We've had a difficult day so far, and it seemed as if the FDMB was down or I would have posted much earlier.
Puma has not had insulin in 4 days - last dose was 0.5 U of PZI U100 at breakfast on 7/18. This morning his BG was 55 pre breakfast but he was acting his normal self. He ate a normal breakfast - almost a full cann of FF. Since it's Sunday, I could check BGs in the day and when I checked 2 hour later I was shocked to find it only 44. He was still acting fine, maybe a bit lazy but who knows, our cats often lie around sleepily much of the day. We fed more food, and some higher carb treats, and kept checking and it was getting no better. Took him to the vet - different vet, our local Banfield Pet Hospital, first time we'd been there. Don't know how much was stress, but his BG on their glucometer was up to 87 and same blood sample was 68 at the same time on ours. We're using a Relion micro meter from Walmart.
Anyway, our vet's advice was that our meter may not be as accurate for cats as for humans, and is likely to be testing lower than Puma really is, especially since he has no apparent hypo symptoms. She recommended monitoring him closely for behavior, and watching the BG trends. She also recommended a prescription diet, suggested we try to make food available often, and I picked up some cans of Hills PD r/d which so far Puma won't even sniff. The hard thing with that is that we have 4 cats, they've all become great fans of FF in the last couple of weeks. The vet suggested that high fiber would slow absorption and be more gentle to his recovering pancreas.
Has anyone else seen low BG trends off insulin? What have you done to monitor? What have you done to treat? My crazy theory is that his pancreas is now over-responding and releasing too much insulin, his regulatory system has gone a bit wild and he's not fine-tuned. What should I do about his diet?
Jane
and Puma
Puma's SS: https://docs.google.com/spreadsheet/ccc ... li=1#gid=0
Puma has not had insulin in 4 days - last dose was 0.5 U of PZI U100 at breakfast on 7/18. This morning his BG was 55 pre breakfast but he was acting his normal self. He ate a normal breakfast - almost a full cann of FF. Since it's Sunday, I could check BGs in the day and when I checked 2 hour later I was shocked to find it only 44. He was still acting fine, maybe a bit lazy but who knows, our cats often lie around sleepily much of the day. We fed more food, and some higher carb treats, and kept checking and it was getting no better. Took him to the vet - different vet, our local Banfield Pet Hospital, first time we'd been there. Don't know how much was stress, but his BG on their glucometer was up to 87 and same blood sample was 68 at the same time on ours. We're using a Relion micro meter from Walmart.
Anyway, our vet's advice was that our meter may not be as accurate for cats as for humans, and is likely to be testing lower than Puma really is, especially since he has no apparent hypo symptoms. She recommended monitoring him closely for behavior, and watching the BG trends. She also recommended a prescription diet, suggested we try to make food available often, and I picked up some cans of Hills PD r/d which so far Puma won't even sniff. The hard thing with that is that we have 4 cats, they've all become great fans of FF in the last couple of weeks. The vet suggested that high fiber would slow absorption and be more gentle to his recovering pancreas.
Has anyone else seen low BG trends off insulin? What have you done to monitor? What have you done to treat? My crazy theory is that his pancreas is now over-responding and releasing too much insulin, his regulatory system has gone a bit wild and he's not fine-tuned. What should I do about his diet?
Jane
and Puma
Puma's SS: https://docs.google.com/spreadsheet/ccc ... li=1#gid=0