? 12/25: MITTENS - Novolin N (TID) - Ketones Small - MDPS 223

Discussion in 'Feline Health - (The Main Forum)' started by Critter Mom, Dec 25, 2016.

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  1. Critter Mom

    Critter Mom Well-Known Member

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  2. Critter Mom

    Critter Mom Well-Known Member

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    SITREP: (All clock times are in 24-hour format / EST = GMT -5 Hrs)


    HUMAN METER - NOVOLIN N INSULIN - Regular Assist Feeding via Syringe

    DIABETIC STATUS:
    Dx - 19 Dec 2016; Insulin started PM 23 Dec (extremely poor vet support caused delay)

    URINE KETONE STATUS:

    23 Dec - c. 12:00 EST - Positive SMALL (at vets)
    25 Dec - c. 06:00 EST - SMALL to TRACE (closer to Trace) - +7.5 post-insulin
    25 Dec - c. 12:30 EST - SMALL / +4.75 post-insulin / +6.5 post-subq

    Guidelines for Ketone Management from Meya14 (DON'T copy dosing! It's for a specific on Vetsulin.)

    MEDS:

    Potassium Deficiency - Supplement Administraton (1 tablet q12 for 2 weeks)
    - Treatment Start Date: 23 Dec 2016 (PM)
    - Most Recent Dose Given: 25 Dec 07:00 EST
    - Next Dose Due: 25 Dec 19:00 EST

    Sub-q Fluids - Vet Rx: 100ml every 24-48 hours (depending on oral fluid intake)
    - Most Recent Admin: 25 Dec c. 05:30-06:30 EST (>1.25 hrs before insulin dose / +7-8 since prev dose)

    Appetite Stimulant - Mirtazapine (1/8 of 7.5mg tablet every 48-72 hrs)
    - Most Recent Dose: 24 Dec 02:30 EST

    ------------------------------------------------------------------------------------------------------------------------
    INSULIN - Novolin N (U100) - 8/8/8 DOSING - RELION METER (Target Range: 150-220)
    ----------------------------------------------------------------------------------------------------------------------
    24 Dec 2016

    AMPS - *** - (no insulin)

    PMPS - 305 - Dose: 0.25IU (22:30 EST) - Assist fed 7.5ml - tested immediately after food.
    +1.50 - 306 - 7.5ml food after test
    +2.50 - 263 -
    +4.00 - 228 - 7.5ml food before +5
    +6.00 - 284
    +8.00 - *** - Sub-q fluids 100ml given some time between +7 and +8 (05:30 - 06:30 EST)

    (Technical hitch with fluid giving set. Next insulin dose will be +1.25 hrs after scheduled time.)
    ------------------------------------------------------------------------------------------------------------------------
    25 Dec 2016 -

    NB:
    Dosed at +9.25 relative to previous insulin dose (fluids given >1.25 hrs BEFORE insulin)

    AMPS - 298 - Dose: 0.25IU (07:45 EST) - 7.5ml (?) food + Potassium supplement (07:00-07:15 EST)
    +1.50 - 268 - Fed 7.5ml @ +0.50
    +2.50 - 228 - Fed 7.5ml + 10ml @ +3.00
    +4.00 - 236 - Fed 7.5ml @ +5.25
    +6.00 - 189 -

    MDPS - 223 - Dose: 0.25IU (16:15 EST) - Fed 7.5ml FFC @ 15:15 EST (PS test at AM+7.50).
    +1.50 - 227 - Fed 7.5ml FFC @+2.25 + Potassium Supplement (c. 18:30 EST)
    +2.50 - 223 - Fed 7.5ml FFC @ +3
    +4.00 - 226
    +6.00 -



    (Note: Addnl BG test just before dose and after food: 220 (Dose a little behind schedule - @ +8.5 hours after previous dose administered.)



    --------------------------------------------------------------------------------------------------------------------------

    FOODS AVAILABLE:

    * FF Classics (FFC): <= 5% carbs
    * FF Gravy Lovers (FFGL): >=20% carbs
    * Beechnut Baby Food (BBF): <=3% carbs

    24 Dec - PM CYCLE - fed FF Classics
    25 Dec - AM CYCLE - fed FF Classics

    OTHER:


    Anti-nausea:
    - Cerenia administered at vet - c. 12:30 EST 23 Dec - (NB: NO CERENIA DISPENSED FOR HOME TREATMENT!!!)
    - B12 administered at vet (same time as above)
    .
     
    Last edited: Dec 25, 2016
  3. Critter Mom

    Critter Mom Well-Known Member

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    @MrWorfMen's Mom, @Meya14 -

    If you're around could you weigh in on dosing for midday cycle ASAP, please?

    If no answer will keep status quo.


    Mogs
    .
     
  4. Critter Mom

    Critter Mom Well-Known Member

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    @Dan&Heather -

    If I'm right it's 16:07 EST - you're slightly running behind schedule. Are you ready to give the insulin?

    I've not heard from Linda or Meya so in the absence of other input please stick to the 0.25IU dose.

    .
     
  5. Dan&Heather

    Dan&Heather Member

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    confirmation that it's the pates? I'm not sure I understand, it's the fancy feast classics. sorry, it's Heather again, I just woke up and am now trying to catch back up on things.
     
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  6. Dan&Heather

    Dan&Heather Member

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    Ok, we she ate about half an hour ago, we will give her the insulin right now.
     
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  7. Meya14

    Meya14 Well-Known Member

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    Was the 189 on the first or second cycle of 0.25 u? If on the second cycle I think it's safe to increase to 0.5u considering there's still small ketones. You can mix a few drops of honey with the syringe feeding to keep sugars in the right range. Range 150-220mg/DL on human meter.
     
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  8. Critter Mom

    Critter Mom Well-Known Member

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    Second cycle.

    ETA - Thanks, Meya.

    I wasn't confident enough to suggest the increase (thanks for tip about adding honey to feeds).


    Mogs
    .
     
  9. Critter Mom

    Critter Mom Well-Known Member

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    @Dan&Heather -

    Dose for this cycle is now 0.5o IU Novolin N.

    Please confirm back that you're doing this.

    .
     
  10. Dan&Heather

    Dan&Heather Member

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    Dec 21, 2016
    ok, we did BG it's 220, then we gave her 0.25 insulin cause I didnt see this message. should we give her another 0.25 right now?
     
  11. Critter Mom

    Critter Mom Well-Known Member

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    @Meya14 -

    Help! This question's out of my league.

    .
     
  12. Critter Mom

    Critter Mom Well-Known Member

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    Please don't do anything until we hear back from Meya.

    .
     
  13. Critter Mom

    Critter Mom Well-Known Member

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    @Larry and Kitties -

    Please can you help with this question.

    .
     
  14. MrWorfMen's Mom

    MrWorfMen's Mom Well-Known Member

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    Just saw your post @Critter Mom re: dose. Need to catch up a bit here but with that 189 earlier, I'd go with the 0.25u again too!
    ETA - oh I see Meya weighed in and was thinking 0.5U. Is someone going to be able to monitor tonight? I can't as I have to go out tomorrow and it entails a hefty drive for which I can't risk being tired unfortunately.
     
  15. Critter Mom

    Critter Mom Well-Known Member

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    Thanks for responding, Linda. Meya recommended 0.5 (ETA - with drop of honey in food to bump up the carbs a bit) but Dan & Heather didn't see the message in time.

    0.25 IU administered - Waiting to see if Larry will respond to tag for input on question above this post.

    .
     
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  16. Meya14

    Meya14 Well-Known Member

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    Just increase at next dose time. Adding at this point will make it harder to track numbers and see what the insulin dose is doing.
     
  17. Critter Mom

    Critter Mom Well-Known Member

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    That's what I was worried about, Meya.

    Thank you very much for responding to the tag - greatly appreciated, especially today. :)


    Mogs
    .
     
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  18. Dan&Heather

    Dan&Heather Member

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    Ok, thank you.
     
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  19. Critter Mom

    Critter Mom Well-Known Member

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    How much of the FF Classics did Mittens eat before her current insulin dose?

    (FYI re your earlier question, Heather, on the board we often refer to Fancy Feast Classic varieties as Fancy Feast paté style food.)

    Also can you confirm the exact EST dose time, please?

    .
     
  20. Dan&Heather

    Dan&Heather Member

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    We gave her .25U insulin at 4:15pm, one hour before she ate 7.5ml of fancy feast and im about to feed her again in 30 minutes
     
  21. Olive & Paula

    Olive & Paula Well-Known Member

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    Sep 6, 2015
    Is she eating anything on her own yet? Keep offering, eventually she will start you don't want to miss any opportunity.
     
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  22. Dan&Heather

    Dan&Heather Member

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    Not yet she isnt, i keep some of the Fancy Feast out by the water(raised up a few inches so she dont have to bend over as much to eat). She looks at it like she wants to but then just turns around and walks away.
     
  23. Critter Mom

    Critter Mom Well-Known Member

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    Nausea. :( (((Mittens)))

    Still saying sweet prayers for your vet over here ...

    :mad: :banghead:

    .
     
  24. Critter Mom

    Critter Mom Well-Known Member

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    @Dan&Heather -

    - If you haven't done a +1.5 BG test, then please test Mittens BG straight away.

    (Very important to see where this cycle is headed.)

    -----------------------------
    Note:
    - Target time for next potassium is 19:00 EST - c. 50 mins from now (so give with nearest feed to this time?)

    .
     
  25. Dan&Heather

    Dan&Heather Member

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    Sorry got distracted from posting because my mom stopped by and wanted to see how Mittens was doing. I had the BG test done and typed out, just didnt post it.

    So far today
    4:15pm MDPS -220
    5:45pm +1.5 -227
     
  26. Critter Mom

    Critter Mom Well-Known Member

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    Thank you! Needed to check for dose onset. As Meya commented earlier, it can take a few cycles to see how effective a dose is going to be.

    I've been doing a fair bit of that myself today. :oops:

    Will keep an eye out for the +2.5 test. Also please can you keep posting the feeding info as you go (also in '+' notation if possible, please! :) ). Also a note of the feed containing the potassium supplement.


    Mogs
    .
     
  27. Critter Mom

    Critter Mom Well-Known Member

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    Also, when was the last time Mittens had a poop?

    .
     
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  28. Dan&Heather

    Dan&Heather Member

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    Fed her 10ml of Fancy feast about 20 minutes ago with her potassium.

    Just checked her BG, it is 223

    4:15pm MDPS -220
    5:45pm +1.5 -227
    6:45pm +2.5 -223
     
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  29. Dan&Heather

    Dan&Heather Member

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    Im not exactly sure when she pooped last, it might have been a few days ago. The last time i know for sure was a few days ago. If im not there to see her go in, im not sure who left it her or my other cat. All ive seen her do latley is pee.

    To post her food would i just put "+10ml of Fancy Feast" alongside the BG results?
     
  30. Critter Mom

    Critter Mom Well-Known Member

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    Meya advised that the low potassium can slow the gut. If Mittens is a bit constipated that could contribute to the nausea.

    Keep a note of all bowel motions. Even with two kitties in the mix we may be able to deduce who pooped what. Also monitor the litter box for any signs of liquid/runny poop.

    Format example:

    +2.50 - 201 - 7.5ml Fancy Feast Classic at +3

    .
     
  31. Dan&Heather

    Dan&Heather Member

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    Ok i will start keeping track of their bowel movements, im guessing hers should be easy to distinguish since she hasnt really eaten any solid food for a while.

    Thanks for clearing up how to post the food, i will start posting that as well(im keeping track of it here on a notepad on the computer too). Got another 7.5ml warming in a cup of water now, will post after her next BG Test in just over a hour from now.
     
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  32. Critter Mom

    Critter Mom Well-Known Member

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    Ideal! :)

    .
     
  33. Critter Mom

    Critter Mom Well-Known Member

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    Another thing re the stools, watch Mittens in the litter box to see if she strains to go - a very hunched position.

    Position of cat when urinating:

    [​IMG] [​IMG]

    When having a poop the position is more 'hunched', the bum is more in the air, and the hind legs tend to be more tucked under the body (if you get what I mean - can't find a pic).

    Watch out for any 'marbles' or very hard stools. ETA - also watch for liquid/runny poop.

    Let us know about 'developments'; they can be a very valuable diagnostic aid.


    It's good fun round here, innit! (Joys of kitty parenthood ... :rolleyes:)

    .
     
    Last edited: Dec 25, 2016
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  34. Nan & Amber

    Nan & Amber Well-Known Member

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    Hey all--

    Popping back in for a couple hours-- looking really good tonight so far! :)

    How are you guys holding up, Heather and Dan? Are either of you scheduled to work tonight/tomorrow?
     
  35. Critter Mom

    Critter Mom Well-Known Member

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    Hi Nan,

    Glad to see you here. :) I hope you've been having a good Christmas.

    How long will you be around for? (Getting very, very punchy at this end.)

    .
     
  36. Nan & Amber

    Nan & Amber Well-Known Member

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    Mar 19, 2016
    Hi Mogs--

    I can be around for a couple hours at least-- I might be able to stay up until the next shot time in four hours (I think), but I won't last much past then :(. I was thinking it might be good to put another call out soon, but I don't know who would be most likely to be able to help in the relevant time frame.
     
  37. Dan&Heather

    Dan&Heather Member

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    Dec 21, 2016
    Im still kicking lol, Im actually not working atm(1st time ive been happy for that) and Heather is at work right now for 6 more hours and off tomorrow so we'll be able to catch up on some sleep tomorrow. Well probably sleep in shifts so someone can keep an eye on Mittens, pretty much what weve been doing.

    Just tested her BG again +4 -226

    So far today:
    4:15pm MDPS -220
    5:45pm +1.5 -227
    6:45pm +2.5 -223
    8:15pm +4 -226 7.5ml Fancy Feast at +3

    I think i did the Food portion right? I'll start adding the food everytime, i just did the most recent this time. I got it all written down tho so if i need to i can.
     
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  38. Critter Mom

    Critter Mom Well-Known Member

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    Nan,

    Next dose is due at 00:15 EST (05:15 UK time). Meya suggested earlier to increase the dose to 0.5IU Novolin N and up the carbs in the food. (A larger carb load can enable a support larger dose of insulin so as to reduce ketone levels. Here are her guidelines:

    We need eyes of experienced members confident in steering curves on Mittens because it's the first cycle on that dose. All is made trickier, of course, by the nausea issue plus we're still in the process of gathering data to help us learn how Mittens' BG levels respond to the Novolin N and to food.

    We need to keep an eye out for who's around. I'll be here for a little while yet (still trying to get stuff into the spreadsheet! :rolleyes: )


    Mogs
    .
     
    Last edited: Dec 25, 2016
  39. Nan & Amber

    Nan & Amber Well-Known Member

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    Looks good on food!

    One question: what's going on with the potassium dose-- was that included in the +3 feeding?

    Mogs: I will keep an eye out for experienced members. I'm definitely not in that category, but I'll be here as long as I can in the "moral support" role!
     
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  40. Critter Mom

    Critter Mom Well-Known Member

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    Spot on, Dan! Thank you. :)

    I'm noting stuff as you post it as well (brain is v. fuzzy so it's taking me longer to collate stuff).

    .
     
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  41. Dyana

    Dyana Well-Known Member

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    Dec 28, 2009
    Thanks for helping out Nan. I'll be signing off now as I need to sleep and go to work tomorrow.
    I wonder if starting the increased dose at AMPS (8:15am) tomorrow wouldn't be smarter as there would be more people around to help out.
     
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  42. Dan&Heather

    Dan&Heather Member

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    Sorry, the potassium was in the feeding right before that one, we fed her the potassium at 6:20pm today(approx 2 hours ago).
     
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  43. Critter Mom

    Critter Mom Well-Known Member

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    I could do with a bit of that meself, Nan! :D

    If you can keep tabs on who's around that would be really helpful. Just on the off chance I fade unexpectedly, if I go quiet but you haven't seen a 'formal sign-off' on this thread or if I don't respond to tags then work on the principle that I've passed out and go whoever you can find. (If FH is quiet try going over to L&L to round up a posse.)

    .
     
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  44. Critter Mom

    Critter Mom Well-Known Member

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    If ketones weren't in the mix I'd very much agree with the above but we're a bit caught between Scylla and Charybdis at the moment: not enough insulin and the ketones aren't getting dealt with as well as possible; an active cycle without experienced eyes on Mittens and numbers could go low.

    This cycle seems to be quite flat at the moment. With so little data it's tough trying to make a call this early.

    Sleep well, Dyana. :bighug:

    .
     
  45. Critter Mom

    Critter Mom Well-Known Member

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    @Dan&Heather -

    Do you have the litter box set up to collect another urine sample? It would be very good to get another ketone test done as soon as you can manage it.

    .
     
  46. Critter Mom

    Critter Mom Well-Known Member

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    @Nan & Amber -

    Can you keep an eye on Team Mittens for a little bit, please? I'm having great difficulty shifting focus now and I'd like to try to get some of the BG data into Mittens' spreadsheet.

    If you need me send me a PM because I'll see the alert for it easier (can't manage going through all my normal alerts at the moment).

    .
     
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  47. Nan & Amber

    Nan & Amber Well-Known Member

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    Hi Mogs--

    I'm here, can keep watch, no problem!
     
  48. Jill & Alex (GA)

    Jill & Alex (GA) Senior Member Moderator

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    Dec 28, 2009
    Perhaps holding off on a dose increase is a call for Dan and Heather to make. Not only will there be more people around to help in the morning, but Dan and Heather may need a little bit more rest which they might be able to get if the dose remains at 0.25u for tonight. Things have been rather intense and no one will be of any help (especially Dan & Heather) if they can't get "some" rest.

    Just throwing this out there for consideration...

     
  49. Nan & Amber

    Nan & Amber Well-Known Member

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    Jill: would that suggestion apply if Mittens is still throwing "small" ketones at the next test (whenever she decides to cooperate :rolleyes:), or only if she's back down to trace or negative? She's doing great on the 0.25IU so far, keeping numbers in the low 200's, so I'm hopeful things will keep under control but I just don't know enough about how these things go to guess.
     
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  50. Critter Mom

    Critter Mom Well-Known Member

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    @Jill & Alex (GA) -

    I really appreciate your experienced input on this, Jill. I would be very, very much in support of keeping to the 0.25IU dose for the next cycle. (My only worry was what to do about the ketone levels.)

    I desperately need rest myself. I'm likely to be the only person around on the UK side in the morning.


    Mogs
    .
     
  51. Dan&Heather

    Dan&Heather Member

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    Dec 21, 2016
    Just wanted to pop in, I can't add anything because I'm at work. Just wanted to send out some thank you's to everyone for all the help. I'm halfway thru my shift and counting down till I can get home and relieve Dan so he can sleep. I keep checking each break to try to keep myself updated. I'm going to try to learn about the spread sheet tonight so I can help enter stuff into it. I'll check back later, keep up the good work Dan.

    -Heather
     
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  52. Jill & Alex (GA)

    Jill & Alex (GA) Senior Member Moderator

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    Dec 28, 2009
    Unless ketones are higher than small, I would stick with 0.25u tonight along with getting as much food and water into Mittens as possible. If she were mine, my goal would be to syringe 20 mL of food and 10mL of water (more if possible) before sleeping. I would plan on increasing the dose to 0.5u in the morning.

    My reasoning: All of you have been going above and beyond and have done one hell of a job doing it, BUT none of you can keep up this pace. We're talking a break of a few hours... not days. There are a lot of us, but if Dan or Heather break... who will care for Mittens?

    Just my opinion.

     
  53. Critter Mom

    Critter Mom Well-Known Member

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    This. (As I know only too well from going through similar myself.)

    @Dan&Heather -

    Jill has given sound advice.


    Mogs
    .
     
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  54. Nan & Amber

    Nan & Amber Well-Known Member

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    Dan, just let us know if you get any more BG or (especially) ketone readings. You're around +6.5 at this point, right?
     
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  55. Dan&Heather

    Dan&Heather Member

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    Dec 21, 2016
    +6 -240

    Sorry its a few minutes late, i was dozing off.

    I would be ok on waiting to up the insulin dosage til tomorrow if thats what you think? I havent gave Mittens any insulin yet(Heather has been giving it)
     
  56. Nan & Amber

    Nan & Amber Well-Known Member

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    Mar 19, 2016
    OK, still pretty flat, that's great!

    We seem to be nearing a kind of consensus, but let's not make the final decision until we get closer, to see if Mittens does something new or if someone else shows up with some advice/information about the situation.
     
  57. Nan & Amber

    Nan & Amber Well-Known Member

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    Mar 19, 2016
    So, Dan, this will be the first time for you to give insulin by yourself tonight, correct? Will you be on your own for a while then or will Heather get back relatively soon afterwards?

    Post when you get the pre-shot BG! And try to convince Mittens that now would be an excellent time to head to the litterbox....;)
     
  58. Dan&Heather

    Dan&Heather Member

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    Dec 21, 2016
    Yes this will be my first insulin injection for Mittens(Heather has done the rest). Im also a little concerned because it took a couple lancets last time to get her BG and now i got one left in the original lancet set we got, but i think its used already. Am i ok to re-use it? I know its not the right way, the soonest i can have new ones is about 3 1/2 hours.

    She just used the litterbox but she didnt look like she was even settled in there yet when she was already done and on her way out, so i missed the chance to get another ketone test. I apologize, i think my lack of sleep is starting to catch up to me, tomorrow i will be refreshed i promise. I will keep an eye on her and the litterbox still.
     
  59. Critter Mom

    Critter Mom Well-Known Member

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    Drat! :(

    Hey, ho! Some ya lose, Dan. ;)

    It'll do, Dan. Get the BG test done and then feed.

    (Tip: warm the ear a bit longer; might make it easier to draw a blood sample.)

    .
     
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  60. Nan & Amber

    Nan & Amber Well-Known Member

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    Re-using a lancet isn't ideal (they get dull), but needs must. I think in a pinch you could even use a syringe needle-- you'll probably have to later because I think we'll want at least one test before +3 to see where the cycle is going. Mittens has been behaving beautifully on insulin so far, but we don't want her surprising us tonight.

    The plastic wrap in the litter box is a good trick-- just a little bit has to splash on it for you to dip the stick in, so that way you don't have to actually catch her in the act (much easier).
     
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  61. Critter Mom

    Critter Mom Well-Known Member

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    Jun 16, 2014
    Houston, we have a spreadsheet! :)

    Mittens' BG data, insulin doses, meds, fluids, feeds etc., are now included in her FDMB spreadsheet.

    Please check the spreadsheet and most recent thread posts for status information from here on in (i.e. no need for SITREPs at the top of the threads).

    (If anyone spots any howlers please let me know.)


    Mogs
    .
     
  62. Nan & Amber

    Nan & Amber Well-Known Member

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    Mar 19, 2016
    Mogs, I can't believe you're still here-- please tell me you at least got a nap in there!!!!!
     
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  63. Critter Mom

    Critter Mom Well-Known Member

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    @Nan & Amber - can you please have a gander at Mittens' spreadsheet and let me know if you can see all the info OK?

    .
     
  64. Nan & Amber

    Nan & Amber Well-Known Member

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    Yep, I can see it!!!
     
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  65. Critter Mom

    Critter Mom Well-Known Member

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    Jun 16, 2014
    Errr ... Nope.

    .
     
  66. Chris & China

    Chris & China Well-Known Member

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    May 10, 2013
    it looks great Mogs!!

    Now you go get some rest!! I swear we're going to have to have some kind of intervention with you!!
     
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  67. Critter Mom

    Critter Mom Well-Known Member

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    Jun 16, 2014
    Thank gawd for that! :joyful:

    .
     
  68. Dan&Heather

    Dan&Heather Member

    Joined:
    Dec 21, 2016
    Just got her +7.5 -262

    So for the night:
    4:15pm MDPS -220
    5:45pm +1.5 -227
    6:45pm +2.5 -223
    8:15pm +4 -226
    10:15pm +6 -240
    11:45pm +7.5 -262

    About to feed her again right now.
     
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  69. Critter Mom

    Critter Mom Well-Known Member

    Joined:
    Jun 16, 2014
    I've been after one of those for years, Chris! Where do I sign? :confused:

    I hope the spreadsheet will make things much more straightforward for members pitching in to help Dan & Heather. (It's certainly going to be much easier to update and manage the information now.)

    How long will you be around for, @Chris & China?

    .
     
    Last edited: Dec 25, 2016
  70. Chris & China

    Chris & China Well-Known Member

    Joined:
    May 10, 2013
    Probably for a couple hours, but I think considering how tired Dan is (and that neither of them have gotten any meaningful sleep for the past several days) it's going to be safest and sanest to stick with the .25 tonight

    Mittens seems to be getting a lot more calories and water in and her numbers aren't horribly high so for the sake of everyone's sanity, I think that's the best thing to do for tonight
     
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  71. Dan&Heather

    Dan&Heather Member

    Joined:
    Dec 21, 2016
    So i should do the .25u of insulin then?
     
  72. Nan & Amber

    Nan & Amber Well-Known Member

    Joined:
    Mar 19, 2016
    OK, if other folks are going to be around for a bit I think I'm going to sign off now because I'm kind of losing it. I will check back in the morning to see how things are going-- crossing fingers and paws that everyone will be able to get some rest tonight!

    Dan: How much did Mittens eat this time? Assuming she's still getting a decent amount of food, I think the general opinion is yes, 0.25U. Are you OK measuring that dose? It's really tiny-- there was a picture in the previous thread, I'll try to repost it here:

    upload_2016-12-26_0-28-39.png
     
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  73. Chris & China

    Chris & China Well-Known Member

    Joined:
    May 10, 2013
    yes, I think that's the best idea, especially because you're so tired and this is the first time you've shot an 8 hour schedule
     
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  74. Dan&Heather

    Dan&Heather Member

    Joined:
    Dec 21, 2016
    She just ate another 10ml of Fancy feast about 40 minutes ago. Ok thank you for the picture, yes i know where the .25 is and yes it is real tiny but i think i can get it.

    Ok thank you and everyone else for the assistance yet again tonite! :)
     
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  75. Critter Mom

    Critter Mom Well-Known Member

    Joined:
    Jun 16, 2014
    Absolutely, Chris. Saw the 0.25IU dose as a done deal. :)

    I asked because I wondered whether you'd be around to check in with Dan for a BG check around +1.5 - +2 just to get a heads-up on where the cycle might be heading. If that's OK with you I'm going to take my sleep meds now.


    Mogs
    .
     
    Last edited: Dec 26, 2016
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  76. MrWorfMen's Mom

    MrWorfMen's Mom Well-Known Member

    Joined:
    Feb 18, 2015
    My girl just threw me a teensy curve ball and I will be getting up to check her later (probably around 3am) which I think will be around the +2.5 point for Mittens so I will try to check in then. With that I am off to bed. I salute everyone who has been helping. What a team effort here! And Dan & Heather YOU ARE AMAZING! :bighug::bighug::bighug::bighug::bighug::bighug: to you all!
     
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  77. Chris & China

    Chris & China Well-Known Member

    Joined:
    May 10, 2013
    Yeah I should and if I can't be, I know @Tricia Cinco(GA) & Harvey , @Wendy&Neko , @Gill & George and a few others are usually online later in the night .....we might not know Novolin very well, but we know how to keep a kitty safe
     
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  78. Nan & Amber

    Nan & Amber Well-Known Member

    Joined:
    Mar 19, 2016
    Heh. I hope I didn't insult you by re-posting the picture, Dan! It's just one of those "better safe than sorry" things-- the very last thing Mittens needs right now is to get 10X the amount of insulin necessary!

    Signing off now for real-- good luck tonight, I think things are going swimmingly :).
     
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  79. Dan&Heather

    Dan&Heather Member

    Joined:
    Dec 21, 2016
    haha no you didnt insult me, i was looking for the picture anyway. :) I really appreciate the help you and everyone else has offered, youve all done more than you should have to. Thank you. :)
     
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  80. Dan&Heather

    Dan&Heather Member

    Joined:
    Dec 21, 2016
    Just gave her a .25 dose of insulin, will post back with the BG at +1.5
     
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  81. Critter Mom

    Critter Mom Well-Known Member

    Joined:
    Jun 16, 2014
    Pity we can't say the same about the vet! :eek:

    (Tongue planted very firmly in cheek. ;) )

    Sending prayers for a smooth, safe cycle in anti-ketone numbers.

    :bighug:


    Moggers ... Out!
    .
     
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  82. Chris & China

    Chris & China Well-Known Member

    Joined:
    May 10, 2013
  83. Dan&Heather

    Dan&Heather Member

    Joined:
    Dec 21, 2016
    Yes sorry i just got it, its +1.5 -282
     
  84. Chris & China

    Chris & China Well-Known Member

    Joined:
    May 10, 2013
    OK.....looks like it may be another cycle like the other ones (which in a way is good because maybe you and Heather will be able to get some sleep tonight!)

    I think you could easily take a break and get another test at +3 and if she's still doing OK then, think about getting some rest tonight

    Looks like she's eating better too and that's good news
     
  85. Chris & China

    Chris & China Well-Known Member

    Joined:
    May 10, 2013
    I think @MrWorfMen's Mom will be checking in again soon

    I'm sorry I can't stay up any longer but I have to be out in the morning to take my mom to physical therapy.

    If at any time you're worried, don't be afraid to use the 911 icon in your original post....Just go to the first post of today and "edit" by clicking on the thread tools and add the 911 prefix to get people's attention

    Once you have someone's attention, you can remove the 911 again
     
  86. Dan&Heather

    Dan&Heather Member

    Joined:
    Dec 21, 2016
    Ok, thank you so much. Get some rest :) I will keep the thread updated.
     
  87. Capoo

    Capoo Member

    Joined:
    Jan 15, 2016
    Congratulations to all of the participants of this thread :bighug::bighug::bighug:

    That's really a wonderful teamwork, I'm really impressed! :cat::woot:
     
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  88. MrWorfMen's Mom

    MrWorfMen's Mom Well-Known Member

    Joined:
    Feb 18, 2015
    Hi Dan & Heather, I'm just about to test my furkid. Let me know what Mittens' +2.5 BG reading is when you get it. :)
     
  89. Dan&Heather

    Dan&Heather Member

    Joined:
    Dec 21, 2016
    I tested her at 3:30 and it was 273 then I fed her 7.5mL of fancy feast. Dan went to bed literally as soon as I got in the door, I haven't had a chance to really look yet, I'm guessing this is the +2.5 reading your looking for. I'm sorry I didn't write it right I'm just trying to get caught back up, I couldn't follow as closely at work as I would've liked, but wanted to get you this number right away.
     
  90. MrWorfMen's Mom

    MrWorfMen's Mom Well-Known Member

    Joined:
    Feb 18, 2015
    Thanks Heather. No worries about how you wrote that Heather. I've got the details. +2.5 reading @ 03:30am EST is 273
    So she has only dropped 10 points since the last test and the previous test was actually elevated from PMPS slightly. It's looking like the cycle is going to be pretty inactive but she is holding. You usually test again at +4 but I am going to suggest you push the next tests out to +5 and +7 tonight. It will give us info for another time in the cycle without leaving too long between tests. Keep up the feeding schedule and get fluids into her as you can.

    I am heading back off to bed and hope you can take a little nap at some point too. If there is any drop of 100 points or more at either the +5 put the 911 on your title immediately to get someone's attention to follow along with you just in case. Mittens will still be safe at that point but will need more frequent checking.
    Sorry it took so long to send this. I still can't see straight yet :woot: and I'm not the fastest typist either. Will check in again when I get up hopefully around 6:30 or 7am your time.
     
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  91. Dan&Heather

    Dan&Heather Member

    Joined:
    Dec 21, 2016
    I did not see your message until right now, so I did test at +4 (about 45 minutes ago). Sorry I was eating and didn't check the board before I did it. So it's +4 -280 and I fed her 7mL of fancy feast immediately after I tested her. I will test again in a bit and post the results.
     
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  92. Dyana

    Dyana Well-Known Member

    Joined:
    Dec 28, 2009
    Good morning. You can put the 280 in the +4 column of your spreadsheet, and add the food you gave to the Remarks section.
    I think getting a +6 and then the +7.5 before insulin will give a good feel for where she might be headed, for the possible increase this morning.
    Sorry, I won't be here to see how it goes. I have to work all day. Hope you have a good day, and Mittens eats more food and has less ketones.
     
  93. Dan&Heather

    Dan&Heather Member

    Joined:
    Dec 21, 2016
    Ok, I will try to add those things to the spreadsheet. I just tested her a little bit ago +6 -296. Also, 7.5mL fancy feast mixed with potassium tablet right after testing. I'll try to add all of this to the spreadsheet.
     
    Last edited: Dec 26, 2016
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  94. Critter Mom

    Critter Mom Well-Known Member

    Joined:
    Jun 16, 2014
    Good morning, @Dan&Heather -

    I'm here for a little while. For speed I'll do the spreadseet updates posted above in a minute.

    ETA - Spreadsheet updates done.

    I'd just like you to answer a few questions for now:


    1. Did Mittens poop yet?

    2. Did you get another ketone test yet?

    I hope you both had some bit of refreshing sleep.

    :bighug:


    Mogs



    (AM INSULIN DOSE DUE AT 08:45 EST (13:45 GMT) )
    .
     
    Last edited: Dec 26, 2016
  95. Critter Mom

    Critter Mom Well-Known Member

    Joined:
    Jun 16, 2014
    Another question:

    3. Overall, do you think Mittens ate a fair bit more yesterday?

    .
     
  96. Kris & Teasel

    Kris & Teasel Well-Known Member

    Joined:
    Aug 17, 2016
    I'm here to help. :)
     
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  97. Kris & Teasel

    Kris & Teasel Well-Known Member

    Joined:
    Aug 17, 2016
    Maybe a new thread for today?
     
  98. Dan&Heather

    Dan&Heather Member

    Joined:
    Dec 21, 2016
    1. No, I dont think so.

    2. unfortunately not, I've been waiting for her to go to the liter box,



    I do feel like we got more into her yesterday and the night before than we had previously.

    She needs her next dose of insulin, should I give her 0.25 again? What times should I do testing this time?
     
  99. Critter Mom

    Critter Mom Well-Known Member

    Joined:
    Jun 16, 2014
    I think you need to follow Jill's and Meya's recommendation to increase the dose to 0.50IU Novolin N. BG has drifted up.

    Have you done preshot BG and fed yet? Insulin is due.

    If not, please do BG test and feed straight away.

    Post result for BG first and post result immediately so we can check it's safe to give the increased dose.

    .
     
  100. Dan&Heather

    Dan&Heather Member

    Joined:
    Dec 21, 2016
    BG right now 365
     
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