Discussion in 'Caninsulin / Vetsulin and N / NPH' started by Diane Tyler's Mom, Sep 10, 2019.
@MrWorfMen's Mom hey Linda
AMPS -176 now what lol 0.25 again @MrWorfMen's Mom
I think perhaps his little pancreas is sputtering more some days than others. I'd try a skinny 0.5u. He hasn't been that high in the AM for a few days.
Hey Linda his little pancreas better start sputtering on a daily basis lol I'm just kidding OK 0.5 skinny. I feel bad because before he went down to 0.25 units I sort of known what to give going by his previous numbers, I feel bad because I have to ask you now and can't make the decision on my own like I used to
It looked to me like maybe he could use a little decrease given what happened the day you skipped because he wouldn't eat so I'm just backing the dose up a shade to what you did before. It could be that day was just a fluke or that something is changing. Still wish we could get a little more green/low blue numbers but overall he's doing great!
Yeah I agree with you, I wish we would see those low blues and more greens also. He is being stubborn lol I will check in with you later my friend
@MrWorfMen's Mom evening Linda
TUESDAY 9-10-19 shooting skinny 0.5
PMPS 158 how about the skinny 0.5 again @MrWorfMen's Mom
Sounds good to me!
Ok thanks Linda , have a nice night, will catch you in the am. At least we got one low blue this time in the am cycle
@MrWorfMen's Mom morning Linda,. almost a green last night (100) I'll take it lol
AMPS - 154. 0.5 skinny @MrWorfMen's Mom
Yes, you got it. He's getting so close to green but no joy, Almost like he's not a fan of that colour! Come on Tyler! Green really is your colour.
Ok Linda, so close , yet so far lol. Maybe today. Will check in later, kiss the kitties for me
@MrWorfMen's Mom howdy Linda
PMPS -150 going with skinny 0.5
OK will talk to you tomorrow have a good night
Come on Tyler a little teensy bit of green please.
He's being a pain in the butt! Had to chase him around again to eat. So now I just put the can of FF in front of him and he starts to eat. What he doesn't like a flat dish anymore. He's just to much . Tuesday night he gave me a 100 BG at least
Yeah and that 100 might have been 85 or 115. I want to SEE the green. He's doing great...maybe we're being greedy!
I want to see it also, He's just being stubborn. He better get with the program lol
@MrWorfMen's Mom morning Linda
Have no idea what's going on with him anymore
THURSDAY 9-12-19 going with Skinny 0.5
AMPS - 188 do I stay with the skinny 0.5 or go to a full 0.5
I have to wonder if the little monkey slipped down into some green last night and is bouncing a bit. Stick with the skinny 0.5u and see what he does.
I know I fell asleep and never woke up, I was so tired, I know I should have done more testing, I feel bad . Ok skinny 0.5 it is. Thanks Linda
Just a quick FYI. I have to go to a meeting tonight and likely won't be home before 9:30/10:00 pm. If there is any question about dosing you don't feel comfortable making, post a specific note on Health saying HELP needed or something similar. Otherwise, you know what to do. I'll check in when I get home.
Hey Linda sorry just saw this, had a really bad day with Ashley at Pain management today. She is so upset and so am I . Tyler didn't do that great today , so if his PMPS is about the same as this morning I better stay with the skinny 0.5 as you can see it was 188 this morning and he didn't do much after that. I might be afraid to give 0.5 on ther line I just don't know. I'm just so upset today about Ashley's appointment today and how it turned out. She is beyond upset.
PMPS - 177 went with Skinny 0.5 tonight @MrWorfMen's Mom
I'm so sorry to hear things did not go well at Pain Management. You'll have to fill me in when things calm down some. As far as Tyler is concerned, you did the right thing keeping the dose conservative. You have your hands full with Ashley and Tyler will get back on track soon enough.
Thank you Linda, yep when things calm down I'll fill you in. At this point I don't freak out when I see his BG is higher and he doesn't do much after that. Life can really be a b**ch sometimes. Thanks for checking in on us, it means alot. Hope you had a good night
He Has been giving me troubled lately with eating the FF Classic Chicken Pate. So tonight I went to the store and bought a can of the Beef Pate to see if he would eat it without me having to chase him around . After just testing @+2 -116 I gave him the beef about 2 tablespoons and he woofed it down. Let's see how long this lasts, I'm still going to try the chicken flavor again Now he wants to be picky @MrWorfMen's Mom
@MrWorfMen's Mom morning Linda
AMPS. -179 0.5 skinny or should I try on the line 0.5
Also in case you missed #24 @MrWorfMen's Mom
Had to shoot sonI went with 0.5 Skinny one more time
Will talk to you a little later
Sorry, just getting on board now, I'd go with the 0.5u on the line unless you already shot the skinny. See if the different food make a difference. A lot of cats go off a flavour and get picky. Tyler is just doing cat stuff. Menace is doing it to me now too and she won't eat anything but stuff I'm trying to keep her off.
No problem already shot the skinny 0.5
When you say see if the beef flavor makes a difference do you mean see if the pre shot gets higher or lower and testing after giving insulin?. He ate the beef flavor this morning @MrWorfMen's Mom
Yup. Some folks have mentioned one flavour vs another sometimes affects their kitty's BG even though carbs are pretty much the same. Probably some other ingredient in the food that kitty reacts to so just observing BG and food fed can sometimes shed a bit of light on those ups and downs that are otherwise unexplainable.
OK just another thing to worry about lol so let's see if the beef FF pate does anything to his numbers compared to the chicken flavor @MrWorfMen's Mom
Diane, it's not a common situation....just something to be aware of. It could be that the one flavour is 3% and the other is 4% and the cat is very carb sensitive. Or it could be a different ingredient etc. It doesn't mean you need to take that food out of the equation but perhaps you don't use it as often or only when numbers are lower. Just another piece of info that helps you "steer".
@MrWorfMen's Mom hey Linda how ya doing
PMPS - 164 think I should stay with the skinny 0.5 for tonight
That's fine dose wise. Status quo here. I take it you are still dealing with yesterday's turmoil.
Yes a little bit , Ashley has calmed down a bit, long story short , I'll try went to pain management and he talked with her in the past about lowering her dosage on her pain meds because of all the stuff going on with the FDA and CDC concerning opioids. First I think the FDA and CDC should mind their business and let the doctors handle how much they give their chronic pain patients. Believe she doesn't want to take them. So we go in and she told him she was ready to lower her dosage. He saus we'll I want you to see a psychiatrist, a therapist and go for physical therapy. She freaked out. Now I'm not saying anything yet. She told him she has been to physical therapy before to try to strengthen her muscles and wound up in more pain , got dizzy, almost fainted. She already has a psychiatrist and is on Prozac.This pompous idiot says he wants a note from her saying what is she treating Ashley for and a plan. A plan don't make me laugh. She went and sat with a therapist and just the talking and listening to the therapist killed her. People may not believe her ears could be this bad but believe me they are. Now I chimed in and said forget about physical therapy, I saw what it did to her and he looks at me and calls me an enabler. I let loose on that comment. She argued back and forth with him and let him have it. He says we have to show the insurance companies that he is doing something . Lol
So right now he gave her 2 weeks worth of the same dosage of what she is on. Then he has to get a pre authorization for 3 different mgs of what she takes. What she takes is 160 mgs twice a day of, don't know if I should mention it on here, not that I mind, I could pm you if you want to know. So she takes 100 mgs and 60 mgs of the same med twice a day. So that's 360 mgs a day. It only comes in 100 mgs, 60 mg, 30 mg and 15 mg
If he gives her a 100 mg and a 30 mg twice a day that would be quite a drop 260 mgs total a day
So he has to get a pre authorization for 100 mgs, 30 mg and 15 mg, so it's 145 mgs twice a day so it would be 290 mgs total per day
I was the one to call the insurance company and explain it, he wouldn't look into it. I told him you better start the pre authorization at least 4 days before the 2 weeks are up. So she will see her psychiatrist and get a stupid letter for him, but no physical therapy or talking with a therapist.
I wanted to knock his teeth in when he called me that. He wants to keep insisting for her to go out into the world, I looked at him and said are you thick or something, she has crps the worst in her ears. Linda, even a breeze on her face and ears causes her pain, so how can you go out and be around any type of noise. He's a moron who goes by the book on everything. So that's the plan for now and of course she is scared.
I had to give her the eye a few times about the way she was talking to him. She didn't care.
Oh forgot to tell you it's 8 days exactly , a smoke alarm went off in the building and her ears are killing her, besides that she has a constant high pitch noise in both ears which are driving her insane.
It's all from the crps/ rsd
He gives us the name of an ENT to see, says he knows a lot about facial pain, etc a Yale graduate, as if he knows about rsd. There is nothing wrong with her ears, no infection, just the horrible things that happens to her ears when she is around noise.
I said to him do you think we have to leave the house when someone is cutting grass, snow blowing etc, no we love to do that for nothing.
Anyway we will go see this ENT just to show the doctor she went.
There is no way he can touch her ears, or we will just have to leave.
I'm so tired of these doctors, and Ashley has had it, if you know what I'm getting at.
She doesn't want to do this anymore, she's tired and lonely.
Sorry I'm just getting upset and teary eyed.
Sorry I chewed your ear off, but my heart just breaks for her, I can't help her.
Well ok I'll give Tyler the skinny 0.5 and see what happens. I mixed together some of the beef flavor and chicken together, IllI fix his butt lol @MrWorfMen's Mom
No apologies needed EVER! Blow off steam any time you need to. You have your plate full and you gotta let it out sometimes.
I think your insurance companies are taking far more control than ours over things they are ill equipped to wage judgement on. Here they will tell you they will only pay so much for a brand name drug that has no generic equivalent and then suggest there are other meds used for similar conditions with different pharmacological properties that have generic equivalents that could be prescribed but they won't tell you what drugs they are recommending because then they'd be crossing an ethical line. That was stupid because the insurance company didn't even know why the drug was being prescribed and therefore whether their alternatives would be appropriate.
It makes no sense that the insurance company needs the doctor to justify the amount of pain meds he is prescribing and certainly not when the most debilitating symptom of the condition being treated is pain and treatment options are essentially limited to pain control. I guess the insurance companies are protecting themselves from being complicit in the opioid crisis or they've been given a mandate to oversee drug claims. Either way, it is detrimental and cruel to withhold pain meds when the diagnosis is such that pain is known to be severe. Pain cannot be quantified. The onus is on the doctor to treat the patient properly but isn't it up to the medical associations to police their members rather than the insurance company? I guess I'm not helping but stuff like this makes me crazy too.
Is the doctor she sees now the doctor who diagnosed the rsd/crps? A neurologist? What the heck is physical therapy supposed to do to fix the ear pain? It might help with mobility given she isn't very active because of the pain but it's not going to change the ear pain. Quite frankly, I'd probably be locked up somewhere about now if I had to deal with that illogical rubbish.
Don't know what to tell you. We've got our issues with the medical profession here too but your story is making most of my experiences pale in comparison.
to you and Ashley. I can only hope that the ENT has some experience with rsd affecting the ears and can offer support in some way.
Thanks for listening Linda, that's what we told this moron doctor about the physical therapy. Thank god Ashley is on Social Security Disability and Medicare as her primary and Horizon Blue Cross Blue Shield as her secondary. They don't take out any mony for her part B Medicare because she receives that much from SS Disability, the state pays for it, She had Humana for her prescription plan and pays for that but gets what's called Extra Help and they and only pays $3.30,for generic and $8.35 for brand name. When she reasches a certain amount she pays nothing. I hope this ENT can come up with something. Thanks for letting me vent, I will talk to you in the AM
@MrWorfMen's Mom morning Linda, Tyler says meow to Auntie Linda
AMPS - 150. Going with Skinny 0.5 ? @MrWorfMen's Mom
Sorry. Was up late and just woke up. Yes. Looks like Tyler is getting back to business.
No problem, I hope so, catch you later my friend
@MrWorfMen's Mom hi Linda
SATURDAY 9- 14-19 Going with 0.5 on the line
PMPS -161 do you thithink I should try 0.5 on the line or since its a night cycle stay with the Skinny 0.5 and see what the am brings @MrWorfMen's Mom
I'd go on the line tonight. He's been fine in the past at 161 pre-shot with that dose so pretty much the same starting point.
OK thank you Linda, will talk later, Ashley is going insane with the noise in both ears, she can't take it anymore . Will go 0.5 on the line tonight
Like is for Tyler. Ashley gets .
Aw thanks Linda
@MrWorfMen's Mom morning Linda
SUNDAY 9-15-19 Going with 0.5 on the line
AMPS - 152 should I stay with the 0.5 on the line?
He didn't do that bad last night
Going to go with 0.5 on the line
Good call on the dose. I slept in a bit this AM and am a bit late getting my coffee and checking in.
No problem Linda, you need your rest also, just like everyone else. Last night his numbers weren't bad at all, at least I think so, hope I'm right
Overall Tyler is doing terrific. He's spending most of his time in "normal" range. Now if we could just get him to slide down a wee tad more but sometimes it's hard to do with Vetsulin because it can act so fast and you don't want him going too low. He's very well regulated and a lot of folks would be very jealous of his numbers.
OK thanks Linda, I hope the vetsulin will keep working , I couldn't afford any of the other insulin's
@MrWorfMen's Mom hi my friend
SUNDAY 9-15-19 shooting Fat 0.5
PMPS - 167 0.5 on the line?
I think you could go to a fat 0.5u tonight.
I swear I was going to say that lol.okey dokey
@MrWorfMen's Mom well his belly is full and time for a nap. This was last night @MrWorfMen's Mom
@MrWorfMen's Mom morning Linda
AMPS - 173. Fat 0.5 ?
@MrWorfMen's Mom hey Linda
Same pre shot as this morning
MONDAY 9-16-19 Going with Fat 0.5
PMPS - 173. Fat 0.5 ? @MrWorfMen's Mom
Yes. What is that guy doing? Come on Tyler! We know you can do better.
I know he's driving me crazy, He was doing so good in the past. He was begging for food at 8 pm wouldn't shut up. I put it in front of him and he says a little then I have to chase him around holding the dish up to his mouth and then he eats. I will starve him all day and then I'm sure he will eat I'llI'll @MrWorfMen's Mom look at #53
AHHHHH! What a handsome fella. Reminds me of my first kitty as an adult!
@MrWorfMen's Mom morning Linda
AMPS - 170. 0.5 Fat
Even though he didn't hit any green last night, his numbers stayed pretty low
Even @+9.5 he was 133 @MrWorfMen's Mom
I love those low blues last night.......so close to green.
So do I , sooner or later we'll see one, talk to you later
@MrWorfMen's Mom We have a green @+2. 93
Just fed him some LC Fancy Feast, when should I check him again? I know you are supposed to feed to make sure he comes up with food correct? So if it comes up now with the food, then I shouldn't feed him anymore and then check to see after not feeding if it came up on its own right? @MrWorfMen's Mom
Check again in 30 minutes. If he's down, give him a bit of MC to boost him up and retest in 30. If steady, retest in 30 minutes to make sure he's holding. The one last test another 45 minutes to 1 hour to make sure he's holding without food. Rinse /repeat until you get 2 readings that are above 90 or rising but not dropping without food influence. If he keeps dropping you can replace MC with HC to give him a swifter boost.
I have to go out in few minutes so if any problems, post for help in Health. He's looking good.
OK will do one question when you said get 2 readings that are above 90 or rising but not dropping without food influence ? What do you mean but not dropping without food influence? @MrWorfMen's Mom
@MrWorfMen's Mom ok
@+2 was 93 fed LC FF
Retested 30 minutes later @+2.5 99 did not feed will test again in 30 minutes
Retested 30 minutes later @+3 it was 91 just fed MC FF will recheck in 30 minutes
Retested 30 minutes later @+3.5 after giving MC FF 124 will not feed and recheck in 30 minutes
I was getting nervous when I saw the 91 so asked for help like you said, I posted in Health. FurBabiesMama helped me
Tested 30 minutes later @+4 it was 121 did not feed
Will test in an hour which will be @+5
@+5 it was 121 no food I guess I can stop testing until PMPS
He got me so nervous lol
Diane, Tyler is safe unless he drops way lower than 90. We use that limit with Vetsulin to make sure you have an extra cushion before kitty would be in danger of hypo simply because Vetsulin can drop BG quickly. The higher BG of 90 allows more time to intervene. Tyler doesn't tend to have sudden drops so he may not need that much cushion but better too much than too little.
You did exactly what you needed to do and kept Tyler safe. He's lucky to have you. I know it's nerve racking but he was in no danger. Unless he starts dropping below about 68, the chances of hypo are slim to nil. Sorry I wasn't here but I went to visit a friend's Aunt I am very fond of. She's 92, has all her faculties and is a lovely wonderful person. I can only hope to be in such good shape if I make it to that age!
Hi Linda I panicked when I saw 91, should I have given him the MC like I did, just in case I get similar number like today. I didn't understand what you meant #66.
Can you please take a look at it and explain it to me. No need to say sorry that I you weren't around, you are allowed to have a life lol. Your friends Aunt is probably in better shape than us lol. I glad you got out and enjoyed your visit. I guess I got a little nervous because of the 3 green number which we haven't seen in a while.
Wonder what tonight will be and the dosage @MrWorfMen's Mom
Now when he was 91 @+3 and I gave MC, what would have happened if I didn't feed him anything, most likely he would have kept dropping right? @MrWorfMen's Mom
91 and 99 are essentially the same given meter variance but you don't know whether each reading is low, high or essentially right on. SO giving Tyler the MC at 91 was perfectly logical. You may have been able to get away with LC but the goal is to keep Tyler safe so either choice would be fine and what you did worked was great.
If you get dropping numbers and have to feed a couple of times to keep BG up, we recommend letting down your guard until you have 2 readings above the intervention limit (90) without having to feed again to keep numbers at 90 or above. Looks to me like you handled him like a pro and the next time, you can try LC for MC and see what he does. Tyler is an extremely stable kitty who doesn't seem to do anything dramatically which is a god send.
Does that help?
Yes it helps, I has such a time getting him to try the MC, he doesn't like to chew anything, so I just put the can of MC 15% right in front of his face and of course I had to hold it for him and he just licked it, maybe a few pieces of it got in his mouth and he had to chew it. I was worried that he didn't lick enough but I guess he did. I even tried to take some of the gravy and pour it on the FF pate LC but he would not eat it. I wanted to shove it in his face Iol . Now he's been sleeping since this ordeal started. I will check in with you tonight as usual to let you know what his PMPS is and what to shoot OK @MrWorfMen's Mom
@MrWorfMen's Mom hey Linda
TUESDAY 9-17-19 0.5 Skinny
PMPS - 140 do you think we should lower it to 0.5 Skinny for tonight after today's numbers @MrWorfMen's Mom hey Linda had to shoot so I went with 0.5 Skinny , I just wasn't sure after his numbers from today
@MrWorfMen's Mom hey Linda did you see what I did last night with Tyler I wasn't sure what to do a after all those greens
Sorry Diane. Got held up on telephone with my SIL who is going to drive me crazy. I agree going with the skinny 0.5u was agood idea. Great cycle yesterday. Hopefully you'll see more like that in the days to come.
No problem, just tested Tyler
WEDNESDAY 9-18-19 going with 0.5 Fat
AMPS - 171 what do you think, when he got all those greens yesterday morning his pre shot was the same and I shot 0.5 fat @MrWorfMen's Mom
Yesterday's cycle was as close to perfect as you can get. Doesn't look like he's bounced much if at all from the green BGs yesterday so I don't see any reason to change dose right now. He was quite safe the whole time and in healing numbers. I'd go with the fat 0.5u again but if you are uncomfortable with that, drop it to 0.5u on the line.
I will be brave and go with the 0.5 Fat again lol This time I won't get that nervous. Just watch, today he probably won't get one green . I will talk to you later @MrWorfMen's Mom
@MrWorfMen's Mom hey Linda
WEDNESDAY 9-18-19 .0.5 Skinny
PMPS - 143. Think I should go with the 0.5 Skinny like last night.
Going to shoot now so I'll go with the 0.5 skinny again. I will start a new thread for tomorrow morning TYLER'S JOURNEY #12 just a heads up @MrWorfMen's Mom
@MrWorfMen's Mom OK will talk to you in the am. Are you OK?
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