Help for Molly #4

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Here are my two cents: ;)
  • Lantus tends to be slowish in onset and she's had some food so her BG should be OK in a couple of hours if you give 1 u now.
  • This is a curve day so an ideal time to "test the limits" and see how she does.
  • You're still learning how Lantus works in Molly with her new diet but it's quite possible to give a full dose on a PS of 8.2 especially when you're home to monitor.
  • It's better to find out right now how she responds when you give a full dose on a lower than usual PS so you can adjust the dose (if necessary) before you go back to work Monday.
  • You might actually see dark green numbers if you give the full 1 u dose and that's what you want for her. The first exposure to them is scary but better to see them when you can keep a close eye on her.
 
You were going to do a curve today.... is that still in the plan? If so, I think you can shoot the 1u and see what she does.

Oh I see Kris is thinking along the same lines. :D
 
Kris & Teasel said:
Here are my two cents: ;)
  • Lantus tends to be slowish in onset and she's had some food so her BG should be OK in a couple of hours if you give 1 u now.
  • This is a curve day so an ideal time to "test the limits" and see how she does.
  • You're still learning how Lantus works in Molly with her new diet but it's quite possible to give a full dose on a PS of 8.2 especially when you're home to monitor.
  • It's better to find out right now how she responds when you give a full dose on a lower than usual PS so you can adjust the dose (if necessary) before you go back to work Monday.
  • You might actually see dark green numbers if you give the full 1 u dose and that's what you want for her. The first exposure to them is scary but better to see them when you can keep a close eye on her.
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Ok I’ll test her in a couple hours again. I gave her a few kibble not much after the second test.
I’m scared to see the green!
 
The first green can be scary but you get used to them. You are monitoring today anyway so there's nothing to be scared about. There is a some cushion built into the numbers we use around here so dark green numbers are very safe. :)
 
Yesterday's BG numbers seem "normal" and not bounce inflated so I think they give you a decent picture of what the 1 u dose can do. It seems to be a safe dose for Molly while you're at work if she continues responding to it in a similar way in the days ahead. Fluctuations in response can happen but she has a lot of room to drop.

Eventually you want to nudge her BG range down so that her low numbers are in the 5 to 7 range more of the hours after the dose. That can be approached slowly and cautiously. @MrWorfMen's Mom ?
 
I agree the 1u dose looks good for now. I don't want to sound like a broken record but getting a BG test in before bed would round out the picture more. I think this dose also allows for a bit of room for continuing to reduce the kibble, just a little at a time. Getting Molly off the kibble will no doubt bring those numbers down a little more.
 
Ok she’s on 1/4 cup of kibble now. How much do I cut back?
I wanted to do a bedtime test, hubby was upset with all the testing yesterday!
What do I test her today at?
 
Adrienne Vanderhoning said:
Ok she’s on 1/4 cup of kibble now. How much do I cut back?
I wanted to do a bedtime test, hubby was upset with all the testing yesterday!
What do I test her today at?
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If you can talk to hubby at the right time in the gentlest possible way about the good you're doing for Molly with that extra testing it might help. You won't be testing that often every day. I can tell you from personal experience that one of the complications of diabetes, diabetic ketoacidosis, is very scary to deal with, very expensive to treat in hospital and can be life threatening for the kitty. I'm not saying this to scare you but the consequences of unregulated BG can be serious in the short term or the long term. The BG testing truly is "short term pain for long term gain". And that short term pain is much more for the human than the kitty - guaranteed. :)
 
DH is obviously very fond of that little girl but I agree with Kris......he needs to understand the testing will keep her safe and get her healthier. :D
I'd test her at +3 and if she's not dropped much, I'd test again around +8. If she has dropped a fair bit, then do a +5.
If she is down to 1/4 cup per day, then I'd measure the 1/4 cup and remove a small tsp or so each day from the total allowance. So today remove 1 tsp, next day 2 tsp etc. until you get down to 1/8 cup. Then repeat removing tsp per day until you've removed the kibble totally. Little reductions should make it easier on Molly while avoiding any sudden changes to BG.
 
Adrienne Vanderhoning said:
Ok she’s on 1/4 cup of kibble now. How much do I cut back?
I wanted to do a bedtime test, hubby was upset with all the testing yesterday!
What do I test her today at?
Click to expand...
Maybe measure out the 1/4 cup and remove a set number of kibbles daily. You can decide how many makes up a small reduction. Do that daily until there's no more kibble. Stick to the 1 u dose during this reduction time.

For today maybe try for one BG in the +5 to +7 range and one before bed (along with PSs of course).
 
Yes DH loves his little girl. But I will talk to him about the bedtime testing.
She has ate quite a bit of the kibble this morning. But she has come along way from a full dish of kibble every day. Now to only 1/4 cup a day of kibble. I noticed she has gained weight. Looks better! :)
 
Are you putting down all the kibble at once to allow her to graze or do you dole it out over the course of the day? If the former, then try doling it out. Give her half in the morning and half at night. You can leave down what she doesn't eat right away but it might make for a little more consistent intake of kibble and keep her from loading up on it all in a short period of time.
 
MrWorfMen's Mom said:
Are you putting down all the kibble at once to allow her to graze or do you dole it out over the course of the day? If the former, then try doling it out. Give her half in the morning and half at night. You can leave down what she doesn't eat right away but it might make for a little more consistent intake of kibble and keep her from loading up on it all in a short period of time.
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This morning I put all the 1/4 cup down. But when I’m working I divide the 1/4 cup half in the morning and half at night.
 
He knows what he did was wrong. He went to work couple hours later he texted me. Wanted to know what Molly’s sugars were. So I had a feeling he fed her and sure enough he did. So she’s had more than enough kibble today.
 
I decided not to give Molly insulin this morning. As you can tell by her numbers on the SS. She only had a few kibble this morning and some FF. Hopefully she’ll be ok while I’m at work today.
 
Adrienne Vanderhoning said:
I decided not to give Molly insulin this morning. As you can tell by her numbers on the SS. She only had a few kibble this morning and some FF. Hopefully she’ll be ok while I’m at work today.
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She's doing well, Adrienne. Don't worry. Occasionally we won't see your first post and you have to do what you're comfortable with. I see she continued to drop up until +2. Did she have that kibble and FF before the +1 and +2 tests? If she had eaten and continued to drop a little that's very interesting.
 
Kris & Teasel said:
She's doing well, Adrienne. Don't worry. Occasionally we won't see your first post and you have to do what you're comfortable with. I see she continued to drop up until +2. Did she have that kibble and FF before the +1 and +2 tests? If she had eaten and continued to drop a little that's very interesting.
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Yes she had kibble before the +1 and +2 tests, I’m a little confused about that. Where yesterday she was pink. But she had all the 1/4 cup of kibble in the morning yesterday. Will she be ok? Without a shot this morning? I don’t leave for another 40 min
 
Adrienne Vanderhoning said:
Yes she had kibble before the +1 and +2 tests, I’m a little confused about that. Where yesterday she was pink. But she had all the 1/4 cup of kibble in the morning.
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Their patterns can be confusing at times. That's why we like to see that BG test data from key times in the cycle. Continuing to drop a little after eating can be a good sign that her pancreas *might* be working a little bit. It's too soon to tell for sure though.

A diabetic kitty's pancreas can work a little from time to time and, for some, that increases and leads them into remission. They're still diabetic but are a diet controlled diabetic. Feeding only low carb wet food is critical in that situation. It would be wonderful if Molly got there but it takes time to see if that's in the cards. :)
 
Kris & Teasel said:
Their patterns can be confusing at times. That's why we like to see that BG test data from key times in the cycle. Continuing to drop a little after eating can be a good sign that her pancreas *might* be working a little bit. It's too soon to tell for sure though.

A diabetic kitty's pancreas can work a little from time to time and, for some, that increases and leads them into remission. They're still diabetic but are a diet controlled diabetic. Feeding only low carb wet food is critical in that situation. It would be wonderful if Molly got there but it takes time to see if that's in the cards. :)
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Ok so no insulin this morning? She’s late now fir that.
It would be great if she did go into remission. I’ll be coming home for lunch today. Nothing to worry about while I’m gone?
 
Adrienne Vanderhoning said:
Ok so no insulin this morning? She’s late now fir that.
It would be great if she did go into remission. I’ll be coming home for lunch today. Nothing to worry about while I’m gone?
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Two choices: no insulin or try 0.5 u if you feel brave because you can go home at lunch. If she's an hour late or so it's not a problem. You can back up the time over the next few shots.
 
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