Is it really ok to miss a dose? PMPS 137 and finicky eating?

Discussion in 'Prozinc / PZI' started by Debbie & Mishka, Feb 26, 2018.

  1. Debbie & Mishka

    Debbie & Mishka Member

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    Feb 18, 2018
    OK, I guess I'm beating myself up a LOT. Didn't know what to do tonight because Mishka is fighting an upper respiratory infection -- sneezing, stuffy, doesn't want to eat all that much. He only had one 3 oz can of FF today when he usually has two. I'm basically free feeding from AM until about 4 hours until PM shot. We're still trying to find the right feeding schedule that fits his almost 17 y/o nibble as he pleases eating habit. Anyway, PMPS was 137 and I was really, really afraid he would not eat tonight. So, I decided on no shot. I've read though that he is still diabetic and needs insulin and that no insulin can lead to DKA. I am just so very, very confused. I skipped PM shot on Friday when PMPS was 131, and +11 was just 160. Confused, confused, confused. But I did manage the spreadsheet this evening :)
     
  2. Kris & Teasel

    Kris & Teasel Well-Known Member

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    Aug 17, 2016
    Skipping the shot at a pre shot this low was fine. As you get more data on your SS you’ll be able to try small doses at lower pre shot numbers. Below 0.5 u you have 0.25 u, what we call 0.1 u and what we call a drop. He’s doing very well with those blues.
     
  3. Debbie & Mishka

    Debbie & Mishka Member

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    Feb 18, 2018
    Ohhhhh thank you so very, very much Kris. I have some earlier data I need to add, but I was quite pleased I managed the SS!
     
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  4. Debbie & Mishka

    Debbie & Mishka Member

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    Feb 18, 2018
    Thanks Kris. So I guess I'll figure the morning out if Mishka's AMPS is 130 or so :) Maybe I'll try to eyeball a 0.25 and hopefully he'll eat. Also thought I'd keep trying to get him to eat tonight.
     
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  5. Djamila

    Djamila Well-Known Member

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    Aug 1, 2015
    Have you tried warming the food so it's a little extra smelly, or adding some parmesan cheese? - kitties tend to eat better when they can smell their food and a stuffy nose can impede that.
     
  6. Debbie & Mishka

    Debbie & Mishka Member

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    Feb 18, 2018
    Yes, I always warm his food. We've been having appetite problems since before Christmas when we were fighting the upper respiratory then as well. He won't touch the food with parmasean cheese...LOL. Usually if I crumble a few freeze dried low carb chicken, he'll nibble at the food. Crossing my fingers for a few nibbles later tonight.
     
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  7. Djamila

    Djamila Well-Known Member

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    Aug 1, 2015
    Yeah, mine won't touch the Parmesan either. Sending healing vines your way! I hope Mishka feels better soon!
     
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  8. Rachel

    Rachel Well-Known Member

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    Aug 25, 2013
    So sorry Mishka isn't feeling well! Ketones can happen, but they are far more likely when the numbers are higher. Most likely he isn't eating due to the URI and having a harder time smelling the food. I found crushed up treat dust or sticking crumbled treats kind of into the food helps...that way they can't jsut eat it off the top. Sending healing vines!
     
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  9. Debbie & Mishka

    Debbie & Mishka Member

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    Feb 18, 2018
    Yep -- treat dust works! :)
     
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  10. FurBabiesMama

    FurBabiesMama Well-Known Member

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    Jul 6, 2017
    Mishka's numbers look so good. I wish I could get a spreadsheet of almost all blue! :)
     
  11. Debbie & Mishka

    Debbie & Mishka Member

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    Feb 18, 2018
    thank you! I haven't put in the number from previous days -- they weren't so blue. But looking back, I have to say that weren't that bad except early on when the vet had us dosing at 2U
     
  12. Debbie & Mishka

    Debbie & Mishka Member

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    Feb 18, 2018
    Mishka gave me a nice gift today --- NEGATIVE Ketones -- first test, and I've officially converted a long handled kitchen spoon to a urine collection spoon :). AND he actually showed interest in playing with light reflected off my phone (similar to laser light). He stalked it!!! That's my boy :)
     
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  13. Debbie & Mishka

    Debbie & Mishka Member

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    Feb 18, 2018
    Kris -- PMPS 140 tonight -- tried to give 0.25 -- we'll see how it goes.
     
  14. Kris & Teasel

    Kris & Teasel Well-Known Member

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    Aug 17, 2016
    Get a +2 test. That can often show whether they're going to drop quite a bit. If +2 is significantly lower than PS (50+ points) that can be a sign of an active cycle where you'd have to test more.
     
  15. Debbie & Mishka

    Debbie & Mishka Member

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    Feb 18, 2018
    Kris -- +1.39 is 115. This was a few minutes after Mishka ate about 1/4 can FF. I didn't want to wait any longer to test. How long does it take food to effect the BG? I guess I should encourage him to nibble more and test again?
     
  16. Djamila

    Djamila Well-Known Member

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    Aug 1, 2015
    Lower doses often hit their system faster and then have shorter duration, so the drop at the beginning can sometimes be quick followed by many hours in the same ranges. Typically food hits in 30-60 minutes, and insulin kicks in around +2, but again, for some cats it kicks in sooner on a tiny dose. I wouldn't be worried about that drop at this point as she's still nice and safe. Fingers crossed you get a green tonight!
     
  17. Kris & Teasel

    Kris & Teasel Well-Known Member

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    I agree with Djamilla. He should be fine. :)
     
  18. Debbie & Mishka

    Debbie & Mishka Member

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    Feb 18, 2018
    Thanks Kris & Djamila -- I'll test again in another hour. He just ate some more. I guess as a "newbie" I am so very, very afraid that I won't recognize hypo. I do sleep with honey and Karo by my bedside though :). Why do smaller doses hit their system faster? I'm just so glad I'm not following the vet's 1U no matter what recommendation. Thanks again!
     
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  19. Djamila

    Djamila Well-Known Member

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    Aug 1, 2015
    That's a good question - I don't know why. It's just something I've noticed on a number of spreadsheets, and from my kitty when he was on a lower dose. Doesn't work that way for all low dose kitties, but enough that I thought it might be worth mentioning. Time and data will show if it's true for Mishka or not. Also as you collect more data it will help you relax about the hypo danger. You'll know how he responds to different doses and can let go of some of the worry, knowing that you're keeping him safe.
     
  20. Debbie & Mishka

    Debbie & Mishka Member

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    Feb 18, 2018
    Thanks, as always :) 107 @ +4 . Just tested. Ate 1/2 3 oz can FF b/t tests though. I think I'd worry less if he was a consistent eater and if I could convince him to eat the majority of his meals before his shots.
     
  21. JanetNJ

    JanetNJ Well-Known Member

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    Jun 8, 2016
    If his nose is still stuffy you could bring him in the bathroom with you and run a steamy shower. When I had a sock kitten I used to put her in a carrier and drape a towel over and put the end of a nebulizer in the carrier.

    Bonito flakes are stinky and may entice her to eat.
     
  22. Debbie & Mishka

    Debbie & Mishka Member

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    Feb 18, 2018
    Thanks Janet -- I'll remember the Bonito for next time! Not as stuffy and seems to be feeling better. Yes, Mishka and I know the shower trick, our sauna time! It works, but he meows the whole time!
     
  23. JanetNJ

    JanetNJ Well-Known Member

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    Jun 8, 2016
    You could put a vaporizer in his favorite hang out room too. Glad he's feeling better
     
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