6/15 Simon AMPS 341

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I'm guessing you are paying for that lovely green yesterday (bounce :-D ). Maybe a few midcycle numbers would help you see the big picture this weekend?
 
Hi Joyce,
I found this at the bottom of another older thread you'd posted on, but figured responding here made more sense.

I am so disheartened to see him over 300 at pre shot again today. I want to know what I can do to get him to STAY in yellow numbers and never go beyond them at pre shot tests. Then of course, blue and green and then OTJ! I really am sad every single time I see the pre shots above 300 because I worry about organ damage. His ketones have been negative so far...but it is only a matter of time I suspect. He seems to make a little noise when he jumps now...like his back legs hurt. Ugh! I am worried about neuropathy big time.

First on ketones- don't feel like it's "only a matter of time". Some cats never show ketones. They aren't due just to higher BG numbers. It is usually a combination of things.
Insufficient insulin, insufficient food intake and some sort of infection going on are the three "ingredients" in almost every case. Bob was diagnosed with "DKA" but that was right at the beginning, before he started getting insulin. He wasn't eating, he was severely dehydrated, and while they never specifically determined if any infection was in place, there probably was. He was literally dying. It took three days of ER care, but he survived. But he never showed any trace of ketones again after that.
In other words, don't let pink preshots scare you. It's a good idea to check for ketones, because it's something best caught early. But pink preshots, by themselves, aren't likely to cause them to appear.

Now about those pink numbers. If these are just "bounces" from seeing green nadirs, then they are not a problem. They just happen until he gets used to green numbers again. Remember, he spent his whole life in green numbers before he got diabetes. He will relearn "normal" at some point. Bob was giving me pink numbers too. And three weeks later he went OTJ. They're just numbers on a spreadsheet.

While Bob never had neuropathy, he did suffer from low potassium which caused a great deal of muscle weakness. He couldn't jump or climb up onto the furniture for a long time. It wasn't until a few weeks after he went OTJ that he was able to jump up on the bed. That was really the day I first felt "okay, he really is 'all better'".
Do you know if Simon's potassium has ever been tested to see if it's in the normal range?

Hang in there ;-)
 
Hi Carl,

The vet said he did a full range of tests and everything was normal with the exception of Simon's BG. Not sure if this included potassium or not. The tests cost 300 bucks so assuming they tested everything? I think I should ask for the results of the tests to be sure though.

Thanks for talking me down off the wall. Simon is still jumping way up high (on to the counter and I have to scold him for that) so he is doing well and is actually the same as before diagnosis. I just worry is all.

His BG reading at +6 was 133 just now so he does come down for much of the day and then bounces at about hour 9 or 10.

Thanks again for your post. It really does help!

AMPS 341
+4 155
+6 133
 
That is a nice nadir number on that dose on that preshot number. Good cycle!

If they ran a full blood panel on Simon, then yes, they most likely tested potassium. Just ask them what the number was and where that is within the range of "normal". Bob's was obviously "below normal" and was that way for months. He needed supplements during the whole time he was on insulin and beyond. Good today though!
 
He's spending most of the day in blue numbers, I think that is something to celebrate. The more time he spends in blue and green numbers the sooner he will get used to them.

Hang in there.
 
Thanks everyone!

AMPS 341
+4 155
+6 133
PMPS 317 BOING! Follow the bouncing kitty :shock: ;-)

We are happy that Simon is spending most of his days in blue and green and some yellow. Pink is only on the bookends lately which is ok by us. Seeing the later Nadir time is definitely worth celebrating for sure! :RAHCAT :thumbup dancing_cat
 
Not too big of a boing.

In that 2010 thread that was resurected recently where we were discussing the differences between Prozinc and PZI brought up alot of information I had forgotten about, like how the nadir moved around alot at first and there was alot of discussion about a study done that suggested a 45 day settling in period for Prozinc.

Interesting to think about.
 
I know Robin - I read it. All of it :o ;-)

I learned a lot. I am seeing good things in terms of what Simon is doing these days and I am more optimistic than I was before. Still HATE to see those pinks, but I understand why they are there (thanks to Carl in particular who explained it in depth a few times for me when I was so upset) and so I am putting on my patience pants that Deb gave me (at least I think it was Deb) and doing a slow happy dance. I know Simon is trying hard to go OTJ and I am very hopeful we will one day have that OTJ party and there will be lots of kitties celebrating with my baby. haha_smiley cat_pet_icon dancing_cat dancing_cat
 
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