9.25 Lucy PMPS=457!! Please help me!!

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LucyCat

Member Since 2013
Why have my cats numbers gone crazy?? Out of nowhere with NO change?? Is that normal?? Is it possible that she would all of a sudden stop responding to the Lantus? I don't get it!!
 
Those numbers are distressing. I see from the spreadsheet that you started her on dry Science Diet M/D on Sept 8. Usually dry food has pretty high carbs. What exactly do you feed Lucy?
Liz
 
I know it's hard for you to get a lot of mid-cycle tests, but without them it is a bit hard to see what is going on for sure. But, from the cycles where you have gotten the tests, it does look like you probably have not hit a breakthrough dose yet - she most likely still needs more juice, but you want to keep increasing her dose systematically and safely. It's possible that the little bit of MD is contributing to the higher numbers, too, in which case, you would need to compensate with a little more juice, since I know the MD does seem to help with her litterbox issues and you'd like to keep it in her diet. I'm not super comfy giving dosing advice, so hopefully someone who has better eyes for this sort of situation will be along shortly, but don't lose hope. Take a look at Trix's spreadsheet around late March/early April....you'll see that I started playing with her diet, and how it affected her numbers and insulin needs, then you'll see we hit a break through. It'll just give you an idea how FD can be a bit tricky. Hang in there!!!

How is Lucy doing otherwise? Is she feeling good, eating, drinking, playing?
 
Hi Becky,
Sorry to read that Lucy's numbers are out of whack. How old is your Lantus? Are you still using your original vial or pen? If so, it is probably time to start a new one.

Could Lucy have a bad tooth or some other underlying health issue? i see on your spreadsheet that she vomits a lot.
Perhaps a vet visit is in order? The dry food would certainly cause her numbers to be high.

Ella & Rusty
 
Becky --

Those reds can be upsetting. It really is important to get tests during the PM cycle if you can't test during the day. If I had to pull out my not so reliable crystal ball, I'd guess this was a bounce. However, with the limited tests, there's no way to know that for sure. Science Diet M/D is very high in carbs. That may be a factor. If your insulin is old, that may be a factor. if there's a medical issue, that will raise numbers. The best way to understand what's going on is to get some tests.
 
Did the puking stop when you stopped feeding the friskies? The dry food is high carb and won't be helping these numbers at all.. Can you try a lower carb wet or dry?
 
Becky, is it possible for you to get that evening cycle check that Sienne's talking about? even if we can't see a daytime nadir, the evening often tells enough that the picture fills out a bit and we can at least make an educated guess. just check before you go to bed at night.

if the cost of strips is a factor in how often you test, try skipping the second half of a cycle on the weekend if you're seeing a relatively high mid-cycle. for example, last weekend, you could've skipped on the +9 and +10, maybe even the +7s after seeing the flatness of the am cycle between preshot and +4. Now i'm not saying those weren't good to get, because they do add information that is helpful. And if you'd gotten a lower number at +3 or +4 that showed that Lucy was dropping significantly from her preshot, then it would've been essential to get those later cycle checks. i'm just saying IF the cost of strips, which we all get can really add up, is what's preventing you from getting the evening checks, those later-cycle checks can sometimes be skipped so you can get a bedtime check.

we all get how upsetting it is to see high numbers and have no idea what's going on. it's awful - i remember feeling that way when punkin was newly diagnosed. you just don't know enough to know what to do and how to help your sweet kitter. Fortunately, seeing the numbers lets us see exactly what's going on most of the time. sometimes there's an illness or something we can't know about, but often we can decipher what is needed.

there are a set of different factors that commonly affect blood sugar, and people have mentioned a lot of them here. we can go through one by one and eliminate the ones that are unlikely and focus in on the ones that are. people here are skilled at doing that - we just need the info to be able to point you in the right direction.

trying to remember if we talked about a substitute to the Hill's M/D. a lot of people feed Young Again, which is more like 5% carbs, from what i understand. i don't have personal experience with that, but several cats seem to do well on it. is it possible to try that for the dry instead?

the three things i would think are most likely are 1) a bounce from low numbers that we haven't identified, 2) the dose not being high enough and 3) the high carbs from the dry food holding the blood sugar up (which if so, would be related to #2). the others that people have mentioned are also possibilities, but the ones above are probably (in my experience) the most common.
 
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