Likameow
Active Member
Ben has been a champ. Here he is waiting for the next test.
Almost done with the 24 hour curve and we both need a nap
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Ben has been a champ. Here he is waiting for the next test.
Merlin
Very Active Member
He is so beautiful and big. He is really a saint and so are you. When I checked your SS this am, I saw that you were up all night. God bless you. He does have a very nice, gentle smile throughout the cycle. I thought it was interesting that this am you had a 341 and on 10/30 a much lower number with higher dose and you almost got the same nadir in the blue. Anyway, great data you have here. Looks like as expected that he may need a little more insulin. So will get back on after the PMPS to see what you think. Great job Lisa and Ben!
Likameow
Active Member
Ben says thank you. Before diabetes he was a chubby 20 pound cat. Now he's a more healthy 13 pounds.
Don't give me too much credit for staying up all night. I work night shift at the hospital so I'm used to that. In fact I had slept until 2 o'clock yesterday afternoon.
I look forward to your advice this evening.
Sue and Oliver (GA)
Very Active Member
I love the expression on his face!
Great job on the curve. It gives us wonderful info and should make a good basis for a sliding scale.
Great job on the curve. It gives us wonderful info and should make a good basis for a sliding scale.
Merlin
Very Active Member
Hey Lisa - Sorry I just got back. I had to run to work for a bit.
You can look at this curve a couple of different ways. Right now you have a safe sliding scale but just based on the last couple of tests, it didn't get you low enough (although I am glad that he didn't give you a 400 number at PMPS). The question that I have is that will this current sliding scale settle him down a little and not give you such wide pre-shot numbers (just for a short time before you change dose)? Or will Ben be ok with an increase and still settle into those doses. Another question, based on the current sliding scale, if Ben was to get that same or close to that same number next time, will he give you the same result?
So with Merlin, before I would move the sliding scale, I would make a note indicating "this number is pending" and when he gets that same or close to the same number with the same result, then I would change his dose. If the mid-cycle number does not get me the same result (after the second time), then that is when I increase or decrease the dose. At least with Merlin, he had to prove it to me twice that that dose needed to be changed. Then the next time when I got the same or similar number, I would change the dose and make sure that I can get some extra tests in to make sure that the new dose is safe.
Does that all make sense? I knew that I was a little conservative on creating the sliding scale however, the numbers within that scale have given you safe green number at one time or another or blue numbers at least. So with that said, I think you have two options; 1) go a few more cycles, get some nadirs and see if it changes or 2) go up 0.2. I don't think you can go wrong either way.
You can look at this curve a couple of different ways. Right now you have a safe sliding scale but just based on the last couple of tests, it didn't get you low enough (although I am glad that he didn't give you a 400 number at PMPS). The question that I have is that will this current sliding scale settle him down a little and not give you such wide pre-shot numbers (just for a short time before you change dose)? Or will Ben be ok with an increase and still settle into those doses. Another question, based on the current sliding scale, if Ben was to get that same or close to that same number next time, will he give you the same result?
So with Merlin, before I would move the sliding scale, I would make a note indicating "this number is pending" and when he gets that same or close to the same number with the same result, then I would change his dose. If the mid-cycle number does not get me the same result (after the second time), then that is when I increase or decrease the dose. At least with Merlin, he had to prove it to me twice that that dose needed to be changed. Then the next time when I got the same or similar number, I would change the dose and make sure that I can get some extra tests in to make sure that the new dose is safe.
Does that all make sense? I knew that I was a little conservative on creating the sliding scale however, the numbers within that scale have given you safe green number at one time or another or blue numbers at least. So with that said, I think you have two options; 1) go a few more cycles, get some nadirs and see if it changes or 2) go up 0.2. I don't think you can go wrong either way.
Olive & Paula
Very Active Member
He is beautiful. Lots of personality.
Bobbie And Bubba
Very Active Member
Yep, this sugar dance is maddening! But, you are vigilant and doing everything to keep Ben safe. Good job!
Bobbie And Bubba
Very Active Member
What a beautiful boy and photo!
BJM
Very Active Member
If you split the food into 2-3 mini-meals, your cat won't get so hungry between them. A timed feeder helps greatly with that. That will work with the dry you are currently feeding. You might consider a lower carb dry than the Rx stuff - Evo Cat and Kitten, perhaps? Then back off a smidge on each meal to gradually cut calories. You want this to go slowly in order to prevent hepatic lipidosis.
Feeding canned low carb food will help with weight reduction if you can manage to switch - I had a couple civvies drop weight when I switched the entire house to that.
Adding a tablespoon of water to a canned or raw meal helps provide some volume and maintain hydration.
Likameow
Active Member
Diabetes got Ben's weight down. He lost almost 4.5 lbs between his steroid overdose and when I figured out he was diabetic. (Which was a little over a month-scary stuff)
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