2/28 Boots AM 526 & vet visit

[LadyW]

Reported to vet BG 526 this morning. No insulin. Took him in at 10:00 for consult. Plan at this time is resume insulin 2u am/pm. Reduce to 2u/1u if BG running low. Repeat fructosamine 2-3 weeks. Suspects that Boots irregularly produces insulin. Blood draw for Bartonella test. Vet had another client that tested positive and after antibiotic therapy, went OTJ 3 years. I gave Boots 1u when we got home at 11:00, he usually gets shots at 8 & 8.

Love this vet clinic team. They all want the best for Boots and me.

 

[Wendy&Neko]

Here is your post from yesterday: http://www.felinediabetes.com/FDMB/threads/2-27-boots-am-119.173922/#post-1906713 Please include those links so we can easily follow back what was previously said.

Out of curiosilty, why no insulin this morning? Your SS says you gave 1 unit. We have found that Lantus works better if given the same dose AM and PM. As you saw yesterday, 2 units at night means you skip the AM shot. It's better to consistently give the same dose each cycle so reducing a bit make make things more consistent. Maybe 1.5 units all the time? Otherwise Boots's numbers will be up and down all the time.

Is there a reason the vet suspects Bartonella?

 

[LadyW]

Thanks for adding the link. I'm still figuring this forum protocol out.

No insulin this morning per dr. instruction. We have been coordinating his treatment by phone since 2/9 when he went very low, and stopped insulin all together until 2/26. After the morning BG, vet wanted a consult, so I took him in at 10:00. She wants him back on his old schedule. I didn't want him to wait until 8pm for his first insulin, so I made the decision to give him 1 unit late, rather than none at all for AM. As a note, from Sept. 2015 until February 2017, Boots only missed 3 shots, and none were outside timing parameters. I have been very diligent in maintaining a schedule with him. The past week has been a challenge.

The suspicion for Bartonella comes from his irregular BG readings, yet normal fructosamine readings.