Bella’s BG journey part 6

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:(

He'll come down-- at least he does show some response to the insulin, so there's that.
I worry he will get a uti again the last time the vet said because sugar got into his urine and that caused it, so with his crazy numbers I worry it will happen again and he just got over one, very hard for me to keep up financially and always worry I won’t have the finances when something happens cause u never ever know, I started bella on uromax this am which he hates and I guess I’m doing the right thing I also pushed water on him, he is such a super trooper to let me do whatever to him, he trusts me 100% I read horror stories on here about cats not liking any of this and not cooperating at all so I’m truly grateful for his, I’m just rambling this am and frustrated, I want him to be better so so so much
 
I’m sorry this is so challenging. I think going back up in dose was right. I’ve read that some people here give a supplement called d-mannose to help with UTI problems. I think it’s related to a cranberry extract or something. Try putting that into the FDMB search bar in the upper right of this page.

Hang in there ... :bighug:
 
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@Sharon14 - Thank you for the d-mannose advice & info! I got some for Baby just as a preventative.
This is interesting
 
Well it’s not what I thought! I thought it was for arthritis but this is for heart! Interesting & thanks for sharing- I’ll remember that now! Sorry for that! And bg too! My vet said Baby’s heartbeat was good & strong for her age. I was glad to hear that!
 
Well it’s not what I thought! I thought it was for arthritis but this is for heart! Interesting & thanks for sharing- I’ll remember that now! Sorry for that! And bg too! My vet said Baby’s heartbeat was good & strong for her age. I was glad to hear that!
Did you see where it supports blood sugar balance
 
I don’t know if it helps, but it doesn’t hurt, so what the heck. Colin has acro and heart problems are one of the many complications. Also says it helps with gums and since he can’t have a dental (due to heart) I thought I’d give it a shot. THIS is the one I use. There’s a stronger one too, I think.
 
I was reading about the tight regulation protocol for lantus, is that what most people do or what you guys suggest
 
I was reading about the tight regulation protocol for lantus, is that what most people do or what you guys suggest
Tight Regulation means minimum three tests a day and doses are changed more frequently as numbers indicate. It's meant for cats that get NO dry food of any sort. The SLGS method requires a full curve about weekly and dose changes happen then if needed. TR means you give insulin on some low PSs and don't reduce unless BG is quite low. There's more of a margin with SLGS.

Ask yourself if:
  • you can get three tests a day minimum (if daytime is impossible then a late evening test is essential)
  • you're up for being more aggressive in dosing at lower BGs
  • you can remove all dry food from Bella's diet - if not, then SLGS is the one to try.
You also have the option of starting one method and switching later on. I strongly recommend you try one and stick to its guidelines strictly to get the best effect. If it proves to be a poor fit for your schedule then try the other.

The Lantus forum is the best place for advice once you switch. There are a ton of experts there who can guide you every step of the way. It's a large, busy forum so that takes some getting used to but it's worth it, especially as you're learning the ropes. There are people there who post every day and have for a long time and there are others who drop in when they get stuck and need help.
 
TR is a bit nerve-wracking at first (you build up to shooting quite low numbers-- most people with well-regulated cats shoot greens most cycles!), but you do test enough to do it safely. Once you get going with it, it's an excellent method for acheiving good regulation and, in some cats, remission. The mantra for Lantus and TR is "shoot low to stay low"-- Lantus works very differently than the Novalin you've been using. Where Novalin is good at bringing numbers way down, Lantus isn't so much. What it is good at is bringing numbers down gently and then holding them. Once you find the right dose (either using TR of SLGS), it's possible for some cats to basically keep them in normal BG most or all of the time, helping the pancreas to heal. Between the two dosing methods used, TR is a bit more geared to this goal.

That said, I don't think I'd recommend jumping directly into TR if you continue to use the pet meter for testing. It can certainly be done safely that way, but most folks who will be giving advice are much more used to human meter numbers, and while people do make an effort to check what kind of meter you are using, confusion and just habit can lead to a lowered level of vigilance on pet meter numbers. So, just to start, while you're getting a feel for how Bella responds to Lantus, I'd either do the SLGS method if you're going to stick with the pet meter, or TR if you're going to use the human meter. [Note: SLGS strategies were also set using a human meter, not a pet meter so there will be the same difficulty in "translating" the method to pet meters. I just, personally, think that SLGS has a bit more wiggle room than TR, and is thus easier to port over to pet meter numbers]
 
TR is a bit nerve-wracking at first (you build up to shooting quite low numbers-- most people with well-regulated cats shoot greens most cycles!), but you do test enough to do it safely. Once you get going with it, it's an excellent method for acheiving good regulation and, in some cats, remission. The mantra for Lantus and TR is "shoot low to stay low"-- Lantus works very differently than the Novalin you've been using. Where Novalin is good at bringing numbers way down, Lantus isn't so much. What it is good at is bringing numbers down gently and then holding them. Once you find the right dose (either using TR of SLGS), it's possible for some cats to basically keep them in normal BG most or all of the time, helping the pancreas to heal. Between the two dosing methods used, TR is a bit more geared to this goal.

That said, I don't think I'd recommend jumping directly into TR if you continue to use the pet meter for testing. It can certainly be done safely that way, but most folks who will be giving advice are much more used to human meter numbers, and while people do make an effort to check what kind of meter you are using, confusion and just habit can lead to a lowered level of vigilance on pet meter numbers. So, just to start, while you're getting a feel for how Bella responds to Lantus, I'd either do the SLGS method if you're going to stick with the pet meter, or TR if you're going to use the human meter. [Note: SLGS strategies were also set using a human meter, not a pet meter so there will be the same difficulty in "translating" the method to pet meters. I just, personally, think that SLGS has a bit more wiggle room than TR, and is thus easier to port over to pet meter numbers]
I do have a human meter so needed I could switch it
 
When I switch to lantus do I not post on here anymore, I do it on the lantus forum? That freaks me out lol I’ve come to trust Kris, nan, Becky etc , but Nan I see you use it
 
I should say I want to use whatever method is best for bella not worried what all I have to do, I just want him more regulated and I’m willing to do whatever it takes
 
You can still post here! I'm actually mostly here, not the Lantus board (too busy for me, too!). If you post on Lantus, though, I'll be sure to keep an eye out for you!
 
Well so much for the TR as I’m not able to test like +3, +6 like it states so with that said will have to go for the SLGS
 
Ok, he goes to vet on sat can I start the lantus sat am before vet appointment and if so what dosage ,sorry I’m gonna have a lot of questions
 
Another clarification regarding where to post: you can still post here, but posting on Lantus will give you lots more eyes on Bella, at all hours, and as Kris says, many of the folks over there are quite expert. The thing to keep in mind is that, if you do post over there, you will want to keep all questions/discussions of insulin, dosing, BG, etc. over there (you can still post questions about other health concerns here). This is because not everyone there checks here, and it's really important to be able to see the whole story when giving advice-- you don't want one group of people advising one thing on Feline Health, and another set giving contradicting advice on Lantus!
 
It's just because it's so busy-- they have to keep things organized. Some of the more active members may be following the progress of a dozen or more cats at once, it gets a little crazy!
 
It's just because it's so busy-- they have to keep things organized. Some of the more active members may be following the progress of a dozen or more cats at once, it gets a little crazy!
Looks very busy
What does do u think I should start him on, I want to start sat. My vet appointment is not until 11:30 and he needs it before we go
 
Last question of the day lol
If you follow someone will you will be notified wherever they post a new thread if that makes since
Meaning if I post on lantus thread will the people following me know it
 
I started Diamond on Lantus. The Lantus forum intimidated the crap out of me. I didn’t head over there for almost a month. Even the format in which you need to start a thread had me worried. Lol But I had an urgent question one day and jumped into Lantus Land. I will say, posting there has helped me a lot. I actually test more and put more in my SS. I’m not going to lie, some days your thread will get buried. I have a few peeps over there who “keep an eye” on me. I have something important that needs to be addressed, they will reply. Or, I just tag them. I will keep an eye out for you.
 
I agree with Nan about: 1. trying 0.5 u as a starting Lantus dose and 2. posting on Lantus for all dosing advice. I visit that forum and comment occasionally but rarely give dosing advice there.
 
I started Diamond on Lantus. The Lantus forum intimidated the crap out of me. I didn’t head over there for almost a month. Even the format in which you need to start a thread had me worried. Lol But I had an urgent question one day and jumped into Lantus Land. I will say, posting there has helped me a lot. I actually test more and put more in my SS. I’m not going to lie, some days your thread will get buried. I have a few peeps over there who “keep an eye” on me. I have something important that needs to be addressed, they will reply. Or, I just tag them. I will keep an eye out for you.
Thank you so much, yeah I was looking at the thread headings and thinking omg
 
I started Diamond on Lantus. The Lantus forum intimidated the crap out of me. I didn’t head over there for almost a month. Even the format in which you need to start a thread had me worried. Lol But I had an urgent question one day and jumped into Lantus Land. I will say, posting there has helped me a lot. I actually test more and put more in my SS. I’m not going to lie, some days your thread will get buried. I have a few peeps over there who “keep an eye” on me. I have something important that needs to be addressed, they will reply. Or, I just tag them. I will keep an eye out for you.
Your cat weighs 23lbs:eek: wow would love to see a full pic lol
 
Your cat weighs 23lbs:eek: wow would love to see a full pic lol
I turned around while I was preparing “snack” just now and was able to snap this shot. I am very excited to see him sitting up! His neuropathy has been so bad he usually can’t sit up for long. The other day I caught him pooping in normal cat posture too (normally he has to lay down to poop and pee). If you look closely at his front paws, you can see he is not totally on his foot.
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I turned around while I was preparing “snack” just now and was able to snap this shot. I am very excited to see him sitting up! His neuropathy has been so bad he usually can’t sit up for long. The other day I caught him pooping in normal cat posture too (normally he has to lay down to poop and pee). If you look closely at his front paws, you can see he is not totally on his foot.View attachment 34871
Omg, so stinky cute, a butterball lol yeah I worry about neuropathy in bella but if it happens it happens we will deal with it, I might be asking something i shouldn’t but how does he get around, I’ve never seen a cat with neuropathy
 
how does he get around, I’ve never seen a cat with neuropathy
It’s totally fine you asked. I guess it would kind of be like us walking on our knees. Thump, thump, thump is what he sounds like. :joyful: Under the kitchen table I have bed for him. I removed the chairs from one side. My hubby is not thrilled. His food and water are about two feet away. I also have a litter box next to the table. Hubby is not thrilled about that either. But, it's box in kitchen or Diamond pees on the floor. He also likes to spend time on the stairs. Those are about 5 ft away. He figured out early on how to get down the first few as this is his “safe” spot now. I’m pretty sure he fell down them a couple of times too. Now he can make it all the way down if he wants to. He only does that if he gets scared or wants to use the box down there. Before Dx he would almost always hiss and run away at the sight of anyone but me. He hid in basement all day and would come out at night. In a weird kind of way, his neuropathy has been a blessing. He is way more social and less scared of everything. There is no way I would have been able to test him as often as I do if he was fully mobile.
In the beginning I would carry him from the stairs to under the table. Now I make him do it himself. I was totally shocked the other day when he made it all the way from the bottom. The past week or so I’ve noticed things finally starting to improve. I was told over and over when he starts getting regulated thing will start to improve. And wouldn’t you know, he is finally getting regulated!
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