? 3/2 Malcolm

Malcolm & Heidi

Malcolm & Heidi

Member Since 2023
I upped his dose to 4.5 the other day, but he's still not getting low numbers. I know it takes time, (its been 3 days), but I thought I'd at least see more 200s. He did have a couple of #s in the 200s, but they're still mostly in the 300s. I really don't want to up his dose anymore though. He's lost weight so I worry it's too much.
My new vet wanted him to go to 5! But I told her I didn't feel comfortable going that high. So we agreed on 4.5. She also has me giving him mirataz for 5 days to stimulate his appetite, since he wasn't eating as much as he probably should be
 
Why don't you want to increase his dose any more? A cat needs however much insulin they need, and they are all different. Mine got to almost twice as much insulin (8.75 units) before we hit a breakthrough.

Until a cat gets into a better dose (which he needs to go up to see), they will have problems putting the weight back on.

Are you testing his ketones regularly at home? I worry where I see recent DKA and inappetance, and not enough insulin.
 
I guess because he weighs 10 lbs now down from 12. And because my other vet I was going to said he was already on a high dose and was concerned about upping it any more (4 at the time when I sent them his curve) so it just made me nervous. I'm still new to all of this so I don't really understand how it all works.
I sometimes test his ketones with strips. How often should I be testing?
 
I'd test for ketones any day he's in high numbers and he gives the change to catch the urine. Then note the results in the spreadsheet in the Remarks column, or we might keep asking about them.

Is Malcolm now at a good weight or should he weight more? The vet should be able to tell you what a good weight is for him. You could also look to see if you can get a low carb food with higher fat %, less protein if he needs to gain weight. Sometimes kitten food is good for that. But getting him to a better insulin dose is the best way to get him gaining again.

Some vets don't have a lot of experience with diabetes, maybe the previous one hasn't seen cats on anything but tiny doses of insulin.
 
You must log in or register to reply here.
Back
Top