New to Board

Status
Not open for further replies.

AggieNuke14

New Member
Hello,

I have been creeping on FDMB for nearly 2 years now. My cat was diagnosed in August 2022. We started with a vet who gave us very limited information and seemed very uninterested in our cat after his first BSC was "good." We were given no further instructions except to continue on at 2u of Lantus.

May 2023 he began displaying symptoms again (lots of pee, peeing outside of box, etc). All the weight he had gained back was lost. We switched vets. Our vet clinic just had 2 vets go do additional training in feline diabetes management at a University vet school. The new vet started us over on 1u and his numbers were always iffy those sometimes looked really good but his appetite was low. She also encourages home testing. She calls a feline endocrinology specialist for help. She doesn't cringe when I saw "I read on Feline diabetes forum..." She doesn't make us come in for visits and will just monitor from our google sheet (I'm sorry I have a different one from y'all that I got from a facebook group--- I had to unfollow because it wasn't great for my mental being)

Over 2023 we slowly went up from 1u to back to 2u. In October '23 and February '24 we have confirmed cases of pancreatitis. In April '24 we had another suspected case. All were able to be managed at home. By February he had gained his 2lbs he had lost between December 22 and May 23.

Now since April he has started to become symptomatic again (tons of pee, extra hungry). I have been consistently getting "high flat" curves for awhile (nearly January). His vet has been hesitant to change to his dose since he was sick so much this year. We brought him in to her at the end of May and he had lost nearly 1.5 lbs (he's only typically a 12 lb cat!) We had been on an extended vacation where he was home with others. We gave it a month and there was no change. I couldn't in my mind handle the amount of at home testing she wanted me to do so we tried the free style libre (he ripped both of them off).

His vet and I spoke on July 19 before she went on a vacation and she wanted me to continue at 2u, weigh him and do as much testing as I/Loki could tolerate. By the end of the week last week I was still getting high flat numbers. So I on my own changed his dose to 2.5u. If you look at the spreadsheet you will see why I am here... I know we have not gotten to 6 cycles on the new dose but the sudden high numbers have me freaked out. Loki's vet finally gets back from vacation tomorrow. But I am finally breaking down and posting here.

We've been so successful in a way the last 2 years. He was maintaining weight. He was playing and he was very much his old self. Most symptoms went away (peeing outside of the box probably is half diabetes and half behavioral). He's never had neuropathy. But now things seem way out of whack with symptoms all over the place. Hunger and thirst have been increasing a lot lately. He'll just pee straight on the floor in front of us. When he did this in front of us for the third time in 3 days was when we decided to change his dose to 2.5u.

Is there some chance we need to just start all the way over? Start at 0.5u and go from there? I plan to ask our vet tomorrow. I have a note in with her to look at his sheet and give me a call. She always responses very quickly.
 
Is there some chance we need to just start all the way over?
No, starting over or "resets" as some FB group calls it usually doesn't work, unless a cat was put on too high a dose to start, no home testing was done, or dose increases were too big. You've done enough testing the last little while to show that his dose is not too much. If it were, you'd see his numbers plunge down at some point. They haven't.

I see only 4 cycles at this dose so far. There is a phenomenon we call New Dose Wonkiness with the depot insulins that an cause a couple cycles of higher numbers just after the increase. But he should be over that by now.

Dropping a dose can also make things worse. Cats can get a condition called glucose toxicity - sounds bad, but basically means their bodies get used to higher numbers and you have to increase the dose to get around it. And worse case, dropping a dose can invite ketones.

Has Loki had blood work done lately? There are other conditions that our older cats sometimes get (treatable) that can cause some insulin resistance and the need for a higher dose. I'm thinking of hyperthyroidism or chronic kidney disease specifically.
 
Has Loki had blood work done lately? There are other conditions that our older cats sometimes get (treatable) that can cause some insulin resistance and the need for a higher dose. I'm thinking of hyperthyroidism or chronic kidney disease specifically.

He got a full senior CBC panel plus pancreatitis blood work in February which I know included thyroid and kidneys and all was good except his pancreas. In May we did pancreatitis and urinalysis and all was clear.

February was definitely the onset of occasionally being “symptomatic” and it going away. We used to go longer periods of time between “episodes.” Like when I talked to his vet on the 19th he was eating like normal. His urine had decreased and overall seems happier. So we thought it was all stress related from our trip. But not a week later the urine started to increase, urinating outside the box became daily (up to 4 times a day) and his appetite is insatiable. However, I’m happy to report he’s gained weight somehow through this!
 
Last edited:
Yes, I actually have the SLGS instructions in a tab in my spreadsheet as a reference. Not that I have utilized it outside of general knowledge and away to keep tabs on when I should call the vet. I typically don’t have the time to dedicate to TR. My husband and I both have an odd opportunity to work from home a large portion of the next month so my husband and I can dedicate more time to adjusting his dose.

I assume we should increase by 0.25-0.5u. There is a part of me that wants to swap tonight but another part wants to wait and talk to our vet. I know my husband would prefer we wait to speak to the vet(other reasons why SLGS would work better for us).

The number of pinks on 2.5u v 2u still baffles me. That’s really got me hesitant to change anything.
 
I see two cycles with lots of pinks out of four. NDW (New dose wonkiness) lasts a couple cycles. Some cats take more than 4 cycles to show what a new dose can do on Lantus. Lantus teaches patience.

If you could put SLGS in the signature, that'd be great.
 
I see two cycles with lots of pinks out of four. NDW (New dose wonkiness) lasts a couple cycles. Some cats take more than 4 cycles to show what a new dose can do on Lantus. Lantus teaches patience.

If you could put SLGS in the signature, that'd be great.

added to signature.

So we should just hold the 2.5u for longer? I imagine this is why our vet has always told us to take a break from doing curves after a dose change till day 4. Seeing the pinks freaks me out. Seeing too much data also triggers my medical/illness anxiety so I have to tread lightly. This is why I have been a board creeper for years and not member. Also why I left all the FD “support” groups on Facebook.
 
Last edited:
If you are following SLGS for dosing, you stay with this dose for 7 days. You don't need to rush the process. We call feline diabetes a marathon, not a sprint. You are doing great. :bighug:

imagine this is why our vet has always told us to take a break from doing curves after a dose change till day 4.
Some kitties show you what a dose can do earlier than day 4. A tip for you, if you test around +2 and the blood glucose is higher than the preshot, it'll be a quiet cycle and you can take a break in testing. That would have reduced your testing amount today. However, if you test around +2 and it's quite a bit lower than preshot, more testing is needed.
 
What would we consider “quite a bit lower” at the 2 hr mark. It’s been a long time since I’ve seen much of a change greater than 30-50 points at hr 2.
 
Status
Not open for further replies.
Back
Top