Need help with understanding numbers.

Linnie

Member
Hi guys. Please check out this thread for further context and my SS.

I’m on my wits end I feel. Starting to show severe health issues myself, due to the anxiety of Kimberly. (And ‘funnily’ enough I show the same symptoms as her. We are kind of like intertwined like that.)

I’m autistic. Kimberly came into my life at 5 weeks old. They needed a babysitter for a few days. I, myself, had suffered a severe head trauma that left me in a terrible depression. I had nothing to live for at that moment. But a cat needing emergency? I’ll always help.
They came in with her at 2 am in the morning. Said they found her in a sewer in the pipe where they flushed toilets. I don’t really believe that. A few days later, when they were supposed to pick her up, they had blocked me EVERYWHERE.
She was great company, but for sure someone was missing her, right?
No. Noone. Noone wanted her, even the shelters.
And I unfortunately, knew that feeling. But fortunately for us both, I knew that feeling.

“If nobody wants you, I want you.” I told her, and now she is 10 years old. She got me out of bed and found meaning in life again. I asked everyone and their mom and my vet of guidance, and they all told me to put her down because she didn’t have a cat mom to raise her and has been rather aggressive. At the vet she was never aggressive though. I used all my time on her the past 10 years. I trained her, she can do alot of tricks now. I held her every step of the way through
multiple surgeries in her early years (FORL / teeth pulls). She saw me find love and get heartbroken. Watched my siblings have babies. But most importantly, she made me feel love again. Feel everything.

I’m still not sure who saved who.

Anyway.

She was diagnosed the 8th of october and it has been a weird ride ever since.

The posts will explain everything.
But TLDR; her numbers are fluctuating extremely to the point where it’s difficult to give insulin.

Maybe someone can help this complex case?
I promised her I’d never give up. And I won’t. But I need sleep soon lol
 
Hello. As soon as I get home I will give your concerns their proper attention and I will reply :bighug::)
Thank you so much. It’s 10 pm here (an hour after you replied) and I’ll do one or two tests before I go to bed and keep updating the SS.

I’m starting to see a little pattern - only the last two days so I won’t really call it a pattern - of her having low insuline, then after a meal she will slowly rise in BS, up till 15 numbers mmol, then she will drop after 5 ish hours and then repeat.
But the number she falls back on is way too low.

I gave her a micro dose of honey tonight (vets orders…)
 
The last numbers I see are all quite high. Have you seen any more of the low numbers?
I’m sorry I haven’t responded.

We ended up going to the vet hospital and did several tests on her.

They’re not sure but they found a mass near her pancreas - it could be cancer, or just an infection, but they can’t see till her glucose is stable. Same for biopsy of lymph nodes.

Her numbers are still going crazy. Today she had a lower number, way more than usual, so she got a different dosis. She’s been acting high BG all day. So that wasn’t enough…

Not a single vet understands her… She does respond to insulin, but not in a predictable way.
No ketones. Nothing…

I just found my first grey hair ever yesterday. Lol. I’m super stressed out from it all. I just go day by day now. But she sleeps alot. I still hate the BG monitor. Honestly I feel like it’s pure trash. Same as the insulin. Keep having a feeling it’s all placebo cause nothing is working. Even after her insulin the monitor will read 3 different things with minutes in between. And I don’t mean close numbers - as far as part as possible. I do fear it’s not diabetes anymore…
 
I really think it would be worth trying a human glucose meter.
Wow I am so sorry that you are going through this. It hurts my heart to think of how worried and stressed and helpless you must be. Hug.

So they did an ultrasound and saw a mass near her pancreas? I hope the vet who did the ultrasound is very experienced. I have had a lot of false diagnoses from ultrasounds on my own cats. I have been told of the possibility of cancer and I have stressed and mourned over it — only to do a biopsy later and find out it was not cancer at all. However, I hope if there is the possibility of an infection that she is on a course of antibiotics? Infection will cause insulin resistance (high numbers/poor response to insulin.). Inflammation (cancer, arthritis, teeth, unspecified infections, etc.) also can cause insulin resistance.
 
Oh my. I just saw your spreadsheet remarks about Senvelgo or a Libre. I was going to suggest the possibility of a Libre sensor (which you soon would be able to place on her yourself.). However, with regard to Senvelgo, since she has already been on insulin, I would not risk it. I am trying to think of a tactful way to say this, but it is more important to be direct — we have had several cats here on the Board who have died of DKA after starting Senvelgo after having been on insulin first. Let me link our informational sticky note on this topic for you so that you can be informed. But I think you decided against it?

https://felinediabetes.com/FDMB/threads/new-treatments-for-feline-diabetes.284791/#post-3134724
 
I replied to your question in the Health forum about using the u-100 syringes with the ProZinc. I hope it all made sense?
 
Finally, I do think a Libre would be a good idea for you, as it looks like you are not able to get that many tests and there are very few at night. We don’t have a clear picture of what is actually going on with Kimberly. A Libre could give us just about 24 hour data.
I hope you won’t be mad at me for saying this, but as I look at her spreadsheet, I don’t understand why her dose is changing so much. I can’t always see the reason for it. I think it is much better to select a tested dosing protocol and to follow the guidelines for increases and reductions. This takes guesswork out of the picture. Sometimes with ProZinc we do need to make a decision (hopefully based on previous spreadsheet data, but it’s not always available) about shooting a reduced dose for a particular cycle due to a lower than expected preshot BG test, but generally speaking we will follow the protocol. The protocols sometimes need to be adapted to the individual cat, and they can be. I frequently recommend modifications for specific cats and situations. Anyway, that’s my two cents worth. :)
 
Back
Top