STALLING - need advice

Discussion in 'Feline Health - (Welcome & Main Forum)' started by Heather and Khouklo, Feb 21, 2020.

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  1. Heather and Khouklo

    Heather and Khouklo Member

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    Feb 18, 2020
    +22 (last dose 0.5 unit lanus)
    BG: 107 relion

    was trying to get on track with dosing at +21 so i could start tomorrow on time as planned for my first glucose curve test but he's still not high enough for me to dose .

    was planning on dosing 1 hour ago and again 11 hours from now but if i wait until morning that puts me at 32 hours.
     
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  2. Chris & China (GA)

    Chris & China (GA) Well-Known Member

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    May 10, 2013
    Did your vet run a fructosamine test when he was diagnosed?
     
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  3. Heather and Khouklo

    Heather and Khouklo Member

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    Feb 18, 2020
    yes, fructosamine was 616

    BG: 463
     
    Last edited: Feb 21, 2020
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  4. Heather and Khouklo

    Heather and Khouklo Member

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    Feb 18, 2020
    he's 8 days into his 10 day antibiotic for the UTI
     
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  5. Heather and Khouklo

    Heather and Khouklo Member

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    Feb 18, 2020
    i have only checked him once comparing libre to relion meter

    relion meter was 20 points lower than libre.

    right now libre says 120 so im guessing relion would say 100.

    i will be checking the two against each other again
     
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  6. Heather and Khouklo

    Heather and Khouklo Member

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    Feb 18, 2020
    this is how he's been trending since the libre sensor went on 7 hours ago Screenshot_20200221-010320_LibreLink.jpg

    fwiw....
    +14 BG: 103 relion
    +22 BG: 107 relion
     
    Last edited: Feb 21, 2020
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  7. Chris & China (GA)

    Chris & China (GA) Well-Known Member

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    May 10, 2013
    We really have no experience reading the Libre or understanding how it fits in with our current dosing methods.

    It doesn't even really measure the blood glucose....it measures the glucose in the body's interstitial fluid

    It will help us if you'll go ahead and put the blood glucose numbers you've gotten using your Relion into the spreadsheet.

    Once you start keeping track of your numbers, we'll probably want to move you over to the Lantus insulin support group so you get the most experienced people helping out
     
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  8. Deb & Wink

    Deb & Wink Well-Known Member

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    Jan 31, 2013
    @Chris & China (GA)
    With the BG levels reading like they are, no insulin for so long, I'm wondering if her cat is even diagnosed correctly.

    Despite the high fructosamine, cat showed no other symptoms.
    One of her other threads, where I asked a few questions. Because I had my doubts this cat was actually diabetic.
    STALLING Again -NEED DOSING ADVICE / Last Dose 25 hours ago

    She said her cat was lethargic. That was his only other symptom.
    Questions I had for her included these:

    That's it. He was lethargic?
    No polyuria? peeing a lot
    No polydipsia? drinking a lot of water
    No ravenous appetite?
    No steady weight loss? despite ravenous appetite
    Not constantly begging for food?
    No big flakes of dandruff? big ones dime and nickel size
    No diabetic neuropathy? walking funny, down on his hocks
    Coat condition? dry and lifeless, or soft and shiny
    Glucose in the urine?
    Ketones in the urine?
    Goucose level in the blood was what?
    Is your cat overweight?


    p.s. French language feline diabetes facebook group has members that use the Libre more frequently. Getting used to reading the flow on the Libre charts a bit.
     
  9. Heather and Khouklo

    Heather and Khouklo Member

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    Feb 18, 2020
    20200221_124150.jpg
    No to everything BUT
    *excessive drinking and urination
    BUT he was on steroids
    (although this had increased even more within the past 3 - 4 weeks but didn't know what else to think other than steroids but think it was bladder infection)

    *any weight gain or loss seemed to correspond to being on and of steroids

    Glucose: 263
    fructosamine: 616

    no ketones in urine
    urine glucose: 1000 mg/dl
     
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  10. Julia & Bandit (GA)

    Julia & Bandit (GA) Well-Known Member

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    Dec 28, 2009
    Steroids can definitely cause transient diabetes and once the cat is off them they don't need insulin anymore. Infection can also cause high BG, and now that the UTI is resolving his BG is trending back down. I would hold insulin and continue to keep getting a few daily tests--as long as the BG is mostly below 180, I would hesitate to give any insulin because it's very possible he doesn't need it anymore.
     
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  11. Heather and Khouklo

    Heather and Khouklo Member

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    Feb 18, 2020

    it seems to correspond to the UTI, not the steroids.

    I'm monitoring him but not giving insulin, he still doesn't need it

    his BG was 81 , one hour ago
     
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  12. Julia & Bandit (GA)

    Julia & Bandit (GA) Well-Known Member

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    I wouldn't discount the impact steroids can have on diabetes. Bandit had been in remission for 5 years when he had to go on prednisolone for immune-mediated myelofibrosis, and immediately needed Lantus as well (that's the entire 2015 tab on his spreadsheet). His need for insulin dropped as we weaned him off the steroids, and once he was completely off them he went back into remission. That said, if he needs steroids again in the future, don't be afraid to use them, just be aware that he may need to be on insulin and monitored while he's getting them. Steroids can treat many life threatening conditions, and diabetes is very treatable if you're using the right insulin, food, and home monitoring. :)
     
  13. Heather and Khouklo

    Heather and Khouklo Member

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    Feb 18, 2020
    it's just that the change corelates to how many days he's been on the antibiotic. dx'd with UTI and DM the same day. he is on day 9 of 10 for his antibiotic
     
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  14. Deb & Wink

    Deb & Wink Well-Known Member

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    Jan 31, 2013
    As long as the blood glucose (BG) numbers are still too low to shoot, I'd hold off on the insulin.

    Those low BG readings may partially be due to the fact that the Lantus insulin you are using has a "depot" or storage area.
    That "depot" is still providing some insulin.
    It usually takes at least 3 days for the Lantus "depot" to drain.
    Let's see how Khouklo does over the next few days.

    p.s. Where did he get his name? It's very unusual.
     
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  15. Heather and Khouklo

    Heather and Khouklo Member

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    Feb 18, 2020
    my husband knew somone with a female cat named Khoukla and he liked it so he changed the a to an o :)
     
  16. Heather and Khouklo

    Heather and Khouklo Member

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    Feb 18, 2020
    my vet responded to the update i gave her and she said we may be crossing transient diabetes off of his list if he still doesn't need insulin over the next few days.
     
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  17. Deb & Wink

    Deb & Wink Well-Known Member

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    Jan 31, 2013
    :rolleyes: That would be good. Keeping all paws crossed here for that outcome.:)
     
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  18. Heather and Khouklo

    Heather and Khouklo Member

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    Feb 18, 2020
    why does my vet know know this? about the depot affect? i tried to ask about this and she said the insulin wouldn't stay in his system for more than 18 hours.

    so far he's looking good but I'll feel a lot better after several more days of steady levels.
     
  19. Heather and Khouklo

    Heather and Khouklo Member

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    Feb 18, 2020
    I made a typo his glucose was 463

    blood glucose: 463
    fructosamine: 616
    no ketones in urine
    urine glucose: 1000 mg/dl
     
  20. Deb & Wink

    Deb & Wink Well-Known Member

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