6/21 - Mac AMPS - 44/54/60/56 ,+1 63/73, +2 89, +7 125,+10 235, PMPS 387, +2 458, +4 435, +5 462

https://www.felinediabetes.com/FDMB...-417-6-438-pmps-376-2-326-4-268-5-266.291307/


After eating a bit of HC and LC he is up to 60. How often should I continue to test? I am assuming no shooting this morning.
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Woke up for Mac's morning routine and his BG was very low. Only second day on insulin.

Good clinical signs. Gave him some HC and some LC and will test in 15 minutes

@tiffmaxee

 

Did you take the test again to see if it was correct?

 

I have taken it 4 times. It is going up now. 44/52/54/60. How long do I continue to test and I am assuming no morning shot.

 

Yes, you would skip the shot and go down to 0.75u from tonight.

Please feed only LC food now that he's heading up and won't get insulin.

 

ok I did just give him a pill pocket with some appetite stimulant and had given him 1 drop of syrup 30 minutes ago.

 

FYI Ketones .2 so good on that front. Thanks for your help.

 

Congrats on the reduction tonight

 

Wow! You got that strong reaction. I was asleep and am just seeing this. You now have a feel for TR.

 

Do you think the low numbers are starting him on 1U on raw diet?

what do you think might happen next? He is just cruising this morning numbers wise.

 

I think 1 unit was too much for him right now. There was no way to know that in advance. We just have to see what he thinks of the lower dose. It’s nice to see a good response. I don’t think there’s any way to predict his next move as it’s too early. How’s he acting other than not having a good appetite?

 

Thanks Elise! He was a little down (no purring) but then I remembered I gave him the appetite stimulant Cyrprehedine which is an antihistamine. I also gave him some fluids.

i wonder if there is any chance Mac's pancreas just needed a kick. This first cycle feels like last time a bit only way earlier. I do think he has inflammation going on somewhere. the vet will do the dental when his numbers are manageable.

 

He had only been in the yellows/reds in the last few days. this came on sort of fast. So we caught it in the very beginning. Vet labs showed in range, but for him they were 50% higher than 6 most ago. so I tested and he was 234 then went into blue range then yellow to red over a couple of days. My vet trusted me and recommended and prescribed the insulin. Even she said 1 U to start too and check back in 3 days with her

 

I agreed on 1 unit but Mac did not. None of us knew what his body would think if it. I would have started with that as well but that’s the starting dose for TR. SLGS would have started with .50. Since he’s come out of remission the 1 unit made sense to me. I think you will soon be able to get that dental and once recovered he will hopefully not need insulin although no clue how long it will take. I wonder if he’s in pain from his tooth/teeth.

 

We also look at what the cat's dose was the first time on insulin when starting back on insulin when they fall out of remission. Starting at what TR or SLGS suggests for newly diagnosed cat's isn't the only thing we consider. Last time, Mac never got above 1 unit. Guess he didn't like 1 unit!

 

I will be getting PMPS test of course round 6:30 pm EDT. What number would you have me shoot? obviously I am a little worried if it was low 100's but if yellow no problem. This is where I get nervous with TR, shooting low. Time will tell. i may test a wee bit early so I can get some help on deciding. Thanks again for being here for Mac and I.

 

did a test at +10 and he is 235. I have been feeding a little bit each hour this afternoon and will hold food now until PMPS test.

 

With PMPS 387 - Should I Feed and shoot .75 U ? Then test +2 and go from there with food and testing?

 

That’s a good plan.

 

Didn't expect this. Is this a bounce from this mornings lows? so no feeding and test again in PMPS +4 ?? Although the last 2 nights he doesn't seem to start going down to +4.

Interestingly he is acting much better/happier.

Thanks

 

Yes, it’s a bounce! Gives you the night off from testing.

 

Ok will still test +4 just so no surprises. Haha. Mac is acting almost totally normal now even munching on his raw venison

 

I probably would do the same. He got pretty low so the bounce is no surprise. Higher probably feels better to him that really low or just getting back on insulin is making him feel better. Either way it’s good to hear he’s eating on his own.

 

Thanks Elise!

one question, since he is surfing high right now, can I still feed him as what he is eating on his own is not quite enough. Also it is so hard to give .75 U I hope I didn't under shoot him. Oh well! did my best.

He turns 16 tomorrow!

 

Yes. Feed him. It’s important he eat enough. You don’t want to add fatty liver. Max made it to 19. I was hoping for 20. I hope Mac lives many more years.

 

Practice with an old syringe and colored water. You could make a sample and load each syringe to match that. I used digital calipers but I don’t think I’d get them just yet He might not need insulin for long. Give him a birthday hug from me.