Frozen insulin

See if Buttons will eat out of your raised hand. Any creature that is nauseous will not want to lower its head.

Check for dehydration. Grab a pinch of scruff on the back of the neck. Let go. If the skin goes down rather quickly, your cat is hydrated. If the skin take for than a second or two, your cat needs fluids.
You can also check the gums. They should be moist and not tacky.
 
Deb & Wink said:
Without a spreadsheet and with someone trying to use 2 different insulins on their cat, giving 2 doses of insulin already today only a few hours apart, not ketone testing, there is nothing more I can help with.
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Hasn't used Vetsulin yet, his new Prozinc vial never arrived today so a friend lent him some Vetsulin. It's been the old Prozinc being used this whole time.
 
Sorry ... looks like he did use some Vetsulin Sunday PM cycle. Didn't notice that.

Saturday - 1+ unit Prozinc (little more than 1 he said)
AMPS: 487
+3 389
+6 283
+9 400
PMPS: 575 (not sure how much insulin was given)
+3 490

Sunday - 1.5u Prozinc
AMPS: 455
+1 488
+3 460
+6 449
+8.5 501
PMPS: 571 (1u Vetsulin)
+1.5 568

Monday - 2u Prozinc
AMPS: 525
+1 555
+5 372
+8 401
PMPS: 500s (??)
+4 300s (??)

Tuesday - 1.5u Prozinc
AMPS: HI
+3 506
+6 513
1 unit Prozinc given at +6
+1 (or +7) 467
+2 (or +8) 555
 
Sorry for no reply’s last night was worried sick. Couldn’t concentrate. I’ll give you my last bit of info. Yesterday morning. 8:30. He tested HI. Gave him a little more than 1 1/2 old prozinc. At 11:25 he was at 506. At 1:30 he was at 513. Went up. Called vet. Riled me to give him 1 unit prozinc. Tested at 2:45 he was at 467. By 6:30. Back to 555. Doc told me to give him 2 units Vetsulin for night shot. 8:45 pm 2 units Vetsulin. At 11:24 pm he was at 511. Went down 44 points. This morning at 8:30 he tested at 474. Way lower than yesterday morning. Gave him 2 units of Vetsulin at 8:47. By 10:52 he was up to 486??? Bounce??? A few minutes after I tested him. His new prozinc finally arrived. Called vet. Not there. Another vet said wait until tonight to start new prozinc. But another lady on the phone said to test him and if he stays hi. Give 1/2 unit of new prozinc. ???? Should I wait and start fresh tonight with the new prozinc? Not sure if bouncing in between test or not.
 
Excellent to no ketones! How's he eating?

Wait till tonight, he's been dosed enough times right now! The Vetsulin is good anyhow, you don't want to double dose.

As for the bounce...not likely. A meter is given up to 20% meter variance, so 474 and 486 are the same numbers. Bounces are going to be major, like from 90 to 400.

Go to the top right, you should have 1 red message notification for your inbox from Bhooma. :)
 
Ok. Fed him through a little push vile. Want to much. Entire vile. Just rest him 12:43 and he went down to a 372. Haven’t seen these numbers in days. Unless I was missing them. Not gonna give him new prozinc until tonight for sure. Is he going down to fast? Bounce when I ain’t looking? I appreciate all your help. Not my first diabetic. But still feel as if I’m not sure at times what’s going on.
 
Panic said:
Excellent to no ketones! How's he eating?

Wait till tonight, he's been dosed enough times right now! The Vetsulin is good anyhow, you don't want to double dose.

As for the bounce...not likely. A meter is given up to 20% meter variance, so 474 and 486 are the same numbers. Bounces are going to be major, like from 90 to 400.

Go to the top right, you should have 1 red message notification for your inbox from Bhooma. :)
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Licks at stuff. But won’t eat in on his own. Few treats here in there. Or a lick f from a squeeze treat.
 
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Vetsulin hits early, usually 1-3 hours after injection and starts heading up shortly after, it's normal. Don't be tempted to shoot again when numbers start rising.

Keep letting him have whatever he wants, even if it's higher in carbs. Did you see Kel's advise to hold the food up for him? If he's still nauseous you want to ask for that ondansetron script again, or get the anti-nausea your vet was going to give you yesterday.
 
Panic said:
Vetsulin hits early, usually 1-3 hours after injection and starts heading up shortly after, it's normal. Don't be tempted to shoot again when numbers start rising.

Keep letting him have whatever he wants, even if it's higher in carbs. Did you see Kel's advise to hold the food up for him? If he's still nauseous you want to ask for that ondansetron script again, or get the anti-nausea your vet was going to give you yesterday.
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I got the anti nausea meds. 1 tablet broken into four pieces. Says give him one piece per day. He will eat treats out of my hand when he eats. Just tried. Didn’t want. May just give him another vile feeding. Although he’s no fond of that. But I’d love for something to be in his belly for the insulin to work on.
 
Okay awesome that must be cerenia.

Yes, even without diabetes in the mix a cat not eating enough can develop fatty liver so you want to get as many calories in him as you can. Try to avoid using his regular food because a lot of times they form an aversion to food they're assist-fed, just like us when we have a bad experience with a certain food.
 
Panic said:
Okay awesome that must be cerenia.

Yes, even without diabetes in the mix a cat not eating enough can develop fatty liver so you want to get as many calories in him as you can. Try to avoid using his regular food because a lot of times they form an aversion to food they're assist-fed, just like us when we have a bad experience with a certain food.
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Sounds good. THank you. Not feeding him his Regular Food. Got some some hi calorie stuff the vet gave me for cats in distres.
 
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Question. He was on 1 1/2 units prozinc in the morning. 1 unit at night. Then we went down to 1 and 1. As he would go to low sometimes. Vet says I should give him 1 1/2 units of the new fresh prozinc tonight. Sound good?
 
It's hard to say since his dosing has been all over the place as of yet. Can you tell me again what his dose was this morning and his readings today on the Vetsulin? 1.5u might be fine but I'd like to know what happened today.
 
8:30 am. 474
8:47 am 2 units Vetsulin.
10:52 am 486
12:43 pm 372
Haven’t tested since. He’s been sleeping peacefully for the most part. Peeing and I fed him 4 times with my push vile. Not sure exactly how much that is. Figure since I wasn’t gonna give him more insulin I TIL tonight I would wait and text before hand. I figure they will be hi again. Gonna feed him some more before his shot. Gonna start doing the at 9 and 9.
 
James kelch said:
Thank you. New to the site. Where do I find this?
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Go to the top right, you should have 1 red message notification for your inbox from Bhooma. :)

It would really help if you have a spreadsheet, then enter all the numbers you have taken so far and put them in, there is a remarks column there also so you can comment what you have been doing each day and night :cat:
 
Diane Tyler's Mom said:
Go to the top right, you should have 1 red message notification for your inbox from Bhooma. :)

It would really help if you have a spreadsheet, then enter all the numbers you have taken so far and put them in, there is a remarks column there also so you can comment what you have been doing each day and night :cat:
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Is there a spread sheet available for me to use?
 
James kelch said:
Is there a spread sheet available for me to use?
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You have to reply to Bhooma , she sent you a message ,you have to reply to her.
Click on your avatar where your name is , the square on the left, then hit profile , you will then see in the upper right hand corner it says inbox , that's from Bhooma click on that
Take a look at my cats spreadsheet under this message you will see it says Tyler's spreadsheet, you will get an idea what it looks like, you can look at anyone's else's also
 
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Aww, I hope he's feeling a little better.
1.5u may be fine tonight ... I don't want to say anything for certain, I'll have to leave it up to you with what you're comfortable with. I'd like to see his numbers go down again, poor guy, but if he's still feeling bad from whatever is making him nauseous the numbers probably aren't going to budge much.

Yes, at the top right check the notification for your Inbox, Bhooma has sent you a message about setting up your spreadsheet!
 
Panic said:
Aww, I hope he's feeling a little better.
1.5u may be fine tonight ... I don't want to say anything for certain, I'll have to leave it up to you with what you're comfortable with. I'd like to see his numbers go down again, poor guy, but if he's still feeling bad from whatever is making him nauseous the numbers probably aren't going to budge much.

Yes, at the top right check the notification for your Inbox, Bhooma has sent you a message about setting up your spreadsheet!
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I’m not sure he’s nauseous from anything. He never will eat if his numbers are hi. Same when he was first diagnosed. Soon and i has his numbers god he ate really well. They get bad. He won’t eat. Still no keytones. Not showing any signs of pain in his abdomen. Blood test was good. We will have his pancreas tested next few days. He also has listed most of husbands teeth. Sometimes has An infection. Got Medan for it few days back. I think 1/1/2 will Be a good start. That was his dose for years until he needed less. Thanks everyone. I’ll try and bet that his sores she’s going ASAP. Just need to figure it outs. Never didn’t anything like that before.
 
Nausea doesn't appear randomly though, that's why it's so important to be on top of things if a diabetic goes off their food. There's a lot of ailments that are common among diabetic kitties. Is he lethargic, ever in meatloaf position?

So he has teeth issues? That will raise BG. Any sort of infection/illness/bad teeth will raise BG, you'll want to get everything in check to lower his BG back down.

I'm really happy to see he's staying ketone-free. :cat:
 
Panic said:
Nausea doesn't appear randomly though, that's why it's so important to be on top of things if a diabetic goes off their food. There's a lot of ailments that are common among diabetic kitties. Is he lethargic, ever in meatloaf position?

So he has teeth issues? That will raise BG. Any sort of infection/illness/bad teeth will raise BG, you'll want to get everything in check to lower his BG back down.

I'm really happy to see he's staying ketone-free. :cat:
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Yes. Many teeth issues. Has only a few left. And your right it always affects him when he’s infected. Went through it before. Doc said last few sent loose and looked pretty much ok. Gave him some meds. Hopefully helps. Well. Time to test and shoot. Thank you.
 
James kelch said:
Yes. Many teeth issues. Has only a few left. And your right it always affects him when he’s infected. Went through it before. Doc said last few sent loose and looked pretty much ok. Gave him some meds. Hopefully helps. Well. Time to test and shoot. Thank you.
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Panic said:
Is it Stomatitis?

Good luck!
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what stomatitis? Ok. He was at 372 around 1 pm. Tested and 9pm. Meter read HI. Just gave him the 1 1/2 new prozinc.
 
Can you get a test in two hours please? Let's see how he's doing then.

Stomatitis (or Feline Chronic Gingivostomatitis) is a chronic condition from severe inflammation of the mouth tissues. I think it's common for diabetics to get it, or vice versa. Usually need several (or all) teeth pulled to manage it. Did the vet say why his teeth were removed? Does he get anything for his teeth?
 
Panic said:
Can you get a test in two hours please? Let's see how he's doing then.

Stomatitis (or Feline Chronic Gingivostomatitis) is a chronic condition from severe inflammation of the mouth tissues. I think it's common for diabetics to get it, or vice versa. Usually need several (or all) teeth pulled to manage it. Did the vet say why his teeth were removed? Does he get anything for his teeth?
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The vet removed a few. The rest Carmen out in their own. He said didn’t look inflamed last visit. Maybe we shouldn’t have them all removed. So. I should test him 2 hours after shot? Then every 2 hours for a bit? I will do that. I usually test to soon and get depressed when it hasn’t started working. He hasn’t been a regular meds for his teeth.
 
Yikes! Wow, poor Buttons. I wonder what the cause is. @Red & Rover (GA) any experience with teeth falling out on their own?

Test him two hours after (and post please, I want to know what the number is!). If it's high still I would leave him alone for the night, if it's lower then we'll see if you need to test any more.
 
Panic said:
Yikes! Wow, poor Buttons. I wonder what the cause is. @Red & Rover (GA) any experience with teeth falling out on their own?

Test him two hours after (and post please, I want to know what the number is!). If it's high still I would leave him alone for the night, if it's lower then we'll see if you need to test any more.
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Thank you so much. I will test every few hours. I haven’t mentioned. He has women sort of fatty tumor over left rib cage Vet said not cancer and even if it was he wouldn’t survive the operation. His blood test. All clean. No white cells floating around. I real hope it was just a slow build with bad insulin. He has been good for so many years. Prozinc woked really well for him. Even to the point we though he may only need one shot a day. Ughhhhh. Took a long time time to I get him regulated. So I’m sure it will again. We shall see. Love him so.
 
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Fingers crossed he gets to feeling better.
I don't know of any kitties that only need one shot a day, kitties need a lot of consistency. We'll get there though! Hugs to Buttons :bighug:
Were you able to locate Bhooma's message in your inbox and respond?
 

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Panic said:
Fingers crossed he gets to feeling better.
I don't know of any kitties that only need one shot a day, kitties need a lot of consistency. We'll get there though! Hugs to Buttons :bighug:
Were you able to locate Bhooma's message in your inbox and respond?
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I found her message and responded. Just have no experience on spreadsheets or even how t find or set one up.
 
Okay awesome. :) She can help you. Bhooma lives in India so her timezone is different, she probably hasn't seen it yet.

I agree with Kel, caring is nice but we also need knowledgeable. It concerns me that Buttons has a lot of health issues that he doesn't seem to be explaining to you. At least from the sound of it. And that he was/is unconcerned about his nausea. You want someone who's familiar with common feline diabetic ailments - pancreatitis, teeth issues, ketones, etc. You're not going to find an expert unfortunately, but at least someone who won't push issues to the side and say "wait a couple days".

I know you're not very tech-savvy James but can we get you to set up your signature? Only takes a moment and you won't have to bother with it again.

Here's an example of what I had (before my little girl passed):

Panic and Elizabeth | dx 3/28/19 | Lantus TR | Fancy Feast Classics | ReliOn Prime

This is my and kitty's name, then diabetes diagnose date, the insulin she is on, the food she eats, and the meter we use.
If Panic had health issues other than diabetes we would list that too. So for yours could you fill this out:

James and Buttons | dx (diagnose date) | Prozinc | (food brand) | (meter brand) | Teeth issues

At the end I would list any other illness or disease he has, such as the teeth or the tumor if you have a name for it. That way everyone can look at your signature quickly and not have to ask you what insulin or food he's on, etc. At the top right, right beside the Inbox you clicked for Bhooma's message, click James kelch and then click Signature. Type it in there and click save.
 
Deb & Wink said:
By the time you can smell the sweet smell (or sometimes described as smelling like nail polish remover, acetone smell) on the cat's breath, your cat is already in DKA.

No such dosing like you are looking for exists on this message board. We do not do sliding scale dosing based on the pre-shot test.

That difference is simply the 15-20% meter variance that is allowed with hand held glucometers. Those numbers are considered to be the same, taking that meter variance into account.

Without a spreadsheet and with someone trying to use 2 different insulins on their cat, giving 2 doses of insulin already today only a few hours apart, not ketone testing, there is nothing more I can help with.

We have less information to go on than your vet. We just can't do what you want James, advising you on shooting vetsulin when you already gave your cat 2 doses of who knows what insulin already in less than 6 hours. What you are asking is impossible to answer.

Please contact your vet again for his/her recommendations.
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That was yesterday
 
Panic said:
Okay awesome. :) She can help you. Bhooma lives in India so her timezone is different, she probably hasn't seen it yet.

I agree with Kel, caring is nice but we also need knowledgeable. It concerns me that Buttons has a lot of health issues that he doesn't seem to be explaining to you. At least from the sound of it. And that he was/is unconcerned about his nausea. You want someone who's familiar with common feline diabetic ailments - pancreatitis, teeth issues, ketones, etc. You're not going to find an expert unfortunately, but at least someone who won't push issues to the side and say "wait a couple days".

I know you're not very tech-savvy James but can we get you to set up your signature? Only takes a moment and you won't have to bother with it again.

Here's an example of what I had (before my little girl passed):

Panic and Elizabeth | dx 3/28/19 | Lantus TR | Fancy Feast Classics | ReliOn Prime

This is my and kitty's name, then diabetes diagnose date, the insulin she is on, the food she eats, and the meter we use.
If Panic had health issues other than diabetes we would list that too. So for yours could you fill this out:

James and Buttons | dx (diagnose date) | Prozinc | (food brand) | (meter brand) | Teeth issues

At the end I would list any other illness or disease he has, such as the teeth or the tumor if you have a name for it. That way everyone can look at your signature quickly and not have to ask you what insulin or food he's on, etc. At the top right, right beside the Inbox you clicked for Bhooma's message, click James kelch and then click Signature. Type it in there and click save.
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I will set it up.
 
Panic said:
Can you get a test in two hours please? Let's see how he's doing then.

Stomatitis (or Feline Chronic Gingivostomatitis) is a chronic condition from severe inflammation of the mouth tissues. I think it's common for diabetics to get it, or vice versa. Usually need several (or all) teeth pulled to manage it. Did the vet say why his teeth were removed? Does he get anything for his teeth?
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Tested at pre shot. 9 pm. Meter read HI. Tested just now at 11:13. Down to 498. I know the meter stops at 600.
 
Still higher than we'd like but nice to see at least a little budging! I would get another test one or two hours from now to see if it goes down more any, then call it a night.
 
Panic said:
Still higher than we'd like but nice to see at least a little budging! I would get another test one or two hours from now to see if it goes down more any, then call it a night.
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Yeah. I’m gonna test again in 2 hours for sure. If it’s keeps lowering I will continue t test. If it’s going slow or rising I’ll leave him be. Yes. Higher than I’d like. But I know His prozinc when good last way longer and continues going down for a bit. When he’s this hi though I know it’s gonna take time to I get him regulated. Been. through it before. Came to this board to rea back then. But this time I signed up. I appreciate you.
 
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