0246
Member Since 2013
Hi friends,
So as you may recall, Bubber is a 9 year old neutered Maine Coon, diagnosed with diabetes in August. He eats only wet low carb food and ultralow carb food, and is using Lantus. We monitor his BGs and are using a ReliOn Confirm monitor. He is on his 9th day of being treated for a UTI, and his symptoms of that infection have resolved. He is acting normal and his 5 P's are all normal. He is not and has not ever spilled ketones in his urine.
His SS is linked in my signature, and we just bumped his Lantus to 1.25 units BID, because his PS BGs were pretty high and he was remaining pretty flat, no real curves to his numbers overall (I have been somewhat limited in my ability to check midday/midnight numbers, for various really good reasons that don't have anything to do with him). I know that the ideal is to hold a new dose for 3 days (6 doses total) and reassess based on nadir, with some consideration to AM and PM PS BGs. Given this, and his really pretty high numbers, he would be due for a dose increase to 1.5 BID starting tomorrow morning. I will not be able to do a midday check at all tomorrow; I should be able to do a +3 or +4 tomorrow night after his PM dose.
I'm wondering if part of the reason behind his persistently high numbers is that he eats kind of all the time. For a cat his size, he needs to eat at least 3.5 cans of Fancy Feast per day, and he isn't one to eat a whole can at a time three times a day. Instead, he eats and then leaves and then eats some more a couple hours later ... there is always food down and he probably eats every 2-3-4 hours. I am overall happy with this, because he is maintaining his weight (it was free falling for a bit, and that was very concerning to the vet, and to us). However, is this what's screwing with our BGs and making them look wonky? It is all low and ultralow carb food but it's going to metabolize and raise things somewhat. How to manage this? I've read some people don't feed for two hours before testing an AMPS and PMPS, but that's not really possible for us with our work and life schedules.
I guess I'm just looking for some help -- does this seem right? I had sort of expected some changes to his numbers, but I know that's impatient and maybe unfairly so.
Thanks for any help, this is such a fabulous piece of the internet. We are so lucky.
So as you may recall, Bubber is a 9 year old neutered Maine Coon, diagnosed with diabetes in August. He eats only wet low carb food and ultralow carb food, and is using Lantus. We monitor his BGs and are using a ReliOn Confirm monitor. He is on his 9th day of being treated for a UTI, and his symptoms of that infection have resolved. He is acting normal and his 5 P's are all normal. He is not and has not ever spilled ketones in his urine.
His SS is linked in my signature, and we just bumped his Lantus to 1.25 units BID, because his PS BGs were pretty high and he was remaining pretty flat, no real curves to his numbers overall (I have been somewhat limited in my ability to check midday/midnight numbers, for various really good reasons that don't have anything to do with him). I know that the ideal is to hold a new dose for 3 days (6 doses total) and reassess based on nadir, with some consideration to AM and PM PS BGs. Given this, and his really pretty high numbers, he would be due for a dose increase to 1.5 BID starting tomorrow morning. I will not be able to do a midday check at all tomorrow; I should be able to do a +3 or +4 tomorrow night after his PM dose.
I'm wondering if part of the reason behind his persistently high numbers is that he eats kind of all the time. For a cat his size, he needs to eat at least 3.5 cans of Fancy Feast per day, and he isn't one to eat a whole can at a time three times a day. Instead, he eats and then leaves and then eats some more a couple hours later ... there is always food down and he probably eats every 2-3-4 hours. I am overall happy with this, because he is maintaining his weight (it was free falling for a bit, and that was very concerning to the vet, and to us). However, is this what's screwing with our BGs and making them look wonky? It is all low and ultralow carb food but it's going to metabolize and raise things somewhat. How to manage this? I've read some people don't feed for two hours before testing an AMPS and PMPS, but that's not really possible for us with our work and life schedules.
I guess I'm just looking for some help -- does this seem right? I had sort of expected some changes to his numbers, but I know that's impatient and maybe unfairly so.
Thanks for any help, this is such a fabulous piece of the internet. We are so lucky.
