Newly Diabetic....DKA x2

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Have you asked your husband about learning to home test?
We've tried multiple times over the past week and she absolutely isn't having any part of it even with her Gabapentin. She's a finicky lady with mostly everything in existence. I spoke to our vet about the Libre and it isn't completely off the table, but she's afraid with her grooming habits it'll get displaced even with a shirt/onsie
 
I arrive home an an hour before AMPS.
I think all you can do when you work during pm cycle is get a test close to when you leave to see the BG is not too low to shoot the PMPS and if concerned, post and ask for help. It’s not ideal but you have to work with what you have got.
Does your husband give snacks during the PM cycle?
Do you have an automatic timed feeder he can use during the night.

2+ 293 I caught her on my dresser ripping a bag of Friskies treats open so I'm sure she helped herself to a few :arghh: shes never even been on my dresser but
They always find the treats!
 
I think all you can do when you work during pm cycle is get a test close to when you leave to see the BG is not too low to shoot the PMPS and if concerned, post and ask for help. It’s not ideal but you have to work with what you have got.
Does your husband give snacks during the PM cycle?
Do you have an automatic timed feeder he can use during the night.


They always find the treats!
I leave the canned food for her dinner on the counter when I leave for work and my husband mixes it with water and gives it to her with her shot (I draw it up before I leave and leave it in the fridge). I have an automatic feeder for wet food that has 6 slots so it goes every 2 hours until the 2 hour fasting window. If I've learned anything during all this it's to do the best we can with what we have thats for sure!
 
I think all you can do when you work during pm cycle is get a test close to when you leave to see the BG is not too low to shoot the PMPS and if concerned, post and ask for help. It’s not ideal but you have to work with what you have got.
Does your husband give snacks during the PM cycle?
Do you have an automatic timed feeder he can use during the night.


They always find the treats!
Shes never been a climber, but desperate times I guess
 
+1 581, I'll keep her spreadsheet updated until I go to bed in a few hours. She had loose stool about an hour before PMPS, but she is currently refusing the same food more than twice in a row regardless of any toppers I try which is driving me absolutely bananas. With the bounce we just wait it out and let her body adjust to the lower numbers correct??
 
Is that the dose you usually give her?
The Zofran we normally do 1 mg if needed. She still refused to eat or drink after an hour (she hasn't eaten or drank since 11 pm EST) so I gave her 100 ml of Subcutaneous fluids. Her heart appeared normal on her ultrasound. My vet had given them to me just in case with her 2 episodes of high ketones.
 
Well our lab work looks worse since 12/11.....
12/11: Fructosamine 330, now 407
Creatinine 1.2, Now 2.8
BUN 40, now 76

we're running urine right now....it's a rough morning
 
Ondansetron dosing is 0.5-1.0 mg/kg of cat given 3-4 times a day. It doesn't last a long time in the cat. For a 9 pound cat (which my non diabetic now weighs :)) that is 4 kg, so you can give 2 mg or even 4 mg if the 2 doesn't work. My previous cat Neko got too small a dose of ondanestron, but that was before the 2016 guidelines were published. If vomiting you can also give Cerenia, or it's generic maropitant which is now available in the US, you can give 2mg/kg of cat once a day.

Glad you are researching the food. I had a kitty diagnosed with idiopathic cystitis, which also meant crystals, one week after Neko's FD diagnosis, so I had to find a food that both could eat - Neko would bully him for his high carb "urinary" food. :rolleyes: His vet suggested raw, but the key turned out to be low carb/low phosphorus with lots of water added. Cerenia helped too, with it's side effect of helping inflammation. And also supplements to help his bladder wall, Cosequin is what I started with.
 
Well our lab work looks worse since 12/11.....
Ondansetron dosing is 0.5-1.0 mg/kg of cat given 3-4 times a day. It doesn't last a long time in the cat. For a 9 pound cat (which my non diabetic now weighs :)) that is 4 kg, so you can give 2 mg or even 4 mg if the 2 doesn't work. My previous cat Neko got too small a dose of ondanestron, but that was before the 2016 guidelines were published. If vomiting you can also give Cerenia, or it's generic maropitant which is now available in the US, you can give 2mg/kg of cat once a day.

Glad you are researching the food. I had a kitty diagnosed with idiopathic cystitis, which also meant crystals, one week after Neko's FD diagnosis, so I had to find a food that both could eat - Neko would bully him for his high carb "urinary" food. :rolleyes: His vet suggested raw, but the key turned out to be low carb/low phosphorus with lots of water added. Cerenia helped too, with it's side effect of helping inflammation. And also supplements to help his bladder wall, Cosequin is what I started with.
We just finished a coarse of Cerenia last week. Are there any low carb/low phos foods you'd recommend?? We did Cosequin for a short time and she had another bout if ketones so we peeled it off
 
Are there any low carb/low phos foods you'd recommend?? We
Just a suggestion. Weruva.com
You might want to try Weruva Pates
low carb/ low phosphorus
if you tap on this link and look at post #32 I listed some Weruva pates for another member that's low carb/ low phosphorus with kitties with CKD
https://felinediabetes.com/FDMB/threads/new-member-11-8-and-i-am-tired.283363/#post-3124085

You want the metabolizable energy profile percentage of carbs to be less than 10%, and the phosphorus which Weruva lists in Minerals to be less than 250 mg per 100 cals. So you have to look at two different places in the Weruva charts. This is where I was told where to look by a member. On the Weruva on the left are 3 lines click that and then click on cat foods , when you pick one to look at click on it then click on click on click to view Detailed Nutrition Information


You can even check out the soulistic pates
https://www.soulisticpet.com/pate
When you click on one of the flavors then click on
COMPLETE NUTRITIONAL INFORMATION (link to page)
and look at the same two places like on the weruva
 
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@AshC
I think you can start posting on the Lantus Board starting tomorrow. We like you to post everyday.
You can introduce yourself and Esme and say it's your first post on the Lantus Board, that you were posting on the Health Board before
We have a certain way to post there , put in your title
Date Esme AMPS # and any additional tests after that. Continue with the PMPS # and any additional tests after that
To add the tests tap on the words Tool thread to the right then tap on Edit Title, add those tests then tap save

We always link your previous days post to your new ones .

To link your previous posts
Your previous days post will always be in the URL all the way up top ignore where it says insert or cancel I'm just trying to show you where your previous days post will be
Just ignore where it says insert and cancel
Just copy your previous days post and then paste it when you do your new post new thread





Like I said
your previous days post it will be the one all the way up top, above the pic of that cat and the picture of a bottle of insulin there, let me know if you understand it. I hope so :cat:

You will post everyday and link your previous days post to your new one.
So if you post on the Lantus Board tomorrow you will link this post to it

https://felinediabetes.com/FDMB/threads/newly-diabetic-dka-x2.296331/#post-3232048

Link to the Lantus Board to the right post new thread
https://felinediabetes.com/FDMB/forums/lantus-levemir-biosimilars.9/
 
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