STALLING ANY ADVICE APPRECIATED!
- Thread starter Melisrock
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Angela & Cleo
Member Since 2022
@FrostD are you around?
Angela & Cleo
Member Since 2022
Not sure if a more experienced members is around. Did you "stall without feeding and test again in 20mins".
Hendrick Cuddleclaw
Member Since 2022
what dosing method are you following, SLGS or TR? Dosing methods help you make a shoot/no shoot decision.
Hendrick Cuddleclaw
Member Since 2022
Melisrock
Member Since 2022
I’m trying SLGS. It’s been about a week. I initially just did what my vet told me to do, start at 2units n go up to 3u. And only feed twice a day. I was so uncomfortable with that after a few days I found this site and adapted the SLGS. It’s still so new for me and I’ve read so much Info and think i have a good understanding and then he starts giving me low PS numbers and I panic in what to do 
Suzanne & Darcy
Member Since 2020
Definitely stall without shooting and retest. Perhaps you have done this already?
Suzanne & Darcy
Member Since 2020
There are so few mid-cycle tests here that I am very uncomfortable.
Melisrock
Member Since 2022
Yes, I retested he’s at a 118. I couldn’t wait to feed him any longer he was being patient but ready for his dinner. No shot again this evening. I have to work a really early 1am shift so I wouldn’t be able to monitor him if I did.
Melisrock
Member Since 2022
Are they bad?
Suzanne & Darcy
Member Since 2020
Okay… to make sure I understand what’s been going on … your spreadsheet says you’ve been shooting .6 or .4 units. Is that correct. But you said that your vet said to give 2 and then 3 units? Can you clarify? This was before you started your spreadsheet?I’m trying SLGS. It’s been about a week. I initially just did what my vet told me to do, start at 2units n go up to 3u. And only feed twice a day. I was so uncomfortable with that after a few days I found this site and adapted the SLGS. It’s still so new for me and I’ve read so much Info and think i have a good understanding and then he starts giving me low PS numbers and I panic in what to do
Suzanne & Darcy
Member Since 2020
You made the right decision, I think. If you cannot monitor, it was best to not shoot. Please tell me - for future reference- what are you feeding your kitty? Feeding only twice a day with insulin is not optimal- some snacks during the cycle help to stabilize blood glucose numbers.
Suzanne & Darcy
Member Since 2020
No. I am saying that we need to get more data on Beau. We need to see some more testing done during the cycle to get a good picture of what’s happening. I’m just wanting to be safe.
Suzanne & Darcy
Member Since 2020
I know that you have chosen not to shoot tonight, but could you please answer the questions above to help is help you to make dosing decisions. Thanks. Hopefully before you have to work you can write us a bit. And even though you did not give insulin tonight, it would be good data if you can get a test before that 1 a.m. shift. Where are you located, by the way - what time zone? Where I am right now is about six hours from 1 a.m. so lots of time for B G testing.
Melisrock
Member Since 2022
Oh yes, so when I first started posting on the site some members noticed My vet provided me with the wrong syringes, u100 instead of u40 so I was given a conversion chart. So the dose I document is based off the conversion( I order the u40 syringes still using u100 in t
When I joined the forum I was educated that my vet had provided me with the wrong syringes (u100) as opposed to u40. I was kindly referred to a conversion chart for the time being until I get the U40 syringes. I have been logging my numbers as the converted number. So I believe, and hope I understood correctly, .6 on a u40 syringe is a 1.5 dose on the syringe I correctly have. Because I’m going to switch to the correct syringe when they arrive shortly I’ve been using the concerted numbers to make it an easy transition. Hopefully this makes sense?
Melisrock
Member Since 2022
FrostD
Member Since 2020
Quoting my post from yesterday -
I see today's AMPS. Next time you get a preshot above 120 and can monitor and have hypo kit, let's try 0.2U (the 0.5U line on your syringes). He still needs slight insulin support to fully heal, ideally all numbers 50-100 before stopping completely. But that can be a little difficult with ProZinc, safety first as always.
Can you confirm you shot 0.4U this morning? That would be 1U on your syringes. If that's the case, I think we need to drop all the way to a drop dose (I'll explain in a bit).
It is a little hard to say how low he went today (as Suzanne said, just not enough runtime and data yet).
Do not need to test if not giving insulin.
I see today's AMPS. Next time you get a preshot above 120 and can monitor and have hypo kit, let's try 0.2U (the 0.5U line on your syringes). He still needs slight insulin support to fully heal, ideally all numbers 50-100 before stopping completely. But that can be a little difficult with ProZinc, safety first as always.
Can you confirm you shot 0.4U this morning? That would be 1U on your syringes. If that's the case, I think we need to drop all the way to a drop dose (I'll explain in a bit).
It is a little hard to say how low he went today (as Suzanne said, just not enough runtime and data yet).
Do not need to test if not giving insulin.
Melisrock
Member Since 2022
@FrostD @Suzanne & Darcy @AbbottTheCat
Hi everyone, sorry for the delay in my posts. Last night after my stalling post I wasn’t comfortable with Beau behaviors I took him to the emergency clinic, he was seen right away and admitted overnight. I just want to seriously thank everyone here for their help and advice, the spreadsheet, I was I able to show the vet what I have been tracking thus far and it was really helpful. I got to pick him up today around 3:00. He’s home sleeping soundly. Vet has me stopping insulin at this time. With his numbers I’ve recorded… and what they have from last night I can stop completely! BUT we aren’t out of the clear yet since they prescribed him a steroid, which she said can cause high blood sugar levels and I may need to restart insulin. With all that being said I’m shouting out to anyone who has experience with steriods or knows someone who can maybe share some information and knowledge. Again thank you all for your help
Hi everyone, sorry for the delay in my posts. Last night after my stalling post I wasn’t comfortable with Beau behaviors I took him to the emergency clinic, he was seen right away and admitted overnight. I just want to seriously thank everyone here for their help and advice, the spreadsheet, I was I able to show the vet what I have been tracking thus far and it was really helpful. I got to pick him up today around 3:00. He’s home sleeping soundly. Vet has me stopping insulin at this time. With his numbers I’ve recorded… and what they have from last night I can stop completely! BUT we aren’t out of the clear yet since they prescribed him a steroid, which she said can cause high blood sugar levels and I may need to restart insulin. With all that being said I’m shouting out to anyone who has experience with steriods or knows someone who can maybe share some information and knowledge. Again thank you all for your help
Melisrock
Member Since 2022
I’m going to PM you the report they gave me.
Suzanne & Darcy
Member Since 2020
I would also like to know which steroid was prescribed and what duration and dose. Steroids can raise blood glucose, yes. Sometimes they are necessary and insulin can be adjusted accordingly.
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FrostD
Member Since 2020
Can you copy/paste here? I can't zoom in on the one in the PM without it being very blurry.
@Suzanne & Darcy - from what I can make out, it seems concern is primary neurological disease - stroke, cancer - but no advanced imaging done yet. Pred 20mg/mL, 0.3mL daily dose for 5 days (so 6mg a day?). Step down to 0.15mL daily for 5 days 0.15mL for 3 days, then stop.
Truthfully I'm not quite sure what they think pred is going to do, and from what I can make out in the write up they're not sure either, just throwing it at him in case maybe there's some inflammation or tumor it may help with.
But - pred does raise BG. We can offset that with insulin if needed. I would continue to test BG at what would be your normal shot times, so.you can be on top of it should it start to rise.
Suzanne & Darcy
Member Since 2020
What were the symptoms and behaviors that you observed which led you to take him to the ER. I am so sorry that this happened and that the diagnosis seems vague or uncertain. I really feel for you. I have been in a similar situation myself. At times we have had an uncertain diagnosis even after a fine needle aspiration of suspected area and treated it with steroids for possible cancer/ inflammation. Veterinary medicine can be so hard!
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Melisrock
Member Since 2022
He was really lethargic and didn’t want to eat, when I picked him up he was like a rag doll! Scared the heck out of me!
this might be more clear to read
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Suzanne & Darcy
Member Since 2020
Okay. I can read that one. I see no mention anywhere that his blood pressure has been measured? This is really important as high BP in cats can cause seizures/seizure like events, retinal detachment and blindness (hopefully usually temporary.) The paper says he was "non visual." Is it true that he could not see at the time he was brought in? This has happened to my cats before after a seizure. Fortunately, it was temporary.
Suzanne & Darcy
Member Since 2020
I would definitely get his BP checked at his regular vet. Three readings should be taken by a person who is experienced in taking cat BP and the average of the three should be calculated -- to see if he needs to be put on Amlodipine.
I can't read how long the steroid is recommended for? Is it being tapered off after a certain period of time. How is he acting now today? I hope much better. I would periodically test his BG to see how it is. The steroid will raise it a bit, but if this is temporary therapy, then I would not worry about it too much (unless it's really high.)
I can't read how long the steroid is recommended for? Is it being tapered off after a certain period of time. How is he acting now today? I hope much better. I would periodically test his BG to see how it is. The steroid will raise it a bit, but if this is temporary therapy, then I would not worry about it too much (unless it's really high.)
Suzanne & Darcy
Member Since 2020
Good. I assume it was okay at the time then since they didn’t mention it. Too bad you don’t have a record of the vital signs that were recorded in his chart or a summary. They should have prepared something for your regular vet. How is he today?
Melisrock
Member Since 2022
When I left for work this morning he seemed to be doing well. He was up walking around normally, he ate breakfast. My husband is home with him now he sends me updates that he’s doing good, sleeping a lot but not acting lethargic. Definitely much better.
And also to answer your question from earlier about his vision, yes it was one of the concerns I had when I brought him in, I didn’t think he was seeing well.
And also to answer your question from earlier about his vision, yes it was one of the concerns I had when I brought him in, I didn’t think he was seeing well.
AbbottTheCat
Member Since 2022
Good job once again following those razor sharp instincts of yours and taking him in. Hopefully you will get some answers soon and glad he is doing better at least, get well Beau! 
Are there any other medications he is on besides the steroids? And what duration for the steroids?
Are there any other medications he is on besides the steroids? And what duration for the steroids?
Melisrock
Member Since 2022
The past month has been a rollercoaster with him but I’d do anything to make sure he’s ok. I felt awful when they told me they were keeping him overnight! It was the worst feeling, but ultimately it was good to know he was getting taken care. Besides the insulin he wasn’t on any other meds i talked with the Dr treating him at the ER for a long time. She does think it’s something neurological, can’t say what without an MRI. Could range from dementia to a brain tumor… honestly i didn’t want to put him through having an MRI, and it’s really expensive. The emergency is it cost me A LOT of money. She said my choices are mri, a steroid that might help any inflammation if there is something like a tumor or cancer in the brain, or euthanize.. I choose the middle option. Although maybe I should have just came and got him with none of the above options!Good job once again following those razor sharp instincts of yours and taking him in. Hopefully you will get some answers soon and glad he is doing better at least, get well Beau!
Are there any other medications he is on besides the steroids? And what duration for the steroids?
Melisrock
Member Since 2022
Steriods are .3ml for 5 days(once a day) then .15 for 5 days (once a day) then .10 ever other day for 3 days.Good job once again following those razor sharp instincts of yours and taking him in. Hopefully you will get some answers soon and glad he is doing better at least, get well Beau!
Are there any other medications he is on besides the steroids? And what duration for the steroids?
Suzanne & Darcy
Member Since 2020
I think you chose the same option that I would have. I do hope the steroids will help.
Suzanne & Darcy
Member Since 2020
I am happy to read this report that he is doing better.
Melisrock
Member Since 2022
I should probably start a new thread, I’d like to talk about what the ER vet told me about his diabetes. Her opinion, that it may have been a misdiagnosis, there is also something she called “transient diabetes”.She kept telling me to bring it up to my primary vet, she really gave basic answers to my questions about this. I did bring up the steroid and diabetes which she said test his BG n if it’s over 250 to resume insulin. I’m wondering now, if that does happen, what dose would I even start at!? I have so many questions the more I think about everything that’s happened to us the last month.
Melisrock
Member Since 2022
My
my Primary vet is a nice guy and all but I’m really not happy with how he initially gave this diagnosis a month ago and the direction I was given, being someone who knows zero about it. Even after the follow up appointment 10 days from beaus diagnosis his BG was 200 n he told me to Increase from 2u to 3u… I’m just thankful I started my research and found this site to give me more insight and everyone has helped out with their experience and knowledge. If I didn’t get a BG kit to test Beau daily, he’d be getting 3u 2x a day with hopes of using the urine strip provided to determine a dose.
Suzanne & Darcy
Member Since 2020
If you start a new thread, just be sure to put Beau’s name in the title and be sure to link this thread in your new post. That will help us a lot.
I am so glad that you found your way here as well. Why did the ER vet question the FD diagnosis? Please forgive me if I have asked you this before (I have looked at so many labs just today even), but what was the fructosamine test number on Beau? Or what was the BG number at diagnosis? He wasn’t on any steroids at that time, right? Those were just added in after the recent ER visit?
I am so glad that you found your way here as well. Why did the ER vet question the FD diagnosis? Please forgive me if I have asked you this before (I have looked at so many labs just today even), but what was the fructosamine test number on Beau? Or what was the BG number at diagnosis? He wasn’t on any steroids at that time, right? Those were just added in after the recent ER visit?
Suzanne & Darcy
Member Since 2020
And yes… with a BG of 200… to increase the dose from 2 to 3 units is dangerous. If I were you, I would just be giving no insulin right now (as you already are) but I would be doing a little testing here and there - about three hours after breakfast, for example — And maybe later on in the day or evening. This data could help later after he’s off the pred - for comparison.
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