Fat cats AMPS 325 and +6 181

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Elizabeth Lewis

Elizabeth Lewis

Member Since 2016
Any thoughts? He has only been on insulin for 5 days. He hates the ear prick, doesn't mind the insulin, he's just not ok enough with the ear prick for me to get every 2 hours sugars yet. But he in on novolin n so I feel like he will start rising again soon, I'd like to get him on lantus, what do yall think about those two numbers, I know it's not much to work with. His sugar at the vet when he was diagnosed was 504.
 
Hopefully you are Novolin N
Novolin is Novo Nordisk's trade name for a family of Recombinant DNA origin insulins. They include N (sometimes called NPH), and R (very fast actions) and mixture of the two. Only N/NPH is OK, but not that good, for cats.

N typically only last 8-10 hours and thus lowest BG is typically 4-5 hours after shot/
What does of insulin did you give? Those BG are showing a good response to the insulin.
 
He's on N.... never R... that's what we use for DKA in humans, so I assume the same for cats. He's getting 4 units twice a day, I feel like when I go to this much lower carb food his need for insulin will decrease lots ! If he's probably been even lower than 181 since that was +6, what are your thoughts. As an aside, I feel like I mutilated his ear, I hope the ear sticks get easier, he wouldn't speak to me for an hour after his ear stick, he sat on the couch across from me pointing his back side towards me and his face away(were back on speaking terms now, lol)
 
The tests will get easier, especially when he learns that a yummy treat follows! In the meantime, you can try a small amount of Neosporin with pain relief. The spreadsheet really makes it easy to see trends and how well the insulin is working. Get the new low carb food going and be sure to test as you switch since you may need to lower the insulin significantly.
 
My ear pricking was a little better this time ! My vet told me to feed him and then give him his insulin an hour later, so I fed him an hour ago, and now just checked his sugar (which is one hour after eating) it was 405 ! Should I really wait a whole hour after feeding to give him insulin?

Plus like I've said before, he seems like he feels crappy when his sugar is this high.
 
If he got down into the 100's, he's also probably "bouncing"....bouncing is caused when 1. they drop too low 2. they drop too quickly 3. they drop lower than their body has become used to living at.

The liver releases stored sugars and hormones to bring them back up quickly....It can take up to 3 days to clear a bounce.

Getting our spreadsheet up will really help us to help you
 
Ok, will work on the spread sheet, my poor fat guy, I wanna get him feeling right, but maybe I'm rushing it, he's only been on insulin for 5 days now
 
I don't know about the insulin you use but with lantus we test -feed-shoot-
lantus does not take effect immediately tho and as I said I am not familiar with the insulin you are using.
 
Elizabeth Lewis said:
He's on N.... never R... that's what we use for DKA in humans, so I assume the same for cats. He's getting 4 units twice a day, I feel like when I go to this much lower carb food his need for insulin will decrease lots ! If he's probably been even lower than 181 since that was +6, what are your thoughts. As an aside, I feel like I mutilated his ear, I hope the ear sticks get easier, he wouldn't speak to me for an hour after his ear stick, he sat on the couch across from me pointing his back side towards me and his face away(were back on speaking terms now, lol)
Click to expand...

Are you using the spring trigger of a lancet device for the ear pricks? I find it easier to control the gentleness of the pricking by not using the trigger. You can either hold the lancet itself or put it into the trigger gizmo as a holder and then go from there. I put my index finger under the ear and roll the ear flap over my finger holding the ear taut. Rather than using a quick stabbing action with the lancet point, I exert gentle pressure until it pierces the ear tissue. If you're in the capillary "sweet spot" along the outer margin of the ear, a droplet of blood should start. You might have to use a bit of squeezing action to make the droplet big enough. After I test the droplet, I wrap a small piece of tissue over the ear and squeeze it gently to stop the bleeding and prevent bruising. Occasionally I'll hit a small vein and there'll be quite a bit of blood but the tissue/squeeze technique stops it quickly.

I reuse the lancet 3 times, wiping it well with an alcohol soaked cotton ball between uses. They say single use only but I've had no trouble reusing them this way. I use insulin syringes only once though.
 
I tried both ways thus far.... the spring happened quicker, and I didn't miss, but by hand would be more gentle once he cooperates more :-/ I think
 
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