So...which forum?

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MikeysMom

Member Since 2011
I'm not sure which Lantus forum to post to. My cat is newly dx'd, so not on TR. I don't know if I'm going to go that route or not yet. I don't want to step on any toes, but i want to get the most, quickest advice as I wade through all of this. So...should i post here, or continue to put numbers up over there until we have some idea of what's going on?
 
You could post in one and cross-post in the other - just provide a link to the original condo until you figure out where you want to be. That way you'd also get as many eyes as possible.
 
That's a great idea! I don't want to be the forum pest who posts too much all over the place, but everyone has been so helpful...and I have SO much to learn before making a final decision!
 
The most basic thing you need to keep your cat safe is the glucose testing., somehow, someway.

If you can do that with blood tests, that's fantastic, as it really helps ensure you don't give insulin when the cat is too low to get it, and that you can determine how your cat responds to it throughout the day with midpoint testing (when you can) and curves (when needed for the vet ). Those last 2 determine dosing when you follow the tight regulation protocol and may be done frequently. Also, if you can do a curve at home, it may save you money by not having to go to the vet for a fructosamine test to see what the average glucose levels have been, as you will have collected them and can provide them to the vet.

If blood testing isn't an option yet, you have to go by other, indirect methods, which aren't as accurate, and in the case of urine glucose testing, it reflects the cat's state over the period the urine was accumulating (typically a few hours, but depends on the cat).

Because of the lag in urine glucose tests, you might want to make a list of the signs and symptoms that indicate a hypoglycemic attack and use them as a monitoring checklist. Hypoglycemia kills quickly.

A hyperglycemia list has all the symptoms of diabetes on it - excessive hunger, excessive thirst, copious urination, etc. Hyperglycemia can lead to potentially fatal ketoacidosis. When you observe reductions in these symptoms, you are making progress in managing the diabetes.

You might find it useful to view this summary article by Dr Rand, a feline diabetes expert: http://www.uq.edu.au/ccah/docs/diabetesinfo/link3.pdf Most importantly, look at the last 5 lines of the table - what to do if glucose measurements aren't available.
 
Mikey's mom let me assure you that you will never be a pest who posts too much. You can post as much and as often as you need to....no holds barred. Really.
 
All I would ask, MikeysMom, is that if you do double post, as some people often double post on Health and Lantus, that you do it by way of a link. Full post on forum A, and the post on forum B having a link to the post on Forum A. That way, folks can see the responses you are getting and not be overly repetitive or even contradictory in their answers,
 
Amy-
(i think i've got your name right...)

don't concern yourself about stepping on toes...
you're trying to find the best solution to helping Mikey regain his health...
and for that you should be applauded!

besides...FDMB Folk are generally pretty thick-skinned :lol:

seriously, though...the only time i've ever found a post offensive is when it was intentionally written as
a condemnation or an attack on someone...
and the truth is...i've only ever seen 2 of those.

celi & binks
 
HI Mikeysmom,

With that 51 at +2 are you going to test again shortly? This is one of those cases where even though maybe this isn't TR, but testing needs to be done to see where the BGs goes. Data gathering is still important here, but it doesn't have to be every hour unless you have a situation like this - then it needs to be!

Very curious he would run higher all day then boom, after the PM shot he dropped like a rock. see he likes Fancy Feast. Any chance you changed varieties since the FD diagnosis? Some are rather high in carbs, like the grilled varieties at about 18%, which are recommended as part of your hypo arsenal.

He's probably OK if the cycle goes like last night's, but please test again within the hour.
 
I've been testing all night. He's doing much better. Provided he's still going up at +6, I'm going to bed. I'm fine with testing often, just don't have enough data to know whether to go TR or not yet.

He only gets the FF classics, and he was changed to that from dry at the time of his dx. I think the higher numbers during the day were due to a bounce from last night's low numbers. This is the third night in a row of this, with a lower dose each day. I'm going to skip the morning dose and call the vet in the morning.
 
Skipping the morning dose and talking with the vet is a good strategy.

I suspect Mikey will surf for awhile, or quickly bounce, as he did the night before. Giving him a break from insulin in the morning could help clear that bounce more quickly, and you might could see him coming down on his own during the morning.

Good job!!
 
MikeysMom said:
I've been testing all night. He's doing much better. Provided he's still going up at +6, I'm going to bed. I'm fine with testing often, just don't have enough data to know whether to go TR or not yet.

He only gets the FF classics, and he was changed to that from dry at the time of his dx. I think the higher numbers during the day were due to a bounce from last night's low numbers. This is the third night in a row of this, with a lower dose each day. I'm going to skip the morning dose and call the vet in the morning.

The food change alone could very well be what's bringing his numbers down. For his BG to come down that quickly after shot and food makes me think his pancreas is already waking up. I also agree that skipping the shot might give us a better picture.
 
We're plugging along. The vet agrees that we've got a too-full shed, so he said to skip tonight's shot as well (Yay, we can both sleep with a little less stress) and inject .5U in the morning if he's over 200. He's seeing his vet tomorrow, so I'm OK with that, I'll test a few times before we go.

here's a link to today's thread on the TR group: http://felinediabetes.com/FDMB/viewtopic.php?f=9&t=58082
 
beautiful! :-)

i read the other thread and while i think skipping tonight is fine too, i have to admit i'm not exactly fond of trying the one shot a day thing. usually if you get more than 12 hours of duration on one shot of any insulin in a cat, it's a sign that the dose is too high. and if i remember correctly if a pancreas is trying to kick back into gear, it can tire the pancreas back out, causing the need to be on insulin longer.
 
I also read the other thread. Thank you for adding that link so that we could see the advice you are getting.

My personal experience with SID (once a day) insulin shots is that it worked for Ennis. We were also doing shots every two and three days, and every week as he weaned himself off Levemir after being on it for 4.5 years. I would be careful to get a reading on his pancreatic activity before I shot him. Something I call a food test.

I would test, and if I found a shootable number, I would feed Ennis and then test about 2 hours later. By then, his pancreas, reacting to the food, usually had brought him down to a non-shootable number. So no shot. Sometime, though, he would need a shot.

When he was in that situation, I would shoot .25U or less (eyeballed). I never got into the "drop" method of measuring.
 
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