MrZ
Member Since 2013
Hi Everyone,
It's been quite a while since I've been on the board (Zeke's previous post http://www.felinediabetes.com/FDMB/...-question-supplement-course-of-action.125472/). I see some familiar faces, many new members, a few former members that I'm sad to see have had to help their babies cross, and gladly some that have helped their babies make it to the Falls.
Zeke has been doing very well. He's been on 0.5U since July 2014. As a long-term diabetic, I'd been holding his dose waiting for him to drop below 40 (not 40, this should be 50) three times, or waiting for him to stay consistently below 100 for seven days, before reducing his dose. There were a few times where he'd gotten close to staying below 100 but then he'd have a disappointing PS, so he just never earned a reducie. We'd gotten to the point that we decided we were not going to continue putting off the travel we had so much enjoyed prior to his diagnosis, which we had done while we were stringently adhering to the Tight Regulation Protocol in hopes of getting him diet regulated. We purchased a kitty "pack and play" and started taking him with us on a few trips. He's continued to become less and less uncomfortable with these adventures. We've been pleased with his progress in this regard.
On March 27, he had his 6 month wellness evaluation where his vet found that he was suffering from a UTI. He has been on Zeniquin for a little over two weeks, with only five more days to go before his follow up with the vet. He definitely appears to be feeling better.
This weekend we decided to skip his shot as we had friends coming in from out of town and plans to make an overnight trip out of town with them. In anticipation of this skip, I started transitioning him to a little lower carb food. When we returned from our evening away from home, we were pleasantly surprised to be greeted with a AMBG of 74. As we had plans yesterday evening with our friends who were spending the night with us, we decided to skip both his shots yesterday. Despite the stress of having strangers in our house, Zeke has been able to actually maintain better numbers than he has on 0.5U. He has now not had insulin in over 48 hours. I just tested him at what would have been his normal +8 snack time and he tested at 87. I offered him his usual 0.5T/05t snack but he only had about 0.5t.
Could you please advise as to what we should shoot tonight? I'm really not sure what we should do. Since he's been keeping such good numbers without insulin, it kinda doesn't seem to make sense to shoot his usual 0.5U. However, if he has a high PMPS tonight, then should I assume his great numbers have just been due to depot and therefore should resume his usual dose? But what if he's below 100, should we not shoot and just wait to see what happens? I'm somewhat unsure that that would be the best option as I know stopping insulin abruptly is not recommend. What is really puzzling though is that when tested in the last 48 hours his numbers have been a lot better than what they've been in a long time. He was 61 when we tested him last night. Since about December 2013, I think only once he has had a PS in the 60s. He was a little higher this morning at 83 but that could have been attributable to the stress from the presence of our friends.
Could you please take a look at his spreadsheet and let me know what course of action we should take and what dose if any we should shoot? I would so greatly appreciate it.
Thanks so much,
Laura
It's been quite a while since I've been on the board (Zeke's previous post http://www.felinediabetes.com/FDMB/...-question-supplement-course-of-action.125472/). I see some familiar faces, many new members, a few former members that I'm sad to see have had to help their babies cross, and gladly some that have helped their babies make it to the Falls.
Zeke has been doing very well. He's been on 0.5U since July 2014. As a long-term diabetic, I'd been holding his dose waiting for him to drop below 40 (not 40, this should be 50) three times, or waiting for him to stay consistently below 100 for seven days, before reducing his dose. There were a few times where he'd gotten close to staying below 100 but then he'd have a disappointing PS, so he just never earned a reducie. We'd gotten to the point that we decided we were not going to continue putting off the travel we had so much enjoyed prior to his diagnosis, which we had done while we were stringently adhering to the Tight Regulation Protocol in hopes of getting him diet regulated. We purchased a kitty "pack and play" and started taking him with us on a few trips. He's continued to become less and less uncomfortable with these adventures. We've been pleased with his progress in this regard.
On March 27, he had his 6 month wellness evaluation where his vet found that he was suffering from a UTI. He has been on Zeniquin for a little over two weeks, with only five more days to go before his follow up with the vet. He definitely appears to be feeling better.
This weekend we decided to skip his shot as we had friends coming in from out of town and plans to make an overnight trip out of town with them. In anticipation of this skip, I started transitioning him to a little lower carb food. When we returned from our evening away from home, we were pleasantly surprised to be greeted with a AMBG of 74. As we had plans yesterday evening with our friends who were spending the night with us, we decided to skip both his shots yesterday. Despite the stress of having strangers in our house, Zeke has been able to actually maintain better numbers than he has on 0.5U. He has now not had insulin in over 48 hours. I just tested him at what would have been his normal +8 snack time and he tested at 87. I offered him his usual 0.5T/05t snack but he only had about 0.5t.
Could you please advise as to what we should shoot tonight? I'm really not sure what we should do. Since he's been keeping such good numbers without insulin, it kinda doesn't seem to make sense to shoot his usual 0.5U. However, if he has a high PMPS tonight, then should I assume his great numbers have just been due to depot and therefore should resume his usual dose? But what if he's below 100, should we not shoot and just wait to see what happens? I'm somewhat unsure that that would be the best option as I know stopping insulin abruptly is not recommend. What is really puzzling though is that when tested in the last 48 hours his numbers have been a lot better than what they've been in a long time. He was 61 when we tested him last night. Since about December 2013, I think only once he has had a PS in the 60s. He was a little higher this morning at 83 but that could have been attributable to the stress from the presence of our friends.
Could you please take a look at his spreadsheet and let me know what course of action we should take and what dose if any we should shoot? I would so greatly appreciate it.
Thanks so much,
Laura
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