Lily diagnosed today

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Critter Mom said:
Cross-posted again, Sally. :)

Couple of questions:

1. At what '+' time did you give Lily the food? (And please don't feed any more for now!)

2. How long in hours and minutes till Lily's next dose is due? (I'm in a different time zone to you.)



Mogs
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I gave it to her at 4:30 I think and she is due her dinner and insulin in about 1 1/2 hours.
 
tiffmaxee said:
Hi, Sally. I don't know what your vet thinks but when Max blocked and needed an RX food, my vet did not want my other cat to eat that food. I had to feed them in separate rooms from that point on.
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They knew I was feeding them all this and never said anything. Thanks for the info! I think I will go to the Purina for all of them. Will sure be less expensive.
 
Panic said:
Hi Sally, I agree with Mogs. On Vetsulin you do not want them falling below 90 (possibly 100 if Alphatrak, someone correct me if I'm mistaken) so I would say it's safer to go to 0.50u considering the drop + food change. We can always go back up if needed but better safe than sorry. :)
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Thank you!! I agree completely and appreciate your input.
 
Did your cat block or have crystals? There isn't anything magic about RX foods. Because Max had blocked I used Hills CD. He was on it way too long. Finally my vet told me to put him on any canned food when he didn't want to eat CD any more and that was before he became diabetic. He only blocked the one time and was fine.
 
tiffmaxee said:
Did your cat block or have crystals? There isn't anything magic about RX foods. Because Max had blocked I used Hills CD. He was on it way too long. Finally my vet told me to put him on any canned food when he didn't want to eat CD any more and that was before he became diabetic. He only blocked the one time and was fine.
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Honestly I don’t remember it has probably been 10 years. I remember trying another food over the counter for the issue but she got sick again. I want to be extra careful with her because she will not let me hold her at all.
 
Sally and Lily said:
Honestly I don’t remember it has probably been 10 years. I remember trying another food over the counter for the issue but she got sick again. I want to be extra careful with her because she will not let me hold her at all.
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In this case if it ain't broke don't fix it.;) LOL. Of course you will leave her on it but I would change the others if they are willing. Cats can be finicky. I'm sure you know the change needs to be done slowly to avoid go upset.
 
Sally and Lily said:
Must have been 5:30 because I put it at +10
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That's grand. Any later and there would have been food influence on the PMPS BG reading.

@Panic -

Elizabeth,

Will you be around for a while? It's midnight here and I'm fading badly, but I'd like to see Sally and Lily have someone around to help them at PMPS, just in case the BG level might be a bit on the low side tonight.


Mogs
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Sally and Lily said:
Ok, I just took Lily’s BG and she is 200. My plan is to feed her and give her .5 Vetsulin. Is that a good plan?
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So sorry for not replying here sooner, Sally. :oops:

You were just on the crest at 200 for a safe 'early days' preshot where you've only started testing.

Would it be correct to assume that that you've fed Lily and given her her insulin by now?


Mogs
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That's cool! :)

Some pre-flight checks:

1. How long ago did you give Lily her meal?

2. Do you have a good supply of test strips, honey, karo, higher carb food?

3. Should the need arise, would you be able to monitor Lily's BG for at least the next 8 hours?

4. Has Lily ever had a positive test for ketones? (Sorry if I've asked you this before, but for safety I like to check.)


Mogs
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Critter Mom said:
That's cool! :)

Some pre-flight checks:

1. How long ago did you give Lily her meal?

2. Do you have a good supply of test strips, honey, karo, higher carb food?

3. Should the need arise, would you be able to monitor Lily's BG for at least the next 8 hours?

4. Has Lily ever had a positive test for ketones? (Sorry if I've asked you this before, but for safety I like to check.)


Mogs
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She ate about 1/2 hour ago. Yes I have honey here . The vet never mentioned ketones to me so I have no idea. I could wake up to monitor her if needed.
 
OK,

Because we haven't got much data yet for Lily we are a bit in the dark about how she'll respond to her dose decrease and we need to be a bit extra-cautious.

Options:

1. Give 0.5IU dose this evening - you may need to monitor for many hours.

2. Give 0.25IU dose this evening and start on the 0.5IU dose in the morning - you are less likely to need to monitor throughout the cycle but there's no guarantee you won't need to stay up. (Vetsulin can be like that: with cats in better numbers, even a smaller dose may significantly drop BG numbers.)

Elizabeth and Sally, what do you think?


Mogs
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Critter Mom said:
OK,

Because we haven't got much data yet for Lily we are a bit in the dark about how she'll respond to her dose decrease and we need to be a bit extra-cautious.

Options:

1. Give 0.5IU dose this evening - you may need to monitor for many hours.

2. Give 0.25IU dose this evening and start on the 0.5IU dose in the morning - you are less likely to need to monitor throughout the cycle but there's no guarantee you won't need to stay up (Vetsulin can be like that: with cats in better numbers and even a smaller dose may significantly drop BG numbers.)

Elizabeth and Sally, what do you think?


Mogs
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I like #2 best!!
 
Okay, let's give a snack of his regular food and check in 30 min to be on the safe side :) How's that sound?
 
Oh shoot okay. When did you get that 104 reading, was that 1.5 hours after or 2 hours after?
Do you have any gravy food? If we can't test to make sure Lily's doing alright let's carb her up to be safe. 104 is good but we don't want her lower and now we can't test to see.
 
Ok, I have the food I used to feed her Urinary So, which is high in carbs. You wouldn’t believe how many strips I went through today, poor Lily but she is a trooper. I will make a Walmart run in the morning. Should I give her a little of that food before we turn in?
 
Yes, is she a grazer? Any other cats/dogs with Lily? I would prefer food be available all night for her. As we can see from earlier, she stays low much later in the cycle than most cats do on Vetsulin.
There's not much we can do if we can't test her so if you can please leave food out for her. Save a strip for the morning and check her again in another 30 min please!

On your spreadsheet, you'll want to edit your times. In the +1 cell put 166, 104 (+1.5). That shows you tested 1 hour and 1.5 hours. You'll have to color the cell blue manually.

And I think we need to stick to 0.25u in the morning.
 
I can leave some of the dry royal canin food out for her I have 5 other cats but it is ok for them to graze overnight if they want. I am so bad not sure I can get her BG with 1 and I feel like I really need to in the a.m.
 
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