? 07/12 Mačka not hungry all day :( Shot 1.5 - PMPS 508 +2 447 +4 268

Discussion in 'Lantus / Levemir / Biosimilars' started by Penelope and Mačka, Jul 12, 2019.

  1. Penelope and Mačka

    Penelope and Mačka Well-Known Member

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    Mačka lost his appetite today. He started with 1/2 can of fancy Feast this morning pre-shot, but after that showed signs of nausea. I tried all day to feed him and only got into him a few spoons here and there, sprinkled with Tiki stix (yes, this is still ok to eat).
    I gave him Cerenia at noon. I will give him his fluids at about 4:45pm.

    He is in his very highs, should I shoot tonight regular units?

    Also should I feed him higher carb since he is barely eating?

    Looking forward to your advices. Thank you.
     
    Last edited: Jul 12, 2019
  2. nslade001

    nslade001 Well-Known Member

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    Bump :)
    I hope Macka feels better tonight! With love, Nikki
     
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  3. Wendy&Neko

    Wendy&Neko Senior Member Moderator

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    It is still an hour to PMPS? I would wait to see if he eats, even a little bit, before deciding what to dose. Have you tested ketones lately? With high numbers, inappetance, and recent DKA, I would be reluctant to suggest a reduced dose. Try the low carb food first. If he won’t eat that but will higher carb, try that next. It’s important he eat something. Did the vet suggest fluids every day? Maybe that will help his appetite.
     
  4. Penelope and Mačka

    Penelope and Mačka Well-Known Member

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    I give him fluids every day yes. He seems a little better but not sure yet if he’s gonna eat. shot time is in 30 minutes. Let’s see now his number and if he likes any of the food.
     
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  5. Penelope and Mačka

    Penelope and Mačka Well-Known Member

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    @Wendy&Neko he ate 1/3 of hisFF can, but without pleasure. I could not give him more, even sprinkled with Tiki stix. I then tried one spoon of Beef gravy Lover that he ate. But again, no real interest.

    I am concerned that if I give a full shot, I won't be able to feed him through the night if he does not have any appetite. I am wondering if I should do 1.5 or even less? Ah! this is so worrisome :(

    Ketones tonight are NEG
     
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  6. Penelope and Mačka

    Penelope and Mačka Well-Known Member

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    He basically ate HALF of what he normally eats per day.
     
  7. Penelope and Mačka

    Penelope and Mačka Well-Known Member

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    Is shot is due in 5 minutes :(
     
  8. Penelope and Mačka

    Penelope and Mačka Well-Known Member

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    The Gravy he had was 15% carbs.
    If I shoot, I am really not sure he is going to eat anymore of it in case of a hypoglycemia. He refused another spoon just now :(
     
  9. Wendy&Neko

    Wendy&Neko Senior Member Moderator

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    Shooting 1.5 won’t help much, as the depot of 1.75 will influence the cycle tonight. Eating half his food is good, especially if you can get a bit more in him tonight. He is really high and needs insulin.

    Good to hear negative ketones. Could you note that on the spreadsheet.
     
  10. Wendy&Neko

    Wendy&Neko Senior Member Moderator

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  11. Penelope and Mačka

    Penelope and Mačka Well-Known Member

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    I shot 1.5.

    He just vomited the last tiki stix he had :( I'm so scared of losing him.
     
  12. Amanda and a Loudogg

    Amanda and a Loudogg Well-Known Member

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    Oh Penelope, I am so very sorry Mačka is having issues eating. I know how scary that is. I'm glad you gave him insulin tonight. I'm sending lots and lots of appy vines for him. I hope he starts eating. How often can you give the Cerenia?
     
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  13. Penelope and Mačka

    Penelope and Mačka Well-Known Member

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    I think it’s once per day as it works for 24 hours?
     
  14. Penelope and Mačka

    Penelope and Mačka Well-Known Member

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    I am going to sleep an hour 1/2 while my husband looks over him and then we will do a +2 test
     
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  15. Wendy&Neko

    Wendy&Neko Senior Member Moderator

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    When you post that -2, could you remove the 911 and replace it with a question mark prefix. This is not a medical emergency and I am hoping it won’t be. It’ll also help us keep eyes on you if you update the subject with his PMPS and +2 numbers.
     
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  16. Penelope and Mačka

    Penelope and Mačka Well-Known Member

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    PM +2 447.
    So, it's going a little down, but not a lot. I am going to try to stay awake, and get a +4, I guess?
    He was okay to eat a little spoon of low carb right now, just a little, not sure if he's going to keep it in. Fingers crossed.
     
  17. Wendy&Neko

    Wendy&Neko Senior Member Moderator

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    A little bit of food is a good sign. A +4 is a good idea. If he is above 250 or so at that point, you are done for the night.
     
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  18. Penelope and Mačka

    Penelope and Mačka Well-Known Member

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    PM +4 =268
    He ate a little spoon of food, but not more.
     
  19. Penelope and Mačka

    Penelope and Mačka Well-Known Member

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    PM +5 = 183
    I gave him a spoon of Gravy lovers to slow down. Hoping this is nadir. Can't sleep.
     
  20. Zorro's mom

    Zorro's mom Member

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    Penelope I don't want to butt in and this isn't actual advice but what I do in a situation like this, to give me more control and to help decide whether I want/need to feed a little bit more, is to test say every 20 or even 15 mins and convert the rate of drop since the last reading into an hour and then compare with the previous hour's rate of drop. Then you can see whether he is slowing down or not. Does it make sense?
    I (and that's just me) am always too nervous to wait 30 mins or an hour before the next test and this way makes me feel more in control.
    Macka is still in safe numbers though.
    Watching and thinking of you and Macka.
     
  21. Zorro's mom

    Zorro's mom Member

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    Oh I just saw your updated SS and he has levelled out nicely :bighug:
     
  22. Penelope and Mačka

    Penelope and Mačka Well-Known Member

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    HI @Zorro's mom ,

    thank you for the tip. I am not mastering this science yet. he's been dropping differently every day, so I'm not sure. Right now, the problem is, he's not hungry :( so it makes the whole night even scarier.

    However, he's been at 183 at PM +5 and +6 so I'm hopeful the gravy helped stay in a safe zone.
     
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  23. Penelope and Mačka

    Penelope and Mačka Well-Known Member

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    I was too nervous to wait a 1 hour, so I tested at +5.75 :(
    it has leveled, but I'm still very nervous. And he is not hungry.

    With all the drops and bouncing, I wonder if reducing the dose wouldn't benefit his curve, in my understanding, less drops = less bounce, right?
     
  24. Zorro's mom

    Zorro's mom Member

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    Blue numbers are beautiful (and soon you'll look forward to them and to dark green, believe me I miss them!) so really, he is in a good, safe place right now.

    +5.75 was fine for a reading, I would have done the same instead of waiting an hour - just to ease my mind. You might find that the next reading will be a bit higher already. However if it was me I would set my alarm and take a quick power nap for another 45 mins and then just check again because sometimes once the food has worn off they can still drop a little bit - but even if that was to happen to Macka now he is in a safe zone so I highly doubt that a further drop will take him too low. But to ease your mind, check in 45 mins again.
    I want you to see this quickly so will start new message re you last question.
     
  25. Bron and Sheba (GA)

    Bron and Sheba (GA) Well-Known Member

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    You have managed well this cycle Penelope. Well done.
    On another positive note, Macka is responding very well to insulin.......a lot of kitties take a lot longer to respond like this!
     
  26. Penelope and Mačka

    Penelope and Mačka Well-Known Member

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    How long does the food take to worn off do you think?

    His poor little ears... and he sleeps so well, I am sure he needs his sleep like I do, and I keep on waking him up! I tested at 1:30am, I'll test again at 2am?
     
  27. Penelope and Mačka

    Penelope and Mačka Well-Known Member

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    Thank you @Bron and Sheba!
    I'm trying to apply what I learn here.
    However, this is an emotional roller coaster, and not sure he's safe yet, since he does not want treat much today. Hopefully the numbers are going to go up from now on and I will be able to get some sleep (always the same story).
     
  28. Penelope and Mačka

    Penelope and Mačka Well-Known Member

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    He is, but only at night. WHY????
     
  29. Bron and Sheba (GA)

    Bron and Sheba (GA) Well-Known Member

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    It won't always be at night, he'll swap over to the day cycle at some time to drop low.
    Cats like to keep you guessing and on your toes.
    Sheba used to drop low at night and then change over to the day cycle.
     
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  30. Zorro's mom

    Zorro's mom Member

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    Penelope regarding your question: I still need dosing advice myself so I really have no idea or even thoughts as to Macka's dose. You'll see on here that doses for kitties vary greatly according to their individual needs. My Zorro has been diabetic for a much longer time than Macka and is on 4 units of Levemir so we are in different leagues entirely! :p Trust the experienced members; The SS of hundreds of kitties on here who they have helped speak for themselves.

    I can just say that, I used to have the same thoughts and question as you have now: Won't it be better to reduce the dose and get him used to say, yellow numbers first, then blue, etc. My logic told me that it would reduce bouncing. However I've seen for myself that it doesn't work that way at all. Their livers are nót logical.

    When I went off for a while and did my "own thing" and reduced Zorro's dose he díd reach higher nadirs, but he stíll bounced to black and red and eventually he settled in mostly pink, red and black. I think then some insulin resistance set in and basically I'm back to square one right now.

    Let's trust the protocol :bighug:
     
  31. Penelope and Mačka

    Penelope and Mačka Well-Known Member

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    PM+ 6.5 (2:20AM) 138 :( he's still dropping. And of course I'm panicking.

    He wake up hungry enough so I gave him 2 spoons of mid carb and a spoon of higher carb (28%).
     
  32. Bron and Sheba (GA)

    Bron and Sheba (GA) Well-Known Member

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    He's still quite safe. You could have given him ordinary low carb.
    Remember you are in control because you are testing the BG levels.
    Test again in 1/2 hour and we'll see if he's reached nadir.
    He is doing really well! Be happy!
     
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  33. Penelope and Mačka

    Penelope and Mačka Well-Known Member

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    I'm so scared he will drop more and won't eat! I don't feel like I am in control at all, I feel like he's slipping through my fingers and I'm losing him This feeling is horrible.
    Let's hope this is nadir this time
     
  34. Penelope and Mačka

    Penelope and Mačka Well-Known Member

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  35. Bron and Sheba (GA)

    Bron and Sheba (GA) Well-Known Member

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    Penelope, you are in control of the numbers and Macka is quite safe at the moment and we are at +6.5 and probably near or at nadir. Please don't waste your energy on thinking the worst all the time. Macka is a good eater ( and that is another real plus) and if for some reason he wouldn't eat and he dropped really low (below 68), you could rub honey on his gums, so there is always a solution. That is exactly what we have been doing over on another thread with a kitty that won't eat, we put honey on his gums to bring him up over 50 ( they were using human meter)Please try and relax and rejoice in the fact Macka is improving all the time.
     
    Last edited: Jul 13, 2019
    Reason for edit: corrected error and clarified
  36. Penelope and Mačka

    Penelope and Mačka Well-Known Member

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    Thank you. I am going to read that page right now.
    Sorry for being so anxious, it's the middle of the night here and i'm all alone dealing with this.
    Is there a chance he could still go down after going up to 165?

    I will test him again in an hour.
     
  37. Bron and Sheba (GA)

    Bron and Sheba (GA) Well-Known Member

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    I have just seen that you added in the above thread that you gave some 28% carb food as well as the medium carb food when he dropped to 138.
    Please keep those high carb food for when he drops below 68. They really aren't necessary when he is at 138 and in lovely numbers which are helping to heal his pancreas.
     
    Last edited: Jul 13, 2019
    Reason for edit: Corrected error
  38. Bron and Sheba (GA)

    Bron and Sheba (GA) Well-Known Member

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    Penelope you are not alone, both Zorros mom and I have been with you and before that Wendy was with you.
    I understand your anxieties, but you are sabotaging yourself and Macka when you give these really high carbs when they are not necessary, which happened last night as well.
    I doubt he would drop after the 28% and being at +6.5 but if you would feel happier to test again, do so. But you need to get to sleep at some point to be able to cope tomorrow :bighug:
     
  39. Penelope and Mačka

    Penelope and Mačka Well-Known Member

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    Yes, I meant, alone at home :)
    I'm SO GLAD I have you guys here, otherwise i would be crying right now.

    I am still not used to lower numbers as you know. This roller coaster is really hard on me at night with the lack of sleep, and I do things out of panicking. Thank you for reminding me. :bighug:
     
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  40. Zorro's mom

    Zorro's mom Member

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  41. Bron and Sheba (GA)

    Bron and Sheba (GA) Well-Known Member

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    I am so sorry you are feeling so overwhelmed by this. It is a roller coaster in the beginning and you did have the added stress of the plane trip and the DKA......so we do understand. This is what you need to do.
    Try and get some more sleep...make it a priority! The alarm clock is your friend. Every hour you can grab here and there will help. And if you can get 5 hour sleeps that is even better. You MUST look after yourself.
    Make sure you are eating properly.
    Try and do something different to get your mind off Macka for an hour even just take a walk or watch aTV program. He will be fine.
    Remember that the reason we are giving the insulin is so that it will bring the BG levels down. Have a look at other cats SS and see how the BGlevels fluctuate. You are going to see Macka with blue and green numbers.....that is what we are aiming for and they are the best numbers.....and by giving high carbs when he gets into the blues is just putting off what you are trying to achieve.
    And remember the positives.....Macka is over the DKA and with you in the US.
    And he is responding well to the insulin.
    And you did really well tonight managing that cycle.
    Here is a hug:bighug:
     
  42. Penelope and Mačka

    Penelope and Mačka Well-Known Member

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    +8 = 232

    Thank you all for your help and encouragement tonight. I am going to bed for (sadly) 2-3 hours.
    Macka is doing fine. Let' hope he will eat again in the morning :kiss:
     
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  43. Bron and Sheba (GA)

    Bron and Sheba (GA) Well-Known Member

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    I hope you get a good sleep.
    See you tomorrow!
     
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  44. Julie and Honey

    Julie and Honey Well-Known Member

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    Penelope, I am sorry to see this has been another stressful night for you. Bron makes a good point here, this is the whole reason we test, so we know if they are low and can take action to correct it. Can you imagine people that don’t test their cats at all? The first time my kitty went very low (actual hypo event) I of course freaked out, but got help here and gave her a little high carb and Karo syrup and she recovered quickly. The important point is now I know I can reverse it if it happens again. Take heart that if he did go too low you CAN do something about it. Lately he has gone a lot lower from where he started the day, but he has recently still been in very safe numbers. The time you would start to worry is below 68 on AT. I think part of the reason this is so stressful is he is starting really high and you see him keep dropping. The goal here is to get him to a point where he is more even from pre shot to mid cycle and not these huge swings. This is only an example, Let’s say he gets to a point his preshot is 350, then he may only get to 150 at nadir, still where you see him now, but a gradual drop because that preshot number was a lot lower to start. Not so scary, right?

    Also this crazy bouncing hopefully will subside, sometimes it takes a few days if they are bouncing.

    Remember the food trick Wendy mentioned about less food between nadir and next preshot? Maybe see if that will help him from spiking so high on preshots. I am going to try it myself!:bighug::bighug::bighug:
     
  45. Julie and Honey

    Julie and Honey Well-Known Member

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    Totally agree:) you are panicking when he is still fine. And by giving him high carb when he is fine, you might end up exacerbating the spiking. Let’s save the worry if it is needed.

    ***NOTE:You are using AT, so 68 is the number you need to keep in mind. If he goes lower than 68, that is time to take action
    50 is only for people using human meters.***
     
  46. Bron and Sheba (GA)

    Bron and Sheba (GA) Well-Known Member

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    Thanks @Julie and Honey
    Yes. Take action number is 68 with alphatrak not 50. I had been helping someone else who was using a human meter as well at the same time as helping Penelope . My bad.
    I have corrected numbers
     
  47. Julie and Honey

    Julie and Honey Well-Known Member

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    Yes, well said Bron! Also there is clinical proof lack of sleep not only stresses you out but does not help with decisions and it is not only bad for mental health but physical health too. You can’t help your baby if you are not at your best.

    Do you have an iPad or smartphone? There is an app called “calm” that has some beautiful scenery and nature sounds that is VERY relaxing. Maybe a daily dose of relaxation would help you cope better? I only mention because I can worry as much as you do (about the cat not as much now), but everything else in my life.
     
  48. Julie and Honey

    Julie and Honey Well-Known Member

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    You are a great helper and I am sure you are a little frayed yourself:bighug:
     
  49. nslade001

    nslade001 Well-Known Member

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    Penelope, you did well last night! I have to say, I've been watching many spreadsheets here since I joined in November after Willow's diagnosis....And honestly, Macka is one of the most beautifully responsive I've seen as a newcomer! He's been starting largely black (which are horrible, unhealthy numbers he needs to get out of) and *smoothly* dropping into gorgeous yellows and blues! Wow!

    I know the drop seems dramatic but that is because he is starting off far too high....As he is staying longer periods of time in those blues and yellows, his preshots will start to not be as high and so the drops won't be as dramatic...We say the curve flattens, because it does :)

    We just needs to stay in those blues as long as possible, which means feeding lower carb food instead of higher carb. You need to celebrate those colors, not fear them! Red and black are bad! Lol.

    I think you should not concentrate on the numbers, like how many points he's dropping, right now, because it's skewed and scary because of his too-high starting point. Instead look at colors.

    Here is my current recommended guideline for Macka, will change as you gain confidence in your control...

    Black.... Horrible/must get out of!
    Red....Very bad
    Pink....Much nicer!
    Yellow...Oh, this is getting good!
    Blue.....Yay! Celebrate! Let's stay in blues a while!
    Dark green..Scary only because I'm not used to them...These are healing numbers!!! But because of that, I know there are many eyes on us ready and experienced, and able to help!


    That lime green days ago was terrifying, but *there was no preshot!* We don't know what he started at, but from the red +9 he may have been red, low red, or even pink. *And* he'd been on a steady 2U so had a full depot of a heavier dose. But now you know where he's starting, and he's on a lower dose and responding beautifully.

    Try to sleep some today, and encourage your own attitude of *hoping for yellows and blues*, and "maybe he'll even stay blue longer! If only I can get Macka in the blues, he will be safe there...Red and black are not good for him!"

    I hope you rest, and I'm looking forward to seeing more blues and yellows on his SS tonight! With love, Nikki
     
  50. Julie and Honey

    Julie and Honey Well-Known Member

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    Very nice Nikki, I like your color coded train of thought!:D
     
  51. Bron and Sheba (GA)

    Bron and Sheba (GA) Well-Known Member

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    A very good analogy Nikki!
     
  52. Moms2Tigger&Blu

    Moms2Tigger&Blu Member

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    Hey take a look at Tigger's cycle last night on his SS. I woke up every hour on the hour. I am exhausted. Each time I had to seriously fight the urge to panic and give high carb food. I didn't even really push his LC. We recently started letting Tigger sleep in our bed and it has actually caused a big problem! Before he would eat lots of tiny meals thru the night - I would watch when I got up to test etc. Now ALL he wants to do is get back in bed with us. I'll carry him to his food dish, get busy for a second, turn around and he is gone! Right back into bed, snuggled nicely next to his other mommy. Don't get me wrong, it's not like we are used to these numbers over here, but after a year trusting the advice and info on this board I have been much better about panicking. Learning your kitty's specifics is key. This am he only climbed to 114 at preshot. I stalled, didn't feed, retested, saw he was climbing without food . . . and Tigger is true to his name and very bouncy. I summoned the courage and shot . . . it could be the one cycle he is different of course but experience tells me he is going up! Don't be so hard on yourself either, you're doing great, we all are. Good luck today, you got this!
     
  53. Julie and Honey

    Julie and Honey Well-Known Member

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    For us visual learners, Nikki gave me an idea...and gives me a chance to use more emojis!


    :blackeye: Black = so bad there is no emoji, here’s a black eye, this will do
    :mad: Red = bad
    :oops: Pink = not the best, but getting better
    :) Yellow = respectable, decent, but still can do better (like the really sweet boyfriend that needs to lose 30 pounds)
    :cool: Blue = very cool!
    :D (Dark) green = great!
     
  54. nslade001

    nslade001 Well-Known Member

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    Lol love
    Need this added for black!
    ETA I added a devil emoji from my phone, and learned phone emojis don't come through lol
     
  55. Penelope and Mačka

    Penelope and Mačka Well-Known Member

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    You are hilarious!

    @Moms2Tigger&Blu I am so sorry, I can see you stayed up all night just like me :( I can also see on Tigger's SS that you test less during the day, did you decide to test almost only at +5/nadir? He has a lot of blues in his curves, and a low dose, that's great!
     
  56. Penelope and Mačka

    Penelope and Mačka Well-Known Member

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    Thank you so much for your encouragements. An external and experienced pair of eyes is needed here to see the beauty lol, I don't see it that way quite yet.
    But obviously he's getting there. If only he would have more appetite these days! I would worry less I guess (or not).
    This is amazing. I promise I'll try. It's just that the night is not my best companion, the vibe is weird at home, in the dark, with the lack of sleep, and the vet clinic being closed.

    When you say healing numbers (green), what exactly do you mean? That it put the pancreas on pause for a few hours?
     
  57. Moms2Tigger&Blu

    Moms2Tigger&Blu Member

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    No we work during the day usually, and even on vacation he never seems to go low in day cycle
     
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  58. nslade001

    nslade001 Well-Known Member

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    Hi, I'm going to give my rather jumbled understanding...

    Basically, yes. The beta cells, which are responsible for producing insulin, are given a chance to rest and repair once a cat is in the "normal" range of 50-120. The longer we can keep a cat in these numbers, the more repair occurs, and the pancreas can heal. ..eventually, hopefully, to the point that the pancreas can by itself provide enough insulin to manage it's body's needs, and we no longer need to give it.

    On the other side of the coin, the longer a cat spends in high numbers (hyperglycemia) the more damage is being done to those beta cells.

    I see you gave another different dose today. I'm going to try to explain why this (frequently adjusting the dose) isn't good for Macka; please bear with me.

    From my understanding, Lantus works best when it is given at a *consistent* dose twice daily. Every time we give an injection of insulin, some is used and some is stored. The stored is a "depot" which is released back slowly into the bloodstream.

    When we miss a shot or give a partial shot, more insulin is pulled from the depot to help "cover" the loss, so a change isn't usually seen in that cycle. What we *do* see is less insulin being available for the body to use the next few days/cycles as the depot "refills", causing more stress on the pancreas and higher blood glucose levels. When we actually "reduce" a dose...It means there's a need for *less* stored insulin, so the depot releases more into the bloodstream over the next few cycles/days as the depot drains. Increase the dose? Another adjustment in what's available for the cat to use, as the depot now needs to store more insulin, so there's less available for use.

    "Adjusting" the Lantus doses does not result in expected changes in that cycle, but *does* affect the following days/cycles as the depot tries to stabilize. We can't do short term thinking or adjusting with depot insulin; it just doesn't work, and causes more harm than good overall. It's why we "hold a dose"... So the depot can stabilize and we can see what the cat is doing with *that* dose; then we adjust as necessary. Otherwise, it's just a guessing game.

    I hope this makes sense; if I've made an error, someone please correct me! And I hope it helps to clarify why we are constantly asking you not to change Macka's dose....

    With love, Nikki
     
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  59. Penelope and Mačka

    Penelope and Mačka Well-Known Member

    Joined:
    Jun 13, 2019
    Thank you for this long explanation. I'm starting to get it. The only reason why I reduced (very little), was because I am worried that with less food intake (he ate 1/2 his regular intake yesterday and today), the insulin was going to be too much. But looks like I'm wrong with my assumptions. Can he receive the same dose even if he barely eats? I read in the sticky note that cats with loss of appetite should have a reduced dose, did I get that wrong? :'(
     
  60. nslade001

    nslade001 Well-Known Member

    Joined:
    Nov 12, 2018
    Hi, please don't take the fact that my post was long personally...I have a very hard time being concise:rolleyes:.

    Appetite issues can absolutely be very difficult to deal with, but we really try to deal with getting food in rather than reducing dose, especially with ketone-prone kitties.

    You have probably seen this article on stimulating appetite, it has some really good tips. Next are antinausea drugs; I know you've got Cerenia on board, but double check the dose, because some vets start too low. Also, I think it was @Wendy&Neko who suggested Ondansetron, which can be used along with cerenia or separately, whichever works best (targets different nausea receptors than cerenia).There are also appetite stimulants such as mirtazapine (which comes in tablets, liquid or transdermal) and cyproheptadine which you can try after the antinausea meds are given, if they're not doing the trick by themselves.

    There's a lot of info here on appetite, because (unfortunately) inappetence is not at all uncommon in diabetic cats; I'm not sure if it's the diabetes, or concurrent medical issues, but there it is.

    There is quite possibly mention of reducing dose if cats are anorexic in a sticky, but again...last resort in ketone-prone kitties.

    With love, Nikki

    (ETA for Wendy: I'm not sure if I should have tagged you, Wendy, but it felt wrong to mention you without the tag lol)
     
  61. Penelope and Mačka

    Penelope and Mačka Well-Known Member

    Joined:
    Jun 13, 2019
    HI Nikki,
    Your explanation is very clear to understand. Thank you for taking the time to write all that down. I read it already 4 times :)
    All I wish is to stick to a dose. The adjustments at the beginning were beginner's mistakes. I was listening to my vet (but if I had really listened to her, I would have gone from 1 to 2 units in one cycle!!).
    The recent adjustment was because of the hypo (I admit I went too far but I was so scared), and yesterday was because Macka barely ate and I thought I'd seen it written somewhere here that I had to reduce the dose in that situation. Now, let's stay at 1.5 for 6 cycles and see how it goes. He is still not eating much.
    Thank you again for your time and thoughtful posts.
     
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  62. nslade001

    nslade001 Well-Known Member

    Joined:
    Nov 12, 2018
    You're more than welcome. There's so much to learn, it's hard to know what's up from down at first...But it gets easier, and faster than you'd think :) I hope Macka feels better soon. With love, Nikki
     
  63. Penelope and Mačka

    Penelope and Mačka Well-Known Member

    Joined:
    Jun 13, 2019
    He refused all food tonight :(
     
  64. JeffJ

    JeffJ Well-Known Member

    Joined:
    Jul 7, 2016

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