See, that is why I am confused. If you take away today and yesterday, he was pretty much constantly in the acceptable 68-150 range of a pet meter. IM vet told me to take him off insulin, and I felt comfortable doing it because he was under the 150. Why do they need to be under 100, when a normal cat is allowed to get to 150?
68-150 is normal on a pet meter. I've asked this question numerous times and either get 150 is acceptable, or even higher is acceptable as long as it goes back into normal. A lot of times I ask and it goes unanswered. We'll see if I get more responses.
Cats shouldn't be eating kibble. Unfortunetly he has a lot of other issues. Food intolerance, possible IBD, severe nausea. It's very difficult to get him to eat at all. He was eating wet, but will hardly touch it anymore. His belly is always uspset, so he feels nauseous. His new medication to calm his belly, causes nausea. If he eats anything that is not a novel protein, he get nauseous. It's a big long cycle. So, just for the sake of getting him to eat I have to allow him to eat the dry or he wont eat at all. I'm going to try a app stimulant in a couple days.
So obviously 220 isn't good. At all. But if he stays generally under 200 is that acceptable? Also, I don't get the "normal" number of 50 to 80. Why do cats in remission need to be lower then the 68-150 on a pet meter?
I did not know that normal was in the low end. I saw somewhere it was listed up to 170 on a peter meter was acceptable, and i was thinking 150 would be great.
Atopica is about 2 hours after morning eating. Really have to play around with the timing of it. Some cats need it with food, others need it without food. Rufus vomited the first 3 days on it when food was given close to dosage. funny thing is is that the Atopica is supposed to calm the belly to not be nauseous, but the product itself cause nausea. The whole point of putting him on it was to calm his GI/Food intoleance/IBD enough to get him eating a novel diet. Hasn't worked yet, and in fact might be worse. He's eating dry now, but is refusing all but a few licks of the wet.
I use the pet meter, and I would personally be happy with sugars 70-100. Maybe because that’s the range for a human and I’m a PA, I don’t know. But we also consider anything <70 on a pet meter hypoglycemia here. So I think we can all agree that 70 is the low end of normal on a pet meter.
Yeah, but those .25 number are very similar to the no dose numbers too, up until the Atopica was introduced. In fact the no dose were maybe even a bit better then the .25. But I totally get what you are saying. I'm going to give him a couple days and see what happens. He has been sneezing a bit too, maybe start of a teeny cold? This Atopica invites infections I read
Yah, I didn't understand using Atopica from the first time you first mentioned it. I always *thought* Atopica was prescribed for itching due to dermatitis or skin lesions. Alex had seasonal allergies. Sometimes she'd get these nasty rash type breakouts on her skin. The vet wanted to give her Atopica, but I wanted to try Halo Cloud Nine Herbal Salve first. It worked so we never re-visited the subject. It's been a long time...
I think that’s a good plan. If he continues to trend up, I would start up with 0.25 again. I know it’s frustrating... my cat was SO CLOSE to remission, and then we went away on vacation and came back, and haven’t been able to control his sugar since. It’s frustrating for sure. Their needs just go up and down sometimes. Best of luck!! Keep us postedYeah, but those .25 number are very similar to the no dose numbers too, up until the Atopica was introduced. In fact the no dose were maybe even a bit better then the .25. But I totally get what you are saying. I'm going to give him a couple days and see what happens. He has been sneezing a bit too, maybe start of a teeny cold? This Atopica invites infections I read
Rufus used to vomit like 3 or 4 times a week, starting maybe 6 years ago, and vet said to try a different protein. We changed and he would be a little better, but then start gain. About 4 years ago, he began to constantly lick himself and gnaw on himself. Then about 1.5 years ago the vomiting stopped. Last year he had a bad ear infection. So, we are not sure if it is a food allergy or environmental issue or both now. Even when he was vomiting he'd eat all the time. Now his GI is inflammed and not sure of food allergy tunerd into intollerance/IBD. Could be lymphoma. So IM doesn't want him back on steroids. So we are trying the Atopica for now to see if that will call everything down. I did read on IBDKitties.com that some people are using Atopica for IBD now. But I am at a loss. Even with the Atopica, and pepcid, and ondansetron, and occasional cerenia he still is nauseous. Anf there is no rhyme or reason with it from one day to the next. thing is he was eating fancy feast (which hw shouldn't be because of need to be on a novel diet), but at least he was eating it. Now won't eat more then half of it.
That sucks that he was so close
I obviously want him in remission, but if his dietary needs need him to be on insulin so be it. Issue is that IM vet says low 200's is ok. I'm ok as long as under the renal threshold. Thing is everywhere you read is a different answer on what is an acceptable number. I guess I just don't understand why in the 100's isn't acceptable. The labs say 64-170 is acceptable. As long as no glucose in the kidneys, what the difference between a 70 and a 170?
That was my thing, at what number would Rufus be "out" of remission?
What are those numbers on a pet meter for normal? Am presuming vets use pet meters ? Don't know tho. When I last got lab results they showed normal range of blood glucose to be 4 - 9.7 (72 to 174.6). But I'm presuming those are pet meter readings?
That is what I assume. The lab report denotes BG as between 64-170 for normal range. That is why this needing to be under 100 makes no sense to me (even on a human meter).
Makes sense to me. Let me ask you this. On a pet meter, what would you rather have. 140 without insulin, or 100 with insulin?
Another way to explain this:
Is this so that you KNOW that his pancreas is working? I don't get why it MUST be in green.
But that's for a reason and it is the desired range in the TR protocol.
So as someone who only has had a diabetic cat for 3 months but has gone to school and learned about insulin for humans. I would rather personally have 100 with insulin. But that’s me, and it’s just based on some gut feeling i have. Probably subconsciously based on what I would want for a human.
I agree. I can't do TR right now, at least until he starts eating all wet again and who knows when that'll be. I'm going to give it a couple days. Maybe take him off the Atopica. The dates of 3.23 to 3.27 I think were acceptable OTJ trial numbers, given it was a pet meter. Those were the dates before the Atopica. Then again, if the Atopica doens't work we would have to go to something else, which would raise numbers probably.
I know, it really stinks! We are all rooting for you and Rufus though!! Hopefully soon. 140 without insulin any day.
Me too. Maybe that is not right answer, but no injecting, no needing to make sure they eat, no insulin or syringes to buy. No hypo scares. No needing to be home at specific times.
That's my thoughts. Others likely will disagree. So long as he's not in renal threshold then I'm ok with higher numbers. I don't want my kitty to die by my hand. Too many hypo situations on here scare me. I'm glad I'm doing SLGS.
100% agree
It probably is used too often, but can be scary nevertheless. Less anxiety for me might be less anxiety for him.
140 is above normal/still a diabetic and therefore still at risk of developing ketones. If he does not consume enough calories and has other systemic stress then not enough insulin completes the recipe and opens the door to ketone development and potential DKA
It's a convenient way to observe how the trial is going. You can see the color. You don't have to struggle to "interpret" or justify an unwanted rising trend in numbers.
Even on a pet meter?? How could that be?
