Blue 115 AMPS 10/22

https://www.felinediabetes.com/FDMB/threads/blue-amps-447-10-21.237270/

Hi guys,

Blue is only at 115 AMPS I guess I'm going ahead and feeding and dosing.
It's a little scary.

 

A little? Thats what it takes nerves of steel

 

I'm around. Will keep an eye out for you two, Patty. Not surprised he's got a better preshot today: that was a fair drop at +2 last night.

(((Bluebird)))




Mogs
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Are you home all day today, Patty? And have you got plenty of test strips?


Mogs
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Yes, I'm home. Planned on grocery shopping sometime today but if he's too low I'll wait.
Plenty of supplies. I reordered yesterday and marked all my cans. I do need to get some
high carb food and had it on my list for today.

 

Patty's done 121 before!


Mogs
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Do you have any HC in the house at all (even HC dry/HC treats)? Am I correct to assume that you've got MC?


Mogs
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Yes, I have Temptations and one can of 20 carbs. I have plenty of medium carb food 14, 13, and 12% carbs.
I have dry food if needed. I have honey and karo syrup.

 

Brilliant. All pre-flight checks are A-OK.

When are you planning to get the next test, Patty?


Mogs
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YEP thats what I mean NERVES OF STEEL

 

I normally test +2

 

OK. How long in hours and minutes till then, Patty? (Want to set an alarm.)


Mogs
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1 hour
Do you think I need to test sooner?

 

If you'd feel better testing earlier, Patty, then by all means do. +1.5? And is that 20 mins from the time of this post?


Mogs
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No, I can wait. He doesn't normally drop fast after eating.

 

Correct, but Blue.



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Okay I'll test in 15 LOL

 

57

 

I never saw this until now. He sure likes the roller coaster!

 

Should I feed LC MC or HC?

 

Blue being blue.

I'd suggest a couple of tsps of HC and test again in 30, Patty. We don't want the dose reduction.

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I’d feed mc with a bit of hc in it. Cross posted. Do above. I’m not sure a reduction will be avoided. Wondering if it’s what he might need. I know I don’t often say that

 

Make sure there's plenty of gravy with what you give him, Patty. We don't want him dropping below 50.

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I suggested the HC because historically Blue tends to need that extra bit of a bump when he's early in the cycle. I'd sooner see him a bit high and avoid the reduction. I was very tempted to suggest a drop of honey in the HC.

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I figured. I’m starting to wonder if those highs she’s seeing might be because the pancreas is working more. Just a theory that could be wrong.

 

I fed him the cheddar FF with gravy 20% carbs so hopefully he won't drop below 50.

 

If I was a cat who could read I'd buy that for myself.


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Well, it did have some kind of meat but I wasn't sure what it was. It definitely had gravy.
My others went crazy wanting to eat also. Minnows worked. Blue got some too on top of his HC.

 

I wondered if mine would like minnows.

 

Awwww! (((Blue)))



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They love all of them but minnows and especially the shrimp goes fast. I find it very messy.

 

I've never seen these things so the above post has really piqued my curiosity.


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Where's the Bluebird at?


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PureBites and PureSnacks and several flavors. I have bought them at Amazon and Chewy.

 

He's napping. I'm about to test him again.

 

OMG he dropped to 41 whyyyyyy? I already put some honey on his gums.

 

Feeding some more HC

 

Right thing to do, Patty.

Kicking myself that I didn't ask you to add the honey to the HC food.

Feed him another few tsps of HC (make sure there's some gravy with it) and with some honey mixed in then ***test in 20 minutes.***

 

Trial and error Mogs. He's eating the HC with a drop of honey. Hope it's enough. Other than that, he seems fine.

 

I like the role reversal!



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Good. Watching for your next test. Don't let it go past the 20 minutes please, Patty.

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He's only up to 43. I put a drop of honey on my finger and he licked it off.

 

He hasn't dropped further.

Feed another couple of tsps HC mixed with more honey than last time and test again in 20 minutes please, Patty.

Have you much HC left?

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Probably less than half...I'll look around for some random cans. I have some prescription food I could look at and there's always the Temptations
and dry food.

 

That's why I was asking about how much of the wet HC was left, so that we'd know when to bring out the big guns.

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I haven't been able to find out carbs on the prescription food. My next try is going to be a Google search.

I still have a small bit in the HC can.

 

Hills SC gastrointestinal has 33.1% carbs WOW and I have 2 cans.

Will he eat it???

 

What's the brand and variety of the prescription food, Patty?

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He's up to 62.

 

That's better. Please feed another couple of tsps HC wet and a drop of honey. Test in 30 minutes.

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25.3% carbs in Digestive Care by Hills SD and I have 2 large cans.

 

The honey wears off quickly and it's still early in the cycle, hence the added honey. Better that little bit of an extra boost to keep Blue above 50.

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Excellent.

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I found ingredients on Hills SD site. Thanks!

 

Is it the i/d or the s/d canned that you have (i/d is digestive support, s/d is urinary support)?

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What time did you give Blue his insulin, Patty?

Also, is it just after 1pm local time with you?

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I'm not exactly sure but between 9:30 and 10. I'm using 9:45 for testing purposes. I get so busy and I try to look at the clock when I shoot and this morning I didn't.

Yes, 1:05 here

 

That's ideal. Thank you! (got my sitrep going behind the scenes).

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Doing the Noodle's BP readings...

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We're up to 95 now.

 

Hate using the tablet for data entry.

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OK. Don't feed, test in 30 minutes.

You doing OK, Patty?

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Yes I'm okay. Fit in a shower a few minutes ago and now going to find some food.

How's Noodle? You?

 

Check out the graph in the Noodle's spreadsheet! Her heart rate has lowered so I can give her an appy stimulant tonight. (((Lúnasa)))

I've got her back on my preferred ondansetron generic and she ate a bit better for me last night (takes a couple of days to build up to full effect). We have progressed from liquipoo every five hours or so to cowpats every 12 hours. It's thrill-a-minute round here!

Her mama has had a day and a half without sneezes. Tummy's still a bit iffy.

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All great news!!! Love it.

 

Just wondering about the appetite stimulant. Is it by mouth? I know we were discussing the kind that rubs into the ear at some point.
Wouldn't that bypass the stomach and be better for her or do you just base it on her heart rate?

 

We're at 146 now.

 

Blues threads always an exciting ride ...

 

Ok, so we overshot a bit.

What '+' time was that test at, Patty?

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3 sm. cans gastrointestinal biome and 2 lg. i/d digestive care

 

Test at 2:00

 

Yes! You should be here

 

Wheeeeeeeeeeeeeeeeeee

 

The transdermal one is mirtazapine (can also be given my mouth). As I mentioned on that previous threads I don't like the way it works. As I said last time, I think it could turn Lúnasa into a demon that I would not be able to pill or monitor properly. The appy stimulant I use is cyproheptadine and it is given by mouth and it doesn't upset her digestive system. Major side effect is temporary drowsiness (it's an antihistamine).

According to drugs.com mirtazapine can have negative cardiovascular effects including increase in BP and resting heart rate.

WRT worrying about the Noodle's heart rate, the main problem is the amlodipine she's on to keep her blood pressure down. If you look at her graph you can see that from where the row of yellow circles begins her heart rate started getting successively higher so I had to halve the dose. Cypro also raised her heart rate so I've been trying to time giving it to her when her heart rate hasn't been too high. (She has hypertrophic cardiomyopathy so the heart rate issue is a biggie.) Since introducing the B12 supplement (green diamonds) her resting heart rate has improved. She has issues with anaemia because of the CKD and B12 is involved in red blood cell production so I'm wondering whether that might be why her RHR has been better.

I wouldn't know any of the heart rate stuff without the BP/HR meter. I'm so glad I have it.


Mogs
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Bet you like roller coasters too, Jeanne.

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Ohh I HATE roller coasters. My speed is more roller skates

 

You are so organized and know so much about your Noodle. She's one lucky girl to have you. Such a balancing act.

How old is she? Did you tell me that already?

 

She turned fourteen some time in the first two weeks of August. ('Lúnasa' is Irish for August.) I found her frozen with fear on a windowsill in a busy town centre. She was only about 5-6 weeks old. Vet thinks she has a year left max (IRIS stage III, HCM).

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Oh no. I'm so sorry. I remember you telling me you found her. They are always special.

We're at 302.

Sally just text me. Did she tell you what her vet said?

 

That’s nothing but a guess..

I was gone for a haircut and color that turned into highlights too. A lot of excitement while I was away. I told you he would earn a reduction.

 

Good for you. I did that myself but wore a mask. Too bad the young girls running around there didn't wear their masks on their face.

Yes, it was eventful. Since he's up I'll probably go to the store soon. He just ate again. Don't know why he doesn't gain any weight.

 

I was giving you the best case prognosis there. Initially he said months, maybe a year. Granted, that was when it looked like her anaemia might be non-regenerative. Also, the HCM doesn't help things.

My initial goal is for the Noodle to see her 15th birthday. (Anti-jinx!)

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I suggest grabbing a test before you leave, just to rule out any surprises.

Does Blue need to put on some weight?

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Summary of events for you, Patty:

10.20.22 Morning Cycle -----------------------------------------

AMPS - 115 - Fed LC - Dose: 0.5IU Lantus.

+1.50 - 57 - Fed HC+gravy | +2.00 - 41 - Fed HC+honey+honey on gums | +2.33 - 43 - Fed HC+extra honey+honey on gums | +2.66 - 67 - Fed HC+honey | +3.25 - 95 - No food | +4.25 - 146 - No food.

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With your good care I’m not sure but bet it will be longer!

 

I checked her thread.



As I replied to Sally, Lily might surprise us all by drifting down herself from the 200s into healthy greens. I would not put money on it (but I have been wrong about much in my life).

I've given Sally the best pointers I can in the circumstances. It goes without saying I will keep following Lily's progress.


Mogs
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She is so excited but she going to be spot testing so we will see. I didn't want to say anything negative but I'm a little worried. Do cats go into remission that fast?

I just got back from the store. Is there a need to test Blue again this soon?

Thanks for the summary. I tried to keep up with it but I'm sure yours is more detailed. I'll copy and paste when I get on my laptop. Thank you for doing that.

(((Noodle)))

 

Oh, I didn't see this so I can test now. Do you think he’ll go back down?
He only weighs 7 lb. and he's skinny. He used to be 9 lb. I'm surprised he hasn't gained but he seems to be burning it off.

 

He's at 402. +7 I think. I'll enter it in SS later.

 

So hacked off with Sally's vet. The vet told her that it's OK for cats to run in the 200s.


Mogs
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I didn't think Blue would drop down (think he's already started a bounce) but I don't like taking things for granted.

Do you think Blue would eat more? If yes, then you could feed him more (with the caveat that you don't let him get too full early in the cycle in case you need to steer his numbers).


Mogs
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Some cats can go into remission with diet change alone. Check Sally's thread for where I think Lily's at at the moment. I disagree with her vet's take - we seem to have very different understandings of what diabetic remission actually looks like - but I would be only too delighted to be proved wrong.

It's easier to pull that info together when you're not the one doing the heavy lifting.


Mogs
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Mogs, he eats like a pig! I'm serious. He has never in his entire life eaten food. Likes to only lick the gravy. That's why I thought he would gain because he is ravenous. I never have a problem when I need to feed because he's too low. It's crazy!

 

She needs a new vet! I hope Lily will be okay.
It worries me.

 

I'll be back. Going down to eat with my mom.

 

Say hi to your mom for me! Bon appetit!




Mogs
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Tell her she's very good at making lovely daughters.

(((Mom)))


Mogs
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Awwwwwwwww

 

It's true!


Mogs
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Y'all are so sweet. Hear my southern accent? Sally is a lot nicer than I am. LOL