? 14 Nov | Girlie AMPS 454; +4=569; +5=455; +6=304: +9=130 Vet visit tomorrow

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Girlie's mom

Girlie's mom

Member Since 2017
Condo: http://www.felinediabetes.com/FDMB/threads/13-nov-girlie-amps-389-new-poo-disaster.186640/

AMPS 454: Levemir 0.5 Cycle 7

Fed 4% all through PM; big drops from PM+4 to PM +6: over 100 pts each hour. Probably should have tried to stall her, but was focused on puter dramas and had sleepy mind until too late. Glad she didn't bounce to high black - not quite - by AM.

Will see whether possible fur shot: could smell insulin, but could have been as didn't wipe syringe off before shot. :oops:

Gave 4% at AMPS as she's not keen to eat before her onset and will at least eat CIK Fowl Ball. :rolleyes:
 
I hope Girlie settles in with the new insulin, these bouncing kitties sure can be complicated :rolleyes:, I have to squirt out extra insulin to clear the bubbles, so before shots, I smell insulin all the time lol, but still hope it wasn't a FS.
 
Christie & Maverick said:
I hope Girlie settles in with the new insulin, these bouncing kitties sure can be complicated :rolleyes:, I have to squirt out extra insulin to clear the bubbles, so before shots, I smell insulin all the time lol, but still hope it wasn't a FS.
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That's what I always have to do, too, as I'm a bubble magnet - thought less so now with the current Lev cartridge. Usually I wipe around the barrel of the syringe to get rid of any insulin drops; I think that I forgot to do this in my zombie state this morning.
Still - looks like my internal panic button - "wake up she needs insulin!" - thing is hardwired in me: my alarm didn't go off, but I woke up (unwillingly, but my mind made me do it) 10 minutes before her shot was due anyway. Phew!
 
Girlie, get out of those blacks and reds, you know that's not the place to be!

I don't wipe off the excess insulin because I'm so afraid of contaminating the needle in any way, I flick it off as best I can. It took a lot for me to accept not alcohol wiping before shots and pokes. :facepalm:
 
Darn, darn, darn - looks like I did a fur shot this AM: her AMPS was 454 and her AM+3 = 569. Her fur didn't feel wet at all, though, but 0.5 is a small amount... :banghead: :banghead: :banghead: :banghead:

I think this is my first fur shot. I'm on Cycle 7 of the 0.5 for Levemir: what does this mean as far as counting cycles goes?
 
LizzieInTexas said:
Count starts over. Sorry about the fur shot. After I did 3 fur shots n a week I changed my technique. It was a particularly bad week, many tears were shed. :eek::bighug:
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Three in a week? Wow! I can understand the tears...

Following some of your posts, I changed where I give her shots, and that has worked really well. But this morning I had scrambled eggs for brains, and she looked so peaceful on the bed, so I thought I'd just do it there. Lesson learned! Get up and put her on the chair.... hrmpf... :arghh:

She's a happy camper, though. And thank goodness no leaking last night...relief.
 
So - +5= 455, so 149 point drop from +4. I assume that means that I didn't do a fur shot and this is just a wicked bounce - or that the dose is too low?

This is cycle 7 since I started Levemir, so I assume the Lantus has cleared out of her system. This is Cycle 5 of her reduction to 0.5. As this doesn't seem to be a fur shot after all, I'm looking at the high numbers since the reduction to 0.5 and wondering whether I need to increase back up to 0.75

I think that - initially - the increases and reductions might go more quickly when you start Levemir and are trying to get the dose right: is that correct, @Wendy&Neko ?

I'm just too much of a foggy brain to think clearly: perhaps this bounce is just from the huge drops and I need to go back to steering her with food that's 8 - 13 carbs. :confused:
 
AMPS 454
+2= 549
+3=515
+4=569
+5=455 (-114 pts)
+6=305 (-151 pts)

Guess it clearly wasn't a fur shot this morning! :)
Figuring Levemir out and food carbs is proving interesting...but I appreciate the lack of deep dives at +2 during the day! :p
 
We're seeing the vet tomorrow (our last visit with her before she moves on to another practise). I want to ask her for
  • Arthritis alternatives: bupe, possibly tramadol, CBD (although she doesn't know much about alternative meds);
  • CKD (?): the SDMA (was 17, now 20 a month later, but Creatinine has gone from 290 to 270)
  • Pancreatitis (?): Spec fPL was 5.7 but having some nausea still
  • Leaky poos (though not last night, thank goodness) and constipation

Just wondering if there are any other tests or meds I should ask about?

Thanks, all! :-)
 
Girlie's mom said:
This is Cycle 5 of her reduction to 0.5. As this doesn't seem to be a fur shot after all, I'm looking at the high numbers since the reduction to 0.5 and wondering whether I need to increase back up to 0.75

I think that - initially - the increases and reductions might go more quickly when you start Levemir and are trying to get the dose right: is that correct, @Wendy&Neko ?
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This is only cycle 5 at this dose and after the low. Let's see what she does the rest of today. I also see she did a really big drop to +6 last night, which is possibly not yet the nadir, then no tests afterwards. So we can't really say how low she is getting on this dose.

As for increasing more quickly, that's what you do when it's clear you started on too low a dose, which you did not. Either that, or Girlie had a strong reaction to the Levemir.

Good luck with the vetty visit.
 
Wendy&Neko said:
This is only cycle 5 at this dose and after the low. Let's see what she does the rest of today. I also see she did a really big drop to +6 last night, which is possibly not yet the nadir, then no tests afterwards. So we can't really say how low she is getting on this dose.

As for increasing more quickly, that's what you do when it's clear you started on too low a dose, which you did not. Either that, or Girlie had a strong reaction to the Levemir.

Good luck with the vetty visit.
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Thanks Wendy. I'm happy to stay on this dose - just thought I'd check.

She's still having big drops - over 100 points an hour, although yesterday she was solidly pink and then went to black by the PM. I'm aware that it isn't good to bounce around too much with the food carbs. I don't want to try to play around with too much stalling with carbs if that's not productive, or use too high carbs all the time (8% or 6%) if those aren't going to work. She's pretty much vetoing the 8% anyway at the moment. Do you think it would be better to stick with one carb level and leave it at that, even if she drops more than 100+ points an hour? Or do you think it would be useful to try to stall her?
 
I wouldn't get too fixated on actual carb %. There are enough variabilities in the manufacturing process and source materials that cans can be out a % or 2 here or there. Just stay in a range. If 6-8% works and she'll eat it, go for it. I would still try to slow the drops if you can by feeding.
 
Wendy&Neko said:
I wouldn't get too fixated on actual carb %. There are enough variabilities in the manufacturing process and source materials that cans can be out a % or 2 here or there. Just stay in a range. If 6-8% works and she'll eat it, go for it. I would still try to slow the drops if you can by feeding.
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Thanks Wendy - will do. :-)
 
Really interesting to me that she didn't need Mirtazapine again today to eat. Just thinking aloud: could that be a result of the Levemir, or her having gotten the Cerenia / Ondansetron to help with the nausea (although neither for a few days now)? Just interesting; I hope she keeps eating and I can get her off at least one drug.

Now to conquer constipation! :smuggrin:
 
That's great news she's eating without the help of drugs! Keep it up, Girlie! :):cat: Do you add any water to her food? I add a tad just to give the extra water, Asia doesn't really have issues with constipation (touch wood) but every emergent vet visit she's had, dehydration was a part in what was going on so I try to get some extra moisture in there. I would do that for the renal failure anyway, but it's got to help with keeping regular a bit as well.
 
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