I am tagging Wendy - she has more experience than I do when using budesonide.
@Wendy&Neko
He has been high with a high yellow nadir since starting the budesonide and having 2 units. The depot is stabilized now There is dry in the mix but if that is not going to change overnight or at all, then you need to dose for the situation now with keeping it mind if the dry taken out of the rotation. You have more than enough testing in to see how his cycles will look overall (until he decides to change it as you know he is a cat after all) It would be tempting to go up by .5 units. I have never done that though.
Another option that I have used with Jones is not wait the full 7 days but waited only 4 days to do an 0.25u increase when we have gone up in dose on the prednisolone, knowing I was trying to offset that affect with all other factors being the same (insert laughter here as Jones never allows things to stay the same).
Do you feel comfortable with knowing how Porto will react and how his cycles tend to ride out?
Thank you, Tracey!
Porto never had huge, sudden drops, at least none that I discovered with my testing, except the ones following a vomit or Diarrea. That is what I gathered from all the testing with him. The vet said I may be mistaken and those vomits and Diarreas could be caused by increase in insulin but I doubt it is so. It may also be that, him not being on a diet that worked with his IBD, or on any meds, causing vomits/diarrea, caused the BG to drop during a flare thus forcing a dose drop that got us to 1,5 ud again, and 400 smth values on it, when his tummy would get better.
I am confident with raising a bit more the dose, or faster, Im at home in his peaks and could test and feed HC if needed, now that we have the budesonide protecting a bit against vomits and diarrea caused by HC gravy foods, which almost all contain chicken or stuff that would have caused diarrea before.
Ziwi peaks dry is not so palatable so I cant blame him for not wating to eat it, the only viable option and introducing right now is Virbac Digestive, with low carbs for a digestive food, it has 17% DM carbs compared to Ziwi that has 7% DM. It contains chicken also but is main protein is pork. We need to switch to this dry, will leave ziwi for when he is hungry, aas we need him to eat, to gather some calories and the virbac one has those, id feed only 25 gr and the rest, use wet. Ordered 7% carbs wet, today, by tomorrow we can introduce and see, his other wet, ziwi, had 20% carbs. His diet always changing, leaves little room for regulating but we want to get there. The way I see it now, we are forced to give a higher carbs food dry even if the wet would be lower, I think this change will elevate the BG even more, adding the bude to the equation, we need an increase badly.
How is Jones doing? I saw he decided to go swim with the sharks recently
I hope he is just being picky! There are a lot of picky eaters around here. I like Tracey's idea of trying to switch up the food every once in a while when he doesn't seem interested in the venison. But you said other foods upset his stomach?
