Regrouping Sushi after hypo

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Yes, now I know that 1.5 would probably be fine... but that number was such a surprise that I think I was a bit stuck there... Lol...

I wish you could have dinner here with us... There is splenty for 3 and definitely cake for around 10 hungry people... Lol... We have Peanut butter bars, ginger treacle cake, stolens and Double carrot cake... Lol...:bighug:

I don't know if I have enough strips for a curve tomorrow... the strips are also stuck at the postoffice... I have enough but not enough if something happens and I need to do some extra testing... I think it may be wise to hold it until Monday and do the curve then... What do you think?
 
Hello!!!
How are you today?

Well...here we are having a not so great day... It is good that I'll be making the curve tomorrow because after eating 2,5 trays of lily's kitchen yesterday and having great numbers, Sushi is not eating almost anything today... He licks little bits and walks away. As we speak I have 4 different foods on a tray on the floor... Not even the parmesan trick works... Well...he does eat the cheesy bits... Lol!
He is weighing 2,80kg, less 40g than last week, but I don't consider that very relevant. He doesn't feel bonier than last week... Yesterday he was heavier...
I honestly think that this is BG related... His BG must be all over the place, so he doesn't feel good when his numbers aren't so good... What do you think?
Tomorrow I'll have the curve with more information and FortiFlora...FINALLY! Let's hope it works...if not...well...
I also have to find a way to get more ketone strips...

Love,
Sara
:bighug:
 
Hi Sara, I'm sorry to hear you are having a not-so-great day today. :( Squallie has days when he eats everything in sight and asks for more, and days when he hardly eats anything, and that only if I hand feed him. Right now his numbers are higher so he is ravenous. When they come down he won't be very interested in his food. You just get used to adjusting to dealing with it. I try to come up with different ways to encourage him to eat on those days he won't; sometimes they work and sometimes not *shrug*. Every cat is different, so it will vary , but I think in one fashion or another we have all experienced it. The little darlings will make us crazy if we let them, lol!

It would be good if you could get some mid-cycle tests for Sushi during the day, so we can get a better idea of how he is reacting to the insulin. With Caninsulin, you need both pre-shot numbers and nadirs to really be able to tell if the dose is working or if it needs to be raised/lowered. I try to get in at least one, preferably two, more tests (besides the pre-shots) during the day if I possibly can. Your curve will help, too. :)

Fingers and paws crossed that the Forti Flora helps! If not, we'll just have to brainstorm some more ideas. Don't worry, dear, we'll help you get it sorted! :)

Lucy:bighug::bighug::bighug:
 
Hello Girls!! :)

He is not eating well but he is really well behaviourwise... Playful and good humoured...so I am not too worried...

I know I should take more readings at nadir besides the curve, but the strips are very expensive, so I got used to have the complete curve once a week and I take nadirs when there is a change in dosage or everytime I suspect something isn't right. The Alpha-TRAK was a gift from my inlaws and it is the same as the vet uses (she really likes that we use the same) that is why I use it... I have a friend whose daughter is diabetic that promised that she would bring me a human monitor, but I can't rush her. I also have one of those monitors that read ketones and BG on the way from Portugal, as the strips in € are much cheaper, but I also have to wait until December...

I am a bit nervous about him losing those 190g last week and that we had to reduce his insulin to 1.5units and now if he is having a bad eating day or evening I only feel confortable to give him 1 unit.

Oh well... tomorrow we'll know more and I'll have lots of strips again... I am doint the curve and I'll be giving him 1.5 at night too and take nadir readings through the night...

Again... I don't know what I would do without you...

Love,
Sara
:bighug:
 
So this curve isn't going that well... I couldn't get his nadir at his usual between +4 and +6... Or if I could it is a very high one at +4...
I will continue to make the curve, but only every 2h...
I think I will try to make every hour in the evening before the +4 to see what happens there...if anything... And I'll my numbers and notes at the vet tomorrow amd wait for the vet's ideas.
I don't think this is working for Sushi... What do you think?

Love,
Sara
:bighug:
 
Sara, curves are every 2 hrs for 12 hrs or every 3 hrs for 18 hours. You don't need to do every hour. Maybe the 3 hr one will work for sushi. Don't forget the treats.
 
I know...but my vet likes every hour in nadir... so that we don't miss the lowest number and I don't mind doing it for her... ;)

He refuses all the treats I have now and I have all the respectable freeze dried treats being sold in the UK at the moment, 15 altogether... From different brands I have freeze dried duck, chicken, liver, beef, tuna, white fish and a few that combine the above and some game as well...so...no treats for Sushi. And no...he hates cooked chicken, cooked fish etc... AH @Squalliesmom, Sweetie, he HATES THE VERY EXPENSIVE FORTIFLORA!

Yesterday I did our monthly budget with my husband and I can't continue to use our money like this or we won't be able to pay the bills while I am looking for a weekday job... I'll give him what I have, if he doesn't want it, I'll just leave it on the kitchen counter (where he likes to go when he thinks I am not looking) and he can get it whenever he wants... The other cat doesn't go there.

I've tried all the cheepest options low carb that I had in the supermarket closer to home and that were on the list... I will look around online what are the current low carb options in the less expensive foods, the uk equivalent to the ff... I can still try all those to see if he likes anything. So far I wasn't lucky...
 
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Oh, dear, I'm really sorry to hear he hates the Forti Flora, too. What was he eating before he was diagnosed? If he likes dry food, you may have to go to that - one of the lower carb ones, maybe mix in a little of the canned see if he will eat that. He's got to eat, so if it raises his BG he'll just get a larger insulin dose. Here is a link to one of the lower carb dry foods, on Amazon.uk, that a lot of folks here use:

http://www.amazon.co.uk/EVO-Turkey-Chicken-Formula-Food/dp/B000EZOKX4/?tag=felinediabetesfdmb-20

There is also Young Again Zero Carb but I don't know if it's available to you in the UK. It is probably lower carb than the Evo. It's more expensive but the cats eat a whole lot less at a time because it is very dense, so cost/consumption evens out. Both Evo and YAZC raise Squallie's BG, but don't seem to bother a lot of other cats.

If you don't already have this list, it might be of some help to you, too:

http://www.felinediabetes.com/FDMB/...nk-to-low-carb-food-list.137376/#post-1546544

Maybe leaving the food on the counter will do the trick, lol, if he gets satisfaction from feeling like he's sneaking it behind your back! :cat:

Sara, ask your vet if she thinks the Caninsulin is working for Sushi. It's probably the cheapest for your budget, but if it's not working well for Sushi then you're not really saving any $$. Maybe it's time to investigate Lantus?

Let me know what you think!

Lucy:bighug:
 
How are you today, Sweetie? Where in the US are you? Is it cold there? :cat:

Well... he always wants the other cat's dry food... He actually ate some one day and I didn't notice a BG rise...
Sushi is a dry food kind of cat. He was all about the kibble! Favourite thing in the world... But he was eating so so well after coming from the vet in October and until my parents arrived here! I don't get it... All seems to have fallen apart since that hypo after we tried to raise from 2.0 units to 2.5 units! Do you know what I mean, Sweetie?

The other cat (the fatty one :p ) only eats around 17g of dry food a day on the evening meal, so that we can sleep through the night without him being hungry...
He eats Orijen, which is 17% carbs. It's this one:
http://www.orijen.ca/products/cat-food/?lang=en-uk

The EVO is definitely lower in carbs as it is under 10%...But it is mega expensive... If he doesn't like it, that would be a 2 week worth of our food down the drain... LOL!!! I can only laugh today...
I am sorry... I know he is sick... But this looks like a comedy film!

Yes, I will drop these "stunning" numbers to my vet today and we'll have to have a chat afterwards as usual... I don't mind spending extra money on insulin if that means he'll have another chance... He uses such a small dose that it won't be that bad... I agree with you (and Chris @Chris & China ) that we may have to think about trying another insulin, even though the vets at our clinic feel more confortable with caninsulin. Besides being super fussy and refusing to eat between during the day (inbetween shot times) Sushi looks really well, it is energetic, asthma is under control and is not isolating himself like when he was in ketoacidosis...

Love,
Sara
:bighug:
 
I'm good today, Sara, thank you for asking. :) I live in Maryland, on the Chesapeake Bay. It's actually been a fairly mild season so far, but to me, anything under about 75 degrees is too cold, lol!

Try contacting Evo through their website to see if they will send you a sample; most companies will!

If he likes the Orijen you could try crushing a small amount and sprinkling that on top of his wet food, maybe that will encourage him to eat. (My cats have never had the Orijen food but they go insane for Orijen's freeze-dried treats!)

As far as changing insulins goes, I think you have to consider your lifestlye, as well. I think Caninsulin is a fine insulin that can work well for some, especially people who have lots of time to devote to tweaking and adjusting it till it works; if you have a busy lifestyle you may not be able to put that kind of time in, and this needs to be part of your decision as to which insulin may work best for you and your kitty.

I'm glad to hear that, other than the food issues, Sushi is looking and doing so well. You are a very good Kitty Mom! :bighug::bighug::bighug:
 
LOL! Up until my parents were here, Sushi was crazy for the orijen freeze dried treats as well... I have all the flavours here and his absolute favourite, the original, doubled... Now his favourite actually made him gag twice, so I don't even try them anymore...
I'll try crushing some os orijen dry in the pestle and mortar and see if it helps...

I understand... But what tweaks could I make now to his caninsulin dosage? What would you do? I looked at his numbers and my gut tells me that there is a great chance that change the caninsulin for every 8h instead of 12 could work... but that would not work in terms of schedule around here, specially if I can find a job during the week, adding to my Saturday one, in the next couple of months
His numbers aren't great but he is never in the black area anymore... I came to the understanding that he only eats closer to the shot time, not a lot, but generally close to his daily needs. Some days much more than that, others a bit less and the food has too be rotated...

You live in such a beautiful place!!!! :cat:
I used to live close to the beach too in Portugal... I miss that... a lot...

Love,
Sara
:bighug:
 
Just to add that I just did +5 number to check how he was before I went to bed and he is with 6.4 (115)... Which means that I can't go to bed yet because he isn't hungry and I can't risk hypo...
I decided to give him 1.5 units in the evening too because he was very well at PM... That is why I don't know what and if there are any adjustments we can make with the caninsulin...

[UPDATE] Ah...and at this precise moment I am pretending not to see Sushi sneaking on the other cat's dry food... He is so so happy that the other left a few bits and eating one by one... He takes one out of the dish with his paw and eats it from the floor... like he always did... I think I may have to find a compromise and try to feed him exactly the same thing as his brother. Like always was... That means one meal of dry food a day in the evening before bed... What do you think? :)

I kinda don't care about remission at this point... I just want him regulated and happy... One meal medium carb won't hurt that much... :cat:
 
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It is great that I let him eat those biscuits, because he dropped even more... It is being a long long night... We are with 4.9 (88) at +6... After eating the kibble...
 
Ok... Had to give him honey since he dropped to 2.9 (52) right now at +7... And he asked for more kibble, so I am just letting him have it... I definitely don't regret having let him have that sneaked kibble 2h ago...
 
Hi Sara, just jumped on here and saw you're having problems. You probably have already gone to bed, sorry to be so late to the "party." If you're still awake, let me know what his most recent numbers are, please?
 
I am sorry, but if I poke him every 30 mins, I always have the numbers in the same cell of the spreadsheet and they don't show in the US conversion... I am poking him the last time before going to bed... It is 3.40 am...
 
Ok... He is safe with 9.2 (166)... I think now it's a good time for me to go to bed... :cat:
After all the dry food he ate this evening, he is going to have sugar coming out of his ears in the morning! :p

We'll catch up tomorrow, Sweetie!! And I'll start a new thread... this one is already enormous!

Love,
Sara
:bighug:
 
Okay, those numbers seem pretty solid, doesn't seem like he will drop any further again tonight.

Get some good Zzzz"s, m'dear, and let me know how things are in the morning! :bighug::bighug::bighug:
 
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