Managing A diabetic cat and working full time

Discussion in 'Feline Health - (The Main Forum)' started by Necronomicat, Jan 14, 2018.

  1. Necronomicat

    Necronomicat New Member

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    Jan 13, 2018
    Hi everyone,

    I just increased my cat Mayhem’s insulin dosage from 2 units to 3 as per vets orders. He has already had 3 shots since the increase and seems to be responding well. I have been off work the last few days so have been able to monitor him through out the day, but now I’m back at work and I’m sick with worry that he could possibly become hypoglycaemic when I’m not around.

    I would never forgive myself if something happened and I wasn’t there for him. How is everyone else managing while working and living alone? I’d like to think that he would have had a reaction by now if he was going too.

    I try to time his dose increases with my days off so I can keep a close watch on him incase he needs vet care but sadly I can’t always be around him. :(

    =^••^=
     
  2. ZulusMom

    ZulusMom Member

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    Aug 31, 2017
    Hi Necronomicat! I totally understand that feeling. Are you testing his blood sugar at home yet? For me, even though there was always some fear of Zulu going hypo while I was at work, knowing his BG before I left and having a rough idea of how low the insulin was taking him helped a lot with the anxiety on my end. It took us awhile to get the hang of it, probably longer than most people here, but it was worth it.
     
  3. Necronomicat

    Necronomicat New Member

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    Jan 13, 2018
    Thank you for replying. My vet has offered to show me how to test at home. Mayhem’s curve vist was all over the place which was also upsetting since he’s no where near regulated yet. I think your right and testing at home is best the way to about this. It must make you feel better being able to see his levels before leaving for 8hrs. I think that’s best idea for me and Mayhem. It’s really the only way I will feel comfortable leaving him all day.

    Thank for you advice. I know I will probably struggle with tearing him at the beginning but I imagine it becomes like second nature after doing it regularly.

    Thank you again :)
     
  4. Necronomicat

    Necronomicat New Member

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    Jan 13, 2018
    Also do you recommend a specific brand? Any any better or easier to use on cats?
     
  5. ZulusMom

    ZulusMom Member

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    Aug 31, 2017
    Most people on the forums use a human glucometer - Relion Micro, Relion Confirm, and Freestyle Lite are popular choices because they only need a very small amount of blood. I use a pet meter, the Alpha Trak 2, but only because my boss used to have a dog with diabetes and had a lot of leftover testing supplies that she gifted me with. The testing strips for pet meters are pretty expensive, so most go with human meters. Either type of meter is fine; just make sure you're using the correct spreadsheet if you use one of the templates on FDMB since the numbers on pet meters tend to run higher and there isn't a way to convert from one to the other (ie, you can't add or subtract 100 or any other number from a pet meter to get the equivalent on a human meter).
     
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  6. Necronomicat

    Necronomicat New Member

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    Jan 13, 2018
    Thank you very much! that is super helpful and good information to know between the human and pet testers.
     
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  7. Tracey&Jones

    Tracey&Jones Well-Known Member

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    Dec 12, 2016
    Are you able to leave food out for Mayhem? If the kitty is dropping low, their body triggers them to eat. I have seen it with Jones while home and able to test.
     
  8. JanetNJ

    JanetNJ Well-Known Member

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    Jun 8, 2016
    Which insulin are you using? Going from 2 units and raising to 3 is a big jump. We usually recommend increasing in 0.25 - 0.5 increments.
     
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  9. babyBoo

    babyBoo Member

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    May 15, 2016
    I worked 8 hour rotating shifts, so I changed the dosing schedule each week. What I found that worked best for Boo and I, was scheduling one dose as soon as I got home and the other daily dose ended up being four hours before work. That schedule maximized the time between dose and leaving for work at 3.25 hours. I fed Boo his daily amount in 6 equal portions.

    So for an 8 am - 4 pm shift the AM cycle started at 4:15 am with a test,feed, and shot. At 6:15 am (+2) another test and normal feeding. Then at 7:15 - 7:30 am (+3 or 3.25 I tested and fed normally again. But if it seemed like the numbers were heading down too low I would feed him a Medium or High carb meal and maybe often leaving an extra medium or high carb meal out for him.

    If I was really nervous about the situation I would come home for lunch which would be +8 to check him.

    The PM cycle played out very much exactly the same except I would be going to sleep rather than to work.
     
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  10. Juliet

    Juliet Well-Known Member

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    Sep 8, 2017
    I’m in similar situation only I have to be gone 12 hrs as I have a two hour commute. I test, feed and shoot at 6am then leave for work at 6:15 and I’m not home until 6:30. So far we have been fine. He gets fed at AMPS, PMPS and at bedtime. Not been able to leave food out as I don’t have a timed feeder and he’d eat it all as soon as put it in the floor otherwise.

    Working okay now but not sure when we get into lower numbers.
     
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  11. Chris & China

    Chris & China Well-Known Member

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    May 10, 2013
    Some great ideas in this "Is TR possible with a full time job? Yes!" thread

    Even if you're not doing Tight Regulation, there's still some good tips!
     
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  12. Juliet

    Juliet Well-Known Member

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    Sep 8, 2017
    I think that only works if you are able to slip back at lunchtime and test, and get up earlier to get a +2. Certainly not possible in my case. I don't know about @Necronomicat.
     
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  13. Chris & China

    Chris & China Well-Known Member

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    May 10, 2013
    Not necessarily, but yes, it sure makes it less stressful if you live close enough to home to be able to run home for lunch!!
     
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  14. Juliet

    Juliet Well-Known Member

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    Sep 8, 2017
    How would it work otherwise as you're supposed to increase based on nadir and if you are not testing during the day and cannot stay up all night - you will never get nadir - therefore TR not possible?? TR says to hold dose for 6 cycles - but unless you are getting nadir in those 6 cycles you cannot safely increase.
     
  15. JanetNJ

    JanetNJ Well-Known Member

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    Jun 8, 2016
    I work. I do a preshot test in the am and pm, then catch a +3 or 4 in the evening. On the weekend and days off I test more.
     
  16. Juliet

    Juliet Well-Known Member

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    Sep 8, 2017
    I do exactly the same. But nadir is usually +6 and on TR we are to increase every three days. My question is how TR is possible when only getting nadir on weekends.
     
  17. JanetNJ

    JanetNJ Well-Known Member

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    Jun 8, 2016
    Well if you test 5am/5pm and are able to catch an 11pm..... That would not be good for sleep though. Lol
     
  18. Chris & China

    Chris & China Well-Known Member

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    May 10, 2013
    TR only requires Pre-shot tests and at least 1 other test like a "before bed" test, with more frequent testing when possible

    Also, nadir can and does move...it's hardly ever exactly at +6....some cats nadir early....some cats nadir later...that's where the saying "Know Thy Cat" comes into play.

    But my reason for posting the link wasn't to promote TR over anything else...it was to give the OP some idea's on ways to help keep their cat is safe while they are at work
     
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  19. Necronomicat

    Necronomicat New Member

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    Jan 13, 2018
    I really wish I would be able to do this. Sadly my work schedule is all over the place and just doing a 7am and 7pm shot is a miracle. I feel like I would test before leaving for work and again before bed to make sure his levels are good.
     
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  20. Juliet

    Juliet Well-Known Member

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    Sep 8, 2017
    Oh well. Silver’s nadir IS at +6 so TR impossible.
     
  21. Juliet

    Juliet Well-Known Member

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    Sep 8, 2017
    Yes I’m in same boat. Hence me doing SLGS.
     
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  22. Necronomicat

    Necronomicat New Member

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    Jan 13, 2018
    He is on Lantus. He just had his first curve done on Friday and his BG was higher on 2 units than it was before we started even giving him any insulin. The insulin has not been left out or damaged and the vet tech checked my syringe technique also. Believe me I was not enthusiastic about increasing it. So far so good though, his energy and appetite are great. Here’s hoping this is helping him now.
     
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  23. Necronomicat

    Necronomicat New Member

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    Jan 13, 2018
    I would definitely prefer to leave food out for him. I was totally under the impression that I couldn’t. That makes perfect sense. My vet made it seem like each meal had to be strategically measured and monitored. Mayhem is use to nibbling so this would suit his needs much better. Thank you for sharing that with me.
     
  24. Chris & China

    Chris & China Well-Known Member

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    May 10, 2013
    Just to clear this up....you are not required to increase every 3 days on TR....there are times when you actually don't want to increase after only 3 days

    One of the differences between TR and SLGS is that on TR you have the option to increase as often as every 3 days
     
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  25. ZulusMom

    ZulusMom Member

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    Aug 31, 2017
    This might be a case where the ideal dose was missed, which is why we usually advise increases of 0.25-0.5 instead of whole units. Sometimes too much insulin can look like not enough. It could also be that his numbers at the vet's office were elevated due to stress, which can raise blood glucose over 100 points. Once you start home testing, the folks in the Lantus forum can advise you on how to adjust your dosing.

    I know this is A LOT of information and it can be very overwhelming at first. We've all been there. I promise, it gets a lot more manageable with time and the people here are all incredibly supportive.:cat:
     
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  26. Necronomicat

    Necronomicat New Member

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    Jan 13, 2018
    I was worried about that. I know the smallest amount can make a huge difference one way or another. Home testing and being able to see his numbers will just make it super clear. It really is a lot to take in, but I love my orange boy and I don’t mind doing what I need to if it helps him feel better. I am nervous to try the home testing but i am sure after a few attempts I will become comfortable.

    I have kind of been getting the feeling that my vet does not know as much about feline diabetes as I would expect him too. The stuff I have been reading on here makes way more sense. It seems the information he gave me is very general like just text book and I’m left to just figure out the rest on my own. :(
     
  27. Critter Mom

    Critter Mom Well-Known Member

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    Jun 16, 2014
    I've even had that feeling when dealing with some feline diabetes specialists.


    Mogs
    .
     
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  28. Kris & Teasel

    Kris & Teasel Well-Known Member

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    Aug 17, 2016
    Very common problem, unfortunately. We can help. :)
     
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  29. Necronomicat

    Necronomicat New Member

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    Jan 13, 2018
    Wow that’s unreal. I’m very excited about finding this page. Everyone has been so kind and so helpful. What a wonderful community here.
     
  30. Critter Mom

    Critter Mom Well-Known Member

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    Jun 16, 2014
    My own main (general practice) vet had a sugar cat himself, and he has been great to work with because he has the day-to-day experience of managing a feline diabetic. He's highly collaborative in style, too. :)


    Mogs
    .
     
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  31. Tracey&Jones

    Tracey&Jones Well-Known Member

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    Dec 12, 2016
    Some people use the timed feeders to give a +3 and +6 snack. Jones free feeds as that is what works best for him.
     
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  32. Necronomicat

    Necronomicat New Member

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    Jan 13, 2018
    I wonder though if my other 2 cats would steal his snacks if I tried this. They are little piggys lol
     
  33. Tracey&Jones

    Tracey&Jones Well-Known Member

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    Dec 12, 2016
    That can definitely be a concern. I threw money at the problem and got the surflap feeders. Others will put the extra sweet kitty in a room for the day with the LB, water and food. And some just leave some of the YA dry out for everyone. Of course you will need to adjust any "wet food" meals for the calories for anyone that is carrying a few extra ounces.
     
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  34. Veronica & Babu-chiri

    Veronica & Babu-chiri Well-Known Member

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    Aug 5, 2016
    Hi I totally understand you, I work full time also, because of traffic it takes about 1 and a half hours to go from my home to my house so I pretty much tested, shooted and ran out the door and arrived back home with just enough time to test and shoot again, I did started leaving a time feeder in case Babu wanted to eat, there are some feeders that would work either with the chip or with a tag in a colar that way only he can have access to the food if you can afford them it may be worth taking a look at them.

    Knowing his numbers before I shooted and left home made all the difference , know if it was ok high enough not to worry even if he didn't eat during the day or if ti would be better not to shoot or in my case to ask for help from my sister that could go to my house and look after him ( she couldn't do it every day but for an exception she could) she would not test but would make sure he eat and could report to me if she noticed something.

    Also I tried to get some tests during the night , not easy I have to tell you since I would have to wake up next day and go to work again but it would give me very important information that made me easier not to be so nervous during the day ( they usually go lower at night so I could asume that he would be at least the same during the day or maybe a little bit higher )

    I did had to take one or two days off if thing got a little bit out of hand and I did arrived late to work on some occasions ( my boss was very understanding don't know if I could do it now)
     
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  35. Veronica & Babu-chiri

    Veronica & Babu-chiri Well-Known Member

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  36. Critter Mom

    Critter Mom Well-Known Member

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    Jun 16, 2014
    Do you know anyone living in a country where they're available who could purchase one on your behalf and ship it to you? (Obviously customs regulations would need to be checked.)


    Mogs
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