Very sick newly diagnosed cat, BG in 22s (400s)to over 33s (close to 600)

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Heartening to read all your good work and good help from everyone here. I just wonder: what are you feeding her? I've learned so much since M'row was diagnosed end of December 2018, most learning from this forum. Can you imagine, I didnt even know kibble was no good! You are in Iceland, I gather, so maybe you have different canned cat foods from here in USA. Anyway, here fancy feast classic is well thought of; there is much info on kinds of cat food, and even how to make your own. I loved hearing about how your kitty is getting her personality back, what joy!
 
Just a thought before I sign off, I might get a +3, hopefully she won't be doing anything crazy, but with the limited data you have so far we don't really know what her patterns are, I just had a gut feeling that I would grab a +3, stick to your feeding theory (unless she's too low of course)
 
Do you ever travel to Canada? Lantus can be bought over the counter there without a prescription.
Not sure about France,but I have a friend there who had a diabetic cat and I can ask her, if you travel there.
 
Gill & George said:
Just a thought before I sign off, I might get a +3, hopefully she won't be doing anything crazy, but with the limited data you have so far we don't really know what her patterns are, I just had a gut feeling that I would grab a +3, stick to your feeding theory (unless she's too low of course)
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10.2 (184) She's good with her last 25% of PM food I think. Rest her ears for a curve tomorrow..

From just today's numbers I would say its more likely that a 0.5 to 1 unit dose every twelve hours with low carb wet divided into a few meals time is more appropriate for her than 3.5 units and fed every 12 hours....
 
Amina&M'row said:
Heartening to read all your good work and good help from everyone here. I just wonder: what are you feeding her? I've learned so much since M'row was diagnosed end of December 2018, most learning from this forum. Can you imagine, I didnt even know kibble was no good! You are in Iceland, I gather, so maybe you have different canned cat foods from here in USA. Anyway, here fancy feast classic is well thought of; there is much info on kinds of cat food, and even how to make your own. I loved hearing about how your kitty is getting her personality back, what joy!
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Thanks ☺️ she's on the lowest carb wet food ivw found here. I'm calculating the back of every wet food I see..
 
Bron and Sheba said:
Do you ever travel to Canada? Lantus can be bought over the counter there without a prescription.
Not sure about France,but I have a friend there who had a diabetic cat and I can ask her, if you travel there.
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I've been to Canada once for the Human Rights Coalition. But unlikely to go this year. France usually about once a year and I was Strasbourg last month. Belgium often but they're.. Stiff with meds..
I need to check some countries.. Bosnia and Herzegovina, Netherlands, Croatia, Serbia, Bulgaria Poland and Greece all come to mind. Either going or have friends that could get it to me.. And either OFC possible or in some í could get a prescription for myself easily... And a fiends a doctor in Germany. Im there regularly. I just need some time to research and set up a supply chain that keeps me safe based on usage, expiration dates and such. That could take a few weeks.
 
Lantus once opened lasts 6 months if stored in the frig. Kraken is only on a small dose so I would think you should get 6 months out of a cartridge. They can come as pens in some countries and you just take the cartridge out of the pen and use it with a syringe.
 
Bron and Sheba said:
Lantus once opened lasts 6 months if stored in the frig. Kraken is only on a small dose so I would think you should get 6 months out of a cartridge. They can come as pens in some countries and you just take the cartridge out of the pen and use it with a syringe.
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OK. So next once I've sourced some origin countries I can reach out. Realistically I could if lucky have it here on the 16th of march .. If unlucky . 16th of April..
So 2 to 6 weeks on canininsulin.
That's actually going to be super easy. Get two with a 14 month+ expiry date before opening and I have good time to ensure we always have enough.. I'll start working on that tomorrow
 
@Kitty Anderson
I have just read your thread on the Caninsulin page and noticed you said you were using 0.5ml U 100 syringes. These are not the correct syringes to be using with Caninsulin. The correct syringes are the U40 syringes.
There is a conversion chart that can be used with 0.3ml U100 syringes and Caninsulin but I don't think it works with the 0.5ml U100 syringes. The syringes you have at the moment will be delivering the wrong dose of the insulin. I have not used Caninsulin so I can't help much so I am going to tag @Elizabeth and Bertie @Rachel @Kris & Teasel and hope one of them will come online to help you.
In the meantime do NOT increase the dose at all until we sort out the syringe issue.
 
Bron and Sheba said:
I don’t think Kitty Anderson is using a conversion chart ... so that means that Kraken is really getting about 0.3units with the 0.75 on the U100 syringe. Right?
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Sorry went btb was reading and fell asleep.

Yes that's correct.
Also filling to the 1u line on a u100 syringe would actually be 0.4u of caninsulin
 
Gill & George said:
Sorry went btb was reading and fell asleep.

Yes that's correct.
Also filling to the 1u line on a u100 syringe would actually be 0.4u of caninsulin
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Im sleep deprived at the moment. Of course it would apply to all u 100 syringes. I’ve just never had need to think about the 0.5 syringe.
I need an early night tonight! Thanks Gill
 
Kitty Anderson said:
Thank you both! Hér AMPS was 14.7 (265)
These were the ones that the vet said we should use.
I stuck with a 0.75 units on the U100 as her AMPS is slightly higher than last nights. Will continue to monitor.
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So you are actually giving a much smaller dose than we thought. Normally when using the u100 syringes with caninsulin you use a conversion chart ( instead of the U40 syringes that go with the Caninsulin). Maybe the vet uses the conversion chart and tells you the amount for the U 100 syringe.
 
Bron and Sheba said:
So you are actually giving a much smaller dose than we thought. Normally when using the u100 syringes with caninsulin you use a conversion chart ( instead of the U40 syringes that go with the Caninsulin). Maybe the vet uses the conversion chart and tells you the amount for the U 100 syringe.
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That could be quite likely.. If we only have U100 dose insulins for humans then those would be the only syringes readily available... This is information she should have provided us with. But her PMPS last night seemed to respond reasonably to the 0.3 units (0.75 U100)
 
Is the cat food available in Iceland imported from Europe? Of so there's a food chart with many of the LC foods, might save you some time with the calculations.
 
Gill & George said:
Here's the link to the list
https://docs.google.com/spreadsheets/d/1J5JpMe6TDXrHq_aTl9hUtHy6Gs9oRBqlz4nPGKxtySA/pubhtml
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I'm feeding her this brand.

http://www.meat.love/en/cats/pussy-deluxe/chicken-with-tuna.html
Its as close to home made human grade as we can get from a store. But if I can secure a supply of taurine then I want to make my own..
I'd need to read up thoroughly on which additives (taurine, egg shells Ect) she would need.. But if I can't get taurine I won't do it. Currently her food budget is 6.30 US dollars a day. Depending on the cost of taurine I could probably make the same for close to 2 dollars a day. If I can't she gets this while it agrees with her. :)
 
Gill & George said:
Here's the link to the list
https://docs.google.com/spreadsheets/d/1J5JpMe6TDXrHq_aTl9hUtHy6Gs9oRBqlz4nPGKxtySA/pubhtml
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Going over the list we have Felix and Whiskas available in super markets. Carnilove is also available where we buy the pussy deluxe. Meowing heads is sometimes available but usually only the kibble.
The rest not really
Royal Canin, Science plan, Brit, Iams, Orijen and Akana are the most common here. Whiskas, Felix and Friskies are most common in supermarkets, but Friskies wet is only sometimes available.
 
Kitty Anderson said:
Going over the list we have Felix and Whiskas available in super markets. Carnilove is also available where we buy the pussy deluxe. Meowing heads is sometimes available but usually only the kibble.
The rest not really
Royal Canin, Science plan, Brit, Iams, Orijen and Akana are the most common here. Whiskas, Felix and Friskies are most common in supermarkets, but Friskies wet is only sometimes available.
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I have to order it all on line from Zooplus, none of it is available in the stores here.

Zooplus do a supplement to add for homemade food,https://www.zooplus.co.uk/shop/cats/supplements_specialty_cat_food/vitamins/155860
Don't know if they deliver to icelaIc but they do deliver throughout europe, German company, with websites for different European countries.
Perhaps you can get it delivered to a friend and pick it up on your travels? Not sure if they deliver to iceIcel??
 
Gill & George said:
I have to order it all on line from Zooplus, none of it is available in the stores here.

Zooplus do a supplement to add for homemade food,https://www.zooplus.co.uk/shop/cats/supplements_specialty_cat_food/vitamins/155860
Don't know if they deliver to icelaIc but they do deliver throughout europe, German company, with websites for different European countries.
Perhaps you can get it delivered to a friend and pick it up on your travels? Not sure if they deliver to iceIcel??
Click to expand...

They don´t send to Iceland but they do deliver to Germany and Belgium! I´m there often enough that this would be easy and I have an office address both places I can send to!

Thank you!!
 
PMPS is 9.8 (176). No insulin for Kraken tonight. Expecting higher BG in the morning but think I will stick with the 0.3 units in the am if BG warrants shot. She has a vets appointment at noon tomorrow and I´m demanding full bloodwork.
Did urine stix yesterday and today, no Ketones (YAY!!) but non hemo +25-50, and today protein ++100 and some changes to bilirubin that I couldn´t quite place.

Going from Thursday and Friday being convinced that she was dying in front of me, did not want to be touched at all.... To a happy cat that's snuggly and purry!! Just by drastically, drastically reducing her insulin. And saying **** this **** to blind shooting.
 
Kitty, maybe start a new thread and linking this thread in your new first post? You've turned the corner and are going in the right direction. Great progress and I'm so happy to hear that Princess Kraken is doing so much better. We are happy for you. :cat:
 
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