R
rbrumbaugh82
I am about to give him his shot for the night. I was told to report on here before I gave a shot and I just wnat to know how many units should I go with and stick with?
thanksSorry - I'm not able to provide any good advice on dosing, but if you edit your thread title to include the question mark prefix (from the drop down menu), that's supposed to help draw attention more quickly from folks who are on line.
I see a suggestion to drop the dose to 3u bid has been made by Marje. Julie and Sienne agreed. Testing for ketones becomes a "must do".
He started to see some blue numbers at 4u and so that is probably as low as I would back off the dose to and then I'd follow the SLGS Method for holding doses, increasing doses, etc. The other option is to hold the current dose and follow the SLGS Method because if he is overdose, he will eventually break through and start down but you'll have to keep monitoring him as you are because when they do break through a high dose, they can come down quickly.
I have one saying this and someone else saying to do this.
Believe me, I'm not trying to take anything out on anyone. Its just been a downfall lately or basically since January when the last time he was in the blues a lot. I don't know what I am doing wrong and I know having an overweight cat is working against me. I've never tested him for Ketones and pray that he doesn't have them. I am trying to figure out the correct dose for him and given that I've read that people have given over 10 units of insulin worries me because at 5 units he isn't dropping into the 100s hardly. So I don't know if he needs more but I don't want to do that because my Vet a while ago though 3 units was a lot for Pooper's and that going above 4 would mean the insulin isn't the right one. I have gone down that route 2 times with N and BCP Bovine insulin. I was given advice to try Levemir if I go for a new insulin and I just hate to think about all this switching on him if Lantus has worked wonders for so many and I wonder if he just hasn't received enough. Not to mention eating enough throughout the day because I am struggling to find which food will work best for him. Being that he is older and overweight, I don't want to worry about his kidneys and such so I want to feed him a low phosphorus food and basically a food that is low mineral and acidic so that his pH will stay in normal range to avoid bladder problems. So now you can see why I stress so much and my cats are all worth it even if I pass out.I think what people are trying to tell you is that you have options, and in the end the choice is yours. None of us can make the decision for you, we can only offer opinions on what we think might or might not help. And, as with everything else in life, everyone has their own opinion so you may get some conflicting information. No-one here is trying to confuse you, just making sure you're aware of all the options everyone can think of so that you can make an informed choice on what to do next. There are different ways of handling situations like the one you have with Poopers and no-one can tell you for sure which of the options you have is going to be the right one because "Every Cat is Different". What you have to do is take the information you've been given, decide which course of action you're happy taking and go with that decision. Remember as well, no-one's going to be upset or offended if you don't choose the solution they offered and everyone will still be here to help you no matter which of the options you decide you want to go with.There's nothing to stop you trying one option - but you need to give it a reasonable try out for a good few days - and if it doesn't work, moving on to the next until you find one that does help.
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So I shouldn't have went down to 2U then but instead stuck with what I was giving him?Actually, I said:
I bolded it to show that I thought she had an option to hold the dose and not decrease it.![]()
Believe me, I'm not trying to take anything out on anyone. Its just been a downfall lately or basically since January when the last time he was in the blues a lot. I don't know what I am doing wrong and I know having an overweight cat is working against me. I've never tested him for Ketones and pray that he doesn't have them. I am trying to figure out the correct dose for him and given that I've read that people have given over 10 units of insulin worries me because at 5 units he isn't dropping into the 100s hardly. So I don't know if he needs more but I don't want to do that because my Vet a while ago though 3 units was a lot for Pooper's and that going above 4 would mean the insulin isn't the right one. I have gone down that route 2 times with N and BCP Bovine insulin. I was given advice to try Levemir if I go for a new insulin and I just hate to think about all this switching on him if Lantus has worked wonders for so many and I wonder if he just hasn't received enough. Not to mention eating enough throughout the day because I am struggling to find which food will work best for him. Being that he is older and overweight, I don't want to worry about his kidneys and such so I want to feed him a low phosphorus food and basically a food that is low mineral and acidic so that his pH will stay in normal range to avoid bladder problems. So now you can see why I stress so much and my cats are all worth it even if I pass out.
So I shouldn't have went down to 2U then but instead stuck with what I was giving him?I screwed up yet again
How does Poopers seem in himself - is he happy? purring? Those things mean a lot too - it's not all about his numbers and I'm sure if you look at his overall behavior he has quality of life thanks to the effort you're putting into all of this.Thank you for the explanation Julie. I don't like anyone to think I've misquoted them and I knew I wasn't dreaming...I had posted what Jill quoted in your earlier thread, at the same moment as Jill. I deleted my post because it conflicted with hers. Jill has years more experience than me and I would defer to her.
Well he does Purr when I feed him and rub him. He seems alert but sleeps more than plenty but I know a lot of cats do sleep alot. He just isn't playful as I want him to be even if he is overweight and older. My dilemma is trying to figure out the best food approach. On here I have half who say to not feed dry even if it is YAZC and others that say it has worked for their cat to get them into remission. I know the remission rates are higher with the wet food diet on here than the dry food diet. However, the FF that I feed around here my inside cats hardly touch. They just nibble at it but don't show me any enthusiasm that they crave it. Pooper's eats the Turkey and Giblet but his numbers don't budge much.I completely understand why you're stressed - never think I don't understand or don't sympathize because I really do. I can remember only too clearly how stressed I was with Rosa in the beginning when ALL her numbers were black and didn't seem to come down no matter what I did. I totally agree - our cats are worth all the stress and all the heartache because of the love they give us and I know you've spent all your time trying to do the right thing for Poopers to get him well.
No, you didn't screw up - you took one of the opinions you'd been offered, which was to reduce his dose, and went with it. You can only do the best you can do - reducing was an option, holding the same dose was an option and increasing was an option. You can't do all 3 at once so please take it easy on yourself. I'll say it one more time - you're doing the very best you can, which is all anyone can ask of you - and you shouldn't be asking more than that of yourself eitherHow does Poopers seem in himself - is he happy? purring? Those things mean a lot too - it's not all about his numbers and I'm sure if you look at his overall behavior he has quality of life thanks to the effort you're putting into all of this.
Thanks, and I really do hope I find the solution soon. I'm not sure if the go low approach is going to work because as you can see from yesterday, just on 2 units he stayed in the 300s all day. That is pretty much the same scenario when he was on that BCP insulin and I gave him 2-3 units. He stays consistent but in the 300s all day. Too bad I can't get him to be consistent in the 100s all day long. May need like 6 units or more until he breaks through but I also do not want to overdose him on insulin either.I had posted what Jill quoted in your earlier thread, at the same moment as Jill. I deleted my post because it conflicted with hers. Jill has years more experience than me and I would defer to her.
I also was heading out and didn't have time to discuss things properly.
In any case, your situation isn't clearcut, because of how you got to this point. We're doing the best we can to help you.
We've all had diabetic cats and we all understand how incredibly difficult and stressful the beginning is. Things are unsettled for you now, but as this tangled web gets straightened out it will get easier. Infinitely easier. So hang in there.
You're talking about food changes, you aren't sure about the dose, you aren't even sure if your insulin is ok. You're also worried about his weight.
It's no wonder you feel overwhelmed. We're a great support group, so keep asking questions and we'll help you figure things out.
It is frustrating to see nothing working. One thing to remember is that not every cat is going to reach remission. Won't matter if the caretaker does everything right or wrong, the cat's pancreas just isn't going to be able to function properly again. Some cats end up being high dose cats. Not because the caretaker didn't do things right, but because that is what the cat needs. Try to settle into the mindset of trying to determine the best treatment plan for Pooper instead of focusing on what will get his numbers down the fastest. Lantus will never beat down numbers for you. It does wonderful things. For people who use it with precision and patience.
Now that you've made a decision to go with 2U, are you going to try to remove the dry food from his diet as suggested? A reduced dose is always a safer time to do that. Getting some Ketone test strips to watch for Ketones would be a good idea too. Even if a reduction may not be what is needed, unless you see Pooper developing ketones or in some other distress, time to follow the process. Trust me, it takes a lot of the stress out of it when you can find the help to make your decisions right there in the protocol steps. Work your way back up the the higher dose safely and in the proper steps so that if you reach 5U again, the experienced caregivers can look at your spread and see you got there increasing by 0.25-0.5 so they can believe you didn't miss your optimum dose.
The problem I have is that before I changed him to YAZC, he was eating just Turkey and Giblets FF for several weeks. However, it never helped his numbers. The reason for the 100s back in December and January was because he may have not been fully diabetic and the Novalin N was working to drop his numbers but never consistent in his system. I just wish I had those numbers again.It is frustrating to see nothing working. One thing to remember is that not every cat is going to reach remission. Won't matter if the caretaker does everything right or wrong, the cat's pancreas just isn't going to be able to function properly again. Some cats end up being high dose cats. Not because the caretaker didn't do things right, but because that is what the cat needs. Try to settle into the mindset of trying to determine the best treatment plan for Pooper instead of focusing on what will get his numbers down the fastest. Lantus will never beat down numbers for you. It does wonderful things. For people who use it with precision and patience.
Now that you've made a decision to go with 2U, are you going to try to remove the dry food from his diet as suggested? A reduced dose is always a safer time to do that. Getting some Ketone test strips to watch for Ketones would be a good idea too. Even if a reduction may not be what is needed, unless you see Pooper developing ketones or in some other distress, time to follow the process. Trust me, it takes a lot of the stress out of it when you can find the help to make your decisions right there in the protocol steps. Work your way back up the the higher dose safely and in the proper steps so that if you reach 5U again, the experienced caregivers can look at your spread and see you got there increasing by 0.25-0.5 so they can believe you didn't miss your optimum dose.
Breathe! I've been at this for 5+ years and this is my 4th diabetic and I've gotten tired, frustrated and made wrong decisions on him. We just get back on track and do our best by them.
Breathe! I've been at this for 5+ years and this is my 4th diabetic and I've gotten tired, frustrated and made wrong decisions on him. We just get back on track and do our best by them.
On here I have half who say to not feed dry even if it is YAZC and others that say it has worked for their cat to get them into remission. I know the remission rates are higher with the wet food diet on here than the dry food diet. However, the FF that I feed around here my inside cats hardly touch. They just nibble at it but don't show me any enthusiasm that they crave it. Pooper's eats the Turkey and Giblet but his numbers don't budge much.
Well he does Purr when I feed him and rub him. He seems alert but sleeps more than plenty but I know a lot of cats do sleep alot.
I just have to be more patient and allow more time with both insulin and the food since Pooper's has a very stubborn body and takes after his daddy.
Well the wet diet doesn't seem to have owrked for me. I know I have different cats compared to everyone else. I was feeding him FF for well over a month and his numbers were doing the same as they are now on dry. The dry food I am feeding isn't like dry food you buy anywhere else. Even like with Evo, this one has less carb than most wet food. Pooper's drinks plenty of water too. Its just hard to explain to people but I will figure things out sonemdayIf you look at the kitty on my avatar you are looking at a kitty that went from 4U to off insulin in 3 weeks. How? I removed the kibble (hard food) from my house. I also have another kitty Jack who is 19 pounds and diabetic. He is being reduced tonight to 1U and he to has been off insulin as well for 3 years. Please if you want to help your kitty remove the kibble test a lot when you do and pick a protocol. I am on tight regulation protocol but you may prefer the slow and go protocol. Look at the sticky notes at the top of the forum. You are being followed by some great women that saved my Scooter and they will help you to. Your not alone and you are doing GREAT!