Insuline resisence

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I tested at night on the 1.16.20
It was 326
Today at 7 pm ( 9’hrs after 4,5 of Lantus) it was 373
He asks for food every hour!!
I will test again tonight
 
Im so bad with ss
Im not able to get out or „ view only „
Mode...
I have everything hand written-but i m not able to beat lack of experience with spreadsheets.
Even if i want to donit so badly..
It is so frustrating..
The feeding and insuline should be at 10 pm and he cries and begs for food
 

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Im sorry
I can just be sorry!!!
I do not know how to make that ss. That you request.
But i keep handwritten journal
 
Just No Idea what to do with it
 

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This is my handwritten:
 

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Thanks Anna we have those notes you sent before up until 1/12 but I can see you have more now. I will speak to Chris about putting more numbers into the SS. You will need to learn how to do it though. But we can teach you.
 
Another question:
Is anybody reading this from Chicago?
I’m trying to look for vet experienced in feline diabeties..
I see 2 i had 4 and I do not trust either of them.
One tells me give 4,5 2x the other told me to increase to 2x6..
 
Niutek said:
Another question:
Is anybody reading this from Chicago?
I’m trying to look for vet experienced in feline diabeties..
I see 2 i had 4 and I do not trust either of them.
One tells me give 4,5 2x the other told me to increase to 2x6..
Click to expand...
Anna, Wendy who is helping you with dosing (as soon as the SS is sorted) is very very experienced so if I were you, I would wait and see what she suggests.
 
Thank you!!!!
Ach!
I realized!
The one „ to view only”
Was an example that someone has sent me to see how the ss should look like. Sorry for a confusion.
As im it is me who is
confused..
 
How often your cat eats??
Should i not allow my cat to eat in between the main meals?
He beggs for food. Specialy lately..
. he can eat every hr except for timea when he sleeps..
 
Niutek said:
No he was never tested for Cushing's Syndromand for Acromegaly.
He had PLI test for pancretitas and it came out positive.
His liver number on last ( 12.26..19) blood test came high too.: AST(SGPT) 158 ( normal is 10-100)
And ALT ( SGPT) 226 ( normal 10-100)
Cholesterol 235
Triglyceride 398
Click to expand...

When was those blood tests taken?

His liver values ALT and AST wasn't good, and then positive for pancreatitis.

As I understand the blood tests and perhaps scans to see if any tumors for either Cushing's or Acro are expensive. You would have to ask a veterinary about the costs for that.
 
Niutek said:
How often your cat eats??
Click to expand...

Most of us feed our cats smaller, more frequent meals...feeding every 3-4 hours is fine but you don't want to feed for the 2 hours right before shot times so that when you get your Pre-shot test, it's not influenced by food.

Are you still giving both the Lantus and the Humalog??
 
Niutek said:
One of these links says:
„
This leaves the two treatments that are actually used on a regular
basis, and a promising new treatment.
Because this condition is rare, there's been little experience treating
it with lispro insulin (Humalog). That experience is promising; it
appears that the structural change in lispro may inhibit the antibody
binding. If this is borne out by further experience, lispro will be the
treatment of choice for extreme insulin resistance.”
Click to expand...
Where did you see that link?

You don’t need scans to test for Acromegaly and Cushings. Acromegaly test is a blood test, Cushings a urine test.The costs for the tests for acromegaly and insulin auto antibodies (get 5hat done at the same time) are not too expensive, less than $100. But you have to pay for a blood draw and shipping to Michigan State University as well.

Tagging @Stressedcatmom who just had those tests done and lives in Chicago, maybe she can give you an idea on price.
 
8am
bg 399 4 hrs after He had some food at 4 am ( i woke up and saw him eating)
Reg feeding time is 10’am but he stood by my bed asking for food. So I gave him: he ate whole 3oz can.
And i admit: i gave him1,5! Units od humalog..
As otherwise - after that can of food- bg will go close to 500
i aldd ss onthinknof another experint:
Not to give insuline for a whole day- and test before giving food and 2 and 4 hrs after food- to see if readibgs would look like these when lantus given.
That would have prove total insulin resistance..
What do you think about it?
 
The blood test showing high liver enzymes were taken on 12.26.19
The one for pancretitas in April 2019
 
Yes Ann,
The vet wants me to make ultrasound of the abdomen specially liver. First i refused.
It is expensive- but now i think that i will do it.
But since he received liver support pills and i started to give him milk thistle and NAC( suggestion from dr Becker from dr Mercola website)
I want to repeat the test at the end of january- to see if any changes in liver numbers.
Then i could take the blood and send for these other tests.
And then do the ultrasound..
 
What is the address of the university in Mich that i suppose to send the blood to?
How do we shipp blood?
We have 6 f currently-can the weather affect the blood shipment?
 
Niutek said:
Hi Stressedcatmom,
Could you please tell me where ad hiw did you have your tests done?
Also can you reffer a good vet in Chicago?
Click to expand...
Hi!

I went to cat hospital of Chicago. The initial visit/exam was pricey (for me) because it was an hour long and we went over yoshis history and all of the variables/options. $167.00

They sent the blood to MSU for $220.00 (I only got the IGF-1 test)

They are a bit more expensive than other vets in the area, but worth it as they are knowledgeable on FD and acro. All of the vets are good, and most serve on boards specific to FD.

Please let me know if you need anything else! Good luck!!!!
 
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I adopted Niutek from the alley back at my house- a stray mome gave birth to 2 kittens- one was killed by the car-the second become mine - or i bacome his.
I could not decide about the adoption untill he was 4-5 months old..
He was wild when i took him home. He still is in a way- he used to spend most of days and nights outside. He was the king of the neighborhood..
Now he looks at it through the window..
 
Could you please see attached:
8 am reading: 399
I added 1,5 units of humalog at 8 am and he ate 1 can.
10 am 365 : some cooked chicken liver: 4,5 unita of lantus
12 pm: 303
Humalog works between 1-4 hrs after shot.
It looks like it DiD work.
Then without it bg is up to 337 4 hrs after lantus( 6 hrs after humalog)
I will test in 2 hrs again..
If Lantus will lower it at all..
 

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But today he has been eating less too..
This might be the main reason for lower readings..
 
Niutek said:
One of these links says:
„
This leaves the two treatments that are actually used on a regular basis, and a promising new treatment.
Because this condition is rare, there's been little experience treating it with lispro insulin (Humalog). That experience is promising; it appears that the structural change in lispro may inhibit the antibody binding. If this is borne out by further experience, lispro will be the treatment of choice for extreme insulin resistance.”
Click to expand...
That link was talking about insulin auto antibodies in humans and treating them. And was written in 1986, 34 years ago. Humalog is not the usual treatment for cats with IAA. The condition seems to be less rare in cats and a different fast acting insulin is used for cats.

Also, the more common condition causing insulin resistance in cats is acromegaly. One in four diabetic cats has it. Also, liver are commonly higher in diabetics until their blood sugar numbers become more regulated. I suggest you find a vet hospital knowledgeable in diabetes, and get the acromegaly (IGF-1) and IAA tests done.

I am still waiting for the spreadsheet, photos of your log do not help me to help you. In general, it is better to get to a good Lantus dose than to try to hammer the numbers down with a bolus insulin like Humalog. Lantus is a gentle insuiln so doesn't drive numbers down - it is good at getting flat cycles.
 
Not much to read in here, other than the numbers are getting worse as the Humalog dose goes up. What I would like to see for the three days is just Lantus 4.5 units given AM and PM. With that we need to see preshot tests AM and PM, and one other test per cycle if possible, including at night. Keep testing each day for ketones. The plan would change if ketones goes over 2.4. This plan is the only way I can get enough data to see what is happening.
 
Hi Anna I have just finished adding all the data you have given us into Niutek 's SS. If you have any more can you post it please and I will add it. Then we are going to have to teach you to do it yourself. It is not hard.
I am really pleased to see you are testing for ketones at home. That is great!
What has struck me as I have been filling out the SS is this
  • There is no consistency with the dosing and you need consistency if you are going to get anywhere at all. There is no good doing one thing one day and then another the next day. You need to have a consistent plan and stick to it. Lantus likes consistency.
  • You are giving very large doses of two different insulins together and you are not testing very much at all between the cycles, are often not testing before you give the humalog and are often not testing before you give the Lantus. That is dangerous.
  • It is extremely important to test before EVERY SHOT. It not only tells us what the BG is, it tells us if it is safe to give the insulin and it tells us a number so that when we test later we can see if the BG has gone up or down or stayed the same.
If you want to help Niutek, and I know you do as you love him very much, you need to stick to a plan and not keep adding in things. Otherwise you will get nowhere with it all. Do you think you could do this?
To make it work, you are going to have to test before Every preshot and test at least once during the cycles.
If you do this we will be able to see what is actually happening to the BG levels during the cycles.
In the post just above this one Wendy has asked if you can just give Launtus 4.5 units AM and PM. Get a preshot test every time and test once during every cycle. Test daily for ketones and if there are any ketones post and tell us and we can change the plan.
Do you think you could do that?

 
Hi
We are still struggling
I had Niutek for 5 days on 4,5 of lantus
And one day hot GG of 591 i have never seen it that high ever high before.
Since 2 days he is on 2 units of pro zinc( so expensive though! $134 supply just foe 20
Days on this dose..
on saturday i will do full glucose curve as now i can only test at 0 and 3 hrs.
 
Niutek said:
I had Niutek for 5 days on 4,5 of lantus
And one day hot GG of 591 i have never seen it that high ever high before.
Click to expand...

Did you get tests before every shot? Did you get any tests in between the shots?

Since @Bron and Sheba (GA) has been helping with your spreadsheet numbers, you'll need to get in touch with her if you still haven't tried filling it out on your own.
 
@Niutek hi Anna can you please post all the data you have collected since you last posted the numbers please. I will help you to put them in the SS
You are NOT giving the Prozinc AND the Lantus TOGETHER are you?
Did you stop the Lantus when you started the Prozinc?!
 
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