? 9/1/21 3.5, 3.8 ruckus

Zorrain

Zorrain

Member Since 2021
My cat has acromegaly and is on a high dose, 19 units. I just did his morning test and it said 3.5 , 3.8 right after. I don’t know what to do, should I give him his shot? Should I give him gravy food.
 
Stall. Don’t feed and check again in 20-30 minutes to see if going up on his own. Sometimes with lev they nadir at shot time. Don’t give gravy. If he’s still too low to shoot you can give a teaspoon of lc to see if it brings him up. Post the next test.
 
tiffmaxee said:
Stall. Don’t feed and check again in 20-30 minutes to see if going up on his own. Sometimes with lev they nadir at shot time. Don’t give gravy. If he’s still too low to shoot you can give a teaspoon of lc to see if it brings him up. Post the next test.
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Sorry I already fed him, his test and shot time is 8:00 am and he was acting wild. Like screaming and jumping on my head before woke up. He’s still searching to see if there’s food on the floor. I didn’t do shot yet
 
When the bg is low they often are really hungry. I don’t know where you are so how long ago did he eat and how much past shot time? How off schedule can you be?

He has never been close to that low before so it is odd. I see he was DKA. Do you check regularly for ketones?

What did you feed and how much?
 
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Ok just did it 9:00 am
 

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tiffmaxee said:
When the bg is low they often are really hungry. I don’t know where you are so how long ago did he eat and how much past shot time? How off schedule can you be?

He has never been close to that low before so it is odd. I see he was DKA. Do you check regularly for ketones?

What did you feed and how much?
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So its 9:00 am now and I did test and feed him at 8:00am.
 
tiffmaxee said:
When the bg is low they often are really hungry. I don’t know where you are so how long ago did he eat and how much past shot time? How off schedule can you be?

He has never been close to that low before so it is odd. I see he was DKA. Do you check regularly for ketones?

What did you feed and how much?
Click to expand...

So its 9:00 am now and I did test and feed him at 8:00am. The ketone strips are so expensive so I can’t afford them, I don’t think I have anymore
 
tiffmaxee said:
What do you think about dosing? I see dka but that was a year ago.
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He spent the last two days in yellow after some blues. What do you think? Clearing a bounce from those blues? She also had nephews there who could have given Ruckus some unauthorized food? I would not shoot a full dose if my cat were doing these antics - not 19 units with a huge depot like that.
 
Zorrain when did you start feeding him that DM food? Was it a few days ago when he went yellow? And wasn’t he eating Fancy Feast pates before that? Or was he eating the DM food when he was in the blues? You should write in the notes section of your spreadsheet what you fed him especially if you switch to a different kind of food.
 
Zorrain said:
why do I use 911 then just put curiosity, I don’t want to do wrong thing on here
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Well. 911 is used for emergencies like a cat going hypo and you need immediate assistance. Then if there is no longer an emergency or potential emergency and you have already received help then you can take the 911 down or change it to a question mark. The question mark will still get people’s attention.
 
You should probably switch him back to the lower carb fancy feast pates and save that medium carb DM food for when you need to bring his numbers up with food.
 
Suzanne & Darcy said:
Zorrain when did you start feeding him that DM food? Was it a few days ago when he went yellow? And wasn’t he eating Fancy Feast pates before that? Or was he eating the DM food when he was in the blues? You should write in the notes section of your spreadsheet what you fed him especially if you switch to a different kind of food.
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Added on chart now , thanks
 
First of all, it's too bad you didn't get any tests last night. This might have given you a heads up that he was up to something last night. It's not uncommon for Levemir cats to nadir late. Neko often gave me her lowest number of the cycle right at shot time. Always the morning of course - better than a shot of expresso at waking you up!:eek:

Zorrain does not have a dosing method listed on either her signature or her spreadsheet, but I am going to assume SLGS because of the limited testing. When following SLGS, you do not shoot below 90 (5.0). So your options this morning were to skip, or delay until he rose above 90. Since you didn't shoot, that was one of the OK options. But I'd really be happier if you were testing ketones. A bottle of Ketostix cost less than $10 and lasts a long time.

Ruckus earned a reduction with those numbers below 90. Back to 18 units tonight.

For continuity, and to help us help you better, here is the link to your previous post here: https://felinediabetes.com/FDMB/threads/aug-28-2021-ruckus-11.252114/
 
Wendy&Neko said:
First of all, it's too bad you didn't get any tests last night. This might have given you a heads up that he was up to something last night. It's not uncommon for Levemir cats to nadir late. Neko often gave me her lowest number of the cycle right at shot time. Always the morning of course - better than a shot of expresso at waking you up!:eek:

Zorrain does not have a dosing method listed on either her signature or her spreadsheet, but I am going to assume SLGS because of the limited testing. When following SLGS, you do not shoot below 90 (5.0). So your options this morning were to skip, or delay until he rose above 90. Since you didn't shoot, that was one of the OK options. But I'd really be happier if you were testing ketones. A bottle of Ketostix cost less than $10 and lasts a long time.

Ruckus earned a reduction with those numbers below 90. Back to 18 units tonight.

For continuity, and to help us help you better, here is the link to your previous post here: https://felinediabetes.com/FDMB/threads/aug-28-2021-ruckus-11.252114/
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If Zorrain could set an alarm and wake up to test Ruckus, what hour do you think would be +4, +6 what? Maybe testing at about an hour before shot time in the morning would be good?
 
Wendy&Neko said:
First of all, it's too bad you didn't get any tests last night. This might have given you a heads up that he was up to something last night. It's not uncommon for Levemir cats to nadir late. Neko often gave me her lowest number of the cycle right at shot time. Always the morning of course - better than a shot of expresso at waking you up!:eek:

Zorrain does not have a dosing method listed on either her signature or her spreadsheet, but I am going to assume SLGS because of the limited testing. When following SLGS, you do not shoot below 90 (5.0). So your options this morning were to skip, or delay until he rose above 90. Since you didn't shoot, that was one of the OK options. But I'd really be happier if you were testing ketones. A bottle of Ketostix cost less than $10 and lasts a long time.

Ruckus earned a reduction with those numbers below 90. Back to 18 units tonight.

For continuity, and to help us help you better, here is the link to your previous post here: https://felinediabetes.com/FDMB/threads/aug-28-2021-ruckus-11.252114/
Click to expand...
He’s at 10 BG now, I did half his regular dose of insulin. 9.5. What do you think? It’s 47 min after his feeding time, I just did the shot. Edit: I decided to do 18, I’m
So extremely stressed I hope this was the right move.
 
Last edited:
Wendy&Neko said:
First of all, it's too bad you didn't get any tests last night. This might have given you a heads up that he was up to something last night. It's not uncommon for Levemir cats to nadir late. Neko often gave me her lowest number of the cycle right at shot time. Always the morning of course - better than a shot of expresso at waking you up!:eek:

Zorrain does not have a dosing method listed on either her signature or her spreadsheet, but I am going to assume SLGS because of the limited testing. When following SLGS, you do not shoot below 90 (5.0). So your options this morning were to skip, or delay until he rose above 90. Since you didn't shoot, that was one of the OK options. But I'd really be happier if you were testing ketones. A bottle of Ketostix cost less than $10 and lasts a long time.

Ruckus earned a reduction with those numbers below 90. Back to 18 units tonight.

For continuity, and to help us help you better, here is the link to your previous post here: https://felinediabetes.com/FDMB/threads/aug-28-2021-ruckus-11.252114/
Click to expand...

I’m really trying to do the tests and get night times ones but very hard for me, I’ll set a alarm on my watch tonight.
 
Zorrain said:
Edit: I decided to do 18, I’m
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I watched you do multiple edits, how long after the 9.5 units did you do the rest? 25 minutes? You really shouldn't be splitting up the dose that far apart. Especially after Wendy said to do 18 tonight, and 10/180 is a perfectly acceptable number.
Especially considering it may be hard for you to wake up to check on him.
Sorry if I'm missing something here?? Just worried about him.
 
Zorrain said:
He’s at 10 BG now, I did half his regular dose of insulin. 9.5. What do you think?
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His regular dose is 18 units, not 19. Same question as above, did you split the dose and shoot it 45 minutes apart? That is not recommended.

Since Lev nadirs tend to be late, any chance of getting a +10 or +9 overnight? If you see him getting lowish at that point, you can give him some food then to help make sure he's at a safe number to shoot at AMPS, and it won't be a food influenced number if you do it 2 hours before AMPS. I didn't get a +9 every night, but I did get a before bed test, and based on how that differed from PMPS, I'd decide whether I needed to get up at +9 - provided I wasn't getting up then for a work out anyway. I moved shot time around a bit to make those tests convenient for my schedule.
 
smorgasbord said:
I watched you do multiple edits, how long after the 9.5 units did you do the rest? 25 minutes? You really shouldn't be splitting up the dose that far apart. Especially after Wendy said to do 18 tonight, and 10/180 is a perfectly acceptable number.
Especially considering it may be hard for you to wake up to check on him.
Sorry if I'm missing something here?? Just worried about him.
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I’m really trying my best, 15 mins after I gave him his first 9 I’m scared and I haven’t went threw this. Before he was acromegaly 1 unit insulin bring him down and now at 18 I’m scared, idk what the right thing to do is. I’m so overwhelmed and feeling discouraged now.
 
Zorrain said:
I’m really trying my best, 15 mins after I gave him his first 9 I’m scared and I haven’t went threw this. Before he was acromegaly 1 unit insulin bring him down and now at 18 I’m scared, idk what the right thing to do is. I’m so overwhelmed and feeling discouraged now.
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It's ok! Now you know to not do that again. You don't want TWO onsets ;)
Well, now 18 is what he needs. Do what Wendy said, and don't be scared. There will be people here to help you if he gets low. Now go give him a hug and get a test before bed and then get a +9 or +10.
He's sure adorable. He looks like a Seal Point twin of my Balinese kitty.
 
Wendy&Neko said:
His regular dose is 18 units, not 19. Same question as above, did you split the dose and shoot it 45 minutes apart? That is not recommended.

Since Lev nadirs tend to be late, any chance of getting a +10 or +9 overnight? If you see him getting lowish at that point, you can give him some food then to help make sure he's at a safe number to shoot at AMPS, and it won't be a food influenced number if you do it 2 hours before AMPS. I didn't get a +9 every night, but I did get a before bed test, and based on how that differed from PMPS, I'd decide whether I needed to get up at +9 - provided I wasn't getting up then for a work out anyway. I moved shot time around a bit to make those tests convenient for my schedule.
Click to expand...

I meant 9 not 9.5 but I tired to edit that and I thought I fixed that. I’ll do some at night tests and I’ll give him a snack. As I said this very hard and it’s very stressful, this the first time I’m dealing with this. I was worried I’d over dose him.
 
Ok got test before bed
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