preparing his food.

 

He will continue to drop w/o food. Please feed him. If he eats well, we can take a call on the shot.

 

Okay, he ate about 10 or more pieces of pan-seared pork delivered one piece at a time to his mouth. LOL.

So what to do?

I could cook some more food and see if he will eat it.

Our other options are to test again in 20 minutes? Give a token shot?

 

Do you think he will eat more if needed to keep him up?

@tiffmaxee full dose, BCS or skip?

 

With his appy poor at best and the PMPS I would give a BCS dose.

 

DO I think he will eat more? Hard to say. He likes the pan seared pork. However I don't really have any secret weapon foods to give him tonight. I am going to have to go buy some other novel foods. He turned his nose up at all of them.

Wait I also have the beef liver/heart. He might eat some of that.

So it's probable but you know cats.

 

Thanks what is a BCS dose?

 

BCS Dose - big chicken sh*t dose. Basically a token dose.

 

Sounds like me. How about 1.5 units? About half?

 

It’s a token dose. That would be 1.5.

 

We cross posted.

 

Can you syringe feed him if necessary?

 

Okay so now this shot will be almost an hour late. Then I need to test in another hour right?

He's asleep now I will have to wake him.

 

Yes, I would test in an hour. Since you need to wake him see if there’s any interest in food. Can you be off schedule tomorrow morning?

 

Well I only have chicken and turkey baby food. Poultry is not a good food for him, he's allergic to it and it aggravages his IBD, but I save it for desperate situations. I need to get some beef.

Actually I could take some beef that I home canned and run it through my baby food mill if needed. Or some cooked pork.

I am sure he will not be thrilled.

 

Get some ham baby food too. My cats always like it. You would only need to syringe if he won’t eat and he starts to get low.

 

Yes I dont have a schedule for tomorrow.

 

He did have some ham baby food in the last few days. However I'm not sure what they put in the ham. Makes me nervous.

Why isn't it just "pork"?

 

So to be clear. It is now 40 minutes since the last test. I need to test him again, shoot a token dose if all looks well, then feed. Re-test in an hour. Is this right?

 

Gerbers? It’s only ham with a little cornstarch.

 

But what is "ham" exactly? Usually it is a preparation with sugar and salt.

Why isn't it "pork."?

 

Any food does not contain salt or sugar. Look at the label.

I just did look. Ingredients are what I said. It contains 35mg salt but no added salt. 2g carbs and that’s from the cornstarch.

 

So to be clear. It is now 45 minutes since the last test. I need to wake him, test him again, shoot a token dose if all looks well, then feed. Re-test in an hour. Is this right?

 

That’s correct. If you aren’t comfortable with this you can skip. It’s up to you.

 

Great, I can live with that!!!
Ham it is!

 

Well problem with skipping is then he will have a huge bounce, right?

If I shoot that will help level him off, right?

He's been bouncing all over the place, anything I can do that will help even him out....

 

Whatever is the best thing I can do for him.

 

I think its best for him to get some insulin. It’s getting later. How about another test? Then feed and shoot.

 

Yes. His little head popped up so this is a better time. I will test and let you know what it is.

 

73.... going to feed. Okay to shoot 1.5?

 

As long as he eats, yes.

 

Sounds good. I'm cooking his pork right now. LOL what a spoiled cat.

 

Aren’t they all?

 

Okay he ate 20 pieces of pork. More than just a snack. Time for a 1.5 shot.

 

Elise, shot accomplished. Will test in an hour. I have a few questions.

So we are 1-1/2 hours later than the scheduled 7:45 shot. Shooting at 9:15. So do I start tomorrow morning shooting him at 9:15?

Also we are almost at the end of the first insulin pen. I have read that the insulin is a bit less effective. So when I start a new pen should I lower his dose by .25?

Anything I need to know about when to stop using the pen? I gather, when I don't see enough liquid going into the syringe?

 

You can shoot 15 minutes early each cycle to get back on track or 30 minutes every 24 hours. So you can shoot at 9:00 in the morning. The pens don’t lose their potency. I would not reduce the dose. I used each pen to the last drop. If you can’t get a full dose then you would throw it out.

 

Great advice. Thanks so much and BIG HUGS and MANY THANKS for coaching us through this! Still learning and appreciating the guidance.

 

@Bandit's Mom @tiffmaxee

1 hour later, after his 1.5 shot, he's 103. Feed and go to sleep?

 

I’d feed and test in an hour. Then if still up go to sleep.

 

Thanks!

 

He ate well!

 

That’s good!

 

+3 = 243. Bounce time! Good night! Many thanks, Elise!

 

Saw the last test. Good night. Your welcome.