4/21 Willow PMPS 601bg +3 371bg

Good morning

Previous tread http://www.felinediabetes.com/FDMB/threads/4-20-willow-pmps-496bg.156530/#post-1657400

Between 5-5:30 am she was vomiting, not a lot the same white pasty stuff. She was hungry and not feeling well
Her PMPS +11 was 502bg one hour later she was 459bg
No keytones
I could tell she was not feeling well by how she woke me up.
Today we will reduce some of her food. We must get her numbers down. She has been eating 4 cans of wet food.
A few weeks ago when I got her into the blue I had cut her to 2.5 cans a day, she then bounced and everything went out the window.
Since I will be in and out all day I'll be able to check on her
Hope she starts the slide into good numbers

 

James, I hope that she does too!

 

your subject line says ambg.... which indicates you didn't shoot....
looking at your ss, you did shoot....

amps ( am pre-shot) is what you want to say....

while her numbers are high, she will be hungrier.... because her body isn't getting the nutrition from the food.....
i know you are trying to balance it.....
but that starving is real..... that's why fd cats can lose weight even while eating a lot when they are untreated.
I'd try to just feed her smaller portions more frequently so you get less scarf and barf.....

she'll get down .... you just have to keep the one step forward attitude......

 

She is at +3 180bg
A little worried about the big drop

 

That is a large drop that might lead to a bounce but nice to see blue. I wouldn't cut her food much as that can lead to other issues like fatty liver.

 

What exactly are you feeding. Not just the brand of food but the variety?

I also agree with Elise -- if you are going to change Willow's feeding amount, I'd reduce it gradually.

 

I agree about the smaller portions, spaced out, so she doesn't eat too much at once. Have you tried giving her some Pepcid for the barf? Since it doesn't sound like she's throwing up food, it could be acid tummy. If you haven't already gotten some, you want the 10 mg Famotadine (generic is okay), and you give her 1/4 tablet, half an hour before food.

I know the bouncing is worrisome and frustrating, but the fact that she got into blue numbers is a good thing - it means you're getting closer to the right dose! Remember, her body is so accustomed to those awful high numbers that a drop like that, or any time spent in much lower numbers will cause her liver to panic and make her bounce. Unfortunately, you just have to ride it out.

 

I hope Willow slows the drop and surfs for you. If you haven't already, I'd feed a teaspoon of LC to keep her surfing.

 

Good question. The signature says ff. Is it the Classics ? Any other food? I also agree at least for Max spacing out the food with each test up until +6-7 really helped.

 

I agree with what everyone else is saying about the food - you don't want to cut her back too much, especially since she was borderline hepatic lipidosis once. And, of course, because she's an unregulated diabetic - her body needs the food.

To elaborate on Tricia's suggestion about the Pepcid (the generic name for Pepcid is famotadine): this does work very well for tummy acid. She mentioned giving it 1/2 hour before food, and that is fine, but you can only give it once every 12 hours. Some people find that giving it right before bed, rather than right before food, is beneficial. If you give it to her at bedtime, it will take care of that empty tummy tummy acid build up she gets from not having food for a longer time than she's used to.

Letting us know the details of her food will also help us help you figure out how to get a handle on her numbers.

 

i'm happy to see willow saw some blue today....
that's some of that great baby step progress we like seeing....

make sure these are the fancy feast varieties you have.....


carbs in % . . last number is phosphorus ( FKD cats need under 250 phosphorus)
4% - fancy feast CLASSICS chicken feast- 546 - beware of those that are not classics ...
4%- fancy feast chopped grilled feast pate -569
2%- fancy feast cod, sole & shrimp feast pate – 787
4%- fancy feast Ocean Whitefish and tuna pate 823
1% -fancy feast Savory Salmon feast pate – 369
5% -fancy feast Tender beef feast pate -637
5% -fancy feast Tender beef and chicken feast pate -502
5% - fancy feast Tender beef and liver feast pate – 525
4% -fancy feast Tender liver and chicken feast pate -598
3% - fancy feast Turkey & giblets feast pate – 355
5% -fancy feast salmon and shrimp feast -550
4% -fancy feast kitten tender turkey feast -474
5% - fancy feast kitten tender ocean whitefish feast - 689
5% -fancy feast chunky chicken feast -637
7% - fancy feast chunky turkey feast -624
7% -fancy feast chunky chopped grill feast - 454
8% - fancy feast Flaked chicken and tuna feast - 434
0% - fancy feast Flaked fish and shrimp feast - 701
8% - fancy feast Flaked Salmon and whitefish feast - 458
7% - fancy feast Flaked Trout feast-395

 

I left her food, I,was worried about her going too low while I was out.

 

I have been trying to reduce her slowly, she then has a huge drop in her numbers and I get worried that she will drop too low and no one home to feed her to get her numbers back up.
I'm going to have to get her food under control she is getting really fat!

 

Thank you
I'll try to pick some up tomorrow.

 

I need to look at what we have been giving her and post it tomorrow morning

 

Thank you
I will look in the morning to see what we have been feeding her and post it

 

Hi
I will let you know about the food in the morning.

 

I give the Famotodine twice - before breakfast and before his late dinner (twelve hours apart, as Amy said).

 

This is the most important clue - if she is gaining weight when she doesn't need to, then you want to reduce the portions gradually so that she loses weight gradually.

I saw on the spreadsheet that you're switching to the Relion tomorrow. Because they measure differently than an AT, it'll probably be a lot more encouraging and her numbers are likely to read lower. Great to see that blue in there this morning! You want to always ask "how low can this dose make my cat's blood sugar go?" when you're making decisions on the dose. Right now we can see that 3.5u can get her to 180 - so that's good information to have.

 

Morning.
The only time she vomits is when her stomach is empty all night.
I'll pick some of that stuff up today

 

Hi
That was one of my questions.
This morning her number was lower I'll be posting it in a minute with a photo of her food

 

It is good to have some HC on hand JUST IN CASE she does drop to low.....on Relion I believe that is 50
On AT it is 68

Nice to see blue

 

I don't know what are your relationships with your vet, or if you have a competent vet in diabetes, but in my point of view, it would be good now to have the advise of a professional.
When I see such a numbers of black figures, such a numbers of comments with the word "vomiting" in your SS, I start to be really worried.
If your vet isn't a "specialist" in feline diabetes, maybe it's time to find a good one.
That's just my opinion.