Once again - with new account

Cris & Wolvi

Cris & Wolvi

Active Member
Hi everyone

My cat Wolvi was first diagnosed with diabetes in April 2019 and after 5 months he was in remission (you can check his SS).

We were here at that time (Bobi we have several nicknames for him ;)) but with a mail that I have no longer so I decided to make another account.

He is a 10 years old big cat but not overweight (around 9,7 kg).

I would like to say that I have other cats and they all eat dry (I have microchip feeders because I have a renal cat too) and twice a day wet food.

In 2019 we made him several blood works and everything was fine except for low potassium that after taking some pills for a while became normal again.

He had (2019) diabetic neuropathy but I made something similar to zobaline and he completely recover from that.

He had (2019) an appointment with an endocrinologist for searching for acromegalia and all that stuff but all came back normal so we never find the reason that he became diabetic.

Now he still eats mostly wet food.

But my problem is that even after he eats wet food he wants dry (meowing non-stop) because it was the food that he had all day all his life so I gave him just a teaspoon of dry when he doesn’t stop meowing (please do not judge me because I know that dry is not good for him).

In the beginning of AugustI saw him drinking more water so I decided to check is glycemia and it was high.

We went to the vet - he had high blood pressure, made some blood work, ecocardiography and all was normal.

So now he his again on Prozinc… :( and atenolol (his pressure is now normal).

I have been testing at home with a human meter and all the curves are done at home by me and the changes on insulin doses are made together with my vet.

I would like to ask if you can take a look at his numbers and give me your thoughts about it because once again his numbers are crazy.

Thank you in advance :bighug:
 
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Cris said:
But I have dates on my SS.
My SS is the same has the one I used back in 2019
Click to expand...
Why did you lower it so much from 3? He went below 90 so it should have been loweref only to 2.75. The dose you're giving is too low.

Instead of giving dry food, give him more wet.
 
JanetNJ said:
Why did you lower it so much from 3? He went below 90 so it should have been loweref only to 2.75. The dose you're giving is too low.

Instead of giving dry food, give him more wet.
Click to expand...
Janet does the SS look right to you?
The dates I don't understand, are some in Portuguese and the rest say .1 Set, 2 Set 3 Set? and the color coding is not like ours plus there's no black one
@JanetNJ
I'm just trying to understand it
Why is there U-40 and U-100 listed on the SS
@JanetNJ
 
Last edited:
JanetNJ said:
Why did you lower it so much from 3? He went below 90 so it should have been loweref only to 2.75. The dose you're giving is too low.

Instead of giving dry food, give him more wet.
Click to expand...

Hi Janet

Nice to read you again since 2019 hope you are doing fine.
Thanks for answer...

I do give him more wet food but he still doesn't stop crying and panting and he gets stressed - and thats something that we don't want isn't it?
About the Change of dose from 3 - that was the advise of my vet because it was looking he was bouncing (somogy). So we decided to begin again and try not to miss any chance of find a good dose.
In 2019 it took almost 4 months to find it.
 
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Diane Tyler's Mom said:
Janet does the SS look right to you?
The dates I don't understand, are some in Portuguese and the rest say .1 Set, 2 Set 3 Set? and the color coding is not like ours plus there's no black one
@JanetNJ
I'm just trying to understand it
Why is there U-40 and U-100 listed on the SS
@JanetNJ
Click to expand...

Hi Diane I use this SS since 2019 - I just personalized it a bit.
It has u40 and u100 because Prozinc is a u40 insuline and I use u100 seringe - it's better for us here at home.
1 Set is 1 Setembro (september) but that I can change easy if necessary.
In 2019 no one here told me nothing about it.
About the color coding - the black is not at the top but when the numbers are higher then 500 they do show in black. The only intervals that i don't have are the two greens.

I can't remember where I found this SS (maybe on the FB group) but I think that os not dificult to inderstand it.
 
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Cris said:
Hi Janet

Nice to read you again since 2019 hope you are doing fine.
Thanks for answer...

I do give him more wet food but he still doesn't stop crying and panting and he gets stressed - and thats something that we don't want isn't it?
About the Change of dose from 3 - that was the advise of my vet because it was looking he was bouncing (somogy). So we decided to begin again and try not to miss any chance of find a good dose.
In 2019 it took almost 4 months to find it.
Click to expand...
He may be desperate for food because he's not processing the nutrients well. Let him eat as much as he needs. I see you raised a little. I would do 2.5. If it's not enough after a few days then reevaluate. The panting is weird. Does he have any heart problem?
 
Diane Tyler's Mom said:
Janet does the SS look right to you?
The dates I don't understand, are some in Portuguese and the rest say .1 Set, 2 Set 3 Set? and the color coding is not like ours plus there's no black one
@JanetNJ
I'm just trying to understand it
Why is there U-40 and U-100 listed on the SS
@JanetNJ
Click to expand...
Diane Tyler's Mom said:
Janet does the SS look right to you?
The dates I don't understand, are some in Portuguese and the rest say .1 Set, 2 Set 3 Set? and the color coding is not like ours plus there's no black one
@JanetNJ
I'm just trying to understand it
Why is there U-40 and U-100 listed on the SS
@JanetNJ
Click to expand...
Are you sure your phone isn't switching you into dark mode at night? The colors are normal if you aren't in dark mode. I am guessing set is short for September. I'm also assuming she's using u100's and a conversion chart.
 
JanetNJ said:
Are you sure your phone isn't switching you into dark mode at night? The colors are normal if you aren't in dark mode. I am guessing set is short for September. I'm also assuming she's using u100's and a conversion chart.
Click to expand...

Hi Janet

yes Set is short for September. and yes I use the conversion chart.

I will change the date format to DD/MM/YEAR as soon I have a little time.
 
JanetNJ said:
He may be desperate for food because he's not processing the nutrients well. Let him eat as much as he needs. I see you raised a little. I would do 2.5. If it's not enough after a few days then reevaluate. The panting is weird. Does he have any heart problem?
Click to expand...

Hi Janet

For example I gave him wet food at 7.30 AM just before the insuline. At 10 AM he is asking for food - I gave him wet and he doesn't touch it and begin to meowing. I gave him a teaspoon of Purina DM dry and he eats it and go way. During the night he doens't ask for food.

He only eats a teaspoon of dry at 10 AM and 17 PM. The rest of the day he eats wet as much as he wants.

He pants (opens is mouth a bit) when he is streesed it was always like that.
No he hasn't any heart problems because we made a eco in July/Agoust 2021.
Yes I will gave him 2 for a few days and will rise to 2.5 if necessary.

I saw this chart
https://docs.google.com/spreadsheets/d/1J5JpMe6TDXrHq_aTl9hUtHy6Gs9oRBqlz4nPGKxtySA/pubhtml

I will buy the feringa cold pressed at zooplus maybe is better then purina dm until I weaned him from dry



Thank you so much for answering
 
Hi

Could you please take a look at Wolvi's SS.
Shall rise his dose? Or shall make a curve tomorrow?
Or is still too early with 2.2?

Thanks ❤️
@JanetNJ
@Chris & China (GA)

P.S. i didnt have any answers so i phoned my vet and he said to give him 2.8 so i did it
 
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Cris said:
Hi

Could you please take a look at Wolvi's SS.
Shall rise his dose? Or shall make a curve tomorrow?
Or is still too early with 2.2?

Thanks ❤️
@JanetNJ
@Chris & China (GA)

P.S. i didnt have any answers so i phoned my vet and he said to give him 2.8 so i did it
Click to expand...
Yes he could use an increase. Give 2.8 a try for a few days then I might try 3.2. We want to see blues mid day.
 
JanetNJ said:
Yes he could use an increase. Give 2.8 a try for a few days then I might try 3.2. We want to see blues mid day.
Click to expand...

Thanks for your reply
I had a blue at +5 I'm happy...
Yes I will hold the 2.8 for a couple of days
My vet likes to hold at least 7/8 days to make a curve... What's your opinion?
 
Cris said:
Thanks for your advice... ❤️

I'm so afraid to rise that quickly because he usually bounces when we rise that much.
Click to expand...
Bounces happen but you don't want insulin resistance from moving too slowly. When you start seeing numbers around 150 then go slower.
 
JanetNJ said:
Bounces happen but you don't want insulin resistance from moving too slowly. When you start seeing numbers around 150 then go slower.
Click to expand...
I know I know, you are right...
I will rise to 3.4 because 3.5 in my syringe is not easy and certain...
 
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Good morning

Could you please take a look at Wolvi's SS.
What do you think about his numbers with 3.4?

His last meal at night is around 23 h (+4).
And the first one is at 7 h (PS).
During the day he eats several meals more or less 3 h hours between them - when he aaks for it.

Thanks

@JanetNJ
 
Cris said:
Good morning

Could you please take a look at Wolvi's SS.
What do you think about his numbers with 3.4?

His last meal at night is around 23 h (+4).
And the first one is at 7 h (PS).
During the day he eats several meals more or less 3 h hours between them - when he aaks for it.

Thanks

@JanetNJ
Click to expand...
Much better numbers during the day! Looks like he bounces a little for the evening because he's not used to the blues. Let's give him more time to get used to these numbers.
 
Good morning

What do you think of his numbers Janet?
Yesterday evening he was asking for food so much and checked his values at +3.5 = 195 so probably he went down during the night
Today morning I still gave him 3.4...
What do you sugest? Make a curve today? Going to 3.2? Or give him more time to adjust?
Thank you for your help

@JanetNJ
 
Cris said:
Good morning

What do you think of his numbers Janet?
Yesterday evening he was asking for food so much and checked his values at +3.5 = 195 so probably he went down during the night
Today morning I still gave him 3.4...
What do you sugest? Make a curve today? Going to 3.2? Or give him more time to adjust?
Thank you for your help

@JanetNJ
Click to expand...
If you can get a curve in this weekend that would be good. Dont lower the dose. Stick with 3.4 unless he goes low…. Below 85-90 ish.
 
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I said lower because he goes down very quickly and in the evening he is very high - isn' t he bouncing?
And yesterday morning he was 533. I tought that I should lower in this circunstances to prevent bouncing - so yesterday night I gave him 3.2 (because i just saw your message in the morning)
__________
This morning as he was with 373 so I still gave him the 3.2... should I make a curve tomorrow or wait a couple of days?
__________
Maybe I'm wrong but I was thinking that bouncing is something that we should prevent...
So what we should do when a cat bounces ?

Thanks
 
Last edited:
Cris said:
I said lower because he goes down very quickly and in the evening he is very high - isn' t he bouncing?
And yesterday morning he was 533. I tought that I should lower in this circunstances to prevent bouncing - so yesterday night I gave him 3.2 (because i just saw your message in the morning)
__________
This morning as he was with 373 so I still gave him the 3.2... should I make a curve tomorrow or wait a couple of days?
__________
Maybe I'm wrong but I was thinking that bouncing is something that we should prevent...
So what we should do when a cat bounces ?

Thanks
Click to expand...
His numbers are too high to reduce…. His body needs to get used to going lower, not stay high. Bounces happen. If anything he’s due for another increase soon. We want to see that lowest point closer to 100.
 
Thanks
This morning he was 373 and I gave him 3.2 because I was waiting for your answer...
So I will return to the previous dose tonight
and make a curve on monday.
 
Hi

hope you are having a good weekend.
Can you please take a look to wolvi ss
I really don't know whats happening.
Next week I'm going to put him Freestyle libre at least I can have more values.

Thanks

@JanetNJ
 
Cris said:
Hi

hope you are having a good weekend.
Can you please take a look to wolvi ss
I really don't know whats happening.
Next week I'm going to put him Freestyle libre at least I can have more values.

Thanks

@JanetNJ
Click to expand...
I like the 3u dose. Try that both am and pm. I hope the preshots come down for you.
 
JanetNJ said:
I like the 3u dose. Try that both am and pm. I hope the preshots come down for you.
Click to expand...
Thanks Janet
Yesterday pm the numbers were low and I was really afraid to give him 3u.
If he has for e.g. 160 can I give him 3u?

I also asked for opinion on general forum because I know that you are more busy now (hope you don't mind) and I didn' t know if you were going to be here
 
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Cris said:
Thanks Janet
Yesterday pm the numbers were low and I was really afraid to give him 3u.
If he has for e.g. 160 can I give him 3u?

I also asked for opinion on general forum because I know that you are more busy now (hope you don't mind) and I didn' t know if you were going to be here
Click to expand...
When it's that low you should stall for an hour without feeding and retest. If the number is up and close to 200 or over 200 then dose 3. If it's about the same do a reduced dose. If it's lower perhaps skip.
 
Hi

Hope you are all doing fine

I would like to ask if you can take a look at Wolvi's SS.
Last 26 October he got his first Freestyle Libre 2.
But I still read his BG at amps and pmps.
I made a new tab at his SS only for freestyle.
He also made blood work and everything came back normal except for his creatinine that is 1.77 mg/dL and phosphorus is 5.9 mg/dL.
I ordered Ipakitine to put in his food because it's not easy to find here a low carb wet food with low phosphorus.
His numbers are really confusing me because if I use 2U he float all day around 200.
But when I gave him 2.2U his numbers drop to fast and looks like he is bouncing.

What is your opinion?
Thanks a lot for your help.

@JanetNJ
 
Cris said:
Hi

Hope you are all doing fine

I would like to ask if you can take a look at Wolvi's SS.
Last 26 October he got his first Freestyle Libre 2.
But I still read his BG at amps and pmps.
I made a new tab at his SS only for freestyle.
He also made blood work and everything came back normal except for his creatinine that is 1.77 mg/dL and phosphorus is 5.9 mg/dL.
I ordered Ipakitine to put in his food because it's not easy to find here a low carb wet food with low phosphorus.
His numbers are really confusing me because if I use 2U he float all day around 200.
But when I gave him 2.2U his numbers drop to fast and looks like he is bouncing.

What is your opinion?
Thanks a lot for your help.

@JanetNJ
Click to expand...

1.7 is not terrible. Are you sure you can't find any lower phosphorus food? 5.9 is not super high and will probably come down pretty well with the right foods.

You have a very bouncy kitty. I like that 80 you got a few days ago. Stick with 2.2 for a few more days. Hopefully you will see more green numbers. I wish those preshots would come down
 
I will look better for the low phosphor food.
But ipakitine will help as phosph binder isn't it?
Imagine if he has around 250 at pmps shall i gave him 2.2?
Today at + 9 he is 154...
Ty
 
Cris said:
I will look better for the low phosphor food.
But ipakitine will help as phosph binder isn't it?
Imagine if he has around 250 at pmps shall i gave him 2.2?
Today at + 9 he is 154...
Ty
Click to expand...
Hi Cris I didn't know what ipakitine was since you live in Portugal, so I looked it up and it's the same thing we use in the US ,we use aluminum hydroxide
Yes it will help Wolvi
I googled it to see what it was
Ipakitine acts as a phosphate binder so the amount of phosphate your pets ingests is reduced.
Ipakitine Powder

Ipakitine Powder is dietetic complementary feeding stuff for support of renal function in case of chronic renal insufficiency a phosphate reducer aiding kidney function in cats and dogs.
I'm sure your vet told you how much to start with
One thing it can cause constipation, it did in my cat

In wish Wolvi all the best :cat:
Here is a site you can read about kidney disease and phosphorous
https://www.felinecrf.org
 
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Diane Tyler's Mom said:
Hi Cris I didn't know what ipakitine was since you live in Portugal, so I looked it up and it's the same thing we use in the US ,we use aluminum hydroxide
Yes it will help Wolvi
I googled it to see what it was
Ipakitine acts as a phosphate binder so the amount of phosphate your pets ingests is reduced.
Ipakitine Powder

Ipakitine Powder is dietetic complementary feeding stuff for support of renal function in case of chronic renal insufficiency a phosphate reducer aiding kidney function in cats and dogs.
I'm sure your vet told you how much to start with
One thing it can cause constipation, it did in my cat

In wish Wolvi all the best :cat:
Here is a site you can read about kidney disease and phosphorous
https://www.felinecrf.org
Click to expand...

Hi Diane

Thanks for your answer
I have another cat that has CKD so a read Tanya's site a lot.
This girl takes aluminium hydroxid (that I must buy in a pharmacy that makes it specialy for her) because she has tendency to have calcium oxalate crystals and Ipakitine is not good for her. She already made cirurgy to take out a stone from one ureter .
She is now 12 years old now and doing fine. She is the boss of the rest of the cats... ☺️
 
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Diane Tyler's Mom said:
Oh I saw you said you ordered ipakitine in your post above #39
That's why I posted about it.
I'm glad your other kitty is doing fine, She's the boss :p
I wish you all the best :bighug:
Click to expand...
Yes yes I ordered Ipakitine for Wolvi (my sugar cat) the boss lady is Megan a tortie and she take aluminium hydroxid
sorry sometimes english tricks me
 
Cris said:
I will look better for the low phosphor food.
But ipakitine will help as phosph binder isn't it?
Imagine if he has around 250 at pmps shall i gave him 2.2?
Today at + 9 he is 154...
Ty
Click to expand...
Did your vet tell you to start giving a binder? Keep in mind they often cause constipation. Are you on Facebook? There's a good ckd group on Facebook called Cats with Chronic Renal Failure
 
@JanetNJ
Good morning I didn't start because it didn't arrive.
It was me that I asked to the vetand she said it could be a good idea.
As a matter of fact today Wolvi is having troubles with making poo.
When its necessary I use lactulose with other cats but I'm afraid with wolvi since he is diabetic.
What people use with sugar babies for that problem?

Yes the number last night was good but not today at amps
 
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