Was doing ok now kinda stuck

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Stacy n kendra

Stacy n kendra

Member Since 2018
Had one shot in yellow was so happy now back to red no changesin anything. So frustrating she is drinking tons of water what can go wrongshe is one 4does 2x day per her vet doing a curve on Sunday ugh
 
It's interesting that the numbers before AND after the insulin are generally the same. I'm really new to all of this too, so I have no idea. Hope they give you some answers!
 
previous posts
http://www.felinediabetes.com/FDMB/threads/i-got-a-yellow-today.190463/#post-2123339http://www.felinediabetes.com/FDMB/threads/i-got-a-yellow-today.190463/#post-2123339
and
http://www.felinediabetes.com/FDMB/threads/cant-get-out-of-red-n-pink.190304/#post-2121758http://www.felinediabetes.com/FDMB/threads/cant-get-out-of-red-n-pink.190304/#post-2121758
http://www.felinediabetes.com/FDMB/threads/cant-get-out-of-red-n-pink.190304/#post-2121758
Hello.
We don't want you to disappear but,
I think your process of treatment can use some fine tuning.

the first thing from the previous posts I notice is that the Royal Canin food is higher carb than you want to feed a diabetic.
Those changes aren't instant so let's find some other foods for her. The instinct is a great one.... but with food and her delicate issues, transitions need to be slow. That can wait for now.

Second, the dosing schedule you are on is very very likely too much insulin . We don't do these big whole unit increases.
It can cause those high numbers to stay but only until suddenly you have a dangerous low.
We want to keep Kendra safe.

A 10 - 15 lb cat is a small creature. A whole unit of insulin can be a lot for a small animal. Try to remember that insulin was designed for humans, not cats. It just happens to work great for cats too.
So you really should get some syringes so that you can make incremental dose changes.
Your Pen also works just like a vial. You can draw insulin out of the rubber part and get those half and quarter measurements.

You can get lots of help here, lots of good suggestions if you are willing.
We have so much collective experience here and there is always someone we can tag for you when we don't know the right answer.

But we need you to meet us part of the way ....

so please, Let us help ....
the suggestions made already are good ones....
and over time we can get Kendra down in the proper range and maybe even in remission.....
 
I have been adding natural instinct rabbit to her food so it's half n half been doing that since mon. My vet told me to raise the dose
 
Jovigirl700 said:
I have been adding natural instinct rabbit to her food so it's half n half been doing that since mon. My vet told me to raise the dose
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Vets will always tell you to raise the dose. They know very little about feline diabetes any more than a general practitioner knows much about gynecology. My vet telling me to raise the dose on my cat almost killed him. I’d trust the forum first.
 
Looking forward to see the results of the curve tomorrow. The more you gather data about how this dose is working, the better idea we'll have about what to do next with the dose.

Did you make any progress in getting syringes with 1/2 unit markings? You can get Relion syringes at Walmart for a good price, or so I've heard. I'm in Canada. Those 1/2 unit marked syringes will make a big difference in dosing. Cats are very sensitive to even the smallest changes in dosing.

How is she taking to the new Instinct Rabbit?
 
She loves the new food n so far so good. I personally have relion syringes for myself when I use to be on b12 shots they are 30 gauge 1ml capacity and 8mm length think that will work
 
Wendy&Neko said:
Looking forward to see the results of the curve tomorrow. The more you gather data about how this dose is working, the better idea we'll have about what to do next with the dose.

Did you make any progress in getting syringes with 1/2 unit markings? You can get Relion syringes at Walmart for a good price, or so I've heard. I'm in Canada. Those 1/2 unit marked syringes will make a big difference in dosing. Cats are very sensitive to even the smallest changes in dosing.

How is she taking to the new Instinct Rabbit?
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Didn’t realize you were in Canada too. Can we get Relion here?
 
Great i just ordered that same kind for double money ugh I know for future Wal-Mart was out of stock for some kind of recall thanks though
 
Wendy&Neko said:
Looking forward to see the results of the curve tomorrow. The more you gather data about how this dose is working, the better idea we'll have about what to do next with the dose.

Did you make any progress in getting syringes with 1/2 unit markings? You can get Relion syringes at Walmart for a good price, or so I've heard. I'm in Canada. Those 1/2 unit marked syringes will make a big difference in dosing. Cats are very sensitive to even the smallest changes in dosing.

How is she taking to the new Instinct Rabbit?
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So how do you think curve went in sure my vet will call and want more insulin just my guess what do you think ordered the needles
 
Jovigirl700 said:
So how do you think curve went in sure my vet will call and want more insulin just my guess what do you think ordered the needles
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Please get advice from others but if it were my cat I’d reduce right back to 0.5 and follow one of the two protocols on this forum. You got a blue number on just 2u and it looks like he’s getting too much insulin to me. 2u is way too high of a starting dose.
 
I would not lower the dose. Some kitties need more insulin than others. Going back to the beginning can be a HUGE step backwards. Often kitties will show a reaction to starting insulin that isn't sustained. Those blues may have been that reaction.

Good job on the curve yesterday. It does look like more insulin may be needed. But I would get those insulin syringes first, so you can do a smaller increase than your vet will ask for. In the mean time, keep getting those tests in. Try to get a before bed test every night if you can. Many cats go lower at night so we want to try and see if that is happening.

How is Kendra acting/behaving? Kitties are so much more than their numbers, which is all that the rest of us can see.
 
Wendy&Neko said:
I would not lower the dose. Some kitties need more insulin than others. Going back to the beginning can be a HUGE step backwards. Often kitties will show a reaction to starting insulin that isn't sustained. Those blues may have been that reaction.

Good job on the curve yesterday. It does look like more insulin may be needed. But I would get those insulin syringes first, so you can do a smaller increase than your vet will ask for. In the mean time, keep getting those tests in. Try to get a before bed test every night if you can. Many cats go lower at night so we want to try and see if that is happening.

How is Kendra acting/behaving? Kitties are so much more than their numbers, which is all that the rest of us can see.
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I’d agree if he was far along on his diabetic journey but he’s recently diagnosed. I was advised to do the exact same thing when Silver was just diagnosed and started on 2u. I dropped right back and Silver was OTJ in a month. Hence my suggestion. It did work in his case.
 
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Wendy&Neko said:
I would not lower the dose. Some kitties need more insulin than others. Going back to the beginning can be a HUGE step backwards. Often kitties will show a reaction to starting insulin that isn't sustained. Those blues may have been that reaction.

Good job on the curve yesterday. It does look like more insulin may be needed. But I would get those insulin syringes first, so you can do a smaller increase than your vet will ask for. In the mean time, keep getting those tests in. Try to get a before bed test every night if you can. Many cats go lower at night so we want to try and see if that is happening.

How is Kendra acting/behaving? Kitties are so much more than their numbers, which is all that the rest of us can see.
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Juliet said:
I’d agree if he was far along on his diabetic journey but he’s recently diagnosed. I was advised to do the exact same thing when Silver was just diagnosed and started on 2u. I dropped right back and Silver was OTJ in a month. Hence my suggestion. It did work in his case.
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Thanks for your advise my vet didn't call I'll try give her a call tomorrow. I'll try getting before bed checks in. As of her acting besides drinking a lot more she seems fine a few weeks ago she was on feeding tube for little over 2 weeks since then she is my old i mean young kitten again lol.playing eating more just a happy little girl
 
Jovigirl700 said:
Yes 5 units in thinking the same
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Ok, I would stay with the 4.5u for tonight which I think you did.

Tomorrow morning can you post before your shot time and put a ? mark with dose advice needed urgently. See if we can get some more experienced eyes on your situation. It looks like you are in a high dose situation and I don't want to steer you wrong on when to increase or how much.

If you can get some mid cycle tests tonight, just so we can see more data.
 
Or it could be because of the higher carb food Kendra was on. There is a change of lower carb food in process just didn't want her to increase the dose as the food change is occurring without some more experienced members taking a look.
 
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Tracey&Jones said:
Or it could be because of the higher carb food Kendra was on. There is a change of lower carb food in process just didn't want her to increase the dose as the food change is occurring without some more experienced members taken a look.
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I see u have a ibd kitty too n use cerenia have u ever used slippery elm bark . I just ordered it will be here sun for vomiting just wondering
 
Jovigirl700 said:
I see u have a ibd kitty too n use cerenia have u ever used slippery elm bark . I just ordered it will be here sun for vomiting just wondering
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I did try it for awhile. I found it hard as you can't give any other meds or supplements for 2 hours after giving it. As well he did not want to eat his food with it mixed in. With working all day and him not wanting to easily digest it...meant me pilling him more. So I stopped. I do use it for myself though:D

I do use the cerenia, 1/4 daily in the morning. I did try to back him down to every other day awhile back but that just ended up with him throwing up every other day.

I see you are on budesonide was the use of the steroid cause of the FD?
 
Jovigirl700 said:
I'm not sure right now every other day instead of once a day. Then maybe cut the dose in half n do every day
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That is a pretty small pill at that point:D

Could of done that, not sure if that would of worked for him or not. Something to consider for the future if we decide to try again. It just seems that if you upset the IBD side of things, it takes awhile to get things back to normal again. Don't want to upset him more then I need to.
 
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Wendy&Neko said:
I agree with your vet. I think you can go to 5.0 units tomorrow morning. Good luck with the new dose.
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Just curious. Why are whole unit increases encouraged in such by a newly diagnosed cat? Doesn’t appear to be following either of the two recommended protocols on this forum. Has some additional diagnosis been made that isn’t clear in the ss?
 
No my vet told me (only have The Pen)i have been using needles for the half measurements that I use to have to use when I got b12 shots i ordered needles they should be in today. I told my vet I'm getting needles so can go little at time n she said raise it to 5u.She doesnt even know since like mon -Tues i was giving additional half u. Did glucose curve on Sun didn't hear from vet till yesterday I knew she was gonna say raise to 5 so I wanted to start slow that's why I was giving the addition .5u instead of just jumping from 4-5u
 
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@Juliet if you look at her spreadsheet, she has been giving 4.5 units the last few days, doing lots of testing, and seeing nothing under 300. A 0.5 unit increase is good at that point.

Good to hear you are getting the syringes.
 
Wendy&Neko said:
@Juliet if you look at her spreadsheet, she has been giving 4.5 units the last few days, doing lots of testing, and seeing nothing under 300. A 0.5 unit increase is good at that point.

Good to hear you are getting the syringes.
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Ok I get it. Just wasn’t sure why such a high starting dose and going up in one unit increments when she had seen blue on a lower dose. To me it looks like way too much insulin too soon. Same thing happened with Silver and I was told the same thing. I just wondered why this case was different when looks the same. Vets seem to automatically start off at 2u. Maybe that’s in the vet handbook.
 
Ok I'm in a bounce ugh now what this is all so different n new this can t be good vet wants a curve on Sunday any advice
 
Does the vet want to do the curve or is he happy with you doing it?
Most of us insist on doing that ourselves.....
He is likely just looking to see if he want you to increase or decrease.
Try to stay with what we've told you on increases.....
 
Good luck with the curve. In addition to that curve, I would always get preshot numbers. I see a couple are missing on the 11th, 14th and 15th. Although Kendra's numbers are all high now, cats are notorious for surprising us. Too many times I've seen a cat throw in a preshot number that isn't safe to shoot.

I think Kendra will need to go up to 5.5 units after the curve. You've gotten enough data for me to think you aren't missing any really low numbers.

ETA: Good to hear Kendra is feeling playful. :)
 
Curve not looking good she gets her shot at 10pm I'll add .5 to it plus drinking so much a laying around most of day ugh need my babies levels to go down asap ugg
 
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