? 1/19 Muffin AMPS 358 , PMPS 355

Discussion in 'Lantus / Levemir / Biosimilars' started by Muffin and Marilyn, Jan 19, 2016.

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  1. Muffin and Marilyn

    Muffin and Marilyn Member

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    Nov 27, 2015
    Yesterday

    AMPS 358 today . . . a little better. I haven't put any of the hydrocortizone cream on his skin for two days. Maybe that was the difference. Rash is much better, but the skin is still broken and scabbed where he has scratched. Have a vet appointment today to see if he needs an antibiotic but I'm getting a little disheartened with the vet since I have called twice about the rash and not once did they mention that maybe it was a food allergy (I'm convinced that was what it was) - just sold me a mousse and flea control:(:(
     
  2. Lukewithcats

    Lukewithcats Member

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    Dec 19, 2015
    I don't know much of anything about SLGS i'm realizing. I find the sticky kind of confusing.

    Since its based off NADIR (lowest point in the 12 hour cycle) numbers then I guess you should be aiming to get reading during the time we assume to be nadir. I'm probably wrong but looking at your chart i would guess +7-+8 is going to be NADIR so you should probably be aiming to get testing done around that time period every day to be able to determine if a dose change is necessary.

    Is there anyway you could cut the kibble out completely so you can do TR? TR seems more popular on here to me atleast and I think people have more experience with it. I found the sticky for TR to be easier to understand at least. You really shouldnt be needing to use kibble, if its just your cat seems to want it then maybe you just need to find a wet food he likes more. I'm only just learning what my cat preferrs and i've now found 2 flavors he seems to love, if i use one of the other favors the food doesnt all get eaten during the 12 hours cycle. I free feed by just putting down wetfood every 12 hours and its enough to last both my cats the full 12 hours and i often have some left over.

    I've seen people in your threads multiple times ask about you switching to TR is the only reason i assume its more popular but i could be misreading it.
     
  3. Gill & George

    Gill & George Well-Known Member

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    Oct 27, 2015
    Hi Marilyn,

    I'm thinking you want to increase dose because you are not seeing those nicer numbers, with SLGS the dose increases are much slower, it's a method that accommodates those care givers who are either not able to test enough or who are not able to transition their cats to a sole wet food diet.

    As Luke says if you could cut out the kibble altogether then you could go on to TR, I know that the wet food is difficult for Muffin because of his underbite, is he getting any better at managing the wet food? If you do decide to cut out the kibble, please do it slowly, as his insulin requirement can change dramatically if he comes of the kibble.

    How much of the dry stuff is he getting now?

    I think that you probably need to hold the dose until the 23 (1 week from when you saw that 97), you then need to do a a 12 or 18 hour curve.

    from the sticky the bit in blue is why I am thinking you need to hold the dose.

    After 1 week at a given dose perform a 12 hour curve, testing every 2 hours OR perform an 18 hour curve, testing every 3 hours:
    Note: Random spot checks are often helpful to "fill in the blanks" on kitty's spreadsheet.

    • If nadirs are more than 150 mg/dl (8.3 mmol/L), increase the dose by 0.25 unit
    • If nadirs are between 90 (5 mmol/L) and 149 mg/dl (8.2 mmol/L), maintain the same dose
    • If nadirs are below 90 mg/dl (5mmol/L), decrease the dose by 0.25 unit

    lets see if we can get more experienced eyes on this and see what they think, like Luke, I have really only had hands on experience with the TR protocol so not comfortable advising you RE dosecrease

    Seems like Muffin has come down a bit seeing more pink than red, I know it's not as good as you want, but lets take the small victories:) this is his 6th cycle bouncing, so let's see if he clears it going into the pm cycle.

    Just a heads up with that if he decides to clear the bounce he may do so quickly and they can gather some momentum, if he is going to do it early in the cycle you will probaby see either a +1 that's lower or same as PMPS, if you see that then I would strongly advise you to get at least a +3 in (and probably a +2) it will help give you an idea of how fast he is moving and gives you time to get some food into him should you feel you need it.



     
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  4. Bobbie And Bubba

    Bobbie And Bubba Well-Known Member

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    Jun 15, 2015
    Hey Marilyn, is the rash from an allergy? The reason I am asking, is my dog, Lucy, has skin allergies due to different allergies and she gets hot spots sometimes. Rather than put her anything with steroids or a hydrocortisone cream, I use sunburn gel with aloe vera, It stops the hot spot in it's track and heals it up asap. I use it on Bubba ears too after a lot of poking. I use the CVS brand, it has aloe and lidocaine in it. So, the aloe heals and lidocaine makes them comfortable right away. Maybe it is something you could use on Muffin?
     
    Last edited: Jan 19, 2016
    Reason for edit: correct
  5. Gill & George

    Gill & George Well-Known Member

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    Oct 27, 2015
    I wonder if I could get that here for Georges ears? great tip Bobbie.
     
  6. Bobbie And Bubba

    Bobbie And Bubba Well-Known Member

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    Jun 15, 2015
    There are other brands also, I think Panama Jack makes one and I have seen several others too.
     
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  7. Wendy&Neko

    Wendy&Neko Senior Member Moderator

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    Feb 28, 2012
    Today is the sixth cycle after his last green. I hope that means he'll be breaking the bounce and coming down for you tonight. Steroids, which can be in skin creams, can also inflate blood glucose readings. Now that he's off the cream, that shouldn't be part of the picture.

    As the others have said, with SLGS you would hold the dose because you go have see some nadirs from99 to 149. If dry food was out of the picture completely and he was just getting wet low carb, you could follow TR which would call for an increase to 2.75.
     
  8. Muffin and Marilyn

    Muffin and Marilyn Member

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    Nov 27, 2015
    I have three other cats and I've really cut back on the kibble for everyone. I have always feed them at least one meal with can food but feeding all four of them only can food is costly and I'm on a fixed income. I feed them Fancy Feast. I've tried other brands, but I have one cat that is very sensitive to something in other brands. She will get swollen lips that last for weeks so I stick to Fancy Feast.

    Bobbie, I'm convinced that the rash was a food allergy (to Young Again, which I no longer feed it to any of my cats). The vet examined Muffin today and said that he is healing on his own and doesn't need an antibiotic - hurray!! But thanks for the tip on the sunburn gel! I'm going to get some to have on hand and also to put on his ears.

    Thanks everyone for your advice. I'm going to hold the dose.
     
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