8/07 Toeby AMPS 140, +2 70, +3 40, 50, +4 72, +5 88, PMPS 175, +2 185.

[Laurasboyz]

Thursday's thread: https://www.felinediabetes.com/FDMB...3-7-52-4-3-68-5-86-6-133.250932/#post-2830995

Here we go again! (I can hear Dolly Parton in my head!)

Toeby was feeling good today, and yesterday after going low and feeling crappy on Thursday night.
Yesterday morning I started him on 0.2 units of insulin, or as best as I can judge, half of the 0.4 I was giving him.

This feels like last summer, when his vet recommended taking him off insulin...
I am not sure what he is up to, but it does feel dangerous to keep seeing him drop like this, even with my attempts to help him "surf".
Dunno...

 

[Katherine&Ruby]

Hi Laura, I'm noticing that the days when Toeby gets budesonide he is higher the next day and then drops. How are his GI symptoms? Your vet says to take him off insulin, but is tapering the steroid to every three days, then every 4 or 5 days on the horizon?

 

[Laurasboyz]

Hi Laura, I'm noticing that the days when Toeby gets budesonide he is higher the next day and then drops. How are his GI symptoms? Your vet says to take him off insulin, but is tapering the steroid to every three days, then every 4 or 5 days on the horizon?

He gets his Budesonide at supper time (or dinner time - depending where you are from haha) - the evening meal.
And yes, good eye!- I highlighted my International sheet to make it more obvious for me, and it seems like the day following his dose, he is okay, and then the day he is due to get his budesonide that evening, the longest stretch without it, he drops.
Like he dropped this morning, and is due for his dose tonight.
He dropped Thursday evening, when he got his budesonide with his supper and insulin.

(I know Wendy said he doesn't HAVE to have the steroid in the evening, but I got in the habit of dosing him in the evening, and I stuck with that.)
So, not sure if this couple days is enough to tell, but it sure looks like the budesonide is propping up his blood sugar.

His bowel movements have been regular and normal for him, which means huge BM's.
The vet who put him on the prednisolone in the first place thought his huge BM's might be indicative of IBD.
He hasn't been vomiting like he was before the whole trial on steroids began last fall.
He has vomited a couple times without any real reason that I can identify, but not often enough to alarm me.
Sometimes cats barf.

I have 9 Budesonide 0.5 mg capsules left - he'll take one tonight, and then that gives me about 2 weeks worth.
I have to contact the vet this week to order more from the compounding pharmacy in Toronto, and I will be sending her a copy of his spreadsheet to let her know what is going on with his diabetes.
She had said the next step was to space out the budesonide more, like once every couple days, if this trial of every other day was working.
I'll see what she has to say.

BTW... I know this is for discussion of feline diabetes only, but may I say that "tapas and drinks" sounded absolutely wonderful?
I've never been to a tapas restaurant, but small bites is the kind of eating that I love.
Sigh.
Stupid pandemic...

 

[Katherine&Ruby]

I know this is for discussion of feline diabetes only

Conversations related to the lives of caregivers is definitely important! I love small bites eating too in every culture--Spanish (tapas), Italian (cicchetti), Chinese (dim sum), Japanese (izakaya). I think I'm like a cat and I like to graze rather than eat full big meals!

Glad to hear there is a plan to space out the budesonide doses.