Phoebe's DKA Rebound

PMPS 510
Administered 2.0u at 4:10pm central standard time.

 

Not surprising after the skipped shot. No worries- you'll get her back on track, Eric.

 

+2 377

 

Yep, we knew it would be high. I think 2 units was fine for a shot. That's not a bad drop at all for +2.

 

What do you recommend for tomorrow morning if l have a shootable number? Would you go 2.0u?

 

I'd probably give 2 if over 200. What's your no shoot number? Can you monitor tomorrow?

 

+4 187

 

I'll be out of the house at 7:00a.m.

 

Hmmmm considering how much she's dropping I might give a lower dose then.

 

Nice drop @+4! What time do you plan to shoot in the AM?

 

91 @ +8.5

 

4:10a.m. but the way she's going l think l can go back too 5:30a.m.

 

82 @ AMPS

 

Too low again?!

 

116 @ +1

 

Yes. It's crazy how all of a sudden 2.0u have become too much for her. Is this normal? I've read that with the YA diet sometimes cats can get off insulin. I'm going to scale her back too 1.75u when l can shoot her again.

 

She has definitely earned a reduction. We'll see where she is this evening, but you'll give less than 2u. Will you be around over the weekend for testing? This is good Eric, she's really responding. We just have to find the right dose.

 

Yes I'll be off till Tuesday. She's doing great. All bushy tailed (more like racoon tail hahaha) this morning playing with her toy mice sprinting back and forth through the house.

 

Great that she's feeling so good. Remember where she was the last 3day weekend!

 

Oh believe me l thought about that Sharon before you ever mentioned that. I don't want her to regress back too that. That was the ultimate nightmare.

 

PMPS 435
Shot at 1.75u

 

A better number than last night! Hope this dose does the job.

 

Yes. I got her a dose of 1.75u once l got home and hopefully Sharon in the a.m. I'll be able too shoot again.

 

Hopefully so!

 

How is she enjoying the young again? It's made a HUGE difference for us. As a matter of fact I didn't even give my cat a shot today.

What does FCAF stand for in your signature?

 

Great @JanetNJ ! Hope the low numbers continue!!!

 

+4 325
Not the greatest number but I've scaled her back too 1.75u also....might take her a few days to adjust.

 

100 pt drop isn't too bad and she'll probably go down a bit more. Did you get that ketone test?

 

Hello Janet. Phoebe and Bobo love YA. I had them both on Petcurean before l made the swith. And before the Petcurean Phoebe was on the Purina diabetic food which was higher in carbs than YA and Petcurean if that makes any since? FCAF stands for Free-Choice Abundance Feeding. And that's the way Young Again recommend you use there product. You can check it out on there website and they'll tell you the detsils and what type of bowls too use. Actually it's a pie dish.

 

Yes and she's negative. Thank god! Sharon have you ever had an issue when one day there were no ketones and then the next bang! Ketones were back?

 

Fortunately my cat has never had ketones. They say that once a cat has them, they are more prone to it. That is why you should test Phoebe often. Right now, with the dose decreases, I would test daily. The sooner you catch them, the easier is the treatment.

 

Thanks Sharon! I will! She's not the easiest too test. But l do it. No choice.

 

182 @ AMPS

 

A nice PS. What time did you shoot?

 

530am

 

188 @ +1.85

 

You around to watch her closely today, Eric? With that low pre shot, she will need some monitoring
You are so lucky your cats will eat the Young Again, as I said before, I wish Murphy would go back to eating it

 

It looks like the trend is down, which is great. The YA may be affecting the numbers and bringing her levels generally down.. Your dose today should give you an idea of how much for that 180 range. I would definitely monitor. 1.75 brought the 435 pmps down 300 points. You don't have that kind of room today.

We could set up a sliding scale for you if you want, based on her spreadsheet - giving you some general guidelines about what to shoot when you see a particular range.

 

200 @ +6.5

 

I had to help a friend on his house and I'll be in and out today. But she's doing great.

 

That sliding schedule would probably be pretty helpful. But l don't want to inconvenience anyone.

 

308 @ +10

 

311 @ PMPS

 

65 @ +4

 

Big drop. A little snack and retest?

 

Yes.

 

43 @ +4.5
I've been giving Phoebe her favorite treats. Now l just added honey too them and will retest in 15 minutes.

 

Good. Hope she starts up.

 

Yes. I as well. These low numbers she's been putting up lately are kind of scary to me. But she's happy and herself. Is this normal?

 

46 @ +4.75

 

Coming up - good. Three rising tests.

 

Well this is a first since Phoebe's pre-dka days. She's actually eating some chicken feast classics from fancy feast at this moment!

 

I'm going to let Phoebe finish eating her first wet food since July 1st and test once she goes too her comfort spot.

 

Looks like she gets a reduction. Hurray for wet food!

 

60 @ +5.5

 

Good. She may be higher tomorrow bouncing from the low, but I'd still reduce - maybe 1.5. If she'll eat wet food, even less.

 

I'll go with 1.5 tomorrow and hopefully she'll take wet food tomorrow. She's laying next to me on the couch purring up a storm! So I'm super happy that she's happy! I was getting worried a little with those low numbers and it's probably been going on the past few days when l was at work.

 

63 @ +6
Goodnight Sharon and Sue! Thanks for everything tonight!

 

226 @ AMPS
Administered 1.50u of Prozinc.

 

Glad she came up for you last night, and you could shoot this AM. Hope this dose is a good one. It's exciting that she's responding so well!

 

Sharon it's exciting to say the least! Phoebe and her holiday weekends! I just pray she keeps trending in the right direction! This is gonna give me gray hairs!

 

Hi Eric - you are doing such a great job - so what I learned with Prozinc is that their insulin requirements are less with a lower preshot than with a higher. If she is at 400 (except if it is a bounce) she will probably need a little more insulin than if she is at 200. When she is at those lower preshots, I'd think about cutting back. I'm glad you only gave her 1.5 - let's see what she does but her numbers might be wonky because she is probably going to be bouncing

 

98 @ +3

 

I agree Carol. After getting her 1st reading after her preshot 3 hours ago I wish I would of gave her 1 unit.

 

I agree Carol. After getting her 1st reading after her preshot 3 hours ago I wish I would of gave her 1 unit.

 

Agreed. I assumed (and you know about assuming) she would be high after last night. Steer with food again - hope it just takes regular low carb. Hopefully she has reached the point where they start going down - whether because of finally getting their body to use the insulin efficiently or because of the food change, or a combination of both. Scary but encouraging. Glad it is the weekend.

Any sliding scale we would try won't work until and if she stabilizes.

 

Wow! That was quite a preshot number after those low numbers last night.

 

60 @ +5
She's doing great! Playing with my friends shoe laces hahaha!

 

104 @ +6

Without a food curve and just watching Phoebe be Phoebe! ❤❤❤

 

So that turned out to be an okay dose. Good to know.

 

Go Phoebe!!!

 

325 @ +14
Had a family emergency to tend too.

 

Oh no, Eric I hope everything is okay
good luck with Phoebe - I hope you have a calm night with her

 

Hope everything is ok. Don't forget in the AM that you shot later tonight, so adjust your time.

 

Sorry to hear that Eric. Hope it all turned out okay!

 

183 @ AMPS

 

276 @ +2

 

Thanks for the well wishes. Little nephew took a bad fall on his bike and broke his collar bone. But he'll be ok!

 

Ouch! Glad he's ok!

 

232 @ +4

 

293 @ +10

 

418 @ PMPS

 

280 @ +2

 

Nice drop after that high PMPS! Hope she continues downward-but not too far down Phoebe!

 

355 @ AMPS

 

432 @ +1.5
Not liking this number as l leave for work.

 

No, neither do I. At least you don't have to worry about a hypo. When you get home be sure to get that ketone test and we'll see where she is at PMPS, maybe she needs a bit more juice.

 

311 @ +10

 

282 @ PMPS

 

Glad she came down some!

 

That was a nice decline today. It looks like 1 unit isn't enough for a pink pre shot. Do you have a sliding scale that Sue worked out for you?

 

Nope. Sue said "Any sliding scale we would try won't work until and if she stabilizes."

 

That makes sense. Glad she came down for you.

 

209 @ +2.5

 

Bobbie l have more good news. Phoebe started eating wet food again on Saturday.

 

362 @ +5.5

Maybe l shouldn't of lowered her to 1u? Her numbers were great before.

 

Do you know the carb value of the wet food she's eating? It may be higher than the YA. That and the lowered dose came at the same time, so one or the other or combination of the two.

 

482 @ AMPS
Upping Phoebe too 1.25u

 

Good morning Sharon! It's Fancy Feast chicken feast classic.

 

That should be fine then. Hope the increased dose gets her back down.

 

237 @ +7.5

 

PMPS 333