9/5 Naomi AMPS 118, +5,5 78 PMPS 126, +4 82, + 6,5 97

Let’s see if she eats with ondansetron. If not I think a token 1 unit. If the timing is going to be off too much you can just shoot the 1 unit now. What do you think?
 
tiffmaxee said:
Let’s see if she eats with ondansetron. If not I think a token 1 unit. If the timing is going to be off too much you can just shoot the 1 unit now. What do you think?
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So I'll giver her a token dose for AM and what about PM? Give a full dose if she eats?
 
tiffmaxee said:
So if you shoot 1 unit now you will be back in schedule by Monday for work.
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My normal schedule was AM and PM shot. Now with work do you mean that I will give 1unit instead of skipping for AM? And full dose for PM?
 
tiffmaxee said:
Let’s see what she does today and by PMPS. Something has changed with her which seems to require less insulin. Is your vet working today?
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Yes we're going later for injections. What do u think I should ask for? What would help her?
 
Do u think I can go back to bed for 1-2 hours? I've got a migraine and upset stomach myself. I'll leave her food next to her
 
Bring your ss to your vet. Tell her she’s not eating even though she’s getting nausea medication. Tell her you are afraid to give insulin when she’s not eating. Let her know you think she’s in pain from neuropathy and maybe pancreatitis. Maybe do a Snap in house test for it. Ask if she is dehydrated. Tell her you want to see if fluids will help right now because she’s not eating and you know dehydration is not good for her kidneys. Ask what she suggests you do. We can decide her dose for tonight later. Yes. Get some sleep after you syringe. She will be fine.
 
tiffmaxee said:
Bring your ss to your vet. Tell her she’s not eating even though she’s getting nausea medication. Tell her you are afraid to give insulin when she’s not eating. Let her know you think she’s in pain from neuropathy and maybe pancreatitis. Maybe do a Snap in house test for it. Ask if she is dehydrated. Tell her you want to see if fluids will help right now because she’s not eating and you know dehydration is not good for her kidneys. Ask what she suggests you do. We can decide her dose for tonight later. Yes. Get some sleep after you syringe. She will be fine.
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Thanks I'll reread your replies and take notes
 
Can you update your spreadsheet? It shows no shots since September 1st according to the Units columns. I'm finding it hard to follow. If you gave a shot on the 3rd, then put "3.75@+25" in the units columns. Then the rest of your +tests will be in the right spot. On the 2nd, do 92@+12, 112@+18 in the preshot value cell, then the 3.75 in the units column. And move the rest of the tests relative to the shot time.

Also, those tests last night in the 100's should be coloured blue, not green.
 
Hi Wendy. Naomi is really not feeling well. She’s been shooting 3.75 at night but nothing in the morning before work because Naomi won’t eat despite meds. Yanna has been up most of the nights with her the last three. She just went to sleep for a few hours which is why I’m answering.
 
Wendy&Neko said:
Can you update your spreadsheet? It shows no shots since September 1st according to the Units columns. I'm finding it hard to follow. If you gave a shot on the 3rd, then put "3.75@+25" in the units columns. Then the rest of your +tests will be in the right spot. On the 2nd, do 92@+12, 112@+18 in the preshot value cell, then the 3.75 in the units column. And move the rest of the tests relative to the shot time.

Also, those tests last night in the 100's should be coloured blue, not green.
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I just did. It was a mess, I know. Thanks
 
Update: we've been to the vet and

Naomi is not nauseous because she has some bites for food. She ate a tiny amount of food in front of her and then she stopped. According to vet if she was nauseous she wouldn't be willing to eat at all. Told me to stop Zofran since it doesn't help her. Gave her a Stedon (you may know it as Diazepam)injection. She can't explain her not eating or standing in front of her water bowl and not drinking.

Naomi doesn't need subqs. She checked her (I don't know how) and she is not dehydrated.

Offered me to try tramal for possible pain in her legs or buprenorphine injection (that's odd because previously when I was asking for pain medication I was told buprenorphine was not available in Greece. I'll clarify tomorrow)

She gave me vitalcat premium ( manufactured by biofarm, Finland). It's a supplement for joints and urinary issues. Contains 25 mg glucosamine, 20 mg chondroitine, magnesium, dl methionine, l-cysteine, vitamins E, D3, A, B1, B2, B6, B12, folic acid, niancine, taurine. Protein 35,3%, Fat 1,7%, Fiber 8,6%, Moisture 4,3%, Ash 4.1%.

We're going back tomorrow morning (she's open on Sundays) for more injections.
 
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Sorry but your vet is wrong about nausea. I assumed that with Max. He was nauseous. Eating a little and walking away, drinking the liquid but not eating are signs. That all stopped when the nausea was addressed. The drug she gave can cause liver damage in some cats. Interesting because it’s given for nausea in cats. A vet gave me the pill form for a Tiffany and she ate I was thrilled. Then I learned about the rare but real side effect and never continued the pills and syringe fed her. Look it up on drugs.com.
 
I believe she got a cerenia injection. That must be working but it only lasts 24 hours. I see you went back to the 3.75 dose. It’s time for you to get some sleep.
 
tiffmaxee said:
I believe she got a cerenia injection. That must be working but it only lasts 24 hours. I see you went back to the 3.75 dose. It’s time for you to get some sleep.
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I kept the PM dose the same 3.75. AM dose reduced to 1.

Was I supposed to reduce the PM dose to 1 as well?
 
So another Valium shot. That must be what’s working. I was afraid of it. What did your vet say?
 
tiffmaxee said:
So another Valium shot. That must be what’s working. I was afraid of it. What did your vet say?
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She only had Stedon on 9/5. She said it will work as an appetite stimulant

If I tell her it worked she will give her another injection
 
If you are having to skip or delay doses all the time, it's better to reduce the dose so you can shoot the same dose twice a day.
 
tiffmaxee said:
This one has me stumped.
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Me too, the spreadsheet still isn't quite right in registering the late doses. First cut, if the doses had been given 12 hours apart would be to add the total amount of insulin given per day, then cut in half. So, maybe 4.75 divided by two. 2.5 as a start?
 
It’s worth a try. I had her go down to 1 unit once to see if it would cause a big rise and Naomi wasn’t eating. It didn’t make a difference. She will see this suggestion now. I was worried she would get hepatic lipidosis. Thanks.
 
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