We got Blue today!

Discussion in 'Feline Health - (The Main Forum)' started by Peppersmom72, Dec 22, 2017.

  1. Peppersmom72

    Peppersmom72 Member

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    Nov 20, 2017
    I know its the first time, but we got our first blue today! :cat: Pepper seems to be nice and alert and eating normally. We are having a good day today (No jinxing). We are so excited about our 188!:p I know its just the first month, but we'll take it.
     
  2. FurBabiesMama

    FurBabiesMama Well-Known Member

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    Jul 6, 2017
    Yay! Congratulations. We have to celebrate every little victory.
     
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  3. Sharon14

    Sharon14 Well-Known Member

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  4. FurBabiesMama

    FurBabiesMama Well-Known Member

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    Jul 6, 2017
    There's that dancing kitty again! :D
     
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  5. Sharon14

    Sharon14 Well-Known Member

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    It’s good to have some things to dance about!
     
  6. Kris & Teasel

    Kris & Teasel Well-Known Member

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    Hurray for a blue! :smuggrin:
     
  7. donnalea

    donnalea Member

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    Jun 18, 2016
    That's great news.
     
  8. Critter Mom

    Critter Mom Well-Known Member

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    Jun 16, 2014
    Adding another woot! :woot:


    Mogs
    .
     
  9. JanetNJ

    JanetNJ Well-Known Member

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    Jun 8, 2016
    Awesome! Fingers crossed for a lower preshot
     
  10. JeffJ

    JeffJ Well-Known Member

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    Jul 7, 2016
    Yay for blue! A lot of us know how hard it can be to get that far. Nice going. And kudos to your for keeping your numbers in the spreadsheet. I hope the blues continue for some more nice nadirs.
     
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  11. Peppersmom72

    Peppersmom72 Member

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    Nov 20, 2017
    Well, Pepper wasn't blue today, but she was not feeling well. Hopefully, we'll see blue again soon.
     
  12. JeffJ

    JeffJ Well-Known Member

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    Jul 7, 2016
    You have done a nice slow increase. Maybe an increase to 2.75 is in order at this point. Pepper needs to get out of those blacks.
     
  13. Peppersmom72

    Peppersmom72 Member

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    Nov 20, 2017
    @JeffJ is it normal to be so scared with every increase? She's a puker and I'm gone 11 hours a day away from her.
     
  14. Peppersmom72

    Peppersmom72 Member

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    Nov 20, 2017
    It just seems like this isn't the right insulin. She drops mid cycle, but goes up high at every pre shot. I don't want her going super low and hypo and then shoot through the roof again. Is this a normal thing to be afraid of? I don't have any support at home with her treatment. If she hypos while I'm gone, what am I supposed to do?
     
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  15. JanetNJ

    JanetNJ Well-Known Member

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    Jun 8, 2016
    A longer acting insulin may indeed help.... Although there no time on your ss that she's close to being too low. If it were my cat I would switch insulin when it's time for a new vial. If your schedule sometimes needs a little time flexibility look into ProZinc.
     
  16. Sharon14

    Sharon14 Well-Known Member

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  17. JanetNJ

    JanetNJ Well-Known Member

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    I'd raise to 2.75
     
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  18. Kris & Teasel

    Kris & Teasel Well-Known Member

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    If you're considering an insulin change, ProZinc (although expensive!) would be familiar in its action to you but slower and gentler. It does allow some dose timing and dose changing flexibility that the depot insulins like Lantus and Levemir don't. It's worth considering.

    I agree with a dose increase to 2.75 u. You have a long way down to go before her numbers are too low at nadir.
     
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  19. JeffJ

    JeffJ Well-Known Member

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    Jul 7, 2016
    Let's get the dose to 2.75. Her high BG readings in the AMPS and PMPS are toxic, literally. If there was a column of blue nadir numbers, we would be more cautious.

    I agree to also switch insulins when possible.
    Prozinc - Leo liked it, but it has to ship refrigerated, and I had to get it at the vet so what a pain that was
    Levemir and Lantus - good depot insulins

    Really, if you don't get Pepper into lower numbers soon, her health problems will increase. (Prozinc, Levemir, Lantus) - any of these three will basically lower the AMPS and PMPS numbers, while providing good nadirs.
     
  20. Critter Mom

    Critter Mom Well-Known Member

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    Jun 16, 2014
    That's typical of the action profile of Novolin N; it doesn't tend to have a very long duration of effect in cats.

    Echo the suggestions about Prozinc, Levemir and Lantus above.

    Dose increases always scared the bejeebers out of me! :nailbiting:


    Mogs
    .
     
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  21. Peppersmom72

    Peppersmom72 Member

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    Nov 20, 2017
    Well, that just went out the window, when I thought we were doing good. Pepper WON'T EAT. which means no shot this am. I gave her an appetite stimulant and she finally started eating 15 mins ago. I hope she holds down her food. Has anyone had a pukey furrbaby that you had to leave at home all day after an insulin shot? If so, which insulin were they on? As I stated before, my hubby will feed her, but will not administer a shot and only test when he feels its an emergency. So, its like she is home alone with food. I need an insulin that is gentler on her than the Novulin.

    I can't afford $275 for insulin, whichever that one is.
     
  22. Kris & Teasel

    Kris & Teasel Well-Known Member

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    Aug 17, 2016
    If you decide to try a different insulin, you can buy Lantus from a reputable Canadian pharmacy, Marks Marine Pharmacy in Vancouver. The cost of a 5 pack of Lantus pen cartridges is about $175 or thereabouts. The 5 pack would give you a total of 1500 units of insulin (300 units per cartridge) and, depending on dose, that can last up to a year. The unopened cartridges are good in the fridge until their expiry date which is often 2 years down the line.

    Some people on FDMB also buy Lantus pens individually from some of the vendors on the "Supply Closet" forum.
     
    Last edited: Dec 26, 2017
  23. Peppersmom72

    Peppersmom72 Member

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    Nov 20, 2017
    @Kris & Teasel
    Is Lantus gentler on her body than other insulins? Meaning, does she have less of a chance of hypo or losing her appetite or vomiting?
     
  24. Peppersmom72

    Peppersmom72 Member

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    Nov 20, 2017
    What does depot insulin mean? Also it shows that lantus pens need to be discarded after 28 days after first shot
     
    Last edited: Dec 26, 2017
  25. JanetNJ

    JanetNJ Well-Known Member

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    Jun 8, 2016
    If stored in the refrigerator lantus lasts several months. 28 days is if it is not refrigerated. Deposit means the body saves up a little of it like a savings account. If you go to the lantus forum and read the yellow stickies at the top they explain a bit more about that.
     
  26. JanetNJ

    JanetNJ Well-Known Member

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    Jun 8, 2016
    Yes.. The curves and drops are not as drastic.
     
  27. Stephanie & Quintus

    Stephanie & Quintus Member

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    Dec 9, 2017
    Most people here keep their Lantus pen in the fridge and use it upto 6 months, so no worries about the 28-day thing (you know companies need to protect their behinds, particularly with medical stuff).

    Depot means that when you inject the insulin (glargine is the name of the one in the Lantus pen) it forms little crystals (sort of) where you inject it. That's the "depot". The depot will then slowly release insulin into the blood stream, over time. This means that with depot insulin you don't just get the effect of the last shot, but you get the effect of the buildup of depot over the last days. This helps smoothe the curves, but also means you can't just "test and adjust the dose" at each shot. You hold a dose over at least 3 days to get an idea what it is doing, and then if needed you raise it a little bit. Think of it as steering an ocean liner rather than sailing a dinghy. More inertia. This means, hopefully, less big ups and big downs -- but it will take a few weeks to get stabilised.

    Hope this helps!
     
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  28. Critter Mom

    Critter Mom Well-Known Member

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    Jun 16, 2014
    I like this analogy! :)


    Mogs
    .
     
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