Ughhh well I ordered some of the Epigen being it sounded good by #'s.. still not up on all the lingo whats the diff between 5.3% carbs on dry and ME basis? thanks
It's a different way of calculating the carbs. Well see how it goes. Let me know.
@JanetNJ
he got down to 68 on 2.75.... Don't raise the dose up.
Definite no to going back up to 3 units. Quite the reverse, in fact. Venge dropped below 90 on the 2.75IU dose today (68 nadir at +3), so he's earned another dose reduction according to the FDMB Vetsulin Guide - down to 2.5IU.
ahhh Night and thanks for all the help.. didnt know you were a pommie lol ( hope didnt offend one of my best friends is british and shes as she calls herself an Essex pommie lol)
I'm not. Try paddy in exile.
I'm not. Try paddy in exile.
I shall now bid you oĂche mhaith agus codladh sámh.
Mogs
.
( Im 51% irish lol my great grandmother use to say this to me as a wee lad pretty much the only Gaelic I know and it was odd being she wasnt the irish one she was actually almost full blooded Cherokee Indian but my Great Grandfather who came over from Ireland to work the railroads passed away in like 1918 use to say it to my grandmother and etc so she picked it up and they all said it thru that side of the family
These both hold 20 (1/2 cc)which make it harder to do small increments. Try one that holds 3/10 cc...
@JanetNJ yeah I am worried about him going hypo bad... hes still at 75 which is what he went up too after 30 mins after I gave him some karo syrup and high carb kibble... so I think hes evened out he didnt drop back down.. was hoping it would have went back up a bit more .. I am having to do paw pricks right now being his ears have NO blood being I poked him so many times today onces since pmps have been in rear pad thou when he hit 50 I did double check and squeezed out enuff from ear to see it was same at ear and paw... so now going to try and sleep.. hes been acting normal the whole time but it scares me so Im taking no chances...Good catch! You kept him from going hypo! Yep time to lower that dose! That's a good thing! It means he's improving. 2.5 this morning.. And I have a feeling another reduction is in the near future.
1: Fancy Feast chicken pate or the Salmon or any of the reg pates (I tried the tiki shredded chicken but he sorta nibbled at that not really eat much of it he is a pate cate) Feeding is normally at 12:45pmish and 12:44amish and I left him out 1/4 of a can of the pate to nibble on at about 7pmest today being he went almost hypo I have taken away the free grazing of the High carb food.. I do have a low carb food to leave out a small amount for him to graze on between can meals.. he is not a voracious eater never has been he will normally eat 1/2 of a can of (FF 1.5 oz of wet food) or 1 portion size of Little sheba (1.5oz of wet food) twice a day which but until recently he is use to then nibbling thru out the day and night but I have for the past 6 months or so tried to keep that to about 1/2 cup a day mixed urinary food and weight loss kibble (being the vet wanted him to loose weight as until I saw him start to loose weight he was 16.8lbs and when I took him in on the 20th he was 11.4 then when I took him back on fri and they found he was diabetic he had lost another lb over night from dehydration due to vomiting up all water he was gorging) .. until the last week I was feeding both cats the same thing they are now secluded apart being any food around and Nightwing will eat it ALL.. he is a eating machine...
Changing to an exclusively low carb diet can potentially drop the overall BG range by around 100 points.
I think the removal of the dry kibble for grazing is part of why Venge's dose keeps needing to be reduced.
The insulin is definitely working but because you've reduced the carb load it's taking him down to a range that's too low when the insulin is working at peak effect, and he now needs to race down the insulin dosing scale.
I strongly recommend you test for ketones ASAP, just in case this might be nausea-related behaviour (cats throwing ketones can become nauseated). See checklist of symptoms here:
After a skipped dose, in general one waits till the next scheduled shot time. It's not a straightforward thing to skip insulin for ketone-prone kitties. If preshot BG is lower than normal or if appetite is iffy, it may be possible to give a token dose of insulin. Please ask your vet to give you guidance on dosing in such a circumstance and also post for help here.
Two, possibly three, pees a day is fairly normal PROVIDED the volume of urine voided isn't excessive and PROVIDED the cat is drinking enough. With diabetics it's tricky - especially when, like Venge, they're spending time over the renal threshold (est. 200-230 on human meter). When over the renal threshold glucose is excreted in the urine and that also draws extra water out of the cat's body, creating the potential for it to become dehydrated. It's advisable to regularly check for dehydration (check gums to see if they're sticky, or pull up the loose skin round the scruff/shoulder area into a tent and release - if gums are sticky and/or skin is slow to return to normal position or remains tented then the cat is dehydrated). Excessive vomiting and diarrhoea can also lead to dehydration.
and his PMPS after no shot last night was 369.... so I gave 2 units will check him at 1 and +3 and etc thru the day and see what I get maybe being off the high carb kibble he is getting into correct area thanks to everyones help with dosing etc.. and he getting more and more annoyed with testing which is more and more like HIM lol I have been testing using paws being his ears are raw from the cycle I did the other day... I wipe with alcohol swab then blow that dry then poke him milk out a drop and test if its is weird I will go for the ear but for right now the pad seems to be working.. thou if I stay with pads I need to get a bigger lancet as I have to milk the pad to get out a good drop.. Thanks again for all the help ..
Wow glad you went all the way down to 2.... Any more and he would really be crashing. No need for Karo unless he's much lower. A little regular food should do the trick.
hes up to 65 at +30 will check him again at next +30 so maybe 59 was the low yeah what # should I really worry(when its under 70 or so I freak) and give him syrup and a lot of the high carb kibble...I just gave him about 3 big tablespoons of Friskes pate he gobbled it up, so will check him again at +30 and see how his #'s go I found the 12cc 3/10 u40 needles on amazon they got them to me over night so I can at least see better dosing now.. thanks for the suggestion
You are on a human meter so no need to worry unless you are under 50. If it's close to 50 just give some regular carb food. Under 50 you pull out the higher carb stuff. Normal on a human meter is 50-120
ok back up to 91 after the reg carb food
Good call
I didn't notice that 71 on your chart. Can you manually turn it green? The 59 in the morning, too.I did a BG test at 3 and 3+30 after the 71 to see if it was dropping (I did give him a tiny(tinyy) piece of purebites freeze dried chicken as a treat after each shot dont) the 71 shot at 3 and one after the 102 I dont think that a tiny tiny piece of the freeze dried chicken would have brought it up 31 points in 30 mins.. hopefully his bounce is leveling off with the lower doses will do one more check at +5 and will see what we get at the AMPS what should I give tomorrow at AMPS .5 or 1 and at what range
if under 200 do I shoot anything or stay at the .5
if 200 to 300 do I go to .75 or 1
if 300+ do I go 1 to 1.25
@Critter Mom @JanetNJ BTW I really appreciate all the help from yall.. being no one else seems to be chiming in or I dont know who else would be the experts to tag here yall seem to be the Alpha cats
update at +5ish BG 104 being I test at 12:30 then feed then shot at 1am/pm going to give him some food before I go to bed about 1/4 can of friskies pate for him to nibble on for till lunch.. the low carb kibble will be here today.. then I will test with that between main meals and maybe see about a feeder maybe for mid 12hr feedings of small amounts..
If it's under 200 in the morning stall without food for up to an hour and see if it's going up. If still under 200 you can decide if you want to skip or give 0.25-0.5. You did great last night! Got down to a nice Healing 71!!
Now at +9 hes at 176...
You can color or yourself.... There's a paint bucket. Select the cell and tap the bucket and pick a color to change it. I'll show a picture....
I think the 0.5 units worked well for you at 160... As long as you can test I think that worked for you. If you can't test or your nervous you could do 0.25 160-190.
yeah I can test till the cows come home.. I work for myself and I work from home (Graphic Designer/Artist) thus why I am around Vengeance 24/7 pretty much and can test unless I am trying to get some sleep lol and even then if need be Venge is more important... and fixed my SS never used google SS before soo... will do the .50 and see how the day goes will test at +3 seems to be his dropping point and then test from there... Im just glad that I found this board I hate to say it but if I had stayed on the 3 units and never tested.............
....thus why me and my vet will have to have a talk when I do take him in...
I'll be curious how he does.
I'll be curious how he does.
