hello. my cat noah have had diabetes over a year and i still strugle with his diabetes. i give 2 units twise a day, he lays around 20mmol everytime insulin is due. he is on bozita wet food so carbs is not a problem. when i started wet food is bloodsugar got perfect but then whent right up again. what can i do to get the diabetes under control?
Welcome! Are you using ProZinc insulin? If so, go to the yellow stickies at the top of the thread list on this forum to learn more about this insulin. There are many reasons why a cat can lose control of BG. Dental problems are near the top of the list. Any other source of infection or inflammation can also be a cause - eg., urinary tract infection, panncreatitis, etc. We recommend a regular blood glucose testing routine at home. Do you test his blood glucose yourself? Here's a long information sheet I put together for new members. It outlines what we need to know to help you quickly and gives links to other things for you to check: __________________________________________________________________________________________________________________ It would help us if you set up your signature (light grey text under a post). Here's how: Please do this first. click on your name in the upper right corner of this page click on "signature" in the men that drops down type the following in the box that opens: kitty's name/age/date of diabetes diagnosis/insulin you're using /glucose meter you're using/what he eats/any other meds or health issues he has. Another thing that will help us help you now that you've started BG testing at home is to set up a spreadsheet like the one we use here. We can all see it and look at it before offering advice: http://www.felinediabetes.com/FDMB/threads/fdmb-spreadsheet-instructions.130337/ ............................................................................................................................................................................................................. Here's the basic testing routine we recommend: We rely on this data to help you. test every day AM and PM before feeding and injecting (no food at least 2 hours before) to see if the planned dose is safe test at least once near mid cycle or at bedtime daily to see how low the BG goes do extra tests on days off to fill in the response picture if indicated by consistently high numbers on your spreadsheet, increase the dose by no more than 0.25 u at a time so you don't accidentally go right past a good dose post here for advice whenever you're confused or unsure of what to do. This is useful: http://www.felinediabetes.com/FDMB/threads/hometesting-links-and-tips.287/ ............................................................................................................................................................................................................. Here's an explanation of what we call "bouncing". It explains why a kitty's BG can go from low to sky high: BG goes low OR lower than usual OR drops too quickly. Kitty's body panics and thinks there's danger (OMG! My BG is too low!). Complex physiologic processes take glycogen stored in the liver (I think of it as "bounce fuel"), convert it to glucose and dump it into the bloodstream to counteract the perceived dangerously low BG. These processes go into overdrive in kitties who are bounce prone and keep the BG propped up varying lengths of time (AKA bouncing). Bounce prone kitty repeats this until his body learns that healthy low numbers are safe. Some kitties are slow learners. Too high a dose of insulin can keep them bouncing over and over until the " bounce fuel" runs out and they crash - ie., have a hypo episode. That's why we worry so much about kitties that have had too high a starting dose prescribed by the vet and the owner isn't home testing. ............................................................................................................................................................................................................. Here are some tips on how to do urine ketone testing (VERY important if BG is high and kitty isn't eating well!): put the end of the test strip right in his urine stream as he's peeing slip a shallow, long handled spoon under his backside to catch a little pee - you don't need much put a double layer of plastic wrap over his favourite part of the litter box and poke some depressions in it too catch pee. Most test strips have to be dipped and allowed to develop for 15 seconds before viewing the colour change in very good light. __________________________________________________________________________________________________________________ Please ask any/all questions you have after you've read this.
Kris has already given you great info (I love that newbies guide she put together!) so I'll just say hi and let us know if you have any questions! It's a steep learning curve for sure.
hei. it is prozink i use yes. i do messure his blod sugar before insulin but after food. tomorow i will start a curve. i often does not get to give him insulin sinse he loves it outside and not always come in when he needs it. cant keep him inndoors sinse he only get depresed then.
Hi there! great job getting the spreadsheet up! Just to clarify, we recommend that you get the BG test before they eat. Food can raise their numbers and cause you to think he needs more insulin than he really needs. So it's best to test first, and then feed, and then give the injection.
hello. i have not gotten much cycle testing done yet, but how much info is needed to get the corect dosing?
Hi. I think your spreadsheet is doing what Marje describes here: http://www.felinediabetes.com/FDMB/threads/please-check-your-spreadsheet-link-in-fdmb.203579/ I think she can fix it if you send her a Private Message (click the “Conversations (PM)” button at the top left) and then click “Start a conversation” button that will be on the at the top right of the new screen that comes up. Start typing in her user name, and it will pop up/auto-fill for you.
