Jhony
Member Since 2021
Probably this may not be the place to post this, but I’m new on this forum.
I already posted the following text on Feline Diabetes’ Facebook Group. I just need some advice from you.
My cat, Nino, was diagnotised in May and his treatment started with Caninsulin, but then it was switched to Lantus. No matter how much the insulin dose increases, his glucose levels always stay above 400. My vet wanted to give him 4 units, but I completely refused because I think my cat is overdosed and 4 units seemed totally crazy to me. In addition, he prescribed dry food for cats with gastritis (Royal Canin brand), which doesn’t have any sense because my cat doesn’t have gastritis problems.
On August 4 2021, I decided to completely remove the dry food and replace it with only low-carb wet food in hopes that his glucose level would drop to better levels. However, I keep seeing their levels stay the same. The most unfortunate thing for me is that I cannot measure his glucose during the day because my cat is not living with me. I live in England, and my cat is under the care of my mother and my sister in Portugal, and for work reasons they can only measure his glucose levels before injecting him insulin, with some exceptions on their days off.
I was on holiday a few days ago in Portugal and I was in charge of measuring my cat's glucose during the day and sometimes at night. I was very depressed not being able to do anything to lower his glucose levels and since then I have been having moments of anxiety, despite the fact that my cat has gained weight and behaves like a normal cat. Every day I expect better levels, and I feel too disappointed when I always see the same levels. I literally hate numbers over 400.
On the other hand, the day I arrived in Portugal on August 4, my sister didn’t follow my instructions and injected my cat with 2 units of lantus instead of 1 unit, which caused his levels drop to 88 at the time of inyecting him, but I didn't inject him. The next glucose level was kept at 122 without any insulin injection for 12 hours, but 24 hours later his glucose levels were over 400. The downside is that by not giving him insulin for 24 hours it caused his blood ketones to rise to 1.0 and then 1.4. I spent 4 days monitoring his ketones until the last measurement I took him was at 0.6. I was surprised that it took almost a full day to go from 88 to over 400.
Additionally, a couple of days ago we were giving him 1.75 units and his levels began to rise to more than 500, which made me suppose that he was counter-regulating and for that reason I lowered the dose to 1.5. units. The next glucose level before I could inject him was 143, which made me think that 1.75 was indeed a lot of insulin and 1.50 was still a lot of insulin. One hour later his glucose rose to more than 370. Probably was a mistake not continue giving him 1.50 units for at least one week, but I was worried because his glucose level dropped from 448 to 143, and I assumed it was probably lower during the day.
The few times that we have measured my cat's glucose during the day (+3, +6 or +8), his nadir behave very strangely. I have read that with Lantus the nadir can occur 6 hours later, but in my cat I have noticed that it can be at any time, even a few minutes after the injection or even after 08 hours because I don´t find sense that sometimes at +6 his glucose level has dropped to 300 and by the next measurement may be above 500 even if I gave him a low carb wet meal.
I'm not an expert on this feline diabetes, but you have no idea how much information I read on a daily basis trying to understand because I can't get my cat's glucose levels down. My cat is a healthy cat: no pancreatitis, no liver or kidney problems, much less thyroid. Only diabetes drives me crazy.
I hope you can give me some advice or "enlighten me" to know what else I can do.
I think you can see my Cat’s Spreadsheet in my signature. If not, you can see it here: https://docs.google.com/spreadsheets/d/10mKkIL--RoltEHU7UzwvbvZT4Raa3w43EQp0rszzHyU/edit
PD 1: Sorry for my English because it is not my first language.
PD 2: May cat is a big cat who eat between 400 grams and 500 grams of wet food, plus some sardines and chicken as a complement. His weight is about 7 kilograms, but not obese. Actually he lost 3 kg due to diabetes, and then gained 1 Kg. He is now getting 1.40 units of Lantus.
I already posted the following text on Feline Diabetes’ Facebook Group. I just need some advice from you.
My cat, Nino, was diagnotised in May and his treatment started with Caninsulin, but then it was switched to Lantus. No matter how much the insulin dose increases, his glucose levels always stay above 400. My vet wanted to give him 4 units, but I completely refused because I think my cat is overdosed and 4 units seemed totally crazy to me. In addition, he prescribed dry food for cats with gastritis (Royal Canin brand), which doesn’t have any sense because my cat doesn’t have gastritis problems.
On August 4 2021, I decided to completely remove the dry food and replace it with only low-carb wet food in hopes that his glucose level would drop to better levels. However, I keep seeing their levels stay the same. The most unfortunate thing for me is that I cannot measure his glucose during the day because my cat is not living with me. I live in England, and my cat is under the care of my mother and my sister in Portugal, and for work reasons they can only measure his glucose levels before injecting him insulin, with some exceptions on their days off.
I was on holiday a few days ago in Portugal and I was in charge of measuring my cat's glucose during the day and sometimes at night. I was very depressed not being able to do anything to lower his glucose levels and since then I have been having moments of anxiety, despite the fact that my cat has gained weight and behaves like a normal cat. Every day I expect better levels, and I feel too disappointed when I always see the same levels. I literally hate numbers over 400.
On the other hand, the day I arrived in Portugal on August 4, my sister didn’t follow my instructions and injected my cat with 2 units of lantus instead of 1 unit, which caused his levels drop to 88 at the time of inyecting him, but I didn't inject him. The next glucose level was kept at 122 without any insulin injection for 12 hours, but 24 hours later his glucose levels were over 400. The downside is that by not giving him insulin for 24 hours it caused his blood ketones to rise to 1.0 and then 1.4. I spent 4 days monitoring his ketones until the last measurement I took him was at 0.6. I was surprised that it took almost a full day to go from 88 to over 400.
Additionally, a couple of days ago we were giving him 1.75 units and his levels began to rise to more than 500, which made me suppose that he was counter-regulating and for that reason I lowered the dose to 1.5. units. The next glucose level before I could inject him was 143, which made me think that 1.75 was indeed a lot of insulin and 1.50 was still a lot of insulin. One hour later his glucose rose to more than 370. Probably was a mistake not continue giving him 1.50 units for at least one week, but I was worried because his glucose level dropped from 448 to 143, and I assumed it was probably lower during the day.
The few times that we have measured my cat's glucose during the day (+3, +6 or +8), his nadir behave very strangely. I have read that with Lantus the nadir can occur 6 hours later, but in my cat I have noticed that it can be at any time, even a few minutes after the injection or even after 08 hours because I don´t find sense that sometimes at +6 his glucose level has dropped to 300 and by the next measurement may be above 500 even if I gave him a low carb wet meal.
I'm not an expert on this feline diabetes, but you have no idea how much information I read on a daily basis trying to understand because I can't get my cat's glucose levels down. My cat is a healthy cat: no pancreatitis, no liver or kidney problems, much less thyroid. Only diabetes drives me crazy.
I hope you can give me some advice or "enlighten me" to know what else I can do.
I think you can see my Cat’s Spreadsheet in my signature. If not, you can see it here: https://docs.google.com/spreadsheets/d/10mKkIL--RoltEHU7UzwvbvZT4Raa3w43EQp0rszzHyU/edit
PD 1: Sorry for my English because it is not my first language.
PD 2: May cat is a big cat who eat between 400 grams and 500 grams of wet food, plus some sardines and chicken as a complement. His weight is about 7 kilograms, but not obese. Actually he lost 3 kg due to diabetes, and then gained 1 Kg. He is now getting 1.40 units of Lantus.
.