I find that he eats well if I sit with him, because when my dad fed him he always eats a lot less. So I've been sitting with him everytime now.
See! Told you he loves his mama.
He feels safe and secure when you're near him.
Thank you for giving us an update. (We worry when we don't hear anything ...
) I am delighted to hear that Mayton is eating better; it is so scary when our little ones have trouble eating. Great news on the ketone front, too.
His blood levels have been kinda high as you can see. Lots of 500s. But they change a lot throughout the day.
Great job on Mayton's spreadsheet and the BG testing, Mackenzie. I've just had a quick look and he's getting a good response to the Lantus. It takes time to regulate a kitty because their bodies need to gradually relearn how to run at lower, healthy BG numbers. The key to successful regulation is regular testing and gradual, small dose adjustments (typically 0.25IU steps).
The tests you need to get each day are the preshot tests (AMPS and PMPS - make sure Mayton doesn't eat anything for 2 hours before you do these tests because you need to know what his BG is without any food influence) and also at least one mid-cycle test each day. If you're out during the day then getting a 'before bed' test in the evening cycle is helpful (e.g. PM+3). In addition to these tests it is advisable to run a curve once a week on a day when you're at home so that you can check the dose efficacy and duration. Lantus dosing is based on how low the dose takes the kitty (the nadir BG) so it's important to get these mid-cycle numbers.
We have a very active support group for Lantus users. Here is the link:
Lantus & Levemir Group
There are a number of very experienced members in the group who will be able to help you understand Mayton's pattern of response to his insulin (that's why sharing the spreadsheet data is so helpful!) and also offer you guidance and support through the process of getting him better regulated. If ever you're not sure of anything be sure to post with your questions.
Our doctor changed his insulin to 2 units in the morning and 1.5 at night. I'm not really sure why they lowered it though since they always seem high in the morning.
A lot of cats tend to run at lower BG levels during the PM cycle so maybe that might be part of your vet's reasoning. That said, Lantus tends to work better when the same dose is given morning and evening; consistent dosing tends to produce better overall regulation.
WRT the higher AMPS, that's not uncommon. Some cats tend to have higher AMPS, some a higher PMPS. Testing and recording the results in the spreadsheet will help you to learn what Mayton's particular pattern is over time.
You are doing a terrific job looking after Mayton. He's a lucky boy to have you, Mackenzie.
Mogs
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