New member, 1.28.20 - *LESS* Stressed Out Momma

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How are you going with the spreadsheet?

I am thinking it would be a good idea to reduce the dose down to 0.5 units because of the drop to 93 @+3 and also because you think some of the insulin did not go in at the last preshot.
Usually they don't like you to drop below 90 on vetsulin, especially early on in the journey before you have much data.
Do you think you could draw up 0.5 units ok? It is half way between the 0 units and 1 unit?

Do you know if there the vet mentioned ketones at diagnosis?

As you are new to FD it is also recommmended you don't give any insulin if the BG level is under. 200.
If this happens......stall, don't feed, and post and ask for help. Then test 20 mins later to see if it is rising.
Change your subject line to say......' preshot xxx, stalling, HELP'

Do you have some higher carb food and some honey or karo I. Case of low numbers?
 
Just took my AMPS it read 161 mg. This would be right at the +12 from the “maybe” shot. Going to wait 20 mins and check again. What do I do if it’s still below 200? She’s acting hungry but normal other wise.
 
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Second AMPS after stalling is 184 (+12 “maybe” shot). Do I feed and do maybe 1/2 unit?

A dilemma is I have to leave the house in +1
 
Ok thanks.
I would skip the dose as the preshot is under 200 and you are only a few days into the journey.
So feed MooMoo as normal.
See what he is tonight and if he is over 200 give the 0.5 u and make sure you test a couple of times at least until +5.
But for now skip the shot.
So glad you are testing the BGs
 
Remember that we reduced the dose of Vetsulin insulin down to 0.5 units because of the 93 this morning so your dose moving forward is 0.5 units.
Have you managed to get the SS set up yet. If you need help just ask
 
Okay, thank you so much!!! I’ll only be able to test around +4/+5 when I come home on lunch. Should she be okay until then?
 
MooMoo said:
Okay, thank you so much!!! I’ll only be able to test around +4/+5 when I come home on lunch. Should she be okay until then?
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It is not really necessary to test during this cycle because you are not giving the insulin. I mean the cycles when you do give insulin to test up until at least +5 and maybe longer depending on the BG. Does that make sense?
 
It does. If her BG is high when I check her at lunch (+4 from now) say <300+, I should just wait until her normal +12 time to do the next shot, correct? from what I’m leaving it’s better to be high or a bit than risk tanning down low, I think.

Have if the meter is helping a lot at understanding what’s going on. Again thank you for your help!
 
No, you don't give insulin during the cycle, you just wait until the next shot is due. If you gave it at lunchtime (after you had skipped the shot) you would then be way out in your 12 hour shooting schedule.
Also never give a dose again if you think you might have missed the shot as you gave it. We call that a fur shot....we all give them from time to time but it is too risky to give more as some almost always gets in.
Yes having the meter makes it so much easier and safer.
It's better to be a bit high than too low.
I'm off to bed. It's late here. See you tomorrow!
 
Bron and Sheba (GA) said:
No, you don't give insulin during the cycle, you just wait until the next shot is due. If you gave it at lunchtime (after you had skipped the shot) you would then be way out in your 12 hour shooting schedule.
Also never give a dose again if you think you might have missed the shot as you gave it. We call that a fur shot....we all give them from time to time but it is too risky to give more as some almost always gets in.
Yes having the meter makes it so much easier and safer.
It's better to be a bit high than too low.
I'm off to bed. It's late here. See you tomorrow!
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Thank you again!!
 
HELP!!!! Please give me some info so I can suggest a lower appropriate dose of the Vetsulin.

1. Urgent that you test before every shot.
2. Please keep your SS updated.
3. Please seriously consider dropping the Vetsulin dose down dramatically. SS not updated so don't know what you have shot for the last few days.

BUT until you are home testing more, it can be dangerous to change the food to lower carb too quickly. BG readings may drop 100 points or more. It's likely why MooMoo had that PMPS of 161 last night. We want to avoid a hypo with MooMoo.

The Rachel Ray Peak canned food ingredients look reasonably good. Did not see much in the way of unnecessary carb sources such as grains (corn, wheat, soy, rice), peas, potatoes, tapioca, cassava, beans. Looks reasonable from looking at the label.

Ran the guaranteed analysis (GA) min/max percents listed on the chewy .com website through a basic cat food carb calculator.
Roughly, carbs are around 2.5%. Some cats need more and actually do better on higher carbs. We'll have to see.

The Rachel Ray Peak dry food ingredients look horrible, loaded with carbs. Such as carb sources such as dried peas, pea protein, tapioca, dried sweet potato, dried beet pulp. Looks horrible for a diabetic cat from looking at the ingredients list.

Ran the guaranteed analysis (GA) min/max percents listed on the chewy .com website through a basic cat food carb calculator.
Roughly, carbs are around 29%. WAY too high for a diabetic cat.

PLEASE, DO NOT CHANGE THE FOOD ANYMORE AT THIS TIME UNTIL YOU HAVE MORE BG TEST NUMBERS
 
Deb & Wink said:
HELP!!!! Please give me some info so I can suggest a lower appropriate dose of the Vetsulin.

1. Urgent that you test before every shot.
2. Please keep your SS updated.
3. Please seriously consider dropping the Vetsulin dose down dramatically. SS not updated so don't know what you have shot for the last few days.

BUT until you are home testing more, it can be dangerous to change the food to lower carb too quickly. BG readings may drop 100 points or more. It's likely why MooMoo had that PMPS of 161 last night. We want to avoid a hypo with MooMoo.

The Rachel Ray Peak canned food ingredients look reasonably good. Did not see much in the way of unnecessary carb sources such as grains (corn, wheat, soy, rice), peas, potatoes, tapioca, cassava, beans. Looks reasonable from looking at the label.

Ran the guaranteed analysis (GA) min/max percents listed on the chewy .com website through a basic cat food carb calculator.
Roughly, carbs are around 2.5%. Some cats need more and actually do better on higher carbs. We'll have to see.

The Rachel Ray Peak dry food ingredients look horrible, loaded with carbs. Such as carb sources such as dried peas, pea protein, tapioca, dried sweet potato, dried beet pulp. Looks horrible for a diabetic cat from looking at the ingredients list.

Ran the guaranteed analysis (GA) min/max percents listed on the chewy .com website through a basic cat food carb calculator.
Roughly, carbs are around 29%. WAY too high for a diabetic cat.

PLEASE, DO NOT CHANGE THE FOOD ANYMORE AT THIS TIME UNTIL YOU HAVE MORE BG TEST NUMBERS
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I'm working on my SS now, it should be showing up.
I've been advised to drop to a 0.5 dosage by @Bron and Sheba (GA) - but no AM shot today as her BG test tested twice under 200.
I'd like to move into feeding only wet food eventually, I haven't mixed in a full wet RR peak with the dry yet, mainly just the juices. Should I keep doing that or just stop with the wet completely for now?
 
MooMoo said:
I'd like to move into feeding only wet food eventually, I haven't mixed in a full wet RR peak with the dry yet, mainly just the juices. Should I keep doing that or just stop with the wet completely for now?
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Good question. What were the BG readings that you got this morning, the 2 under 200?
 
Just did a BG test +5 after the AM no shot and she’s at 151 mg.

I’m so confused. I assumed it would be way high.
 
Sorry 161 mg/dL and then 184 mg/dL

and the BG test I just did was +5 after AM no shot and it was 151 mg/dL
 
It means we both posted at the exact same time. So you might not notice something had been said and need to go back and check for previous replies in your thread. Always a good idea.
 
Afternoon everyone! I just wanted to post a little update.
I've got in touch with another vet and will be going in tomorrow for a consult with Moo Moo. I told them about the original units prescribed and her current level reading, they have advised me to not give her any more shots until my appointment unless her levels are reading extremely high. I'll be doing the PMPS later as well as some periodic readings as the vet suggested. I'll post it to my SS.

Thank you all again for your help, without y'all I'd still be crying on the floor, lost. I'm still lost but a little more comfortable! haha.
 
Deb & Wink said:
If you add your time zone to your signature, that helps us a bit. For instance, I have EST (GMT -5). That cues people in that I live on the east coast US (from the EST) The GMT -5 means I'm 5 hours earlier than the time in London suburb of Greenwich. Can help when assisting people in the UK and Europe. Or maybe not.
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Deb, time zones don’t mean anything to us who are not in the US. The best thing is for people to use the +number of hours since insulin and then we all know exactly where we are. :)
 
MooMoo said:
Afternoon everyone! I just wanted to post a little update.
I've got in touch with another vet and will be going in tomorrow for a consult with Moo Moo. I told them about the original units prescribed and her current level reading, they have advised me to not give her any more shots until my appointment unless her levels are reading extremely high. I'll be doing the PMPS later as well as some periodic readings as the vet suggested. I'll post it to my SS.

Thank you all again for your help, without y'all I'd still be crying on the floor, lost. I'm still lost but a little more comfortable! haha.
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I hope the new vet is good. Ask about swapping to Lantus or levemir insulin. They are longer lasting insulins and much better for cats.
I would also swap over to a low carb canned food. You will find that it will drop the BGs lower. Fancy Feast pates are low carb.
I will send you a link to other low carb foods as well below.

Well done setting up the SS. It looks great. In the ‘number of insulin units given column’ where you have a ? Can you put “? Fur shot” please? Then we will know you have the shot but it possibly didn’t get in. Thanks.
Please let us know how you get on at the new vet.
Just a FYI ....cats need to be in numbers under 100 to have a strong remission...... just telling you this incase the vet says MooMoo doesn’t need any more insulin. He may not but he needs to be monitored and the dose reduced further if appropriate.

look for foods 10% carbs or under
https://catinfo.org/docs/CatFoodProteinFatCarbPhosphorusChart.pdf
 
Bron and Sheba (GA) said:
Deb, time zones don’t mean anything to us who are not in the US. The best thing is for people to use the +number of hours since insulin and then we all know exactly where we are.
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Not really USA only try since Deb gave both the USA time (EST) zone terminology and the international (GMT-5): "I have EST (GMT -5)"
 
Deb & Wink said:
I think both are helpful.

Why? Because if I see the + BG readings, but have no ideas where the member lives, knowing their time zone can help me decide if I'm able to stay with them and help in case of a hypo or suspected low number situation.
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Larry and Kitties said:
Not really USA only try since Deb gave both the USA time (EST) zone terminology and the international (GMT-5): "I have EST (GMT -5)"
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Hi Deb,
I get how the time zone may help you in some situations :) but the accepted way here of identifying where we are up to in the cycle is to use the + numbers of hours since last dose of insulin, so that should always be encouraged. Bron
 
MooMoo, Please remove your time zone and country from your user "signature". I mistakenly asked for you to include that info and it should not be there. Thanks and apologies for the confusion.
 
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